The Natural Therapist - ANTA Journal - March 2016 by ANTA

The Natural Therapist C HI N E S E M E DIC IN E

MU SHR OOMS

S K IN DIS ORDE RS

GREAT ARTICLE

The 3rd Food Kingdom

Chinese Herbal Formulas

Great medical value

AYURVEDIC MEDICINE ACUPUNCTURE AROMATHERAPY CHINESEHERBAL CHIROPRACTIC COUNSELLING HOMOEOPATHY MYOTHERAPY NATUROPATHY ORIENTAL REMEDIAL THERAPY REMEDIAL MASSAGE THERAPY SHIATSU

Common Skin Disorders Effective treatment with Chinese Herbal fo by Tony Reid

Boswellia For more than just Arthritis. by Kerry Bone

PLUS ANTA News Updates ➲ p.7

ANTA Bursary Awards ➲ p.7

CPE Guidelines ➲ p.8

Mushrooms ➲ p.16

YouthFullness ➲ p.18

Common leg inuries ➲ p.26

TCM Research ➲ p.32

Case series of diets ➲ p.36

www.anta.com.au

MARCH 2016 vol 31 no 1

Quality Holistic Healthcare based on Scientific Research

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THE NATURAL THERAPIST Volume 31 No.1

Advanced natural, nutritional and herbal formulations recommended by Professionals

CO N T E N T S TNT JOURNAL 5 Executive Officers Report

A warm welcome to all ANTA practicing and student members

6 ANTA News & Bursary Award Winners BUPA updated ancillary provider terms. ANTA upgrades member software and Students accepting bursary awards from ANTA

13 Natural Therapy Of Tennis Elbow Tennis elbow is a condition caused by inflammation of a tendon.

16 Mushrooms Weird but true, mushrooms naturally produce D2 when exposed.

20 Youthfullness Despite our age we all would like to live a healthy active life.

23 Effective Treatment-Skin Disorders The effective treatment with the use of Chinese Herbal Formulas

26 Common Leg Injuries

The first therapeutic massage I ever witnessed was in the fall of 1968

32 TCM Research Chinese medicine made a huge contribution to medicine in 2015

34 Boswellia Boswellia is well known for the treatment of osteoarthritis. Key new studies reveal a broader range of treatments as a anti-inflammatory.

36 Case Series Of Diets And Foods

Part 1 of diets and food availability in Mayen and Hispanic villages

Natural

The

Therapist

Volume 30 Number 3 - November 2015 ISSN 1031 6965 The Natural Therapist is published by the Australian Natural Therapists Association (ANTA) for natural therapy practitioners. The opinions and views expressed by the contributors and advertisers are not necessarily the opinions and views of ANTA. Every effort is taken to ensure accuracy and ANTA accepts no responsibility for omissions, errors or inaccuracies. ANTA relies on contributors and advertisers to make sure material provided for The Natural Therapist complies with Australian Laws. ANTA accepts no responsibility for breaches of Australian Law by contributors or advertisers. Material in The Natural Therapist is subject to copyright and may not be reproduced in any form without the permission of ANTA and authors.

anta branch chair persons Jim Olds - President National Multi-Modality Branch Chair Director of ANTA Director of CMPAC ANTAB/ANTAC Chair Ethics Panel Chair

Warren Maginn National Nutrition Branch Chair Director of ANTA TGA Chair ANTAB/ANTAC Committee Member ANRANT Committee member

Justin Lovelock – Treasurer National Herbal Medicine Branch Chair Director of ANTA Director of CMPAC Constitution & Policy Chair ANTAB/ANTAC Committee Member ANRANT Committee Member

Kevin McLean National Musculoskeletal Therapy & Myotherapy Branch Chair Director of ANTA CPE/Seminar Chair ANTAB/ANTAC Committee Member ANRANT Committee Member

Tanya Morris National Naturopathy Branch Chair Director of ANTA Media/Web Chair ANTAB/ANTAC Committee Member ANRANT Committee Member

Brian Coleman Company Secretary Executive Officer Director of CMPAC ANRANT Chair Business Plan Chair

Jeanetta Gogol - Vice President National Remedial Massage Branch Chair Director of ANTA ANTAB/ANTAC Committee Member

ANTA National Administration Office T: 1800 817 577 F: (07) 5409 8200 E: info@anta.com.au P: PO BOX 657 MAROOCHYDORE QLD 4558 australiannaturaltherapistsassociation.com.au

The natural therapist Executive Officer Brian Coleman Marketing/Production Steven Venter Circulation Enquiries 1800 817 577 Editorial & Advertising Enquiries steven@anta.com.au Membership Enquiries info@anta.com.au General Enquiries info@anta.com.au

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THE NATURAL THERAPIST Volume 31 No.1

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E xec ut i ve O ff i ce r sR epo r t - M a rc h 2016

A warm welcome to all new ANTA practicing members and ANTA Student members. If you require any information, advice or assistance please feel free to contact the team in the ANTA National Administration Office on 1800 817 577 or info@anta.com.au

Statutory Registration - National Regulation & Accreditation Scheme (NRAS) & Unqualified Practitioners ANTA continues to push for the inclusion of Naturopaths, Homoeopaths, Herbalists (Western), Nutritionists, Musculoskeletal Therapists, Myotherapists, Remedial Therapists, Shiatsu Therapists, Aromatherapists and Ayurvedic Medicine Practitioners under the NRAS. ANTA has participated on AHPRA Professions Reference Group meetings and utilised this opportunity to continue the pursuit of statutory registration for natural therapy practitioners under the NRAS. Attendees at the meeting included representatives from registered professions and senior AHPRA management. The meeting was chaired by AHPRA CEO Martin Fletcher and discussed a wide range of topics including:

Health Minister’s response to final report of the review of the National Registration and Accreditation Scheme (NRAS) • • • •

improving the notifications process risk-based approach to regulation raising public awareness of registration improvements to processes

ANTA is compiling an updated registration submission and will be presenting the submission to Ministers, government departments, government advisors and registration boards. ANTA will be attending further AHPRA meetings and will continue to engage in dialogue with AHPRA management, Ministers and government departments to achieve our goal of registration for natural therapists. As discussions and developments occur on the push for registration, we will keep ANTA members informed.

Advanced Diploma’s Naturopathy, Western Herbal Medicine, Nutritional Medicine & Homeopathy We continue to remind members of the decision by ASQA to cease delivery of the ceased enrolling students in these programs. Colleges have also been given an extension of time until 2018 in which to teach out these courses and award graduates with their qualifications. ANTA has been in contact with colleges to advise graduates who have completed accredited HLT Advanced Diploma courses will be eligible to join ANTA. ANTA members who joined with Advanced Diploma qualifications are not affected by the ASQA decision to cease delivery of Advanced Diploma’s. Members with Advanced Diploma qualifications are not required to upgrade to bachelor degree level qualifications. As long as members with Advanced Diploma qualifications maintain continuous ANTA membership and abide by health fund provider register requirements they will continue to be ANTA members and registered as providers with health funds.

Health Funds Audits Health funds will again be conducting audits of associations in 2016. Completion of 20 hours of CPE is one of the areas health funds focus on and we are very pleased to see the positive response by members to ensure their CPE records are up-to-

date. It is encouraging to see members have taken full advantage of the CPE facilities ANTA provides such as the ANTA e-Learning Centre, free ANTA webinars, free ANTA seminars, free access to IMGateway scientific and e-learning resources, EBSCO Host research database and eMIMS Cloud to name but a few. It is also satisfying to see the new processes we introduced to ensure members renew their professional indemnity insurance and first aid qualifications on time has paid dividends and this process has been instrumental in ensuring ANTA members are audit compliant. We have received notification from health funds they will be continuing their ongoing program of detailed analysis of receipts issued by members of all associations to ensure compliance with health funds provider terms and conditions. We have also received advice from Medibank that it is continuing to monitor claim and receipting profiles of all providers to identify any variations when compared with profiles of their peers. If a practitioners receipting profile shows any abnormalities the practitioner will be required to provide additional information and meet with Medibank management to explain the variations in receipting practices. Important information regarding Medibank reviews of providers is outlined on the ANTA website and detailed in the previous edition of The Natural Therapist. We recommend members read this information and contact us if you require further clarification.

FREE ANTA National Seminars We have completed our first free seminar in Brisbane in March. The Brisbane seminar was an outstanding success and the free seminars planned for Perth, Sydney & Melbourne during 2016 will be bigger and better than ever. We will contact members by email to advise them when the next seminar is being held in their state. All ANTA members including students can register to attend ANTA seminars free of charge.

FREE ANTA Webinars We are continually adding outstanding webinars to this collection and I recommend members who are unable to attend the FREE ANTA National Seminars to log on and check them out. Viewing of the webinars is a great way to keep up with the latest developments and earn CPE points.

Stay informed and up-to-date To stay in touch with the latest information make sure you visit the ANTA website, members centre and ANTA facebook. Updates containing a wealth of information are also sent to member by ANTA e-News regularly.

Changing your contact details or clinic address Don’t forget to let us know asap if you change your email address, postal address, telephone or clinic addresses. This information is essential for us to contact you, keep you updated and to ensure your clinic addresses are registered with health funds.

ANTA National Student Bursary Awards for 2016 Starting Soon We will soon be kicking off the 2016 ANTA National Student Bursary Awards. All students will receive an email inviting them to lodge a submission for a bursary award. We will again be providing students with 12 x $1000 bursary awards in 2016 as we march towards our next goal of $200,000 provided to students.

Exec ut i ve O ff i ce rs R epo r t - M a rc h 2016

• Updating the practitioner referral section on the ANTA website • Updating the practitioner referral section I am pleased to advise that ANTA is again on the CMPAC website on track to post another successful financial • Updating the practitioners referral section result in 2016. The results ANTA has continued on the ANRANT website to achieve over many years don’t happen by • Upgrading the free members web pages chance and It is assuring for ANTA members to know the governance of ANTA is in good on the ANTA website hands. • Enhancements to the ANTA e-News service to members During 2016 funds were deployed for: • Upgrading the membership data base ANTA Financial Performance

• Federal Government submissions • State Government submissions • Meetings with Federal and State government departments/ministers • Registration/Regulation meetings with Australian Minister for Health. • Further Upgrades to the ANTA website www.anta.com.au • Providing members with free access to the latest online scientific information eMIMS • Providing members with free access to the latest online scientific information IMGateway • Providing members with free access to the world’s most comprehensive resource - EBSCO • Meetings with Health Funds and Workcover authorities • Providing members with free seminars • Providing members with access to free ANTA webinars • Development of systems to manage the new Health Fund Rules • Protecting and safeguarding members interests in relation to the new Health Fund rules • College and University course review meetings • Supporting College and University graduation programs • ANTA Bursary Awards program • Obtaining cheaper professional indemnity insurance for members • Collaborating and networking with other associations • Complementary Medicine Practitioner Associations Council (CMPAC) • Australian National Register of Accredited Natural Therapists (ANRANT) • Health Training package reviews • Upgrading the ANTA e-Learning Centre for member CPE activities • National Advertising program in major health publications • Review and upgrading of the ANTA journal The natural Therapist • Developing the ANTA Natural Therapies App with practitioner search for members • Maximizing the public’s use of the ANTA practitioner referral free call number service

THE NATURAL THERAPIST Volume 31 No.1

Free Legal Advice for ANTA members The facility provided to ANTA members through our supplier of professional indemnity insurance Arthur J Gallagher (incorporating OAMPS) has been a huge success with numerous members taking advantage of this free service. • 30 minutes of free legal advice is available for: • ANTA members who have a professional indemnity policy with Arthur J Gallagher • Issues regarding professional indemnity policies and/or claims • Any other issues regarding your practice such as employment contracts, employment disputes, tenant agreements, leases, ownership of client records, restraint of trade etc To obtain 30 minutes of free legal advice contact the Arthur J Gallagher Specialty Risks team on:

• free call - 1800 222 012 • email - specialtyrisks@ajg.com.au This offer is provided to ANTA members by Arthur J Gallagher in conjunction with White & Mason Lawyers.

Advertising and Promotion of ANTA Members in national magazines Due to the success of our advertising and promotion of ANTA members in national lifestyle magazines, we have expanded our promotion to include banner advertisements on magazine e-News and newsletters. This program has been successful in raising public awareness on the benefits of consulting with an ANTA accredited practitioner.

Natural Therapies App ANTA is the only association with an App that promotes natural therapies and ANTA members to the public. The App is free and the public can complete instant searches for an ANTA member on their phone and at the same time set up an appointment with an ANTA member in a matter of seconds. Members details are updated on the App regularly. For more information go to www. naturaltherapiesapp.com.au

Upgrade of Member Engagement Management software ANTA is in the process of upgrading software to provide members with a range of real time services and facilities including online communities, updating of members profiles, streamlined communications across all devices, automation of processes, real time updating of information, searchable online directories, interfacing with social media and much more. This is an exciting project which will provide members with a range of benefits not seen before in the natural therapy profession and we look forward to introducing these benefits to members in 2016 as we progressively roll out this project. Contact us if you require any advice, support or assistance – we value your feedback Any members requiring advice, support, assistance or has feedback on ways in which we can improve our member services please feel free to contact either myself or the team in the ANTA National Office at anytime on 1800 817 577 or info@anta.com.au Our Administration team is ready to assist you. Regards Brian Coleman

Updated Bupa Ancillary Provider Terms effective 1 March 2016 Bupa has updated their provider terms and attached for your information is a copy of the terms which are effective 1 March 2016. Please familiarise yourself with the updated requirements to ensure that if Bupa conducts an audit of your practice that you are able to pass the audit. Please contact the ANTA National Administration Office on 1800 817 577 or info@anta.com.au if you require any help or assistance.

AN TA - N E W S N ews - M a rc h 2016

ANTA Bursary Award Winners ANTA is very pleased to announce that all members now have 30min of FREE legal advice

Free Legal Advice for ANTA members

Samantha Bake of Endeavour College Melbourne Campus being presented with ANTA Bursary Awards of $1000

Brooke Donnely of Endeavour College Brisbane Campus being presented with ANTA Bursary Awards of $1000

We are very pleased to announce that ANTA members who are insured through our preferred supplier of professional indemnity insurance Arthur J Gallagher (incorporating OAMPS), can now obtain 30 minutes of free legal advice.

30 minutes of free legal advice is available for: • ANTA members who have a professional indemnity policy with Arthur J Gallagher • Issues regarding professional indemnity policies and/or claims • Any other issues regarding your practice such as employment contracts, employment disputes, tenant agreements, leases, ownership of client records, restraint of trade etc To obtain 30 minutes of free legal advice contact the Arthur J Gallagher Specialty Risks team on:

• free call - 1800 222 012 • email - specialtyrisks@ajg.com.au

This offer is provided to ANTA members by Arthur J Gallagher in conjunction with White & Mason Lawyers Samantha Bake and Meghann Hayes with their ANTA Awards. Meghann Hayes of Endeavour College Melbourne Campus being presented with ANTA Bursary Awards of $1000

Women’s Health Survey: Help to uncover the health need of woman. Jean Hailes releases Australia’s most comprehensive study of women’s fears and needs. Every year women across Australia come to Jean Hailes for information on topics such as body image, mental health, weight and healthy living. That’s why they conduct an annual women’s health survey to give women in Australia a chance to let them know what they need and want to know about their health, and the opportunity for health professionals to share their insights into the health information needs of their female patients and client. Download the survey on ANTA’s website under ”Latest News”

Alexandra Martin of Endeavour College Brisbane Campus being presented with ANTA Bursary Awards of $1000

Isabella Walton of Endeavour College Brisbane Campus being presented with ANTA Bursary Awards of $1000

AN TA - N E W S N ews - M a rc h 2016

ANTA Continuing Professional Education (Cpe) Hours Guidelines What is CPE: Continuing Professional Education is the upgrading or acquisition of knowledge and skills in the accredited modalities that will aid the practitioner in providing the patient with a high standard of health care. Why is CPE Necessary: CPE is an important part of providing professional healthcare services to patients and ensures practitioners regularly update their clinical skills and professional knowledge. ANTA requires members to complete 20 CPE hours annually (Jan-Dec). Completion of 20 CPE hours annually is a requirement for ongoing provider recognition with all Health Funds and WorkCover Authorities. Note: If you do not complete 20 hours of CPE annually, Health Funds and WorkCover Authorities can terminate your provider recognition. Each year Health Funds carry out audits of members records to ensure 20 hours of CPE are completed by all members annually. Make sure you lodge online or send to ANTA, details of 20 hours of CPE you have completed by the end of each year. CPE reinforces ANTA’s natural health philosophy. Other Benefits of CPE: • members are kept informed and up-to-date with the latest developments • facilitates communication and networking • encourages further study • enhances professional standing within the community Required CPE Hours: ANTA members must accumulate a minimum of 20 CPE Hours per annum (Jan – Dec) At least 50 % of CPE hours undertaken must be related to the modalities your are accredited in by ANTA Note: Hours in excess of 20 completed in the current year are not able to be carried over to subsequent years. Members registered with CMBA/AHPRA must abide by CMBA CPD/CPE Guidelines (http:// www.ahpra.gov.au/chinese-medicine.aspx) for the modalities of acupuncture and chinese herbal medicine and also submit their CPE to ANTA CPE Activities: Members can undertake CPE hours in many ways including the following: • attending ANTA free seminars – details of seminars are regularly posted on www. anta.com.au • researching scientific information on IMGateway - free access for members on www.anta.com.au

THE NATURAL THERAPIST Volume 31 No.1

• researching scientific information on EBSCO - free access for members on www.anta.com.au • researching scientific information on eMIMS Cloud – free access for members on www. anta.com.au • viewing seminar video’s and seminar presentations - free access for members on www.anta.com.au • completing courses on ANTA e-Learning Centre -free access for members on www. anta.com.au • giving lectures/tutorials • giving CPE seminar presentations • undertaking further study • completing short courses • first aid qualification renewal • contributing an article to the ANTA journal “The Natural Therapist” and ANTA website • contributing an article to other relevant journals, magazines & publications • reading articles in the quarterly ANTA journal “The Natural Therapist” • subscribing to and reading other professional publications and journals • attending webinars • viewing online, DVD’s or videos on relevant topics • listening to recordings on relevant topics • radio/tv broadcasting on relevant topics • reading and researching information on topics relevant to your practice • attending local practitioner groups/ workshops • volunteer work with community groups involving natural therapies CPE Seminars: ANTA National CPE seminars are held in each state annually and are free for all ANTA members ANTA & other CPE seminars are communicated to members via the ANTA website, ANTA e-News and in “The Natural Therapist”. Members should regularly check the ANTA website for details of seminars. Maintaining your own personal online CPE Record: ANTA provides members with simple easy to use online facilities to complete and lodge their CPE hours in their own personal and permanent CPE online record fully maintained on the Members section of the ANTA website (Note: your CPE history is retained for future reference and you should not delete any of your online CPE records). ANTA members can as an example, undertake research on EBSCO, IMGateway scientific resources, view video’s of ANTA seminars etc and then record those CPE hours on their personal CPE record all in the one session via the ANTA website. To submit/view your CPE hours online with ANTA: • Log onto the “Members Login” section of www.anta.com.au using your username & password • click on “Your Profile” • then click on “Submit CPE Hours” • key in your CPE activity (date, description, hours)

• you can view your CPE hours recorded online at any time by clicking on “View CPE Hours” Maintaining your own manual CPE Record: Members not wishing to take advantage of the ANTA online CPE record can keep their own manual CPE Hours record which should include the following minimum information shown in the example below: CPE Hours Record Year: (insert year) Name of Member: ANTA Member Number: Date of CPE

Description of CPE Activity Completed

C P E Hours

(Note: the following CPE activities are provided as examples) 22nd March

Attended ANTA Free Seminar

3rd April

Remedial Therapy research on EBSCO

4th May

Naturopathy e-learning module IMGateway

30th June

Read ANTA Journal – The Natural Therapist June edition

5th September

Completed short course Stress & Wellness

TOTAL CPE HOURS

Members who do not record and maintain their CPE hours in their own personal online file via the ANTA website, can maintain their own manual record as shown in the example above and submit their CPE Hours Record to ANTA prior to the end of each year in the following ways: • by email to info@anta.com.au • by fax to (07) 5409 8200 • by post to ANTA PO Box 657 Maroochydore Qld 4558 (Note: members should keep a copy of their manual CPE Activity for their own records and for any audits of their practice undertaken by ANTA, Health Funds or WorkCover) Make sure you lodge online or forward to ANTA details of 20 hours of CPE you have completed by the end of each year. Health Funds carry out annual audits of members records and if you have not submitted 20 hours of CPE activity to ANTA, Health Funds will de-register you as a provider.

ANTA - N E W S N ews - M a rc h 2016

MEDIA RELEASE New study to provide insight into integrative cancer services for Australians Oncology Massage Ltd (OMT) today announced a collaborative research project with Western Sydney University, which will examine the use and demand of integrative oncology services in Australia. Integrative oncology is a new evidence based specialty that uses complementary medicine with conventional cancer treatment to enhance efficacy, symptom control, and to reduce patient distress. Chief Investigator of the project, Professor Caroline Smith, from the National Institute of Complementary Medicine at Western Sydney University, says the study will expand upon and update preexisting research about integrative oncology services in Australia, by examining current complementary provision in national cancer serveries and exploring patient’s preferences and experiences to the provision of complementary medicine in an integrated setting. “Use of complementary medicine is increasing among individuals living with cancer – up to 63 per cent of Australians diagnosed with cancer have used some form of complementary medicine – and there is a national interest in the development of integrated oncology services,” said Professor Smith. Cancer patients use complementary medicine for a variety of reasons including, the management of treatment related side effects and symptoms of cancers, to enhance the effectiveness of cancer treatment, to prolong life and to improve their quality of life and self-efficacy. Professor Smith says research shows between 10-17 per cent of cancer patients in Australia use massage, acupuncture, and yoga as part of their treatment plans and this number is growing. Complementary therapies are not offering a cure, but will improve quality of life and can offer better outcomes after treatment says OMT Managing Director, Mrs Kylie Ochsenbein. “Quality survivorship is recognised as vital to cancer supportive care and there is global acknowledgement of the need for effective survivorship interventions to address the long term effects of cancer treatment,” said Mrs Ochsenbein. Australian Bureau of Statistics (ABS) data indicates one in two people will have some form of cancer diagnosis before they turn 65. The ABS 2013 Causes of Death in Australia report identified seven cancer related diseases in the top 20 causes of death, accounting for 27.5 per cent of those deaths. Queensland cancer patient of 16 years, Glynis says her oncology massage therapists have assisted with her wellbeing and cancer treatment. “I’ve been going down this cancer track since 1999; a lot of my courage has come from the help that’s been offered through oncology masseurs,” Glynis said. “It’s a very special hour that is just for me and I know it makes a difference. It’s more than just physical… it’s an emotional help, a psychological help, it’s a time where I can manage stress better and just relax and use that time to recharge my batteries.” Mrs Ochsenbein went on to say “for symptom management, research has shown oncology massage improves the quality of

life for people with a history or diagnosis of cancer. The aim of this new research project with Western Sydney University is to understand the needs of people living with cancer regarding access to complementary medicine modalities such as massage, and to support patients before, during and after treatment.” The research collaboration is an important first step to building research capacity for the not for profit organisation OMT, it provides an important strategic link with an education provider specialising in oncology training. According to the National Rural Health Alliance, “people living with cancer in regional and rural areas, have a poorer survival rate than those living in major cities” and “factors which contribute to lower survival rates for people with cancer in rural areas include less availability of diagnostic and treatment services.” Mrs Ochsenbein said “It’s really important to make evidence based complementary therapies such as oncology massage available to Australians living in regional, rural and remote areas of the country. By offering post treatment support in their communities, we can make a difference to quality of life for both the client and their carers and family members.” “It’s not just the patients that are affected by cancer. Cancer touches everyone; friends, family, hospital and support staff… the whole community. By reducing anxiety, depression, pain, fatigue and insomnia, oncology massage offers both psychological and physical relief for clients and their cancer support teams,” said Ms Ochsenbein. Australian Bureau of Statistics 2013, Research and experimental development, higher education organisations, Australia, cat. no. 3303.0, ABS, Canberra. Cassileth, BR & Vickers, AJ 2004, ‘Massage Therapy for Symptom Control: Outcome Study at a Major Cancer Centre’, Journal of Pain and Symptom Management, 28:3:244-250 National Rural Health Alliance 2012, Factsheet 08: Cancer in Rural Australia, National Rural Health Alliance Inc, ACT.

Brain Changer Strategies Natural Solutions for Brain & Gut Health

with *Professor Kerry Bone & Amina Eastham-Hillier

45% of Australians have suffered a mental health disorder in their lifetime. Brain and mental health disorders are on the increase. New information is emerging for a range of conditions that can affect anyone from the very young to the elderly. In many cases there are no cures and conventional treatments can have troublesome side effects. In fact, multifaceted problems often require complex solutions. This places the natural therapist in an ideal position to provide thorough, wholistic support. In this seminar series our speakers will share the latest science and traditional wisdom, illustrated by their own extensive clinical experience.

Date

Location

Registration

Presentation

Saturday, 25 June

Sydney

8.30am – 8.50am

8.50am – 4.30pm

Sunday, 26 June

Brisbane

8.30am – 8.50am

8.50am – 4.30pm

Friday, 1 July

*Adelaide

8.30am – 8.50am

8.50am – 4.30pm

Saturday, 2 July

Melbourne

8.30am – 8.50am

8.50am – 4.30pm

Sunday, 3 July

Perth

9.30am - 9.50am

9.50am - 5.30pm

*Angela Hywood and Amina Eastham-Hillier will present at the Adelaide event.

Locations Sydney l Brisbane l Adelaide l Melbourne l Perth Cost

Practitioners: $95 incl. GST Students: $50 incl. GST

You can now register online. Go to www.bit.ly/brainchanger 10

For more information please contact the Integria Healthcare Education Department. Phone: 1300 233 373 Fax: 1300 262 388 Email: seminars@integria.com

THE NATURAL THERAPIST Volume 31 No.1

AN TA - N E W S N ews - M a rc h 2016

MediHerb awarded 2015 ABC Varro E. Tyler Commercial Investment in Phytomedical Research Award Australian company wins top gong for ongoing commitment to natural therapy research Leading Australian natural therapies brand MediHerb, an Integria Healthcare brand, has been awarded the 2015 ABC Varro E. Tyler Commercial Investment in Phytomedical Research Award by The American Botanical Council (ABC). The 11th Annual ABC Botanical Celebration and Awards Ceremony took place yesterday in Anaheim California where Professor Kerry Bone (MediHerb) and Dr Hans Wohlmuth (Integria

“From the outset 30 years ago, MediHerb has embodied Professor Tyler’s vision of applying science to traditional botanical medicine with the sole aim of providing practitioners with high quality and clinically efficacious products. We are thrilled to be recognised for our work,” said Dr Wohlmuth. Integria Healthcare, which owns the MediHerb brand along with other leading natural healthcare brands, invests more than $5 million annually in research and development and technical projects.

Advanced Diploma to Bachelor upgrade Opportunity In July 2014, the Community Services and Health Industry Skills Council announced that the Advanced Diplomas in Naturopathy, Homoeopathy, Nutritional Medicine and Western Herbal

Healthcare) accepted the award via video message. The prestigious international award recognises companies with the highest level of scientific and product integrity who are dedicated to extensive evaluation of their products’ quality, safety and efficacy in the phytomedicinal healthcare sector. MediHerb and Integria Healthcare have supported around 25 human clinical trials of MediHerb products, 22 of which have been published in peer-reviewed journals. In addition to clinical trials, MediHerb has funded a large number of phytochemistry and in vitro studies on botanicals. Much of this work has focused on quality issues, an area in which MediHerb has always been a leader. Professor Kerry Bone, MediHerb’s Director of Research and Development and visionary behind the company’s research program, was thrilled to be recognised for MediHerb’s dedication to more than 15 years of conducting clinical research. “This is a greatly appreciated reward for our many years of research into the phytochemistry, quality and therapeutic properties of medicinal plants. The ABC is to be commended on the way it supports the development and status of the global herbal industry through such awards.” “There is now a compelling argument for new drug research to be looking at developing and using the whole plant as the therapeutic agent, rather than just an isolated chemical from it. Previously such an approach was frowned on because of the variability and uncertainty created by the chemical complexity of plants. Now we have such advances in phytochemical analysis and pharmacodynamics that these obstacles are readily overcome. It is indeed an exciting time to be doing phytomedicinal research.”

Medicine will be removed from the Health Training Package in December 2015 (teach out of Advanced Diploma courses ceases in December 2018). After December 2015 students will be required to enrol in Bachelor Degree qualifications in order to become Natural Medicine practitioners. While ANTA will still honour and maintain existing memberships and recognise the qualifications members have completed, Paramount College of Natural Medicine is offering the opportunity for existing ANTA members to upgrade their qualifications to a Bachelor Degree. Follow the link below for more information http://www.paramountcollege.edu.au/courses/upgrade/

Dr Hans Wohlmuth, Research and Development Manager for Integria Healthcare said the award was a testament to the company’s commitment to leading the market in safety, quality and efficacy.

The Official Journal of the Australian Natural Therapists Association (ANTA)

A NTA - N E W S N ews - M arc h 2016

ANTA UPDATES - ANTA ADVICE, UPDATES AND RECOMMEDATIONS . IMPORTANT - Health Fund Qualifications Information Health Funds are continuously updating qualification requirements for provider registration ANTA’s focus is to assist members to maintain current provider registration with health funds. ANTA members who maintain current membership, professional indemnity insurance (PI), and first aid (FA) qualifications at all times and complete 20 hours of CPE/ CPD annually will continue as registered providers with health funds when health funds update qualification requirements.

patient distress. Chief Investigator of the project, Professor Caroline Smith, from the National Institute of Complementary Medicine at Western Sydney University, says the study will expand upon and update pre-existing research about integrative oncology services in Australia, by examining current complementary provision in national cancer serveries and exploring patient’s preferences and experiences to the provision of complementary medicine in an integrated setting.

Private Health Insurance (Accreditation) Rules 2011 (Private Health Insurance Act 2007)

“Use of complementary medicine is increasing among individuals living with cancer – up to 63 per cent of Australians diagnosed with cancer have used some form of complementary medicine – and there is a national interest in the development of integrated oncology services,” said Professor Smith.

Under the above rules/act, health funds will not re-register practitioners as providers when qualification requirements for provider registration are updated and members allow ANTA membership, PI or FA to lapse or do not complete 20 hours of CPE/CPD annually.

Cancer patients use complementary medicine for a variety of reasons including, the management of treatment related side effects and symptoms of cancers, to enhance the effectiveness of cancer treatment, to prolong life and to improve their quality of life and self-efficacy.

In the future (at a date to be determined), health funds will be updating qualifications requirements for provider registration in naturopathy, nutrition, homoeopathy and western herbal medicine to bachelor degree level (a result of the delivery of Advanced Diploma qualifications ceasing).

Professor Smith says research shows between 10-17 per cent of cancer patients in Australia use massage, acupuncture, and yoga as part of their treatment plans and this number is growing.

Members who do not have qualifications at bachelor degree level and are currently registered as providers with health funds will not be required to upgrade their qualifications provided they: • Maintain current membership with ANTA at all times • Have current PI at all times • Have current FA at all times • Complete and lodge 20 hours of CPE/ CPD at the end of each year • Maintain current registration with the CMBA/AHPRA if accredited in acupuncture and/or chinese herbal medicine MEDIA RELEASE New study to provide insight into integrative cancer services for Australians Oncology Massage Ltd (OMT) today announced a collaborative research project with Western Sydney University, which will examine the use and demand of integrative oncology services in Australia. Integrative oncology is a new evidence based specialty that uses complementary medicine with conventional cancer treatment to enhance efficacy, symptom control, and to reduce

THE NATURAL THERAPIST Volume 31 No.1

Complementary therapies are not offering a cure, but will improve quality of life and can offer better outcomes after treatment says OMT Managing Director, Mrs Kylie Ochsenbein. Australian Bureau of Statistics (ABS) data indicates one in two people will have some form of cancer diagnosis before they turn 65. The ABS 2013 Causes of Death in Australia report identified seven cancer related diseases in the top 20 causes of death, accounting for 27.5 per cent of those deaths. Queensland cancer patient of 16 years, Glynis says her oncology massage therapists have assisted with her wellbeing and cancer treatment. “I’ve been going down this cancer track since 1999; a lot of my courage has come from the help that’s been offered through oncology masseurs,” Glynis said. “It’s a very special hour that is just for me and I know it makes a difference. It’s more than just physical… it’s an emotional help, a psychological help, it’s a time where I can manage stress better and just relax and use that time to recharge my batteries.”

Mrs Ochsenbein went on to say “for symptom management, research has shown oncology massage improves the quality of life for people with a history or diagnosis of cancer. The aim of this new research project with Western Sydney University is to understand the needs of people living with cancer regarding access to complementary medicine modalities such as massage, and to support patients before, during and after treatment.” The research collaboration is an important first step to building research capacity for the not for profit organisation OMT, it provides an important strategic link with an education provider specialising in oncology training. According to the National Rural Health Alliance, “people living with cancer in regional and rural areas, have a poorer survival rate than those living in major cities” and “factors which contribute to lower survival rates for people with cancer in rural areas include less availability of diagnostic and treatment services.” Mrs Ochsenbein said “It’s really important to make evidence based complementary therapies such as oncology massage available to Australians living in regional, rural and remote areas of the country. By offering post treatment support in their communities, we can make a difference to quality of life for both the client and their carers and family members.” “It’s not just the patients that are affected by cancer. Cancer touches everyone; friends, family, hospital and support staff… the whole community. By reducing anxiety, depression, pain, fatigue and insomnia, oncology massage offers both psychological and physical relief for clients and their cancer support teams,” said Ms Ochsenbein. References Australian Bureau of Statistics 2013, Research and experimental development, higher education organisations, Australia, cat. no. 3303.0, ABS, Canberra. Cassileth, BR & Vickers, AJ 2004, ‘Massage Therapy for Symptom Control: Outcome Study at a Major Cancer Centre’, Journal of Pain and Symptom Management, 28:3:244-250 National Rural Health Alliance 2012, Factsheet 08: Cancer in Rural Australia, National Rural Health Alliance Inc, ACT.

Natural Therapy Of Tennis Elbow Bing Wu

Overview

Tennis elbow is a condition caused by inflammation of the extensor

tendon on the outer bony prominence (lateral epicondyle) of the elbow. It usually occurs when there is gradual wear and tear associated with overuse. Certain repetitive movements of the wrist can cause this condition. Symptoms and Signs

• Pain on the outer bony part of the elbow • The pain may radiate down the arm into the forearm, wrist and up into the shoulder • Pain increases when grasping or holding an object • In some case, the forearm is weak and results in muscular atrophy Causes Western medicine recognises that tennis elbow is a type of repetitive strain injury, resulting from tendon overuse and failed healing of the tendon. Chinese medicine believes that tennis elbow relates with exogenous pathogenic factor (wind, cold, wetness). Treatment of Chinese medicine (natural treatment) Acupuncture Acupuncture is the use of thin needles inserted into the body at acupuncture points to clear energy blockages and encourage the normal flow of Qi through the individual. Acupuncture point choice: In a clinic, most doctors would choose the points around the elbow. Commonly used points are where there is tenderness, Quchi(LI11), Shousanli（LI0), Waigua(?)（TE5)etc. Normally acupuncture treatment should be done 2-3 times a week

Natura l Th e rapy

O f Tenn is E l bow

Bin g Wu

Cupping

Gua sha

Cupping is an ancient form of alternative medicine in which a local suction is created on the skin. Practitioners believe this mobilises blood flow in order to promote healing. The position of the cup is illustrated as above, and kept in position for 20mins. Because the elbow is a bony area, it may be difficult to keep the cups in place. Normally cupping treatment should be done once a week.

Gua sha is a traditional Chinese medical treatment in which the skin is scraped to produce light bruising. Practitioners believe Gua sha releases unhealthy elements from injured areas and stimulates blood flow and healing. Modern research shows Gua sha produces an anti-inflammatory and immune protective effect. This special tool is placed against the oiled surface of the skin, pressed down firmly, and then moved down the muscle, or along the pathway of the acupuncture meridians. For tennis elbow, Gua sha should start about 4cms above the elbow, extending 2cm passed the wrist. This should be continued over all the wrist extensors for about 7-10 minutes. If the upper arm has pain, you should start from the shoulder instead of the elbow. Normally Gua sha treatment should be done at 2-3 times a week.

Moxibustion Moxibustion is a traditional Eastern Asian medical therapy using moxa made from dried mugwort (Artemisia argyi) to heat similar acupuncture points and meridians to mobilize blood flow in order to promote healing. Lighting one end of the moxa stick, place two fingers around any acupuncture point on the skin and place the moxa stick 2-3 cms from the skin, in between the fingers. Hold in this position for about 5-7 minutes. Afterwards, while holding the moxa stick the same distance from the skin as before, move it back and forth around the wrist extensors that join the wrist to the elbow, for about 3 minutes. Normally moxibustion treatment should be done 2-3 times a week.

Summary: Tennis elbow is a common term for a condition of repeated injury caused by the overuse of wrist extensors. When this condition first occurs, the best treatment is to rest the elbow and put it in an elbow brace. However, these natural therapies are also quite helpful. If one natural therapy is undertaken a few times and does not get the expected result in the healing process, you can combine a few natural therapies together. Also other western medicine will help too, such as an injection, anti- inflammatory medicine, and even surgical treatment.

THE NATURAL THERAPIST Volume 31 No.1

AUSTRALIAN OWNED & MANUFACTURED

THE NATURAL THERAPIST Volume 31 No.1

M u shro om s - The 3 rd Fo o d K in gdo m

Mushrooms – The 3rd Food Kingdom Pt 1. Nutrients We usually eat from two biological kingdoms, plants (eg legumes, vegetables, fruits and grains) and animals (eg fish, meat, dairy and insects). However, the third food kingdom, the mushroom (funghi) kingdom, has nutrition and eating properties very different to vegetables, where mushrooms are commonly placed in a culinary sense. This article will focus on the recent research of the common button mushroom (Agaricus bisporus). (Note that the large flat mushroom is a mature button mushroom; when growing they double in size every 24 hours). Nutrient density Mushrooms are nutrient-rich, providing a very different nutrient profile than found in fruits or vegetables. • One serve of mushrooms (100g or 3 button mushrooms) has: • One third of your daily needs of riboflavin and biotin • A quarter of your daily needs of niacin and pantothenic acid • All your daily needs of vitamin D in light-exposed mushrooms • A quarter or more of your daily needs of the essential minerals selenium, chromium and copper

Nutrient

Mushroom

% RDI/AI

Vitamins Vitamin B2 (mg) Riboflavin

0.37

28% RDI men; 36% RDI women

Niacin equivalents (mg)

3.7

25% RDI men; 29% RDI women

Pantothenic acid (mg)

1.15

19% AI men; 29% AI women

Biotin (mcg)

8.9

30% AI men; 36% AI women

Vitamin D (mcg) retail

2.3

23% AI

Vitamin D (mcg) in light-exposed mushrooms

10-15

100% AI

Minerals Copper (mcg)

342

20% AI men; 28% AI women

Selenium (mcg)

15.4

22% RDI men; 26% RDI women

Phosphorus (mg)

110

11% RDI men & women

Potassium (mg)

310

8% RDI men; 11% RDI women

Chromium (mcg)

13.4

38% RDI men; 53% RDI women

% RDI = Percentage of the Recommended Dietary Intake each day % AI = Percentage of the Adequate Intake each day (used when an RDI has not been established) mg = milligrams; mcg = micrograms Sources: Nutrient Reference Values for Australia & New Zealand 2006; NUTTAB 2010; Koyyalamudi 2009a; Koyyalamudi 2013 Vitamin D Weird, but true. Mushrooms naturally produce vitamin D2 when they are exposed to sunlight (or another source of ultra violet light). Wild mushrooms are commonly high in vitamin D, derived from brief sun exposure. We recently had the National Measurement Institute, Melbourne, analyse the vitamin D in regular retail mushrooms from the five main Australian cities. To our surprise, mushrooms had 1-5 mcg D2/100g, with an average of 2.3 mcg/100g (NMI 2015). That’s 23% of your daily needs from a serve of mushrooms. These same store-bought mushrooms are able to generate 5-20 mcg D per serve after being placed in sunlight for 30120 minutes in the midday winter sun (Simon 2011; Phillips 2013). In summer, only 15 minutes of sunlight will do the same job (Urbain 2015). Although exposing mushrooms to sunlight is convenient, some farmers have made it easier by giving mushrooms 1-2 seconds of pulsed UV light directly after harvesting, providing 10 mcg or more of vitamin D per 100g serve. These mushrooms are labelled ‘Vitamin D Mushrooms’. The vitamin D in mushrooms is easy to absorb and effective in improving vitamin D status (Urbain 2011; Koyyalamudi 2009b; Jasinghe 2005; Outila 1999). It also supports bone growth (Calvo 2013). There appears to be little loss of vitamin D through cooking. Indeed, our unpublished data suggests that heat causes the mushroom to produce more vitamin D. About four in 10 women and three in 10 men are vitamin D deficient in summer, increasing to about six in 10 women and nearly four in 10 men deficient during the winter (Daly 2012). Vitamin D mushrooms can be a simple and delicious way for people to get 100% of their daily vitamin D needs, especially if they are unable to get adequate sun exposure. Vitamin B12 You may have heard that mushrooms are ‘meat for vegetarians’ as they offer vitamin B12. In the 1980s an Australian government laboratory found that a serving of mushrooms provided 10% RDI for B12. This was disputed for many years. Research at the University of Western Sydney revealed that B12 in mushrooms provided 1-3% of the RDI, less than previously reported (Koyyalamudi 2009b). The vitamin B12 is mainly on the surface of the mushroom and is easy to absorb from the gut. Despite the relatively low levels of B12, this still makes the mushroom the only non-animal fresh food source of B12, which is significant for vegans. Antioxidants and ergothioneine Mushrooms are a rich source of antioxidants, as confirmed by laboratory analysis. In one study of 30 common vegetables, mushrooms were placed in the top five highest antioxidant levels when compared to vegetables (Pellegrini 2003; Savoie 2008). Even the unique carbohydrates in mushrooms have antioxidant properties (He 2012). Mushrooms are very high in the powerful antioxidant ergothioneine, in amounts similar to that found in animal

M u shro o m s - The 3 rd Fo od K in gdo m

foods (Ey 2007).

Ergothioneine appears to protect blood cells, especially monocytes and red blood cells that transport nutrients and oxygen to body cells (Martin 2010a). It also protects the artery lining from atherosclerosis (fatty deposits). Low levels of ergothioneine in the body trigger oxidative damage of DNA and proteins. As ergothioneine appears to be essential to health it has been suggested that it should be classified as a vitamin (Paul 2010). The body does not make ergothioneine so it can only be obtained from the diet. The best sources are mushrooms, meats (especially liver and kidney), egg yolk, oat bran, wheat germ and some beans and onion. It is not found in other common vegetables or fruit (Ey 2007). Mushrooms are also particularly high in phenolic compounds that have been long recognised for their antioxidant capabilities. A serve of mushrooms provides about a quarter of an adult’s requirements of selenium, an antioxidant mineral. The mushroom is a low-fat, low-carbohydrate, low kilojoule, yet nutrient-rich popular food that complements the nutrition profile of vegetables, and remains the only natural, non-animal source of the vitamins D and B12.

References • Calvo MS, Babu US, Garthoff LH, Woods TO, Dreber M, Hill G, Nagaraja S. Vitamin D2 from light-exposed edible mushrooms is safe, bioavailable and effectively supports bone growth in rats. Osteoporosis International 2013; 24 (1): 197-207 • Daly RM, Gagnon C, Lu ZX, Magliano DJ, Dunstan DW, Sikaris KA, Zimmet PZ, Ebeling PR, Shaw JE. Prevalence of vitamin D deficiency and its determinants in Australian adults aged 25 years and older: a national, population-based study. Clinical Endocrinology 2012; 77 (1): 26-35 • Ey J, Schömig E, Taubert D. Dietary sources and antioxidant effects of ergothioneine. J Agricultural & Food Chemistry 2007; 55: 6466-6474

THE NATURAL THERAPIST Volume 31 No.1

• He JZ, Ru QM, Dong DD, Sun PL. Chemical characteristics and antioxidant properties of crude water soluble polysaccharides from four common edible mushrooms. Molecules 2012; 17: 4373-4387 • Jasinghe VJ, Perera CO, Barlow PJ. Bioavailability of vitamin D2 from irradiated mushrooms: an in vivo study. British Journal of Nutrition 2005; 93: 951-955 • Koyyalamudi SR, Jeong SC, Cho KY, Pang G. Vitamin B12 is the active corrinoid produced in cultivated white button mushrooms (Agaricus bisporus). J Agricultural & Food Chemistry 2009; 57 (14): 6327-6333 • Koyyalamudi SR, Jeong SC, Song CH, Cho KY, Pang G. Vitamin D2 formation and bioavailability from Agaricus bisporus button mushrooms treated with ultraviolet irradiation. J Agricultural & Food Chemistry 2009; 57: 3351-3355 • Koyyalamudi SR, Jeong SC, Manavalan S, Vysetti B, Pang G. Micronutrient mineral content of the fruiting bodies of Australian cultivated Agaricus bisporus white button mushrooms. J of Food Composition & Analysis 2013; 31: (109114) • Martin KR. The bioactive agent ergothioneine, a key component of dietary mushrooms, inhibits monocyte binding to endothelial cells characteristic of early cardiovascular disease. Journal of Medicinal Food 2010; 13 (6): 1340-1346 • National Measurement Institute, Melbourne April 2015 (unpublished data) • Outila TA, Mattila PH, Piironen VI, Lamberg-Allardt. Bioavailability of vitamin D from wild mushrooms (Cantharellus tubaeformis) as measured with a human bioassay. American Journal of Clinical Nutrition 1999; 69: 95-98 • Paul BD, Snyder SH. The unusual amino acid L-ergothioneine is a physiologic cytoprotectant. Cell Death & Differentiation 2010; 17: 1134-1140 • Pellegrini N, Serafini M, Colombi B, Del Rio D, Salvatore S, Bianchi M, Brighenti F. Total antioxidant capacity of plant foods, beverages and oils consumed in Italy assessed by three different in vitro assays. J Nutrition 2003; 133: 2812-2819 • Phillips KM, Rasor AS. A nutritionally meaningful increase in the vitamin D in retail mushrooms is attainable by exposure to sunlight prior to consumption. Nutrition & Food Sciences 2013; 3 (6): http://omicsonline.org/a-nutritionally-meaningfulincrease-in-vitamin-d-in-retail-mushrooms-is-attainable-byexposure-to-sunlight-prior-to-consumption-2155-9600.1000236.pdf • Savoie JM, Minvielle N, Largeteau ML. Radical-scavenging properties of extracts from the white button mushroom, Agaricus bisporus. J of the Science of Food & Agriculture 2008; 88: 970-975 • Simon RR, Phillips KM, Horst RL, Munro IC. Vitamin D mushrooms: comparison of the composition of button mushrooms (Agaricus bisporus) treated post-harvest with UVB light or sunlight. Journal of Agricultural & Food Chemistry 2011; 59: 8724-8732 • Urbain P, Singler F, Ihorst G, Biesalski H-K, Bertz H. Bioavailability of vitamin D2 from UV-B-irradiated button mushrooms in healthy adults deficient in serum 25-hydroxyvitamin D: a randomised controlled trial. European Journal of Clinical Nutrition 2011; 65 (8): 965-971 • Urbain P, Jakosen J. Dose-response effect of sunlight on vitamin D2 production in Agaricus bisporus mushrooms • Journal of Agricultural & Food Chemistry 2015; 63: 8156-8161

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Macrophages Dendritic cells T cells Immune activation Inflamation

Conditions: l poor gut immunity l gut dysbiosis l leaky gut l bacterial translocation l irritable bowel syndrome l fatty liver l metabolic syndrome

Symptoms: l constipation, diarrhoea l indigestion, bloating l allergies, eczema, food sensitivities l fatigue, weight loss l Hyperlipidaemia, altered liver enzymes l glucose intolerance, insulin resistance

Youthfulness

Understanding human biomechanics and alkalisation

espite our age we all want to live a quality life where we can move around with little discomfort to our joints, with no disease and retain the energy and vigour of youth. This can be delivered by firstly understanding our original design in regard to movement and resting positions. Secondly by understanding the vital role played by the Ph. of our body chemistry. Let us consider the first one. In the developed world most of us sit in chairs for much of the day. Cars, toilets, lounges they are all chairs. At the office, schools, eating our meals, we all sit in chairs. Our biomechanics were designed to sit cross legged and in other positions on the floor. When we sit in chairs we are holding our muscles in neutral positions nothing is ever being stretched. It is said “if you don’t use it you lose it.” You become stiffer and stiffer as the years roll by until you are all hunched over unable to straighten up. We were not designed specifically to perform repetitive movements day after day for years on end. Our work creates lesions in the muscles, shortens the tendons leading to mechanical problems galore. The second one, body chemistry is directed at the tissues and blood that move away from their ideal ph. range and become more acid. This state not only invite disease, but it ages the cells more quickly as oxygen becomes depleted. Otto Warburg a German researcher received two Nobel Prizes in Medicine in 1932 for his discovery of the cause of cancer leading to the subsequent “cure”. He found that cancer thrived in an acidic environment. Acidosis is primarily caused by the modern diet where most foods form acid residues in the tissues. Alkalisation on the other hand is our normal state where the diet is over 80% fruits and vegetables leading to healthy cells. These foods are also the only ones that give us our Vitamin C, a necessary nutrient to ensure that collagen; our supportive tissue is providing us with that “youthful look”. If our joints are always in acidosis they initially become painful and later on inflexible. Conclusion: Start today sitting on the floor eating from a low table, using cushions for support. Avoid repetitive work, and eat over 80% fruits and vegetables to ensure a youthful life ahead. AOIT – Provider of CPE workshops www.aoit.com.au

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THE NATURAL THERAPIST Volume 31 No.1

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THE NATURAL THERAPIST Volume 31 No.1

Effective Treatment For Common Skin Disorders with Chinese Helrbal Formulas Tony Reid

In TCM, skin conditions are understood in terms of this system’s unique interpretation of the clinical features of the lesions as they

present in each case. Through differentiating the nature of the lesions and taking into account the other more general clinical features of the patient, the practitioner is able to deduce the underlying pathogenesis as well as formulate a treatment plan. Skin lesions are analysed in terms of the presence of particular pathogenic factors, each of which tends to manifest with specific clinical features: • WIND: Sudden onset, severe itching, lesions that come and go in different locations, lesions tend to be confined to the upper body. • DAMP: Skin lesions that are puffy or swollen, fluid filled vesicles, lesions with serous exudation, erosions, enlarged sebaceous glands, lesions that tend to be confined to the lower body. • COLD: Wheals or rashes that are pale, pink or dark purple, smooth skin that lacks elasticity, prolonged course of the disease. • HEAT: Sudden onset, red lesions that feel hot, lesions mainly in the upper body (in the early stages), swelling, pain and pus formation. Often with systemic signs and symptoms • DRYNESS: Dry skin lesions with desquamation, rhagades (linear fissures) and lichenification (thickening and hardening of the skin). • TOXIN: (drugs or medications, contaminated food, insect bites, poison ivy etc.). Intense signs and symptoms with a sudden onset, general malaise, and tissue damage, history of contact with an allergen or toxin. The main symptoms and signs are: redness, swelling, purple macules, papules, vesicles, wheals, erosions, ulcers, epidermal tissue damage and exfoliation, accompanied by local sensation of heat, itching or pain. • BLOOD STASIS: Increase of pigmentation, pigmented spots, petechiae, ecchymoses, red or purple spots, dark red nodules, subcutaneous nodules, thickened or hardened skin, distention of the capillaries, varicosities, veruccae, scar tissue, generally occurring in the subacute and chronic stages. • DEFICIENCY OF THE LIVER AND KIDNEY: pigmented lesions (e.g. chloasma melanosis), disorders of the hair and nails, connective tissue diseases (e.g. SLE, scleroderma)

Furthermore, various areas of the skin are closely related to disturbances in the different internal organ systems (zang-fu) and their related channels, as follows: Nose and cheeks: Lung- Colon Face: Stomach Mouth: Spleen Mouth and tongue: Heart (or Fire pathogen) Flanks, hypochondrial area and genitals: LiverGallbladder Eyes: Liver Upper back: Lung Middle back: Heart and Liver Lower back: Kidney

Effe c ti ve Tre at m e nt - S k in Dis o rder s To ny R eid

It should be noted that the correlation of skin regions with internal organs should not be interpreted rigidly, but should always be considered in light of other pertinent signs and symptoms. As an example, a skin lesion that appears on the face may be due to a disorder of the Stomach, Lung or Colon. Alternatively, it may be due to invasion by exogenous Heat, which tends to affect the upper part of the body. Only by a careful analysis of the overall clinical picture can the nature and location of the underlying pathology be determined. Once the pathogens have been identified, the practitioner assesses the degree of severity of each. Then, taking into account the overall clinical picture, the pathogenesis can be deduced and a treatment plan implemented. To illustrate how this is done in clinic, the following three case histories are presented, dealing with acne, eczema and shingles (herpes zoster), from the case files of Dr Wang Shu. In these cases, Dr Wang achieved excellent clinical results in a very short time. This can be explained by his laser-like precision in diagnosis together with the application of very large doses of herbal medicines. In traditional Chinese herbal medicine, the daily dose of an individual herb can range from 3gm to 30gm and in some cases up to 60gm; the larger doses being used in very severe or acute conditions and usually only given for short periods of time (i.e. 1 to 3 weeks). For an experienced practitioner, who is confident in his/her diagnosis, large doses generally cause no problems and can achieve a swift, positive effect. However, until one reaches this level of clinical expertise, it is better to go cautiously, using lower dosages (e.g. 15 – 30 pills [or 4 – 8 capsules], three times daily), and expecting clinical results in a slightly longer time frame. The cases include brief commentaries by Dr Wang, together with explanatory notes by the author.

CASE 1 Male, 16 years with severe acne and mouth ulcers. High school student, with heavy study and co-curricular program, has had steadily worsening facial acne for the past six months. Recently, about two months ago, he began getting mouth ulcers, which cause pain when eating, drinking and talking. Signs and symptoms: Tired appearance, red face, many papules and pustules visible on the face, especially severe on the forehead, inside the mouth several small ulcers were visible on the inside of the lower lip and cheeks. General signs and symptoms: Pain when talking, eating and drinking; he reported that he had lost some weight over the past several months. Tongue: Red with a thin coat. Pulse: Wiry and rapid, more apparent on the left side. Diagnosis: Liver Gallbladder Heat excess. Pathogenic Heat leading to the formation of Phlegm and injuring the Yin-Fluids. Liver Fire attacking the Lung and Stomach with Heat-Toxin rising up to affect the skin of the face (via the Lung and Stomach channels). Treatment Principle: Drain Fire from the Liver to clear Heat from the Lung and resolve mouth ulcers and facial acne. Treatment formulas: Long Dan Xie Gan Tang (Gentiana Formula BP016) Dosage: 50 pills (or 12 capsules), 4 times daily for 7 days Outcome: After 7 days the acne was 80% resolved and the mouth ulcers had disappeared. However, he was unable to come for a second appointment for another five days, during which time the acne started to return. The tongue and pulse had improved, but still showed signs of the original pathology. Therefore, he was advised to continue with the original formula for a further 7 days at the same dosage. In addition, he was advised to go to sleep earlier than his normal pattern, in order to allow the Yin and Blood to regenerate so that the Liver, Lung and Stomach may return to normal. Seven days later his mother contacted my clinic to let me know that all the acne had resolved the mouth ulcers had not returned and that her son was very happy.

Comments In TCM, facial acne relates to the following localised pathogens: Heat, Damp, Toxin and Phlegm. The main related Internal organ systems are Lung and Stomach, as their Channels connect to the face. From an understanding of TCM pathology, it often happens that Heat in the LiverGallbladder ‘invades’ or is transmitted to the Lung. Subsequently the pathogens rise to the face as it is the nature of Heat to rise upwards in the body and, in this instance, to follow the Channel pathway of the Lung, taking any associated pathogens with it. Additionally, the Damp pathogen may be generated in the Spleen-Stomach, develop Heat and in a similar manner rise up to affect the skin of the face. The pathogenic Heat on its own, or Damp and Heat combined, may readily develop into Toxin (red,

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angry pustules) or Phlegm (more nodular lesions). According to the significant clinical features, the main underlying imbalance in this case was Heat in the Liver-Gallbladder (red tongue, wiry-rapid pulse more apparent on the left side). Damp was not present to a significant degree, as evidenced by the absence of a thick tongue coat. The Heat had developed into Fire, shown by the mouth ulcers, redness of the lesions as well as redness of the face in general. Thus, the primary pathology is the Liver-Gallbladder Heat, which has developed into Fire, affecting the Lung and Stomach, and, following their respective Channel pathways, has risen to manifest in the skin of the face (location of the Channels of the Lung and Stomach). The pathogenic Heat has injured the body Fluids, which have ‘congealed’ to form Phlegm, which gives rise to the papules and pustules visible on the face. Additionally, the Fire has further developed into Toxin, manifesting as intensely inflamed lesions, and general malaise. This case illustrates how treatment of the ben (root of the disorder) can achieve powerful clinical results in a short time. There are several ways a clinician could have approached this case, choosing to use one or more of the following: treating the biao, i.e. the manifest symptoms (the acne and the mouth ulcers) with topical and ingested herbs; treating the intermediate pathologies (focus on the Stomach and the Lung); treating the root (Liver-Gallbladder excess Heat). Taking such alternative approaches may have provided satisfactory results in this case. However, unless the root pathology is adequately addressed, the condition is highly likely to return. In view of the young age of the patient and good general overall health and constitution, this approach (to focus on the root treatment) yielded a positive outcome in a short time. Also, in light of these same considerations, the tonification needed (for the Yin, Blood and body Fluids) could easily be provided through a return to normal nutrition (as eating was no longer hindered by pain from the mouth ulcers) and also through having sufficient sleep at night.

CASE 2 Female, 51, nurse, with severe eczema Patient presented with severe itching and dry skin all over her body that had been present for the past two months. The symptoms came on fairly suddenly after showering one morning. She lives in a remote rural area and believes there may have been come contaminants in the town water supply that irritated her skin. She was referred to a dermatologist who took biopsies of the affected skin and made a diagnosis of eczema. She was given a cortisone cream, which failed to provide any relief. She tried various over the counter products, but the condition still continued to worsen. Main Signs and symptoms: Large red-brown rashes over the face, chest, arms and legs, more severe on the inner surfaces of the limbs. The lesions do not exhibit scaling nor exudation. Some areas show swelling and there is scattered lichenification. The affected areas are warm to the touch. Itching is so severe that she is unable to stop scratching and has difficulty sleeping. She continued to scratch her skin during the consultation. General signs and symptoms: Fatigue and irritability due to loss of sleep, tired appearance, loss of taste for food. Tongue: Deep purple body with a greasy coat Pulse: Deep-rapid and choppy Diagnosis: Liver-Gallbladder Damp-Heat, Blood stasis blocking the Luo Channels; Exuberant Heat Toxin Treatment Principle Clear the Liver and drain Fire; clear Damp-Heat Treatment formula Long Dan Xie Gan Tang (Gentiana Formula BP016) Dosage: 50 pills, 4 times daily for 7 days

Outcome: After one week there was little change apart from a slight reduction in itching. Therefore this approach was not sufficient. Prescribing was now based upon the following treatment principles: Activate the Blood and dispel stasis; clear Heat Toxin; expel Wind; nourish the Yin and moisten the Dryness.

Treatment formulas Si Miao Yong An Wan - Jia Wei (Lonicera & Scrophularia Formula BP059) Dosage: 50 pills, 4 times daily for 7 days

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Plus

Xiao Feng San (Danggui & Arctium Formula BP030) Dosage: 50 pills (or 12 capsules), 2 times daily (morning and evening) for 7 days After one week on the above combination the itching had stopped, the patient was better able to sleep, and her energy level began to improve. The rash had receded and become less red, although there were still some smaller patches present. Continued with the same treatment for another week. After one more week all symptoms had resolved.

Comments Generally acute stage eczema (when signs of Heat and Fire are prominent) is due to Damp-Heat and Fire; and the most effective formula to treat at this stage is Long Dan Xie Gan Tang. However, in this case, although the itching was severe and the lesions red (marking an acute type of presentation), there were signs suggesting that the disease process had moved on to the subacute or chronic stages. These were: the brownish discoloration of the lesions, lichenification, absence of vesicles, and no exudation. From a TCM perspective, these are signs of Blood stasis and Heat Toxin, which generally develop over time, marking the subacute or chronic stage presentation. At this stage the best treatment strategy is to activate the Blood and dispel stasis, while also clearing Heat Toxin and nourishing the Yin to moisten Dryness. The formula Si Miao Yong An Wan covers these principles, while the formula Xiao Feng San was included as an adjunct to dispel Wind and alleviate itching while also reinforcing the principle of nourishing Yin to moisten Dryness.

GB, male 82 with shingles After returning from a holiday two weeks previously, he visited a doctor and was diagnosed with shingles and treated with oral medications which did not provide any relief. He has been unable to sleep and eat due to the pain which is worsened by touch, pressure or movement and he feels exhausted.

Main Signs and symptoms Feels alternating hot and cold and has a slightly elevated temperature, severely painful areas on scalp and behind ears, affected areas are covered with small vesicles. The scalp is so painful that he cannot touch it, nor can he take a shower or lie down flat. General signs and symptoms: Appears tired and dull, with a drained and painful expression. Feels severe fatigue Tongue: Red body with tooth marks and a thin coat Pulse: Wiry Diagnosis: Retention of Damp-Heat; Qi stagnation and Blood stasis; Damp-Heat in the Liver channel transforming into Fire, which rises to the head and causes stagnation of the Qi and Blood Treatment Principle: Clear Damp-Heat from the Liver-Gallbladder; activate the Blood and dispel stasis to relive pain. Treatment Formulas: Black Pearl Long Dan Xie Gan Wan (Gentiana Formula) BP016 Dosage: 50 pills, 3 times daily for 7 days Black Pearl Huo Luo Xiao Ling Dan (Salvia & Boswellia Formula) BP042 Dosage: 50 pills, 2 times daily for 7 days (taken together with BP016 morning and evening doses) Second consultation (after one week): The affected areas had shrunk, vesicles dried up and the pain much reduced. Patient reported feeling better in himself. Treatment Principle: Strengthen the health Qi and consolidate the constitution (fu zheng gu ben).

Treatment Formula: Black Pearl Yu Ping Feng San (Jade Screen Formula) BP037 Dosage: 50 pills, 4 times daily for 7 days

Third consultation (after one week): The pain has resolved completely, energy level returned to normal.

Patient was advised to continue taking Black Pearl Yu Ping Feng San (Jade Screen Formula) BP037 for several more weeks to consolidate the treatment and prevent recurrence.

Comments: In TCM shingles (herpes zoster) is referred to as ‘pellets of fire spreading around the waist’ (as it commonly occurs on the trunk) or ‘cluster of snake sores’ (referring to the shape of the affected area). When the health Qi is deficient the body becomes susceptible to invasion by exogenous Damp, which may then develop into Damp-Heat and lodge in the Liver (as pathogenic Damp-Heat, with Heat predominating, tends to move into the Liver ) where it transforms into Fire. The pathogenic Fire ascends along the pathway of the Liver channel to affect the upper parts of the body. In this case, the signs of Heat include the rapid pulse and the red tongue body; while the thin tongue coat shows that the Heat had transformed to Fire and dried the body Fluids, attenuating the signs of Damp on the tongue (i.e. while there were tooth marks on the edges, indicating Spleen weakness and a tendency to retain Damp, the actual coat was not thick or greasy). The wiry pulse indicates both Heat and Liver involvement; while the signs of predominant Heat and Fire confirm that the Liver is the main internal organ involved in the pathogenesis of the patient’s condition. The treatment for the early stages of shingles must focus on clearing Damp-Heat from the Liver-Gallbladder to resolve Fire in the Liver channel. The main herbal formula for this is Long Dan Xie Gan Wan (Gentiana Formula) as it has the best efficacy. This condition should be treated with the same treatment principle, regardless of the location of the lesions (abdomen, chest, scalp, etc.). I have found in my clinical practice over several decades that once the clinical manifestations have improved, the treatment should focus on strengthening the health Qi and consolidating the constitution (fu zheng gu ben), using Yu Ping Feng San (Jade Screen Formula). This will continue to provide further clinical results and allow a shorter treatment period. However, if you are treating a patient who has had pain due to shingles for several months or years then the treatment should begin with Long Dan Xie Gan Wan (Gentiana Formula) combined with Huo Luo Xiao Ling Dan (Salvia & Boswellia Formula) to resolve Blood stasis and alleviate pain. Once the condition has begun to improve continue with large doses of Yu Ping Feng San (Jade Screen Formula) to strengthen the health Qi and consolidate the constitution. Even stubborn conditions can be treated in this way and good clinical results achieved within a short time.

BIBLIOGRAPHY AND RESOURCES Dermatology in Traditional Chinese Medicine. Xu Yihou, 2004., United Kingdom Donica Publishing Ltd., St. Albans, Herts, UK. Manual of Dermatology in Chinese Medicine. Shen De-Hui, Wu Xiu-Fen, Nissi Wang,m 1995. Eastland Press, Seattle. The English-Chinese Encyclopedia of Practical Traditional Chinese Medicine, Vol. 16: Dermatology. Xu Xiangcai, 1990. Higher Education Press, Beijing, China. Diagnosis in Chinese Medicine – A Comprehensive Guide. G. Maciocia, 2004. Elsevier Linited, Edinburgh. Chinese Herbal Formulas mentioned in the text are available from Sun Herbal Pty Ltd. www.sunherbal.com.

Common Leg Injuries And Therapeutic Strategies George P Kousaleos

The first therapeutic massage I ever witnessed was in the fall of 1968 in the Harvard University Athletic Training Room. I was a football player for the freshman team and like most days I was having my ankles taped before practice. Across the room I watched one of Harvardâ&#x20AC;&#x2122;s senior athletic trainers perform a deep-tissue massage routine on the thigh of a varsity cross-country runner. His hands moved with a skill that fascinated me, and the depth of his work on the quadriceps, adductors, hamstrings, and iliotibial band gave the impression that the muscles were made of soft dough. I still remember thinking that my thigh muscles were too dense and contracted to allow any treatment resembling what I was observing. Later that fall I suffered an injury to my lateral thigh and hip that required regular treatment, including hydrotherapy, cryotherapy, and therapeutic massage. The same athletic trainer whom I watched just months earlier was assigned to my case. Indeed, my earlier thoughts proved to be true. He told me that the tightness and restriction of my musculature would need to be modified before he could apply the deeper pressure that would improve my condition. While the injury was clearly along the iliotibial band he worked the whole hip, thigh and knee every treatment. At first the pressure seemed unbearable, but later I welcomed his decisive touch, even though it was accompanied by a burning sensation that slowly decreased over time. He recommended that I include more flexibility exercises to my workout regimen, especially for the back, hips, and legs. Like many football players of that era flexibility was something that I knew little about. Only years later, after experiencing a neck injury while playing rugby did I finally commit myself to flexibility training. This article will look at three common leg injuries â&#x20AC;&#x201C; iliotibial band syndrome, shin splints, and plantar fasciitis - that affect the thigh, lower leg and foot. The treatment strategies can be added to any therapeutic massage routine, but clearly focus on the fascial bands that wrap and support each region. The Thigh and Iliotibial Band Syndrome The musculature of the thigh provides for some of the most powerful and explosive movements available to the human body. The quadriceps and hamstrings are often considered to be the critical pair that keeps us standing, moving, kicking, and jumping. The adductors of the medial thigh stabilizes the knee and also medially rotates the femur, adding support and force to any side-to-side movement. Because of the intricate web of these functional muscle groups that attach the leg to the pelvis and the thigh to the lower leg, it is critical to understand the layers of fascia that surround and support the thigh. The iliotibial band (ITB) is the most important layer of dense, fibrous connective tissue that supports the interrelationship of the hip, thigh and knee. Located along the lateral line of the thigh, the ITB runs vertically, with emerging fibers from the gluteal fascia and from the tensor fascia lata (TFL). At the lateral pelvis and upper thigh the ITB is a broad layer of fascia that eventually narrows into a thick and strong cable that attaches distally at the tibial tubercle just below the lateral knee. Because of its close proximity to the vastus lateralis of the quadriceps group, the ITB plays an important role in stabilizing the leg, from hip to knee, during all movement (Fig. 1).

Figure 1. Iliotibial band

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Iliotibial Band Syndrome (ITBS) is a common overuse injury common with runners and cyclists, especially when their training levels have recently increased, or for runners when they train on uneven or sloped surfaces. ITBS can also be associated with court and racquet sports, strength training (especially from weight-bearing squats), and even pregnancy. Leg-length differences and misalignments of the pelvis can also be contributing factors. The conventional belief on the cause of the ITBS is the repetitive movement of the cabled portion of the ITB sliding back and forth across the outer surface of the lateral epicondyle. A study by Fairclough et al. published in the Journal of Science and Medicine in Sport in 2007 found that several basic anatomical ITB principles had been overlooked: (1) The ITB is not a discrete structure but a thickened part of the fascia lata which envelops the entire thigh; (2) It is connected to the linea aspera by an intermuscular septum and to the supracondylar region of the femur (including the epicondyle) by coarse, fibrous bands which are not pathological adhesions; and (3) A bursa is rarely present but can be mistaken for the lateral recess of the knee. They suggest that the ITB cannot create frictional forces by moving forwards and backwards over the epicondyle during flexion and extension of the knee. The perception of movement of the ITB across the epicondyle is an illusion due to changing tension in its anterior and posterior fibres. They propose that ITBS is caused by increased compression of the highly vascularized and innervated layer of fat and loose connective tissue that separates the ITT from the epicondyle. Therefore ITT can be related to a chronic increased tension of the ITT caused by increased tension of the TFL or gluteus maximus muscles. Most coaches, athletic trainers, and sports massage practitioners recommend using the RICE (Rest, Ice, Compression, & Elevation) formula for treatment. While this will help calm the agitated tissues and the copious amount of sensory neurons in the affected area, this formula for treatment will not improve strength or flexibility. A balanced treatment strategy should also include an improved training regimen that includes strengthening and lengthening of both the lateral and medial tissues of the thigh. Massage techniques can assist in reducing the tightness of the ITB while restoring the tonicity of the soft tissue.

used to be known as peroneus longus and brevis but have been recently renamed fibularis for the lateral bone of the lower leg. The posterior compartment contains the large muscles of the calf (gastrocnemius, soleus, and plantaris) that produce plantar flexion of the foot, while the deep posterior compartment contains intrinsic muscles that either flex the toes (flexor digitorum longus), invert the foot (tibialis posterior), or flex the big toe (flexor hallicus longus). These muscles may also assist with plantar flexion. Shin splints are injuries to the portion of the anterior leg that is closest to the lateral or medial edge of the tibia. The term shin splint has been more recently called medial tibial stress syndrome or anterior compartment syndrome. Often associated with overuse in runners, basketball players, and aggressive walkers, shin splints can be mildly uncomfortable or can become so painful that exercise must be discontinued. The most common shin splint is located along the medial edge of the tibia in an area that runs from just above the medial malleolus through the mid-portion of the lower leg. The associated pain is found both on the edge of the bone and in the mass of soft tissue just behind and medial to the tibia. Hard surface running, improper shoe support, toe running, or affiliated injuries to several ligaments in the posterior knee can also cause shin splints. Shin splints can be associated with stress fractures or micro fractures to the tibia, or from periostitis, an inflammation to the periosteum of the tibia. Treatment strategies include RICE protocols and manual therapy that will improve structural balance, adhesion reduction, and myofascial tonicity.

Massage Therapy Treatment Strategies for Shin Splints

Massage Therapy Treatment Strategies for ITBS Apply general techniques to full thigh to warm the tissues. Balance the techniques between the four sides of the thigh. From the side-lying position, with the thigh supported by pillow or bolster, apply broad myofascial spreading/broadening strokes that work across the ITB tissues. Work from hip to lateral knee. With forearm, apply progressively deeper strokes to the full length of the ITB, the lateral quadriceps, and the lateral hamstrings. Extend to tensor fasciae latae or gluteus maximus muscles. With fingertips or fist apply deeper strokes across the affected areas of the ITB (the distal third of the ITB is normally more sensitive). With finger pads of both hands lift and stretch the ITB from midthigh through lower thigh. Finish treatment with moderate techniques that increase parasympathetic response. The Lower Leg & Shin Splints The lower leg is responsible for a myriad of movements or actions required in standing, walking, running, jumping, swimming and cycling. The lower leg is divided into four fascial compartments, each containing muscles and tendons that support movement specific to that compartment. The muscles of the anterior compartment, located at the front of the shin, are primarily responsible for dorsiflexion of the foot and toes. The anterior tibialis may also assist with inversion of the foot. The lateral compartment contains the muscles that produce eversion of the foot and also assist with plantar flexion of the foot. These muscles

Figure 2. The lower compartment of the legs

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• Apply general techniques to warm the tissues of the compartments of the lower leg. Include range-of-motion exercises for ankle joint. • With client in supine position apply broad myofascial techniques to all tissues immediately medial and lateral of tibia, starting immediately above the ankle and progressing to the knee. • Using deeper circular friction techniques work the affected areas of the tibial periosteum and surrounding soft-tissue adhesions. • Apply balancing techniques to both sides of the tibia and return to range-of-motion exercises to check flexibility improvement.

The Foot & Plantar Fasciitis The most important functions of the foot include the twin responsibilities of weight bearing and propulsion. While these two primary functions require a strong measure of stability, it is also necessary for the foot to be flexible, allowing it to adapt to uneven surfaces while standing or moving. The foot is divided into three sections, which include the forefoot, the midfoot, and the hindfoot. The forefoot consists of the five metatarsal bones and the phalanges. The midfoot includes five of the seven tarsal bones while the hindfoot includes the calcaneus and the talus. The musculature of the foot is either classified as intrinsic or extrinsic. The intrinsic muscles are located in the foot and primarily operate the various movements of the toes. The extrinsic muscles are located in the lower leg and their tendons cross the ankle joint to attach to various bones of the foot, supporting plantar flexion, dosiflexion, eversion, and inversion. The plantar region of the foot contains three arches, which give the foot its supportive shape. The medial longitudinal arch includes the calcaneus, talus, navicular, cuneiforms, and the first three metatarsals. The lateral longitudinal arch is normally lower and flatter than the medial arch and includes the calcaneus, cuboid, and the fourth and fifth metatarsals. The transverse arch includes the cuneiforms, the cuboid, and the five metatarsal bases. These three arches are covered by the plantar fascia, one of the densest and most resilient layers of fascia in the body.

Plantar Fasciitis is considered to be an overuse injury to the plantar tissues of the foot. It affects the fascia that comprise the soft tissue of the arches with inflammation, sharp pain, or a burning sensation (fascial pain). In the majority of cases plantar fasciitis is located in the center of the plantar surface of the calcaneus, but it can also occur along the longitudinal arches, and sometimes across the balls of the foot. This condition is often associated with long periods of exercise and weight bearing, arches that are too flat or too high, improper ankle and foot mechanics, obesity, inactivity, or from shoes that don’t effectively support the arch. Treatment plans should also include rest, cryotherapy, and increased flexibility training for the calf musculature and the calcaneal (Achilles) tendon.

Massage Therapy Treatment Strategies for Plantar Fasciitis • With the client in supine position apply general techniques to warm the foot, ankle, lower calf and calcaneal tendon. • Apply plantar flexion and dorsiflexion range-of-motion for ankle, foot and toes. • Apply specific techniques to the retinaculum of the ankle and to the calcaneal tendon and its attachments to the calcaneus. • Apply broad strokes (thumb pads or soft fist) to full planter surface of the foot, include vertical and horizontal planes of force. • Use deep circular friction on affected areas of the plantar surface of the calcaneus and the arches. Locate all tender points and work thoroughly. • Complete treatment with general techniques and check for improved range-of-motion of ankle, foot, and toes. All of these common injuries are related to overuse, trauma, or under use of the myofascial compartments of the thigh, lower leg, and foot. Studying the anatomy and physiology of fascia and myofascia is essential for developing effective treatment plans. Recognizing the interrelationships of these tissues with the sensory nervous system, the lymphatic system, and the venous return system encourages the massage therapist to develop a treatment strategy that will improve acute or chronic injuries while promoting client-education and improved biomechanical performance. The Author: George Kousaleos, LMT is the founder and director of the Core Institute, a school of massage therapy and structural bodywork in Tallahassee, FL. He is a graduate of Harvard University, and has been a leader in the massage therapy field over his 30-year career. He was the General Manager of the 1996 British Olympic Preparation Camp Sports Massage Team and Co-Director of the 2004 Athens Health Services Sports Massage Team. He has supported the inclusion of massage therapy at the highest levels of international sports. George teaches throughout the world and has given keynote and motivational presentations to national and international organisations. For more information on the Core Myofascial Therapy Certification program in Australia with George Kousaleos in 2016 visit www.terrarosa.com.au

Figure 3. Plantar Fascia

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TCM Research Yifan Yamg

Chinese medicine made a huge contribution to medicine in 2015 with Professor Tu Youyou, an eighty-five years old TCM researcher of The Academy of Traditional Chinese Medicine in Beijing, China, received half of the Nobel Prize in Medicine in 2015.

During the Vietnam War in the 1960s the Chinese government decided to set up a research program to find a new drug for treating malaria, which was highly prevalent in Vietnam. Many scientists conducted studies but their trials failed again and again. One day, Ms. Tu Youyou found a record of malaria treatment with a Chinese herb QING HAO Artemisia in an ancient medical book dated back to 1600 years in the Jin dynasty. Rather than use the traditional boiling extraction methods, the Jin dynasty TCM doctor used the raw herbal juice instead. With this low temperature extraction method the malarial parasite had a 100% killing rate. Soon after Ms. Tu Youyouâ&#x20AC;&#x2122;s discovery, many TCM universities undertook clinical trials, and the chemical structure of the Artemisia was discovered. Through several decades of application and pharmaceutical refinement, the QING HAO SU (Artemisia extract drug) has been proven to become the most effective medicine for malaria surpassing Quinine, the traditional chemical drug for this disease. Soon it became the first choice of US marines for their overseas troops to combat malaria, and QING HAO SU was approved by FDA, United States, as a formal drug in 2009. After wiping out malaria in China, the herbal drug was introduced to African countries where still were affected by malaria. Since then millions of lives have been saved. It is for this reason Professor Tu Youyou was awarded a Nobel Prize. It is estimated that there are more than 100,000 TCM books that were published before 1900 which may contain hold great medical value waiting to be discovered. Studying Traditional Chinese Medicine is the first step of this discovery. The philosophy of TCM will benefit the learners. The enrolment into the Sydney Institute of Traditional Chinese Medicine for 2017 has now opened. Open day is 23rd July and 24th September 2016, 10:00am â&#x20AC;&#x201C; 2:00pm. The course commences on 13th February 2017. Ph: (02) 9261 2289, website: www.sitcm.edu.au A story of TCM Research Yifan Yang

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Boswellia For More Than Just Arthritis Kerry Bone

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B oswellia K er r y B o ne

Boswellia (Boswellia serrata) is well known for the treatment of osteoarthritis. Recently, clinical trials using Boswellia for the management of other health conditions have been published, suggesting this traditional Ayurvedic and biblical herb (frankincense) possesses a much broader range of antiinflammatory effects. The key new studies are reviewed below. A combination of turmeric (Curcuma longa) and Boswellia was investigated in 16 patients with chronic kidney disease, a disorder characterised by increased inflammation. In a small placebo-controlled trial, patients were randomised to receive either the herbal combination (Boswellia extract 516 mg/ day (10% 3 acetyl 11 keto β boswellic acid, AKBA) and turmeric extract 824 mg/day (95% curcuminoids)) or a placebo (roasted rice powder) for 8 weeks. Baseline levels of key plasma markers (interleukin 6 (IL 6), tumor necrosis factor  (TNF ) and serum C-reactive protein (CRP)) indicated elevated inflammation and low antioxidant protection. A significant effect (p = 0.03) was observed for IL 6 reduction in the herbal group, indicating a clinically relevant anti inflammatory action. No significant differences were observed for the other markers, which the authors mainly attributed to the small sample size and/or other drug medication. Another fascinating pilot trial investigated the value of Boswellia in patients with diffuse axonal injury (DAI), a common consequence of moderate to severe head injury. In total, 38 patients with pure DAI were enrolled in this 12-week, double blind, crossover study. The patients were randomly assigned to receive either capsules of placebo or Boswellia resin at 1080 mg/day for 6 weeks, and then switched to the other intervention for another 6 weeks. The disability rating scale (DRS) was used to assess the outcome at 2, 6 and 12 weeks post-trauma. A non-significant trend for improvement of DRS total scores was observed after the use of Boswellia. In terms of the DRS sub-scores, however, there was significant improvement in ‘cognitive ability to self-care’ during the second 6 weeks for the group receiving Boswellia. Malignant brain tumours produce highly active forms of leukotrienes and other inflammatory mediators, causing localised fluid build-up in the brain around the tumour that damages healthy nerve cells. Given the known anti-inflammatory properties of Boswellia, a series of pilot studies investigated its impact on brain tumourinduced inflammation with positive findings. In the most recent and elaborate study to date of Boswellia’s anti-inflammatory activity

in the brain, 44 patients with primary or secondary malignant cerebral tumours were randomly assigned to radiotherapy plus either 4200 mg/day Boswellia extract or placebo in a double blind trial. Compared with baseline, and measured immediately after the end of radiotherapy, a greater than 75% reduction in cerebral oedema was observed in 60% of the patients receiving Boswellia versus 26% receiving placebo. This difference was significant (p = 0.023), given that the dexamethasone dose during radiotherapy did not significantly differ between groups. The tumor/oedema volume ratio decreased only in the Boswellia group, suggesting an antitumour effect in addition to the antioedema activity. However, progression-free survival did not differ between the groups. Nonetheless, the better tumour response to radiotherapy was an unexpected finding. Common adverse events associated with radiotherapy were similar in both groups, although gastrointestinal discomfort was probably higher in the Boswellia group. The results of the above clinical research in patients with brain tumours and DAI testify how profound the anti-inflammatory activity of Boswellia can be, as its effects even cross the blood-brain barrier. It also speaks to the fact that this herb has a key role to play in ameliorating the new and fundamental discovery of neuroinflammation, a health phenomenon that has only come under the research spotlight this century. The new insights into neuroinflammation are beginning to help us make sense of previously unfathomable brain disorders, including depression, obsessive compulsive disorder, impulse control disorders, autism, Alzheimer’s disease and schizophrenia. Yet the herb has remarkably low toxicity and a low incidence of side effects, with apparently none of the hazards associated with corticosteroids or non-steroidal antiinflammatory drugs. There is even now a suggestion that Boswellia is relevant in general pain management, either

because of its anti-inflammatory activity, or perhaps by a different mechanism. Twelve healthy volunteers were randomised to receive either a single oral dose of Boswellia (250 mg, presumably of extract) or a matching placebo using a crossover design. Pain was assessed at baseline and at hourly intervals after the medication by applying a mechanical force to the nail bed of the index finger. The single dose of Boswellia significantly increased both the pain threshold force (force at which pain is registered) and time, as well as both the pain tolerance force (maximum force that can be tolerated) and time, compared to both baseline and the placebo. These differences were in evidence at most of the tested times, namely one, two and three hours after the herb’s administration.

References • Moreillon JJ, Bowden RG, Deike E et al. J Complement Integr Med 2013; 10(1): 1-10 • Moein P, Abbasi Fard S, Asnaashari A. Brain Inj 2013; 27(12): 1454-1460 • Bone KM, Mills SY. Principles and Practice of Phytotherapy: Modern Herbal Medicine, 2nd Edition. • Elsevier, UK, 2013, pp 446-447 • Kirste S, Treier M, Wehrle SJ, et al. Cancer 2011; 117(16): 3788-3795 • Prabhavathi K, Chandra US, Soanker R et al. Indian J Pharmacol 2014; 46(5): 475-479

Case Series of Diets and Food Availability of Mayan & Hispanic villages Guatemala, Honduras, Nicaragua & Costa Rica

Dr S im o n A Cinc h el l o / S in is a Bubul j / S a l l y Len n ox

THE NATURAL THERAPIST Volume 31 No.1

Ca se S e r ie s O f D i e tsDr S A Cin c h el l o /S Bubul j /S Len n ox

Introduction

Much alike other ethnic groups in developing or third world nations, the Mayans have benefited and also suffered from global contact both in the past and today. In the 1500’s the Spaniards plundered and looted tradition places of worship for gold and displaced Mayan communities. Trade logistics were lost and Mayan’s went from sophisticated city and communal village dwelling groups with trade networks to colonialized and enslaved subsistence farmers under the duress of the Spanish monarchy (Hurley & Eschedor-Voelker 2014). The Mayan’s used maize as a staple as well as jungle greens and fruits. Cocoa was revered as a ‘Fruit of the Gods’, most likely for its taste but also high polyphenol content however the modern addition of refined white sugar and animal fats have likely negated its positive effects (Mellor et. al. 2015), with refined white sugar having a deleterious effect on nutritional epidemiology of indigenous populations globally, perhaps more associated with economics of food choice rather than genetic susceptibility (Brimblecombe and O’Dea 2009). Geographically, Mayans and Hispanic alike live from the Yucatan, through Guatemala, and into Honduras. There are further indigenous groups in both Nicaragua and Costa Rica bordering with Panama. Even though the Maya are the most numerous, they also suffer from stunted growth when compared with other Native American ethnic groups. In a study of the mother-child dyad, food frequency questionnaires were used and revealed that the Maya have a low consumption of fruits and vegetables, a medium consumption of pork, eggs, oil and lard, and a high consumption of soda and whole milk i.e. low fibre and micronutrient intake, and conversely a higher intake of refined sugar (i.e. sucrose) and animal fats, thus cholesterol which are far removed from traditional diets (Azcorra et. al. 2013). Further, when compared with their rural counterparts, urbanized Guatemalan women, a country predominantly composed of mixed Indian/ Spanish descent, had a higher diversity of food intake but it was composed of non-traditional and processed items, whereas the rural population ate a non-processed, plant based diet (Soto-Méndez et. al. 2011). Moreover, like other populations there is an association with maternal height and infant length-for-age associated with maternal nutritional status i.e. increased odds ratio of stunted growth in children born to mothers whose growth was also stunted due to infant malnutrition (Frojo et. al. 2014). Malnutrition may be caused from a number of factors such as interruptions in food supply and differing agricultural systems. Agricultural systems of Central America Traditionally Central American farms were small plot or communal farms. This changed with colonization. As global corporations started growing sugar, maize and coffee in Central America since the late 1880’s, agriculture in some countries became highly mechanised and dependant on large corporations to purchase crops and thus control markets and incomes for farmers. Biodiversity is now considered as a means of food sovereignty and to promote poverty reduction (Chappell et. al. 2013) which would improve the nutritional status of Mayan or American Indians in Central America. Land is also scarce so integration of biodiversity in farming and protected areas will benefit the environment and increase the variety of food in the diet (Crespin and García-Villalta 2014). In particular, banana plantation systems, a staple of Central America (Musa paradisiaca) are one example of a monoculture that requires diversification as they cause deleterious impacts on human health and the environment. Interestingly, small scale organic banana farms as well as coffee-banana intercropping systems are producing good quality banana yields with little or no pesticides used (Bellamy 2013). Influences and changes in diet In an address by Professor Bogin and Dr. Varela-Silva (2015), they discussed various changes in the diet of the Mayan Indian population which were brought about by globalisation and corporations marketing their products into villages in such a manner that there has been a fast and deleterious dietary transition in the Mayan population. Most notably, a locally-grown diet of fresh fruit, vegetables, eggs (high poly, monounsaturated oils, plant protein and high fibre diet) has been replaced with highly processed foods, high in saturated fat, animal products and sugar, and conversely fibre deficient. Social impacts include positive aspects such as reduction in stunted growth, possibly associated with more frequent food availability and negative aspects such as obesity, effecting child health, and a rise in soft drink culture or ‘Cocalization’. The food frequency questionnaire found a high intake of tortilla and wheat baguettes, with beans on par with animal meats (pork, chicken) for protein intake, milk intake was highest in children. Alarmingly greater than 70% of mothers and 60% of children had high sucrose consumption and sugar-sweetened soft drinks

with low intake of fruit and vegetables which contrasts studies in the 1950s-1960s in similar populations. Coupled with this was higher body fat as a percentage of body weight, higher unemployment and lower physical activity when compared with the average Mexican. Economically and sociologically, soda drinks are relatively more expensive than water (USD$0.25), however due to the sweet taste and perceived ‘sugary-energy value’ the Mayan Indians prefer soft drink. Moreover, the logo and use of cola cans/ bottles and wrappers after the drink is consumed i.e. cup used for scooping rice and beans for cooking, makes the brand(s) and thus corporations omnipresent (Bogin, & Varela-Silva 2015) in a fast changing social and economic environment where traditional values are eroded and colonial masters are changing i.e. Catholic church, money and income are deemed more important in favour of the brand and thus status associated with it i.e. Coca Cola. Nutritional epidemiology and other disease states Specific nutritional intervention with supplements such as a lipid-based nutrient supplement in a 12-month randomised controlled trial conducted in Honduras showed that the intervention lowered the proportion of children with folate, B12, and vitamin A deficiency (Siega-Riz et. al. 2014). Further, the use of micronutrient-fortified cereal products rather than 30-45g meat per day was associated with better health outcomes in Guatemalan children including linear growth velocity, length for age z score, and reduced anaemia rates (Krebs et. al. 2012) suggesting a traditional plant protein based diet as being more nutritious for growing indigenous children. Moreover, zinc supplementation in Guatemalan infants, (10 mg of oral zinc sulfate), o.d. 7 mo, increased frequency of observed sitting up cv. lying down, and playing activities (Bentley et. al. 1997). Interestingly, coffee intake is also reported as widely consumed in Guatemala, and especially by children. When coffee intake (100mL/d) is discontinued, it results in greater length and weight gain (Dewey et. al. 1997) and thus may be responsible for stunted growth.

The Official Journal of the Australian Natural Therapists Association (ANTA)

Ca se S e r ie s O f D i e tsDr S A Cin c h el l o /S Bubul j /S Len n ox

Further, due to anaemia and vitamin deficiencies in Guatemalan Indian populations, food i.e. 1g of FeNaEDTA-sugar is fortified with 15 mg retinol as retinyl palmitate/kg, However the iron and vitamin A benefit may be outweighed by the introduction of simple carbohydrates into the diet (Viteri et. al. 1995). Withstanding the previously mentioned studies, the present study aimed to survey the diet of urbanized Mayan and Hispanic people to understand the changes in diet away from traditional consumption of maize, fruit and vegetables, and also examine any current possible nutritional deficiencies. A further macroscopic study analysing food availability, especially affordability and also variation in food types was conducted to further interpret the results of possible nutritional deficiencies and/ or excesses. Lastly, to identify any stakeholders influencing nutritional status including government subsidy programs, global corporations, and the impact of introduced processed food and beverages to the diet. Methodology Dates and Locations A number of locations were visited during December 2014 by Dr. Simon Cichello. The primary research, surveying, data collection of food availability, market research and dietary information was collected by Dr. Simon Cichello on site in central America. Dietary analysis was conducted by Simon Cichello and then data was interpreted and discussed by Dr. Simon Cichello and Sinisa Bubulj, with both author’s contributing the discussion of the results. The following countries [cities/ towns] were investigated for dietary intake as well as market availability of different types of foods; Guatemala [San Gorge, Chichicastenango Market, Antigua] Honduras [Copan, Comayagua] Nicaragua [Granada, Ometepe] Costa Rica [San Jose] Specific town locations were selected as they are highly frequented tourist areas and public security is present and adequate in Central America for the research to be conducted. Market Survey & Agricultural Surveys Markets were surveyed in the city based on the foods they sold (i.e. fresh produce such as fruit, vegetables, meat, chicken, fish or dry store/ groceries, street stall, or fried-high salt/ fast food. Stores catering for the local population were surveyed and photographed. In a 5 minute period, the investigator noted the high percentage of native Mayan Indians who would use the stores and not tourists. Further, the quality or food and pricing was indicative of local consumption as rudimentary packaging was used i.e. fruit wrapped with old newspaper versus polyethylene plastic bags in the supermarket. The market survey was an indication of the foods consumed by Mayan Indians or Mizquitos/ Mixed Indian race who live or visit urbanized areas in the countries mentioned (Jackson, 2014). Agricultural areas were surveyed on foot and photographed with genus and species of crops or animals determined from physical characteristics. Due to public security in some countries such as Guatemala and Hondoras, agricultural surveys were not conducted and only food grown near markets was photographed. The food outlets and also premises were surveyed for the number of items and also the number of items that were either ‘fresh’ i.e. unprocessed, verses processed food. Moreover, food pricing was recorded, and then divided into daily wages based on GDP per day per person of the respective country and a proportion of food cost per daily income calculated using MS Excel. Participant Selection Individual shops were selected or houses in villages (i.e. San Jorge, Guatemala), and a random numbers chart was used to select the appropriate restaurants/ shop/ home. Then the investigator used English with limited Spanish to greet potential case volunteers. Money (i.e. USD $5) was offered but all participants except 2 of 5 refused payment and were happy to

THE NATURAL THERAPIST Volume 31 No.1

complete the study on a voluntary basis. Dietary Survey A 24 hour dietary recall was requested first with other health questionnaire details. If the respondent did not know what they ate yesterday, the investigator would revert to ask for their usual diet. A total of 5 case studies were collected across the three countries and compiled as a case study. Dietary Analysis Dietary Analysis Plus 2.0 (2008) was used to analyse the diet for macro and micro nutrient composition. In addition, macro-analysis was conducted on the dietary composition and tabulated. Market data and statistics were conducted using MS Excel 2010 using average, standard error and student t-test if applicable. Results Table 1. Currency and Main Agricultural Crops of selected central American countries Country

Guatemala

Honduras

Nicaragua

Costa Rica

Currency

Quetzal

Lempira

Córdoba

Colón

Main Agricultural Crops

Fruits, vegetables, flowers. Corn, sugar and palm oil are chiefly grown for biodiesel production, with >50% corn (staple in diet) imported from USA.

Coffee, tropical fruit, and sugar cane

Production of coffee, bananas, sugarcane, cassava, peanuts, sesame, melons, and onions

Bananas, Pineapples Coffee

Seafood; Caribbean

Statistics Ref; International Monetary Fund. Retrieved 2014-0322. http://www.imf.org/external/pubs/ft/weo/2013/01/weodata/ weorept.aspx?sy=2011&ey=2018&scsm=1&ssd=1&sort=countr y&ds=.&br=1&pr1.x=53&pr1.y=8&c=278%2C283%2C128%2C9 44&s=NGDPD%2CNGDPDPC%2CPPPGDP%2CPPPPC%2CL P&grp=0 &a=

Ca se S e r ie s O f D i e tsDr S A Cin c h el l o /S Bubul j /S Len n ox

Table 2. Demographic characteristics, GDP and average cost of food as per survey (USD$) Country

Guatemala

Honduras

Nicaragua

Costa Rica

GDP PPP (USD$)

$5,208

$4,959

$4,849

$13,341

Population

15,806,675

8,249,574

6,071,045

4,586,353

Ethnicity

59.4% Mestizoa, 41% Indigenous

90% Mestizo, 7% Indigenous, 2% African descent, 1% White European

69% Mestizo, 17% White, 9% Negro, 5% Indigenous

65.8% White / Castizo 13.65% Mestizo 6.72% Mulatto 4.40% Other

Average food costs (USD$)#

^USD$1.39±1.30 *USD$0.96±0.54

USD$1.41±1.23

USD$0.95±0.68 USD$1.17±2.09

USD$1.96±1.31

Affordability##

^9.7% *13.7%

10.4%

7.1% om13.4%

5.4%

Footnotes and Abbreviations a. Mestizo (Mixture of Spanish/ European descent and Indigenous) b. Mulatto (Mixture of Spanish/ African descent) c. # Surveyed per kilogram cost and also cost of pack of tortillas etc. d. ## Ratio of average food cost to GDP per person or interpreted as the % of daily GDP spent on food ^ Denotes a city (i.e. Antigua) * Denotes Mayan village (i.e.San Jorge) om Denotes Ometepe Island, Nicaragua PPP = Determine the relative value of different currencies Table 3. Surveyed Fruit and Vegetable Pricing in selected Central American countries (converted from local currency to USD$) & proportion of natural versus processed food in premises Food/ Country

Guatemala (Antigua/ San Jorge)

Honduras

Nicaragua

Costa Rica

Fresh Food Outlets (%)

11.25/ 0

Processed Food Outlets (%)

87.50/ 100

Food and diet macroscopic analysis From Guatemala to Nicaragua, locals both Mayan and Hispanic would consume for breakfast a ‘Desyunos tipico’. This usually consisted of a 20-30g portion of re-fried beans, 1 egg fried or scrambled, 4-6 small tortilla (~100g), 20g of ricotta/ haloumi cheese, small salad with celery, parsley, carrot and lettuce (30-50g), optional 1 x chorizo (50g), and 1 coffee. This meal cost varied between 25-60L (Honduras) or USD$1.25-$2.90. Due to coffee being the main export commodity in the three countries studied tea was not also available to purchase. The qualitative analysis as per in person survey and also photographic evidence of food in markets from San Jorge, Chichicastenago (traditional K’iche’ Maya culture), Antigua in Guatemala, Copan in Honduras, Ometepe Island, Nicaragua, and San Jose Costa Rica can be seen below and also figure 1-5; San Jorge, Guatemala In San Jorge, the urban environment comprises of two and three level homes overlooking the lake system. Next to the homes, in a frequency of even 3-4th home are small shops selling most processed foods and some storage and tuber crops such as potatoes, and onions and also eggs. Villagers informed us that they normally commute by a bus to a fruit and vegetable market more than 15 minutes away. Moreover, agricultural survey of the village only revealed layer chickens (Gallus gallus domesticus) and also some greens (Spinacia oleracea) and coffee plants (Coffea spp.). Of particular interested in this predominantly K’iche’ Maya Indian community was the advertising by energy drinks such as PepsiTM (most predominant), some Coca Cola advertising but also drinks such as Mountain DewTM. The advertising was almost a ‘cult culture’, ‘Omnipresent’ (figure 1d) type of competition between shops where the more colour and advertising with global logo was correlated with children playing and occasionally receiving some type of sugary food or cola drink. Water was priced at 5 quetzals whereas soft drinks varied from 4-6 quetzals (USD0.75-USD1.00). Thus the omnipotent presence as well as near identical cost of water and soft drink combined with the added ‘sweet taste’ made the soft drink very popular. The stores contained a high frequency of fried nuts, chocolates, corn chips etc. with packets hanging immediate as you enter the store. Also the meat was a processed ham product known as Burbuji (DanaTM); figure 1b. Water was typically drawn from a ground water well. Store water typically was sold to tourists who passed by the village occasionally. The bread snacks eaten before a meal were typically a savoury taste even though the locals commented they were ‘sweet bread’. Tortillas were cooked on a metal pan over a outside fire stove which burnt scrap wood from the construction industry. Typically men/ fathers are employed as labourers in construction and would save wood to burn. It was unknown whether arsenic or cyanide was present in the wood.

The Official Journal of the Australian Natural Therapists Association (ANTA)

Ca se S e r ie s O f D i e tsDr S A Cin c h el l o /S Bubul j /S Len n ox

The flour for the tortillas was provided for free from the government (figure 1e and figure 1f). It consisted of Sugar, Maize flour, Soy flour, calcium carbonate, vitamins A, thiamine, riboflavin, niacin, folic acid, vitamin B12, iron, zinc, and anti-oxidants/ preservatives Butylated hydroxytoluene (BHT). Milk was re-constituted from a powdered milk supplied by a company SuliTM , which was fortified with iron (4.2mg per 100g), vitamin A (600µg/ 2000IU per 100g), folic acid (121 µg per 100g), vitamin D (10 µg / 400IU per 100g). This milk powder would be made into slurry with the government supplied maize flour and brought to work for the construction workers.

for sale with ice cream in ‘take away shops’ (figures 2c, 2d), as well as large soft drink depots in the market. Coconuts and orange juice were for sale but it was labour intensive to make the juice using a machete and thus their sales were smaller and slower compared with the convenience of soft drink (figure 2e, 2f). Even though it was a mountainous area, prawns and seafood were also sold (figure 2g) as well as fruit, vegetables and cheeses (figures 2h-2l). Some tortillas were made fresh (figure 2m) and children were used to sell fried nuts and other processed ‘junk’ foods (figure 2n), as well as the sale of herbs for food and herbal medicine

Figure 1a

Figure 1d

Figure 1b

Figure 1e

Figure 1c

Chichicastenago (Mayan) market, Guatemala The surrounding agricultural activities mainly consisted of maize cultivation (figure 2a.). There was also some indigenous fruit tree sales such as Chicozapote (Manilkara zapota). The corner stores would typically sell packaged foods such as fried nuts, potato chips, sugarsoft drink, sugar fruit drink, cola (2L) at 14Q (convenience store), with toilet paper. Children would often congregate around the shops as well (figure 2b). Mayan farmers from mountainous regions would bring fruit pre-wrapped in old newspaper and baskets to market to sell either as hawkers using wheelbarrows or sitting on the ground or official market stalls. Independent ice cream sales men would also move around the market to sell sugary food to children. Fried chicken was available for sale with ice cream in ‘take away shops’ (figures 2c, 2d), as well as large soft drink depots in the market. Coconuts and orange juice were for sale but it was labour intensive to make the juice using a machete and thus their sales were smaller and slower compared with the convenience of soft drink (figure 2e, 2f). Even though it was a mountainous area, prawns and seafood were also sold (figure 2g) as well as fruit, vegetables and cheeses (figures 2h-2l). Some tortillas were made fresh (figure 2m) and children were used to sell fried nuts and other processed ‘junk’ foods (figure 2n).

THE NATURAL THERAPIST Volume 31 No.1

Figure 2b. Convenience stall

Figure 2c. Oranges being sold whole in market

Figure 2d. Fresh fruit being prepared and sold in the market

Figure 2e. Coca cola depot

Figure 2f. Prawns

Figure 1f

San Jorge, Guatemala; tortilla bread made from government subsidized maize/ soy/ sugar meal (Fig 1. e) and Australian milk powder f). Figure 1b Processed meat product delivery truck with logo/ branding. Figure 1c. Indigenous Mayan girls eating sugar laden icy poles purchased by backpackers visiting. Figure 1d. Indigenous Mayan women congregating at the local general store with soft drink advertising in sight.

Figure 2a. Maize cultivation near Chicastenego

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Ca se S e r ie s O f D i e tsDr S A Cin c h el l o /S Bubul j /S Len n ox

Antigua, Guatemala Even though it is now considered a tourist town for language learning and retirees, Antigua still has a substantial transient Mayan population who travel from neighbouring villages and towns to trade, sell and buy produce to eat.

Figure 2g. Dry Foods, Snack Foods

Figure 2i. Mayan Indian women selling fresh herbs

Figure 2l. Young Mayan boy selling dried nuts and snack foods

Figure 2h. Fresh fruit and vegetables

Figure 3b

Figure 3c

Figure 3d

Figure 3e

Figure 3f

Figure 2j. Introduction of fried chicken and fried chips

Figure 2m. Cheese and fresh solid dairy products

Figure 2n. Fresh fruit being prepared to be sold in the market

Figure 3a

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Food prepared in the street in Antigua consisted of rice and beans, or plantain and chicken dishes (hot) or juice stalls or BBQ corn (as shown in figure 3a-f), or bulk fruit for sale such as oranges, cabbages, and potatoes by Mayan traders (as shown in figure 3g-h). Supermarkets existed and comprised of sectioning of meats, fruit and vegetables catering to wealthier Guatemalans and also tourists and ex-pats who lived in the city.

Ca se S e r ie s O f D i e tsDr S A Cin c h el l o /S Bubul j /S Len n ox

Although Copan is a semi-tourist town it is a meeting and trading place for local Mayan and also Hispanic populations in Honduras and Guatemala. The town square and surrounding blocks were used for food sales especially fruit and vegetables (see figure 4a and 4c). Rice with beans and chicken slurry were popular 4b, whereas local dining for local Maya were basic and usually were the attached shop front of a rear home(4f) where plantain, rice and beans could be purchased as one meal.

Ometepe Island The Ometepe Islands consisted of largely an indigenous community of native Indians (Ometepinos). Most of the food was grown and consumed on the island such as corn (figure 5d), also sugar cane, fruit and vegetables (figure 5a), millet (figure 5e), however a lot of beef is farmed on the island and is then transported off the island to the capital of Nicaragua (Managua) with supplementary feed being cut and carted by horse drawn carriages (figure 5f). Even in village communities, sugary foods, soft drinks (no sugar free version available) and also people buying sugar in 1kg quantities were common from virtually most corner stores or supply stores.

Figure 4a

Figure 4b

Figure 4c

Figure 4e

Figure 4f

THE NATURAL THERAPIST Volume 31 No.1

Figure 5a

Figure 5b

Figure 5c

Figure 5d

Figure 5e

Figure 5f

Ca se S e r ie s O f D i e tsDr S A Cin c h el l o /S Bubul j /S Len n ox

San Jose, Costa Rica

Dietary Analysis Figure 7. Case Study 1 – ‘Guatemalan Indian (K’iche’ Maya) Family from San Jorge, Lake Atitlan, Guatemala’

Figure 6°

Figure 6b

Figure 6c

Figure 6d

Figure 6e

San Jose was a well-developed city when compared to other cities in Central America and very modern. Shopping centres had

supermarkets and also fast food chain stores such as McDonalds, KFC (figure 6d), Subway sandwiches etc. Also a lot of ‘soda’ stores were selling rice and beans mostly (figure 4c) but also meat and fish dishes as well. It appeared that migrant workers from other parts of Central America and lower socio-economic class citizens ate at these establishments. Further, the city had a central market place that had over 100 fruit and vegetable, meat and fish vendors, and also bakeries as depicted in figures (6 a,b,e).

Ca se S e r ie s O f D i e tsDr S A Cin c h el l o /S Bubul j /S Len n ox

Table 4 - Typical Diet of Guatemalan Indians (K’iche’ Maya), San Jorge, Atitlan Lake District, Guatemala Meal

Food Type

Dietary Benefits/ Deficiencies

Breakfast

Dried tortilla (made from a corn, sugar and soy protein based flour), cornflakes, milk powder with water

The flour provided was a government subsidy. The flour chief ingredients were sugar, US origin GMO maize, and soy protein (Processed food and not natural maize flour).

Lunch

Tortillas, and milk porridge soup

Same as above. Fortified milk product might provide an array or minerals and vitamins i.e. calcium and vitamin D, but the diet is artificial, nonsustainable and thus deleterious to social and cultural food practices.

Snack

Savoury cakes with dilute coffee

Sweetened cakes contain refined sugar, a harmful food ingredient responsible for the development of type II diabetes and CVD. Caffeine content of coffee.

Dinner

Chicken or bean soup, with tortillas, and tomatoes paste (tomatoes boiled into slurry)

Mixed protein source (complete amino acid spectrum).

Figure 8. Case Study 2 – ‘Cindy’ a young Hispanic/ Mestizo female from Copan, Honduras

The above dietary analysis shows that a majority of the macronutrient consumed in this typical diet is high in protein, higher than recommended RDI of vitamins and minerals such as; Vitamin B1, B2, B3, B6, B9 and Iron. However, deficiencies are present in Vitamin B12, Vitamin D (through diet), calcium, magnesium and potassium. The diet also consists of 3 times more than the recommend intake sodium.

As depicted in figure x., Cindy is consuming protein but her energy intake appears inadequate for the 24hr period she recalled. Further, her intake of omega 3 and omega 6 fatty acids appears low (~45% of normal RDI). Further a number of B-vitamins appear low including Thiamin, Niacin, Vitamin B6, B12, Folate. Both dietary intake of vitamin C and D as well as vitamin E are quite low. All minerals (calcium, iron, magnesium, potassium, zinc) are all low except sodium which is slightly high (+20%).

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Whitfield will present the “access points” in orthopedic and sports medicine acupuncture. They include the traditional points of acupuncture, the extraordinary points, and some points or zones not elucidated in the texts, such as trigger points and motor points. These points are located in anatomically significant tissues of the body, and therefore tend to have profound effects on both structure, function and used for SYDNEY the treatment of pain. 17th - 19th June 2016

MELBOURNE 24th - 26th June 2016

For bookings & further information, please contact

Melbourne: (03) 9663 8822 Sydney: (02) 9280-1885

* 2nd Floor, 234 Swanston Street, Melbourne Vic 3000 ( (03) 9663 8822 : info@chinabooks.com.au w www.chinabooks.com.au

* Shop F7, 1st. Floor, 683-689 George Street, Sydney NSW ( (02) 9280 1885 : info@ChinaBooksSydney.com.au w www.chinabookseducation.com.au

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www.theartofhealing.com.au The Official Journal of the Australian Natural Therapists Association (ANTA)

2016 SEMINARS

14CPTDS EVEN

TCM support for your ageing clients – Focus on chronic conditions By Peter Kington We all grow older and sometimes - with the passage of time - our bodies start to creak and groan and things don’t work like they used to.

In this seminar, participants will explore disease and dysfunction associated with ageing and lifestyle choices.

• Erectile dysfunction, menopause and low libido associated with age-related hormone changes

Sometimes this happens as part of the natural ageing process and other times our bodies struggle because of the lifestyle choices we make throughout our lives.

Participants will cover:

• Lifestyle related conditions including stress-adrenal fatigue, insomnia and gout

• Disease and dysfunction of the genitourinary system associated with incontinence and prostate disease

• Cardiovascular health associated with high cholesterol and high triglycerides

IVF support for Men and Women By Peter Kington Does your mind boggle when you encounter clients who know more about IVF than you? Do you ever wonder what drives an IVF doctor to choose one protocol over another for your clients? Do you get lost in all the drug names and do you ever wonder how you can make sense of everything to help your clients get the best out of their IVF experience? In this jam-packed, full day seminar you will learn how to help your male and female clients get better IVF outcomes by helping you to tailor your treatments to support their treatment, while not losing sight of your Chinese medicine principles and practice.

• Arthritic conditions

PART ONE

PART TWO

• Aetiology of infertility

• Male reproductive endocrinology and spermatogenesis

• Female reproductive anatomy • Female reproductive endocrinology and IVF overview

• Causes of male infertility • Information gathering and the semen analysis

• Chinese medicine female anatomy & physiology • Chinese medicine physiology - male reproduction • Prescribing and dosage • ChinaMed® and Black Pearl® herbal formula range for women undergoing IVF • Information gathering: asking women the important questions • Treatment: Unexplained infertility, premature ovarian failure, age related infertility and poor egg quality, PCO and PCOS and endometriosis

• Constructing a diagnosis for male infertility • ChinaMed® and Black Pearl® herbal formula range for male fertility support • Common IVF protocols • Are herbs safe in IVF? • Chinese medicine in IVF - 2 approaches

Digestive disorders with Chinese herbal medicine By Peter Kington Practitioners who attend this jam-packed, half day seminar will develop clear diagnostic and treatment skills to help patients who present in their clinics with common signs and symptoms associated with digestive disorders.

• Comprehensive study and the clinical application of the appropriate ChinaMed® and Black Pearl® herbal formulas to treat: - Rebellious stomach Qi, abdominal pain, food stagnation and bloating associated with gastro-oesophageal reflux disease (GERD) and Non-oesophageal reflux disease (NERD), stomach ulcer associated with helicobacter pylori (HBP) and other disorders of digestive motility

• Western anatomy and physiology associated with digestion

- Loose stools, diarrhoea, constipation and bloating associated with malabsorptive disorders, irritable bowel syndrome (IBS) and generalised ‘sluggish digestion’

• Chinese medicine anatomy and physiology associated with digestion and the importance of the ‘qi dynamic’

- The treatment of acute vomiting and diarrhoea associated gastro-enteritis, food poisoning and traveller’s diarrhoea

• Understanding how pathology occurs, what questions to ask and creating a diagnosis with Chinese medicine.

- Abdominal pain, jaundice and poor digestion associated with liver and gall bladder disease like fatty liver, hepatitis and cholecystitis (inflammation of the gall bladder)

Stubborn skin problems: eczema, dermatitis, psoriasis & acne By Tony Reid These skin conditions tend to be chronic or recurrent and are poorly treated with Western medicine. They all cause ongoing discomfort that may be extreme, and may lead to scarring and disfigurement. In addition, they are often a source of social embarrassment. In this three seminar you will learn how to combine Western diagnostics with an understanding of TCM pathogenesis and develop effective treatment protocols for the various stages and subtypes of these common skin conditions.

What you will learn • Western diagnostic features of acute/active and subacute/chronic stages of these conditions • TCM pathogenesis and how the various pathogens manifest in acute and chronic skin disorders • TCM approach to differential diagnosis • Treatment protocols for the different stages, subtypes and unique presentations of each of these stubborn skin conditions using Sun Herbal formulas

Menstrual disorders & gynaecology with Chinese medicine By Peter Kington Participants in this seminar will get clinically useful tips – supported with great seminar notes, case studies and an experienced practitioner – presenter – in how to help women experiencing menstrual disorders including conditions such as: • No periods (amenorrhoea) • Light and infrequent periods associated with premature/ intermittent ovarian failure

• Peri menopause and PCOS • Short menstrual cycles due to luteal phase dysfunction (early or recurrent miscarriage) • Heavy menstrual bleeding associated with uterine fibroids • Painful menstruation associated with endometriosis and other unknown causes • PMS

In addition, this seminar will cover: • In depth female reproductive anatomy and physiology • The Chinese medicine physiology of menstruation • The Chinese medicine pathology of menstrual disorders • Strategies for assessing the menstrual cycle • An extensive array of ChinaMed® and Black Pearl® formulas relevant to the treatment of these conditions

ALL PARTICIPANTS WILL RECEIVE: REGISTER NOW! Comprehensive notes, treatment strategies We recommend you register early to avoid disappointment. Seminar notes and gift pack included.

and clinical solutions in these intensive Sun Herbal short-course seminars.

PLEASE REFER TO BACK PAGE OF THIS ISSUE FOR REGISTRATION DETAILS

Mood disorders in TCM – focus on depression By Tony Reid Experts are predicting that by 2020 depression will be the leading cause of disease burden in the world. However, without denying the reality of the suffering experienced by patients with real clinical depression, it would seem that in many instances the diagnosis of depression is not valid: in reality it is nothing more than a sinister example of the ‘over-medicalization’ of normal human experience for the benefit of drug companies.

Moreover, recent evidence has revealed that pharmaceutical • A critical evaluation of the Western paradigm, showing how management of ‘depression’ is in most cases ineffective and depression came to be drastically over-diagnosed, including an appraisal of the effectiveness and risks of currently in some instances can be extremely dangerous. prescribed pharmaceutical interventions In this seminar we take a critical look at current • A balanced approach to distinguishing real clinical depresparadigm in which ‘depression’ is so often diagnosed sion from a normal human response to various kinds of loss and treated, with the aim of discovering what • An exploration of depressed mood in terms of TCM depression is and what it is not. The seminar • How to evaluate a patient presenting with depressed mood continues with a TCM approach to the differential diagnosis and treatment protocols for patients complaining of depressed mood. This seminar covers:

• TCM differential diagnosis and treatment protocols with prepared Chinese herbal medicines for patients with depressed mood

Dementia & mild cognitive impairment – how to approach patients with early signs of dementia using TCM By Tony Reid Dementia is a common health problem in the elderly and the incidence is steadily increasing, placing a heavy burden on patients, their care-givers and the community. In spite of differentiating dementia into several different types of disorder, it is still poorly understood in Western medicine. Epidemiological evidence suggests that there are certain lifestyle factors that may

reduce or increase the risk of developing dementia. There are currently no effective Western medical treatments for dementia (neither preventative nor palliative).The only treatment which gives clinically significant results for some of the distressing symptoms of dementia is a Chinese herbal formula. Mild cognitive impairment (MCI) is a precursor to dementia and this is easily detected in clinic. MCI responds to Chinese herbal medicine.

This seminar covers: • The current Western medical approach to the various types of dementia. • Factors that may increase the risk of dementia • Factors that may reduce the risk of dementia • TCM approach to dementia, with emphasis on early detection and treatment protocols for patients with MCI

Chronic disease management part 1: digestive system By Tony Reid In Western countries, symptoms of digestive disorders are amongst the most common recurring health problems, affecting more than half of the adult population. In a minority of cases these symptoms may indicate a more serious illness. However, the majority are simply the result of poor dietary choices, lifestyle factors or emotional strain.

The TCM approach is ideally suited to addressing these health • Distinguish the clinical ‘alarm’ features, in order to refer patients for Western diagnostic investigations problems, both in identifying the underlying causes and assisting to restore balance to an abused or over-burdened • Understand the TCM pathogenesis of these disorders with digestive system. While Western medicine’s great strength an emphasis on the removal lies in the early detection of life-threatening conditions, its or correction of the underlying causes concomitant weakness is the creation of ‘diseases’ that • Differentiate the main syndrome patterns in order to require ongoing pharmaceutical intervention, generally to the combine the most suitable Chinese herbal formulas for detriment of the patient’s overall health and well-being. treatment In this seminar you will learn how to: • Develop comprehensive treatment protocols involving • Identify and critically evaluate the Western medical diagnodietary and lifestyle changes as well as short and long ses of: dyspepsia, gastro-oesophageal reflux disease (GORD, term management with Chinese herbal formulas. or GERD), hiatus hernia, and irritable bowel syndrome (IBS)

Enhancing male fertility with Chinese medicine By Peter Kington Western reproductive medicine’s solution to male infertility is to offer a procedure - not a solution. In this seminar you will learn how to understand and talk the language of reproductive medicine in a way that will appeal to your male clients and their partners. The seminar will also provide you with the necessary diagnostic tools and treatment strategies to help you improve the health and vitality of your clients’ sperm.

This seminar covers: • Anatomy and physiology of male reproduction - how are sperm made and why is this important to my Chinese medicine practice?

• What causes male infertility and where can things go wrong for men and their sperm? • How does western medicine treat male infertility and how can I support that process with my treatment tools?

• Understanding the semen analysis, its strengths, weaknesses and relevance to my Chinese medicine practice.

• Arriving at a diagnosis for men with infertility; pattern differential v. clinical reality.

• The consultation - what information do I need, what questions should I ask and how can western medical tests help inform my diagnosis and treatment

• Prescribing the best ChinaMed® or Black Pearl® formula to improve sperm and semen quality. • Clinical application - case studies

The treatment of thyroid disease and other autoimmune disorders with Chinese medicine

Despite not being specifically mentioned in the Chinese medicine classics, autoimmune disorders are well treated with Chinese medicine to provide significant relief and lasting outcomes for our clients. In this jam-packed, short-course seminar, participants will explore the concept of auto-immunity in Chinese medicine and be introduced to ways of analysing, diagnosing, prescribing and treating autoimmune disorders routinely encountered in clinical practice.

Participants will cover: • Relevant anatomy, physiology, diagnosis and bio-medical pathophysiology • Autoimmunity from a Chinese medicine perspective - a working model • Diagnosis and treatment drawing from an extensive selection of ChinaMed® and Black Pearl® formulas for: • Hashimoto’s and Graves Disease (thyroid)

• Coeliac’s and Crohn’s disease, ulcerative colitis (GIT) • Autoimmune hepatitis • Rheumatoid arthritis • Systemic lupus erythematosus (SLE) • Sjogren’s syndrome • Scleroderma (systemic) The material will be brought to life with case studies and in-class discussion led by your presenter, Peter Kington.

INNOV_15237

By Peter Kington

2016

SEMINARS

14 CPSD EVENT

! OW N R E T S y I rl REG mend you register ea

t. We recomoid disappointmen cluded. in k c to av ift pa otes and g Seminar n

SUPPORTING YOU TO ACHIEVE OUTSTANDING RESULTS FOR YOUR PATIENTS. FEBRUARY 2016 MELBOURNE Sunday, 21st February 2016

9:00am – 1:00pm TCM Support for Your Ageing Clients – Focus on Chronic Conditions By Peter Kington To Book: Acuneeds Australia 1800 678 789 / 03 9562 8198 or info@acuneeds.com

MARCH 2016 AUCKLAND Sunday, 6th March 2016

9:00am – 4:00pm Better IVF Outcomes for Men and Women with Chinese Medicine By Peter Kington To Book: NZIA +64-9-4424588 or secretary@nzia.org Herbs for Health +64-9-4485418 or herbsforhealth@xtra.co.nz

BRISBANE

Sunday, 13th March 2016

9:00am – 2:00pm Male Fertility By Peter Kington

To Book: Carol Anderson 07 3852 2288 or admin@chineseherbalsupplies.com.au

APRIL 2016 SYDNEY Sunday, 10th April 2016

9:00am – 1:00pm TCM Support for Your Ageing Clients – Focus on Chronic Conditions By Peter Kington To Book: Helio Supply Company 1800 026 161 / 02 9698 5555 or tcm@heliosupply.com.au

MELBOURNE

Sunday, 17th April 2016

9:00am – 1:00pm Digestive Disorders By Peter Kington To Book: China Books 1800 448 855/ 03 9663 8822 or info@chinabooks.com.au

MAY 2016 SYDNEY

Wednesday, 11th May 2016

6:30pm – 9:30pm Stubborn Skin Problem: Eczema/Dermatitis; Psoriasis; Acne By Tony Reid To Book: China Books Sydney 1300 661 484 / 02 9280 1885 or info@chinabookssydney.com.au

ADELAIDE

Sunday, 15th May 2016

9:00am – 4:30pm Part 1 - Menstrual Disorders Part 2 - TCM Support for Your Ageing Clients – Focus on Chronic Conditions By Peter Kington To Book: Acuneeds Australia 1800 678 789 / 03 9562 8198 or info@acuneeds.com

JULY 2016 AUCKLAND

Sunday, 24th July 2016

PERTH

Sunday, 24th July 2016

9:00am – 1:00pm

Part 1 - Mood Disorder in TCM – Focus on Depression (2 hours) Part 2 - Dementia & Cognitive Impairment – How to Approach Patients with Early Signs of Dementia using TCM By Tony Reid To Book: NZIA +64-9-4424588 or secretary@nzia.org Herbs for Health +64-9-448 5418 or herbsforhealth@xtra.co.nz 9:00am – 4:30pm Part 1 - Menstrual Disorders Part 2 - TCM Support for Your Ageing Clients – Focus on Chronic Conditions By Peter Kington To Book: Julie Fergusson 08 9311 6800 or JulieF@renerhealth.com

AUGUST 2016 SYDNEY Sunday, 7th August 2016

9:00am – 1:00pm Digestive Disorders By Peter Kington To Book: China Books Sydney 1300 661 484 / 02 9280 1885 or info@chinabookssydney.com.au

BRISBANE

Sunday, 28th August 2016

9:00am – 2:00pm Digestive Disorders By Peter Kington To Book: Carol Anderson 07 3852 2288 or admin@chineseherbalsupplies.com.au

SEPTEMBER 2016 SYDNEY Thursday, 1st September 2016

6:30pm – 9:30pm Chronic Disease Management Part 1 – Gastrointestinal System. By Tony Reid To Book: Helio Supply Company 1800 026 161 / 02 9698 5555 or tcm@heliosupply.com.au

OCTOBER 2016 MELBOURNE Sunday, 9th October 2016

9:00am – 1:00pm Chinese Medicine in the Treatment of Thyroid and Autoimmune Disorders By Peter Kington To Book: China Books 1800 448 855/ 03 9663 8822 or info@chinabooks.com.au

AUCKLAND

Sunday, 30th October 2016

9:00am – 4:00pm Part 1- Menstrual Disorders Part 2 - TCM Support for Your Ageing Clients – Focus on Chronic Conditions By Peter Kington To Book: NZIA +64-9-4424588 or secretary@nzia.org Herbs for Health +64-9-448 5418 or herbsforhealth@xtra.co.nz

YOUR PRESENTERS:

TONY REID

PETER KINGTON

Master of Acupuncture, Master of TCM (UWS). Sun Herbal Co-founder, Managing Director.

Natural Health & Fertility in Red Hill, Brisbane.

“Tony’s seminars are always great. Passionate, as always, about the subjects.” G.S. Vic

FOR MORE INFORMATION VISIT WWW.SUNHERBAL.COM THE NATURAL THERAPIST Volume 31 No.1

Peter has been in practice since 2005. In addition to full time practice, Peter writes and presents professional development seminars for Chinese medicine practitioners both locally and interstate. He has recently completed a Masters of Reproductive Medicine at the University of NSW.

“Peter is an excellent presenter, professional, well-versed in his topic, thorough and entertaining. Everything you want in a lecturer.” G.B. Sydney

All information correct at time of printing. However, due to events beyond our control, changes may be required.

INNOV_15188

Tony has over thirty years’ experience as a practitioner, educator and author in TCM. He is a popular and sought after lecturer, speaking at seminars, conferences and tertiary institutions – throughout Australia, Europe and also in China. Tony is a keynote speaker with ANTA, regularly contributes articles to several professional journals both in Australia and overseas, and publishes ‘Clinical Focus’ bulletins for healthcare professionals.

Owner of Conceive -