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A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
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