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Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Clinical Pearls for the Massage Therapist: Learning and Using Acupuncture Back-Shu Points
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By Mark Anthony Kestner, DC, FIAMA, CCSP, CSCS
Imagine that while working with a new client you observe a mild, erythamatous dermatitis. She has broad areas of red, dry skin. You question her about it and she tells you that she has seen her primary care physician, a dermatologist and a cosmetician with little help. The redness started seven years previously, and she relates no association with any illness, food sensitivity, allergic reaction or other cause.
As I examined her spine, I noticed that she had several specific areas of tenderness in her thoracic area not directly associated with her primary complaints of neck and low back pain. I had taken postgraduate seminars in kinesiology and trigger point therapy, so I treated the tender thoracic areas as well as her cervical and lumbar spine. After several spinal adjustments her complaints of neck pain and low back pain resolved, as did the other tender areas. I asked her to return for a follow up visit in one month.
When she returned, she asked me to examine her back. When I did, I saw that the skin had healed completely. Her dermatitis had disappeared. She asked me what I had done to "cure" the dermatitis. That was my introduction to the back-shu points of acupuncture. As I searched to discover the reason for her healing response, I discovered that the points I had been treating manually were associated with the lung and liver meridians. Specifically, the points were known as the back-shu points for those meridians, otherwise known as associated points.
For each of the twelve primary energy meridians that flow throughout the body, there are two powerful points located along each side of the spine. These points lie on the bladder meridian, and link to the Du or governing vessel meridian. Chi is infused into the corresponding organ meridians through these points. There is a close association between these points and the spinal ganglia. Meridian points have been shown to affect the functioning of the neurological system. When an organ is impaired, or the respective meridian is blocked or deficient, it is common for the back-shu point to be tender. It is also possible that you will observe a solitary pimple or other skin reaction at the point. For this reason, the back-shu points are also considered to be of diagnostic significance.
As you work with your client, it is a simple matter to routinely examine and palpate the back-shu points. Note any that are tender or show other signs of reaction. Any that are reactive should be stimulated. The points can be stimulated in a number of ways. Obviously to an acupuncturist, proper needling can be applied. For those who are not trained acupuncturists, non-needle methods include brisk circular rubbing, tapping, using a tei-shin, acupressure, warming and vibration. Manual stimulation does not need to be lengthy; in fact, brief stimulation is usually effective.
Now, the question remains, did my stimulation of those points result in this lady's healing and if so, what do the lung and liver points have to do with dermatitis? The first answer is "definitely maybe." The only intervention that she received during this time was my treatment. The fact that a chronic condition of seven years duration healed immediately following stimulation of the back-shu points certainly suggests that the treatment had a cause-effect relationship.
Why were the lung and liver points related? The lung meridian is often treated in skin disorders. Dry skin, itchiness, rashes and chronic skin disorders may be related to problems associated with the lung meridian. The association with the liver point is less obvious. The liver in acupuncture stores the blood and is associated with overall movement of chi. Although not typically directly associated with skin conditions, the liver can be involved with any situation that involves disturbance of the flow of chi.
The elegant simplicity of learning and using the back-shu points is that by stimulating the points, you can help the body to balance itself. It will be beneficial for you to continue to learn more about how to use meridian points and work closely with an acupuncturist in your area. The back-shu points are a great way to directly affect the meridian system while you continue to learn more complex procedures. Include the back-shu points in your work with every client.Resources:
Kaptchuk, Ted J. The Web that Has No Weaver: Understanding Chinese Medicine.
Xinong, Cheng. Chinese Acupuncture and Moxibustion (Revised Edition).
Mark Anthony Kestner, DC, FIAMA, CCSP, CSCS
Published: May 9, 2005