OM Summer 2012
The OM is a free publication produced by Pacific College of Oriental Medicine. Each OM contains in-depth articles written by PCOM faculty, as well as other noted authorities in the field.
SUMMER 2012 www.pacificcollege.edu The 24th Annual Pacific Symposium acific Symposium has been an annual meeting of minds, uniting Eastern medical professionals from across the world since 1989. This world class conference brings acupuncture practitioners, massage therapists, students, and professors together to exchange industry information in a beautiful retreat setting at the Catamaran Resort and Spa in San Diego, California. Pacific Symposium has consistently delivered cutting edge speakers at the forefront of the integrative health community, and this year is no exception. Giovanni Maciocia, Lillian Bridges, Arnaud Versluys, Shoji Kobayashi, Jeffrey Yuen, and Matt Callison are some of the widely respected experts who will present seminars and lead interactive workshops covering a myriad of timely Oriental medicine topics. From fertility, facial reading and diagnosis, Qi Gong, and aging, to traditional Tui Na massage, there will be something for everyone. Pacific Symposium is proud to present Pete Egoscue as this year's Keynote Speaker. Egoscue will discuss how he developed his unique therapy method that relieves chronic pain and encourages peak physical performance for the young, the old, the athlete, and the non-athlete. Egoscue's method is based on the body's functional design - or posture. Known as "The Posture Guy", Egoscue is the author of six books and has been successfully helping people relieve themselves of chronic pain for over thirty years. We look forward to sharing another illuminating week with you at Pacific Symposium 2012! OM P Bolingbrook, IL PERMIT NO.932 PRSRT STD U.S. POSTAGE PAID The Science of Gua Sha By Arya Nielsen, PhD INSIDE THIS ISSUE.... 3 4 Signs of Potential on the Face Jue (): You May Never Look at Feet the Same Way OM is Going Digital! Thoughts on Shakuju Therapy (SJT) and the "I-Ching" The Chinese Medical Canons' View on Immune Response and Its Regulation Manual Therapy and Traditional Chinese Medicine Transforming Blocked Emotions Into Creative Motions Carotid-Radial Pulse Ratio Method Characteristics of Chinese Scalp Acupuncture Symposium A Discussion on Anatomically Significant Points of Traditional Chinese Medicine Understanding Gluten Intolerance Pacific College Faculty Member Helps Launch Wild Willow Farm What's New at Pacific College T 7445 Mission Valley Rd., Suite 105 San Diego, CA 92108 www.PacificCollege.edu 800-729-0941 raditional East Asian medicine (TEAM) has come some distance to us: more than 2,000 years of history, a scholarly archive, and many `barefoot miles,' to now be situated in professional clinics and labs of research globally. Gua sha is a modality used across Asia in the clinic and the home, and now in the West. Gua sha is a part of acupuncture therapy, but not limited by law to acupuncture practice. Research into the physiology of therapies like acupuncture and gua sha qualifies what the ancients `knew'. Science works to clarify both benefit and risk of our medicine. When I began practice 36 years ago, I was trained in East Asian medicine but had no training in research. There was zero access to research facilities through acupuncture schools. Many years later I consulted Helen Langevin, MD about my interest in researching the biomechanism of gua sha. She advised starting with basic science: what can be used to establish a measure of change that might inform what is actually observed? I mulled this over and looked for a doctoral program that would support my research interest. I matriculated to an academic PhD program, and through a chance meeting at my job at Beth Israel Medical Center in New York, was invited by Dr. Gustav Dobos to conduct research on gua sha at the University of Duisburg-Essen in Essen, Germany. There we performed one of the first investigations on the physiology of gua sha: measuring changes in microperfusion of surface tissue . From that first investigation have come other biomarker studies; we now have something to say about the science of gua sha. Gua sha increases surface microperfusion Gua sha produces transitory therapeutic petechiae that represent extravasation of blood in the subcutis. Using laser Doppler imaging, we scanned 11 `healthy' (but stressed) subjects (doctors and nurses who worked at the Kliniken Essen) who had `normal' myalgia pain and evidence of `sha' based on palpation. We established a baseline scan for each subject before gua sha, and 5 6 7 9 10 10 13 17 26 29 32 36 continued on page 28 Join PCS for Major Savings on Hundreds of Lab Tests Great Service * Online Ordering * Soren BioStation EHR In 2001 we leveled the playing field so that every appropriately licensed practitioner in America could have access to inexpensive lab testing! Want more information on lab interpretation & therapies? See our website for a special offer by Dr. Alex Vasquez, D.C., N.D., D.O. � P: 866-999-4041 F: 866-999-9175 www.ProfessionalCo-op.com See Our Website for Testimonials! Professional Co-op does not have financial relationships, ownership or control of supplement or drug companies. Part Of The Healthcare Solution Signs of Potential on the Face By Lillian Bridges otential is a word that is weighted with meaning, usually in a positive sense, about the possibility of something becoming an actuality. However, potential can also have a downside, as something can also develop into a problem. The face has many signs that indicate potential and the catch-all word from ancient Chinese medicine indicating potential is "jing." Jing is most often understood as the inherited constitution, when it is actually so much more. Jing embodies inheritance from ancestors that includes not only the physical structure of your body and its potential physical and emotional functioning, but also the talents and abilities of your forbearers. We actually inherit many more traits than we use, and each of us is a complex mixture of his or her ancestors' traits. Geneticists have theorized that we carry up to 14 generations of traits. However, we do have some inherent ability to determine which traits we manifest by how we live and act. This explains how even identical twins P can look different. Recently, an emerging field of science called Epigenetics has found that we have the ability to pass on acquired traits, which means that your DNA changes as you do. It is exciting to think that our life experiences can benefit our offspring, and, of course, there is also a concern that we can pass on some difficult predispositions as well. Ancient Chinese medical texts often refer to jing as being fully present at birth, but this does not mean the jing is fully accessible. Jing comes in as infusions and needs to be accessed. For example, it is believed that early childhood is a dangerous time because most children do not get their first major infusion of jing until about 7 to 8 years old. Modern neuroscience backs this up with the current understanding of the rapid development of the brain at this age. Research has shows that the brain is still developing until the age of 25, which is when the Chinese believe someone is fully grown and finally able to have their face read. Jing infusions occur at regular periods of time based on each individual's timetable and stages of growth. Jing is first and most easily measured in the cartilage of the upper ear. The stronger and stiffer this area is, the more physical jing someone has. These people don't get sick very often and have the potential to live longer than the average person. Thinner, softer, and more flexible ears indicate less physical jing. With good jing management, these people can still live long lives, but they need to be much more careful about jing expenditures. Luckily, there is also an area to measure the intrinsic spirit. This is the area behind the ears where the ear attaches to the head. Stiff cartilage here indicates a fighting spirit, easily accessible in a crisis or an emergency, like when sick. A softer, spongier area indicates less spirit and the need to enlist help when facing a crisis. Each person's jing is stored and retrieved from what the Chinese described as underground aquifers in the body called the "Sea of Yin" and the "Sea of Yang." From here, jing is sent through the body on the pathways of the Extraordinary Meridians, particularly the Du and Ren Channels, which come down the center of the face. The Sea of Yang is seen on the top of the forehead and is also called the "Palace of Inheritance." The rounder this area, the more extra Yang jing you hold in reserve. This area is representative of the talents, abilities, interests and desires that you inherit from your ancestors. The right side of the upper forehead is from the mother's family and the left side is from the father's family. It is not possible to see what these talents and abilities are, only where they are from. This is the jing that most needs to be accessed when someone is sick, it can be the energy that helps people get well. Getting back to your intrinsic talents and abilities brings a kind of soul level satisfaction that also makes life worth living. The Sea of Yin is seen in the philtrum between the nose and the mouth. This is the point where the continued on page 39 Oriental Medicine � www.PacificCollege.edu SUMMER 2012 3 Jue (): You May Never Look at Feet the Same Way By Kiiko Matsumoto and Monika Kobylecka I f you have personal experience with foot pain, or if you have observed patients who come to the clinic with problems in their feet, you know that the issue affects more than just the local area. Problems in the feet lead to compensatory movements and adjustments that can affect the structure of the entire body. If your feet hurt, your gait may lose its grace. Ankles, knees, hips, back and even the head can fall victim to these compensatory mechanisms. If the body is upright and moving, feet are the foundation, and any problems in the foundation could mean trouble for the whole structure as it goes into motion. Structural issues, however, are not the only reason that the classics of Chinese medicine authors thought it was prudent to pay attention to the feet. They also brought up the issue of jue (). There are numerous passages that mention and discuss this idea and both cold and heat jue are mentioned in these texts. Cold jue, however, is thought to be more damaging and, therefore, is the focus of our article. Jue is the pathological condition that has an influence on the rest of the body � and not just the structure. Ling Shu (Chapter 75) describes how the presence of jue prevents zong qi from descending and, as a result, causes blood to coagulate. This leads to stagnation of blood not only in the lower extremities, but also Oketsu (the Japanese term for stuck blood in the abdomen). Weak Kidney jing allows jue to rise up from the feet and disrupt normal and healthy nourishment of the meridians and channels, according to the authors of Su Wen (Chapter 45). These texts also make it clear that this is an internal condition, not a coldness that simply affects the outside of the body or the extremities. This last distinction is important to remember since cold feet are a very common symptom found in patients in the clinic. A healthy body has an evenly distributed temperature which is facilitated by zong qi. Cold feet and hot head are an example of a disruption in the ideal physiology of the patient and should not be dismissed. If zong qi is not able to descend properly, patients may present with a wide array of symptoms that include structural issues (i.e. knee or hip problems) and systemic problems (i.e. cardiac problems). It is in these cases that paying attention to the feet becomes a very useful clinical tool. of these texts is thought by many to be at the most advanced levels. While a large majority of his writing describes key theoretical concepts, his description of the clinical application of jue is very fascinating and clinically relevant. Master Maruyama, through his experience and understanding of the ancient texts, came up with a map of jue points on the bottom of the foot � specifically at the phalangeal and metatarsal joints. He identified areas that correspond to the six levels: Tai Yin, Jue Yin, Shao Yin, Yang Ming, Shao Yang and Tai Yang, on the bottom of the foot and made a link to symptoms in the body that correspond to the area. For example, a patient who presents with symptoms of jue affecting the Tai Yin may have symptoms of asthma or repeated bouts of bronchitis (Lung related). This patient may also have a callous located on the phalangeal and metatarsal joint related to Tai Yin. Treating Maruyama's Tai Yin point on the bottom of the foot produces a significant change in the patient's symptoms. Clinical application One of the most striking things about using these points in the clinic is how very simple yet effective they are. Their effectiveness in a large percentage of patients also seems to support the theory that jue problems are even more common than we may have thought. (This shouldn't come as a huge surprise considering the numerous mentions of jue in the classics). A large majority of patients, as many as 80 or 90 percent, present with cold feet or some deformity in the foot. Therefore, all of these patients are good candidates to test Maruyama's jue points to see if they reduce the symptomatic presentation, abdominal reflexes, or both. Here are a couple of examples of how we applied these points clinically after identifying the patient's constitution through abdominal palpation, pulse, and symptomatic presentation. Shao Yin (Heart/Kidney) � consider for patients with: � "Adrenal type" constitution (in Kiiko Matsumoto style of acupuncture, these are patients with pressure pain at Kidney-16 and/or Kidney-2 and/or mid-SCM) � Osteoarthritis (bones belong to Kidney) � Thyroid disorders (glands belong to Kidney) � Fertility problems � Heart and Kidney miscommunication Tai Yin (Lung/Spleen) � consider for patients with: � Blood vessel problems (also for blood pressure) � Edema � Inner knee problems Jue Yin (Pericardium/Liver) Hepatitis Allergies High cholesterol/triglycerides Taking lots of medication (Kidney may be involved too � both liver and kidney are detox organs) � � � � We found it was helpful to use the * back of the Seirin needle to identify the best location of the point in each patient. When the most effective point was found, the abdominal reflexes and the patient's symptoms would change dramatically. Master Maruyama's jue map Master Maruyama, a famous Japanese master, is well known for his in-depth knowledge of the Chinese medical classics. His understanding 4 SUMMER 2012 The location of the points is very important. The most effective point can best be found by pressing and checking a few different spots within the area of Master Maruyama's point location. We found it was helpful to use the back of the Seirin needle to identify the best location of the point in each patient. When the most effective point was found, the abdominal reflexes and the patient's symptoms would change dramatically. The location was often just a few millimeters away from a previously pressed point in the same area. These points can be comfortably needled using a 15mm, number continued on NEXT PAGE Oriental Medicine � www.PacificCollege.edu Jue (): you may never look at feet the same way continued from page 4 OM is Going Digital! one gauge needle that comes with a guide tube. In very sensitive individuals, you can apply a quick pinch to an adjacent area to distract them as you needle the jue point. Some patients fall into more than just one of the six levels described. In these cases, two or three of Master Maruyama's points were used (when found effective). For example, while treating a patient diagnosed with Parkinson's disease who presented in the clinic with severe cramping of the foot along the big toe, both the Jue Yin and Shao Yin points were needled. These two points were needled in the exact location that completely released the cramp on his foot and significantly (more than 50%) changed the abdominal reflexes (he had pressure pain on the area corresponding to the "adrenal reflexes" and "liver reflexes" in Kiiko Matsumoto style of acupuncture). O'kyu moxa was applied to the points to strengthen the effect. (As described above, it is cold jue that we are working with and, therefore, Master Maruyama thought it was essential to treat these points with o'kyu moxa - Japanese thread/ rice-grain moxa applied on top of Shiunko cream directly on the point). Additional points on the body were added to further address and release the "adrenal" and "liver" reflexes. Conclusion Incorporating these points into existing treatments is simple, yet the effects can be dramatic. Next time you find your patient's feet to be cold, consider using Master Maruyama's points to strengthen your clinical results and reduce the patient's symptoms. OM Kiiko Matsumoto is internationally known for her scholarly work in acupuncture and the interpretation of Chinese classic texts. She is best known for her ability to integrate the work of very important Japanese masters including master Nagano, Master Kawaii and Dr. Manaka. Ms. Matsumoto practices in Newton Highlands, MA and teaches all over the world. She is currently collaborating with Monika Kobylecka, LAc on a clinical textbook which describes Ms. Matsumoto's latest work. In addition to her collaboration with Ms. Matsumoto, Ms. Kobylecka practices Kiiko Matsumoto style of acupuncture in Los Angeles at the Akasha Center for Integrative Medicine and at Children's Hospital Los Angeles (CHLA). ep, you heard right! The OM will no longer be solely available in its regular paper form. Now you will be able to read the latest issue right from your computer at home or on your IPad! This issue you are currently reading, marks the first digital issue of OM available for free online. Just visit www.pacificcollege. edu/OMDigital to read the latest issue right on the website. You'll be able to flip through the pages and jump to the articles you want to read, just like in the newspaper, and also click on the links inside articles and ads to go directly to the websites! Y Also, for all you IPad users, the OM will now be available as an Apple app. OM Newspaper is a FREE app that automatically downloads new issues from your subscriptions, and notifies you when there's a new issue, so you don't have to think about it. Just download the app from the App Store, search for OM Newspaper, and add it to your iPad. You will then have the OM with you wherever you go! We hope you enjoy our new digital platforms and, of course, our same great, up-to-date coverage on the Oriental medicine news you care about! 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Main Street, Sebastopol, CA 95472 USA Tel: 1-707 823 5691 Fax: 1-800 227 4118 Email: firstname.lastname@example.org P R AC T I T IO N E R H OT L I N E : 1-805 722 2887 Email: email@example.com www.three-treasures.com Oriental Medicine � www.PacificCollege.edu firstname.lastname@example.org SUMMER 2012 5 Thoughts on Shakuju Therapy (SJT) and the "I-Ching" By Shoji Kobayashi, L.Ac., President of Shakuju Association 1. Preface hakuju Therapy (SJT) is a system of acupuncture and moxibustion rooted in the theory and thoughts of the "I Ching". As any acupuncturist knows, the I Ching is a document forming the basis of ancient Chinese theories. In this document commenting on `I' (translated `Eki' in Japanese), we discover for the first time the words yin, yang and tai ji. As for the meaning of `Eki' itself, its inception traces back to several thousand B.C. and the I Ching that commented on `Eki' was written around 400 B.C. to 300 B.C. It is obvious that the old classical books named Su Wen, Ling Shu, and Nan Jing are written based on the thought of qi and yin-yang theory. S Ching present if it forms the basis of acupuncture and moxibustion? It is clear that all things in the cosmos are comprised of qi. There are two kinds of qi, namely, the visible and the invisible, according to Oriental thought. Furthermore, the visible is supported within the invisible qi. For example, the entire cosmos is supported by invisible gravity. It may be said that invisible qi is fundamental yin qi, however, human beings are ruled by another invisible yin qi, called life. The important thing is that life can easily change, whereas gravity is not necessarily changeable. As most of us know, there is a great amount of disease in the world and all diseases have their origins. 3. Cause of disease The idea of tai ji teaches us that visible phenomena, known as yang qi is supported by the invisible qi, known as yin qi. For that reason, if we regard a symptom of disease as It is clear that all things in the cos* mos are comprised of qi. There are two kinds of qi, namely, the visible and the invisible, according to Oriental thought. Furthermore, the visible is supported within the invisible qi. visible phenomena, it should be easy to suppose that energy of the invisible life is deficient. That is to say, as a therapeutic method of acupuncture and moxibustion, we might be able to understand and treat various symptoms with awareness of the invisible yin qi because it affects life directly. Besides, deficiency of life means to grow cold because the life of a human being itself is what makes a body warm. The deficiency of life is expressed as Hie (cold) in SJT, and is understood as the fundamental cause of disease and a decline of the body's vital force. This is the reason that Shakuju Therapy is called Acupuncture Core Therapy. 4. Reference Points All symptoms are understood as reference points. Shakuju is a compound word composed of shaku and ju, which means abdominal disorder. The abdomen reflects the state of the whole body because in Oriental thought, the whole is reflected in a local area. Therefore, I consider Shaku and Ju as expressions of deficiency of the life of a human being because the condition of the whole body is based on the deficiency of life. The life of a human being is described as jing-qi and the decline of life is expressed as the deficiency of jing-qi or hie (cold). Using reference points as the idea of this concept, it is clear that the degree of deficiency of life is judged by the reference points. 5. Process of SJT (1) The following explanation is the process of Shakuju Therapy. Both shaku and ju are stagnations or accumulations of qi in the abdomen occurring because of a deficiency of jing-qi (Nan Jing #55). These are also reference points. Various kinds of symptoms are observed in the whole body as well as those points mentioned above, and because all symptoms show the disorder of qi, they are also related to Shakuju in a similar way. In other words, there is fundamental jing-qi deficiency, or hie, as the common background. This shows a tendency 2. Two kinds of Qi How do acupuncture moxibustion can include the theory of the I Ching and what advantage in comparison with other cures does the I for symptoms to be eliminated since the energy of jing-qi increases when Shakuju disappears. My idea is that we can understand tonification of jing-qi because the changing of reference points from acupuncture and moxibustion strengthens the energy of jing-qi. The primary objective of treatment is to tonify jing-qi deficiency. As a conclusion, I would like to say that treating a patient is to tonify the deficiency of jing-qi or hie. 6. Process of SJT (2) Below are the three steps of SJT: The first step is to identify the abdominal pattern, called sho. The second step is to treat the back shu points according to the abdominal pattern, or sho. The third step is called supplementary treatment, and is used when the results of the fundamental treatment on the back shu points are inadequate to tonify jing-qi deficiency. (1) Five patterns are used to diagnose the abdominal sho and four forms, also called sequences, are chosen to perform treatment on the dorsal side of the body. These four sequences are used per one abdominal sho from the five sho patterns and one sequence is chosen to treat the back-shu points. (2) Treatment is performed on the healthy side or the opposite side, according to the condition of BL 52, where there is less or no pressure pain. Treatment is applied at the outer bladder line first. BL 52 is also a kind of reference point to judge the degree of Jing-qi deficiency. (3) SJT also uses two methods, contact needling and pulse adjustment, to further diagnose sho on the abdomen. Ju, being the disorder of yang qi on the abdomen, is eliminated by performing these two methods. The location and degree of shaku is made more clear after ju disperses. (4) The location of shaku is expressed by five elements on the abdomen according to Nan Jing #16 and #56, as well as dividing the back into five separate zones, or areas. continued on page 15 The Institute of Classical Five-Element Acupuncture Inc. Proudly announces the next Classical Five-Element Acupunture Program Beginning in September Presented by Neil R. Gumenick M.Ac. (U.K.), C.T. (A), L.Ac., Dipl. Ac. and Staff A unique opportunity for licensed acupuncturists, physicians, and students of Oriental Medicine to learn the profound body/mind/spirit medicine, as taught by the world renowned late Professor J.R. Worsley. The Program, called "life-transforming" by its graduates, meets once per month for 9 months in Santa Monica, CA. (First session Friday-Monday, subsequent 8 sessions Friday-Sunday) Non-California residents are welcome. California CEUs and NCCAOM PDAs Pending Become The Practioner You Always Wanted to Be Space limited. Applications now available. For information contact The Institute of Classical Five-Element Acupuncture Inc. 2926 Santa Monica Boulevard, Santa Monica, CA 90404 310 453.2235 � email: email@example.com Please visit our web site at www.5elements.com 6 SUMMER 2012 Oriental Medicine � www.PacificCollege.edu The Chinese Medical Canons' View on Immune Response and Its Regulation By Arnaud Versluys, PhD, MD (China), LAc In biomedical terms, immunity is `a condition of being able to resist a particular disease especially through preventing development of a pathogenic microorganism or by counteracting the effects of its products.'1 The actual process of resisting the pathogenic perpetrator is called immune response or immune reaction, which is `a bodily response to an antigen that occurs when lymphocytes identify the antigenic molecule as foreign and induce the formation of antibodies and lymphocytes capable of reacting with it and rendering it harmless.'2 T he concept of immunity is omnipresent in classical Chinese medical literature. And, in particular, immune response is described as early as in the Han dynasty (circa 200 BC) Huangdi Neijing, or the Yellow Emperor's Inner Canon, therefore being the first and foremost medical textbook to spell out in great detail the step-by-step process that the body goes through when responding against pathogenic affliction. The Neijing Spiritual Pivot anecdotally describes the following: "Huangdi says: How is pain engendered? For what reason and what is it called? Qibo answers: Wind cold and PCOM- OrMed-10.0625x7.5 - H 051012 (12-08-11) damp qi lodge between the flesh layers and push and poke, thus causing foam, whereupon the foam collects when encountering cold. The accumulation spreads the layers apart and causes them to rupture. The rupture causes pain, and the pain causes shen to arrive, for when the shen arrives there is fever, and with the fever the cold resolves..."3 Here, shen refers to the organism's immune awareness. This activity is governed by the heart as it represents the emperor. A good emperor becomes aware of a border breach as early as possible, and commands the triggering of defense mechanisms to rectify such breach. The imperial awareness arrives at the site of damage, and along with itself brings the fire of the south, which in the periphery is known as yang or protective. The arrival of the imperial yang protective of the south at the location of breach is the classical view on immune response, and clinically presents as fever. Ming dynasty Neijing commentator Zhang Jiebing explains: "With pain, the heart pours into the region, for this is the arrival of shen. The arrival of shen is the arrival of qi. The arrival of qi causes heat. And the heat causes the cold to disperse and the pain to briefly resolve."4 Neijing Suwen clearly establishes the link between external invasion and fever by saying: "All febrile diseases nowadays belong to the category of Cold Damage."5 Biomedicine considers that "Fever is the body's reaction to pathogens; it attempts to raise core body temperature to levels that will speed up the actions of the immune system, and may also directly denature, debilitate, or kill the pathogen."6 Cold Damage is the Han dynasty name of what we now commonly refer to as `external invasion'. The Nanjing or Classic of Difficulties states: "How many types of Cold Damage are there? ... There are five types of Cold Damage, these are Wind Strike, Cold Damage, Damp Warmth, Heat Disease and Warm Disease, and their [inflicted] suffering is all different."7 As such, it is clear that what the classics consider fever is the body's attempt at optimizing body temperature, to provide optimal conditions for the functioning of the immune system and its response against illness of any possible nature, be it cold, damp, warm, hot, etc. The above is the Han dynasty equivalent of modern medicine's view of the mechanism and function of fever: "In many respects, the continued on page 16 Graphics Qs: Virginia 310-591-9276 or email FarEastGraphics@aol.com Billing Qs: William 888-441-0489, x 2, firstname.lastname@example.org FAR EAST SUMMIT Dao Earth Refined Herbal Medicinals In past ages and through generations, Sages lived in and studied nature. As knowledge accumulated and the living skills were mastered, oral traditions and arts developed, becoming the basis of the wisdom & customs which guide China's herbal tradition to this day. At Far East Summit, we honor this tradition. OUR PROPRIETARY "PHASED" PROCESSING Pearl of Knowledge & Wisdom � Traditional Five Flavors: Enhances Qi Dynamics � Aromatics & Essential Oils: Awakening the Senses � Preserved Non-Degraded Herbal Function � Nourishing Herbal Essence 9 LIQUID EXTRACTS (5:1) � 84 Traditional Formulas � TIME HONORED: Satisfying health care practitioners since 1988 � Available in 2-, 8-, and 32-fluid oz. Essence of Heaven & Earth 1.8 88 .44 1 8 .04 Contains exterior releasing aromatic herbs including bai zhi and jing jie C Unique Traditional Chinese Herbal Gifts to give to your patients. Herbal Sachets Far East Summit LIQUID CONCENTRATES (8:1) ra eleb ti � 38 formulas designed for adults w/ strong constitutions. � Available in 1-, 4-, and 8-fluid oz. INDIVIDUAL HERBS ALSO AVAILABLE � 4-, and 8-, and 32-fluid oz. Call for more info. 15 Years of Manufacturing in the U.S.A. Call 1-888-441-0489 (toll-free) for a product catalog � 5% discount on all faxed orders: 1-888-259-5974 � www.FarEastSummit.com Part of Far East Summit's proceeds are donated to support the preservation of Dao Earth traditional wisdom and cultures. ng Oriental Medicine � www.PacificCollege.edu SUMMER 2012 7 The Difference Between Western Reproductive Medicine And Traditional Chinese Medicine Approaches To The Treatment Of Infertility By Mike Berkley, LAc, FABORM W estern reproductive medicine can do the following things: promote follicular development with certain medications, promote ovulation with other medications, perform intra-uterineinsemination, and in-vitro-fertilization. Western reproductive surgeons can also perform often necessary surgeries to create a fertile environment where polyps, fibroids, uterine anomalies and cervical anomalies are present. Without these types of interventions, many infertile women would never have children. Traditional Chinese medicine can often regulate systemic dysfunction naturally. That means that TCM can contribute to helping the PCOS patient ovulate without Clomid or perhaps with a lesser amount of Clomid. In the morbidly obese PCOS patient, weight loss is of paramount importance in increasing the ability to conceive because excess fat stores androgens and converts androgens to estrogen, thereby creating a hormonal imbalance that is unlikely to enable conception. Acupuncture and herbal medicine along with exercise and life-style changes can make weight loss and its attendant health benefits possible. In the endometriosis patient, acupuncture and herbal medicine cannot eradicate endometriosis but they can reduce the inflammatory environment associated with this disease. An interesting example of this is the patient with stage 1 endometriosis who does not present with pelvic distortion but cannot get pregnant. Why not? Her husband's sperm is fine and other than the endometriosis there are no contributing factors to the state of infertility. Even other autoimmune disorders have been ruled out as possible contributing factors. The infertility stems from an inflammatory intrauterine environment that either destroys the embryos or makes the uterine lining inhospitable to an embryo that is trying to implant. Acupuncture and herbal medicine can often regulate this environment by reducing this inflammatory process. Many men have low sperm count as a result of a minor vericocele. Surgeons do not operate on minor vericoceles because the benefit does not exceed this risk. The cause of a vericocele is pooling and stagnating and over-heating of blood in the pampiniform plexus. The pampiniform plexus refers to the veins in the testicles. The sperm- killing-heat is caused by the pooling and stagnating of blood. Acupuncture and herbs can strongly move qi (energy, metabolism, circulation) and blood in the testicles. As a result of this, the blood is less congealed, the blood flow is more functional and the heat is diminished, contributing to increased sperm count. Even in the face of a major vericocele, the surgical outcomes are successful 50% of the time. This means that even with surgery, there is a 50% possibility that the count will remain low. One of the reasons for this is that long term blood stagnation and heat in the testicles causes tissue necrosis (death) and sperm cannot be adequately produced. The determination of success can only be made after the surgery. The recovery time after the surgery is six months. The reason that this is the case is because the inflammation caused by the surgery takes that much time to be reduced. Utilizing acupuncture and herbal medicine continued on page 27 Three Treasures, Women's Treasure and Little Treasures Now available again as tinctures! Twenty of the top tinctures have been produced and more will be introduced gradually. 55 remedies for common conditions 26 remedies for gynecological problems 12 remedies for children's problems Formulated by Giovanni Maciocia and used by thousands of practitioners in Europe and the USA for over 15 years. Quality Control Brand new comprehensive manual with tongue pictures for each remedy The Three Treasures remedies are made from concentrated powders to standards that exceed GMP (Good Manufacturing Practice) standards. USA DISTRIBUTORS: Crane Herb Co. 745 Falmouth Road, Mashpee, MA 02649 USA Tel: 1-508 539 1700 Fax: 1-508 539 2369 Email: email@example.com www.craneherb.com Crane-West Herb Pharmacy, 515 S. Main Street, Sebastopol, CA 95472 USA Tel: 1-707 823 5691 Fax: 1-800 227 4118 Email: firstname.lastname@example.org P R AC T I T IO NE R H OT L I N E : 1-805 722 2887 Email: email@example.com www.three-treasures.com 8 SUMMER 2012 www.maciociaonline.com www.maciociaonline.blogspot.com Oriental Medicine � www.PacificCollege.edu Manual Therapy and Traditional Chinese Medicine By Bill Helm, OBT, AOBTA Certified Instructor, Taoist Priest T raditional Chinese Manual Therapy was historically represented by the schools of tui na/anmo. Manual therapy was considered to be the use of massage and passive movement-traction methods as a specific therapeutic activity, especially in the treatment of orthopedic conditions. Manipulation of the structures was also included in the treatment of joint pathology as a supplement to a variety of treatment styles. Regardless of whether acupuncture, moxibustion or tui na was the primary treatment, the joint structures were manipulated to restore their proper anatomical relationships. This ensured a better treatment outcome. Previous to that, the manipulation methods were performed by bone setters or Jie Gu. Manipulation methods in the United States are a contested area of the scope of practice for TCM practitioners. Active forceful manipulation is considered the domain of chiropractors, osteopathic doctors, and physical therapists. Forceful manipulation is a grey area of TCM practice and is regulated state to state. However, the ability to utilize soft tissue massage methods is a legal and safe way to effect change in joint relationships. Traditional methods considered manipulation of subluxated joint structures to be a form of bone setting. Historically bone setters were specialists who were able to reduce fractures, dislocations, and subluxations that occurred in the daily work life of the Chinese people. They were not usually specially educated and were often trained in a family tradition or through an apprenticeship with a teacher. In the more modern era, these practices were incorporated into various schools of tui na and anmo as part of their orthopedic treatments. There is still a specialty referred to as Traumatology that treats small fractures and dislocations. They also specialize in herbal applications for trauma. To go to a tui na clinic in modern China is like a trip to the massage therapist, orthopedic doctor, and chiropractor combined into one visit.The doctors are trained in tui na soft tissue methods, mild and forceful mobilizations of joint structures and Western orthopedic exams and injection methods. Many acupuncturists are also trained in some form of manipulation to better ensure the best possible outcome when treating of orthopedic problems. Unfortunately in the nited States, this is not a widespread practice.Many acupuncturists must study some form of massage or tui na after graduation to better equip Helm demonstrates passive movement � a Rub-Roll for the shoulder Helm uses passive movement -- traction for the carpal bones of the wrist Passive movement traction for the shoulder themselves with tools for treating conditions such as low back pain, frozen shoulder, and stiff neck. Tui na methods can vary but all styles treat orthopedic disorders similarly. The treatment principles usually begin with activating the circulation of the qi and blood, followed by systematically locating and dispersing obstructions to the free flow. The primary focus is upon the Ahshi points, the sore and tender places where stagnation has accumulated. These points may be specific acupoints, or they may be located adjacent to the main channels and points. These are palpated and then massaged until they lose their initial reactiveness. When the area has been cleared of Ahshi points a more general phase of harmonization is begun. This is a milder type of massage and focuses upon restoring proper flow of the qi and blood through the area. Massage of specific local and distal points are used as well as the channels. This is the resolution phase in treatment, which is then followed by passive joint -traction methods to restore the proper joint and tendon relationships. These methods involve range of motion, stretching,traction and shaking/vibrating techniques. The structures are manipulated in order to release residual tension around the tendons and joint structures. This also helps the qi and blood to move freely across the joint structures and releases neurological inhibition or guarding. The manipulations are performed by moving the structures through linear and circular movements, alternating with traction, to stretch the tendons and joint structures. The patient's limits are explored to locate residual pain and to extend their range of motion. Care must be taken at this stage to not overextend the range of motion and re-injure the patient. Finally, an external herbal liniment or salve is usually applied to help resolve the released stagnant qi and blood. There are several different styles of soft tissue manipulation and structural mobilization. Some styles utilize very light pressure to mobilize joint structures, while others may apply significant force to realign the bones. Many methods incorporate stretching into their manipulations, using the lengthening of the muscles and tendons to improve the biomechanics of the affected area. Another approach is to use gentle rocking and shaking of the target structure to release the muscle tension that is preventing proper joint alignment. The goal of these strategies is the optimal alignment of the musculoskeletal structures of the body. The increased use of Manual Therapy is part of the integrative health movement that is widespread today and can only improve patient care and outcomes. OM Oriental Medicine � www.PacificCollege.edu SUMMER 2012 9 Transforming Blocked Emotions Into Creative Motions � The ancient Taoist secrets of Navel Evaluations & Healing through the Navel Gate By Osi (Osnat) Livni-Hersh, HHP "And you can see all of this just by looking at my navel...?" - my client said in disbelief. Could my navel show how all my life I've been struggling with joint pains? How my moods change so erratically ... my cycle never comes on time... my poor eye-sight... constant frustration at work... how hard it is for me to forgive people... How can you tell...? This is magic!" "Well, Taoist healing is kind of magical" � I smiled back � "Yet, a very systematic and logical magic. Specially, the miraculous insight we can learn from the shape of your navel." You see, the umbilical cord is the original gate of our life force. It is the pre-natal pathway of nourishment and purity. The navel we see in our bodies today is an expression of the cord we once used to receive and maintain life. Evaluating the navel's shape and its inner lines may reveal a "soul chart" - similar to an astrological chart - with much insight regarding one's well-being and spiritual transformation. According to the Oriental medical discipline of the healing tao, the physiology of our soul resides within the internal organs, as they contain the very essence of our physical, emotional, and spiritual life force. Our total health and well-being are dependent on the harmonious function of the internal organs. A part of the cosmic heaven qi (yang energy) finds identity in a specific expression of life-essence as soul vibrations. It is than anchored into the physical realm of the Earth (yin energy) by uniting with human physical yin and yang forms: yin = female - egg, yang = male - sperm. Human beings take nine months of incubation time in which the subtle essence of the soul vibrations is compressed, creating various layers of density, until it manifests a complete human body. This manifestation process takes place via the navel gate. The umbilical cord is the only opening in which the necessary nourishment may flow inward and waste may be purify outward. Through the navel, the internal organs are created as containers of the life force (qi), the umbilical cord bridges them together as a whole. At birth, the creation of the physical form is complete. The first breath provides the new-born with independent connection to the life force. At that moment the qi starts flowing independently within the newborn's meridians. The umbilical cord is no longer essential to maintain a bridge to life vibration, and its external tissue is removed. However, the subtle energetic connection to the layers of qi within the organs is imprinted at the Navel Gate, forming a "blue-print" of our original essence and soul vibrations. All the main branches of the nervous system, the blood vessels, the lymph glands, and the energetic channels--known as meridians-- cross paths in the abdominal region. The navel is their original control center, and, therefore, reflects the overall physical health of the body. Opening the navel gate allows the release of un-supportive beliefs and emotions which are stored in the body's cells, as well as in the memories of the soul, causing pain, stress and toxicity. To be able to read and open the navel's soul-gate, we first need to look at the energetic structure of the body: the specific links between emotional stress and various symptoms of pain, disease, or dysfunction of the organs, as well as their expression through the navel. The Five layers of the human Energetic (qi) Structure "Qi" means "Quantum Vital Energy" or "Life Force". Our life force energy is built from accumulated vibrations that create the electro-magnetic field of our human identity. The Taoists refer to these vibrations as the yin and yang component of the chi; The complimentary polarity of creation. We can look at the "yin" aspect as the electric component of continued on page 33 Carotid-Radial Pulse Ratio Method By William R. Morris T he Spiritual Axis (Ling Shu) begins with an admonition that has been repeated by practitioners throughout the millennia. An acupuncturist must check the patient's pulse before needling in order to know the condition of the patient and develop the diagnosis, treatment plan, and treatment. This paper is an excerpt from a book in progress entitled The Path of the Pulse, It explores the application of carotid-radial pulse ratios to clinical practice. The method is often called "jingei" in Japanese and "renying-cunkuo" in Chinese. The premodern world of the Han dynasty (206 BCE�220 CE) is the time frame where this medical knowledge was placed into textual form within The Yellow Emperor's Classic (Huang Di Nei Jing), Spiritual Axis (Ling Shu), and the Difficult Classic (Nan Jing). chapter 9 and Spiritual Axis (Ling Shu) chapters 9, 19, 48 (1-3). Chapter 48 of the Spiritual Axis (Ling Shu) extends the concept of yin and yang into the channel systems. The radial pulses represent the yin channels and the carotid pulses represent the yang channels. Breaking this down into the six divisions, the radial pulse correlates with the three yin channels (taiyin, shaoyin, and jueyin), while the carotid pulse correlates with the three yang channels (taiyang, shaoyang, and yangming). The radial and carotid pulses are also called yin/yang pulses. Rationale Providing a 10,000 foot-view upon the human condition, the carotic-radial pulse is the largest and most summative perspective upon yin and yang conditions within the human body. All other methods parse at levels of the 9 palaces, 8 extraordinary vessels, visceral and bowels, and 3 treasures. Having said this, the radial and carotid artery pulse method is a useful perspective on physiology. The Koreans have contributed a notion of cerebral blood flow. The authors of the Yellow Emperor's Classic Brief History Early Han Dynasty literature attributed to the Han Dynasty such as the Yellow Emperor's Canon (Huang Di Nei Jing) discusses these practices. The renying (carotid artery) and cunkou (radial artery) pulses are discussed in Simple Questions (Su Wen) 10 SUMMER 2012 (Huang Di Nei Jing) suggested that the 6 channels and the corresponding viscera and bowels, as well as prognostics, can be evaluated using the carotid and radial arteries pulse assessment. All phenomena, including disease, can be analyzed using the dialectics of yin and yang theory. Yin and yang theory form an important foundation for building knowledge in traditional Chinese medicine, and it is extended to the practice of pulse diagnosis. Ling Shu chapter 19 suggests that the cunkou pulse represents yin and the carotid pulse represents yang (3). The superior physician palpates the pulses and there is emphasis on examining the radial and carotid, according to chapter 48 of the Spiritual Axis (Ling Shu), "Understanding the Channels Thoroughly Before Pricking" (Jin Fu) (3, p. 699). There are yin and yang pulses; one who knows the yin pulse will also know the yang pulse, similarly, when palpating the yang pulses, one can know the yin pulse. The pulse that represents three yang channels is located in the yang aspect at the carotid artery (renying) while the pulse that represents three yin channels is at the hand at the radial artery (cunkuo). The carotid and radial pulses on the same side are actually one as yin/yin is one. Application Korean Hand Therapy (KHT) pays attention to the balance of the carotid and radial pulses for purposes of evaluating cerebral blood flow. The system evaluates circulation left and right, as well as anterior and posterior, suggesting carotid and vertebral circulation (4-6). The carotid artery is used to assess the cerebral blood flow, while the radial is used to assess the vertebral circulation. Large differences in force and volume side to side are strong indicators that the carotid �radial rations should be considered. Reasons for such differences may include: tension of the sternocleido mastoid and scalene muscles, obstructions such as masses or scars, and risk of more serious conditions such as cerebrovascular accidents in appropriate populations. continued on page 34 Oriental Medicine � www.PacificCollege.edu If you would like to join this esteemed group, enroll in Pacific College's Doctoral Program DAOM Capstone Projects The list below is of those who have successfully defended their dissertations: Validation of Point Prescription for Radiation Prostatitis, by Pierre Aurelien Invitro Effect of 350 Chinese Herbs on the P450 CYP3AA Enzyme, by Lily Chang Dr Jiao's Herbal Medicine for Rheumatiod Arthritis, by Ay-ying Chen The Efficacy of Simultaneous Use of Massage Therapy and Acupuncture Treatment (SUMTA) for Patients Undergoing Pain Management, by Mei Chou The Efficacy of Electro-Acupuncture in Treatment of Schiatica Due to Intervertebral Disc Herniation, by Michael Corradino The Critical Review of Acupuncture's Effects on Relieving Symptoms Due to Prostatitis Radiation, by Elisebete DeSouza Comparisons of CD4 Count and HIV Viral Load in Patient Treated with Point Injection Therapy, Acupuncture and Glycyrrhizin Tablets, by Uchenna Egwuonwu Evaluation of Required Elements of Fully Integrated Pocket Clinic Manual, by Daniel Hsu Precision Using Chinese Herbal Medicine for Optimal Efficacy in the Treatment of Various Microbial Pathogens, by Steve Jarsky Systematic Review of the Effectiveness of Traditional Chinese Medicine Treatment on Alzheimer's Disease, by Brian Kouo The Effects of Acupuncture on Weight Loss in Overweight Adults Over 40 Years Old, by Ed LaMadrid An Evaluation Study Designed to Improve the Evaluation Process of Clinical Supervisor Skills, by Gina Lepore Evaluation of Miriam Lee's Rotation Method as a Primary Needle Manipulation in the Treatment of Pain, by Leslie McCoy A Critical Review of Etiology, Pathology and Treatment of Pediatric Attention Deficit Hyperactivity Disorder in Oriental Medicine, by Karen Pan Response of Blood Glucose Levels to Acupuncture in Type II Diabetes, by Don Snow Systematic Analysis of Electronic Health Record Software for the Oriental Medical Clinic, by Greg Sperber The Effect of Traditional Chinese Medicinal Herbs on Reducing the Vasomotor Symptoms of Climacteric Women in the United States, by Robin Tiberi The Effectiveness of Anatomical Acupuncture vs. Anatomical Plus Scalp Acupuncture on the Voluntary Movement of the Flexion and Extension of the Dysfunctional Arm in Post-Stroke Patients, by Toan Truong For More Information Contact Pacific College Today or Visit Our Website at www.PacificCollege.edu San Diego: 1-800-729-0941 � 7445 Mission Valley Rd., Ste. 105, San Diego, CA 92108 New York: 1-800-729-3468 � 915 Broadway, 2nd Floor, New York, NY 10010 Chicago: 1-888-729-4811 � 65 East Wacker Place, 21st Floor, Chicago, IL 60601 Characteristics of Chinese Scalp Acupuncture By Jason Jishun Hao, DOM; Christopher C. Butler, LAc; Charles Meyer, LAc hinese scalp acupuncture is a contemporary acupuncture technique integrating traditional Chinese needling methods with Western medical knowledge of the cerebral cortex. Scalp acupuncture has been proven to be the most effective technique for treating central nervous system disorders. It often produces remarkable results with just a few needles, and usually brings about immediate improvements. (1) The use of acupuncture for preventing and treating disorders can be traced back more than 2,500 years in China. Throughout its long history, acupuncture has evolved its own unique traditional medicine. By embracing newly developed knowledge and technology, it continues to create additional methods. Techniques such as electric and laser acupuncture, and even new acupuncture points are currently being developed. The most significant development that Chinese acupuncture has made in the past 60 years is to form scalp acupuncture by integrating Western medicine with traditional Chinese medicine. C Scalp acupuncture is a well-researched natural science, and incorporates extensive knowledge of both the past and the present. Years of clinical experience have contributed to its recent discoveries and developments. But treatment of disorders by needling the scalp has also been traced back to early civilizations. In 100 BC, the first Chinese medicine book, Yellow Emperor's Classic of Internal Medicine (Huang Di Nei Jing), described the relationship between the brain and the body in physiology, pathology, and treatments. Citations of acupuncture treatments on the head for limb disorders are also found throughout classical Chinese literature. This modern system of acupuncture has been explored since the 1950s in China. Various famous physicians introduced Western neurophysiology into acupuncture fields and explored correlations between the brain and the human body. There were several hypotheses for mapping stimulation areas: Fan Yunpeng mapped the scalp as a prone homunculus with its head toward the fore- head and legs toward the occipital area. (2) Taking a dividing line that connects to the left ear, vertex, and right ear, Tang Songyan proposed two homunculi on the scalp with one in a prone position and another in a supine position. (3) Zhang Mingjiu and Yu Zhishun' scalp locations are formulated by penetrating regular head points (4); and Zhu Mingqing created several special therapeutic bands on the scalp. (5) It took acupuncture practitioners roughly 20 years before they accepted a central theory that incorporated brain functions into Chinese medicine principles. Dr. Jiao Shunfa, a neurosurgeon in Shanxi province in China, is the recognized founder of Chinese scalp acupuncture. He systematically undertook the scientific exploration and charting of scalp correspondences starting in 1971. Dr. Jiao combined a modern understanding of neuroanatomy and neurophysiology with traditional techniques of Chinese acupuncture to develop a radical new tool for affecting the functions of the central nervous system. Dr. Jiao's discovery was investigated, acknowledged, and formally recognized by the acupuncture profession (6) in a national acupuncture textbook, Acupuncture and Moxibustion, in 1977 in China. Scalp acupuncture is a modern innovation and development. Just like any new technology and science, the discovery, development, and clinical application of scalp acupuncture has undergone a period of challenge because it has broken down fundamental theories of Chinese medicine and is a new concept for the Western world. As a contemporary acupuncture technique, many of the specific treatments put forward here are also new, at least in the Western medical field. There are several new viewpoints, however, which are of central importance and which depart considerably from traditional Chinese medicine. The first of these viewpoints is the location of scalp acupuncture areas based on the reflex somatotopic system organized continued on page 15 Oriental Medicine � www.PacificCollege.edu SUMMER 2012 13 Thoughts on Shakuju Therapy (SJT) and the "I-Ching" continued from page 6 Characteristics of Chinese Scalp Acupuncture continued from page 13 If it is insufficient to tonify jing-qi deficiency with only treating the back shu points, supplementary treatment may be applied to further enhance the circulation of qi. This last step is applied after the dorsal fundamental treatment has been performed. For example, CV 20 is applied after the treatment of the back shu points if the qi deflects strongly upward in the body, like a headache or throat pain and so forth. 7. Consciousness Why is it we can cure a disease with acupuncture and moxibustion? It is difficult to find a clear answer from the thought of modern medicine, but there is an answer in Oriental theory and that is, human beings are made to live by qi. In other words, we can be active when the body is warm, but we experience illness when the function of qi is deficient. As defined above, fundamental hie, or cold, is ultimately the origin of disease, however, the body will show a tendency to recover if the function of qi is increased by warming hie. Moreover, if a practitioner performs consciousness or the use of intention while giving treatments, the qi of the patient's body will become warm and can set the course toward eliminating all disease symptoms. The use of consciousness in Shakuju Therapy is another function of qi, increasing its effects. 8. Conclusion A disease originates from deficiency of jing-qi. Jing-qi deficiency makes a body cold and all symptoms occur in this environment. The sick body warms if jing-qi is tonified in the treatment of Shakuju Core Therapy. OM Reference materials: Shoji Kobayashi, `Shakuju Therapy' NAJOM #22, July, 2001 Shoji Kobayashi, `Shakuju Therapy' NAJOM #23, November, 2001 Shoji Kobayashi, `Shakuju Therapy' NAJOM #24, March, 2002 Shoji Kobayashi, Acupuncture Core Therapy, Paradigm Publications, NM, 2008 Biography of Shoji Kobayashi, LAc is president of the Shakuju Association and general manager of Shakuju Association in North America (SANA). He founded Shakuju Association in 1980 and was a lecturer of honor at Kanto Acupuncture College in 2007. He was a lecturer at Kanto Acupuncture College in 1976. He's been a president of the Taishido Acupuncture Clinic in Tokyo since 1972. on the surface of the scalp from the Western medical perspective. This does not relate to the theory of meridians in Chinese medicine, and this lack of correlation meant the rise of an essentially new type of concept. Secondly, because the technological innovation and invention in scalp acupuncture is fairly new, positive results can only reasonably be achieved by practitioners who have studied it. Even an established doctor in China cannot perform it without seeing a demonstration. In addition, scalp acupuncture consists of needling areas (see chart 1), rather than points, on the skull according to the brain's neuroanatomy and neurophysiology. Unlike traditional acupuncture, where one needle is inserted into a single point, in scalp acupuncture needles are subcutaneously inserted into whole sections of various zones. These zones are the specific areas through which the functions of the central nervous system, endocrine system, and meridians are transported to and from the surface of the scalp. From a Western perspective, these zones correspond to the cortical areas of the cerebrum and cerebellum, responsible for central nervous system functions such as motor activity, sensory input, vision, speech, hearing, and balance (see chart 2). In clinical practice, acupuncture treatments are typically based on highly individualized philosophical constructs, and intuitive impressions. The practitioner has a wide amount of discretion on the use of points and techniques. Therefore, even when treating the same complaint, the method of treatment chosen by one practitioner can vary significantly from another. Scalp acupuncture, on the other hand, applies more of a Western medicine approach, where patients with the same diagnosis usually receive similar types of treatments. The scalp somatotopic system seems to operate as a miniature transmitter-receiver in direct contact with the central nervous system and endocrine system. By stimulating those reflex areas, acupuncture can have direct effects on the cerebral cortex, cerebellum, thalamo-cortical circuits, thalamus, hypothalamus, and pineal body. The scalp's unique neurological and endocrinal composition makes it an ideal external stimulating field for internal activities of the brain. Scalp acupuncture treats and prevents disease through the proper insertion of needles into scalp areas. It is accompanied by continued on page 39 A Publication of Pacific College of Oriental Medicine The OM Newspaper is hosting its 3rd Annual Essay Contest open to all current Pacific College students and alumni. Start creating a name for yourself in the field of Oriental medicine and massage therapy. Be printed next to some of the biggest names in the industry, begin establishing a presence on the web, and have your work seen by thousands of readers around the world. This is an opportunity you don't want to miss! 3rd Annual Essay Contest, Get Published, and Win $100 Oriental Medicine OM Newspaper Essay Contest PCOM's Oriental Medicine Newspaper and website enthusiastically encourage publishing articles by noted authorities in the field of Oriental medicine. Continuing that tradition, we are expanding both to showcase students and alumni. All you need to do is submit a work that has previously been turned in for a Pacific College academic course, or submit a new article. However, there is no need to write a new paper. Simply choose your best work, and submit it with a completed Essay Contest Participant form. We look forward to seeing you on our website. Essays will be judged on satisfaction of requirements, accuracy of information, and readability. Please Note: No submissions will be accepted without the Essay Contest Participation Form, found at pacificcollege.edu/omessaycontest The requirements are simple, and the winner will receive: 1. 2. 3. 4. A $100 gift certificate, redeemable at the Pacific College Bookstore Publication (with byline) in the Winter 2013 OM Newspaper Publication (with byline) on the Pacific College Website Publication (with byline) in an issue of PCOM's bi-monthly E-Zine Requirements: 1. Be a current Pacific College student or alumni 2. Use an existing essay turned in for a Pacific College academic course, or write a new essay, 500-2,000 words. 3. Additional requirements found on pacificcollege.edu/omessaycontest 4. Email essay to firstname.lastname@example.org by Tuesday, November 1, 2012 Questions? Contact email@example.com. Oriental Medicine � www.PacificCollege.edu SUMMER 2012 15 The Chinese Medical Canons' View on Immune Response and Its Regulation continued from page 7 hypothalamus works like a thermostat. When the set point is raised, the body increases its temperature through both active generation of heat and retaining heat. Vasoconstriction both reduces heat loss through the skin and causes the person to feel cold. If these measures are insufficient to make the blood temperature in the brain match the new setting in the hypothalamus, then shivering begins in order to use muscle movements to produce more heat. When the fever stops, and the hypothalamic setting is set lower; the reverse of these processes (vasodilatation, end of shivering and non-shivering heat production) and sweating are used to cool the body to the new, lower setting."8 As such it becomes clear that fever is the response that the organism triggers in order to optimize immunity by regulating the body temperature to stop the progression of an acquired illness and rectify physiology. The above phenomenon of raising peripheral body temperature through vasoconstriction is in the Shanghan Lun or Treatise on Cold Damage referred to as Taiyang disease, as it manifests with aversion to cold and body aches.9 More specifically, the process of vasoconstriction will lead to the absence of sweating and aversion to cold which in Shanghan Lun terms is called Taiyang Cold Damage.10 This is why in such instances, the pulse becomes very tight. While fever to regulate body temperature through vasodilatation will produce a sweat along with the fever and is in Shanghan Lun terms referred to as Wind Strike11 which is accompanied by a milder form of cold aversion, known as wind or draught aversion. The latter cannot present with shivering, and is imperatively accompanied by sweating. The opening of the vessels makes the pulse feel soft or moderate. The intention of treatment will be to assist the body in this febrile process to adequately regulate peripheral immune function through thermo-regulation and counter the breach, thus effectively undoing the disease process. The herbal medicine practice recorded by Han dynasty Zhang Zhongjing in his Treatise on Cold Damage or Shanghan Lun is the premier instruction on assisting the body in this process using canonical herbal formulas. The canonical prescriptions are the magistral formulas of our medicine. The differentiation system used by Zhang Zhongjing is based on a model of six conformations. This system differentiates six types of yang functional expressions. From the perspective of thermodynamics, the yang conformations govern peripheral temperature regulation, while the yin conformations govern visceral temperature regulation. Taiyang is the first stage and its function is to help the body maintain steady peripheral blood temperature through vasoconstriction or vasodilatation. Damage to taiyang results in the inability to stabilize one's body temperature resulting in upward or downward deregulation and fever. Its hallmark febrile symptom is fever with aversion to cold or wind. The second stage is yangming and its function is to prevent the body from over-heating and dehydrating through the abundant generation of cool moisture in the lung and skins. Damage to yangming results in the heating up of the air in lungs and stomach and consequent drying up of cooling moisture, resulting in the inability to stop the proliferation of fever and sweating. The hallmark clinical presentation is high fever with aversion to heat. The third stage of the thermoregulatory chain is called shaoyang. Shaoyang governs the transfer from peripheral body temperature into the viscera through the internalizing of warm gasses or qi embedded in nutritive humors. Damage to the physiology of the shaoyang conformation results in a generally lower fever than the previous stage, but alternated by chills. The treatment of these three stages is then the reregulation of their thermodynamics. The methods are recorded in great detail in the Shanghan Lun and suggest the use of well-known formulas such as Mahuang Tang, Guizhi Tang, Baihu Tang, Tiaowei Chengqi Tang, Huangqin Tang and Xiao Chaihu Tang, among others. OM To continue reading, please view this article in full on our website at: http://www.pacificcollege.edu/ a c u p u n c t u re - m a s s a ge - n ew s / articles/1159-the-chinese-medical-canons-view-on-immuneresponse-and-its-regulation.html G OLDEN F LOWER C H I N E S E H E R B S ...Serving you since 1990 Optimally-Extracted, Lab-Tested, Concentrated Chinese Herbs and Formulas Needles & Clinical Supplies � Books � Therapeutic Essential Oils Safe. effective. Quality you can truSt. Summer Yin* Summer is the time of flourishing yang--expansive, warm, and exuberant. But all this yang can have a downside. Exterior heat can consume yin, and if it overpowers our internal yang, we become unable to effuse sufficiently through to the exterior. This can lead to excess heat (summerheat) conditions, fluid loss, qi stagnation, dampness, swelling or possibly even summerheat strike (zh�ng sh). Consider these formulas to support or regulate yin and fluids: Siler & Platycodon Formula is the primary formula to use when external heat combines with internal heat. It can help unblock water passages, eliminate dampness, and clear both internal and external heat. Use only for excess conditions. Poria Five Formula : When excess yang from the exterior (summerheat) overpowers our natural qi function to effuse through the surface, damp accumulation can cause swelling. This formula strengthens the spleen's function to transform fluids. Sheng Mai Formula : Qi requires blood and body fluids for a medium of transport. If damage to body fluids is significant enough to weaken the qi and alter the pulse. This formula is used to rectify qi and restore body fluids. Jade Source Formula is used in deficiency cases where the individual is unable to produce sufficient fluid from transformation of food and drink. It is the best choice when the reason for the insufficiency of fluid is rooted in constitutional deficiency. *For a complete description of these and our other formulas, give us a call or visit our website. Find us on Facebook www.gfcherbs.com 16 SUMMER 2012 Toll-Free 1.800.729.8509 Email firstname.lastname@example.org Oriental Medicine � www.PacificCollege.edu TCM Acupuncture Massage 2012 A Guide To 2012 November 8-11, 2012 The Catamaran Resort Hotel & Spa San Diego, CA Learn From the Best: Shoji Kobayshi Mike Berkley Lillian Bridges Andrew Gaeddert Heiner Fruehauf Edward Neal Jason Hao Claudia Citkovitz Marilyn Allen Robert Nations Jian Min Fan Whitfield Reaves 2012 Kiiko Matsumoto Giovanni Maciocia Matt Callison Rick Gold Janet Zand William Morris Arnaud Versluys Arya Nielson Yuan Wang Bill Helm Osnat Livni Keynote Address: Pete Egoscue, author of Pain Free - November 9 Plus Pre- and Post-Symposium Workshops with: Mike Berkley, November 6-7 Giovanni Maciocia, November 12-13 Shoji Kobayashi, November 12-13 Pacific Symposium 2012 Schedule at a Glanc Tuesday/Wednesday 11/6-11/7 7-7:50 am Two-Day Session: 9 am-12 pm East Meets West in Reproductive Medicine Mike Berkley Thursday 11/8 Early Morning Qi Gong (1 CEU per session) Qi Gong for Health Practitioners Bill Helm Friday 11/9 Qi Gong for Health Practitioners Bill Helm Saturday 11/10 Qi Gong for Health Practitioners Bill Helm Morning Workshop: Alternative to General Session Lectures (3 CEU's) Traditional Thai Bodywork for Leg and Back Pain Richard Gold Chi-Nei-Tsang Osnat Livni Neck Problems in the Seven Vertebrae, Part 1 Kiiko Matsumoto General Sessions (1 CEU per speaker/3 per morning) Introduction to Classical Acupuncture Edward Neal Treating Gluten Intolerance, Part 1 Andrew Gaeddert Han Dynasty Huangdi Neijing View on Immune Response Arnaud Versluys The Dao of Fetal Heart-Rate Monitoring Claudia Citkovitz Transformation and Chinese Medicine William Morris Fibromyalgia: Diagnosis and Treatment Strategies Richard Gold Constitutional Therapy in Chinese Medicine Heiner Fruehauf From Jing to Ming, Part 1 Lillian Bridges Anatomically Significant Points and Why We Must Embrace Them Whitfield Reaves 9-9:50 am 9:5510:45 am 11:10 am12 pm Afternoon Qi Gong (1 CEU per session) 12:151:05 pm 2-5 pm Qi Gong for Health Practitioners Robert Nations Qi Gong for Health Practitioners Robert Nations Qi Gong for Health Practitioners Robert Nations Afternoon Workshops (3 CEU's per workshop) Ethics in the Business of Healthcare Marilyn Allen Treating Gluten Intolerance, Part 2 Andrew Gaeddert Canonical Chinese Medicine for Auto-immune Disorders Arnaud Versluys Introduction to Neijing Classical Channel Theory Edward Neal Practical Facial Rejuvenation Using Traditional Chinese Medicine Yuan Wang Traditional Thai Bodywork for Relief of Arm, Shoulder, and Neck Pain Richard Gold Birth: The Heart and Essence Claudia Citkovitz PsychoSocial Uses of Pulse Diagnosis William Morris Differentiating Low Back Pain Referral Patterns (Yao Tui Tong) Matt Callison Chinese Scalp Acupuncture for Central Nervous System Disorders Jason Hao Neck Problems in the Seven Vertebrae, Part 2 Kiiko Matsumoto Anatomically Significant Points of the Hip and Lower Extremity Whitfield Reaves From Jing to Ming, Part 2 Lillian Bridges Ancient Harmonizing for Modern Life From Dr. Zhang Zhong Jing Jian Min Fan Characterizing the Female "Archetypes" Heiner Fruehauf Evening Events 7-9 pm Modern Research Embraces Traditional Chinese Medicine Janet Zand Keynote Address: The Art of Possible... Pete Egoscue Symposium Party 2012 Package Prices Pre/Full/Post - All Pass Event (Tues-Tues) 64 CEU's Pre/Full (Tues-Sun) 50 CEU's Full/Post (Thurs-Tues) 50 CEU's Full (Thurs-Sun) 36 CEU's 3 Day General Pass 2 Day General Pass 1 Day General Pass (Thurs or Fri) 1 Day General Pass (Sat or Sun) Pre with Berkley Only 14 CEU's Post with Maciocia or Kobayashi 12 CEU's (by Sept. 2) Online Mail/Phone Early (Sept. 3 - Oct. 14) Online Mail/Phone rEgular latE and OnsitE (After Oct. 15) Online Mail/Phone $885 $740 $740 $530 $440 $340 $190 $180 $320 $320 $910 $765 $765 $550 $465 $360 $210 $200 $345 $345 $1005 $835 $835 $585 $485 $400 $215 $215 $360 $360 $1030 $860 $860 $610 $510 $425 $240 $240 $385 $385 $1075 $875 $875 $640 $515 $430 $235 $235 $390 $390 $1100 $900 $900 $665 $540 $455 $260 $260 $415 $415 Glance - 64 CEU's/PDA's Sunday 11/11 Qi Gong for Health Practitioners Bill Helm Monday/Tuesday 11/12-11/13 Pre and Post-Symposium Workshops Pre-Symposium Workshop East Meets West in Reproductive Medicine by Mike Berkley CEu/Pda Two-Day Sessions: 14 Tuesday and Wednesday, November 6-7, 9 am-5 pm Shen and Hun: The Self in Chinese Medicine Giovanni Maciocia The Science of Gua Sha Arya Nielson Qi, Yin-Yang, and Tai Ji in Shakuju Therapy Shoji Kobayashi Heat: Diagnosis and Treatment of Heat Diseases Giovanni Maciocia At the end of this two-day seminar, students will understand the most significant causes of infertility. You will learn to correctly diagnose difficult cases and to write effective acupuncture and herbal medicine protocols. You will learn when it is appropriate to request blood tests, what these tests mean, and how to use them when formulating your TCM diagnosis. Male factor infertility will be covered as well. This seminar will be interactive � you will be able to ask questions and discuss your own cases, as time permits. We will use these case reviews as tools for teaching � so bring your most difficult case! At the end of this two-day course your level of expertise in reproductive pathology and treatment approaches will be significantly improved. System of Shakuju Therapy Shoji Kobayashi Qi Gong for Health Practitioners Robert Nations Post-Symposium Workshops Heat: Diagnosis and Treatment of Heat Diseases by Giovanni Maciocia CEu/Pda 12 Monday and Tuesday, November 11-12, 9 am-4 pm Auto-immune Diseases in Chinese Medicine: Pathology and Treatment Giovanni Maciocia The Invisible and the Visible Shoji Kobayashi Tui Na Mobilizations and Passive Movement for the Shoulder, Wrist, and Hip Bill Helm Skillful Gua Sha Arya Nielson Heat is one of the most common pathogenic factors we see in the clinic every day. Many more people have Heat than Cold or Yang deficiency. As Heat is such a common pattern in practice, it is very important that we understand its aetiology, pathology, diagnosis, patterns and treatment. To give an idea of the frequency of Heat in practice, in my clinic in England in a database of over 2500 patients, 46% had a red tongue and 32% a pale tongue. In other countries with a warmer climate, I suspect the incidence of red tongue (and Heat) would be even higher. One of the reasons for the widespread occurrence of Heat is that emotional problems nearly always lead to Heat in various forms. The discussion of Heat syndromes is very ancient, having been discussed already in the Nei Jing. However, there is a lot of confusion on the nature and types of Heat. Heat is often at the root of complicated modern diseases such as auto-immune diseases. This two-day workshop will discuss in detail the aetiology, pathology, and treatment of Heat in all its forms. System of Shakuju Therapy by Shoji Kobayashi CEu/Pda 12 Monday and Tuesday, November 11-12, 9 am-4 pm In this two-day workshop, Dr. Kobayashi will cover three processes: contact needling, pulse adjusting, and abdominal diagnosis. Dr. Kobayashi will perform contact needling and adjust the pulse according to the reference points to diagnose the abdomen. 10% Discount for PCOM Alumni and Groups of 10 or More Registering Together (individual workshop fees excluded) Observers, Non-Professionals, and Students See Online Pricing, www.store.pacificcollege.edu. He will show many types of reference points and the five kinds of abdominal diagnosis of shaku. There are three aspects for shaku, that is pain shaku, hard shaku, and pulsating shaku. There will be a demonstration on five areas of the abdomen, and practitioners will learn to name the abdominal diagnosis. Dr. Kobayashi will practice on volunteers for demonstration. He will also cover Shakaju Therapy, the five areas of the back according to Five Element thought, and qi consciousness in treating patients. Ready to Register? Go to www.PacificSymposium.org for Pricing, Accomodations, and Registration Form Look for These Symbols Hands-On Food/Nutrition Qi Gong Massage Ethics Lecture OM Philosophy OM Applications Daily Exercise Qi Gong for Health Practitioners by Bill Helm and Robert Nations CEu/Pda CEu/Pda Treating Gluten Intolerance, Part 2: Tips on Treating Gluten Intolerance by Andrew Gaeddert 3 Thursday, November 8, 2-5 pm 1 Daily, 7-7:50 am and 12:15-1:05 pm This Qi Gong series is designed to teach health practitioners a method to help their patients develop and maintain strength, flexibility, and sensitivity, by combining exercises from Taijiquan and Yijin Jing. Thursday, November 8, 2012 Traditional Thai Bodywork for Leg and Back Pain by Richard Gold CEu/Pda In this interactive workshop there will be a discussion of wheat allergy from the perspective of Chinese and Western medicine, and a review of testing for wheat allergy, gluten intolerance, and celiac disease. There will be information about implementing the gluten-free diet, Paleo diet, the Specific Carbohydrate Diet popularized by Elaine Gottschall, and the Digestive Clearing Program. Canonical Chinese Medicine: A Case-Based Instruction on Auto-Immune Disorders by Arnaud Versluys CEu/Pda 3 Thursday, November 8, 9 am -12 pm 3 Thursday, November 8, 2-5 pm The application of Thai bodywork techniques is considered to be a form of meditative practice that can benefit the practitioner as well as the recipient. The practitioner endeavors to work in a state of mindfulness, concentrated and present in each breath, each moment. Every movement, every procedure, every breath, every posture is an opportunity for the practitioner and recipient to achieve clear intent and mindfulness. In this seminar, you will learn to give and receive traditional Thai bodywork for the relief of leg and back pain. The techniques will be applied with your elbows, feet, knees, and forearms, in addition to your hands. In this course, Dr. Versluys will present the treatment of auto-immune disorders from the Shanghan Lun and Jingui Yaolue perspective. Dr. Versluys has, for years, exclusively been practicing the classical style of internal medicine as instructed in the Shanghan and the Jingui. In this course, he will share this experience as it pertains to the classical herbal treatment of immune disorders such as Crohn's disease, auto-immune hepatitis, scleroderma, and many more. This course will present clinical strategies while deepening the participant's understanding of immune disorders from a classical perspective. Introduction to Classical Acupuncture by Edward Neal CEu/Pda Introduction to Neijing Classical Channel Theory by Edward Neal CEu/Pda 3 Thursday, November 8, 2-5 pm 1 Thursday, November 8, 9 -9:50 am Up until the 1960s, any substantial discussion of Chinese medicine was based almost entirely upon scholarly interpretations of the Chinese medical classics. For centuries, these types of philosophical discussions have been the mainstay of Chinese medical theory. Among the medical classics, the Huangdi Neijing Suwen and Lingshu stand out as being the primary root texts from which all subsequent theories of Chinese medicine have been derived. Despite this undeniable importance, the knowledge and clinical information contained within these precious texts has, for the most part, been lost to modern understanding. In this theoretical and experiential workshop, Dr. Neal will introduce the basic principles of classical channel theory as first outlined within the Huangdi Neijing Suwen and Lingshu . These theories have served as the fundamental principles of acupuncture practice for over 2,000 years. Classical acupuncture offers a radically different view of the human body and the practice of Chinese medicine. For the classical acupuncturist, classical channel theory was one of the cornerstones of clinical knowledge, and its profound principles were memorized and taken deeply to heart. Treating Gluten Intolerance Part 1: Help One Out of Three Clients in Your Practice by Andrew Gaeddert CEu/Pda Practical Facial Rejuvenation Using Traditional Chinese Medicine by Yuan Wang CEu/Pda 3 Thursday, November 8, 2-5 pm 1 Thursday, November 8, 9:55 -10:45 am The wheat we eat today has been bioengineered to contain nearly 90% more gluten than the type our grandparents ate. Digestive disorders, dermatitis, psoriasis, diabetes, MS, arthritis, osteoporosis, and chronic fatigue syndrome have been linked to gluten intolerance. The gluten-free diet has been useful for patients with headaches, weight management issues, and for peak brain and athletic performance. In the morning lecture, we will learn the prevalence of gluten intolerance, and discuss wheat allergy and celiac disease. You will learn how to make this knowledge an important tool in your practice. Today, more and more people are looking for natural anti-aging methods. Chinese medicine has a history of using natural ingredients to keep one healthy while combining Eastern traditions with a Western lifestyle. This course will introduce and explore practical information, focusing on TCM facial skin-care and common facial disease treatments. You will learn recipes and applications to apply to the face, such as: facial masks, herb steams, and soaking. Participants will discover food therapy and tea recipes for balancing the jing, qi, and the shen. Han Dynasty Huangdi Neijing View on the Immune Response by Arnaud Versluys CEu/Pda Modern Research Embraces Traditional Chinese Medicine by Janet Zand CEu/Pda 2 Thursday, November 8, 7-9 pm 1 Thursday, November 8, 11:10 am -12 pm The concept of an immune response is described in Chinese medicine as early as the Han dynasty. The Huangdi Neijing, or the Yellow Emperor's Inner Canon, is the first and foremost medical textbook to spell out in great detail the step-by-step process that the body goes through when responding to pathogenic affliction. During this presentation, Dr. Versluys will show that having the classical understanding of the immune system and using the differentiation model and herbal prescriptions that go along with this view can provide the herbalist a powerfully streamlined work method for the treatment of auto-immune disorders. For the past sixty years, scientific research has begun to show many correlations between 2,000 year-old accepted TCM tenets and modern medicine. In this two-hour session, we will look at what we inherently know in TCM and how modern medicine is enthusiastically proving what has been accepted for thousands of years. This trend is exciting and important as Western and Eastern medicine begin to coexist in primary care. Friday, November 9, 2012 Chi-Nei-Tsang - Explore the Asian Secrets of Touch and Toning by Osnat Livni CEu/Pda Ethics in the Business of Healthcare by Marilyn Allen CEu/Pda 3 Friday, November 9, 9 am -12 pm 3 Thursday, November 8, 2-5 pm Healthcare has changed in the United States. Acupuncture is no longer on the fringe. When you finish the session you will have the tools to help you find new patients, keep your established patients, present a report of findings to patients and/or their families, brand yourself, and tell your story that will touch others at the heart level. The healthcare industry is evolving in favor of Oriental medicine. This course will ensure that you know how to best position yourself to give optimal care. Transform blocked emotions into creative motions! The navel is the center focus Chi Nei Tsang internal organ healing, as it is the pre-nat