OM Summer 2012 by Pacific College of Oriental Medicine

SUMMER 2012

www.pacificcollege.edu

The 24th Annual

Pacific Symposium

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Bolingbrook, IL PERMIT NO.932

The Science of Gua Sha By Arya Nielsen, PhD

7445 Mission Valley Rd., Suite 105 San Diego, CA 92108 www.PacificCollege.edu 800-729-0941

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acific Symposium has been an annual meeting of minds, uniting Eastern medical professionals from across the world since 1989. This world class conference brings acupuncture practitioners, massage therapists, students, and professors together to exchange industry information in a beautiful retreat setting at the Catamaran Resort and Spa in San Diego, California. Pacific Symposium has consistently delivered cutting edge speakers at the forefront of the integrative health community, and this year is no exception. Giovanni Maciocia, Lillian Bridges, Arnaud Versluys, Shoji Kobayashi, Jeffrey Yuen, and Matt Callison are some of the widely respected experts who will present seminars and lead interactive workshops covering a myriad of timely Oriental medicine topics. From fertility, facial reading and diagnosis, Qi Gong, and aging, to traditional Tui Na massage, there will be something for everyone. Pacific Symposium is proud to present Pete Egoscue as this year’s Keynote Speaker. Egoscue will discuss how he developed his unique therapy method that relieves chronic pain and encourages peak physical performance for the young, the old, the athlete, and the non-athlete. Egoscue’s method is based on the body’s functional design - or posture. Known as “The Posture Guy”, Egoscue is the author of six books and has been successfully helping people relieve themselves of chronic pain for over thirty years. We look forward to sharing another illuminating week with you at Pacific Symposium 2012! OM

raditional East Asian medicine (TEAM) has come some distance to us: more than 2,000 years of history, a scholarly archive, and many ‘barefoot miles,’ to now be situated in professional clinics and labs of research globally. Gua sha is a modality used across Asia in the clinic and the home, and now in the West. Gua sha is a part of acupuncture therapy, but not limited by law to acupuncture practice. Research into the physiology of therapies like acupuncture and gua sha qualifies what the ancients ‘knew’. Science works to clarify both benefit and risk of our medicine. When I began practice 36 years ago, I was trained in East Asian medicine but had no training in research. There was zero access to research facilities through acupuncture schools. Many years later I consulted Helen Langevin, MD about my interest in researching the biomechanism of gua sha. She advised starting with basic science: what can be used to establish a measure of change that might inform what is actually observed? I mulled this over and looked for a doctoral program that would support my research

interest. I matriculated to an academic PhD program, and through a chance meeting at my job at Beth Israel Medical Center in New York, was invited by Dr. Gustav Dobos to conduct research on gua sha at the University of Duisburg-Essen in Essen, Germany. There we performed one of the first investigations on the physiology of gua sha: measuring changes in microperfusion of surface tissue [1]. From that first investigation have come other biomarker studies; we now have something to say about the science of gua sha. Gua sha increases surface microperfusion Gua sha produces transitory therapeutic petechiae that represent extravasation of blood in the subcutis. Using laser Doppler imaging, we scanned 11 ‘healthy’ (but stressed) subjects (doctors and nurses who worked at the Kliniken Essen) who had ‘normal’ myalgia pain and evidence of ‘sha’ based on palpation. We established a baseline scan for each subject before gua sha, and

continued on page 28

INSIDE THIS ISSUE.... 3

Signs of Potential on the Face

Jue (厥): You May Never Look at Feet the Same Way

5 6

OM is Going Digital!

The Chinese Medical Canons’ View on Immune Response and Its Regulation

Manual Therapy and Traditional Chinese Medicine

Transforming Blocked Emotions Into Creative Motions

Carotid-Radial Pulse Ratio Method

Characteristics of Chinese Scalp Acupuncture

17 26

Symposium

Understanding Gluten Intolerance

Pacific College Faculty Member Helps Launch Wild Willow Farm

What’s New at Pacific College

Thoughts on Shakuju Therapy (SJT) and the “I-Ching”

A Discussion on Anatomically Significant Points of Traditional Chinese Medicine

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Signs of Potential on the Face By Lillian Bridges

otential is a word that is weighted with meaning, usually in a positive sense, about the possibility of something becoming an actuality. However, potential can also have a downside, as something can also develop into a problem. The face has many signs that indicate potential and the catch-all word from ancient Chinese medicine indicating potential is “jing.” Jing is most often understood as the inherited constitution, when it is actually so much more. Jing embodies inheritance from ancestors that includes not only the physical structure of your body and its potential physical and emotional functioning, but also the talents and abilities of your forbearers. We actually inherit many more traits than we use, and each of us is a complex mixture of his or her ancestors’ traits. Geneticists have theorized that we carry up to 14 generations of traits. However, we do have some inherent ability to determine which traits we manifest by how we live and act. This explains how even identical twins

can look different. Recently, an emerging field of science called Epigenetics has found that we have the ability to pass on acquired traits, which means that your DNA changes as you do. It is exciting to think that our life experiences can benefit our offspring, and, of course, there is also a concern that we can pass on some difficult predispositions as well. Ancient Chinese medical texts often refer to jing as being fully present at birth, but this does not mean the jing is fully accessible. Jing comes in as infusions and needs to be accessed. For example, it is believed that early childhood is a dangerous time because most children do not get their first major infusion of jing until about 7 to 8 years old. Modern neuroscience backs this up with the current understanding of the rapid development of the brain at this age. Research has shows that the brain is still developing until the age of 25, which is when the Chinese believe someone is fully grown and finally able to have their face read. Jing infusions occur at regular periods of

Oriental Medicine • www.PacificCollege.edu

time based on each individual’s timetable and stages of growth. Jing is first and most easily measured in the cartilage of the upper ear. The stronger and stiffer this area is, the more physical jing someone has. These people don’t get sick very often and have the potential to live longer than the average person. Thinner, softer, and more flexible ears indicate less physical jing. With good jing management, these people can still live long lives, but they need to be much more careful about jing expenditures. Luckily, there is also an area to measure the intrinsic spirit. This is the area behind the ears where the ear attaches to the head. Stiff cartilage here indicates a fighting spirit, easily accessible in a crisis or an emergency, like when sick. A softer, spongier area indicates less spirit and the need to enlist help when facing a crisis. Each person’s jing is stored and retrieved from what the Chinese described as underground aquifers in the body called the “Sea of Yin” and the “Sea of Yang." From here, jing is

sent through the body on the pathways of the Extraordinary Meridians, particularly the Du and Ren Channels, which come down the center of the face. The Sea of Yang is seen on the top of the forehead and is also called the “Palace of Inheritance.” The rounder this area, the more extra Yang jing you hold in reserve. This area is representative of the talents, abilities, interests and desires that you inherit from your ancestors. The right side of the upper forehead is from the mother’s family and the left side is from the father’s family. It is not possible to see what these talents and abilities are, only where they are from. This is the jing that most needs to be accessed when someone is sick, it can be the energy that helps people get well. Getting back to your intrinsic talents and abilities brings a kind of soul level satisfaction that also makes life worth living. The Sea of Yin is seen in the philtrum between the nose and the mouth. This is the point where the continued on page 39

SUMMER 2012

Jue (厥): You May Never Look at Feet the Same Way By Kiiko Matsumoto and Monika Kobylecka

f you have personal experience with foot pain, or if you have observed patients who come to the clinic with problems in their feet, you know that the issue affects more than just the local area. Problems in the feet lead to compensatory movements and adjustments that can affect the structure of the entire body. If your feet hurt, your gait may lose its grace. Ankles, knees, hips, back and even the head can fall victim to these compensatory mechanisms. If the body is upright and moving, feet are the foundation, and any problems in the foundation could mean trouble for the whole structure as it goes into motion. Structural issues, however, are not the only reason that the classics of Chinese medicine authors thought it was prudent to pay attention to the feet. They also brought up the issue of jue (厥). There are numerous passages that mention and discuss this idea and both cold and heat jue are mentioned in these texts. Cold jue, however, is thought to be more damaging and, therefore, is the focus of our article. Jue is the pathological condition that has an influence on the rest of the body – and not just the structure. Ling Shu (Chapter 75) describes how the presence of jue prevents zong qi from descending and, as a result, causes blood to coagulate. This leads to stagnation of blood not only in the lower extremities, but also Oketsu (the Japanese term for stuck blood in the abdomen). Weak Kidney jing allows jue to rise up from the feet and disrupt normal and healthy nourishment of the meridians and channels, according to the authors of Su Wen (Chapter 45). These texts also make it clear that this is an internal condition, not a coldness that simply affects the outside of the body or the extremities. This last distinction is important to remember since cold feet are a very common symptom found in patients in the clinic. A healthy body has an evenly distributed temperature which is facilitated by zong qi. Cold feet and hot head are an example of a disruption in the ideal physiology of the patient and should not be dismissed. If zong qi is not able to descend properly, patients may present with a wide array of symptoms that include structural issues (i.e. knee or hip problems) and systemic problems (i.e. cardiac problems). It is in these cases that paying attention to the feet becomes a very useful clinical tool.

Master Maruyama’s jue map Master Maruyama, a famous Japanese master, is well known for his in-depth knowledge of the Chinese medical classics. His understanding 4

SUMMER 2012

of these texts is thought by many to be at the most advanced levels. While a large majority of his writing describes key theoretical concepts, his description of the clinical application of jue is very fascinating and clinically relevant. Master Maruyama, through his experience and understanding of the ancient texts, came up with a map of jue points on the bottom of the foot – specifically at the phalangeal and metatarsal joints. He identified areas that correspond to the six levels: Tai Yin, Jue Yin, Shao Yin, Yang

Ming, Shao Yang and Tai Yang, on the bottom of the foot and made a link to symptoms in the body that correspond to the area. For example, a patient who presents with symptoms of jue affecting the Tai Yin may have symptoms of asthma or repeated bouts of bronchitis (Lung related). This patient may also have a callous located on the phalangeal and metatarsal joint related to Tai Yin. Treating Maruyama’s Tai Yin point on the bottom of the foot produces a significant change in the patient’s symptoms.

Clinical application One of the most striking things about using these points in the clinic is how very simple yet effective they are. Their effectiveness in a large percentage of patients also seems to support the theory that jue problems are even more common than we may have thought. (This shouldn’t come as a huge surprise considering the numerous mentions of jue in the classics). A large majority of patients, as many as 80 or 90 percent, present with cold feet or some deformity in the foot. Therefore, all of these patients are good candidates to test Maruyama’s jue points to see if they reduce the symptomatic presentation, abdominal reflexes, or both. Here are a couple of examples of how we applied these points clinically after identifying the patient’s constitution through abdominal palpation, pulse, and symptomatic presentation. Shao Yin (Heart/Kidney) – consider for patients with: • “Adrenal type” constitution (in Kiiko Matsumoto style of acupuncture, these are patients with pressure pain at Kidney-16 and/or Kidney-2 and/or mid-SCM) • Osteoarthritis (bones belong to Kidney) • Thyroid disorders (glands belong to Kidney) • Fertility problems • Heart and Kidney miscommunication

Tai Yin (Lung/Spleen) – consider for patients with: • Blood vessel problems (also for blood pressure) • Edema • Inner knee problems

• • • •

We found it was helpful to use the *back of the Seirin needle to identify the best location of the point in each patient. When the most effective point was found, the abdominal reflexes and the patient’s symptoms would change dramatically.

Jue Yin (Pericardium/Liver) Hepatitis Allergies High cholesterol/triglycerides Taking lots of medication (Kidney may be involved too – both liver and kidney are detox organs)

The location of the points is very important. The most effective point can best be found by pressing and checking a few different spots within the area of Master Maruyama’s point location. We found it was helpful to use the back of the Seirin needle to identify the best location of the point in each patient. When the most effective point was found, the abdominal reflexes and the patient’s symptoms would change dramatically. The location was often just a few millimeters away from a previously pressed point in the same area. These points can be comfortably needled using a 15mm, number continued on NEXT PAGE

Oriental Medicine • www.PacificCollege.edu

Jue (厥): you may never look at feet the same way continued from page 4

one gauge needle that comes with a guide tube. In very sensitive individuals, you can apply a quick pinch to an adjacent area to distract them as you needle the jue point. Some patients fall into more than just one of the six levels described. In these cases, two or three of Master Maruyama’s points were used (when found effective). For example, while treating a patient diagnosed with Parkinson’s disease who presented in the clinic with severe cramping of the foot along the big toe, both the Jue Yin and Shao Yin points were needled. These two points were needled in the exact location that completely released the cramp on his foot and significantly (more than 50%) changed the abdominal reflexes (he had pressure pain on the area corresponding to the “adrenal reflexes” and “liver reflexes” in Kiiko Matsumoto style of acupuncture). O’kyu moxa was applied to the points to strengthen the effect. (As described above, it is cold jue that we are working with and, therefore, Master Maruyama thought it was essential to treat these points with o’kyu moxa - Japanese thread/ rice-grain moxa applied on top of

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Shiunko cream directly on the point). Additional points on the body were added to further address and release the “adrenal” and “liver” reflexes. Conclusion Incorporating these points into existing treatments is simple, yet the effects can be dramatic. Next time you find your patient’s feet to be cold, consider using Master Maruyama’s points to strengthen your clinical results and reduce the patient’s symptoms. OM

Kiiko Matsumoto is internationally known for her scholarly work in acupuncture and the interpretation of Chinese classic texts. She is best known for her ability to integrate the work of very important Japanese masters including master Nagano, Master Kawaii and Dr. Manaka. Ms. Matsumoto practices in Newton Highlands, MA and teaches all over the world. She is currently collaborating with Monika Kobylecka, LAc on a clinical textbook which describes Ms. Matsumoto’s latest work. In addition to her collaboration with Ms. Matsumoto, Ms. Kobylecka practices Kiiko Matsumoto style of acupuncture in Los Angeles at the Akasha Center for Integrative Medicine and at Children’s Hospital Los Angeles (CHLA).

ep, you heard right! The OM will no longer be solely available in its regular paper form. Now you will be able to read the latest issue right from your computer at home or on your IPad! This issue you are currently reading, marks the first digital issue of OM available for free online. Just visit www.pacificcollege. edu/OMDigital to read the latest issue right on the website. You’ll be able to flip through the pages and jump to the articles you want to read, just like in the newspaper, and also click on the links inside articles and ads to go directly to the websites!

Also, for all you IPad users, the OM will now be available as an Apple app. OM Newspaper is a FREE app that automatically downloads new issues from your subscriptions, and notifies you when there’s a new issue, so you don’t have to think about it. Just download the app from the App Store, search for OM Newspaper, and add it to your iPad. You will then have the OM with you wherever you go! We hope you enjoy our new digital platforms and, of course, our same great, up-to-date coverage on the Oriental medicine news you care about! OM

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Thoughts on Shakuju Therapy (SJT) and the “I-Ching” By Shoji Kobayashi, L.Ac., President of Shakuju Association

1. Preface hakuju Therapy (SJT) is a system of acupuncture and moxibustion rooted in the theory and thoughts of the “I Ching”. As any acupuncturist knows, the I Ching is a document forming the basis of ancient Chinese theories. In this document commenting on ‘I’ (translated ‘Eki’ in Japanese), we discover for the first time the words yin, yang and tai ji. As for the meaning of ‘Eki’ itself, its inception traces back to several thousand B.C. and the I Ching that commented on ‘Eki’ was written around 400 B.C. to 300 B.C. It is obvious that the old classical books named Su Wen, Ling Shu, and Nan Jing are written based on the thought of qi and yin-yang theory.

2. Two kinds of Qi How do acupuncture moxibustion can include the theory of the I Ching and what advantage in comparison with other cures does the I

Ching present if it forms the basis of acupuncture and moxibustion? It is clear that all things in the cosmos are comprised of qi. There are two kinds of qi, namely, the visible and the invisible, according to Oriental thought. Furthermore, the visible is supported within the invisible qi. For example, the entire cosmos is supported by invisible gravity. It may be said that invisible qi is fundamental yin qi, however, human beings are ruled by another invisible yin qi, called life. The important thing is that life can easily change, whereas gravity is not necessarily changeable. As most of us know, there is a great amount of disease in the world and all diseases have their origins. 3. Cause of disease The idea of tai ji teaches us that visible phenomena, known as yang qi is supported by the invisible qi, known as yin qi. For that reason, if we regard a symptom of disease as

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is clear that all things in the cos*mosIt are comprised of qi. There are two kinds of qi, namely, the visible and the invisible, according to Oriental thought. Furthermore, the visible is supported within the invisible qi. visible phenomena, it should be easy to suppose that energy of the invisible life is deficient. That is to say, as a therapeutic method of acupuncture and moxibustion, we might be able to understand and treat various symptoms with awareness of the invisible yin qi because it affects life directly. Besides, deficiency of life means to grow cold because the life of a human being itself is what makes a body warm. The deficiency of life is expressed as Hie (cold) in SJT, and is understood as the fundamental cause of disease and a decline of the body’s vital force. This is the reason that Shakuju Therapy is called Acupuncture Core Therapy. 4. Reference Points All symptoms are understood as reference points. Shakuju is a compound word composed of shaku and ju, which means abdominal disorder. The abdomen reflects the state of the whole body because in Oriental thought, the whole is reflected in a local area. Therefore, I consider Shaku and Ju as expressions of deficiency of the life of a human being because the condition of the whole body is based on the deficiency of life. The life of a human being is described as jing-qi and the decline of life is expressed as the deficiency of jing-qi or hie (cold). Using reference points as the idea of this concept, it is clear that the degree of deficiency of life is judged by the reference points.

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5. Process of SJT (1) The following explanation is the process of Shakuju Therapy. Both shaku and ju are stagnations or accumulations of qi in the abdomen occurring because of a deficiency of jing-qi (Nan Jing #55). These are also reference points. Various kinds of symptoms are observed in the whole body as well as those points mentioned above, and because all symptoms show the disorder of qi, they are also related to Shakuju in a similar way. In other words, there is fundamental jing-qi deficiency, or hie, as the common background. This shows a tendency

for symptoms to be eliminated since the energy of jing-qi increases when Shakuju disappears. My idea is that we can understand tonification of jing-qi because the changing of reference points from acupuncture and moxibustion strengthens the energy of jing-qi. The primary objective of treatment is to tonify jing-qi deficiency. As a conclusion, I would like to say that treating a patient is to tonify the deficiency of jing-qi or hie. 6. Process of SJT (2) Below are the three steps of SJT: The first step is to identify the abdominal pattern, called sho. The second step is to treat the back shu points according to the abdominal pattern, or sho. The third step is called supplementary treatment, and is used when the results of the fundamental treatment on the back shu points are inadequate to tonify jing-qi deficiency. (1) Five patterns are used to diagnose the abdominal sho and four forms, also called sequences, are chosen to perform treatment on the dorsal side of the body. These four sequences are used per one abdominal sho from the five sho patterns and one sequence is chosen to treat the back-shu points. (2) Treatment is performed on the healthy side or the opposite side, according to the condition of BL 52, where there is less or no pressure pain. Treatment is applied at the outer bladder line first. BL 52 is also a kind of reference point to judge the degree of Jing-qi deficiency. (3) SJT also uses two methods, contact needling and pulse adjustment, to further diagnose sho on the abdomen. Ju, being the disorder of yang qi on the abdomen, is eliminated by performing these two methods. The location and degree of shaku is made more clear after ju disperses. (4) The location of shaku is expressed by five elements on the abdomen according to Nan Jing #16 and #56, as well as dividing the back into five separate zones, or areas. continued on page 15

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The Chinese Medical Canons’ View on Immune Response and Its Regulation By Arnaud Versluys, PhD, MD (China), LAc

In biomedical terms, immunity is ‘a condition of being able to resist a particular disease especially through preventing development of a pathogenic microorganism or by counteracting the effects of its products.’1 The actual process of resisting the pathogenic perpetrator is called immune response or immune reaction, which is ‘a bodily response to an antigen that occurs when lymphocytes identify the antigenic molecule as foreign and induce the formation of antibodies and lymphocytes capable of reacting with it and rendering it harmless.’2

he concept of immunity is omnipresent in classical Chinese medical literature. And, in particular, immune response is described as early as in the Han dynasty (circa 200 BC) Huangdi Neijing, or the Yellow Emperor’s Inner Canon, therefore being the first and foremost medical textbook to spell out in great detail the step-by-step process that the body goes through when responding against pathogenic affliction. The Neijing Spiritual Pivot anecdotally describes the following: “Huangdi says: How is pain engendered? For what reason and what is it called? Qibo answers: Wind cold and PCOM- OrMed-10.0625x7.5 - H

051012 (12-08-11)

damp qi lodge between the flesh layers and push and poke, thus causing foam, whereupon the foam collects when encountering cold. The accumulation spreads the layers apart and causes them to rupture. The rupture causes pain, and the pain causes shen to arrive神歸, for when the shen arrives there is fever, and with the fever the cold resolves…”3 Here, shen refers to the organism’s immune awareness. This activity is governed by the heart as it represents the emperor. A good emperor becomes aware of a border breach as early as possible, and commands the triggering of defense

mechanisms to rectify such breach. The imperial awareness arrives at the site of damage, and along with itself brings the fire of the south, which in the periphery is known as yang or protective. The arrival of the imperial yang protective of the south at the location of breach is the classical view on immune response, and clinically presents as fever. Ming dynasty Neijing commentator Zhang Jiebing explains: “With pain, the heart pours into the region, for this is the arrival of shen. The arrival of shen is the arrival of qi. The arrival of qi causes heat. And the heat causes the cold to disperse and the pain to briefly resolve.”4 Neijing Suwen clearly establishes the link between external invasion and fever by saying: “All febrile diseases nowadays belong to the category of Cold Damage.”5 Biomedicine considers that “Fever is the body’s reaction to pathogens; it attempts to raise core body temperature to levels that will speed up the actions

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of the immune system, and may also directly denature, debilitate, or kill the pathogen.”6 Cold Damage is the Han dynasty name of what we now commonly refer to as ‘external invasion’. The Nanjing or Classic of Difficulties states: “How many types of Cold Damage are there? … There are five types of Cold Damage, these are Wind Strike, Cold Damage, Damp Warmth, Heat Disease and Warm Disease, and their [inflicted] suffering is all different.”7 As such, it is clear that what the classics consider fever is the body’s attempt at optimizing body temperature, to provide optimal conditions for the functioning of the immune system and its response against illness of any possible nature, be it cold, damp, warm, hot, etc. The above is the Han dynasty equivalent of modern medicine’s view of the mechanism and function of fever: “In many respects, the continued on page 16

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SUMMER 2012

The Difference Between Western Reproductive Medicine And Traditional Chinese Medicine Approaches To The Treatment Of Infertility By Mike Berkley, LAc, FABORM

estern reproductive medicine can do the following things: promote follicular development with certain medications, promote ovulation with other medications, perform intra-uterineinsemination, and in-vitro-fertilization. Western reproductive surgeons can also perform often necessary surgeries to create a fertile environment where polyps, fibroids, uterine anomalies and cervical anomalies are present. Without these types of interventions, many infertile women would never have children. Traditional Chinese medicine can often regulate systemic dysfunction naturally. That means that TCM can contribute to helping the PCOS patient ovulate without Clomid or perhaps with a lesser amount of Clomid. In the morbidly obese PCOS patient, weight loss is of paramount importance in

increasing the ability to conceive because excess fat stores androgens and converts androgens to estrogen, thereby creating a hormonal imbalance that is unlikely to enable conception. Acupuncture and herbal medicine along with exercise and life-style changes can make weight loss and its attendant health benefits possible. In the endometriosis patient, acupuncture and herbal medicine cannot eradicate endometriosis but they can reduce the inflammatory environment associated with this disease. An interesting example of this is the patient with stage 1 endometriosis who does not present with pelvic distortion but cannot get pregnant. Why not? Her husband’s sperm is fine and other than the endometriosis there are no contributing factors to the state of infertility. Even other autoimmune disorders have been ruled out as possible

contributing factors. The infertility stems from an inflammatory intrauterine environment that either destroys the embryos or makes the uterine lining inhospitable to an embryo that is trying to implant. Acupuncture and herbal medicine can often regulate this environment by reducing this inflammatory process. Many men have low sperm count as a result of a minor vericocele. Surgeons do not operate on minor vericoceles because the benefit does not exceed this risk. The cause of a vericocele is pooling and stagnating and over-heating of blood in the pampiniform plexus. The pampiniform plexus refers to the veins in the testicles. The sperm- killing-heat is caused by the pooling and stagnating of blood. Acupuncture and herbs can strongly move qi (energy, metabolism, circulation) and blood in the testicles. As a result

of this, the blood is less congealed, the blood flow is more functional and the heat is diminished, contributing to increased sperm count. Even in the face of a major vericocele, the surgical outcomes are successful 50% of the time. This means that even with surgery, there is a 50% possibility that the count will remain low. One of the reasons for this is that long term blood stagnation and heat in the testicles causes tissue necrosis (death) and sperm cannot be adequately produced. The determination of success can only be made after the surgery. The recovery time after the surgery is six months. The reason that this is the case is because the inflammation caused by the surgery takes that much time to be reduced. Utilizing acupuncture and herbal medicine continued on page 27

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Manual Therapy and Traditional Chinese Medicine By Bill Helm, OBT, AOBTA Certified Instructor, Taoist Priest

raditional Chinese Manual Therapy was historically represented by the schools of tui na/anmo. Manual therapy was considered to be the use of massage and passive movement-traction methods as a specific therapeutic activity, especially in the treatment of orthopedic conditions. Manipulation of the structures was also included in the treatment of joint pathology as a supplement to a variety of treatment styles. Regardless of whether acupuncture, moxibustion or tui na was the primary treatment, the joint structures were manipulated to restore their proper anatomical relationships. This ensured a better treatment outcome. Previous to that, the manipulation methods were performed by bone setters or Jie Gu. Manipulation methods in the United States are a contested area of the scope of practice for TCM practitioners. Active forceful manipulation is considered the domain of chiropractors, osteopathic doctors, and physical therapists. Forceful manipulation is a grey area of TCM practice and is regulated state to state. However, the ability to utilize soft tissue massage methods is a legal and safe way to effect change in joint relationships. Traditional methods considered manipulation of subluxated joint structures to be a form of bone setting. Historically bone setters were specialists who were able to reduce fractures, dislocations, and subluxations that occurred in the daily work life of the Chinese people. They were not usually specially educated and were often trained in a family tradition or through an apprenticeship with a teacher. In the more modern era, these practices were incorporated into various schools of tui na and anmo as part of their orthopedic treatments. There is still a specialty referred to as Traumatology that treats small fractures and dislocations. They also specialize in herbal applications for trauma. To go to a tui na clinic in modern China is like a trip to the massage therapist, orthopedic doctor, and chiropractor combined into one visit.The doctors are trained in tui na soft tissue methods, mild and forceful mobilizations of joint structures and Western orthopedic exams and injection methods. Many acupuncturists are also trained in some form of manipulation to better ensure the best possible outcome when treating of orthopedic problems. Unfortunately in the nited States, this is not a widespread practice.Many acupuncturists must study some form of massage or tui na after graduation to better equip

Helm demonstrates passive movement â&#x20AC;&#x201C; a Rub-Roll for the shoulder

Helm uses passive movement -- traction for the carpal bones of the wrist

Passive movement traction for the shoulder

themselves with tools for treating conditions such as low back pain, frozen shoulder, and stiff neck. Tui na methods can vary but all styles treat orthopedic disorders

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similarly. The treatment principles usually begin with activating the circulation of the qi and blood, followed by systematically locating and dispersing obstructions to

the free flow. The primary focus is upon the Ahshi points, the sore and tender places where stagnation has accumulated. These points may be specific acupoints, or they may be located adjacent to the main channels and points. These are palpated and then massaged until they lose their initial reactiveness. When the area has been cleared of Ahshi points a more general phase of harmonization is begun. This is a milder type of massage and focuses upon restoring proper flow of the qi and blood through the area. Massage of specific local and distal points are used as well as the channels. This is the resolution phase in treatment, which is then followed by passive joint -traction methods to restore the proper joint and tendon relationships. These methods involve range of motion, stretching,traction and shaking/vibrating techniques. The structures are manipulated in order to release residual tension around the tendons and joint structures. This also helps the qi and blood to move freely across the joint structures and releases neurological inhibition or guarding. The manipulations are performed by moving the structures through linear and circular movements, alternating with traction, to stretch the tendons and joint structures. The patient's limits are explored to locate residual pain and to extend their range of motion. Care must be taken at this stage to not overextend the range of motion and re-injure the patient. Finally, an external herbal liniment or salve is usually applied to help resolve the released stagnant qi and blood. There are several different styles of soft tissue manipulation and structural mobilization. Some styles utilize very light pressure to mobilize joint structures, while others may apply significant force to realign the bones. Many methods incorporate stretching into their manipulations, using the lengthening of the muscles and tendons to improve the biomechanics of the affected area. Another approach is to use gentle rocking and shaking of the target structure to release the muscle tension that is preventing proper joint alignment. The goal of these strategies is the optimal alignment of the musculoskeletal structures of the body. The increased use of Manual Therapy is part of the integrative health movement that is widespread today and can only improve patient care and outcomes. OM

SUMMER 2012

Transforming Blocked Emotions Into Creative Motions – The ancient Taoist secrets of Navel Evaluations & Healing through the Navel Gate By Osi (Osnat) Livni-Hersh, HHP

“And you can see all of this just by looking at my navel…?” - my client said in disbelief. Could my navel show how all my life I’ve been struggling with joint pains? How my moods change so erratically … my cycle never comes on time… my poor eye-sight… constant frustration at work… how hard it is for me to forgive people… How can you tell…? This is magic!” “Well, Taoist healing is kind of magical” – I smiled back – “Yet, a very systematic and logical magic. Specially, the miraculous insight we can learn from the shape of your navel." You see, the umbilical cord is the original gate of our life force. It is the pre-natal pathway of nourishment and purity. The navel we see in our bodies today is an expression of the cord we once used to receive and maintain life. Evaluating the navel’s shape and its inner lines may reveal a “soul chart” - similar to an astrological chart - with much insight regarding one’s well-being and spiritual

transformation. According to the Oriental medical discipline of the healing tao, the physiology of our soul resides within the internal organs, as they contain the very essence of our physical, emotional, and spiritual life force. Our total health and well-being are dependent on the harmonious function of the internal organs. A part of the cosmic heaven qi (yang energy) finds identity in a specific expression of life-essence as soul vibrations. It is than anchored into the physical realm of the Earth (yin energy) by uniting with human physical yin and yang forms: yin = female - egg, yang = male - sperm. Human beings take nine months of incubation time in which the subtle essence of the soul vibrations is compressed, creating various layers of density, until it manifests a complete human body. This manifestation process takes place via the navel gate. The umbilical cord is the only opening in which the necessary

nourishment may flow inward and waste may be purify outward. Through the navel, the internal organs are created as containers of the life force (qi), the umbilical cord bridges them together as a whole. At birth, the creation of the physical form is complete. The first breath provides the new-born with independent connection to the life force. At that moment the qi starts flowing independently within the newborn’s meridians. The umbilical cord is no longer essential to maintain a bridge to life vibration, and its external tissue is removed. However, the subtle energetic connection to the layers of qi within the organs is imprinted at the Navel Gate, forming a “blue-print” of our original essence and soul vibrations. All the main branches of the nervous system, the blood vessels, the lymph glands, and the energetic channels—known as meridians— cross paths in the abdominal region. The navel is their original control center, and, therefore, reflects the overall physical health of the body.

Opening the navel gate allows the release of un-supportive beliefs and emotions which are stored in the body’s cells, as well as in the memories of the soul, causing pain, stress and toxicity. To be able to read and open the navel’s soul-gate, we first need to look at the energetic structure of the body: the specific links between emotional stress and various symptoms of pain, disease, or dysfunction of the organs, as well as their expression through the navel. The Five layers of the human Energetic (qi) Structure “Qi” means “Quantum Vital Energy” or “Life Force”. Our life force energy is built from accumulated vibrations that create the electro-magnetic field of our human identity. The Taoists refer to these vibrations as the yin and yang component of the chi; The complimentary polarity of creation. We can look at the “yin” aspect as the electric component of continued on page 33

Carotid-Radial Pulse Ratio Method By William R. Morris

he Spiritual Axis (Ling Shu) begins with an admonition that has been repeated by practitioners throughout the millennia. An acupuncturist must check the patient’s pulse before needling in order to know the condition of the patient and develop the diagnosis, treatment plan, and treatment. This paper is an excerpt from a book in progress entitled The Path of the Pulse, It explores the application of carotid-radial pulse ratios to clinical practice. The method is often called “jingei” in Japanese and “renying-cunkuo” in Chinese. The premodern world of the Han dynasty (206 BCE–220 CE) is the time frame where this medical knowledge was placed into textual form within The Yellow Emperor’s Classic (Huang Di Nei Jing), Spiritual Axis (Ling Shu), and the Difficult Classic (Nan Jing).

Brief History Early Han Dynasty literature attributed to the Han Dynasty such as the Yellow Emperor’s Canon (Huang Di Nei Jing) discusses these practices. The renying (carotid artery) and cunkou (radial artery) pulses are discussed in Simple Questions (Su Wen) 10

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chapter 9 and Spiritual Axis (Ling Shu) chapters 9, 19, 48 (1-3). Chapter 48 of the Spiritual Axis (Ling Shu) extends the concept of yin and yang into the channel systems. The radial pulses represent the yin channels and the carotid pulses represent the yang channels. Breaking this down into the six divisions, the radial pulse correlates with the three yin channels (taiyin, shaoyin, and jueyin), while the carotid pulse correlates with the three yang channels (taiyang, shaoyang, and yangming). The radial and carotid pulses are also called yin/yang pulses. Rationale Providing a 10,000 foot-view upon the human condition, the carotic-radial pulse is the largest and most summative perspective upon yin and yang conditions within the human body. All other methods parse at levels of the 9 palaces, 8 extraordinary vessels, visceral and bowels, and 3 treasures. Having said this, the radial and carotid artery pulse method is a useful perspective on physiology. The Koreans have contributed a notion of cerebral blood flow. The authors of the Yellow Emperor’s Classic

(Huang Di Nei Jing) suggested that the 6 channels and the corresponding viscera and bowels, as well as prognostics, can be evaluated using the carotid and radial arteries pulse assessment. All phenomena, including disease, can be analyzed using the dialectics of yin and yang theory. Yin and yang theory form an important foundation for building knowledge in traditional Chinese medicine, and it is extended to the practice of pulse diagnosis. Ling Shu chapter 19 suggests that the cunkou pulse represents yin and the carotid pulse represents yang (3). The superior physician palpates the pulses and there is emphasis on examining the radial and carotid, according to chapter 48 of the Spiritual Axis (Ling Shu), "Understanding the Channels Thoroughly Before Pricking" (Jin Fu) (3, p. 699). There are yin and yang pulses; one who knows the yin pulse will also know the yang pulse, similarly, when palpating the yang pulses, one can know the yin pulse. The pulse that represents three yang channels is located in the yang aspect at the carotid artery (renying) while the

pulse that represents three yin channels is at the hand at the radial artery (cunkuo). The carotid and radial pulses on the same side are actually one as yin/yin is one. Application Korean Hand Therapy (KHT) pays attention to the balance of the carotid and radial pulses for purposes of evaluating cerebral blood flow. The system evaluates circulation left and right, as well as anterior and posterior, suggesting carotid and vertebral circulation (4-6). The carotid artery is used to assess the cerebral blood flow, while the radial is used to assess the vertebral circulation. Large differences in force and volume side to side are strong indicators that the carotid –radial rations should be considered. Reasons for such differences may include: tension of the sternocleido mastoid and scalene muscles, obstructions such as masses or scars, and risk of more serious conditions such as cerebrovascular accidents in appropriate populations. continued on page 34

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If you would like to join this esteemed group, enroll in Pacific College’s Doctoral Program DAOM Capstone Projects The list below is of those who have successfully defended their dissertations: Validation of Point Prescription for Radiation Prostatitis, by Pierre Aurelien Invitro Effect of 350 Chinese Herbs on the P450 CYP3AA Enzyme, by Lily Chang Dr Jiao’s Herbal Medicine for Rheumatiod Arthritis, by Ay-ying Chen The Efficacy of Simultaneous Use of Massage Therapy and Acupuncture Treatment (SUMTA) for Patients Undergoing Pain Management, by Mei Chou The Efficacy of Electro-Acupuncture in Treatment of Schiatica Due to Intervertebral Disc Herniation, by Michael Corradino The Critical Review of Acupuncture’s Effects on Relieving Symptoms Due to Prostatitis Radiation, by Elisebete DeSouza Comparisons of CD4 Count and HIV Viral Load in Patient Treated with Point Injection Therapy, Acupuncture and Glycyrrhizin Tablets, by Uchenna Egwuonwu Evaluation of Required Elements of Fully Integrated Pocket Clinic Manual, by Daniel Hsu Precision Using Chinese Herbal Medicine for Optimal Efficacy in the Treatment of Various Microbial Pathogens, by Steve Jarsky Systematic Review of the Effectiveness of Traditional Chinese Medicine Treatment on Alzheimer’s Disease, by Brian Kouo The Effects of Acupuncture on Weight Loss in Overweight Adults Over 40 Years Old, by Ed LaMadrid An Evaluation Study Designed to Improve the Evaluation Process of Clinical Supervisor Skills, by Gina Lepore Evaluation of Miriam Lee’s Rotation Method as a Primary Needle Manipulation in the Treatment of Pain, by Leslie McCoy A Critical Review of Etiology, Pathology and Treatment of Pediatric Attention Deficit Hyperactivity Disorder in Oriental Medicine, by Karen Pan Response of Blood Glucose Levels to Acupuncture in Type II Diabetes, by Don Snow Systematic Analysis of Electronic Health Record Software for the Oriental Medical Clinic, by Greg Sperber The Effect of Traditional Chinese Medicinal Herbs on Reducing the Vasomotor Symptoms of Climacteric Women in the United States, by Robin Tiberi The Effectiveness of Anatomical Acupuncture vs. Anatomical Plus Scalp Acupuncture on the Voluntary Movement of the Flexion and Extension of the Dysfunctional Arm in Post-Stroke Patients, by Toan Truong

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Characteristics of Chinese Scalp Acupuncture By Jason Jishun Hao, DOM; Christopher C. Butler, LAc; Charles Meyer, LAc

hinese scalp acupuncture is a contemporary acupuncture technique integrating traditional Chinese needling methods with Western medical knowledge of the cerebral cortex. Scalp acupuncture has been proven to be the most effective technique for treating central nervous system disorders. It often produces remarkable results with just a few needles, and usually brings about immediate improvements. (1) The use of acupuncture for preventing and treating disorders can be traced back more than 2,500 years in China. Throughout its long history, acupuncture has evolved its own unique traditional medicine. By embracing newly developed knowledge and technology, it continues to create additional methods. Techniques such as electric and laser acupuncture, and even new acupuncture points are currently being developed. The most significant development that Chinese acupuncture has made in the past 60 years is to form scalp acupuncture by integrating Western medicine with traditional Chinese medicine.

Scalp acupuncture is a well-researched natural science, and incorporates extensive knowledge of both the past and the present. Years of clinical experience have contributed to its recent discoveries and developments. But treatment of disorders by needling the scalp has also been traced back to early civilizations. In 100 BC, the first Chinese medicine book, Yellow Emperor’s Classic of Internal Medicine (Huang Di Nei Jing), described the relationship between the brain and the body in physiology, pathology, and treatments. Citations of acupuncture treatments on the head for limb disorders are also found throughout classical Chinese literature. This modern system of acupuncture has been explored since the 1950s in China. Various famous physicians introduced Western neurophysiology into acupuncture fields and explored correlations between the brain and the human body. There were several hypotheses for mapping stimulation areas: Fan Yunpeng mapped the scalp as a prone homunculus with its head toward the fore-

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head and legs toward the occipital area. (2) Taking a dividing line that connects to the left ear, vertex, and right ear, Tang Songyan proposed two homunculi on the scalp with one in a prone position and another in a supine position. (3) Zhang Mingjiu and Yu Zhishun’ scalp locations are formulated by penetrating regular head points (4); and Zhu Mingqing created several special therapeutic bands on the scalp. (5) It took acupuncture practitioners roughly 20 years before they accepted a central theory that incorporated brain functions into Chinese medicine principles. Dr. Jiao Shunfa, a neurosurgeon in Shanxi province in China, is the recognized founder of Chinese scalp acupuncture. He systematically undertook the scientific exploration and charting of scalp correspondences starting in 1971. Dr. Jiao combined a modern understanding of neuroanatomy and neurophysiology with traditional techniques of Chinese acupuncture to develop a radical new tool for affecting the functions of the central nervous

system. Dr. Jiao’s discovery was investigated, acknowledged, and formally recognized by the acupuncture profession (6) in a national acupuncture textbook, Acupuncture and Moxibustion, in 1977 in China. Scalp acupuncture is a modern innovation and development. Just like any new technology and science, the discovery, development, and clinical application of scalp acupuncture has undergone a period of challenge because it has broken down fundamental theories of Chinese medicine and is a new concept for the Western world. As a contemporary acupuncture technique, many of the specific treatments put forward here are also new, at least in the Western medical field. There are several new viewpoints, however, which are of central importance and which depart considerably from traditional Chinese medicine. The first of these viewpoints is the location of scalp acupuncture areas based on the reflex somatotopic system organized continued on page 15

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Thoughts on Shakuju Therapy (SJT) and the “I-Ching” continued from page 6

Characteristics of Chinese Scalp Acupuncture continued from page 13

If it is insufficient to tonify jing-qi deficiency with only treating the back shu points, supplementary treatment may be applied to further enhance the circulation of qi. This last step is applied after the dorsal fundamental treatment has been performed. For example, CV 20 is applied after the treatment of the back shu points if the qi deflects strongly upward in the body, like a headache or throat pain and so forth.

on the surface of the scalp from the Western medical perspective. This does not relate to the theory of meridians in Chinese medicine, and this lack of correlation meant the rise of an essentially new type of concept. Secondly, because the technological innovation and invention in scalp acupuncture is fairly new, positive results can only reasonably be achieved by practitioners who have studied it. Even an established doctor in China cannot perform it without seeing a demonstration. In addition, scalp acupuncture consists of needling areas (see chart 1), rather than points, on the skull according to the brain’s neuroanatomy and neurophysiology. Unlike traditional acupuncture, where one needle is inserted into a single point, in scalp acupuncture needles are subcutaneously inserted into whole sections of various zones. These zones are the specific areas through which the functions of the central nervous system, endocrine system, and meridians are transported to and from the surface of the scalp. From a Western perspective, these zones correspond to the cortical areas of the cerebrum and cerebellum, responsible for central nervous system functions such as motor activity, sensory input, vision, speech, hearing, and balance (see chart 2). In clinical

7. Consciousness Why is it we can cure a disease with acupuncture and moxibustion? It is difficult to find a clear answer from the thought of modern medicine, but there is an answer in Oriental theory and that is, human beings are made to live by qi. In other words, we can be active when the body is warm, but we experience illness when the function of qi is deficient. As defined above, fundamental hie, or cold, is ultimately the origin of disease, however, the body will show a tendency to recover if the function of qi is increased by warming hie. Moreover, if a practitioner performs consciousness or the use of intention while giving treatments, the qi of the patient’s body will become warm and can set the course toward eliminating all disease

symptoms. The use of consciousness in Shakuju Therapy is another function of qi, increasing its effects. 8. Conclusion A disease originates from deficiency of jing-qi. Jing-qi deficiency makes a body cold and all symptoms occur in this environment. The sick body warms if jing-qi is tonified in the treatment of Shakuju Core Therapy. OM

Reference materials:

Shoji Kobayashi, ‘Shakuju Therapy’ NAJOM #22, July, 2001 Shoji Kobayashi, ‘Shakuju Therapy’ NAJOM #23, November, 2001 Shoji Kobayashi, ‘Shakuju Therapy’ NAJOM #24, March, 2002 Shoji Kobayashi, Acupuncture Core Therapy, Paradigm Publications, NM, 2008

Biography of Shoji Kobayashi, LAc is president of the Shakuju Association and general manager of Shakuju Association in North America (SANA). He founded Shakuju Association in 1980 and was a lecturer of honor at Kanto Acupuncture College in 2007. He was a lecturer at Kanto Acupuncture College in 1976. He's been a president of the Taishido Acupuncture Clinic in Tokyo since 1972.

practice, acupuncture treatments are typically based on highly individualized philosophical constructs, and intuitive impressions. The practitioner has a wide amount of discretion on the use of points and techniques. Therefore, even when treating the same complaint, the method of treatment chosen by one practitioner can vary significantly from another. Scalp acupuncture, on the other hand, applies more of a Western medicine approach, where patients with the same diagnosis usually receive similar types of treatments. The scalp somatotopic system seems to operate as a miniature transmitter-receiver in direct contact with the central nervous system and endocrine system. By stimulating those reflex areas, acupuncture can have direct effects on the cerebral cortex, cerebellum, thalamo-cortical circuits, thalamus, hypothalamus, and pineal body. The scalp’s unique neurological and endocrinal composition makes it an ideal external stimulating field for internal activities of the brain. Scalp acupuncture treats and prevents disease through the proper insertion of needles into scalp areas. It is accompanied by continued on page 39

A Publication of Pacific College of Oriental Medicine

Oriental Medicine

3rd Annual Essay Contest, Get Published, and Win $100

The OM Newspaper is hosting its 3rd Annual Essay Contest open to all current Pacific College students and alumni. Start creating a name for yourself in the field of Oriental medicine and massage therapy. Be printed next to some of the biggest names in the industry, begin establishing a presence on the web, and have your work seen by thousands of readers around the world. This is an opportunity you don’t want to miss!

OM Newspaper Essay Contest PCOM’s Oriental Medicine Newspaper and website enthusiastically encourage publishing articles by noted authorities in the field of Oriental medicine. Continuing that tradition, we are expanding both to showcase students and alumni. All you need to do is submit a work that has previously been turned in for a Pacific College academic course, or submit a new article. However, there is no need to write a new paper. Simply choose your best work, and submit it with a completed Essay Contest Participant form. We look forward to seeing you on our website. Essays will be judged on satisfaction of requirements, accuracy of information, and readability. Please Note: No submissions will be accepted without the Essay Contest Participation Form, found at pacificcollege.edu/omessaycontest

The requirements are simple, and the winner will receive: 1. 2. 3. 4.

A $100 gift certificate, redeemable at the Pacific College Bookstore Publication (with byline) in the Winter 2013 OM Newspaper Publication (with byline) on the Pacific College Website Publication (with byline) in an issue of PCOM’s bi-monthly E-Zine

Requirements: 1. Be a current Pacific College student or alumni 2. Use an existing essay turned in for a Pacific College academic course, or write a new essay, 500-2,000 words. 3. Additional requirements found on pacificcollege.edu/omessaycontest 4. Email essay to om-editor@pacificcollege.edu

by Tuesday, November 1, 2012

Questions? Contact om-editor@pacificcollege.edu. Oriental Medicine • www.PacificCollege.edu

SUMMER 2012

The Chinese Medical Canons’ View on Immune Response and Its Regulation continued from page 7

hypothalamus works like a thermostat. When the set point is raised, the body increases its temperature through both active generation of heat and retaining heat. Vasoconstriction both reduces heat loss through the skin and causes the person to feel cold. If these measures are insufficient to make the blood temperature in the brain match the new setting in the hypothalamus, then shivering begins in order to use muscle movements to produce more heat. When the fever stops, and the hypothalamic setting is set lower; the reverse of these processes (vasodilatation, end of shivering and non-shivering heat production) and sweating are used to cool the body to the new, lower setting.”8 As such it becomes clear that fever is the response that the organism triggers in order to optimize immunity by regulating the body temperature to stop the progression of an acquired illness and rectify physiology. The above phenomenon of raising peripheral body temperature through vasoconstriction is in the Shanghan Lun or Treatise on Cold Damage referred to as Taiyang disease, as it manifests with aversion to cold and body aches.9 More

specifically, the process of vasoconstriction will lead to the absence of sweating and aversion to cold which in Shanghan Lun terms is called Taiyang Cold Damage.10 This is why in such instances, the pulse becomes very tight. While fever to regulate body temperature through vasodilatation will produce a sweat along with the fever and is in Shanghan Lun terms referred to as Wind Strike11 which is accompanied by a milder form of cold aversion, known as wind or draught aversion. The latter cannot present with shivering, and is imperatively accompanied by sweating. The opening of the vessels makes the pulse feel soft or moderate. The intention of treatment will be to assist the body in this febrile process to adequately regulate peripheral immune function through thermo-regulation and counter the breach, thus effectively undoing the disease process. The herbal medicine practice recorded by Han dynasty Zhang Zhongjing in his Treatise on Cold Damage or Shanghan Lun is the premier instruction on assisting the body in this process using canonical herbal formulas. The canonical prescriptions are the

magistral formulas of our medicine. The differentiation system used by Zhang Zhongjing is based on a model of six conformations. This system differentiates six types of yang functional expressions. From the perspective of thermodynamics, the yang conformations govern peripheral temperature regulation, while the yin conformations govern visceral temperature regulation. Taiyang is the first stage and its function is to help the body maintain steady peripheral blood temperature through vasoconstriction or vasodilatation. Damage to taiyang results in the inability to stabilize one’s body temperature resulting in upward or downward deregulation and fever. Its hallmark febrile symptom is fever with aversion to cold or wind. The second stage is yangming and its function is to prevent the body from over-heating and dehydrating through the abundant generation of cool moisture in the lung and skins. Damage to yangming results in the heating up of the air in lungs and stomach and consequent drying up of cooling moisture, resulting in the inability to stop the proliferation of fever and sweating.

G OLDEN F LOWER C H I N E S E

H E R B S

The hallmark clinical presentation is high fever with aversion to heat. The third stage of the thermoregulatory chain is called shaoyang. Shaoyang governs the transfer from peripheral body temperature into the viscera through the internalizing of warm gasses or qi embedded in nutritive humors. Damage to the physiology of the shaoyang conformation results in a generally lower fever than the previous stage, but alternated by chills. The treatment of these three stages is then the reregulation of their thermodynamics. The methods are recorded in great detail in the Shanghan Lun and suggest the use of well-known formulas such as Mahuang Tang, Guizhi Tang, Baihu Tang, Tiaowei Chengqi Tang, Huangqin Tang and Xiao Chaihu Tang, among others. OM

To continue reading, please view this article in full on our website at: http://www.pacificcollege.edu/ a c u p u n c t u re - m a s s a ge - n ew s / articles/1159-the-chinese-medical-canons-view-on-immuneresponse-and-its-regulation.html

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Sheng Mai Formula : Qi requires blood and body fluids for a medium of transport. If damage to body fluids is significant enough to weaken the qi and alter the pulse. This formula is used to rectify qi and restore body fluids.

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Toll-Free 1.800.729.8509 Email info@gfcherbs.com Oriental Medicine • www.PacificCollege.edu

2012

TCM Acupuncture Massage

A Guide To

2012 November 8-11, 2012 The Catamaran Resort Hotel & Spa San Diego, CA

2012

Learn From the Best: Shoji Kobayshi Mike Berkley Lillian Bridges Andrew Gaeddert Heiner Fruehauf Edward Neal Jason Hao Claudia Citkovitz Marilyn Allen Robert Nations Jian Min Fan Whitfield Reaves

Kiiko Matsumoto Giovanni Maciocia Matt Callison Rick Gold Janet Zand William Morris Arnaud Versluys Arya Nielson Yuan Wang Bill Helm Osnat Livni

Keynote Address:

Pete Egoscue, author of Pain Free - November 9

Plus Pre- and Post-Symposium Workshops with: Mike Berkley, November 6-7 Giovanni Maciocia, November 12-13 Shoji Kobayashi, November 12-13

Pacific Symposium 2012 Schedule at a Glanc Tuesday/Wednesday 11/6-11/7

Thursday 11/8

Friday 11/9

Saturday 11/10

Early Morning Qi Gong (1 CEU per session)

Two-Day Session: 9 am-12 pm

9-9:50 am

East Meets West in Reproductive Medicine Mike Berkley

Qi Gong for Health Practitioners Bill Helm

7-7:50 am

Qi Gong for Health Practitioners Bill Helm

Morning Workshop: Alternative to General Session Lectures (3 CEU’s) Traditional Thai Bodywork for Leg and Back Pain Richard Gold

Chi-Nei-Tsang Osnat Livni

Neck Problems in the Seven Vertebrae, Part 1 Kiiko Matsumoto

General Sessions (1 CEU per speaker/3 per morning) Introduction to Classical Acupuncture Edward Neal

The Dao of Fetal Heart-Rate Monitoring Claudia Citkovitz

Constitutional Therapy in Chinese Medicine Heiner Fruehauf

9:5510:45 am

Treating Gluten Intolerance, Part 1 Andrew Gaeddert

Transformation and Chinese Medicine William Morris

From Jing to Ming, Part 1 Lillian Bridges

11:10 am12 pm

Han Dynasty Huangdi Neijing View on Immune Response Arnaud Versluys

Fibromyalgia: Diagnosis and Treatment Strategies Richard Gold

Anatomically Significant Points and Why We Must Embrace Them Whitfield Reaves

Afternoon Qi Gong (1 CEU per session) 12:151:05 pm

Qi Gong for Health Practitioners Robert Nations

Afternoon Workshops (3 CEU’s per workshop) 2-5 pm

Ethics in the Business of Healthcare Marilyn Allen

Traditional Thai Bodywork for Relief of Arm, Shoulder, and Neck Pain Richard Gold

Neck Problems in the Seven Vertebrae, Part 2 Kiiko Matsumoto

Treating Gluten Intolerance, Part 2 Andrew Gaeddert

Birth: The Heart and Essence Claudia Citkovitz

Anatomically Significant Points of the Hip and Lower Extremity Whitfield Reaves

Canonical Chinese Medicine for Auto-immune Disorders Arnaud Versluys

PsychoSocial Uses of Pulse Diagnosis William Morris

From Jing to Ming, Part 2 Lillian Bridges

Introduction to Neijing Classical Channel Theory Edward Neal

Differentiating Low Back Pain Referral Patterns (Yao Tui Tong) Matt Callison

Ancient Harmonizing for Modern Life From Dr. Zhang Zhong Jing Jian Min Fan

Practical Facial Rejuvenation Using Traditional Chinese Medicine Yuan Wang

Chinese Scalp Acupuncture for Central Nervous System Disorders Jason Hao

Characterizing the Female “Archetypes” Heiner Fruehauf

Keynote Address: The Art of Possible... Pete Egoscue

Symposium Party

Evening Events 7-9 pm

Modern Research Embraces Traditional Chinese Medicine Janet Zand

Early

2012 Package Prices

rEgular

(by Sept. 2)

(Sept. 3 - Oct. 14)

latE and OnsitE (After Oct. 15)

Online

Mail/Phone

Online

Mail/Phone

Online

Mail/Phone

Pre/Full/Post - All Pass Event (Tues-Tues) 64 CEU’s

$885

$910

$1005

$1030

$1075

$1100

Pre/Full (Tues-Sun) 50 CEU’s

$740

$765

$835

$860

$875

$900

Full/Post (Thurs-Tues) 50 CEU’s Full (Thurs-Sun) 36 CEU’s

$740 $530

$765 $550

$835 $585

$860 $610

$875 $640

$900 $665

3 Day General Pass

$440

2 Day General Pass

$340

$465 $360

$485 $400

$510 $425

$515 $430

$540 $455

1 Day General Pass (Thurs or Fri) 1 Day General Pass (Sat or Sun)

$190 $180

$210 $200

$215 $215

$240 $240

$235 $235

$260 $260

Pre with Berkley Only 14 CEU’s Post with Maciocia or Kobayashi 12 CEU’s

$320

$345

$360

$385

$390

$415

$320

$345

$360

$385

$390

$415

Glance - 64 CEU’s/PDA’s Sunday 11/11 Qi Gong for Health Practitioners Bill Helm

Pre and Post-Symposium Workshops

Monday/Tuesday 11/12-11/13

Pre-Symposium Workshop Two-Day Sessions:

East Meets West in Reproductive Medicine by Mike Berkley

CEu/Pda

Shen and Hun: The Self in Chinese Medicine Giovanni Maciocia

Heat: Diagnosis and Treatment of Heat Diseases Giovanni Maciocia

Tuesday and Wednesday, November 6-7, 9 am-5 pm

At the end of this two-day seminar, students will understand the most significant causes of infertility. You will learn to correctly diagnose difficult cases and to write effective acupuncture and herbal medicine protocols. You will learn when it is appropriate to request blood tests, what these tests mean, and how to use them when formulating your TCM diagnosis. Male factor infertility will be covered as well. This seminar will be interactive – you will be able to ask questions and discuss your own cases, as time permits. We will use these case reviews as tools for teaching – so bring your most difficult case!

The Science of Gua Sha Arya Nielson

At the end of this two-day course your level of expertise in reproductive pathology and treatment approaches will be significantly improved.

Qi, Yin-Yang, and Tai Ji in Shakuju Therapy Shoji Kobayashi System of Shakuju Therapy Shoji Kobayashi Qi Gong for Health Practitioners Robert Nations

Post-Symposium Workshops Heat: Diagnosis and Treatment of Heat Diseases by Giovanni Maciocia

CEu/Pda

Auto-immune Diseases in Chinese Medicine: Pathology and Treatment Giovanni Maciocia The Invisible and the Visible Shoji Kobayashi Tui Na Mobilizations and Passive Movement for the Shoulder, Wrist, and Hip Bill Helm Skillful Gua Sha Arya Nielson

Monday and Tuesday, November 11-12, 9 am-4 pm

Heat is one of the most common pathogenic factors we see in the clinic every day. Many more people have Heat than Cold or Yang deficiency. As Heat is such a common pattern in practice, it is very important that we understand its aetiology, pathology, diagnosis, patterns and treatment. To give an idea of the frequency of Heat in practice, in my clinic in England in a database of over 2500 patients, 46% had a red tongue and 32% a pale tongue. In other countries with a warmer climate, I suspect the incidence of red tongue (and Heat) would be even higher. One of the reasons for the widespread occurrence of Heat is that emotional problems nearly always lead to Heat in various forms. The discussion of Heat syndromes is very ancient, having been discussed already in the Nei Jing. However, there is a lot of confusion on the nature and types of Heat. Heat is often at the root of complicated modern diseases such as auto-immune diseases. This two-day workshop will discuss in detail the aetiology, pathology, and treatment of Heat in all its forms.

System of Shakuju Therapy by Shoji Kobayashi

CEu/Pda

Monday and Tuesday, November 11-12, 9 am-4 pm

In this two-day workshop, Dr. Kobayashi will cover three processes: contact needling, pulse adjusting, and abdominal diagnosis. Dr. Kobayashi will perform contact needling and adjust the pulse according to the reference points to diagnose the abdomen.

10% Discount for PCOM Alumni and Groups of 10 or More Registering Together (individual workshop fees excluded) Observers, Non-Professionals, and Students See Online Pricing, www.store.pacificcollege.edu.

Ready to Register? Go to www.PacificSymposium.org for Pricing, Accomodations, and Registration Form

He will show many types of reference points and the five kinds of abdominal diagnosis of shaku. There are three aspects for shaku, that is pain shaku, hard shaku, and pulsating shaku. There will be a demonstration on five areas of the abdomen, and practitioners will learn to name the abdominal diagnosis. Dr. Kobayashi will practice on volunteers for demonstration. He will also cover Shakaju Therapy, the five areas of the back according to Five Element thought, and qi consciousness in treating patients.

Look for These Symbols Hands-On

Lecture

Food/Nutrition

Massage

OM Philosophy

Qi Gong

Ethics

OM Applications

Treating Gluten Intolerance, Part 2: Tips on Treating Gluten Intolerance by Andrew Gaeddert

Daily Exercise Qi Gong for Health Practitioners by Bill Helm and Robert Nations

CEu/Pda

Daily, 7-7:50 am and 12:15-1:05 pm

This Qi Gong series is designed to teach health practitioners a method to help their patients develop and maintain strength, flexibility, and sensitivity, by combining exercises from Taijiquan and Yijin Jing.

Thursday, November 8, 2012 Traditional Thai Bodywork for Leg and Back Pain by Richard Gold

CEu/Pda

Thursday, November 8, 9 am -12 pm

The application of Thai bodywork techniques is considered to be a form of meditative practice that can benefit the practitioner as well as the recipient. The practitioner endeavors to work in a state of mindfulness, concentrated and present in each breath, each moment. Every movement, every procedure, every breath, every posture is an opportunity for the practitioner and recipient to achieve clear intent and mindfulness. In this seminar, you will learn to give and receive traditional Thai bodywork for the relief of leg and back pain. The techniques will be applied with your elbows, feet, knees, and forearms, in addition to your hands.

Introduction to Classical Acupuncture by Edward Neal

CEu/Pda

Thursday, November 8, 9 -9:50 am

Up until the 1960s, any substantial discussion of Chinese medicine was based almost entirely upon scholarly interpretations of the Chinese medical classics. For centuries, these types of philosophical discussions have been the mainstay of Chinese medical theory. Among the medical classics, the Huangdi Neijing Suwen and Lingshu stand out as being the primary root texts from which all subsequent theories of Chinese medicine have been derived. Despite this undeniable importance, the knowledge and clinical information contained within these precious texts has, for the most part, been lost to modern understanding.

Treating Gluten Intolerance Part 1: Help One Out of Three Clients in Your Practice by Andrew Gaeddert

CEu/Pda

Thursday, November 8, 9:55 -10:45 am

The wheat we eat today has been bioengineered to contain nearly 90% more gluten than the type our grandparents ate. Digestive disorders, dermatitis, psoriasis, diabetes, MS, arthritis, osteoporosis, and chronic fatigue syndrome have been linked to gluten intolerance. The gluten-free diet has been useful for patients with headaches, weight management issues, and for peak brain and athletic performance. In the morning lecture, we will learn the prevalence of gluten intolerance, and discuss wheat allergy and celiac disease. You will learn how to make this knowledge an important tool in your practice.

Han Dynasty Huangdi Neijing View on the Immune Response by Arnaud Versluys

CEu/Pda

Thursday, November 8, 11:10 am -12 pm

The concept of an immune response is described in Chinese medicine as early as the Han dynasty. The Huangdi Neijing, or the Yellow Emperor’s Inner Canon, is the first and foremost medical textbook to spell out in great detail the step-by-step process that the body goes through when responding to pathogenic affliction. During this presentation, Dr. Versluys will show that having the classical understanding of the immune system and using the differentiation model and herbal prescriptions that go along with this view can provide the herbalist a powerfully streamlined work method for the treatment of auto-immune disorders.

Ethics in the Business of Healthcare by Marilyn Allen

CEu/Pda

Thursday, November 8, 2-5 pm

Healthcare has changed in the United States. Acupuncture is no longer on the fringe. When you finish the session you will have the tools to help you find new patients, keep your established patients, present a report of findings to patients and/or their families, brand yourself, and tell your story that will touch others at the heart level. The healthcare industry is evolving in favor of Oriental medicine. This course will ensure that you know how to best position yourself to give optimal care.

CEu/Pda

Thursday, November 8, 2-5 pm

In this interactive workshop there will be a discussion of wheat allergy from the perspective of Chinese and Western medicine, and a review of testing for wheat allergy, gluten intolerance, and celiac disease. There will be information about implementing the gluten-free diet, Paleo diet, the Specific Carbohydrate Diet popularized by Elaine Gottschall, and the Digestive Clearing Program.

Canonical Chinese Medicine: A Case-Based Instruction on Auto-Immune Disorders by Arnaud Versluys

CEu/Pda

Thursday, November 8, 2-5 pm

In this course, Dr. Versluys will present the treatment of auto-immune disorders from the Shanghan Lun and Jingui Yaolue perspective. Dr. Versluys has, for years, exclusively been practicing the classical style of internal medicine as instructed in the Shanghan and the Jingui. In this course, he will share this experience as it pertains to the classical herbal treatment of immune disorders such as Crohn’s disease, auto-immune hepatitis, scleroderma, and many more. This course will present clinical strategies while deepening the participant’s understanding of immune disorders from a classical perspective.

Introduction to Neijing Classical Channel Theory by Edward Neal

CEu/Pda

Thursday, November 8, 2-5 pm

In this theoretical and experiential workshop, Dr. Neal will introduce the basic principles of classical channel theory as first outlined within the Huangdi Neijing Suwen and Lingshu 黃帝內經素問靈樞. These theories have served as the fundamental principles of acupuncture practice for over 2,000 years. Classical acupuncture offers a radically different view of the human body and the practice of Chinese medicine. For the classical acupuncturist, classical channel theory was one of the cornerstones of clinical knowledge, and its profound principles were memorized and taken deeply to heart.

Practical Facial Rejuvenation Using Traditional Chinese Medicine by Yuan Wang

CEu/Pda

Thursday, November 8, 2-5 pm

Today, more and more people are looking for natural anti-aging methods. Chinese medicine has a history of using natural ingredients to keep one healthy while combining Eastern traditions with a Western lifestyle. This course will introduce and explore practical information, focusing on TCM facial skin-care and common facial disease treatments. You will learn recipes and applications to apply to the face, such as: facial masks, herb steams, and soaking. Participants will discover food therapy and tea recipes for balancing the jing, qi, and the shen.

Modern Research Embraces Traditional Chinese Medicine by Janet Zand

CEu/Pda

Thursday, November 8, 7-9 pm

For the past sixty years, scientific research has begun to show many correlations between 2,000 year-old accepted TCM tenets and modern medicine. In this two-hour session, we will look at what we inherently know in TCM and how modern medicine is enthusiastically proving what has been accepted for thousands of years. This trend is exciting and important as Western and Eastern medicine begin to coexist in primary care.

Friday, November 9, 2012 Chi-Nei-Tsang - Explore the Asian Secrets of Touch and Toning by Osnat Livni

CEu/Pda

Friday, November 9, 9 am -12 pm

Transform blocked emotions into creative motions! The navel is the center focus Chi Nei Tsang internal organ healing, as it is the pre-natal pathway of nourishment and purity. The navel evaluation provides deep insight into one’s emotional and spiritual transformation, as well as physical tendencies of imbalance. In this course, practitioners will explore navel evaluation tools, CNT abdomen massage, six healing sound vibrations combined with special pressure points around the navel, as well as deep internal organ manipulations and relaxation.

Ready to Register? Go to www.PacificSymposium.org

org

The Dao of Fetal Heart-Rate Monitoring: Finding the Integrity of Integration by Claudia Citkovitz

CEu/Pda

Friday, November 9, 9 -9:50 am

The tocometer/fetal heart rate monitor is a high-tech element of US hospital birth that has restricted mothers’ movements and increased the number of C-sections, with debatable improvement in outcomes. And yet, for the practitioner of Oriental medicine, it provides a fascinating extension of pulse diagnosis skills previously learned. Techniques for harmonizing these imbalances will be presented on several levels of clinical and social interaction.

Transformation and Chinese Medicine by William Morris

CEu/Pda

Friday, November 9, 9:55 -10:45 am

Through images and words, participants will have a direct experience of the 8 Extraordinary Vessels (8EV). From this experience, practitioners will be able to select appropriate 8EV in the treatment of life transitions. Participants will also engage in dialogue about the birth experience and use it as a model to articulate concerns relative to character armoring and the consequent impact on the psyche and musculoskeletal system. This theme recurred in Li Shizhen’s Lakeside Master. This is a contemporary rendering of the work that is imminently practical and clinically effective.

Fibromyalgia: Diagnosis and Treatment Strategies by Richard Gold

CEu/Pda

Friday, November 9, 11:10 am -12 pm

Currently, fibromyalgia affects two to four percent of the population of the USA, with a female to male incidence ratio of approximately 9:1. This means that up to 8 million people are afflicted with a disorder that is diagnosed by exclusion. Not all people with fibromyalgia experience all the same associated symptoms. These other symptoms can help guide the practitioner to make further differentiations into syndrome categories and provide additional treatment options. Western medical approaches to treatment, especially pharmacological, have provided very limited benefit. Clearly, the treatment of fibromyalgia offers a dramatic opportunity for TCM practitioners to serve their communities in a very positive way.

CEu/Pda

Traditional Thai Bodywork for Relief of Arm, Shoulder, and Neck Pain by Richard Gold Friday, November 9, 2-5 pm

This seminar will focus on Thai bodywork for the relief of pain and functional limitations in the arm, shoulder and neck regions. Learn to feel competent using your forearms, elbows, and feet as well as your hands and fingers in your treatment.

PsychoSocial Uses of Pulse Diagnosis by William Morris

CEu/Pda

Hypothyroidism, depression, and insufficient exercise all have a common expression in the pulse. This consideration will be given full analysis and application using herbs, acupuncture, and exercise therapeutics. This is the first order of business. After that, learners will explore the use of pulse in the treatment of post-traumatic stress disorders. Learners will explore the pulse as a monitor for detecting themes that connect a person’s story and their humanity. From this place, treatment strategies are created from a deep place within the patient and practitioner. These are powerful methods that generate an appreciation for the fact that the pulse changes and that it can be complex. In the end, however, the pulse is simple. There is a pump, tubes, fluid, and ground substance. Hara diagnosis quickly determines where there is heat, cold, qi, etc. This practical approach will teach practitioners how to do an efficient assessment with a practical style, and includes techniques for infants, teens, men, and women. This is a hands-on workshop to ensure practitioner understanding and ease with this rewarding and valuable art.

Differentiating Low Back Pain Referral Patterns (Yao Tui Tong) by Matt Callison

CEu/Pda

Friday, November 9, 2-5 pm

When approaching any new clinical area, an experienced clinician’s first step is to find the familiar faces of yin, yang, qi, and blood. Using case studies and monitor tracings drawn from years of practice and research in labor and delivery, Ms. Citkovitz demonstrates how basic problems of obstruction and vacuity manifest in the heroic physical and emotional challenges faced by our patients on this pivotal journey. Practitioners will learn basic diagnostics and Tui Na techniques that connect their previous clinical and social skills to the events of birth – as a gateway to further professional training, or as a way to feel comfortable and centered while supporting family and loved ones.

Chinese Scalp Acupuncture for Central Nervous System Disorders by Jason Hao

CEu/Pda

Saturday, November 10, 2012 Neck: How Problems in the Seven Vertebrae Can Influence the Rest of the Body, Part 1 by Kiiko Matsumoto

CEu/Pda

What does that even mean? It’s very simple when you sit down and think about it. When a patient comes in for treatment, they may be on a journey that has left them scared, alone, frustrated, angry, and lost. Many of them are coming to you after a long search and numerous failed modalities. What can set you apart from those treatments that came before you is your ability to truly listen to the patient and help him or her create a different prognosis. In order for your customer to truly get “well”, they must make a shift. The Egoscue Method exercises are simple, yet precisely focused. These exercises are client driven, and listening is a major component to any healthcare dialogue.

Saturday, November 10, 9 am -12 pm

Neck problems are among the most common complaints that bring patients to our clinics. This area of the body is vulnerable to injury not just in contact sports or motor vehicle accidents but also from poor body dynamics as patients spend more time hunched over their computers. Learn how to carefully evaluate and treat the cervical vertebrae, as well as the role that the neck has on other symptoms. Ms. Matsumoto will discuss a variety of problems found in the neck including disk herniation and pinched nerves, as well as more hidden patterns such as basilar artery insufficiency.

Constitutional Therapy in Chinese Medicine: Practical Ways for Terrain Restoration in Patients with Chronic Recalcitrant Diseases by Heiner Fruehauf

CEu/Pda

Friday, November 9, 7-9 pm

Friday, November 9, 2-5 pm

Chinese scalp acupuncture (CSA) is a contemporary acupuncture technique integrating traditional Chinese needling methods with Western biomedical knowledge of the anatomy, physiology, and pathology of the cerebral cortex. Scalp acupuncture has been proven to be the most effective technique for treating acute and chronic central nervous system disorders. Scalp acupuncture often produces remarkable results with just a few needles and usually brings about immediate improvements. This course introduces CSA through didactic material, demonstration of techniques, and clinical experience.

Keynote Address The Art of Possible... by Pete Egoscue

Friday, November 9, 2-5 pm

This three-hour presentation will discuss pain patterns in the channels and collaterals of the hip and lower extremity. The practitioner will learn to assess the cause of paresthesia and radiculopathic pain patterns in order to differentiate true sciatica from the many different possible causes of “sciaticalike” sensations. This workshop will present orthopedic examinations and postural assessment techniques. Innovative needle techniques and channel point prescriptions will also be demonstrated and discussed.

Birth: The Heart and Essence by Claudia Citkovitz CEu/Pda

Friday, November 9, 2-5 pm

Saturday, November 10, 9-9:50 am

Chinese medicine is a system of healing that aims to “treat the source of disease.” The foundational theory of classical Chinese medicine provides us with a variety of diagnostic systems for individual pattern differentiation. The modern transmission of TCM diagnostics, however, is often limited to the five phase element system of zang-fu differentiation. By drawing an outline of the 12 constitutional archetypes of classical Chinese medicine, Dr. Fruehauf will invigorate an interest in the original 12-systems of the ancient science of symbolic characterization. In conclusion, it suggests more precise options for constitutional approaches, especially the long-term treatment of chronic and difficult cases.

for Pricing, Accomodations, and Registration Form

From Jing to Ming, Part 1 by Lillian Bridges

CEu/Pda

Saturday, November 10, 9:55 -10:45 am

Jing is the ancient Chinese concept of genetics and is the precursor to the discovery of DNA. Jing is thought to include a person’s inherited strengths and weaknesses, predispositions, and abilities. Jing also embodies potential, Ming, that is influenced and altered by life experiences. This ancient understanding of genetics and potential is validated by modern science in the study of epigenetics, which refers to the chemical switches within our cells. This branch of medicine studies how environmental factors such as lifestyle choices, emotions, and diet can influence the expression of our genes. This lecture explores the facial indicators of Jing, the markings relating to past trauma and lifestyle choices that show on the Facial Map of Life Experiences, and the epigenetic ramifications that can lead to future health problems.

Anatomically Significant Points and Why We Must Embrace Them by Whitfield Reaves

CEu/Pda

Neck: How Problems in the Seven Vertebrae Can Influence the Rest of the Body, Part 2 by Kiiko Matsumoto

Saturday, November 10, 2-5 pm

The focus on the neck continues from earlier in the day. In this afternoon session, Ms. Matsumoto will discuss a pattern of C1 subluxation, the influence that adenoid or tonsillar surgery may have on the neck, and what role the neck plays in head injuries. She will explain the best approach for diagnosis and treatment, as well as focus on aftercare for patients who have undergone neck surgery. As always, her lecture is supplemented by live demonstrations on patients so that the audience can both hear about and see her techniques.

Anatomically Significant Points of the Hip and Lower Extremity by Whitfield Reaves

CEu/Pda

Saturday, November 10, 2-5 pm

This workshop emphasizes the concept of “anatomically significant points”, and how they are used in the treatment of injury, pain, and biomechanical imbalances. Many of these “access points” are not elucidated in the traditional texts. The region of the hip and lower extremity will be the area of focus. Included are access points of the gluteus medius and minimus, the ilio-tibial band, the hamstring, and the plantar fascia. This session includes demonstrations of palpation, needle technique, and an explanation of point density and insertion depth, which will give the practitioner increased confidence and skill in how to immediately use these points in clinic.

From Jing to Ming, Part 2 by Lillian Bridges

CEu/Pda

Saturday, November 10, 2-5 pm

The emerging field of epigenetics has discovered that cells in the body respond to internal thoughts and feelings that contribute to biological change on a cellular level and, in turn, affect organ function that can be seen on the face. This workshop will explore the psychological and emotional underlay of disease revealed by the facial maps of the emotions and the organs. “Blocked and Inaccessible Jing” will be discussed in relation to diseases and emotional factors. Participants will learn how “Emotional Transference” and “Emotional Displacement” cause repressed emotions to be inappropriately stored in the body. This leads to inflammation and trapped fire, which need to be treated. Therefore, the points on the Extraordinary Meridians of the face and the secondary organ points will be featured as important point combinations for treatment based on recent clinical application of Facial Diagnosis.

Ancient Harmonizing for Modern Life From Dr. Zhang Zhong Jing by Jian Min Fan

CEu/Pda

Saturday, November 10, 2-5 pm

Throughout the several thousand year history of traditional Chinese medicine, Dr. Zhang Zhong Jing shines brightest. The endless study and research of his wisdom is still valuable in today’s healthcare profession. During this threehour workshop, we will find out how Dr. Zhang Zhong Jing’s seemingly simple methods of harmonizing can target today’s most significant health issues.

Saturday, November 10, 2-5 pm

So-called “environmental estrogens” that are present in plastics, pesticides, and other artificial substances in the environment are contributing to an unprecedented epidemic of hormonal regulation issues, causing auto-immune disorders that primarily affect women. Dr. Fruehauf will present a detailed characterization of the organ functions most involved in disorders involving female hormone dysregulation, specifically the spleen, the heart, the bladder, the pericardium, the kidney and the liver. Furthermore, he will systematically introduce a variety of constitutional herbal strategies for women that are practical and easy to use.

Sunday, November 11, 2012 Shen and Hun: The Self in Chinese Medicine by Giovanni Maciocia

Saturday, November 10, 11:10 am -12 pm

This lecture discusses the concept of “anatomically significant points” and how they are used in the treatment of injury, pain, and biomechanical imbalances. Many of these “access points” are not elucidated in the traditional texts, and include trigger points, motor points, and other anatomically significant tissues of the body. In this lecture, we will include five important access points as examples of anatomically significant points. Even though the lecture is one hour, the attendee will have some tools to immediately use in practice.

CEu/Pda

Characterizing the Female “Archetypes”: Choosing Effective Treatment for Infertility, Menopause, and other Hormone Related Disorders in Women by Heiner Fruehauf

CEu/Pda

Sunday, November 11, 9 -9:50 am

The shen and the hun are the center of the self in Chinese medicine. The hun of the Liver provides psychic “movement” giving the shen inspiration, creativity, ideas, life dreams, and projection toward others in relationships. The shen of the Heart is the “I” that exercises a certain degree of control over the hun and integrates its impulses into the self. This talk will explore the mental-emotional pathology arising from a disharmony between shen and hun. This will then be related and compared to the functions of the frontal lobe. The newly-discovered mirror neurons will be described, and we will discuss connections with the ancient Chinese view of the psyche. Maciocia will discuss possible connections between Jung’s view of the Self and the Chinese view of the shen, hun, and gui. In particular, we will investigate the possible connections between shen, hun, yi, and gui, and the Jungian animus, anima, and shadow.

Skillful Gua Sha: What Every Provider Should Know by Arya Nielsen

CEu/Pda

Sunday, November 11, 9:55 -10:45 am

Practitioners who use gua sha know it is one of the most powerful techniques of traditional East Asian medicine. But how does gua sha break a fever, interrupt an asthma attack, immediately resolve pain, and increase mobility? How does gua sha resolve problems that have been chronic for years? Learn how science now informs how gua sha reduces inflammation and stimulates the immune system. Newly focused trials have demonstrated gua sha has a hepatoprotectant effect—it can reduce elevated liver enzymes associated with liver inflammation---and may become essential in treating active stages of chronic hepatitis. Practitioners will be able to communicate with confidence to their patients and other medical providers about the effectiveness of this traditional East Asian technique.

Qi, Yin-Yang, and Tai Ji in Shakuju Therapy by Shoji Kobayashi

CEu/Pda

Sunday, November 11, 11:10 am -12 pm

Acupuncture Core Therapy, also known at Shakuju Therapy (SJT) is a method of treatment developed by Dr. Shoji Kobayashi using acupuncture and moxibustion to interpret clinical observations in terms of qi, yin, and yang. This qi paradigm can be used to understand all disease symptoms, which means that the practitioner perceives patients’ symptoms as various disruptions of the dynamic flow of qi. The names of symptoms and diseases are expressed as a condition of qi circulation and translates directly into relevant therapeutic action and countermeasures for symptoms and signs. The treatment procedures of Shakuju Therapy address the body’s deepest essence, combining three fundamental elements of our vital energy system: the hara, which is the abdominal center of physiological vital force; the spinal energy system, which is the original source of our being and our link with other realms of consciousness; and qi gong, which utilizes the body’s ability to intentionally store, concentrate and distribute vital force. In this lecture, Dr. Kobayashi will explain the key words of Oriental thought, that is, qi, yin-yang and taiji.

Symposium Party Saturday, November 10, 7-11 pm Be sure not to miss our 24th Anniversary Symposium Party in the Avery Ballroom on Friday, November 10th from 7 – 11 pm. There will be a full service bar for you to sip cocktails and enjoy music performed by members of our Pacific College community, the Blues Doctors. An Asian Buffet will be available for a scrumptious dinner including sushi, stir fry, chicken satay, and fried rice. Make

Auto-immune Diseases in Chinese Medicine: Pathology and Treatment by Giovanni Maciocia

CEu/Pda

Sunday, November 11, 2-5 pm

Auto-immune diseases stem from a complex pathology in Western medicine and they encompass a large variety of diseases. The common characteristic of all these diseases is that the immune system mistakes the body for the “other” and starts attacking the body’s cells, giving rise to many different diseases. Since this is a modern medical concept, Chinese medicine does not have a theory of auto-immune diseases. This talk is therefore aimed at exploring the nature of auto-immunity in the light of Chinese medicine. In order to do this, the talk will first investigate the nature and function of the immune system in the light of Chinese medicine particularly with reference to the 6 Stages (of the Shang Han Lun) and the 4 Levels (of the Wen Bing Lun).

The Invisible and the Visible Qi in Shakuju Therapy by Shoji Kobayashi

CEu/Pda

Sunday, November 11, 2-5 pm

Shakuju Therapy treats energy that we cannot see in a patient, called Absolute Yin, also called Jing-qi or life force. What we can see, touch, or recognize as observable phenomena is called Fundamental Yang. In this lecture, Dr. Kobayashi will discuss how a clinician can actually develop a tangible sense of this fundamental universal force to treat patients. He will explain qi in the human and physiological context as two types; invisible and visible qi. When treating patients, we need to consider what is beyond the visible, the power of the yin qi. This invisible field of yin qi is intimately connected to the fundamental power of life. Dr. Kobayashi has refined the essence of his work from his study of the classical writings in the Nan Jing (Classic of Difficulties), achieving enhanced therapeutic results in treating both acute and chronic disorders. He applies the conceptual tools to clinical situations in a focused and direct practical manner. With careful selection of treatment points and focused intention in needling, reliable clinical results are achieved. This is an inspiring work that offers many new therapeutic options to the clinician.

Tui Na Mobilization and Passive Movement for the Shoulder, Wrist, and Hip by Bill Helm

CEu/Pda

Sunday, November 11, 2-5 pm

This seminar will present specific PNF mobilizations and passive movements for the shoulder, wrist, and hip. These areas of the body are often extremely limited in mobility and require specific methods for increasing the range of motion and the flow of qi and blood. The Tui Na methods combine easily with acupuncture and massage modalities.

The Science of Gua Sha by Arya Nielsen

CEu/Pda

Sunday, November 11, 2-5 pm

Gua sha appears to be straightforward but many providers do not use a proper technique. This seminar will teach the skillful application of gua sha so that it is painless, thorough, and effective. Suggested safety protocols will be discussed to avoid exposure to blood borne pathogens. Dr. Nielsen will also discuss the significance of immediate tongue changes that are a direct result of gua sha. Providers who already use gua sha will hone their technique, and those who do not yet know gua sha can begin to develop their practice skills. Dr. Nielsen is considered the Western authority on gua sha and has used it in practice for over 35 years including currently at a major teaching hospital. Participants love this seminar because what is learned can be used immediately in practice where every patient should be checked for sha.

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www.PacificSymposium.org

Mail

PS2012 - Registration 7445 Mission Valley Road, Ste. 105 San Diego, CA 92108

Call

1-800-729-0941 or 619-574-6909

Registration Confirmation A confirmation postcard will be mailed to you. Please print out receipt of purchase and bring to event. CANCELLATION/ REFUND POLICY: All cancellations must be in writing. An administrative fee of $50 will be applied to ALL cancellations, postmarked or emailed dated prior to Sunday, October 14, 2012. After Sunday, October 14, 2012 a 50% cancellation fee will apply. NO refunds will be granted after November 2, 2012, including no-shows. Refunds will be processed within 2 weeks of your request. Your refund will either be credited back to your credit card or mailed by check. Schedule is subject to change. No audio or video recording will be permitted.

Conference Details Hotel Accommodations The Catamaran Hotel (Symposium site) 3999 Mission Blvd., San Diego, CA 92109 1-800-422-8386 www.catamaranresort.com $169 Single, Double/ $189 Triple/ $209 Quad

Questions Regarding Hotels and Airlines Contact Barbara Weber, (619) 334-3180 or Confcoor@aol.com, for information regarding room sharing options.

Parking Please note the following rates if you are planning to park at the Catamaran Hotel. Hotel Guest: $13.00/ $17.00 Valet Non-Catamaran Hotel Guest: please obtain a full day parking validation sticker at the Pacific Symposium registration front desk after 11:30 am daily for a discount rate of $13 per day. Airport shuttle service to and from the hotel. The Catamaran Resort Hotel uses Cloud 9 Shuttle.

CEU/PDA Hours Pending Pacific Symposium provides up to 64 Continuing Education hours total. * You must pay the professional rate to receive CEU credit. Pacific College of Oriental Medicine Alumni receives 10% off the professional rate.

Recording No audio or video recording will be permitted, dismissal from the conference will be enforced. High quality CD recordings will be made of most sessions and available for purchase during and after the Symposium.

We Are Proud to Say We Have Over 50 Exhibitors Showcasing Their Products This Year! sure you bring along your business card to enter our raffle with the Symposium exhibitors. There are some generous vendor prizes to be had! Additionally, the Alumni Awards winners (one winner from each PCOM campus) will be announced. With music, food, drinks, prizes, awards, and an anniversary, there is much to celebrate!

Exhibit Hall Hours Friday and Saturday 11:30 am - 2:30 pm and 4:45 - 7 pm Sunday 9 am - 1 pm

This Year’s Speakers Marilyn Allen, M.S.

Marilyn Allen is currently the Chief Marketing Officer for the American Acupuncture Council and serves as the editor for Acupuncture Today. She is currently representing the profession on two Technical Advisory Groups in the World Health Organization, The International Classification of Tradition Medicine (ICTM), and the International Classification of Public Safety. In June 2010, she joined the United States delegation for ISO-249. This is under the International Organization for Standardization and is going to create standards for Quality and Safety in the categories of Herbal medicines and medical devices used by Acupuncturists. Allen is a faculty member at numerous Acupuncture-Oriental Medicine schools where she teaches Practice Management, Laws and Ethics. She co-authored Points For Profit and has been given the title of Acupuncture Ambassador from the Florida State Oriental Medicine Association.

Mike Berkley, LAc, FABORM

Mike graduated from Pacific College of Oriental Medicine in 1996. Starting in 1998, he devoted his practice to the treatment and care of those faced with challenges to conception. Mike is the first acupuncturist in the United States to devote a practice entirely to the care of infertile patients. Mike works closely with many reproductive endocrinologists in New York City and utilizes an East meets West approach to care. He employs acupuncture, herbs and western assisted intervention when appropriate with his reproductive endocrinologist clinical partners. Mike has lectured extensively throughout the U.S. to acupuncturists and reproductive endocrinologists and gynecologists on the attributes and benefits of TCM in the setting of improving reproductive outcomes.

Lillian Pearl Bridges

Lillian Bridges is considered the world’s leading authority on Face Reading and Diagnosis, and she is credited for bringing this body of ancient knowledge back to the field of Chinese medicine and introducing it to Western medicine. For over 25 years, her wisdom, warmth, and humor have captivated audiences around the world as she has taught both complementary and allopathic health practitioners how to utilize Facial Diagnosis in their practices. Lillian learned her skills from a long line of master Chinese practitioners in her family. She received her formal education at UCLA, where she earned her degree in psychology. Lillian is the founder of The Lotus Institute, Inc. and trains students in her apprenticeship program, at continuing education courses at universities and colleges, and is a featured speaker at conferences, conventions, and symposiums around the world. She has been on numerous television shows and radio stations and has been featured in many newspapers and magazines internationally. Her book, Face Reading in Chinese Medicine, was published by Churchill Livingstone in 2003 and has been translated into German and Italian. The second edition is due out in August of 2012.

Matt Callison, B.S., LAc

Matt Callison earned his Bachelor of Science in Sports Medicine from San Diego State University in 1985. Callison worked at the Alvarado Sports Medicine clinic and Scripps Hospital, La Jolla for 8 years. In 1991, he earned his master’s degree from PCOM in San Diego, and later developed the acupuncture externship for Pacific College, which is located at the University of California San Diego’s Sports Medicine RIMAC Center. Callison has been teaching internationally for many years and more recently developed the Sports Medicine Acupuncture Certification Program. He has published a clinical study on acupuncture for tibial stress syndromes (shin splints), as well as an article on Sports Related Muscle Tension Headaches in the Journal of Chinese Medicine. He is the creator of the Motor Point and Acupuncture Meridian Chart, as well as the author of four other publications. Furthermore, Callison is well known for his work with professional athletes in the United States and New Zealand.

Claudia Citkovitz, L.Ac.

Ms. Citkovitz began her Chinese Medicine studies in 1997, assisting in the practice of Tom Bisio while attending Pacific and Tri-State Colleges, as well as the Beijing Language and Cultural Institute in China. Since 2004, Ms. Citkovitz has led an inpatient acupuncture program at Lutheran Medical Center, a 466-bed community hospital in Brooklyn, NY. Through the program, she provides care to inpatients in the Neurological/Orthopedic Rehabilitation and Labor and Delivery units, hosting licensed practitioners, PCOM Master’s students and ACTCM and OCOM doctoral students for didactic and clinical intensives. She has published research in acupuncture during Labor and Delivery and acupuncture research methods, and is currently researching acupuncture in stroke rehabilitation towards a PhD in Life Sciences under Volker Scheid at the University of Westminster in London. She sits on the Editorial Board of the Journal of Alternative and Complementary Medicine and the Institutional Review Board of Touro College.

Pete Egoscue

Known as “The Posture Guy” by many, Egoscue is an Anatomical Physiologist and has been consulted by some of the biggest names in sports and entertainment. Egoscue has been successfully helping regular people relieve themselves of chronic pain since the early 70s. He has authored six books, including the best selling book, Pain Free: A Revolutionary Method For Stopping Chronic Pain, and most recently, Pain Free Living. Egoscue is responsible for establishing over 25 clinics (and counting) world wide, with corporate headquarters in San Diego, California. In fact, The Egoscue Method® is “the world leader in non-medical pain relief”. Egoscue is responsible for creating a therapy method that relieves chronic pain and encourages peak physical performance for the young, the old, the athlete, the non-athlete, the famous, and the infamous. This unique method is based on the body’s functional design - or posture.

Jian Min Fan, LAc

Jian Min Fan earned his Medical and Masters Degree from the Nanjing University of Traditional Chinese Medicine, China. He is one of the top scholars of Dr. Zhang Zhong Jing theory. Currently, he is a professor at Pacific College of Oriental Medicine and is in private practice of Chinese Medicine in beautiful San Diego.

Heiner Fruehauf, LAc, Ph.D.

Dr. Heiner Fruehauf is the founder of the School of Classical Chinese Medicine at NCNM in Portland, Oregon. For 25 years, he has lectured and written extensively about Chinese medicine, philosophy, and culture. His presentation combines information from classical sources with his rich clinical expertise treating difficult and recalcitrant diseases with Chinese herbs.

Andrew Gaeddert, RH

Andrew Gaeddert began his studies with master herbalists from both the U.S. and China. He is the founder and president of Health Concerns, the first company in America to produce traditional Chinese formulas for professionals. In addition to being an internationally recognized authority on herbal medicine, Gaeddert is a lecturer and the author of several books. Since 1992, Gaeddert has been involved in researching the effects of herbs on gastrointestinal and immune functions. He was also regional coordinator for Citizens for Health, which was instrumental in the passage of DSHEA and saving Chinese herbs from extinction in the U.S. In his professional practice, he has helped thousands of people with herbs and nutritional therapy.

Richard Gold, LAc, Ph.D.

Dr. Richard Gold is a 1978 graduate of the NESA. He earned his California License in 1983 and has done advanced studies in China (1980), Japan (1986) and Thailand (1988, 1989, 1992). Gold is a founder of the Pacific College of Oriental Medicine and served on the Board of PCOM from 1987 until 2008. A published author and teacher, Gold currently maintains a private practice at the Pacific Center of Health in San Diego and is the President of the International Professional School of Bodywork (IPSB), where he also teaches.

Jason Hao, LAc, OMD

Jason Jishun Hao received his bachelor and master degrees of Traditional Chinese Medicine from Heilongjiang University of TCM in Harbin, China in 1982 and 1987 respectively. He received his MBA from the University of Phoenix in 2004. He was among an early group of doctors who studied scalp acupuncture. He had the opportunity to learn it directly from famous experts including Jiao Shunfa, the founder of Chinese scalp acupuncture, Yu Zhishun, professor of scalp acupuncture development, and Sun Shentian, professor of scalp acupuncture research. Dr. Hao has been practicing and researching scalp acupuncture for thirty years and has been teaching classes and seminars in the West since 1989. His new book, Chinese Scalp Acupuncture, was published on November, 2011. Jason Hao currently serves as chairman of the acupuncture committee in the National Certification Commission of Acupuncture and Oriental Medicine, as president of the board of directors at Southwest Acupuncture College, and as president of the International Academy of Scalp Acupuncture.

Bill Helm

Bill Helm is an ordained Taoist priest, and has been studying Chinese martial and healing arts since 1973. He has been traveling to China and studying since 1986. Helm is founding faculty chair of the Bodywork Department at PCOM San Diego, and is also the director of the Taoist Sanctuary of San Diego.

Shoji Kobayashi

Shoji Kobayashi is president of Shakuju Association and is presently a general manager of Shakuju Association in North America. In 1976, he taught acupuncture and moxibustion at Kanto Acupuncture College and discovered a new acupuncture system named Shakuju Therapy (SJT), based on the thought of ‘I Ching’. He founded the Shakuju Association in 1980 in

order to make SJT popular in Japan and the USA. He is also an appointed lecturer of honor at Kanto Acupuncture College. Kobayashi Sensei has had an acupuncture practice at the Taishido Acupuncture Clinic in Tokyo for over forty years.

Arya Nielsen, PhD

Osi Livni is a graduate of the Bio-Energetic School of massage in Israel, The Clayton School of Natural Healing, and the Mueller College of Holistic Studies in the U.S. She was trained in Oriental medicine, acupressure and chi nei tsang through San Francisco State University and the Healing Tao Center of Mantak Chia in New York. Osi is an AOBTA certified instructor and NCBTMB Provider. She is currently teaching at Pacific College of Oriental Medicine (PCOM), Mueller College, and IPSB College, as well as independent workshops and private sessions. Osi brings a unique bodymind-spirit awareness to her work, based on her qi gong practices and experience as a professional modern dancer for many years.

Arya Nielsen has a research Doctorate in Philosophies of Medicine with specialization in Integrative Clinical Science and Health Care. She holds National Board Certification in acupuncture and Chinese herbal medicine and is a past chair of the New York State Board for Acupuncture. She has been in private practice for over 35 years and teaches traditional East Asian medicine in the U.S. and Europe with a focus in classical Chinese practice, gua sha, and the interactive potential of the clinical encounter to create possibilities in the lives of those seeking care and healing, including adults and children. Nielsen has a faculty appointment at Beth Israel Medical Center in New York and sees patients at their Department of Integrative Medicine. She developed and directs the Acupuncture Fellowship for Inpatient Care. Nielsen is the author of Gua Sha, A Traditional Technique for Modern Practice, (trans.to German and French) now in its second edition, and Gua Sha: Step-by-Step, a teaching video. Nielsen can be contacted by email at anielsen@chpnet.org or at her website www.guasha.com

Giovanni Maciocia, OMD

Whitfield Reeves OMD, LAc

Osnat (Osi) Livni, HHP, AOBTA, NCBTMB

Dr. Giovanni Maciocia has practiced acupuncture in England since 1974, and has presented at numerous workshops at the post-graduate level for colleges of Chinese medicine in the U.S., England, Australia, and Europe. He is also a practicing Chinese herbalist, having studied with Dr. Ted Kaptchuk. Maciocia has been a regular contributor to the Journal of Chinese Medicine, and has also authored several Chinese medicine textbooks. In 2006, the Nanjing University of Traditional Chinese Medicine in China appointed Maciocia as honorary professor.

Kiiko Matsumoto, LAc

Kiiko Matsumoto is internationally known for her scholarly work on acupuncture, and the interpretation of Chinese classic texts. She has published three fundamental texts on acupuncture in the United States, and has another in press. Matsumoto regularly publishes articles in the Ido-NoNippon acupuncture magazine in Japan, and has made two video series for the company. She is best known for her ability to integrate the work of very important Japanese Masters such as Master Nagano, Master Kawai, and Dr. Manaka into a coherent and clinically effective style. Matsumoto routinely teaches acupuncturists around the world, including the United States.

Robert Nations, LAc

Robert Nations began his study of self-cultivation, herbs, and energetic healing in 1983 under the tutelage of Warren Gold. He furthered his education at the Taoist Sanctuary of San Diego, where he earned his Tui Na massage certificate, and was trained in the philosophy and practices of Taoism. This included learning from Grand Master Abraham Liu (Yang Style Tai ji quan), Grand Master Chen Xiao Want (Chen Family Tai ji quan), Taoist Priest Sifu Share K Lew (Taoist Elixir System), and Ted Kardash, Ph.D., MFT. In 1995, Nations received the honorable title of Tao Shi. He currently teaches at Pacific College, is a member of the National Qi Gong Association, and maintains a private practice in San Diego.

William Morris, PhD, DAOM, LAc

Will Morris is an internationally recognized expert in the area of Chinese pulse diagnosis. His books on the subject include: Mai Dao: Path of the Pulse, Chinese Medicine and Transformation, and Li Shi-zhen Pulse Studies, an Illustrated Guide. Morris’ background includes an OMD from SAMRA, DAOM from Emperor’s College, PhD in Transformative Studies from CIIS, and an MSED in medical education from USC. He has focused on study in three different family lineages of Chinese medicine (Ding, Gu and Yang). As a leader, he served as architect of a single national professional association, now the American Association of Acupuncture and Oriental Medicine (AAAOM). As president of AOMA Graduate School of Integrative Medicine, he led the institution to regional accreditation with SACS and acquisition of its own property. He earned accreditation approval for two doctoral programs in acupuncture and Oriental medicine (DAOM), and organized two Institutional Review Boards while serving as consultant to Children’s Hospital Los Angeles IRB.

Edward Neal, MD

Dr. Neal graduated with honors from the University of New Mexico School of Medicine and completed residency training in Internal Medicine at Oregon Health Sciences University in Portland, Oregon in 1994. During the 1990’s, he studied traditional acupuncture for four years with Dr. Anita Cignolini of Milan, Italy. He studied Chinese languages at Portland State University and continued his post-graduate studies in classical Chinese language at Heilongjiang University in Harbin, China. He is a graduate of the School of Classical Chinese Medicine at the National College of Natural Medicine in Portland, Oregon, where he worked as a full-time faculty member for six years. He is the founding director of the International Society for the Study of Classical Acupuncture (isscaonline.org).

Whitfield Reaves is one of the leading practitioners in the field of acupuncture sports medicine. He first began clinical practice in 1981, and has specialized for 30 years in the field of orthopedics and sports acupuncture. His first appearance at Pacific Symposium, in 1992 was one of the early events contributing to the development of specialization in this field of treating injury, pain, and athletic performance. Licensed in California in 1981, Reeves earned a Doctorate of Oriental Medicine degree in 1983. His thesis, “Acupuncture and the treatment of common running injuries”, demonstrated that TCM could address many clinical issues in sports medicine. His experience includes the 1984 Los Angeles Olympic Games, as well as numerous track and field, cycling, and other events nationally over the last 25 years. Reeves is the author of The Acupuncture Handbook of Sports Injuries and Pain, one of the few texts integrating traditional acupuncture with orthopedic and sports medicine. He is also the director of The Acupuncture Sports Medicine Apprenticeship Program.

Arnaud Versluys, PhD, MD (China), LAc

Dr. Arnaud Versluys is one of the very few western scholars to have received his full medical training in China. He spent more than 10 years at the Chinese medical universities of Wuhan, Beijing, and Chengdu, where he pursued his bachelor’s, master’s and doctorate degrees in Chinese medicine. He also trained in traditional Shanghan Lun discipleship for many years. Dr. Versluys’ passion lies in the Han-dynasty canonical style of Chinese medicine. For five years he worked as a Professor at the School of Classical Chinese Medicine of the National College of Natural Medicine in Portland, Oregon. In 2008, he founded the Institute of Classics in East Asian Medicine (www.iceam.org) to offer postgraduate training in canonical Chinese medicine worldwide.

Yuan Wang, LAc

Dr. Yuan Wang earned her Bachelor’s of Medicine from Chengdu University of Traditional Chinese Medicine, and her master’s from Tianjin Institute of TCM. During her time at Chengdu, Wang was a lecturer, researcher, and physician-in-charge for the Departments of Medicine, Kidney Diseases, Digestive Diseases, and the Research Institute of Blood Diseases at the TCM Hospital. The co-author of many articles, Wang has been teaching at Pacific College of Oriental Medicine since 2002 and has co-authored a book titled Ancient Wisdom, Modern Kitchen with Mika Ono and Warren Sheir. It was released by Da Capo Lifelong Books in 2010.

Janet Zand, OMD, LAc

Dr. Janet Zand has over 25 years of clinical experience in acupuncture, botanical medicine, nutrition, homeopathy and lifestyle. Zand has taught at acupuncture colleges and conferences, and was the Chairman of the Board, co-founder, and formulator for Zand Herbal Formulas from 1978-2002. This company was one of the first companies in the United States to popularize both Western and Asian herbs. Since 1980, she has had a private practice in Santa Monica, California, specializing in Traditional Chinese Medicine and naturopathic medicine. Currently, Zand is involved in a cardiovascular, nitric oxide research project at the Institute of Molecular Medicine, Houston, creating alternative solutions to conventional drugs using nutrients and traditional Chinese herbs. She is the author of Smart Medicine for a Healthier Child, A Parent’s Guide to Medical Emergencies, Smart Medicine for Healthier Living, and most recently, The Nitric Oxide Solution.

A Discussion on Anatomically Significant Points of Traditional Chinese Medicine By Whitfield Reaves, OMD, LAc

Introduction ne of the most uncomfortable moments for many practitioners is when the patient asks the simple, well-intentioned, and reasonable question: “How does acupuncture work?” There are many ways to proceed, probably depending on the background and biases of the individual on the treatment table. Are they an engineer or involved in the sciences? They may work in the field of Western medical healthcare. Or possibly they have had a bad experience with a current physician. Either way, they want to hear a fresh new explanation about the treatment techniques that could bring them back to health. All of these factors, and more, may affect how you respond. Over the course of 30 years of clinical practice, the author has developed a framework for answering this question, and ones similar in nature. It involves integrating traditional acupuncture and its principles with Western anatomy and orthopedic medicine. And it makes the very clear assumption that, considering the effects of the internet and global connectiveness, keeping traditional Chinese medicine (TCM) within its neat metaphorical container is no longer applicable or expedient. We have moved into a new era, and it is impossible to resist these forces of “globalization”, which are clearly acting upon our profession and the centuries-old principles that serve as a basis for the practice of TCM. It may be impossible, at this stage of research, to answer your patient's question with a discussion about the meridian (jing-luo) system of the body. Anatomically and physiologically, there is much speculation, and some interesting new studies. But I suspect that the reader would not try to whole-heartedly tell a physician or scientist that the mechanism of action is moving qi and blood in the so-called meridians. “What are the meridians?” he or she would ask, and the uncomfortable pause starts again. The question is much more easily addressed with this response: “It depends on which point or points we use in the treatment.” Now, we have directed the conversation to ground that is a bit more stable. And it is more on our terms. This is done with introducing the concept of “anatomically significant points”. 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. Each of these points is located in

SUMMER 2012

anatomically significant tissues of the body, and, therefore, tend to have specific and predictable clinical effects on both structure and function. Certainly this explanation in Western language is easily understood by most of our patients. And it avoids the issue of the meridians altogether, with the acceptance that we are not ready to articulate on their structure and function. Discussion Emphasis on anatomically significant points of the musculoskeletal system opens up a whole new and interesting conversation. Used to treat injury and pain, as well as to harmonize the biomechanics and movement patterns of the body, these are the “access points” in orthopedic and sports acupuncture. Each has some sort of “anatomical individuality”, such as being located at a muscle-tendon junction or in the region of a major ligament. Some examples will be covered below, but for the purpose of this article, these anatomically significant points are based upon surface anatomy and gross anatomy. Structures are used that we can palpate, muscle test, distract or compress, like being able to palpate the taut bands of a muscle in a trigger point, or the depression over a joint space. We are not using the language of neural pathways, reflex arcs, or points that in some studies alter neurotransmitters and other humeral agents. It is not that these physiological responses are insignificant; they certainly should be studied. For the orthopedic-minded acupuncturist, let us start with simple and tangible points in the tissues of the body. And we don’t intend to exclude the clinician who practices internal medicine. Qi, blood, and internal organ (zang-fu) imbalances may play a significant role in injury and pain syndromes. However, our focus is on treating orthopedic conditions and the jing-luo system. To repeat and summarize, we are assuming that many of the traditional acupuncture points have anatomically significant features, giving them a unique set of actions and indications. We don’t know every point, and what anatomical and physiological characteristics they embody. With some, we may speculate, and with others, we may make wrong assumptions. But some commonly used points are very clear and obvious, despite the fact that most, if not all, of the texts do not include important information about their anatomical uniqueness.

Illustration #2: The Supraspinatus Muscle

Illustration #1: The Hamstring Muscle Group

Illustration #3: The Acromial-Clavicular Joint

Anatomically significant points Let’s review some of the common categories of these points. Most practitioners have used them, over and over, oftentimes without the knowledge of their anatomical significance. After all, palpation of tissues for ahshi points will undoubtedly reveal many of these points or zones. Let’s examine further. Primary acupuncture points, and some common point categories according to anatomical significance: 1. Points in the belly of the muscle Bladder 57 Chengshan (the gastrocnemius and soleus group) Bladder 37 Yinmen (the hamstring muscle group) See illustration #1 The hamstring, showing the motor points (diamonds) and trigger points (Xs) in the region of Bladder 37. 2. Points at the tendinous attachment to bone Bladder 36 Chengfu (the hamstring tendon) Large Intestine 15 Jianyu (the supraspinatous tendon, the rotator cuff tendon) 3. Points at a muscle-tendon junction Large Intestine 16 Jugu (the muscle-tendon junction of the supraspinatous muscle) Large Intestine 10 Shousanli (the region of the muscle-tendon junction of the wrist extensors) 4. Motor points Small Intestine 12 Bingfeng (the motor point of the supraspinatous muscle)

See illustration #2 Small Intestine 12, located in the belly of the supraspinatous, is the motor point for the muscle. 5. Trigger points Small Intestine 11 Tianzong (located in the infraspinatous, in a region with multiple trigger points) 6. Points at the “opening” of a joint space Liver 8 Ququan (at the medial joint space of the knee) 7. Points at the tendon and tendon sheath Bladder 59 Fuyang (in the region of the tendon sheath of the achilles) 8. Points located at or adjacent to ligamentous tissue Liver 8 Ququan (just posterior to the medical collateral ligament of the knee) There are also numerous extraordinary points, as well as points and zones not defined in the tests, that can be classified due to their anatomical individuality. Included in this list: 1. Jiankua (posterior to Gall Bladder 29 Juliao) N-LE-55 At the muscle-tendon junction of the gluteus medius, halfway between the crest of the ilium and the greater trochanter. 2. Large Intestine 15.5 Halfway between LI 15 Jianyu and LI 16 Jugu, directly over the acromial-clavicular joint space. continued on page 31

Oriental Medicine • www.PacificCollege.edu

The Difference Between Western Reproductive Medicine And Traditional Chinese Medicine In Their Approach To The Treatment Of Infertility continued from page 8

after a vericocelectomy shortens recovery time by approximately two months, making the total recovery time four months instead of six. Men with any sperm anomaly should refrain from taking hot baths, saunas or riding a bicycle for long periods of time as all of these activities facilitate increased testicular temperature. What about the patient who wants to do an IVF with her own eggs but her FSH is 20 and her doctor states that donor-egg is the only option? The doctor, essentially, is correct. He or she views this patient as one who either will not respond to gonadotropin stimulation and therefore produce either no eggs or produce too few to justify the continuation of the IVF cycle. So the reproductive endocrinologist offers the donor egg option with full integrity and with the patient’s best interest in mind. Here is what I have witnessed on more than a few occasions: I will treat the patient with acupuncture and herbal medicine and her numbers will regulate. Not necessarily to a ‘perfect’ level, but to levels that will facilitate having the reproductive endocrinologist have a ‘second-look’. Subsequently, many IVF cycles have been completed with a great many successful outcomes and many failures too, but I choose not to focus too much importance on the failures. It is the successes that would have never occurred had acupuncture and herbal medicine not been utilized on the patient who was told that donor-egg was the only option. In other words, inclusion of TCM has only an upside potential. Implantation failure accounts for a substantial amount of infertility. Almost every patient that I have reports that her lining is “beautiful” according to her reproductive endocrinologist. The scientific truth however is that the morphology of the lining is not analogous to intraendometrial vascularization. This means that even though the lining may be thick it does not mean that there is enough blood flow getting to the lining. This is why sometimes even in the absence of any observable or diagnosable pathology, infertility manifests. Acupuncture and herbal medicine have been shown to increase endometrial vascularization and thereby increase implantation potential. The idiopathic patient. Idiopathy means ‘no known cause’. What ‘no known cause’ means is that the limited Western medical diagnostic capabilities available today are only able to diagnose what they can, not what they cannot. In other words, there are many undiagnosable causes of infertility that have yet to be discovered and which, to date, have no remedies. Over time, this will change. This is by no means meant to be a derisive comment toward Western reproductive medicine.

IVF has brought millions of children into the world and created many happy families. These successes would not have been possible in the ‘infertile population’ prior to the advent of this incredible technological breakthrough. Traditional Chinese medicine, based upon its method of diagnosis does not, as part of its medical vocabulary, have a word that is analogous to ‘idiopathic.’ In other words, all cases of infertility can be diagnosed and treated. There are no mysteries or impossible cases. Each and every case can be analyzed, differentiated, diagnosed and treated. TCM can often establish a treatment protocol where Western medicine has none to offer other than donor-egg. TCM uses specific herbal formulas prescribed for a particular patient for a particular disorder, taking into consideration the whole patient as well as their pathology. The whole person is treated, not just their disease. What really does the “whole person” mean? It means that if the patient has a bad marriage, has low libido, chronic headaches, arthritis, depression, anxiety, frustration, a history of surgeries, a history of psycho-emotional trauma, a job she hates, a dying mother, low self-esteem, a smoker, a drinker, a stress eater, etc., etc., these things can contribute to her infertility. How? Because the mind, spirit and body are inextricably connected. Not convinced? Ok, then why, when you are very stressed do you get a headache or a stomach-ache. Why is it that when you are very depressed you have no energy? Why is it that when you pray you feel more empowered? Why is it that when you look better, you feel better and when you feel better you have more energy and when you have more energy you are less likely to get sick and when you are not frequently sick you are not chronically depressed? Because the mind, spirit and body are inextricably connected. This is why TCM doctors treat the whole person; only treating the disease is like treating a cancer patient with analgesics for their pain. This is why the best case scenario in the treatment of reproductive disorders (as well as all disorders) is to integrate both methods of medical expertise. The TCM application will help the Western reproductive medical protocol succeed in a shorter period of time. Or TCM may be the difference between success and failure in the Western medical setting; remember, IVF has a 30% success rate, which means conversely that it has a 70% failure rate. Herbal medicine, when prescribed by a Board Certified herbalist is not only safe, but safer than Western drugs. Can herbs “interfere” with Western

Oriental Medicine • www.PacificCollege.edu

continued on page 35

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The Science of Gua sha continued from page 1

then scanned each subject 10 times, once every 2.5 minutes following gua sha, and then performed a follow up scan 2 days later. We found a 400% increase in microperfusion (surface circulation of blood) for 7.5 minutes following gua sha, and a significant increase for the full 25 minutes following treatment that was studied. Scans returned to baseline at the 2-day point. Every subject experienced a decrease or complete resolution in pain and a sense of well-being. We published the study [1] and it was the basis for my doctoral dissertation [2]. During this same period, access to the Chinese language database became available to me online through the Kelley Library at the New England School of Acupuncture (NESA). I downloaded and translated 120 articles on gua sha. By 2011, that number increased to over 500 studies. These articles establish how gua sha is used in China and are analyzed in my revision of the gua sha book due out this year [3]. Then in 2009, a breakthrough study on the physiology of the anti-inflammatory and immune effect of gua sha was published here in the West. Gua sha’s immune and anti-inflammatory effect: heme oxygenase-1 Providers familiar with gua sha know that it can reduce a fever and alter the course of an acute infectious illness, as well as reduce inflammatory symptoms in chronic illness. A group at Harvard used bioluminescent imaging with a mouse, and showed that gua sha upregulates gene expression for an enzyme that is an anti-oxidant and cytoprotectant, heme oxygenase-1 (HO-1), at multiple internal organ sites immediately after treatment and over a period of days following gua sha treatment [4]. HO-1 and its catalysates (biliverdin, bilirubin and carbon monoxide (CO)) exhibit not only anti-oxidative but also anti-inflammatory effects [5]. For example, augmentation of HO-1 expression attenuates allergic inflammation. HO-1 plays a protective role in allergic disease in part by inhibiting Th2 cell-specific chemokines [5]. This work by Kwong’s group is the first to show an immediate and sustained immune response from a traditional East Asian modality that has direct relevance in the healing of ‘internal organ’ and inflammatory problems. It is also known that HO-1 regulates cell cycle and anti-smooth muscle hyperplasia, providing protection in many disease models, such as asthma, organ transplant rejection, inflammatory bowel disease and experimental autoimmune encephalomyelitis, even though the immune pathological mechanisms of these diseases are dissimilar [5].

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And then there is hepatitis. Gua sha is used in China to treat symptoms of acute and chronic hepatitis [3]. Induction of HO-1 results in decreased hepatitis C virus (HCV) replication, as well as protection from oxidative damage, suggesting a potential role for HO-1 in antiviral therapy and therapeutic protection against hepatocellular injury in HCV infection [6]. Moreover, the role of gua sha in the treatment of active chronic hepatitis B has begun to be elucidated. Here, too, the upregulation of the enzyme HO-1 has been reported to be effective in the control of hepatitis B virus (HBV) infection and offers hepatoprotection in animal models [7]. Gua sha in the treatment of chronic active hepatitis B Manual therapies like gua sha may be useful for many conditions, but may become essential clinical options particularly for what are called ‘gaps in care’, i.e. when patients cannot or prefer not to take medicines for a problem, or when those medicines fail or are not available. It is well known that chronic hepatitis is a difficult condition because of the inflammatory breakdown of the liver over time that can cause illness and even premature death. Medications for the treatment of hepatitis are limited in scope and carry uncomfortable or intolerable side effects. Back in the U.S., at Harvard/Mass General in 2011, Chan et al. described a case where a single gua sha treatment in a patient with active chronic hepatitis B reduced levels of liver enzymes alanine transaminase (ALT) and aspartate transaminase (AST), modulated T-helper Th1/Th2 balance and enhanced HO-1, which they suggest is responsible for the hepatoprotective effect [8]. In this case, and in general, gua sha may be effective in transiently reducing the inflammatory injury to the liver when chronic hepatitis B moves into the immune active phase indicated by a liver function test. While Chan et al. represents one case, it coincides with both evidence from China and with what is already known about the effect of upregulation of HO-1, and that HO-1 is upregulated from gua sha. Larger trials are needed to establish to what degree and at what dosage/frequency gua sha may be hepatoprotective in patients with active hepatitis. Is it the case that treatment every week or every other week, with other liver sparing dietary cautions, will reduce inflammatory injury to the liver and return a patient to ‘inactive’ status? If the research bears out, gua sha will have an essential role in managing chronic active hepatitis. One could say if it were a drug, establishing this effect would be considered a medical breakthrough. continued on page 30

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Understanding Gluten Intolerance By Andrew Gaeddert, RH

What is different about the wheat of today? he wheat we eat today has been bio-engineered to contain nearly 90 percent more gluten than the type our grandparents ate. Far beyond bread, pasta, and cereals, gluten is in everything from soups to ice cream.

Which foods contain gluten? Wheat, barley, rye, spelt, and kamut. Oats contain gluten like molecules and are usually restricted in a gluten-free diet. Which disorders have been linked to gluten intolerance? Digestive disorders, dermatitis, psoriasis, diabetes, MS, arthritis, osteoporosis, and chronic fatigue syndrome have been linked to gluten intolerance. The gluten-free diet has also helped people with headaches, weight management, peak brain and athletic performance. Could you define wheat allergy, gluten intolerance, and celiac disease? How prevalent are these conditions? Wheat allergy is an immunological reaction to wheat that will show up on standard allergy tests. The body produces a food-specific antibody called immunoglobulin E (IgE). IgE antibodies immediately attach themselves to wheat and this causes a release of histamine and other allergy related chemicals. Within a short time of eating the offending allergic food, skin rash, stomach cramps, diarrhea, or vomiting may be produced. You may also have itching, swelling, sneezing, or hives. Antihistamine medication will typically relieve symptoms of wheat allergy. Gluten intolerance is a sensitivity, not a true allergy. No histamines are released, therefore anti-histamines have no effect. Reactions are typically delayed, and symptoms become apparent over time and may be related to the quantity and frequency of ingestion. Theoretically, if a person with gluten intolerance continues to eat wheat and other gluten containing foods, celiac disease, damage to the pancreas and other organs may be affected. It is speculated that 29 percent of Americans have gluten intolerance and 81 percent have a genetic disposition towards developing gluten intolerance. 1 Celiac disease is an autoimmune disorder caused by the ingestion of gluten containing foods. In order to diagnose celiac disease, gastroenterologists look for intestinal damage via biopsy. Researchers have discovered that celiac disease affects 1 out of 133 people.

How can knowing about gluten intolerance help acupuncturists and herbalists? First, there is a tremendous interest in gluten intolerance on behalf of the lay public. In addition to individuals with digestive disorders and autoimmune disease, people with neurological symptoms and weight management issues, parents, and athletes are also interested in the glutenfree diet. The largest food companies in America are also reformulating products without gluten. Acupuncturists and herbalists can help patients identify gluten intolerance and other food sensitivities. They can provide information and encouragement. As some patients may have difficulty coping with the withdrawal from gluten, acupuncture treatments can help relax the patient and counter cravings. Herbalists can suggest alternative eating plans, select calming herbs, and mitigate the inflammatory response. How long do clients need to be on a gluten-free diet to improve symptoms? About one-third of my clients feel considerably better within a few days of adopting a gluten-free diet. Another one third takes two weeks. Many of the remaining one- third, either were never on a gluten-free diet (i.e. they cheated), need more than two weeks, or have a sensitivity related to another food. Not everyone can comply with a gluten-free diet. Many people pick a bad time to go on a gluten-free diet. Other clients wish to see a laboratory diagnosis prior to changing their diet. What gluten-free eating plan do you endorse? Many years ago, I developed the Digestive Clearing Program. It is a rotation diet emphasizing lean protein, vegetables, and gluten-free grains. The complete program is listed in my book, Healing Digestive Disorders. I also like the Paleo Diet, also known as the caveman diet. This approach mimics eating like a hunter-gatherer, thus it is not only gluten-free, but grain-free as well. What substitutes can people with gluten intolerance use? I recommend amaranth, buckwheat (soba), millet, quinoa, rice, wild rice (Zizania palustris), tapioca, teff, yam, and Jerusalem artichoke flour. If you are not treating a digestive disorder, you might consider almond or chickpea flour. What is cross-reactivity? Cross-reactivity is a condition in which the autoimmune anti-bodies

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your body generates, mistakes other food proteins for the ones you cannot tolerate. When you experience a cross-reaction to other foods, the effect is the same as if you had ingested gluten. Dr. Kenneth Fine, director of Enterolab.com, has found that patients with gluten intolerance have a high frequency of cross-reactivity to milk. Other suspect foods include eggs, fish, shellfish, tree nuts, peanuts, soybeans, and corn. Sweets and sweeteners such as high fructose corn syrup should be avoided because they upset the balance in the intestines, leading to bacteria overgrowth and mal-absorption. Alcohol should be avoided, because it promotes fermentation in the digestive tract and can lead to diarrhea, bloating, and intestinal gas. Do you have any tips on eating out? Many people with celiac disease and gluten intolerance give a card to restaurant workers. The card indicates that you have wheat or gluten allergy, and need to refrain from eating foods prepared with wheat flour and other gluten containing foods, including sauces or gravies prepared with flour, croutons, bread or soy sauce. Soy sauce is one of many foods that have hidden gluten. Stick to lean protein, potatoes or rice and vegetables. Have a snack before you go, to counter hunger cravings. It is also helpful to rehearse what you are going to say when your friend, co-worker, or family member says: “One piece of bread won’t kill you”; “You were much more fun when you drank. Loosen up, have a beer.” Is gluten found in drugs and herbal products? Prescription drugs do not need to have all the ingredients listed on the label, and gluten can be included. Gluten is found in several Chinese herbs including fu xiao mai(wheat grain), mai ya(malt), and shen qu(fermented wheat or barley). Some overseas manufacturers may be using gluten in the production process without the knowledge of their distributor, as gluten intolerance is rarely diagnosed in Asia. After taking a formula from an herbalist in Chinatown, one of our client's symptoms got much worse. On closer inspection, it turned out one of the ingredients contained malt, which exacerbated the client’s gluten intolerance. Do you recommend herbs or probiotics for people with gluten intolerance? Probiotics such as Bifidus acidophilus and Lactobacillus acidophilus are considered “friendly” bacteria

and are taken for the purpose of recolonizing areas of the body where they normally would occur. The human body relies on the normal flora for several functions including metabolizing foods and certain drugs, absorbing nutrients, and preventing colonization by pathogenic bacteria. Probiotics also stabilize the mucosal barrier and decrease intestinal permeability. Probiotics have immunomodulating effects and decrease markers of hypersensitivity reaction and intestinal inflammation. 2, 3 For these reasons, I strongly recommend probiotics in the treatment of gluten intolerance. It’s important to use high quality brands of probiotics that can effectively colonize in the intestines. The healthy bacterial must be able to pass through the gut and latch on to the intestinal epithelium. Colostrum is used for its antiinflammatory, immune activating, and intestinal healing effects. Chinese herbal spleen tonics such as Six Gentlemen and Shen Ling Bai Zhu San improve digestive and immune system functioning. I have developed Enteromend™, an enzyme based approach to treating gluten intolerance and food allergies. Taken with meals, Enteromend™ breaks down food complexes. If used between meals, this formula reduces intestinal inflammation and may aid in the clearance of gluten molecules. In clinical practice, we use a rotation diet, probiotics, colostrum, Chinese herbs, and Enteromend™ in the treatment of gluten intolerance and other food sensitivities. OM

References:

1. Lieberman, Shari. (2007). The gluten connection: how gluten sensitivity may be sabotaging your weight and your healthand what you can do to take control now. Page 6. New York: Rodale 2. De Roos NM, Katan MB. Effects of probiotic bacteria on diarrhea, lipid metabolism, and carcinogenesis: A review of papers published between 1988 and 1998. Am J Clin Nutr 2000;71:405-11. 3. Pelto L, Loslauri E, Lilius EM, Nuutila J, Salminen S. Probiotic bacteria downregulate the milk-induced inflammatory response in milk-hypersensitive subjects but have an immunostimulatory effects in healthy subjects. Clin Exp Allergy 1998;28:1474-9.

Andrew Gaeddert, RH has over twenty-five-years of experience in administering, researching and teaching about herbs and Chinese Medicine. He is the author of several books including Healing Digestive Disorders. He is the founder of Health Concerns, the first company to produce Chinese herbs in the USA for practitioners. He is available for consultation by appointment by calling 510-639-0280 and herbalist@ healthconcerns.com. SUMMER 2012

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The Science of Gua sha continued from page 28

Evidence-based research: other conditions responsive to gua sha Historically, gua sha has been indicated for any problem that has a feature of surface or internal blood stasis and/or pain, which, in classical Chinese practice in the tradition of Dr. James Tin Yau So, means every patient is checked for sha. The articles and studies from the Chinese language database cover an array of conditions responsive to gua sha including headache, migraine, neck, shoulder, back, and knee pain, as well as acute diseases such as fever, flu, earaches, asthma and bronchitis in children and adults. Gua sha is also effective in chronic disease including hepatitis, as discussed above. The bulk of the Chinese articles are large case series as well as randomized controlled trials [3]. However, studies done in China are still subject to skepticism by some unless repeated in the West [9]. And now there is evidence in Western peer reviewed journals. There are case reports in of gua sha for migraine [10], post herpetic neuralgia [11], and breast distension/ mastitis [12], as well as randomized controlled trials reporting gua sha has benefits in treating neck pain [13], neck and back pain (forthcoming), and breast distension/mastitis [14]. Summary In the last decade, research has begun to clarify how gua sha works. Gua sha’s therapeutic petechiae represents blood cells that have extravasated in the capillary bed, and measure as a significant increase in surface microperfusion [1]. As this blood is reabsorbed, the breakdown of hemoglobin upregulates HO-1, CO, biliverdin and bilirubin, which are anti-inflammatory and cytoprotective [5]. Studies show the anti-inflammatory effect of gua sha has a therapeutic impact in inflammatory conditions, such as active chronic hepatitis, where liver inflammation indicates organ breakdown that over time can lead to premature death [8]. The physiology of HO-1 may also explain gua sha’s anti-inflammatory effect in other responsive clinical conditions, such as fever, cough, asthma, bronchitis, emphysema, mastitis [14], gastritis, musculoskeletal and other painful conditions presenting as neck pain [13], back pain, migraine [10], postherpetic neuralgia [11], and others. That gua sha has anti-inflammatory and immune stimulation properties is important for providers to understand and to be able to communicate to their patients as well as other health care providers. OM *New safety protocols for gua sha and baguan are being proposed by Dr. Nielsen and her medical team at Beth Israel Medical Center in New York. [15]

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References

1. Nielsen A, Knoblauch NTM, Dobos GJ, Michalsen A, Kaptchuk TJ. The effect of Gua Sha treatment on the microcirculation of surface tissue: a pilot study in healthy subjects. Explore (NY). 2007;3(5) (October):456-466. 2. Nielsen A 2007 ‘Gua sha’ and the Scientific Gaze: Original Research on an Ancient Therapy in a Call for Discourse in Philosophies of Medicine [doctoral dissertation]. Union Institute & University 3. Nielsen A 1995 Gua Sha: A Traditional Technique for Modern Practice. Edinburgh: Churchill Livingstone. 4. Kwong KK, Kloetzer L, Wong KK et al. Bioluminescence imaging of heme oxygenase-1 upregulation in the Gua Sha procedure. J Vis Exp. 2009. 5. Xia ZW, Zhong WW, Meyrowitz JS, Zhang ZL. The role of heme oxygenase-1 in T cell-mediated immunity: the all encompassing enzyme. Curr Pharm Des. 2008;14(5):454-464 6. Zhu Z, Wilson AT, Mathahs MM et al. Heme oxygenase-1 suppresses hepatitis C virus replication and increases resistance of hepatocytes to oxidant injury. Hepatology. 2008;48(5) (November):1430-1439. 7. Wunder C, Potter RF. The heme oxygenase system: its role in liver inflammation. Curr Drug Targets Cardiovasc Haematol Disord. 2003;3:199-208. 8. Chan S, Yuen J, Gohel M, Chung C, Wong H, Kwong K. Guasha-induced hepatoprotection in chronic active hepatitis B: A case study. Clin Chim Acta. 2011;in412; 1686-1688. 9. He J, Du L, Liu G et al. Quality Assessment of Reporting of Randomization, Allocation Concealment, and and Blinding in Traditional Chinese Medicine RCTs: A Review of 3159 RCTs identified from 260 Systematic Reviews. Trials. 2011;12(1) (May 13):122. 10. Schwickert ME, Saha FJ, Braun M, Dobos GJ. [Gua Sha for migraine in inpatient withdrawal therapy of headache due to medication overuse.]. Forsch Komplementmed. 2007;14(5) (October):297-300. 11. Nielsen A. Postherpetic neuralgia in the left buttock after a case of shingles. Explore (NY). 2005;1(1) (January):74. 12. Chiu C-Y, Chang C-Y, Gau M-L. [An experience applying Gua-Sha to help a parturient women with breast fullness]. Hu Li Za Zhi. 2008;55(1) (February):105-110. 13. Braun M, Schwickert M, Nielsen A et al. Effectiveness of Traditional Chinese “Gua Sha” Therapy in Patients with Chronic Neck Pain; A Randomized Controlled Trial. Pain Med. 2011;12(3) (January 28):362-9. 14. Chiu J-Y, Gau M-L, Kuo S-Y, Chang Y-H, Kuo S-C, Tu H-C. Effects of Gua-Sha therapy on breast engorgement: a randomized controlled trial. J Nurs Res. 2010;18(1) (March):1-10. 15. Nielsen A, et al. Safety protocols for Gua sha (press-stroking) and Baguan, cupping Complement Ther Med (2012), (in press).

Dr. Arya Nielsen is an American acupuncturist taught in the classical lineage of Dr. James Tin Yau So and in practice for over 35 years. She graduated in the first class of the first acupuncture college in the United States in 1977. She is a practitioner, a teacher, an author, and researcher and is considered the Western authority on gua sha. Dr Nielsen has a faculty appointment at a New York teaching hospital, Beth Israel Medical Center, where she directs the Acupuncture Fellowship for Inpatient Care.

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Chinese Medicine continued from page 26

3. Ahshi points Ahshi points reveal local areas of qi and blood stagnation (qi zhi, xue yu). Often, the intended needle technique is to increase microcirculation of blood to this specific tissue or zone. Ahshi points are usually a sub-set of the above categories, as they may be found in a variety of tissues, including muscles and tendons. Comments Each of these points above will have a different explanation as to “how it works”. For instance, needling the belly of a muscle, or the muscle-tendon junction may result in a release and a lengthening of the entire tissue. This reduces the likelihood of a shortened and tight muscle-tendon complex being a pain generator. Often, needling a trigger point or a motor point will “turn on” a muscle that is weak and shut down by trauma or dysfunction. Manual muscle testing reveals muscle weakness before treatment, and muscle strength after treatment. The patient may have a kinesthetic experience of this muscle release or a weak muscle becoming strong from needling. They are usually grateful, and appreciate that you can give them a Western explanation that underlies the treatment protocol. We won’t abandon our roots, as the basis is still qi and blood in the affected tissues, but treating the stagnation and increasing micro-circulation in a tissue-specific way, not only makes for a comfortable reply to the patient and their original question, but results in very effective acupuncture treatments. Embracing the language of anatomically significant points allows us to communicate with others in the medical profession. It makes the acupuncture practitioner less of an outsider and we have hundreds of points yet to be classified in terms of their anatomical individuality. For the clinician, as well as the researcher, a whole new opportunity awaits, on a point-by-point basis. Needle Precision This discussion would not be complete without commenting on needle technique and the need for precision. Sometimes, a millimeter or two of depth makes a significant difference in clinical outcome. For musculoskeletal purposes, the author is currently working with a point density system. Point density guides the practitioner as to what may be felt during insertion as the needle passes deep to the dermis and epidermis. Using a scale from 1 to 5, the more porous tissue, like needling

butter, has a density of 1. Hard, bone or bone-like tissues have a density of 5. Therefore, densities in the range of 2, 3, and 4 are the variations of moving from porous tissue with little resistance to more dense and taut bands of muscle. By adding needle depth and density to the discussion, the practitioner may significantly increase precision, and therefore enhance clinical results. Conclusion Many acupuncture points have anatomically significant features. They help the practitioner in choosing points and point combinations through analysis, palpation, and orthopedic testing. Actions and indications naturally result from this anatomical knowledge base. We need to embrace the language used to describe these points as an integration of traditional acupuncture with western anatomical and orthopedic practices. If future texts are integrated, they will include anatomy and orthopedics along with the traditional description of the points. This allows the profession to gain precision on the location and needling of these points as well as strength in communicating to our patients and colleagues. OM

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References on Anatomical and Orthopedic Acupuncture (This is a partial list of resources)

Callison, M: Motor Point Index. AcuSport Seminar Series LLC, San Diego, 2007. Gunn, C: Treating Myofascial Pain: Intramuscular Stimulation (IMS) for Myofascial Pain Syndromes of Neuropathic Origin. University of Washington, 1989. Guo Chang-Qing: Anatomical Illustration of Acupuncture Points. Beijing, China (2008). Legge, D: Close to the Bone, Second Edition. Sydney College Press, Australia, 1997. Legge, D: Jing Jin: Acupuncture Treatment of the Muscular System using the Meridian Sinews. Australia (2010).

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A Discussion on Anatomically Significant Points of Traditional

Reaves, W & Bong, C: The Acupuncture Handbook of Sports Injury and Pain: A Four Step Approach to Treatment. Hidden Needle Press, Boulder, CO (2009). Seem, M: A New American Acupuncture: Acupuncture Osteopathy. Blue Poppy Press, Boulder, Colorado (1999). Travell & Simons: Myofascial Pain and Dysfunction: The Trigger Point Manual, Volume 1 (The Upper Extremities). Williams & Wilkins, Philadelphia, 1983. Travell & Simons: Myofascial Pain and Dysfunction: The Trigger Point Manual, Volume 2 (The Lower Extremities). Williams & Wilkins, Philadelphia, 1992.

Whitfield Reaves, OMD, LAc has been working in the field of sports medicine since he first began practice in 1981. His experience includes the 1984 Los Angeles Olympic Games, as well as numerous track and field, ski racing, and cycling events nationally over the last 25 years. Whitfield is the author of The Acupuncture Handbook of Sports Injuries and Pain (Hidden Needle Press, 2009). He lives and practices in Boulder, CO, where he teaches his Acupuncture Sports Medicine Apprenticeship Program. He can be reached at his website www.WhitfieldReaves.com.

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Pacific College Faculty Member Helps Launch Wild Willow Farm

ocated adjacent to a wildlife refuge in San Diego, Wild Willow Farm is a non-profit project for San Diegans of all ages to pick their own fresh produce, connect with other farmers, meet local foodies, and learn how to garden. Wild Willow is part of a larger nonprofit organization called San Diego Roots Sustainable Food Project. Pacific College San Diego’s very own alumna and faculty member, Miles Thomas, was lucky enough to be on the Permaculture Design team of the Wild Willow Sustainable Farm. Thomas owns his own practice, South Park Community Acupuncture, and first heard about San Diego Roots through patients who helped run the organization. Always encouraging students and patients to learn cooking and gardening skills, he set up an educational “garden build” at his South Park home with “Victory Gardens”, another wing of San Diego Roots that focuses on home and urban-based edible gardens. Several months later, Thomas decided to do some more intensive Permaculture Training in Orange County for his personal project in Mexico, a 16-acre organic farm called “Jardin Lumbini Communidad Permacultura”. Permaculture can be understood as a branch of ecology that focuses on self-maintained and sustainable agricultural design. A cross between the words ‘permanent’ and ‘culture’, ‘permaculture design’ methods are used to create gardens, farms, homes, and even businesses that are regenerative by nature. Thomas explains, “I often think of Permaculture as ‘Practical Daoism’, in that a well thought out design should yield a result that becomes more and more effortless. Similarly, I think of the community acupuncture model as a permaculturally based business in that if designed well from the start, it should grow and function relatively easily in a natural sort of way without a lot of struggle.” 32

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Serendipitously, several friends from San Diego Roots were also in Thomas’ permaculture class to take the next steps in their multitude of projects. At that point the final details of the land agreement for what would become Wild Willow Farm were finalized. The group decided to do the permaculture design for this small farm as their class project. Little did they know that it would manifest so beautifully. “It’s sort of a learning farm, if you will,” Thomas explains. “Every member of our group focused on a particular part of the farm design, from its layout and energy consumption, to general funding and the way we might be able to work with the community at large. We covered nearly every aspect that could be covered. My particular focus was on what is known as ‘Food Forest Gardening’, and, of course, the Wild Willows Medicinal Plant Project.” Wild Willow Farm officially opened on the Summer Solstice of 2010. Everything grown on the premises is grown organically. Much like other projects of the San Diego Roots organization, the primary goal of this farm is to educate. “There are ongoing classes about regenerative farming, organic gardening, beekeeping, mycology, herbal medicine, and permaculture, etc. It’s extremely experiential in every way. It’s a truly fantastic place,” says Thomas. Wild Willow Farms is a united effort to encourage and educate

San Diegans about living sustainably within their community. Thomas has a history of farming. He grew up in rural Kentucky on a traditional farm that his family worked. This farm fed three generations of family members. Combine this with his background in Chinese medicine, and Thomas brings a unique perspective to Wild Willow Farm. A licensed acupuncturist and herbalist, Thomas has been a student of Chinese medicine, meditation, and martial arts for over 20 years. He earned his Master of Science degree from Pacific College of Oriental Medicine in 2001. He now teaches Tui Na and Qi Gong techniques and serves as the Clinical Supervisor in the Bodywork Department at the San Diego campus. As a practitioner, Thomas has an eye for herbs and has helped choose which herbs Wild Willow will begin trying to produce. Thomas says, “When our Permaculture Design group sat down to talk about the farm, there was a lot of interest in this topic from the beginning. When I began to see what was happening in our field of medicine, it seemed silly, if not irresponsible, not to find some way to help.” Thomas was eager to join the Wild Willow project because of his personal background in farming, but he felt called to focus on medicinal plants due to his experience with Chinese herbology and the changes he’s noted in the field.

Newly planted herbs at Wild Willow Farm

Thomas was eager to join the Wild *Willow project because of his personal background in farming, but he felt called to focus on medicinal plants due to his experience with Chinese herbology and the changes he’s noted in the field.

“Clearly we are reaching a point in the global herbal medicine market where demand is stretching the limits of the system. The cost of herbal medicine is rising. Part of this cost, I believe, is based on improvements in herbal delivery methods and processing. Part of the rise in cost is also just a lack of raw product. We know that it's time to begin to look at the possibility of growing these plants here, but there are many questions that have to be asked: Will they grow here? If they do, will they still have the same therapeutic benefit? Are they commercially viable? What is the most sustainable way to take on a project like this? Being a professional in the field of Chinese medicine, naturally I have a vested interest in this project,” Thomas says. With much passion behind it, the Medicinal Plant Project at Wild Willow Farm is now in its infancy. It officially broke ground in Spring 2012. The farmers ordered seeds for just under 20 medicinal herb varieties from both China and India. Some of the herbs they chose to experiment with include Che Qian Zi, Ashwaghanda, Gou Qi Zi (or “goji berries”), and She Gan. Pacific College Academic Dean, Bob Damone, MS, LAc, DAOM (Cand.) explains, “She Gan is a very important herb for clearing heat and resolving toxin, especially when the throat is the main affected site. Additionally, it helps resolve wheezing by transforming phlegm.” Ashwaghanda is one of the most popular Ayurvedic herbs now grown in the West. “Ashwaghanda” translates to “smell of a horse”, and this refers both to the scent of the plant as well as an inference to the virility of a horse. This herb can be used for a range of ailments, from stress relief to supporting a healthy male reproductive system. Che Qian Zi is what we call a “drain damp herb, and it promotes urination,” says Dr. Greg Sperber, BMBS, DAOM, MBA, LAc, and Director of Clinical Services and Clinical Chair at Pacific College San Diego. Che Qian Zi is also known to treat liver and kidney deficiency (dry eyes or cataracts), or heat in the liver channel. The goji plant, known as Gou Qi Zi, “…can nourish blood and yin and is good for the eyes. It’s most effective if used in a formula or by itself, and it should be used as a tea. Hot water can be added throughout the day. It’s commonly imbibed by the elderly in China,” explains Sperber. Gou Qi Zi is also commonly used to nourish the liver, kidneys, and lungs. “Another benefit of Gou continued on NEXT PAGE

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Pacific College Faculty Member Helps Launch Wild Willow Farm continued from page 32

Qi Zi is that along with the medicinal value, the berries are delicious to eat and make a healthy snack,” says current Dean of Students/ Assistant Campus Director at the San Diego campus, Jaime Kornsweig, LAc. And the goji berries may also be the most interesting to see grow, “Our most recent project involved planting two rows of about 20 goji plants that will attempt to trellis up the sides of a 100-foot-long hoop house. Very fun!” Thomas says. As far as the process for growing the herbs goes, Thomas says the farmers’ plan was to plant herbs that could be harvested in the first season. “We needed to be sure we could harvest the first round in a fairly quick turn-around, to give us something to play with. I can’t wait to see what we wind up with,” Thomas explains. When he started the Medicinal Plant Project, there were six volunteers: the members of the Permaculture Group. Since the official kickoff in Spring, 2012, there are now 25 people who have come out and volunteered.

Trays help separate plant variations on the farm

Every Saturday, the farm has “Pick Your Own Produce” hours. The timing changes every week depending on the harvest, but is usually during a Saturday afternoon. Volunteer days are on Saturdays from 1pm to 5pm. Additionally, the

farm holds a Community Potluck once a month, complete with tours, music, and homemade pizza from their very own wood fire pizza oven on site. The classes and workshops on the farm are run by a variety of

people, and they’re on the lookout for talented experts who need a venue to teach gardening subjects, farming techniques, and other tips of this nature. Currently there are scheduled workshops for beehive making, mead making, natural building, and oyster mushroom cultivation. You can find out for information about all of these and more on the San Diego Roots website: www.sandiegoroots.org In the coming months, the farm is excited to begin some transplanting, renovating seed propagation, and possibly getting a few more goji plants in the ground. Stop by and watch the progress for yourself! And get access to the freshest, tastiest vegetables home grown in San Diego. If you would like more information about volunteering at the Wild Willow Medicinal Plant Project, feel free to contact Miles Thomas at miles@southparkcommunityacupuncture.com. To see the farm in action, please visit www.pacific college.edu/wildwillow. OM

Transforming Blocked Emotions into Creative Motions continued from page 10

the electro-magnetic field. It is associated with the earth vibrations and provides foundation, solidity and nourishment. The “yang” aspect is the magnetic component of the electro-magnetic field. It is associated with the heaven vibrations and provides movement, action and power. The process of creation is the manifestation of substance as the yin and yang vibrations change their frequency similar to the freezing process of water as it becomes solid ice. Within the human body, life force energy is built layer upon layer of electro-magnetic vibrations. The thick vibrations at the surface layers create physical tissues such as skin, muscles, bones, nerves, etc. The light vibrations at the deeper layers create the substances of emotions, thought processes, and the spiritual evolution of the soul. The internal organs embody these vibrations, and unify them as a whole. There are five main energetic layers: 1. Essence 2. Mind / Thoughts 3. Emotions / Feelings 4. Physical Body 5. External world / Action Each one of the internal organs contains a full structure of these layers. There-fore each organ is associated with a specific aspect of our essence; aspect of our thought process and belief system; aspect of our emotions and feelings; aspect of the physical body, as well as aspect of our expressions and actions in the external world.

When the organs fail to keep harmonious flow among the 5 layers of their vibrations, they fall out of balance and are unable to perform their functions. The body then calls our attention by developing physical and/or emotional symptoms. The symptoms of imbalance have a direct link to the functions of the internal organs, as containers of our life force energy (qi). The expression of the qi flow within the organs, is imprinted at the navel gate, forming pulls to the outer tissue of the rim, as well as various lines at the inner tissue. The Eight Navel pulls When the navel’s rim and inner lines point to the direction of a specific organ, they reflect its condition. A strong line may indicate a pull that expresses a disharmony within the organ’s layers. These disharmonies present physical or emotional challenges. Therefore, the navel pulls may reflect an original choice to evolve through facing and overcoming specific physical or emotional challenges, as a path of transformation. The pulls manifest in polarity: pulling toward one direction and away from its opposite. The organs on both sides may be effected. In most cases, the primary affect appears at the toward pull direction. There may be several pulls present simultaneously. Each of the 8 navels pulls is associated with a therapeutic pressure point. These points are located at the navel rim, helping to open and balance the original energetic flow into

Oriental Medicine • www.PacificCollege.edu

the internal organs. The navel pulls are used for evaluation and the navel therapeutic points are applied for treatment and transformation. SoulGate Healing – The art of Transformation Upper Pull: Fire: heart/pericardium/ San Jiao (thyroid) – transforming blocked emotions into creative motions! Lower Pull: Water: bladder/ reproductive system Side pull: Water: kidneys – transforming fear to freedom! Upper Left Pull: Earth: spleen/ stomach – Transforming survival tension into abundance and expansion! Lower Right Pull: Fire: S. intestine – Let go of inhibition and trust your intuition! Upper Right Pull: Wood: liver/gall bladder – Transform resentful attitude into forgiving gratitude! Lower Left Pull: - Metal: lungs/L. intestine – transforming stress and negativity into vital force of creativity!

“Looking at your navel," I said to my client, “We can see very clear lines pointing toward your right rib cage, where your liver is located. This may indicate blocked energy in your liver. According to Taoist healing and Chinese medicine, imbalances of the liver are often associated with the symptoms we had mentioned earlier: your joints pains, vision problems, hormone imbalances, etc."

When your liver qi is blocked, the production and flow of the bile becomes imbalanced. Since the bile is a bitter fluid, produced in the liver, bitterness – so to speak – is overflowing in your body’s systems. Therefore, liver disharmonies are often accompanied by bitterness, resentment, anger, and difficulty forgiving ourselves and others. Overcoming these physical and emotional challenges provides a wonderful path of transformation in your unique spiritual journey. When you were in the womb and your internal organs were forming their physical structure, some of your liver challenges where already imprinted in your energetic vibrations, providing you with the opportunity to evolve through overcoming these challenges. As your organs had received their life resources through your navel – the liver was pulling for more resources, preparing for this life journey ahead. Now, let’s get you on the massage table, open your liver navel point, massage your liver, and assist your personal transformation of Wood: Transforming resentful attitude into forgiving gratitude! OM

SUMMER 2012

Carotid-Radial Pulse Ratio Method continued from page 10

Method Do¯kei Ogura revived this method of palpation in the 1950s, palpating the carotid and radial pulses with the patient seated. (7, p. 53) Place the tip of the middle finger on the point where you feel the strongest pulsation, and move it back and forth to find a tiny groove, which is the bifurcation of the carotid artery. He uses the thumb and index finger of one hand to palpate the carotid artery on both sides, and palpates the radial artery with the index, middle, and ring fingers of his other hand. The left carotid artery is assessed along with the left radial artery; the converse is for the right carotid and radial arteries (4, 6). The location of the radial and carotid pulses are discussed in Simple Questions (Su Wen) Chapter 9, and the Spiritual Axis (Ling Shu) Chapter 9 (3). The radial pulse is located at the wrist proximal to the thenar emminance of the thumb on the radial artery. The carotid pulse is located at the neck, lateral to the cricoid cartilage at the bifurcation of the carotid artery. The carotid pulse can be palpated on either side of the laryngeal prominence, on the anterior aspect of the neck one-and-

a-half units lateral to the laryngeal prominence. It is located where the pulsation of the common carotid artery is strongest. (7, p. 53) Interpretation The ideal carotid and radial pulse should have three features. First, the carotid and radial pulses should have even ratio force and volume. Second, they should correlate with the seasons as conveyed in chapter 48 of the Spiritual Axis (Ling Shu). During spring and summer, the carotid pulse is slightly larger, as it is located in the yang aspect of the body. During fall and winter, the radial should be slightly larger than the carotid. Third, there should be no irregular shifts in force, volume, or rate of arrival between the carotid and radial pulses. Chapter 9, in both the Simple Questions (Su Wen) and the Spiritual Axis (Ling Shu) discusses pathology relative to the carotid-radial pulse method. Relative excess conditions of the channels can be assessed using the radial and carotid pulses.(8). The yin viscera are evaluated using the radial artery. The yang bowels are evaluated using the carotid artery. It is the force rather than size of the

pulse that is used to assess the involved channel. The disordered channel is: 1. Shaoyang if the carotid pulse is two times stronger than the radial; 2. Taiyang if the carotid pulse is three times stronger than the radial; 3. Yangming if the carotid pulse is four times stronger than the radial; 4. Yang is extremely strong, so if the carotid pulse is 5 times stronger than radial, it can't communicate with yin. The disordered channel is: 1. Jueyin if the radial pulse is two times stronger than the carotid; 2. Shaoyin if the radial pulse is three times stronger than the carotid; 3. Taiyin if the radial pulse is four times stronger than the carotid; 4 Yin is extremely strong that it cannot communicate with yang if the radial pulse is 5 times stronger than the carotid. Carotid

Radial

Shao Yang

Tai Yang

Yang Ming

Jue Yin

Shao Yin

Tai Yin

If both radial and carotid pulses are 5 times stronger than normal, it means that death is imminent. If the carotid is five times larger than the radial, “yang is being rejected.” If it is the radial which is five times greater force, “yin is being closed.” (3, p 63) If both the radial, and carotid arteries are four or more times forceful than normal, it is called “guan ke,” heaven and earth are obstructed, the pre-and post-natal jing qi are seriously damaged, and there is risk of death. The qualities are also used for purposes of prognosis. If both pulses are firm and slippery, the disease will remain chronic and difficult to resolve. If the pulse is soft in coming, the disease will resolve soon. Such conditions may portend a cerebrovascular accident in age appropriate individuals. Considerations All pulse systems have a bias due to the model and its limitations. The same is true for the carotid-radial method, which biases towards shaoyang patterns in about 50% of the cases. Bias can be seen most often in the pulse methods that assess relations between positions. For instance, when analyzing the night-time protective qi cycle, there is a tendency for the spleen to impedes the flow of qi most often. In the nutrient qi cycle, the entry-exit movement from the liver to the lung, or the spleen to the 34

SUMMER 2012

heart, are most common, as is the same set of events as seen from the point of view of the 8EV in the dai mai (full in the middle position). For the 6-channel method, it is the spleen that is most often observed. The channel related models seem to emphasize findings of the middle burner, spleen, and liver. In the Shen-Hammer (S-H) system, cardiac conditions tend to be identified. The important point is that it is from two points of view that perspective is created. Depth perception requires two eyes, so any method of analyzing natural phenomena should use two perspectives in order to more fully grasp the conditions that are present. Often times, in the carotid-radial method, perspective is generated not from additional pulse findings, but, rather, from the visual appearance and history. Having said this, the carotid-radial method does pay attention to qualities in terms of width, force, and stability as distinct features that must be considered. Closing The carotid-radial pulse method has gained popularity through Japanese and Korean traditions. It is an important tool in the clinician’s armamentarium. The shift in perspective to a larger consideration of the balance between yin and yang may provide insight into conditions unsolvable when looking at the problem from the point of view of internal medicine (zang-fu), infectious disease (Shang Han Lun and Wen Bing), 5 transformations (wu xing), or 3 treasures (san bao). OM

References

1. Unschuld P. Huang Di Nei Jing Su Wen: Nature, Knowledge, Imagery in an Ancient Chinese Medical Text. Berkeley, CA: University of California Press; 2003. 2. Veith I. Huang ti nei ching su wên: the Yellow Emperor’s classic of internal medicine: chapters 1-34 translated from the Chinese with an introductory study. New ed. Berkeley: University of California Press; 1966. 3. Wang B. Yellow Emperor’s Canon of Internal Medicine. Nelson Liansheng Wu AQW, editor. Beijing: China Science and Technology Press; 1997. 4. Yoo T. Koryo Hand Therapy: Korean Hand Acupuncture. Seoul, Korea: Eum Yang Maek Jin Publishing Co; 2001. 5. Yoo T. Introduction to Koryo Hand Therapy. Seoul, Korea: Eum Yang Maek Jin Publishing Co; 2001. 6. Yoo T. Yin Yang Pulse Diagnosis & Tonification and Sedation. Seoul, Korea: Eum Yang Maek Jin Publishing Co; 1994. 7. Denmei S. Finding Effective Acupuncture Points. Seattle, WA: Eastland Press; 2003. 8. Wang Z. Lingshu Acupuncture. Irvine, CA: Ling Shu Press; 2007. 9. Scheid V. Currents of Tradition in Chinese Medicine 1626-2006. Seattle: Eastland Press; 2007.

Oriental Medicine • www.PacificCollege.edu

Essence and Qi: Pacific College Blog

ave you heard the news? Pacific College of Oriental Medicine’s debut blog: “Essence and Qi” is here! If you are wondering what our name means or where it comes from, here’s what you need to know: essence and qi are believed to be the essential energies sustaining human life. All living things possess essence and qi, and each of these energies is fundamental to an individual’s well being. We believe essence and qi are key components to a person’s overall health and happiness, and that’s just what we hope to bring to you in this new blog!

Check in throughout the week for new, exciting posts with a traditional Chinese medicine perspective. Topics range from health tips, self-massage techniques, acupuncture treatments, holistic healing methods, and more! You’ll find articles, pictures, videos, quotes, and we do like to feature our PCOM faculty experts of course! Every Friday, be sure and tune in to our Friday Wrap-Up, where you’ll find weekly TCM in the news, from news sources around the world. We hope our blog can help enlighten, entertain, and spark your thoughts along the way. Find us at: www.pacificcollegeblog.com. Please comment on our posts and share with your friends too! We’d love to hear from you! OM

The Difference Between Western Reproductive Medicine And Traditional Chinese Medicine In Their Approach To The Treatment Of Infertility continued from page 27

medicine in an IVF cycle? No. I have been giving herbs to patients while they have been taking Western medicine for thirteen years. All that’s happened is the production of babies. Can the Western medical establishment be threatened by herbs or acupuncture? I’ll leave that for you to answer. Here is a medical quiz. If you had a choice of doing something that could improve your chances of conception, would it be: 1. Meditating 2. Praying 3. Yoga 4. Acupuncture 5. Herbal medicine 6. Changing your diet 7. Reducing stress You’re correct; all of these will help. But can you identify the two things above that have a three-thousand-yearold history of successfully treating infertility? There are only two in the list. What I find amazing is that every infertile couple is not including acupuncture and herbal medicine as part of their protocol to conceive. Some individuals say they “don’t believe in it.” How can you not believe in something that has been scientifically proven to

be effective in countless Western scientific studies? There have been, to my knowledge, very few studies done on herbal medicine and fertility outcomes but there have been many acupuncture studies completed. I am a staunch supporter and firm believer in Western reproductive medicine. But, TCM has been successfully treating infertility for 2930 years longer than Western medicine. And I want parity. Not for my ego or for the validation of the medicine that I so proudly practice but because parity will enable real patient care; better patient care than we presently have; more successful outcomes, more families granted to those who should, but cannot have them. Based upon the information I have provided herewith, it is my conclusion that to not use Traditional Chinese Medicine as part of an assistedreproductive-medical-protocol is very short-sighted indeed. OM Your world is a garden from which you can remove weeds of doubt and replace them with seeds of hope.

Mike Berkley, LAc, FABORM Founder and Director, The Berkley Center for Reproductive Wellness

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SUMMER 2012

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What’s New at Pacific College

here have been some exciting things going on at Pacific College this year. We’re constantly seeking to meet the needs of our students, patients, and community. This year, we’ve expanded some of our facilities to meet those needs. We’re offering diverse new externship opportunities, welcoming some fantastic new staff members, and are seeking WASC accreditation. Take a look at the wave of fresh happenings across the PCOM campuses!

WASC Progress Pacific College of Oriental Medicine has been working hard to pursue accreditation with the Western Association of Schools and Colleges (WASC) Accrediting Commission for Senior Colleges and Universities. WASC is one of six regional associations that accredit public and private schools, colleges, and universities in the United States. The WASC Accrediting Commission for Senior Colleges and Universities is responsible for evaluating the quality and effectiveness of colleges and universities offering baccalaureate degrees and higher in California, Hawaii, Guam, and the Pacific Basin. Pacific College of Oriental Medicine currently has institutional accreditation though the Accrediting Commission of Career Schools and Colleges. In addition, Pacific College has programmatic accreditation for the master’s and doctoral degree programs through the Accreditation Commission of Acupuncture and Oriental Medicine (ACAOM). A school’s accreditation indicates that its curricula and faculty are meeting standards of education consistent with those in peer schools. On August 5, 2009 the WASC Eligibility Review Committee panel “determined that PCOM has met all 23 of the Eligibility Criteria and is therefore deemed Eligible to pursue Candidacy with WASC.” Since that time, Pacific was successful in completing our Capacity and Preparatory Review in March 2011. Accreditation is an ongoing process of self-study, goal-setting, and evaluation. By evaluating ourselves thoroughly, we can improve and continue to grow. New Facilities In April, 2012, the San Diego campus expanded into a new building—making this the third building on campus. Called The Annex II, this new space includes two classrooms, a massage practice room, a tutor room, and a quiet study lounge for students. It also houses the Marketing Department for all three campuses,

as well as the Director of Continuing Education and the Bursar. PCOM Participates in UCSD Gala In addition to offering an orthopedics externship opportunity at UCSD RIMAC, and several off-site massage externships in conjunction with UCSD, PCOM San Diego participates annually in the University of California San Diego (UCSD) Free Clinic Gala every spring. This UCSD student-run Free Clinic Project works as both a fundraiser and awards ceremony. Funds raised during this event help provide free medical, dental, pharmacy, acupuncture, legal, and social services to San Diego’s working poor and homeless. More than 2,000 San Diegans rely on its comprehensive integrative health services every year. The StudentRun Free Clinic Project is run by 200 UC San Diego School of Medicine and Skaggs School of Pharmacy and Pharmaceutical Sciences students under the supervision of 100 licensed professionals including physicians, pharmacists, dentists, lawyers and social workers, and acupuncturists. Pacific College is proud to participate in the annual UCSD Gala. PCOM faculty members and staff who attended included Don Philliips, Jo Douat, Robin Kohler, Rachel Riba, Liem Lee, Beth Doane, Linh Rios, Aimee Holdwick, Lesley Custodio, and Jam Eblamo. These volunteers helped spread the word about the benefits of acupuncture and offered their services to the greater San Diego community. Expanded Courses: Cadaver Lab In June, 2012, PCOM San Diego was able to offer its first cadaver lab course. Students were given insight into the anatomy of the skin, organs, body cavities, and musculoskeletal and neuroendocrine systems with a focus on clinical effectiveness as an acupuncturist. In conjunction with Miramar College, two instructors with substantial teaching and clinical experience, Dr. Greg Sperber and Dr. Kevin Petti, taught this course together. Dr. Kevin Petti has a PhD in Anatomy and runs the cadaver lab at San Diego Miramar College. Pacific College created this course with Miramar College to allow students and alumni to experience hands-on anatomy. PCOM started developing a course for acupuncturists, and soon massage therapists, and Miramar College allowed the use of their state-of-the-art cadaver lab space. continued on page 38

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What’s New at Pacific College continued from page 36

New Nursing Program In January, 2012, PCOM New York launched the first nursing bachelor degree program of its kind within a complementary/alternative medicine (CAM) school. Registered nurses can advance their careers and earn a degree that prepares them for the future of healthcare through the new Bachelor of Science Completion Program in Holistic Nursing at Pacific College of Oriental Medicine (PCOM) in New York. The new nursing program includes classes covering not only core work in the sciences, leadership, community and research necessary for the Bachelor of Science, but also classes in holistic theory and modalities for healing, health, and wellness. Designed specifically for licensed registered nurses who already have their associate’s degree, students can attend day or evening classes. With this new program, students can complete their bachelor’s degree in as little as four semesters full-time or seven to nine semesters part-time. Alumni Award Application PCOM is using competencies developed by the Academic Consortium for Complementary and Alternative Health Care (ACCAHC) to recognize alumni leaders in the field of integrative healthcare. Three alumni will receive the Pacific College Alumni/ ACCAHC Award for Interprofessional Communication at the 2012 Pacific Symposium. For information on how to apply for this year’s Alumni Award, visit the PCOM website at: http://www. pacificcollege.edu/pacific-collegealumni/alumni-awards.html

Campus Director Position Our New York campus bade farewell to its wonderful Campus Director of the past nine years, Gina Lepore, and welcomed its new Campus Director, Malcolm Youngren. Youngren comes to us with 23 years of experience in the online education and corporate training industries. Youngren worked at Laureate Education Inc., Educational Testing Service, SmartForce, and Andersen Consulting. He holds graduate degrees from Harvard University and The Institute for the Learning Sciences at Northwestern University and a B.A. from the University of Pennsylvania. In addition to his Pacific College position, Youngren serves as the current Director for

Online Education at the Quad College Group. As alternative medicine continues to pervade mainstream healthcare, Pacific College will grow to

meet student and patient needs. We believe in providing balance and well-being not just within ourselves but to the world community we’re proud to serve. OM

Don Phillips and Aaron Cook enjoy the festivities at the Spring UCSD Gala.

Aaron Cook, Mr. and Mrs. Cook, and Andrea Beck at the UCSD Gala.

ea N lin ew g To ol

New Off-Site Learning Opportunities PCOM-NY’s new off-site clinical experience offerings this year have included Beth Israel Continuum Cancer Center Integrative Medicine program and HousingWorks in Greenwich Village. At Beth Israel

students offer acupuncture and gain experience treating patients undergoing chemotherapy and radiation therapy. At HousingWorks, students provide both massage and acupuncture to patients living with and affected by HIV and AIDS. Pacific College’s program in the Labor and Delivery begins with a series of preparatory courses followed by the opportunity for students to attend a one week, 46-hour Clinical Acupuncture and Acupressure Intensive experience in Lutheran Hospital’s Labor and Delivery department. Graduates of Pacific who have completed this program are eligible to apply for an additional six month training program in Labor & Delivery which includes going through the hospital credentialing process. Other exciting off-site clinical opportunities at PCOM-NY include wprk with women with disabilities at the NYU Hospital for Joint Diseases, working with substance abuse at St. John’s Riverside Hospital, working with herbs at Kamwo Herb & Tea Company, working with a post incarceration and alternative to incarceration population at The Fortune Society, working at the Veteran’s Administration hospital, and more.

Heskiers 1 Come to the Eastern Currents table at the Pacific Symposium

Dana DePaul, Andrea Beck, Jo Douat, Linh Rios, Lesley Custodio, Jam Eblamo, and Aimee Holdwick attend the UCSD Gala.

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Oriental Medicine • www.PacificCollege.edu

Characteristics of Chinese Scalp Acupuncture continued from page 15

special manipulations to regulate and harmonize the functional activities of the brain and body, as well as to restore and strengthen the functions of the body, organs, and tissues. Scalp acupuncture successfully integrates the essence of ancient Chinese needling techniques with the essence of neurology in Western medicine. Scalp acupuncture can now add clarity to ambiguities found in the practice of neurophysiology and pathology. It enhances significantly the treatment of central nervous system disorders in Western medicine. In complementary and alternative medicine, this contributes to a new understanding of both theory and practice. Scalp acupuncture resolves many problems of the central nervous system, such as paralysis and aphasia, for which Western medicine has little to offer. Scalp acupuncture areas are frequently used in the rehabilitation of paralysis due to stroke, multiple sclerosis, automobile accident, and Parkinson's disease. They are also often used in pain management, especially that caused by the central nervous system, such as phantom pain, complex regional pain, and residual limb pain. It has been proven to have very effective results in treating aphasia, loss of balance, loss of hearing, dizziness and vertigo. Scalp acupuncture not only treats disorders, but also can prevent illness and help to strengthen the immune system. It can help increase energy, preserve youth, and promote longevity. The technique of scalp acupuncture is systematic, logical, easy to understand, and easy to practice. Scalp acupuncture is more easily accessible, less expensive, entails less risk, can yield quicker responses, and often causes fewer side effects than some West-

urgent need for Chinese scalp acupuncture to be studied and perfected, using modern science and technology. Much more research needs to be done on scalp acupuncture so that its potential can be fully explored and utilized. OM

References

Jishun Jason Hao and Linda Lingzhi Hao, Chinese Scalp Acupuncture, Blue Poppy Press, 2011, p.3 Feng Cunxiang et al., Practical Handbook of Scalp acupuncture, Chinese Medicine and Science Publishing House, 1999, p. 30-36 Wang Fucun et al., Scalp Acupuncture Therapy, People’s Medical Publishing House, Beijing, 2003, p. 61-68

Chart 1

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acupuncture has been proven *toScalp be the most effective technique for treating central nervous system disorders. It often produces remarkable results with just a few needles, and usually brings about immediate improvements. ern treatments. The practitioner should consider scalp acupuncture as either the primary approach or as a complementary approach to treating disorders of the central nervous system and endocrine system. Acupuncture and moxibustion have been used to prevent and treat disease in China for thousands of years. Scalp acupuncture, however, is a modern technique with just 40 years of history. In the West, many healthcare practitioners are familiar with acupuncture for pain management. However, scalp acupuncture,

as a main tool for rehabilitation is a relatively new concept. It is still not easy for medical practitioners and the public to accept the idea and reality that acupuncture can help in the recovery of paralysis, aphasia, ataxia. It is even harder to believe that Western medical technology does not have the most effective treatment so far for those conditions. Even now, it is not surprising for a Western physician to claim that it is a coincidence if a patient recovers from paralysis after acupuncture. Therefore, there is an

Wu Boli Et al., “Yu Zhishun’s Experience on Head Points for Paralysis”, Chinese Acupuncture & Moxibustion, 1997, Vol.17 No. 3, p. 153-154. Zhu Mingqing et al, Scalp acupuncture, Guangdong Technology and Science Press, 1992, p. 8-11 Jiao Shunfa, Head Acupuncture, Foreign Languages Press, Beijing, 1993, p.17-22

Jason Jishun Hao is the co-author for the book, Chinese Scalp Acupuncture. He received his bachelor and master degrees of Traditional Chinese Medicine from Heilongjiang University of TCM in Harbin, China in 1982 and 1987 respectively. He received his MBA from the University of Phoenix in 2004. Dr. Hao has been practicing and researching scalp acupuncture for 30 years and has been teaching classes and seminars in the West since 1989. He has trained hundreds of acupuncture practitioners and treated thousands of patients with disorders of the central nervous system in the United States and Europe. Jason Hao currently serves as chairman of the acupuncture committee in the National Certification Commission of Acupuncture and Oriental Medicine, as president of the board of directors at Southwest Acupuncture College, and as president of the International Academy of Scalp Acupuncture.

Signs of Potential on the Face continued from page 3

Ren and Du channels meet, and in ancient Taoist alchemy, the philtrum is symbolic of the cauldron where alchemy occurs – the place between heaven and earth. Above, the nose receives the cosmic qi from breath through the nostrils, and below the mouth receives the qi of the earth as food. It is also the place to view fertility and creativity. The other ancient name for this area is the “Palace of Immortality,” and it is considered the equivalent of the lifeline on the palm of the hand showing the time of life when the most Jing is given from this underground aquifer. The philtrum can be divided into three parts: the top of the philtrum is the time of childhood, the middle of the philtrum is considered midlife, and the bottom of the philtrum is old age. If the philtrum is equal

in width in all three areas, this indicates that the infusion of Jing is regular throughout life. When the philtrum is widest in the middle, the most jing is present mid-life. A philtrum that is widest at the bottom indicates that Jing has been preserved and it will be most present and available in old age. The good news is that the shape of the philtrum changes based on jing used so far and can also indicate a change in jing usage when more of the jing is preserved for old age. Whenever I ask my clients if they want to live to be old, the answer tells me how they are using their jing. The ones who answer that they don’t want to be old and sick, or old and crippled, or old and in pain, have already used up too much jing. When someone answers that

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they want to live to be old no matter what, primarily because they have so much to accomplish, their philtrum is usually quite wide on the bottom. The good news is that the philtrum can and does change shape as jing usage is protected, indicating the patient is living better. Therefore, those of us in the field of Chinese medicine have an obligation as health practitioners to help people understand how to manage their jing. We can use these signs to monitor the usage of jing and we can encourage people to access the jing that they have not yet used that is stored in the Sea of Yang. Longevity itself is not the goal; being fully functional and enjoying life while living long enough to complete your life’s work is the ultimate reward. OM

Lillian Pearl Bridges is considered the world’s leading authority on face reading and diagnosis and she is credited for bringing this body of ancient knowledge back to the field of Chinese medicine. For over 20 years, her wisdom, warmth and humor have captivated audiences around the world as she has taught both complementary and allopathic health practitioners how to utilize facial diagnosis in their practices. Lillian learned her skills from a long line of master Chinese practitioners in her family. Lillian is the founder of The Lotus Institute, Inc. and trains students in her apprenticeship program, at continuing education courses at universities and colleges, and is a featured speaker at conferences, conventions, and symposiums around the world. Her book, Face Reading in Chinese Medicine was published by Churchill Livingstone in 2003 and has been translated into German and Italian. The second edition is due out in August 2012.

SUMMER 2012