Micro Acupuncture 48

40 Pages·2017·13.27 MB·English

SPRING 2018 www.pacificcollege.edu
a
BY DR. JANET BARDINI, DACM, DiplOM aid citizens during times of critical disas-
ters such as in New York City post-9/11,
T
he 2000-year-old medical practice in New Orleans after Hurricane Katrina,
of acupuncture has been brought in the Connecticut community of Sandy
into the 21st century through Hook following the elementary school
proven, effective, researched methods shootings, and in the UK for the survivors
to treat patients in times of shock and of London’s Grenfell Tower fire. This ar-
trauma. The NADA protocol, developed in ticle recounts the first-hand experience of
the United States by licensed physicians, an American acupuncture practitioner at
is currently used on military personnel in the forefront of establishing community
the United Kingdom and the United States trauma medicine in 2001.
for post-traumatic stress disorder (PTSD).
Community Acupuncture has been used to continued on page 4
Micro Acupuncture 48:
STDTAGE Dok, ILO.932 INSIDE THIS ISSUE....
PRSRT U.S. POS PAIBolingbroPERMIT N A Bright Future for Patients Experiencing 3 California Burning…and
Healing
Acute or Progressive Vision Loss
6 Achieving Clinical Success
With Upper Back Pain
8 Combining Old and New
By DR. ANDY ROSENFARB, ND, LAc, DiplAc, DiplCH
in the Clinic
10 A TCM Approach to Nourishing
The New Mother: Acupuncture
A
pproximately 285 million that my eyes had been feeling tired, & Dietary Therapy for
people worldwide are visu- blurry, and that I was getting minor Post-Partum Healing
ally impaired: 39 million are headaches from studying so much, 10 Ripples in the Flow: Nan
blind and 246 million have low vi- so had started using acupuncture to Jing Pulse Teachings
sion. Many of these conditions are see if it would help my vision. 11 Remembering Dr. Michael
considered untreatable by conven- A few years later, as I began Smith, NADA Pioneer
tional medicine, often leaving pa- my clinical practice, I took on a few
11 Las Memorias:
tients in a hopeless situation. cases of degenerative eye conditions
Volunteering in Mexico
My interest in treating degenera- including glaucoma, cataracts and
13 Knee Pain: Testing Western.
tive eye diseases began when I was macular degeneration. Some cases
Treating Eastern.
an acupuncture student at Pacific were mild, and some were severe;
College of Oriental Medicine in San some patients were even legally 14 Acupuncture’s Impact on
Opioid Addictions and Pain
Diego. As a result of the intense blind.
Management
reading, writing, studying, and com- I found that I became rather frus-
puter work, my eyesight was notice- trated with my results. A few patients 16 7th Annual Alumni Awards
ably deteriorating, and my corrective showed some minor improvements 16 Taiji Principles for the
prescription was getting progres- but nothing exceptional. I began to Improvement of Modern
5 sively stronger. seek the aid of others in the AOM Posture
0
1
e I decided to try some acupunc- field who had had success treating 17 Acupuncture and Tourette
y Rd., Suit108ge.edu twtuohrmeice ohtrn ias mt rroyeusveteilnaf elfe odsrc rtahe eafetn witnh gme boasynt timhgmsy aaof-tpe-r etdhyiaaegn nd soiussegiasg,se eessvt.ie oFrnyosor nothef e rs eemveiomeswet idpn agtor tm ,h oyat vhee r 21 SNyenwdlryo Fmoermed Shen Nong
e2e Society Looks to the Future
VallA 9Coll tism in both of my eyes had resolved the same points, the same herbal for- of East Asian Herbal
7445 Mission San Diego, Cwww.Pacific 800-729-0941 antwonehmdead ett ethIrd aish ttt a omwd ybab espe aearessnts oscdturroionpinndtiggeo..dn I,T naheonxe dp loo laapnis-ngkeeedrd mnou laav asuilg! gestionsc. oI nttriineude tdh eomn paallg, teo 9 22 MSAecelfud-Rpiceuignnceultautreed S tLuedaernnitnsg For

California Burning…and Healing
By CARLA CASSLER, Associate Director of Acupuncturists Without Borders, with MELANIE RUBIN, Associate Director of Acupuncturists Without Borders
Diego, two in Ojai, one in Ventura,
and three for firefighters at the Ven-
FIRE
tura County Fairgrounds in collabora-
I didn’t know tion with Chiropractic First Respond-
the crickets were still singing ers and Integrative Healers Action
that the sky could still be blue Network. In total, about 150 people
that walking near sweet pines were treated.
could be an act of liberation
“I’ve been on the fire for quite
I didn’t know
some time and this is the first mo-
the edgy nervous tension
Thomas Fire in Southern CA, taken by ment I’ve had to venture to the beach
the quiet restless panic
Captain Maggi Kouffeld, Humboldt Fire (where treatments were provided).
the fear to sleep
Department, CA, when she was flying The acupuncture/ear seed treatment
could last for days and days
in for the deployment, and used with helped me reach a point of relaxation
I didn’t know permission AWB volunteers in Northern CA I haven’t felt since I left home. Thank
the depth of our compassion you so much for helping me get there.
how the ties that bind strengthen weeks. One recipient’s account: work! I’ve learned that disaster relief Bless you.”
that tears could be shared with strangers is never predictable and is a moving -Captain Maggi Kouffeld, deployed
in a market “Just had an amazing session in target. Although it was challenging to from the Humboldt Fire Department,
on a park bench Sebastopol CA for the impact of the breathe the air, be amidst the chaos, California
or in the morgue fires on our emotional health, our and to witness the heartbreak, the
families and friends and our region! change in people’s faces after they re- Finally contained in mid-January,
I didn’t know that “It’s so humbling”
The fires in the area have had a tre- ceived treatment made it all worth it. I the 6,000 or so firefighters deployed
followed
mendous impact on all of us here remember our clinic at the Petaluma from Ventura County Fairgrounds
by only silence
and I have felt absolutely awful emo- Armory, in a huge building with tall to fight the Thomas Fire have been
could mean
“I’ve lost everything” tionally and physically. I can breathe ceilings, cots all in a row, the sun set- sent home. Now AWB volunteers are
right again! I have never experienced ting in a smoky sky out the massive looking into opportunities for treat-
-by Amy Humz, LAc, resident of Sonoma that type of opening. The amount of door out back, looking at soldiers rest- ing first responders where they are
County and AWB volunteer, who pro- stress and the trauma around us has ing in a circle during their treatments, stationed, as well as additional pos-
vided trauma healing treatments in her led to some very strange days indeed relaxing music playing, us volunteers sibilities for treating residents who
community after the October 2017 fires and helping my family and friends looking around, taking it all in. I told were evacuated or lost their homes
deal with the evacuations and sense one of the volunteers that this was one during the fires. At this writing, 17
of impending doom has caused in- of the best moments of my life.” people are missing due to mudslides
L
ast year, California experienced somnia and stress. But this session secondary to the fires and many peo-
the most devastating wildfire was amazing! I felt so many sensa- The Northern California fires are ple have been evacuated from their
season in its history: over 9,000 tions cut through many of the confus- out, but recovery for thousands of homes. AWB volunteers will likely
distinct fires across more than a mil- ing thoughts and feelings funneling people will be long and slow. AWB provide treatments for those affected.
lion acres with billions of dollars their way through me and there were continues to work with local practi-
of damage and dozens of lives lost. even moments of clarity. I felt a great tioners to provide ongoing long-term “Doing these treatments felt very
In October alone, 250 fires just in deal of release. Thank you!!! I can’t services for people in fire-affected magical. As acupuncturists we go
Northern California devastated almost express this enough!” communities, especially those with- along and do what we do every day.
250,000 acres and killed 44 people. out legal immigration status or eco- When you suddenly have an oppor-
December brought a new series of As is often the case when doing nomic resources. tunity to really connect with people
fires to Southern California, including relief work in disaster and conflict Though the California fire sea- and make an immediate difference
the Thomas Fire in Ventura County, zones, practitioners also receive heal- son usually ends by November, 2017 where it’s needed, it is powerful. One
forcing almost a quarter of a million ing and inspiration from the people turned out to be different. Strong of the most special moments was
people to evacuate. The people of they encounter and care for. This is Santa Ana winds created multiple when I treated a firefighter who was
California are still reeling from this from Catherine Herbin, AWB’s disas- fires, including the Thomas Fire, the obviously feeling the impact of the
devastation, which has now contrib- ter relief coordinator for the Northern largest wildfire in California history. deployment. She completely decom-
uted to lethal mudslides. California wildfire relief effort: The weekend before the fires broke pressed during the treatment and I
Over the past decade, hundreds out, on December 4th, AWB had could tell that she was so touched. She
of California acupuncturists have been “Helping to organize these clin- trained 80 acupuncturists at a Healing went back and got a T-shirt with her
trained by Acupuncturists Without Bor- ics has been one of the most powerful Community Trauma training in San firehouse logo on it and gave it to me,
ders (AWB) to provide trauma relief experiences in my life. I now have a Diego. Within several days, a group apologizing that it smelled like smoke
and recovery treatments in communi- taste of the amount of teamwork, or- of newly trained practitioners set up and needed to be washed. I told her I
ties affected by disasters like these. ganization, resources, patience and pop-up clinics for local residents and will never wash that shirt...”
Once the fires began in mid-October, improvisation that it takes to make it first responders, including one in San -LeRoy Griggs, AWB Team Leader,
AWB volunteers sprang into action. Ventura County Fairgrounds
In Northern California, AWB
staff worked with volunteers to set To donate to AWB’s Disaster Relief
up over 20 clinics in evacuation and Funds please go to http://www.
medical centers to treat evacuees, acuwithoutborders.org/donate
first responders, and other members
of the community. Clinic locations AWB would like to thank all the
included Petaluma Armory National volunteers who have made these re-
Guard, Santa Rosa Fairgrounds, Peta- lief efforts possible, giving up their
luma Veterans Center, Napa County, personal time during the middle of
and the Permaculture Skills Center in the holiday season. Special thanks to
Sebastopol. AWB also partnered with individuals and institutions like the
the Integrative Healers Action Net- Pacific College of Oriental Medicine
work of Sonoma to provide hundreds who have supported these efforts by
of treatments over a period of three First responders receiving treatment at the Petaluma Armory, Northern CA donating supplies and funding. OM
Oriental Medicine • www.PacificCollege.edu SPRING 2018 3
NEW BEGINNINGS: HOW 9/11 CHANGED THE FACE OF ACUPUNCTURE AND ESTABLISHED COMMUNITY TRAUMA MEDICINE continued from page 1
It’s probably safe to say that most New York City acupuncturist Wendy addiction in the U.S. military. The
of us in New York City awoke on Henry, CRREW (Community Relief * RAPID RESPONSE auricular point prescription (Omega
the morning of September 11, 2001, and Rebuilding through Education 2, Shen Men, Point Zero, Thalamus,
ACUPUNCTURE has
unaware of how our lives would and Wellness) was established with Cingulate Gyrus) is one of the proto-
change. As a student at the Pacific the goal of organizing practitioners cols currently in effect in U.S. military
found its way into a
College of Oriental Medicine’s New to treat trauma victims during times hospitals (www.drclearfield.net).
York campus (PCOM), I received a of crisis. In the days following the number of U.S. commu-
call that morning from the clinic di- 9/11 attacks, the CRREW team were CONCLUSION
nities following various
rector telling me that we were under on-site, treating staff members at the My work in rapid response acu-
a terrorist attack and not to come PAPD trailers at Ground Zero and at natural disasters and puncture continues today. In March
in for my shift. The following day, St. Vincent’s Hospital in Greenwich of 2014, a gas explosion leveled an
gun violence.
PCOM staff members approached Village. CRREW also used their grass- East Harlem New York building. I
the Federal Emergency Management roots effort to treat the New York organized a small group of practi-
Agency (FEMA) with a new idea: li- City community at firehouses, syna- tioners to offer acupuncture trauma
censed acupuncturists and students gogues, and churches. mass shootings at a cinema in Au- relief to the community and worked
would offer 24/7 trauma relief on In the aftermath of 9/11, acu- rora, Colorado in 2012, and after the out of storefront churches around
a volunteer basis to the search and puncturists in the United States de- Boston Marathon bombing in 2013, East 116th Street. After the Grenfell
rescue teams working at the World cided it was a good idea to further local acupuncturists organized rapid Tower fire in London this past June,
Trade Center. FEMA said yes, please the development of ‘rapid response response acupuncture services. In I posted a message on Acupunc-
come. The call went out throughout acupuncture’. CRREW continued their May 2013, a destructive EF5 tornado turists on Facebook to contact me
the New York acupuncture com- mission in the United States, organiz- struck Moore, Oklahoma and adja- should they need my assistance. I
munity to round up practitioners to ing community acupuncture clinics cent areas, killing 24 people and in- am happy to have connected with
organize a makeshift clinic at the during other times of crisis, following juring 377 others; local acupuncturists practitioners Sheira Chan and Gisela
Jacob K. Javits Convention Center Hurricane Katrina in New Orleans in set into motion an emergency acu- Norman when they reached out to
on Manhattan’s west side, where the 2005 and after 2012’s Hurricane Sandy puncture clinic. Acupuncture groups me for guidance and support as they
rescue workers were staying. Vari- in New York City. CRREW operates as were formed in Las Vegas, Nevada formed Emergency Acupuncture ser-
ous acupuncture supply companies needed. Acupuncturists Without Bor- to help those affected by the killings vices in the Latimer Road area. Cur-
joined the cause and donated what ders was founded by acupuncturist of a mass shooter during a coun- rently I am volunteering my services
was needed. A few days later, the Diana Fried in September 2005 follow- try music concert in October 2017. with CRREW to treat the New York
clinic went into action. ing Hurricanes Rita and Katrina, and Acupuncturists are also gathering in Puerto Rican community.
I arrived at the Javits center for now have a worldwide presence train- Northern California following the The impact of serving my commu-
my first shift the weekend following ing practitioners to treat trauma. wildfires in Sonoma and Napa. nity in emergency situations has been
the attack. Massage tables were lined In 2012, another catastrophic New York acupuncturist Joan a humbling experience. It has also
up in rows where rescue workers event unfolded in the United States. Boccino’s organization, the Integrative been a challenging one. As a practitio-
were resting for treatments. There On the morning of December 14, Health Project (IHP), provides Tra- ner who has witnessed trauma, there
were many workers from the New twenty young students and six adult ditional East Asian Medicine (TEAM) have been situations where I myself
York City metropolitan area, as well staff members of Connecticut’s San- treatments and training to the under- have felt overwhelmed. During our
as from other places in the United dy Hook Elementary School system served Latin American community. time in Newtown, we made sure each
States. Military personnel were also were shot to death by a lone gun- IHP is currently working with another of us also received acupuncture treat-
on hand, protecting the site. The man. Members of the Connecticut non-profit group, Proyecto Salud y ment to keep grounded.
workers came in exhausted, dazed Society of Acupuncture and Oriental Acupunctura para el Pueblo (Health Our medicine shines in treating
looks in their eyes. The acupunctur- Medicine (CSAOM), with the aid and Acupuncture Foundation for the trauma and shock. In today’s world
ist supervising the makeshift clinic of Acupuncturists Without Borders, People), to aid the New York Latino of weather catastrophes, gun vio-
gave me the following instructions: organized a makeshift acupuncture community traumatized by the most lence and social upheavals, our fragile
limit the conversation to asking how clinic in the Newtown community. recent Caribbean hurricanes (www. psyches are subjected to falling apart.
can I help. Do not start a conversa- A local merchant graciously granted theintegrativehealthproject.org). This is the opportunity for acupunc-
tion about what the worker had wit- CSAOM an empty retail space to Acupuncture Ambassadors is a turists worldwide to put together a
nessed. Since I was not yet licensed form the clinic. Calls were made to U.S.-based nonprofit organization plan ahead of time. I encourage prac-
to treat with needles, I was instruct- acupuncture supply companies to founded by acupuncturist Anthony titioners to start the process now: go
ed to do tui na manual therapy and donate, and for licensed practitio- M. Giovanniello. Their mission is to into your community and set up com-
reiki healing using essential oils. I ners to volunteer. I signed up for a organize acupuncture training and munity acupuncture clinics, create a
assisted licensed acupuncturists who few weekend shifts. These were the treatment clinics worldwide to care buzz, gain the support of your fellow
provided treatment using the NADA shifts where the presence of acu- for refugees, victims of violence, citizens. Please also make sure you are
protocol. During those shifts, I wit- puncture services made a tremen- victims of war and international con- not only a giver, but also a receiver of
nessed first-hand the power of au- dous difference to treating trauma. flict, and others suffering from PTSD acupuncture services for trauma. OM
ricular therapy to transform trauma Residents walked into the makeshift (www.acupunctureambasadors.org).
into peace. The first rescue worker clinic with blank expressions, some This article was first published in the Eu-
I treated was a man in his early 20s even unable to talk. I heard stories ACUPUNCTURE PROTOCOLS ropean Journal of Oriental Medicine
from Kansas. He could hardly form a of residents unable to sleep, eat, or The most commonly used pro- Volume 8 No 6, 2017.
sentence before getting on the table. work. The supervising acupunctur- tocol for PTSD is the NADA 5 point
The supervising acupuncturist treat- ist organized residents into seated auricular protocol (Shen Men, Lung,
ed him using the NADA protocol circles while practitioners treated Liver, Kidney, Sympathetic). In 1974, DR. JANET BARDINI, DACM, DiplOM re-
and body acupuncture. I did a reiki using the NADA protocol. As word Dr. Michael Smith and his staff at ceived her Bachelor of Arts from Fordham
University, New York, and her Doctorate
treatment on him while the needles went out about this clinic, the New- the Lincoln Recovery Center in the
of Acupuncture and Chinese Medicine
were in place for 30 minutes. Fol- town community quickly came out South Bronx developed the protocol
from the Pacific College of Oriental Medi-
lowing the treatment, I could see each weekend to receive treatment. to treat a growing addiction problem.
cine, San Diego. She studied in Beijing
the shen returning in his eyes. He I remember one Saturday afternoon In 1985, the National Acupuncture
with practitioner and published author
continued treatments throughout where we treated about fifty resi- Detoxification Association was incor- the late Dr. Wang Ju-Yi. Dr. Bardini has
his tour and told me he could sleep dents in a single four-hour shift. porated. NADA continues to function also been a guest lecturer on chronic pain
better and handle the stress of work- Rapid response acupuncture has worldwide in training practitioners to at the University of Westminster London,
ing at Ground Zero with the aid of found its way into a number of U.S. treat mental health disorders.(www. as well as a Grand rounds clinic guest at
Pacific College of Oriental Medicine, New
acupuncture. communities following various natu- acudetox.com).
York and the Swedish Institute, New York.
Simultaneously, another group ral disasters and gun violence. Acu- Battlefield Acupuncture was de-
She is an active member of the Acupunc-
of acupuncturists and health care puncturists in Joplin, Missouri treated veloped by retired Air Force Colonel
ture Society of New York and Acupunctur-
practitioners formed a volunteer team victims who survived a catastrophic Richard Niemtzow, MD as a way to
ists Without Borders. Dr. Bardini practices
in downtown Manhattan. Led by EF5 hurricane in 2011. Following the address PTSD and prevent opioid in New York City.
4 SPRING 2018 Oriental Medicine • www.PacificCollege.edu
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TRANSITIONAL DOCTORATE NOW OPEN TO
ALL QUALIFIED ACUPUNCTURE GRADUATES
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• (cid:59)(cid:92)(cid:80)(cid:91)(cid:80)(cid:86)(cid:85)(cid:3)(cid:74)(cid:92)(cid:89)(cid:89)(cid:76)(cid:85)(cid:91)(cid:83)(cid:96)(cid:3)(cid:89)(cid:72)(cid:85)(cid:78)(cid:76)(cid:90)(cid:3)(cid:77)(cid:89)(cid:86)(cid:84)(cid:3)(cid:11)(cid:30)(cid:19)(cid:26)(cid:32)(cid:28)(cid:3)(cid:91)(cid:86)(cid:3)(cid:11)(cid:32)(cid:19)(cid:28)(cid:30)(cid:23)(cid:3)(cid:75)(cid:76)(cid:87)(cid:76)(cid:85)(cid:75)(cid:76)(cid:85)(cid:91)(cid:3)(cid:86)(cid:85)(cid:3)(cid:91)(cid:89)(cid:72)(cid:85)(cid:90)(cid:77)(cid:76)(cid:89)(cid:3)(cid:74)(cid:89)(cid:76)(cid:75)(cid:80)(cid:91)(cid:90)(cid:21)(cid:3)(cid:52)(cid:86)(cid:90)(cid:91)(cid:3)(cid:55)(cid:72)(cid:74)(cid:80)(cid:196)(cid:74)(cid:3)
(cid:42)(cid:86)(cid:83)(cid:83)(cid:76)(cid:78)(cid:76)(cid:3)(cid:78)(cid:89)(cid:72)(cid:75)(cid:92)(cid:72)(cid:91)(cid:76)(cid:90)(cid:3)(cid:94)(cid:80)(cid:83)(cid:83)(cid:3)(cid:89)(cid:76)(cid:74)(cid:76)(cid:80)(cid:93)(cid:76)(cid:3)(cid:91)(cid:89)(cid:72)(cid:85)(cid:90)(cid:77)(cid:76)(cid:89)(cid:3)(cid:74)(cid:89)(cid:76)(cid:75)(cid:80)(cid:91)(cid:21)
• (cid:55)(cid:72)(cid:74)(cid:80)(cid:196)(cid:74)(cid:3)(cid:42)(cid:86)(cid:83)(cid:83)(cid:76)(cid:78)(cid:76)(cid:187)(cid:90)(cid:3)(cid:72)(cid:74)(cid:74)(cid:89)(cid:76)(cid:75)(cid:80)(cid:91)(cid:86)(cid:89)(cid:19)(cid:3)(cid:62)(cid:58)(cid:42)(cid:60)(cid:42)(cid:19)(cid:3)(cid:79)(cid:72)(cid:90)(cid:3)(cid:72)(cid:87)(cid:87)(cid:89)(cid:86)(cid:93)(cid:76)(cid:75)(cid:3)(cid:91)(cid:79)(cid:76)(cid:3)(cid:91)(cid:89)(cid:72)(cid:85)(cid:90)(cid:80)(cid:91)(cid:80)(cid:86)(cid:85)(cid:72)(cid:83)(cid:3)(cid:75)(cid:86)(cid:74)(cid:91)(cid:86)(cid:89)(cid:72)(cid:91)(cid:76)(cid:21)(cid:3)
• (cid:45)(cid:80)(cid:85)(cid:72)(cid:85)(cid:74)(cid:80)(cid:72)(cid:83)(cid:3)(cid:72)(cid:80)(cid:75)(cid:3)(cid:72)(cid:93)(cid:72)(cid:80)(cid:83)(cid:72)(cid:73)(cid:83)(cid:76)(cid:19)(cid:3)(cid:77)(cid:86)(cid:89)(cid:3)(cid:91)(cid:79)(cid:86)(cid:90)(cid:76)(cid:3)(cid:94)(cid:79)(cid:86)(cid:3)(cid:88)(cid:92)(cid:72)(cid:83)(cid:80)(cid:77)(cid:96)(cid:21)
“I would like to express my appreciation and satisfaction of the transitional DACM program. It truly has
exceeded my expectations and I feel privileged for my enrollment. It has tied up the TCM education with
the medical profession and provided me with the perspective and understandings of where the practice
(cid:86)(cid:77)(cid:3)(cid:42)(cid:79)(cid:80)(cid:85)(cid:76)(cid:90)(cid:76)(cid:3)(cid:52)(cid:76)(cid:75)(cid:80)(cid:74)(cid:80)(cid:85)(cid:76)(cid:3)(cid:196)(cid:91)(cid:90)(cid:3)(cid:80)(cid:85)(cid:3)(cid:91)(cid:79)(cid:76)(cid:3)(cid:79)(cid:76)(cid:72)(cid:83)(cid:91)(cid:79)(cid:74)(cid:72)(cid:89)(cid:76)(cid:3)(cid:75)(cid:76)(cid:83)(cid:80)(cid:93)(cid:76)(cid:89)(cid:96)(cid:3)(cid:90)(cid:96)(cid:90)(cid:91)(cid:76)(cid:84)(cid:21)(cid:3)(cid:48)(cid:91)(cid:3)(cid:79)(cid:72)(cid:90)(cid:3)(cid:89)(cid:76)(cid:90)(cid:92)(cid:83)(cid:91)(cid:76)(cid:75)(cid:3)(cid:80)(cid:85)(cid:3)(cid:84)(cid:96)(cid:3)(cid:80)(cid:85)(cid:74)(cid:89)(cid:76)(cid:72)(cid:90)(cid:76)(cid:75)(cid:3)(cid:74)(cid:86)(cid:85)(cid:196)(cid:75)(cid:76)(cid:85)(cid:74)(cid:76)(cid:3)
and I have highly recommended it to all my friends and cohort.” - Ali, Transitional Doctorate Graduate
[phone]
(cid:68)(cid:71)(cid:80)(cid:76)(cid:86)(cid:86)(cid:76)(cid:82)(cid:81)(cid:86)(cid:16)(cid:39)(cid:36)(cid:38)(cid:48)(cid:35)(cid:83)(cid:68)(cid:70)(cid:76)(cid:552)(cid:70)(cid:70)(cid:82)(cid:79)(cid:79)(cid:72)(cid:74)(cid:72)(cid:17)(cid:72)(cid:71)(cid:88)
(cid:90)(cid:90)(cid:90)(cid:17)(cid:51)(cid:68)(cid:70)(cid:76)(cid:552)(cid:70)(cid:38)(cid:82)(cid:79)(cid:79)(cid:72)(cid:74)(cid:72)(cid:17)(cid:72)(cid:71)(cid:88)
Achieving Clinical Success With Upper Back Pain
By DR. JUSTIN MANDEL, DOM, AP, LAc
C
hronic upper back pain af- physical examination. The 4 general
fects millions of people parameters of the upper trapezius
across the United States muscles that need to be thoroughly
every year. Upper back pain does assessed are:
not discriminate and affects people 1. Superior/Inferior
of all ages from highly diverse 2. Medial/Lateral
backgrounds and professions alike. 3. Anterior/Posterior
Because upper back pain is so ex- 4. Spasm/Flaccidity
tremely prevalent, the chances are Without first properly assessing
incredibly high that it will be com- the degree of our patient’s upper
monly seen in a general practice, back pain, we will fail as practitio-
sports medicine practice, or orthope- ners to properly communicate its
dic specialization. impact on our patients. Without
A fascinating online social media properly communicating its impact,
poll of acupuncturists conducted in the likelihood that we will convert
2017 revealed the staggering number our prospective patients into paying
of upper back pain patients com- patients will deteriorate. Over time,
monly seen by acupuncturists: a low prospective patient to paying
• 37% of acupuncturists see up- patient conversion rate will sink our
per back pain in 75% to 100% of practice into the financial doldrums.
their patients Worse yet, without proper exami-
• 10% of acupuncturists see upper nation we’ll ultimately fail to properly
back pain in 50% to 75% of their treat it. Without properly treating it,
patients we will lose out on short-term and
• 42% of acupuncturists see upper long-term patient referrals along with
back pain in 25% to 50% of their honest testimonials, which can aid
patients practice success. This vicious cycle
• Up to 11% saw upper back pain that will negatively impact both prac-
in 0% to 25% of their patients. titioners and patients alike can be
stopped dead in its tracks by simply
Typically, upper back pain is understanding how to do a thorough
treated locally by acupuncturists with upper back pain examination.
non-specific treatments like acupunc- Beyond that, we can buoy our
ture and dry needling, which can be success by offering our patients an
applied to any body part. But all too upper back pain “report of findings”
often for patients suffering in pain, and “care plan” that details exactly
these treatments only offer temporary what their issue is. This highly pro-
relief. Worse yet, patients often get fessional touch will put you in the
locked in a negative cycle of reoc- league of truly successful doctors
curring pain with root causes that are who deliver to their patients all of the
rarely properly treated. reasons why they are the right practi-
In such cases, Western medical tioner to treat a particular condition.
doctors have resorted to prescribing The added benefit of a care plan
dangerous opioids to help control will place your patients on an easily
the severe pain. This highly addic- understood plan for the future--how
tive prescription medication merely many treatments they will need and
masks the pain and can ultimately what the exact course of action will
destroy families. With this surging be to remedy their upper back pain.
epidemic, we need natural solutions Providing this road map will put your
now more than ever that deliver real patients at ease, since they will know
results. exactly what they to do. Without
Patients who suffer from upper such a care plan, a seed of doubt can
back pain often have complicated, grow in prospective patients’ minds,
difficult-to-treat medical conditions of muscles (F-BOMs) that have ac- while using a smartphone. especially if their treating practitioner
such as musculoskeletal pain, bulg- cumulated in the upper trapezius Without treatment, upper back is not specific about what their plan
ing or herniated cervical spine discs, muscle. This twisting of one’s once- pain can get worse over time and of attack needs to be.
radiculopathy that causes numbness, healthy individual muscle fibers become more difficult to treat. Head- All three together--report of find-
tingling and weakness that radiates often proves frustrating to treat ing off upper back pain at the pass ings, care plan, and upper back pain
down the arms into the finger tips, permanently. The endless cycle of is important because it can quickly examination--will leave them with
or even limited range of motion from temporary relief following treatment go from tolerable to debilitating. As the feeling that they are in the best,
rotator cuff surgery. Multiple medical followed by terrible, frequently de- it progressively gets worse, treatment most capable hands possible.
conditions such as these will often bilitating pain, needs to be broken times can increase and conventional
occur simultaneously, which unfortu- once and for all. treatment effectiveness rates can de- THE ISSUE WITH ACUPUNCTURE FOR
nately complicates treatment. These incredibly painful F-BOMs crease, which is another reason why UPPER BACK PAIN
can occur due to a variety of reasons upper back pain needs to be treated Without directly acting upon
UPPER BACK PAIN CAUSES such as a lifetime of poor posture, after it sets in. these renegade F-BOMs that have
When we look at the causes of accidents like trips and falls, poor formed over time, pain will eventual-
upper back pain we find that, most ergonomics at work, repetitive stress THOROUGH UPPER BACK PAIN ly return with a vengeance even after
of the time, the nagging constant injury from performing the same ac- EXAMINATIONS the very best acupuncture treatments
chronic pain that’s so difficult to tions repeatedly, and from craning Achieving clinical success for up-
get rid of is due to fibrous bundles one’s neck for long periods of time per back pain starts with a proper continued on NEXT PAGE
6 SPRING 2018 Oriental Medicine • www.PacificCollege.edu
ACHIEVING CLINICAL SUCCESS WITH UPPER BACK PAIN continued from page 7
WHY USING AN UPPER BACK PAIN their examination, and finally (5)
TREATMENT SYSTEM MAKES SENSE offering a proven 4-step formula
In 2018, busy acupuncture pro- for resolving upper back pain by
fessionals are saddled with com-
systematically diminishing and/or
plicated existences. In addition to
eliminating the F-BOMs that cause
needing to be highly proactive in
the debilitating upper back pain in
publicizing and marketing one’s ser-
the first place. OM
vices, practitioners need to provide
excellent care and deliver results
that’ll make patients keep on return-
ing. This makes running a successful DR. JUSTIN
practice very tricky, but without the MANDEL,
right systems in place practitioners
DOM, AP,
won’t be able to consistently deliver
LAc started
easily repeatable results and generate
his first acu-
the necessary level of success.
puncture in-
A successful system to treat
ternship in
possible from needling GB21, SJ15, along with their size, including upper back pain will ease a practi-
SI13, etc. The problem with using length and thickness, we can go tioner’s burden by streamlining the 1997 with
a 38-gauge acupuncture needle, for about systematically breaking them entire process from start to finish. Dr. Jun Tu,
example, is that even if we needle up over time in a highly organized This means: (1) helping practitioners OMD in his
directly into small diameter F-BOMs, fashion. Then, treatment by treat- find the local upper back pain pa- college hometown of Oneonta, NY and
the needle is way too small to break ment, we can objectively observe tients who need their help, (2) pro- developed the patent-pending TrapEAZE
up and separate the gangly individu- our results and see how closely they viding the most comprehensive up-
Technique™. The TrapEAZE Technique™
al muscle fibers into healthy sections match up with our patient’s subjec- per back examination possible, (3)
has been positioned to be the “gold stan-
of muscle. tive reports of their progress. It’s supplying prospective patients with
dard” for how post-graduate courses will
With the right examination, our extremely common for the objective a report of findings and care plan
be offered in 2018 and beyond thanks in
patients will finally feel like they are and subjective results to sync up that will position the practitioner as
part to its proprietary done-for-you online
in competent hands since we can perfectly, thus making one’s profes- the perceived expert on upper back
accurately zero in on the precise ar- sional assessment of what’s happen- pain, (4) furnishing readable, direct and offline marketing system that makes
eas of their upper back pain. Once ing with their patient’s case highly response-based marketing materials it much easier to get hypertargeted upper
we identify the locations of F-BOMs accurate. for prospective patients following back pain patients into one’s practice.
Oriental Medicine • www.PacificCollege.edu SPRING 2018 7
Combining Old and
New in the Clinic
(cid:40)(cid:74)(cid:92)(cid:87)(cid:92)(cid:85)(cid:74)(cid:91)(cid:92)(cid:89)(cid:76)(cid:3)(cid:52)(cid:72)(cid:83)(cid:87)(cid:89)(cid:72)(cid:74)(cid:91)(cid:80)(cid:74)(cid:76)(cid:3)(cid:48)(cid:85)(cid:90)(cid:92)(cid:89)(cid:72)(cid:85)(cid:74)(cid:76) By TOM INGEGNO, LAc
(cid:247)(cid:3) (cid:36)(cid:36)(cid:38)(cid:3)(cid:76)(cid:86)(cid:3)(cid:68)(cid:81)(cid:3)(cid:68)(cid:70)(cid:87)(cid:76)(cid:89)(cid:72)(cid:3)(cid:83)(cid:68)(cid:85)(cid:87)(cid:76)(cid:70)(cid:76)(cid:83)(cid:68)(cid:81)(cid:87)(cid:3)(cid:76)(cid:81)(cid:3)(cid:92)(cid:82)(cid:88)(cid:85)(cid:3)(cid:68)(cid:70)(cid:88)(cid:83)(cid:88)(cid:81)(cid:70)(cid:87)(cid:88)(cid:85)(cid:72)(cid:3)
I
(cid:70)(cid:82)(cid:80)(cid:80)(cid:88)(cid:81)(cid:76)(cid:87)(cid:92) n 2015, I had been in practice inflammation and improves both
15 years and had established the quality and circulation of blood
(cid:3)
myself in Baltimore; my lease flow. There was, however, an issue
(cid:247)(cid:3) (cid:50)(cid:88)(cid:85)(cid:3)(cid:79)(cid:72)(cid:74)(cid:68)(cid:79)(cid:3)(cid:83)(cid:85)(cid:82)(cid:73)(cid:72)(cid:86)(cid:86)(cid:76)(cid:82)(cid:81)(cid:68)(cid:79)(cid:86)(cid:3)(cid:68)(cid:85)(cid:72)(cid:3)(cid:72)(cid:91)(cid:83)(cid:72)(cid:85)(cid:87)(cid:86)(cid:3)(cid:76)(cid:81)(cid:3)(cid:75)(cid:68)(cid:81)(cid:71)(cid:79)(cid:76)(cid:81)(cid:74)(cid:3)(cid:3)(cid:3) was coming up and I had to decide with classical traditional East Asian
what my next steps were. Three op- theory and the use of cold. The clas-
(cid:68)(cid:70)(cid:88)(cid:83)(cid:88)(cid:81)(cid:70)(cid:87)(cid:88)(cid:85)(cid:72)(cid:3)(cid:68)(cid:81)(cid:71)(cid:3)(cid:82)(cid:85)(cid:76)(cid:72)(cid:81)(cid:87)(cid:68)(cid:79)(cid:3)(cid:80)(cid:72)(cid:71)(cid:76)(cid:70)(cid:76)(cid:81)(cid:72)(cid:3)(cid:70)(cid:79)(cid:68)(cid:76)(cid:80)(cid:86)
tions lay before me and all were vi- sical theory states that cold is a yin
(cid:3) able. I could have simplified my life, pathogen that can injure yang (Maci-
(cid:247)(cid:3) (cid:36)(cid:36)(cid:38)(cid:3)(cid:75)(cid:72)(cid:79)(cid:83)(cid:86)(cid:3)(cid:83)(cid:85)(cid:82)(cid:80)(cid:82)(cid:87)(cid:72)(cid:3)(cid:68)(cid:81)(cid:71)(cid:3)(cid:73)(cid:88)(cid:81)(cid:71)(cid:3)(cid:68)(cid:70)(cid:88)(cid:83)(cid:88)(cid:81)(cid:70)(cid:87)(cid:88)(cid:85)(cid:72)(cid:3) cut my current office down to a solo oca, 2015 p. 297). Would incorporat-
practice, let go of the employees and ing WBC do more harm than good?
(cid:85)(cid:72)(cid:86)(cid:72)(cid:68)(cid:85)(cid:70)(cid:75)(cid:3)(cid:68)(cid:81)(cid:71)(cid:3)(cid:72)(cid:71)(cid:88)(cid:70)(cid:68)(cid:87)(cid:76)(cid:82)(cid:81)(cid:3)(cid:83)(cid:85)(cid:82)(cid:74)(cid:85)(cid:68)(cid:80)(cid:86)
other practitioners leasing from me, After review, several studies showed
and run a small clinic with just two increased energy, metabolism, and
rooms and a front desk. Another op- a significant release of endorphins
tion I explored was updating my fam- (Leppäluoto, 2008). These effects,
ily’s passports, skipping town, open- when looked at in yin/yang terms,
ing up a small shop in some Central seem to be yang in nature. Could it
American country, and living a stress- be that this extreme short-term ex-
free life. The option that excited me posure to cold is activating the yang
the most, however, was to make my within the utmost yin? This question
workload infinitely more compli- would require further study, but
cated and attempt to put together a what we’ve seen in the clinic may
center with multiple modalities that suggest this to be the case.
(cid:74)(cid:21) followed the same ultimate goal of
(cid:85)
(cid:87)(cid:19)(cid:3)(cid:48) acupuncture: to provide patients with COMBINING WBC WITH
(cid:92)
(cid:86)
(cid:46)(cid:89) therapies that stimulated the body’s ACUPUNCTURE
(cid:85)(cid:3)
(cid:85)(cid:91)(cid:80)(cid:86) natural healing processes. Some days The primary goal of our clinic is
(cid:76)
(cid:76)(cid:91) I wish I had gone with either of the to get the patient as much therapeutic
(cid:57)
(cid:90)(cid:82)(cid:3) first two options, but my mental value as possible, so we try to em-
(cid:57)(cid:80)
(cid:96)(cid:19)(cid:3)(cid:72)(cid:3) health be damned, I chose to build ploy a synergistic approach whenever
(cid:85)
(cid:72)
(cid:87) a center. I looked at how acupunc- feasible. Our original theory was to
(cid:84)
(cid:86)
(cid:42) ture worked and tried to find simple have patients do a WBC before acu-
(cid:76)(cid:3)
(cid:74)
(cid:72)(cid:85) biomedical principles to describe it, puncture, to start increasing blood
(cid:92)(cid:89)
(cid:85)(cid:90) then searched for services that caused flow rapidly to make the acupunctur-
(cid:90)(cid:3)(cid:48)
(cid:85)(cid:72)(cid:83) both a reduction in inflammation ist’s job easier. What we found was
(cid:86)
(cid:90)(cid:90)(cid:80) (Frantz, 2017) and increased circula- that the endorphin rush and subse-
(cid:76)
(cid:86)(cid:77)
(cid:55)(cid:89) tion (Yao, 2015). quent energy boost made even some
(cid:75)(cid:3)
(cid:40)(cid:83)(cid:83)(cid:80)(cid:76) of our calmer patients a little too alert
(cid:73)(cid:96)(cid:3) THE QUEST FOR NEW MODALITIES to lay down for an hour. Switching
(cid:85)(cid:3)
(cid:76)
(cid:94)(cid:89)(cid:80)(cid:91)(cid:91) In my search for cutting-edge the order seemed to help. We found
(cid:76)(cid:89) and new services that still adhered that the very calming, parasympa-
(cid:75)
(cid:85)
(cid:76)(cid:3)(cid:92) to the previously mentioned criteria, thetic nervous system acupuncture
(cid:78)
(cid:72)
(cid:76)(cid:89) I found Whole Body Cryotherapy treatment followed by very stimulat-
(cid:93)
(cid:86)
(cid:52)(cid:3)(cid:3)(cid:3)(cid:3)(cid:42) (WBC). WBC is a new trend in the ing, cold therapy to be a better fit for
(cid:54) US but was invented back in 1978 by patients.
(cid:42)(cid:20)
(cid:40) Dr. Yamaguchi, who was looking for
(cid:40)
(cid:28)(cid:20)
(cid:24) a way to decrease inflammation and WHAT WE HAVE SEEN CLINICALLY
(cid:23)
(cid:25)
reduce the pain of rheumatoid arthri- Overall, patients who receive
tis. The process involves an intense both acupuncture and WBC during
rapid cold exposure, usually from air treatment have been reporting better
cooled with liquid nitrogen for up pain relief, sleep and overall quality
to 3 minutes. This exposure causes of life versus patients who have been
contraction of tissue from the skin receiving only one of those two mo-
level down to the joint spaces, which dalities. It would be interesting to de-
efficiently squeezes byproducts of velop a study using MYMOP or some
inflammation back to the core of the other patient reporting tool to com-
body. When the treatment is over, pare and contrast results more for-
the body rapidly warms up causing mally between patients who choose
massive vasodilation and allowing one service over the other, or both.
fresh blood to bath the tissue (West- It is difficult to do in our clinic as
erlund, 2003). This contraction during patients choose the treatments they
the cold exposure also drives blood want and may not be interested in
back to the torso, enabling it to pick having their course of care randomly
up more oxygen from the lungs and selected for them.
more nutrients from the gastrointesti- My clinic has been running with
nal tract. new equipment such as WBC for
From a physiological response over a year, and we are excited to
perspective, cryotherapy was akin
to acupuncture, in that it reduces continued on NEXT PAGE
(cid:31)(cid:23)(cid:23)(cid:20)(cid:31)(cid:26)(cid:31)(cid:20)(cid:23)(cid:26)(cid:31)(cid:26)
SPRING 2018 8 Oriental Medicine • www.PacificCollege.edu
MICRO ACUPUNCTURE 48 continued from page 1
One day while reading a health Using Micro Acupuncture, I have
magazine, I came across an acupunc- had a great deal of positive, measur-
turist in Arkansas named Otte who was able clinical results. Responses vary
treating people with macular degenera- widely from patient to patient depend- (cid:40)(cid:74)(cid:92)(cid:87)(cid:92)(cid:85)(cid:74)(cid:91)(cid:92)(cid:89)(cid:76)(cid:3)(cid:52)(cid:72)(cid:83)(cid:87)(cid:89)(cid:72)(cid:74)(cid:91)(cid:80)(cid:74)(cid:76)(cid:3)(cid:48)(cid:85)(cid:90)(cid:92)(cid:89)(cid:72)(cid:85)(cid:74)(cid:76)
tion and claiming excellent results. ing on how well the individual re-
I called to find out what methods sponds to the treatment. The amount
he was using. The long and short of of treatment a patient needs also de- (cid:247)(cid:3) (cid:51)(cid:38)(cid:50)(cid:48)(cid:3)(cid:75)(cid:68)(cid:86)(cid:3)(cid:70)(cid:75)(cid:82)(cid:86)(cid:72)(cid:81)(cid:3)(cid:36)(cid:36)(cid:38)(cid:3)(cid:87)(cid:82)(cid:3)(cid:70)(cid:82)(cid:89)(cid:72)(cid:85)(cid:3)(cid:92)(cid:82)(cid:88)(cid:3)(cid:90)(cid:75)(cid:76)(cid:79)(cid:72)(cid:3)(cid:76)(cid:81)(cid:3)
that story is that I would have to wait pend on how well patients responds
(cid:86)(cid:70)(cid:75)(cid:82)(cid:82)(cid:79)(cid:15)(cid:3)(cid:76)(cid:81)(cid:3)(cid:83)(cid:68)(cid:85)(cid:87)(cid:15)(cid:3)(cid:69)(cid:72)(cid:70)(cid:68)(cid:88)(cid:86)(cid:72)(cid:3)(cid:82)(cid:73)(cid:3)(cid:36)(cid:36)(cid:38)(cid:226)(cid:86)(cid:3)(cid:79)(cid:82)(cid:90)(cid:3)(cid:85)(cid:68)(cid:87)(cid:72)(cid:86)
three years before I could train with and other co-existing health issues.
him. Finally, however, I made it out I have found that it is not always (cid:3)
to his clinic to train and was amazed best to rely on the patient’s subjec- (cid:247)(cid:3) (cid:47)(cid:82)(cid:90)(cid:72)(cid:85)(cid:3)(cid:70)(cid:82)(cid:86)(cid:87)(cid:3)(cid:79)(cid:76)(cid:80)(cid:76)(cid:87)(cid:86)(cid:3)(cid:82)(cid:73)(cid:3)(cid:79)(cid:76)(cid:68)(cid:69)(cid:76)(cid:79)(cid:76)(cid:87)(cid:92)(cid:3)(cid:68)(cid:81)(cid:71)(cid:3)(cid:83)(cid:85)(cid:82)(cid:74)(cid:85)(cid:68)(cid:80)(cid:3)
at his success rate, as well as the tive reports for confirming definitive
(cid:3) (cid:82)(cid:83)(cid:87)(cid:76)(cid:82)(cid:81)(cid:86)(cid:3)(cid:68)(cid:89)(cid:68)(cid:76)(cid:79)(cid:68)(cid:69)(cid:79)(cid:72)
overwhelmingly positive testimonials response or non-response. For this
given by each patient I talked to-- reason I recommend that ALL eye (cid:3)
most had macular degeneration. patients have vision testing done be-
(cid:247)(cid:3) (cid:54)(cid:83)(cid:72)(cid:70)(cid:76)(cid:68)(cid:79)(cid:3)(cid:51)(cid:38)(cid:50)(cid:48)(cid:3)(cid:86)(cid:87)(cid:88)(cid:71)(cid:72)(cid:81)(cid:87)(cid:3)(cid:71)(cid:76)(cid:86)(cid:70)(cid:82)(cid:88)(cid:81)(cid:87)(cid:3)(cid:68)(cid:89)(cid:68)(cid:76)(cid:79)(cid:68)(cid:69)(cid:79)(cid:72)(cid:3)(cid:3)
“Wow!” I thought, “This is incred- fore they begin and then again after a
ible. This Micro Acupuncture is really serried of treatments. This vision test (cid:88)(cid:83)(cid:82)(cid:81)(cid:3)(cid:86)(cid:87)(cid:68)(cid:85)(cid:87)(cid:76)(cid:81)(cid:74)(cid:3)(cid:90)(cid:76)(cid:87)(cid:75)(cid:3)(cid:36)(cid:36)(cid:38)
helping people to see again.” enables us to map the progress of the
I went back to my practice in patient over time and confirm mea-
New Jersey and started working on surable response.
myself, my friends, family, current When treating eye patients in
patients, and so on for the next 6 conjunction with micro acupuncture,
months. The results I got were noth- I usually recommend Chinese herbs
ing short of amazing! and nutritional supplements. Among
the most common supplement I
SO WHAT IS MICRO ACUPUNCTURE? suggest for eye diseases are ginkgo
Micro Acupuncture is a relatively biloba, fish oil, lutein, bilberry, L-tau-
new acupuncture system developed rine, and zeaxanthin. Chinese herbal
in Denmark in 1984 that involves formulas are prescribed (as expected)
(cid:74)(cid:21)
(cid:85)
48 acupuncture points located only based on individual TCM pattern di- (cid:87)(cid:19)(cid:3)(cid:48)
(cid:92)
in the hands and feet, and is gener- agnosis, rather then just giving every- (cid:46)(cid:89)(cid:86)
ally not associated with any other one a generic formula like Qi Ju Di (cid:86)(cid:85)(cid:3)
(cid:85)(cid:91)(cid:80)
acupuncture system. It’s used for a Haung Wan. (cid:76)(cid:91)(cid:76)
(cid:57)
variety of health conditions and is ef- Also, I have found that a signifi- (cid:90)(cid:82)(cid:3)
(cid:57)(cid:80)
fective for treating pain. cant number of my patients have free (cid:96)(cid:19)(cid:3)(cid:72)(cid:3)
(cid:85)
The best results that I have seen radical damage and oxidative stress. (cid:87)(cid:72)
(cid:84)
clinically are for pain, peripheral In these cases, administering anti- (cid:42)(cid:86)
(cid:76)(cid:3)
neuropathies, and for eye diseases. oxidants is extremely important in (cid:85)(cid:74)
(cid:72)
(cid:92)(cid:89)
The most commonly treated eye con- overall vision preservation. (cid:85)(cid:90)
(cid:90)(cid:3)(cid:48)
ditions that have seen stellar results There are many good anti-oxi- (cid:72)(cid:83)
(cid:85)
(cid:86)
include macular degeneration, glau- dant formulas on the market today, (cid:90)(cid:90)(cid:80)
(cid:76)
(cid:86)(cid:77)
coma, diabetic retinopathy, Usher’s but from a TCM viewpoint, we know (cid:55)(cid:89)
(cid:75)(cid:3)
syndrome, optic nerve atrophy and (cid:40)(cid:83)(cid:83)(cid:80)(cid:76)
retinitis pigmentosa. continued on page 23 (cid:73)(cid:96)(cid:3)
(cid:85)(cid:3)
(cid:76)
(cid:94)(cid:89)(cid:80)(cid:91)(cid:91)
(cid:76)(cid:89)
(cid:75)
(cid:85)
(cid:92)
(cid:76)(cid:3)
(cid:78)
(cid:72)
COMBINING OLD AND NEW IN THE CLINIC continued from page 8 (cid:76)(cid:89)
(cid:93)
(cid:86)
(cid:42)
(cid:52)(cid:3)(cid:3)(cid:3)(cid:3)
(cid:54)
(cid:42)(cid:20)
(cid:40)
(cid:40)
(cid:28)(cid:20)
see how we can further enhance our Scand J Clin Lab Invest. 2008;68(2):145-53. (cid:23)(cid:24)
(cid:25)
efforts to keep inflammation low and doi: 10.1080/00365510701516350. PubMed
PMID: 18382932.
our patients feeling their best. We
Maciocia, G. (2015). The foundations of Chi-
hope to expand these efforts into a
nese medicine: a comprehensive text. Ed-
more formal case series to better un-
inburgh: Elsevier.
derstand how mixing modalities af-
Westerlund T, Oksa J, Smolander J & Mik-
fect patient outcomes. OM kelsson M (2003) Thermal responses dur-
ing and after whole-body cryotherapy. J
Therm Biol 28: 601–608.
REFERENCES
Yao J. [Acupuncture theory of promoting
blood circulation and removing stasis and
Frantz AL, Regner GG, Pflüger P, Coelho VR,
its clinical application]. Zhongguo Zhen
da Silva LL, Viau CM, de Souza MS, da
Jiu. 2015 Apr;35(4):389-92. PubMed PMID:
Silva JB, Picada JN, Saffi J, et al. Manual
26054154.
acupuncture improves parameters associat-
ed with oxidative stress and inflammation
in PTZ-induced kindling in mice. Neurosci
TOM INGEGNO, LAc, is a licensed acu-
Lett. 2017 Sep 22;661:33-40. doi: 10.1016/j.
puncturist in Baltimore, Maryland. He owns
neulet.2017.09.044. [Epub ahead of print]
and operates Charm City Integrative Health,
PubMed PMID: 28947384.
a clinic designed to help people with vari-
Leppäluoto J, Westerlund T, Huttunen P, Oksa
ous health conditions by reducing inflam-
J, Smolander J, Dugué B, Mikkelsson M.
mation through multiple services including
Effects of long-term whole-body cold
acupuncture, East Asian medicine, mas-
exposures on plasma concentrations of
ACTH, beta-endorphin, cortisol, catechol- sage, nutrition, halotherapy, cryotherapy,
amines and cytokines in healthy females. and oxygen therapy.
(cid:94)(cid:94)(cid:94)(cid:21)(cid:72)(cid:74)(cid:92)(cid:87)(cid:92)(cid:85)(cid:74)(cid:91)(cid:92)(cid:89)(cid:76)(cid:74)(cid:86)(cid:92)(cid:85)(cid:74)(cid:80)(cid:83)(cid:21)(cid:74)(cid:86)(cid:84)
Oriental Medicine • www.PacificCollege.edu SPRING 2018 9
A TCM Approach to Nourishing The New Mother:
Acupuncture & Dietary Therapy for Post-Partum Healing
By LAUREN DYER, MSA, LAc, DiplAc (NCCAOM), future DAc
P
ostpartum depression (PPD) tural and socioeconomic factors. was as vulnerable as her newborn, tails of her daily experience...
is a sensitive and stigmatized For instance, when societal and requiring her own steady stream of After she has her baby, however,
condition that afflicts 1 in self-induced expectations of the ‘ma- attention and care”10— in today’s mother-focused support rapidly

71 or 11-20%2 of women each year. ternal instinct’8 are unmet, a sense of society, more concern is placed on declines. Typically a woman is

Even a 15% average3 of 4 million live isolation, incompetence, and shame the mother during the pre-natal and discharged from the hospital

births4 each year in the United States ensues—i.e. the stigma of a “bad birthing phase. This attention is not within 24 to 48 hours after a

means that nearly 600,0005 women a mother” emerges. Moreover, a lack just from physicians, but echoed in vaginal birth, or 2 to 4 days after
year suffer from PPD. These figures of policies supporting paid maternity magazines, self-care books, and inad- a cesarean... She may or may
do not account for women who mis- leave, job protection, and financial vertently the family too. Dr. Kendall not have anyone to help her at
carry or whose babies are stillborn, assistance also pose barriers for new Tacket, a health psychologist and In- home... Her mate will probably
and can still experience PPD symp- mothers who lack the means (fa- ternational Board Certified Lactation return to work within the week,
toms. With consideration to these milial proximity, availability and/or Consultant poignantly describes this and she is left alone to make
marginalized yet clinically recognized financial) to take the time to care for dynamic in the following manner: sure she has enough to eat, to
pregnancies, the estimated total themselves as well as their child. This teach herself how to breastfeed,
women suffering from PPD is closer barrier is exemplified by the United “While a woman is pregnant, and to recuperate from birth...

to 1 million annually.6 Unfortunately, States, the only developed country people may offer to help her the people who do come around
only a fraction of women receive devoid of partial-to-full paid materni- carry things... to ask how she is are more interested in the baby...
professional treatment. According ty benefits unlike Sweden, the United feeling. Friends (or family) will (and) she must wait to see her
to PostPartumProgress.org, “850,000 Kingdom, and France.9 give her a baby shower...there physician until her 6-week post-
women each year are not getting the Unlike ancient, multicultural cus- are prenatal classes and prena- partum checkup.”11

help they need.”7 This stark lack of toms that honored the season of new tal checkups, and many people
support is the result of empirical cul- motherhood—that understood “she wanting to know about the de- continued on page 12
Ripples in the Flow: Nan Jing Pulse Teachings
By Z’EV ROSENBERG, LAc
T
his excerpt from Z’ev Rosen- If the heart pulse is very strong, heart Wen and Ling Shu. The Su Wen also phase transmits the disease to the
berg’s upcoming book, Ripples evils have entered the heart (itself). states that ‘where evil qi collects, the controlled phase (the heart/fire trans-
in the Flow: Nan Jing Pulse If the heart pulse is slightly strong, correct qi must be depleted’. In Su mits the disease to the lung/metal).
Teachings, concerns the diagnostic small intestine evils have entered the Wen 68, it says “where there is (cid:1486) All of these are describing interrela-
and clinical strategies unique to the small intestine (itself). If the heart ying/correspondence, then there is tionships of internal processes, which
Nan Jing/Classic of Difficult Issues, and pulse is very relaxed, evils from the (cid:2373) shun/compliance. If not so, there can lead to pathologies if not cor-
explains the concept of the ten varia- spleen have attacked the heart. If the is (cid:4150)ni/opposition. Where there is rected through five phase acupunc-
tions/(cid:13736)(cid:16163) shi bian, in the movement heart pulse is slightly relaxed, then opposition, then this gives rise to (cid:1642) ture strategies. Many of these can be
of the vessels when feeling different evils from the stomach have attacked hua/changes. Where there are chang- caused by excesses of the associated
sections of the wrist associated with the small intestine. If the heart pulse es, then there is (cid:2100) bing/disease.”2 In emotions with each of the (cid:1626)(cid:3900) wu
the specific (cid:11172)/zang organs. is very rough, then evils from the context of the Nan Jing, this means zang/five viscera (anger with wood,
lung have attacked the heart. If the that the harmonious progression of joy with fire, pondering with earth,
(cid:13736)(cid:19954)(cid:15649)(cid:7286)(cid:15269)(cid:12358)(cid:6671)(cid:13736)(cid:16163)(cid:15875)(cid:7272)(cid:10728)(cid:15937) heart pulse is slightly rough, evils qi via five phase (cid:1058) sheng/nourishing grief with metal, fear with water).
(cid:15260)(cid:7291) from the large intestine have attacked cycles and (cid:2173) ke/controlling cycles One of the most interesting as-
(cid:13369)(cid:7286)(cid:14551)(cid:14878)(cid:1628)(cid:13407)(cid:14736)(cid:10186)(cid:16016)(cid:15308)(cid:15260)(cid:7075)(cid:11119)(cid:12090) the small intestine. If the heart pulse maintains the equilibrium and health pects of Nan Jing pulse diagnosis
(cid:14898)(cid:12358)(cid:11079)(cid:13617)(cid:15875)(cid:7272)(cid:10348)(cid:14878)(cid:10343)(cid:14898)(cid:15260)(cid:7287)(cid:14898)(cid:12358)(cid:14484)(cid:11079) is very deep, evils from the kidney of the viscera and bowels. is feeling five phase relationships
(cid:15875)(cid:7272)(cid:12567)(cid:14878)(cid:10343)(cid:14863)(cid:12522)(cid:15260)(cid:7287)(cid:14898)(cid:12358)(cid:9625)(cid:13617)(cid:15875)(cid:7272)(cid:14898) have attacked the heart. If the heart Nan Jing Difficulty 10 describes within the positions in terms of spe-
(cid:14878)(cid:16244)(cid:10343)(cid:14898)(cid:15260)(cid:7287)(cid:14898)(cid:12358)(cid:14484)(cid:9625)(cid:15875)(cid:7272)(cid:14863)(cid:12522)(cid:14878)(cid:16244) pulse is slightly deep, evils from the (cid:1626)(cid:4054) wu xie/five evils that can afflict cific qualities, and then applying this
(cid:10343)(cid:14863)(cid:12522)(cid:15260)(cid:7287)(cid:14898)(cid:12358)(cid:11425)(cid:13617)(cid:15875)(cid:7272)(cid:12964)(cid:14878)(cid:10343)(cid:14898) bladder have attacked the small in- the (cid:3900)(cid:7359) zang-fu /viscera/bowels if to the interrelationships described
(cid:15260)(cid:7287)(cid:14898)(cid:12358)(cid:14484)(cid:11425)(cid:15875)(cid:7272)(cid:14506)(cid:14878)(cid:10343)(cid:14863)(cid:12522)(cid:15260)(cid:7287)(cid:14898) testine. The five yin viscera and their they ‘violate’ each other. The first is in Nan Jing Difficulty 10. In other
(cid:12358)(cid:6478)(cid:13617)(cid:15875)(cid:7272)(cid:10158)(cid:14878)(cid:10343)(cid:14898)(cid:15260)(cid:7287)(cid:14898)(cid:12358)(cid:14484)(cid:6478) associated bowels have their hard or (cid:1308)(cid:4054) zheng xie/correct evil, where words, we may be able to feel wiry
(cid:15875)(cid:7272)(cid:9625)(cid:12522)(cid:14878)(cid:10343)(cid:14863)(cid:12522)(cid:15260)(cid:7287)(cid:14898)(cid:12358)(cid:9385)(cid:13617)(cid:15875)(cid:7272) soft evils, and each pulse may have a viscera or bowel falls ill by itself. qualities in the metal/(cid:1151)(cid:3327) tai yin
(cid:12496)(cid:14878)(cid:10343)(cid:14898)(cid:15260)(cid:7287)(cid:14898)(cid:12358)(cid:14484)(cid:9385)(cid:15875)(cid:7272)(cid:8864)(cid:20047)(cid:14878)(cid:10343) ten variations.”1 The next is (cid:2977)(cid:4054) xu xie/vacuity evil, position (right cun), associated with
(cid:14863)(cid:12522)(cid:15260)(cid:7075)(cid:14551)(cid:9218)(cid:10389)(cid:15480)(cid:1628)(cid:13407)(cid:14878)(cid:7272)(cid:10534)(cid:12090)(cid:15269)(cid:12358) In describing (cid:4054)(cid:1248) xie qi/evil qi where the mother phase attacks the the (cid:8240)(cid:3327) jue yin/(cid:13589)(cid:19792) shao yang
(cid:17282)(cid:16163)(cid:6671)(cid:13736)(cid:15260)(cid:7075) in the Su Wen, Paul Unschuld writes child phase, as if from ‘behind’. Next pulse position (left guan), or hair-like
that ‘evil qi’ can be understood as is a (cid:1251)(cid:4054) shi xie/repletion evil, where qualities in the wood/(cid:8240)(cid:3327) jue yin
“One pulse may undergo ten any phenomena that has violated the child phase attacks the mother, position, normally associated with
variations. What does this mean? It its ‘correct’ location in the realm of from ahead. Next is (cid:1111)(cid:4054) wei xie/ the right cun and (cid:1151)(cid:3327) tai yin/lung.
refers to the five evils, the mutual nature. Acupuncture treatment was weakness evil, when the evil is trans- The specific pulse qualities discussed
interference of softness (evils) and designed in the Su Wen to ‘repair the mitted backwards from the controlled in Nan Jing difficulties fifteen and
hardness (evils). For example, if the walls before the thief enters’, in other phase (for example, the lungs/metal sixteen are here connected to specific
heart pulse is very tense, liver evils words, harmonizing and strengthen- are controlled by the heart/fire) by disease patterns, seasons, and behav-
have entered the heart. If the heart ing the (cid:2586)(cid:1248) wei qi/defense qi and (cid:2427) the controlling cycle that skips phas- ior. Qualities associated with specific
pulse is slightly tense, gallbladder (cid:1248) ying qi/construction/nutritive qi, es. Finally, is a (cid:4670)(cid:4054) zei/destroyer
evils have entered the small intestine. mentioned multiple times in the Su (thief) evil, where the controlling continued on page 33
10 SPRING 2018 Oriental Medicine • www.PacificCollege.edu