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Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Introduction to the Sinew Meridians
Many of you may not have had much training in the topography, physiology, psychology and treatment of what are commonly called the "secondary meridians," a term that refers to the sinew meridians, which I will discuss in this series of articles, as well as the Divergent meridians, the Luo vessels and the Extraordinary vessels. We usually do not find much in our texts or training on this subject. Even the name implies they are not as important as the 12 "primary" meridians of which we are more familiar. Indeed, all of the meridians in Chinese medicine are important and worth learning and utilizing. Hopefully, these articles will broaden your awareness of these meridians, and you can start integrating them into your practice.
The body and its meridians in general can be compared to a musical instrument like a guitar or piano. Where we place our fingers on the frets or keys - like pressing the acupoints - will adjust the song or melody, heard as the client's life music. But if the instrument is out of tune, we can't produce any lasting harmony. The client needs to be brought to a place where he or she can change the "tuning" and mind set that created the disharmony. We can work on or "play" the meridians and points that we believe will allow our clients to heal. But the same vibrations or consciousness that produced the disease will not heal it; we have to alter the client's perspective. A client must be willing to change his or her way of thinking to encourage healing.
Metaphorically and, even, literally, this can be thought of as the Chinese medicine concept of Wind. Wind brings change and can be thought of as the ability to change. Since Wind is called the "root of a hundred diseases," we can think of the inability to change as the cause of illness. Fundamental to Chinese medicine is the idea that everything changes, and the lack of a willingness to change causes disease.
All of the above meridians and vessels work together as an energetic network. They can be thought of as roadmaps of not only the terrain of the body, but of our lives. The body can be divided into three levels: the external-wei-defensive qi level, the internal-ying-nutritive qi level and the constitutional-jing essence level. In one sense they are literal, as seen in our charts and texts. They can also be used philosophically or metaphorically as pathways connecting to different aspects of ourselves. The external level of our body is where our wei-defensive qi circulates. Strengthening our exterior prevents us from getting ill, according to one paradigm. At this level resides concern for our physical appearance as well as what is going on in the politics of the world. The wei qi level is our extension into the world and our judgments about how the world should be. This is a somewhat defensive state - "me against the world" - but it is our attitudes that create our relationship to the world that lead to imbalances in that level. The sinew meridians' terrain is on this level, specifically conducting wei qi.
The internal level concerns our emotions and mind that nurture us physically, as well as emotionally. Our digestive system relates to this level. It's where we digest information as well as nourishment for the body. This is the blood level, where consciousness is anchored. We make conscious choices concerning our lifestyle, including diet and the emotions we choose to feel. The Luo vessels are specific to this level; conducting blood and developing additional networks, as needed.
The Primary meridians circulate both qi and blood, which go to both the external and internal levels. Though useful, they are not specific to an area where a person may be working in their life. It could be more helpful to directly target the place where they are primarily functioning.
The Extraordinary vessels relate to our congenital factors, our constitutional level. They represent what we are born with and form our physical blueprint and purpose in life - our curriculum. The Extraordinary vessels were considered beyond our reach until as recently as the Ming Dynasty when the opening/master points were developed. Interestingly, the same debates occurred then (as they do now) with the morality of genetic engineering. Working on the constitutional level with the Extraordinary vessels was considered altering our genetic code, and the ethics of that was questioned.
The Divergent meridians go from the exterior, right to the source - the constitutional level. They divert potentially dangerous pathogens away from the internal organs to the joints and bones. Damaging experiences that we may not process well, such as sexual abuse, can be diverted by these meridians away from our heart or other organs that can be damaged. Then the pathology goes to our joints, lodging there, sometimes manifesting as arthritis or other types of pain.
I suggest becoming more familiar with these meridians from the "inside, out" through self-cultivation. Traditionally, this would mean Dao Yin, now called Qigong, or the more internal martial arts, such as Taiqi. Meditation and yoga can also bring a conscious awareness to the meridians and their flow. It's one thing to see the meridians in charts, finding and palpating them; it's a whole other experience to become acquainted with them through inner knowledge - some would say this is crucial. It is through self-cultivation and reflection that we become aware of our own path in life; which meridians we are emphasizing; and where our own curriculum is leading us.
Carl Jung said, "Our vision will become clear only when we can look into our own hearts. He who looks outside, dreams. He who looks inside, wakes."
By exploring the depths of our lives we can extend the invitation to our clients. And how much more exciting, energizing and revitalizing can that be? The ultimate satisfaction is to be working with people on that level, with the unfolding and discovery of their lives.