Summer 2014 www.pacificcollege.edu

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2014

ince 1987, Pacific Symposium has served as an interactive environment for brilliant minds of the East Asian medical profession to come together S and study. A renowned conference with worldwide recognition, this an- nual event unites acupuncturists, massage therapists, students, nurses, medi- cal doctors, and professors by opening the gates to the exchange of industry information. Set in a beautiful retreat setting at the Catamaran Resort and Spa in San Diego, California, Pacific Symposium not only promises a vacation envi- ronment, but guarantees cutting edge speakers at the forefront of the integra- tive health community. At this year’s conference, a number of experts including regulars, Giovanni Maciocia, Kiiko Matsumoto, Janet Zand, Jake Fratkin, Arya Nielsen, Lillian Bridges, and newcomers, Jill Blakeway, East Haradin, and Ken Koles will present seminars and lead interactive workshops covering a myriad of timely Oriental medicine topics. With such an impressive lineup of speakers, there will be something to satisfy everyone’s interests. The conference’s key- note speakers, Drs. George Pratt and Peter Lambrou will present a synthesis of acupuncture energetics and contemporary psychology to address phobias and inhibitions that are limiting your patients’ health and happiness. OM

Are You The Marrying INSIDE THIS ISSUE.... PAID PRSRT STD PRSRT U.S. POSTAGE Bolingbrook, IL PERMIT NO.932 3 Treating Low Stomach Acid Kind of Acupuncturist? 4 PCOM Receives Approval from WASC to Offer FPD By Peter Lambrou, PhD and George Pratt, PhD 4 Pacific College of Oriental Medicine Obtains Grant Funding hat is a marriage? Two to boost the effects of psychological from the National Institute people joining together interventions. of Health (NIH) W to be more than either 5 PCOM New York Bachelor one alone. Of course, that’s just one Three Main Waves in of Science in Nursing aspect of a marriage. In addition to Psychology Program Advances to the union of two people, we use the Clinical psychology is primarily Candidacy for ACEN term “marriage” to describe other focused on understanding and treat- Accreditation types of joining, such as a marriage ing patterns of thought, emotions, 5 Alumni Award 2014 of form and function, marriage of and behaviors that are either mal- 6 Combining Aromatherapy words and art, or the provocative adaptive or limiting a person’s life. with Acupuncture: It William Blake title of The Marriage Over more than a century, the field Makes Science and Scents of Heaven and Hell. This article dis- of psychology has experienced the 6 The Science of Acupunc- cusses the marriage of acupuncture flow and ebb of different approaches ture Safety: Risks, Harms, and psychology. to helping people overcome prob- and Ancient Goodness A relatively new branch of psy- lems in those areas. There have Using the Gall Bladder chology has emerged in the past been three main evolutions in the 7 Divergent Channel to Calm few decades, generically known as field of psychology as well as many an Irritated Vagus Nerve Energy Psychology. This specific subsets and offshoots, but below is psychology utilizes some of the un- a brief description of the three great 8 Using Classical Thinking from the Shang Han derstandings and principles of acu- movements. Lun to Treat Fever puncture married to some concepts and processes of psychology. As What is Psychoanalysis? 9 Push-Hands and the psychologists and authors of this ar- Psychoanalysis, one of the earli- Root of Healing ticle, we are certainly limited in our est forms of psychotherapy, aims 10 Sensory Processing understanding and application of the to bring basic human drives into Disorder in the Pediatric processes and nuances of acupunc- conscious awareness and to resolve Acupuncture Clinic ture, yet sufficiently versed in psy- conflicts between conscious and 11 Feng Shui and Chinese chological processes to utilize certain Medicine aspects of acupoints and meridians continued on page 28 7445 Mission Valley Rd., Suite 105 Rd., Valley 7445 Mission 92108 CA San Diego, www.PacificCollege.edu 800-729-0941 Chinese Herbal Products You Can Trust

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ave you noticed the large Figure 1 number of TV advertise- H ments for stomach acid medication? The high rate of stomach problems is not suprising, especially considering that these ads are sand- wiched in between the 30-second spots enticing us to consume fast food. Poor diet and, even worse, poor stress management supports a com- mon complaint: an acidic stomach. Patients may present in your clin- ic with symptoms of stomach pain, acid regurgitation, loss of appetite, and overall poor digestions when stressed. In addition to specific stom- lose its flexibility and hardens as a • Stomach-11 (if painful, release Ren4-6 line; Ren-9 pulsing along ach complaints, intestinal problems result. The hardening of the stom- with two ear points mentioned with Spleen-20 pressure pain on the such as irritable bowel syndrome ach lining is uncomfortable. You above) left side; both adrenal reflexes; and could also accompany these patterns. may find that patients who have this • Immune points lung/immune reflexes. The most Kiiko Matsumoto Style (KMS) problem present in your clinic with • Stomach-36 area sensitive reflex at the time of exami- acupuncture identifies the most com- poor posture. Slouching provides nation was Ren12 and the general mon reflex pattern in these cases as some relief since trying to straight- area between Ren12 and Stomach-21 having pressure pain on the follow- en out a tight, hardened stomach on the left side. Stomach-11 on the ing reflexes: doesn’t feel good for them. left was more sensitive than the This is commonly observed in right side. elderly patients. They not only have Gently pressing on left Stom- poor posture, they also have the fol- ach-11 while reexamining Ren12 lowing abdominal finding. (See Fig. 1) produced some change, therefore Rugae hardening over time can suggesting that the rest of the above be a bidirectional issue. The harden- mentioned “low stomach acid treat- ing of the rugae leads to poor pos- ment” might be worth testing. ture and poor posture squeezes the Palpating and then needling the rugae, causing it to harden. Regard- ear points (TW and ST) reduced less of the etiology, it leads to insuf- pressure pain on Stomach-11 and ficient HCl production which can allowed this point to be used. Nee- result in the following conditions: dling Stomach-11 along with Master • Poor digestion of protein (which Nagano’s immune points further leads to indigestion, which is of- reduced pressure pain on Ren12 ten wrongly medicated with ant- When to consider this reflex. Adding a point in the area of acid medication) treatment Stomach-36 on the left side cleared • Poor absorption of minerals and The presenting symptoms for the remaining pain on Ren12 and B12 vitamins this pattern are not limited to the reduced the patient’s pain from 7/10 • Poor protection against food stomach and, therefore, can be over- level to about 1/10. At this point poisoning, H. pylori bacteria, looked. Abdominal palpation and the rest of the positive abdominal • Stomach-11 – most commonly parasites and infections (includ- pressure pain on Ren12, left Stom- reflexes were re-examined and the found on the left side ing Small Intestine Bacteria Over- ach-21, and left Stomach-11 are good only remaining pressure pain was • Ren-12 growth SIBO) indicators that this treatment may be on the left adrenal reflex at the Kid- • Stomach-21 – most commonly • Weakened immune defense (80% appropriate for the patient. ney-16 area. Adding Kidney-7 and found on the left side of immunity comes from the Kidney-27 on the left reduced the intestines) Case example adrenal reflex and reduced the pa- An interesting aspect of this A 16-year old patient presented tient’s symptomatic presentation a pattern is the fact that it occurs in Numerous symptoms can arise as with constant pain on the abdomen, little bit more. OM patients with insufficient, not exces- a result. These are not limited to the which had persisted for many years sive, acid production - specifically, digestive track and can include symp- and increasingly got worse. The with a lack of adequate hydrochloric toms such as the following: patient described her pain at a 7 or Kiiko Matsumoto, LAc is internation- acid (HCl). People may develop low • Digestive: bloating and a burning 8 out of 10 level most of the time. ally known for her scholarly work on acu- stomach acidity following pernicious feeling after eating, feeling overly Occasionally the pain fluctuated puncture and the interpretation of Chinese anemia, chronic H. pylori infections, full, constipation, diarrhea, food with some days worse than others. Classic texts. She is best known for her long term use of antacids and PPI allergies, iron deficiency, etc. Her overall medical and family his- ability to integrate the work of very im- medications, and autoimmune gastri- • Skin: rosacea, itching, rashes, acne, tory did not include any surgeries, portant Japanese Masters including Master tis, as well as other less severe causes. weak and peeling fingernails, etc. major illnesses, or accidents. In Nagano, Master Kawaii, and Dr. Manaka. A normal stomach acid level • Other associated diseases include: school she was a straight A stu- Ms. Matsumoto practices in Newton High- creates a pH of 1.5 to 2.5. HCl is asthma, celiac disease, autoim- dent and overall a high achiever. lands, MA and teaches all over the world. secreted by the parietal cells in the mune disorders, diabetes, GB dis- The progressing abdominal pain She is currently collaborating with Monika stomach lining (rugae). In a healthy ease, osteoporosis, etc. did, however, lead to her having to Kobylecka, LAc on a clinical textbook that person, the lining of the stomach drop out from after-school sports describes Ms. Matsumoto’s latest work. is soft, flexible, and full of little Treatment points: and performance activities. She was In addition to her collaboration with Ms. wrinkles that flex around as the • Ear Triple Warmer in too much pain to complete a lot Matsumoto, Ms. Kobylecka practices Kiiko stomach expands and contracts. • Ear Stomach of physical activity. Matsumoto Style of acupuncture in Los An- With age, poor diet, and even poor • Ear – Eustachian tube point (the In clinic, based on KMS acu- geles at the Akasha Center for Integrative posture (more on that in a minute), connection between the ear and puncture abdominal palpation, Medicine and at Children’s Hospital Los the stomach lining (rugae) begins to the head) she had positive reflexes on the Angeles (CHLA).

Oriental Medicine • www.PacificCollege.edu Summer 2014 3 PCOM Receives Approval from WASC to Offer FPD

acific College of Oriental doctorate (DAOM)? Medicine (PCOM) is well into No. Even if the FPD is widely P the process of developing and adopted, which is uncertain and offering what has become known may take a generation, the DAOM as the first professional doctorate will serve the vital function of train- (FPD) degree in acupuncture and/or ing advanced clinicians, specialists, Oriental medicine. The College has researchers, and teachers for our received approval from the Western profession. Association of Schools and Colleges What does this mean for the pro- (WASC) to offer the program. At the fession and what other professions same time, the College’s academic have undergone a standard degree leadership team is using this as an title change? opportunity to review its master’s of Many professions have gone science programs with the goal of through what has been commonly reducing repetition, increasing ef- referred to as “degree creep,” an ficiency, and creating better articula- increase in degree titles without sig- tion with the College’s post-graduate nificant changes to curriculum. Usu- doctorate (DAOM). ally graduates who earned the ear- not expected to change in Califor- who graduate from MSTOM program? lier degree titles do not change their What is the FPD? nia, New York, or Illinois. No. Graduates of the Pacific Col- degrees. Examples of this include PCOM’s current doctoral degree, What is presently proposed for lege’s MSTOM and MSAc programs our own profession. Some of your the Doctorate of Acupuncture and the FPD is a degree that expands on would be eligible to sit for the same more experienced teachers gradu- Oriental Medicine (DAOM), is a post- the minimum ACAOM standards for state and national licensing exams as ated from non-degree programs in graduate degree. It requires students master’s programs. For some schools they are now, and it is expected that the 1980s or 90s and do not have to first complete a master’s degree that will be quite an expansion. FPD graduates will have the same a master’s degree, yet have all the in acupuncture and/or Oriental However, Pacific College’s MSTOM right. However, the NCCAOM has no rights and privileges to practice medicine. The post-graduate DAOM exceeds ACAOM’s minimum master’s public statement yet regarding FPD acupuncture. Another is the field of does not provide entry-level train- training standards by approximately graduates. There are no state initia- pharmacy, where students used to ing. Pacific’s DAOM is designed for 900 hours and exceeds the FPD stan- tives to change the entry-level degree earn a Bachelor of Science in Phar- existing practitioners to become lead- dards by approximately 500 hours. requirements or change the scope of macy, while current students earn ers through specialization; language The ACAOM FPD standards allow practice for someone holding an FPD. a Doctor of Pharmacy, with added skills; research; advanced, integrative for separate Oriental medicine and time largely making room for gen- clinical training; and the study of acupuncture degrees, paralleling the How will I earn a doctorate if eral education. Both have the same Chinese Classics. On the other hand, MSTOM and MSAc degrees currently I’m already in a master’s program or right to practice. The entry-level students can enter FPDs directly from offered by Pacific College (the MSAc have already graduated? education for physical therapists undergraduate programs without is offered in NY only at this time). PCOM has developed a principle, used to be a Master’s of Physical prior acupuncture and/or Oriental “No Master’s Left Behind”, which it Therapy. It is now a Doctorate of medicine training and receive a doc- Will the professional doctorate will advocate to ACAOM. Given the Physical Therapy (DPT). The physi- toral degree upon graduation. (FPD) require a bachelor’s degree? nearly identical content of the Col- cal therapy profession designed a The FPD should be distin- No. The proposed admissions stan- lege’s comprehensive master’s degree transitional doctorate that enabled guished from the common term “first dards require three years (90 semester and the FPD, Pacific College believes those with master’s degrees to eas- professional or entry level degree,” credits) of undergraduate education, that 100% transfer credit should be ily earn a doctorate. Our profession which is the first professional degree which must include courses in biology, awarded to master’s students and is exploring the option as well since leading to entry into a profession. psychology, and chemistry. This is in graduates and that they should be many practitioners did not graduate Pacific College already has that. It contrast to the current two-year prereq- required to take only those credits from a master’s program as compre- is the master’s degree. There is cur- uisite for the master’s programs. that are different. hensive as PCOM’s and may need rently no movement to alter the significantly more courses to bridge minimum entry-level degree require- Will the FPD graduates receive a Will the professional doctorate the difference between the degrees. ment on a nationwide basis and it is different license to practice than those (FPD) replace the post-graduate OM

Pacific College of Oriental Medicine Obtains Grant Funding from the National Institute of Health (NIH)

acific College is proud to clinical acupuncture practice can be PCOM-NY and Albert Einstein Col- Dr. Anderson holds a Master’s degree announce another step in informed by evidence--optimizing the lege of Medicine (Einstein) have col- in acupuncture and Chinese herbal P furthering Chinese medi- quality of patient care. We are proud to laborated before and are currently in medicine and specializes in fertility and cine research and accessibility! The join a small and elite group of Oriental their 6th year of an inter-professional women’s health. Dr. Roni Evans (Dean National Institute of Health (NIH), medicine colleges that have been suc- student education exchange program. of Research) at NWHSU, an internation- National Center for Complementary cessful in receiving NIH funding. The grant’s principal investigator, ally recognized expert in Evidence In- and Alternative Medicine (NCCAM) The grant went into effect on our very own Dr. Belinda Anderson, formed Practice, and Dr. Paul Marantz granted the Pacific College of Orien- September, 2013 and will span five is Academic Dean and Research Di- (Associate Dean for Research Clinical tal Medicine (PCOM) New York cam- years. This project is a collaboration rector at PCOM’s New York campus. Education) at Einstein will assist Dr. An- pus $670,000 dollars for the project with Northwestern Health Sciences Dr. Anderson has a rich history as a derson with undertaking the grant. entitled, “Evidence Informed Practice: University (NWHSU), as well as the researcher. She holds a PhD from the We could not be more excited Faculty and Curriculum Develop- Albert Einstein College of Medicine University of Sydney (Australia) and her about this grant and the opportunity ment” last fall. The grant focuses (Yeshiva University), where principal earlier work in the field of molecular it offers us to participate in the prog- on training acupuncture faculty and investigator Dr. Belinda Anderson biology resulted in the first geneti- ress of Chinese medicine research students to utilize research so that is an Assistant Clinical Professor. cally engineered veterinary vaccine. and efficacy!OM

4 Summer 2014 Oriental Medicine • www.PacificCollege.edu PCOM New York Bachelor of Science Alumni in Nursing Program Advances to Award Candidacy for ACEN Accreditation 2014

e are thrilled to an- as related to resources invested, affirms the quality of the PCOM t’s time for the fifth edition of our nounce that the Pacific processes followed, and results Holistic Nursing Program and more annual Alumni Awards and appli- W College of Oriental Medi- achieved. than ever, NYULMC looks forward I cations are currently under review! cine (PCOM) Bachelor of Science “The PCOM holistic nursing pro- to hiring PCOM nursing graduates Our alumni work hard to increase in Nursing (RN to BS Completion gram provides a unique focus on at our institution,” says Senior Vice awareness of acupuncture and Orien- Program) is now a candidate for holistic nursing and patient-centered President, Patient Care Services and tal medicine and we want to award accreditation by the Accreditation care. This accreditation process Chief Nursing Officer at NYU Lan- them. One of the advancements we Commission for Education in Nurs- validates the importance of holistic gone Medical Center, Kimberly S. are seeing in both Western and Eastern ing (ACEN). The ACEN is respon- nurses caring for the whole person,” Glassman, Ph.D., RN. medicine is the movement towards EV- sible for accrediting nursing educa- says PCOM NY Holistic Nursing IDENCE-BASED HEALTHCARE AND The PCOM holistic nursing pro- tion programs, and achieving ACEN Program Director, David Rabinow- EVIDENCE-INFORMED PRACTICE. gram provides the philosophical, candidacy is a significant milestone itsch, RN DNP CHTP/I CNE. The For this year’s Alumni Award ap- professional, educational, and clini- in the evolution of the Nursing Pro- nursing program emphasizes theory, plication process we asked alumni to cal groundwork necessary for nurses gram and PCOM. research and evidence informed submit their real life examples of EVI- of the future. PCOM New York Campus Di- practice focusing on holistic health, DENCE-BASED HEALTHCARE AND rector Malcolm Youngren says, “I’m wellness, disease prevention and Pacific College is one of the EVIDENCE-INFORMED PRACTICE very excited about this candidacy, leadership. leading schools in the nation for within the field of East Asian medicine. which recognizes the quality of Achieving candidacy will help acupuncture, Chinese herbal medi- One winner from each PCOM campus the program, teaching, and clinical PCOM students in their careers. cine, massage, and holistic nursing (SD, CHI, NY) will be awarded a free experiences that PCOM New York “Increasingly hospitals and other where students earn a range of de- pass for the 2014 Pacific Symposium as works so hard to achieve.” Not only healthcare agencies today require grees, from a certificate to a doctoral well as an honorary plaque. is accreditation candidacy a reflec- nurses to be well rounded, to pro- degree. We have campuses in San The application deadline has tion of the quality of the program, tect and promote health and well- Diego, New York, and Chicago, and passed and all applicants are under accreditation can also assist in the ness and to have their bachelor’s host the annual Pacific Symposium consideration. The winners will be an- further improvement of the program degree. Candidacy from ACEN conference. OM nounced and honored at Pacific Sym- posium 2014! Good luck to all! OM

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Lillian Bridges Jason Blalack Felice Dunas

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Oriental Medicine • www.PacificCollege.edu Summer 2014 5 Combining Aromatherapy with Acupuncture: It makes Science and Scents By East Haradin, LAc

cupuncture and aromathera- ther and suggest that stress is the un- combined with aromatherapy, but water-based placebo for my trial. py are two individual modali- derlying cause or root of the majority none where acupuncture was com- For the acupuncture portion of A ties that have been used for of the conditions we treat. bined with aromatherapy. Here was the trial, I created a point protocol thousands of years to successfully Many of us know from personal an opportunity to enter uncharted that was made up of acupuncture treat a gamut of conditions and dis- experience that we can effectively territories. points that had all been previously eases. But what happens when they reduce stress with acupuncture treat- The next step was to select a proven to reduce stress. The protocol are combined together in one treat- ments. In fact, this notion has been study design for my trial. I chose to included Liver 3 Tai Chong, Large ment? Is the treatment session more proven through multiple studies and perform a randomized, double blind, Intestine 4 He Gu, Stomach 36 Zu effective? Is there no difference at a great deal of clinical research. But placebo controlled pilot study. At San Li, and Yin Tang M-HN-3. This all? Does it increase patient satisfac- what if we add aromatherapy to the time I remember several people protocol provides a simple and effec- tion and comfort? I set out to answer an acupuncture treatment, which is asking me, “How can you have a pla- tive stress reducing treatment. Next, I these questions in 2011 while obtain- aimed at reducing stress levels? Will cebo when performing a trial on aro- formulated an aromatherapy blend of ing a doctoral degree in acupuncture the addition of aromatherapy reduce matherapy?” “You either smell some- essential oils, each of which had also and Oriental medicine. Here I will stress even more? To determine this, I thing or you don’t, right?” Well, it been proven to reduce stress levels. share with you what I discovered and ran a clinical trial comparing the ef- turns out that many of the previously The blend included Ylang-ylang, suggest that yes, combining aroma- ficacy of reducing stress levels from performed trials on aromatherapy rose, grapefruit, and lavender all-nat- therapy with acupuncture can make an acupuncture treatment alone to a that elected placebo controlled trial ural essential oils. From here I had to a treatment more effective. treatment session where acupuncture designs simply utilized spring water select study participants, preferably Let’s begin this discussion the was combined with aromatherapy. or alcohol as a placebo. In many of a demographic with inherently high same way I began my research by In the early days of gathering re- these studies, saturated cotton balls stress levels. OM asking the question: “What is some- search for my clinical trial, I was im- were placed on the chest area near thing that nearly all patients complain mediately surprised that I could not the study participant’s nose. The cot- The complete article can be found about?” The answer: Stress. Stress is find a single published study or clini- ton balls either contained aromather- online at www.pacificcollege.edu/ acupuncture-massage-news/ something that affects every one of cal trial on the combination of aro- apy (the intervention) or spring water articles/1365-combining-aromatherapy- us one way or another, especially our matherapy with acupuncture. I found (the placebo). Therefore, I decided to with-acupuncture-it-makes-science- patients. Some may even take it fur- three trials wherein acupressure was adopt the same deliver method and and-scents.html

The Science of Acupuncture Safety: Risks, Harms, and Ancient Goodness By Arya Nielsen, PhD

t is true that acupuncture has ments, and 0.55 per 10,000 individual al. 2009). Primary research studies and the “ancient goodness” of our a relative risk that is low. The patients. The conclusion was that the fail to adequately report harms data medicine and think that the cases I reporting of adverse events in risk of serious events occurring in and systematic reviews compound of harm are rare enough and hap- clinical trials as well as safety sur- association with acupuncture is very poor reporting by failing to report on pen somewhere else. But mitigating veys has helped establish a positive low, and below that of many com- whether harms data was even col- even one chance for harm is worth a safety record in the West (White mon medical treatments. lected (Zorzela et al. 2014). While review. Here is an overview of case 2004; MacPherson et al. 2001), China And yet there are deaths that adoption of the Consolidated Stan- reports of harms attributed to acu- (Birch et al. 2013; He et al. 2012), have resulted from acupuncture treat- dards of Reporting Trials (CONSORT) puncture, categorized with practical and Japan (Yamashita et al. 2001); in ment as well as serious infections, by medical journals may beneficially recommendations: the treatment of children (Adams et organ punctures, and other compli- influence completeness of reporting, al. 2011; Jindal et al. 2008) as well cations. Published cases of adverse general inadequacies of reporting Medical Reports as for pregnant women (Park et al. events clarify that acupuncture carries harms in randomized controlled trials The medical literature uses many 2014). Patients may experience minor a risk of harm. Many acupuncture (RCTs) remains a problem (Hodkin- terms to denote side effects, which side effects such as feeling relaxed, professionals are, in fact, not aware son et al. 2013; Turner et al. 2012) can be unwanted (adverse) or even elated, tired, or having point sensa- of the published cases of acupunc- and confounds efforts to weigh the beneficial. The relationship of an ad- tion or itching etc. (MacPherson and ture harms because they may not risk and benefit of an any interven- verse effect to an intervention must Thomas 2005) or slight bleeding and read the medical literature in general tion. An extension to the CONSORT be considered: is a side effect a direct hematoma on needle withdrawal and because cases of harm are not checklist was adopted in 2004 to in- result of an intervention, and is it (Witt et al. 2009). necessarily reported by or back to clude specific reporting of harms in all expected, common, or rare? Is a reac- There are rare serious complica- the practitioner who caused them. trials (Ioannidis et al. 2004). To their tion the result of negligence or mis- tions associated with acupuncture. They appear in medical journals of- credit, acupuncture researchers further application of an intervention? Reviewers point out that injuries ten as emergency department cases extended the CONSORT statement Unfortunately, current medical relate directly to insufficient training and acupuncture therapy is repre- by adopting the Standards for report- literature fails to distinguish between (White 2004; Yamashita et al. 2001). sented as risky and irresponsible. ing Interventions in Clinical Trials of negligent medical errors associated White (2004) surveyed 12 prospective To be clear, accurate reporting Acupuncture (STRICTA) to improve with acupuncture, rare complications studies of more than a million treat- of adverse effects, events, reactions, reporting of both intervention and ad- that are unanticipated, and adverse ments reporting ‘the risk of a serious and complications collectively known verse events (MacPherson et al. 2010). reactions that may be expected as adverse event with acupuncture is as ‘harms’ is a challenge in every as- As practitioners, it is possible estimated to be 0.05 per 10,000 treat- pect of medical research (Pitrou et that we rely on our safety record continued on page 15

6 Summer 2014 Oriental Medicine • www.PacificCollege.edu Using the Gall Bladder Divergent Channel to Calm an Irritated Vagus Nerve By Jill Blakeway, MSc, LAc

aty visited our center with a to the way the vagus nerve links the seemingly disparate collec- Regular acupuncture reduces the inflamma- heart and gallbladder anatomically. K tion of symptoms that were * The chong meridian links the heart causing her distress. She described a tion that is often at the root of this disorder and and stomach in a way that is also sim- pattern that was episodic in nature ilar to the path of the vagus nerve. and involved abdominal bloating, calms the irritated nerve. Because the vagus nerve sup- belching, acid reflux, loose stools, plies motor parasympathetic fibers to shallow breathing, and palpitations. Her symptoms could be the re- in a zigzag pattern from the brain every organ from the neck down to A cardiologist had ruled out serious sult of any number of patterns in and its fibers spread to the tongue, the second segment of the transverse heart disease and she’d been offered Chinese medicine, ranging from the pharynx, vocal chords, lungs, heart, colon (except the adrenal glands), its beta-blockers for what had been Five Element diagnosis of Wood in- stomach, and intestines. As a ma- effect can be far reaching. Stress can diagnosed as pre-ventricular contrac- vading the Earth and not generating jor nerve of the parasympathetic raise the body’s level of epinephrine tions (PVCs) and occasional tachycar- Fire, to the zang fu pattern of spleen system, it slows the heart rate and and norepinephrine, which stimu- dia. A gastroenterologist had found qi deficiency with liver qi stagnation stimulates bowel activity. lates the sympathetic nervous system nothing remarkable on endoscopy, leading to heat in the upper jiao ha- It plays a key role in the mind- to over-ride the parasympathetic apart from a small hiatal hernia, and rassing the heart. Counter-flow in the body connection and, in particular, nervous system, of which the vagus Katy had been given a prescription chong meridian was also a possibil- the way that the heart responds to nerve is the main component. When for antacids for the acid reflux. Her ity. Like Katy, I was keen to get to emotions. It is also one of the mecha- the vagus nerve is affected in this internist had diagnosed her with pan- the root of her problem rather than nisms by which the stomach and way, people can experience palpita- ic attacks and suggested a combina- simply treat her symptoms. intestines are affected by stress. Many tions, tachycardia, or premature ven- tion of talk therapy and medication. Bio-medically, I felt as if her pat- of the patients I treat for IB who have tricular contractions (PVCs). These Katy was grateful for each interven- tern could be explained by looking the classic symptoms of Wood invad- are extra, abnormal heartbeats that tion, but remained convinced that all closely at the vagus nerve. One of ing Earth have a vagus nerve that begin in one of the heart’s two ven- her symptoms had one root and so, the 12 pairs of cranial nerves, the is either under or over performing. tricles. Patients describe vagus nerve looking for a deeper solution, she vagus nerve is also called the wan- Likewise, the Five Element pattern of decided to try Chinese medicine. dering nerve because it meanders Wood not generating Fire correlates continued on page 16

Oriental Medicine • www.PacificCollege.edu Summer 2014 7 Using Classical Thinking from the Shang Han Lun to Treat Fever By Dr. Suzanne Robidoux, PhD, CM, DOM, LAc

he classical Chinese medi- the change of the disease. This medi- while making the necessary modifica- cal system views health and cal legacy from Zhang Zhong Jing is tions to the ingredients and dosages T disease through the “eight- clearly a gem for Chinese medicine according to the symptoms. principle and six-syndrome” differ- clinicians. The only two major issues The six syndromes have been entiation methods. In ancient times, we’ve had since then are maintaining mentioned many times within the Chinese medical experts identified these classics, keeping them intact Chinese medical system. However, groups of symptoms as patterns, and while understanding them correctly historically, the six syndromes of the associated them with specific formu- and using them effectively in clinic. Shang Han Lun (Treatise on Cold las. Eventually, with repeated clinical To begin to understand the phi- Damage) have been directly linked success, they recorded these patterns losophy and clinical approach of and associated to the meridian sys- as “formula patterns”. Later, during classical thinking, we must open our tem. This is an incorrect understand- Zhang Zhong Jing the Eastern Han Dynasty between minds to a different way of viewing ing of the classical medical system 40 to 200 A.D., Zhang Zhong jing re- health and diseases. In China, there of Jing Fang (classical medicine). corded all of this clinical experience is a clear difference between the Cabinet) and have been praised for It has also created deep confusion handed down from generations in Chinese medical practitioners that clinical success. and misguided uses of the classical the Shang Han Za Bing Lun (Treatise use the traditional Chinese medi- Classical Chinese physicians formulas. Here is a short summary on Cold Damage and Miscellaneous cine (TCM) zang fu approach in who treat diseases according to clas- of the main symptoms related to the Diseases), which was later edited their practice, and the ones that use sical thinking must identify which six syndromes according to the clas- and separated into the Shang Han “pure” classical thinking. Both Dr. syndrome or syndromes have been sical system. OM Lun (Treatise on Cold Damage) and Hu Xi Shu and Professor Feng Shi affected by the pathogens within the the Jin Gui Yao Lüe (Essentials from Lun, like many other classical mas- “six-syndrome identification system”. the Golden Cabinet). These classics ters, have spent their lives research- Knowing the affected syndrome, or The complete article can be found ing and developing the understand- combination of syndromes, will lead online at www.pacificcollege.edu/ illustrate the appropriate clinical ap- acupuncture-massage-news/ plication for a group of symptoms ing of the Shang Han Lun (Treatise directly to a group of classical formu- articles/1363-using-classical- with a corresponding formula as well on Cold Damage) and Jin Gui Yao las. Practitioners then need to identify thinking-from-the-shang-han-lun- as suggest modifications according to Lüe (Essentials from the Golden the appropriate “formula pattern”, to-treat-fever.html

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8 Summer 2014 Oriental Medicine • www.PacificCollege.edu Push-Hands and the Root of Healing By Josh Eha, LAc, CSMA

his is written out of appre- When we accept everything for ciation for a living treasure. what it is, we prevent conflict. T Master Herman Kaus has been teaching martial arts for over Surrender 60 years. A former world competitor Once we experience failure past in Judo and Karate, Master Herman our threshold, we learn to change our shifted his focus to Tai Chi and push- way of thinking. It takes a lot of energy hands to reap the benefits of mar- to hold onto resistance. Trying to win, tial arts with less distraction. I was outdoing someone, outwitting some- blessed to be his push-hands student one, protecting oneself from harm, at Pacific College of Oriental Medi- protecting the herd, justice for wrong- cine (PCOM) and around the San doing, punishment, sacrifice, victimiza- Diego area from 2002 to 2005. Now, tion, and the face of innocence must a decade later, the essence of what all be continually surrendered. he teaches remains at the core of my There is no loss in surrender, ex- clinical work and my life. cept the false idea that we are sepa- As I entered the room on my rate and on our own, dis-integrated, first day, I still remember how for- and special. To let it go is exhilarat- eign it all seemed. Students moved ing because we not only regain the desks, clearing a space around a energy used to keep us fragmented, bent old man with a stick leaning but we gain the universe by recon- against a table. A student turned to necting. This is the stuff of miracles, say, “Bow to the room. Then bow to would push a little harder. And I was through abstraction. Push harder. near-death experiences, hitting rock Master Herman before joining us.” reminded, “relax”. Fall. Over-extend. Fall. Resist. Fall. bottom, and transcendence. So I bowed. So it continued with small tri- Overbear. Fall. Get angry. Fall. Lose Surrender is also a very natural After a few stories, questions, umphs in the beginning and ran- focus. Fall. Disconnect from every- phenomenon and can be nurtured and words of wisdom, Master Her- dom blips of clarity as the months thing and figure it out myself. Fall. I through repetition. We learn to let go man exclaimed, “Words are cheap. and years rolled on. I saw things have done all of these things count- of results and focus on the process. We are not going to learn push-hands changing underneath the surface: a ess times in push-hands and, as a We let go of everyone’s opinions and by talking about it.” certain meaningful easing. I could consequence, I recognize these ten- trust our instincts. In his book Push- And so it began. I was placed not describe it at the time, but I was dencies more readily as an indica- Hands: The Handbook for Non-Com- with a senior student to learn the relaxing. tion of how I deal with adversity. petitive Tai Chi Practice with a Partner, simple form before actually pushing Life becomes very telling as Master Herman describes this process with a partner. Stance was corrected. Results are Meaningless awareness is increased. as “unlearning.” In push-hands, we Shoulders positioned. Kinks ironed We attach so readily to results. unlearn somatically. The mind itself out. It was a sort of dance. Qi moved Getting good grades, a good job, Acceptance is put aside and the body learns that like a hydraulic machine: extend, ac- successfully managing patients and a At the exact instant of attack, be conflict is an illusion carrying with it cept, extend, accept. Again and again business–even being “goal-oriented” ready to defend. Defense is simply resistance and fragmentation. I was reminded by my partner and by is a goal in and of itself. a redirection of the flow of attack Practicing push-hands lets these Master Herman to relax, relax, relax. Meaning, on the other hand, is to another position on the attacker. concepts sink into the very fabric of After ten minutes or so, I began derived from the process and our rela- Everything is instantaneous. Once our energy system where they can pushing with my partner. Start with tionship to it. It is through the process timing falters, once you resist, even harmonize and integrate our being. defense. Just get out of the way. that we discover essential truths and the tiniest bit, an adept student will Make sure you are not there when ourselves. Push-hands is a good pro- upend you. Cleverness and learned- Ten Years a Clinician the attack comes. cess and a great teacher because the ness do not enter into it. If you have One of our main tasks as acu- I was having a hard time be- results really are silly. Big deal if you to think about it, it is already too late. puncturists is to treat the root of any ing “not there”. A well-placed attack can push someone over a foot away Instead, be instinctual and fully con- condition. My process in the discov- makes one seize up like a deer in from you. You are left to deeply expe- nected to the flow. ery and integration of root pathol- headlights. The whole body goes rig- rience the process, free of the distrac- Acceptance is being in the flow. ogy is forever tied to the wisdom of or mortis and one falls off the center tion of potential outcome. We fall out of flow with resistance. Re- Master Herman’s push-hands. When like a chopped down tree. For an in- The core process for dealing with sistance responds to perceived threat I see resistance in patients, I bring it stant we feel as a small child would: adversity, as I have come to under- by countering with force. It is rooted into awareness, assimilate it through petrified. Relax, relax, relax. stand it, can be stated as follows: in fear: the petrified child within us, acceptance, and release it with an A certain phrase was repeated Become aware of internal conflict, or the ‘shadow’, according to Jung. It attitude of surrender. What is left is over and over, “four ounces can move accept life by dropping resistance to is our identification with a threatening free flow, fully integrated. In a sense, 1,000 pounds.” Use less strength. In- it, and finally, surrender. idea, our rationalization for all kinds this is the root of all healing. stead, cultivate timing and position. of sabotage. It leads to fragmenting With gratitude, I bow to Master Any gains I made over those Awareness and dis-integration. In the instant of Herman, a living treasure. OM years had the risk of pride attached to To experience push-hands is to resistance, we believe we have been them. Master Herman was an expert experience an essential awareness cut off from the source and are fend- at noticing this and would choose me of energy. Energy is our life force ing for ourselves. We will consequent- Josh Eha, LAc, CSMA is a graduate of as his partner during times of elation. and, through awareness, is the root ly assume a compensating position of PCOM, a licensed acupuncturist and is cer- There is nothing more humbling than of our experience of life itself. As power and attack or take the insult tified in sports medicine acupuncture. He getting pushed around repeatedly by acupuncturists, we conduct this qi and assume victimhood. practices acupuncture and Chinese medi- a bent, 75 year old man. Never once within our patients. When we prac- We have already lost at this cine at Midwest Specialty Acupuncture near in three years did I ever uproot him. tice “energy techniques”, such as point. The loss was the resistance. Minneapolis, MN. He is also an instructor He was the embodiment of his les- push-hands, Tai Chi, Qi Gong, and Everything happening afterwards at AAAOM. He can be reached through sons. He was almost super-human meditation, these core experiences is merely the natural course of our his website for comments or questions at and definitely super frustrating. So I transfer to other areas of our lives programming. specialtyacupuncture.com.

Oriental Medicine • www.PacificCollege.edu Summer 2014 9 Sensory Processing Disorder in the Pediatric Acupuncture Clinic By Melanie Katin, MSTOM, LAc

ediatrics is one of the oldest making pediatric massage more suf- on them during each month on the The opposite, or hypoactive response topics discovered in the Chi- ficient to rectify their diseases. emergence of the full moon. The flag presents with craving strong, stimula- P nese medical literature. Sabine From these early moments in raising signals to local parents that tory sensations, textures, and move- Wilms discusses that as early as the history forward, the movement to- it is time to bring their children in ment. Additionally, it has been found Han Dynasty (206 BC-220 AD), and wards non-needling children was for shonishin treatments. This prac- that children with SPD have a range of there is mention of pediatric treat- recognized as beneficial, resulting tice acclimates children to treatment mental-emotional concerns, from anxi- ments in at least 19 volumes within in the creation of new techniques.. when they are healthy, so that when ety (hyperactive, or hyper-sensitive to the Imperial Library, (Venerating the The method of shonishin (sho=little, they do fall ill, they are already famil- everything) to aggression (hypoactive, Root, Part 1, 2013). Sun Simiao was ni=children, shin=needle) started in iar with the protocol, and are com- because they are trying to elicit strong a notable author in the early Tang Japan in the 1700s, and has been fortable with the procedure. reactions from those around them). Dynasty (618-907 AD) who empha- popularized by Western practitioners. The actual practice of treating chil- This disorder also falls under sized the treatment of children and Shonishin involves gentle scraping dren in a pediatric clinic is rewarding the categorization of ADD/ADHD, women above any other medical is- and tapping with small copper, brass yet challenging. The job requires the although this is a slight misrepresenta- sue. Qian Yi (1032-1113, Song Dyn.), or stainless steel instruments along herculean ability of juggling paren- tion according to Carol Kranowitz, in who is credited as the “Sage of Pe- the acupuncture channels of the tal input and opinion, apprehension her seminal book, “The Out of Sync diatrics”, recognized that there are limbs, abdomen, and back of young about their child’s illness, the child’s Child” (2006). There are overlapping unique characteristics of children that patients. The act of tapping and srap- initial fear, distrust, and curiosity about elements of the two conditions that distinguish them not as small adults, ing ensures a healthy directional the novel methods of treatment, and are suggestive of either SPD/SID or but as having distinct physiology and flow of qi in a child. Since their body of course, accurate diagnosis. Don’t ADD/ADHD, but there is too much pathophysiology that require modi- systems are immature, and they are forget somehow managing to success- reductionist interpretation of these co- fied treatments. The earliest docu- in the most yang phase of life, a rap- fully treat a wiggling, small person. inciding signs and symptoms to make mentation of using acumoxa therapy idly moving, superficial technique is Choosing the necessary instruments for an accurate diagnosis. This lack of ac- on children was described by Dr. extremely useful. In modern Japan, treatment is unique to each situation. curacy results in medicating the child Wan Quan (1495-1585) in the Ming it is common for Traditional Chinese In my clinic, various techniques are for ADD/ADHD, perhaps in lieu of dynasty. He discussed the reality that Medicine (TCM) hospitals to raise used for treatment in addition to or in receiving appropriate therapy for SPD. children can be difficult to needle, brightly colored flags with animals lieu of needling, including Tui Na mas- Dr. Jean Ayres, an occupational sage, tuning forks, Manaka hammers, therapist, first discussed SPD about magnets, and shonishin. Most kids 40 years ago. Within the treatment are delighted by the variety of tools, paradigm of occupational therapy, and have a great time exploring them the strategy is to always offer sensory while trying to treat their parents dur- information that is steady, consistent, ing their treatments. However, it’s been and firm, depending on whether the recognized that children with the con- child’s tendencies are hyperactive or dition of Sensory Processing Disorder hypoactive. In the hyperactive case, (SPD, also called Sensory Integration the child is overwhelmed with sensory Disorder-SID), do not always respond information, indicating that treatment favorably to the shonishin specifically, needs to be done with firm pressure, which can be a useful tool for helping in a darker room, and small space. determine both the TCM pattern, and These conditions reduce the amount also the type of SPD. of concurrent sensory distraction, al- SPD/SID is a comorbid condi- lowing the neurological system an op- tion that may present with any of the portunity to quiet and calm down. The autism spectrum disorders. In 2009, specific types of treatment in the TCM a study by Ben-Hasson, Carter, & clinic would include firm Tui Na tech- Briggs-Gowan suggested that possible niques, Manaka hammer on specific risk factors for developing SPD were acupoints that correspond to diagnosis premature gestational age (less than (as long as the sound is not distress- 36 weeks), low birth weight, maternal ing), and use of tuning forks on acu- stress, illness or medication use during points. In contrast, the hyporesponsive pregnancy, lower socioeconomic sta- child needs much more sensory input, tus, and living with a single parent. The so quick, rapid and lighter techniques general presentation of SPD deals with would be appropriate, along with external sensory input. The input is movement of both patient and practi- overwhelming and disorganized to the tioner around the treatment room (i.e. child, who is unable to clarify what in- sitting on the floor during treatment). formation is essential for their attention In the hypoactive case, shonishin and response, and what is irrelevant would be a well tolerated technique background information or noise. For to add, but since it is performed with example, when you are listening to a gentle, surface techniques on the skin, teacher lecture, the normal response is it is tremendously uncomfortable for to ignore the sound from the air vents the hyperactive presentation, as these above and listen to her voice. A child children are almost uniformly averse to with SPD cannot isolate the imperative light pressure and touch. OM input; the result of this internal chaos can manifest as adversity to touch, The complete article can be found online at www.pacificcollege.edu/ sounds, smells, tastes, textures, and acupuncture-massage-news/ vigilance to maintaining an orderly articles/1370-sensory-processing- space around her/himself, all of which disorder-in-the-pediatric-acupuncture- are reflective of hyperactive response. clinic.html

10 Summer 2014 Oriental Medicine • www.PacificCollege.edu Feng Shui and Chinese Medicine By Amanda Collins

lassical Feng Shui is an an- person’s home and body. Feng Shui cient art and science devel- teaches that your home is merely an C oped in China more than outward reflection of what is hap- 4,000 years ago. It shares philosophi- pening on the inside. It then uses cal roots with acupuncture. Both are the same principles of adjusting the complex bodies of knowledge dealing quality and quantity of qi, balancing with the movement of energy. Feng yin and yang, and using the five ele- Shui reveals how to balance the en- ments to bring the person and home ergies of any given space to assure back into health and harmony. health and good fortune for the peo- The following are examples of ple inhabiting it. Just as needles are how the home is an external mani- used in acupuncture to treat the ener- festation of what is going on in the gy patterns of the body and improve inside of the home: the flow of energy and, therefore, • Leaking faucets waste energy, and health, classical Feng Shui uses items suggest abundance is flowing out made of the Five Elements (earth, of the home metal, water, wood, and fire) to bal- • Loose door handles suggest not ance the invisible energies of the having a firm grip on your health environment. Bringing the elements and life into our space also helps us reconnect the environment can affect us, both gy, bodywork, nutrition, the I-Ching, • Burnt-out bulbs signal burning with the natural order of things. positively and negatively. astrology, Feng Shui, exercise, and yourself out Feng Shui creates harmony by On average, we spend eighty meditation. The principles governing • Blocked drains reflect blocked connecting the seen and the unseen. percent of our time indoors. When all eight limbs are considered to be emotions It is a tool to examine the cycles of we walk into an environment that has universal and have an intimate con- • Masks on all the walls usually the stars, sun, and seasons, using good Feng Shui, we feel embraced nection. These principles are based mean someone is hiding some- these explorations to support the vital and at peace. We feel connected with on the interactive nature of yin and thing or who they truly are connection of body, mind, and soul our self, our body, our surroundings, yang, the dynamism of the five ele- • A cluttered home usually reflects to its environment. Feng Shui can be and the people within that environ- ments of water, wood, fire, earth and being stuck in your life, and may- applied to any microcosm or macro- ment. We feel connected with the metal, and perceiving and accessing be having extra weight on your cosm of our lives. These principles natural elements, supported in all that qi quality and flow. body, along with allergies and can be applied to a small space, such we do. We feel that no matter what is The Tao Te Ching also suggests low energy as a bedroom, or an entire city. happening in the outside world, when using Feng Shui to maintain balance “Feng” means “wind” and “Shui” we step inside our front door, every- and wellbeing in your life. Interest- When examining the home to means “water”. In its simplest form, thing is okay. We are home. We are ingly enough, Feng Shui is the only bring it into balance, we look at Feng Shui aids in choosing the best safe. And we are free to feel our emo- one of the eight limbs of Chinese what’s called the “trigram” map. placement for a home. Picking the tions. How a place feels will deeply medicine that is not of the physi- These trigrams are associated with proper site will ensure happiness by affect people’s responses at both con- cal body, but of the environment. magnetic directions, the five elements alleviating practical problems such scious and unconscious levels. The truth is that if we experience and their corresponding colors, hu- as excessive drafts or floods. The A home with good Feng Shui balance in our physical body with man personality types, body parts, ideal site for a home is like an arm- feels in balance. Life flows more acupuncture and herbs, yet step into related illnesses, and numbers. chair. The back and sides of the chair smoothly, easily, and brings you homes that are chaotic or messy, this The Northwest Trigram is re- protect us from the wind, though a more peace. It raises the vibration will throw us back out of balance. lated to the main father/ husband breeze on a warm day can feel won- by balancing the energy. It serves Instead, having a home that is calm in the home. It also has to do with derful and cooling. However, when you and is organized exactly in the and peaceful will help us to rest, re- the physical body parts of the head wind is powerful it can blow an best way for you and your family lax, and restore our vital energies. and lungs, large intestines, and the entire village down. Being close to to thrive—not just how you think it When analyzing the energy blue- element of metal. If the person who water has been historically essential should be set up and decorated, but print of a home using Feng Shui prin- lives in this house is experiencing for survival: we drink it, clean with in a way that makes you love how ciples, we examine time and space. breathing problems, we would im- it, and being far from it can make life it feels and puts a smile on your We read the building from the year mediately find out what is going on difficult, if not impossible. However, face. Feng Shui is only used for the it was built, to the direction and the in this location of the home. Is there when water is too strong, it can cre- highest good in all situations. exact degrees it sits and faces. We clutter? Is that direction or location ate destruction. Living in a space For example, a house that has look at the surrounding areas such as of the building missing? Are there with easy access to water, yet protec- been in multiple modern design mag- the location of mountains and water, sharply pointed items in this loca- tion from it, will make a home less azines and photographs very well, the proximity of freeways, grave- tion? Do the five elements need to susceptible to disasters and provide may feel cold and austere in person, yards, and so on. We then use calcu- be balanced here? All these things an easier, more graceful life. like a hospital or jail that does not lations to arrive at a detailed analysis are blocking the qi flow or creating a As we know in both Western sci- support the owner in feeling relaxed of the quality of qi, yin/yang, and negative energy and causing toxicity. ence and Eastern philosophy, every- or welcome in their own home. the five elements. From this analysis The Southwest location is related thing is made up of energy. The the- Chinese medicine has served its we decide how to bring the build- to the main woman of the home and ory behind Chinese medicine is that people well for thousands of years, ing and residents back into harmony. pertains to the reproductive organs a living human body is imbued with succeeding in maintaining health In Chinese medicine, the analysis of and fertility. If a couple was trying to qi (energy), which is fundamental for and preventing and reducing illness. the physical body involves checking conceive and could not, we would its healthy functioning. Feng Shui is Traditionally, a Chinese doctor was the pulse, looking at the tongue, and rebalance the energies and elements, based on the same belief. paid to maintain their clients’ overall reading the energy of the person. and create a positive qi flow to this Qi is the animating life force health and to prevent illness. It was Again using the principles of qi, yin/ area. We can also do things accord- that is everywhere: it permeates all expected that all clients of traditional yang, and the five elements. ing to the couple’s dates of birth, such people, our homes, and physical Chinese doctors would incorporate The intention of Chinese medi- as put them in their best directions to surroundings. Feng Shui illuminates all eight limbs of Chinese medicine cine and Feng Shui is the same: this hidden force of qi and how into their lives: acupuncture, herbolo- to bring good qi flow through the continued on page 30

Oriental Medicine • www.PacificCollege.edu Summer 2014 11 Doctorate in Acupuncture and Oriental Medicine Classes Now Available in San Diego, New York, and Chicago, Plus Online Coursework From Your Home! Enrolling Now For Our January 2015 Cohort

Dear Colleague, Does this sound like you? “I’m interested in getting my Doctorate in Acupuncture and Oriental Medicine.” “I’d do it if I didn’t have to travel so much. It would be great if I could take some classes from home.” “I’d love to join a high-level community of learners.” If any of these statements resonate with you, let me know. Pacific College has a convenient schedule of onsite and e-learning options that can make earning your doctorate a reality to advance your career and clinical practice. Pacific College’s Doctorate of Acupuncture and Oriental Medicine is designed for the acupuncturist who wants to: · Understand the ways in which the Chinese Classics and Western medicine can inform and improve our practice · Work in an integrative medical environment · Answer a research question about Chinese medicine · Develop Chinese language skills for direct access to source literature · Become a faculty member or improve current teaching skills · Write a book, create a continuing education course, develop a model for the treatment of a disorder · Become a respected leader in the profession If this sounds like you, I would love to have a conversation with you about your personal and professional goals and the future of our medicine. “Pacific College and YOU: Building the Future of Oriental Medicine”

Contact me, Brian Kuo, 1-800-729-0941 or at [email protected] www.PacificCollege.edu Unwinding The Meridians For Health Vitality and Clarity By Kenneth R. Koles, PhD, DSc, LAc

nwinding the Meridians of In Oriental medicine, we have evaluations. These imbalances may pulse, circular, or a start and stop mo- Acupuncture (UMAC) is many descriptions of the pulse quali- include psychological imbalances, tion, among others. As you set your in- U the confluence of Oriental ties such as excess, deficient, full, psychic influences, planetary ener- tention to merge and balance with the medicine and CranioSacral Therapy. empty, knotted, choppy and many gies, issues with geomancy, ancestral energies and wisdom of the point, you UMAC uses the Cranial Rhythm with more. There are similarities to feel- imbalances, astrology, past lives, can gently follow the flow and bring it the points and meridians to resolve ing the meridian itself. By feeling the DNA , RNA, telomere, telomerase into more perfect movement with your imbalances on many levels (physi- Cranial Rhythm at the entry and exit and epigenome issues, and more. intention and your qi. The sensations cally, mentally, emotionally, spiritu- points or the first and last points of Communicating and balancing may go back and forth, circle, increase ally, ancestorially, DNA, etc.). The a meridian, we can feel the state of with the Cranial Rhythm is done with or decrease. They may even come to a Cranial Rhythm is the movement of that meridian, similar to feeling the a fingertip just making contact on or as stop for a while as the point builds up the Cerebrospinal Fluid as it pulsates pulse. Just as we untangle twisted much as a centimeter above a point. the qi to rebalance and open itself. around the brain and up and down muscles, bones, organs, nerves or You will notice heat, electricity, and a The point is balanced when you the spine. The Cranial Rhythm is felt vessels, we can unwind the merid- wave like motion that is both a physi- sense a more harmonious rhythm all throughout and around the body. ians to give them the energy and cal fluid movement and an electrical or there. To Unwind a Meridian simply This rhythm is a monitor of physi- space to release blocks and imbal- qi sensation. To enhance your sensitiv- use the entry and exit or first and cal, mental, emotional, and spiritual ances for optimal health, wellbeing, ity to the points, you can send your last points, first individually then levels of wellness and wisdom. and vitality. We can also carry on a roots down into the center of the Earth together. You will notice the flow This system of utilizing the Cranial conversation with the points and me- and to the planets below to root into of the meridian between your fin- Rhythm and the wisdom of the body ridians by using the Cranial Rhythm Earth energy. The next step is to ex- gers. As you put your intention and with the meridians, points, chakras as a yes/no mechanism to find out pand the sides of your being out to the qi into Unwinding the meridian on and the Po, Zhi, Yi, Hun, and Shen at which level (physical, mental, edge of the Cosmos to bring in Cosmic all levels, you may sense it wiggle has been referred to as the Cranial emotional, Po, Zhi, Yi, Hun, Shen) energy. Next, open the top of your about like a meandering brook or Sea by MichelAngelo, Mary Elizabeth the meridian or point needs to be head energetically to bring in Heavenly roar like a mighty river, writhe like Wakefield, and Kenneth Koles in balanced. This helps uncover hidden energy to enlighten your senses. Per- a snake, stop completely, or beat The Facial Landscape and The Cra- imbalances on other levels that may ceive the flow of the point with your nial Sea workshop. not present themselves in the initial fingertip; the flow can be a wave, a continued on page 15

Oriental Medicine • www.PacificCollege.edu Summer 2014 13 Moods In the Clinic By Greg Bantick, BAc, MTOM

here is a rise in the incidence • becoming fearful of a patient or of mood disorders. Depres- our personal safety T sion, anxiety, panic attacks, • feeling overly sad when patients rage, eating disorders, substance leave abuse, and many more are becom- • avoidance /denial /isolation, you ing common. There are also moods may begin to blame the ‘victim’ secondary to complaints, such as the • zoning out, particularly during fear and anxiety that may accompany client-contact time a diagnosis like cancer or infertility; • sleepiness / trance-like behavior the disappointment of training for an event, only to get an injury; the dif- In the workshop we cover more ficulty of living with conditions like signs and symptoms and explain pain, insomnia, and trauma. There each one. are also everyday concerns for our In order to maintain ourselves, finances, reputation, relationships, it can be useful to know some of family and friends, the environment, the interpersonal and intrapersonal and more. Practitioners are not im- mechanisms we engage in with pa- mune from difficult moods. In ad- brief, offering little explanation, but • often our medicine values compe- tients. We will explore the therapeu- dition to their own concerns, they describes a patient who is depressed, tition over nurturing tic relationship looking at ways of are also seeing, hearing, and feeling does not like to talk, and is con- • practitioners are not supposed to relating that confuse us and cause us their patients’ and co-workers’ as fused about what they want. They make mistakes to misunderstand or be drawn in to well. While we are making interest- complain of feeling cold, then not • our education often dissociates unproductive exchanges. ing progress on many fronts to a bet- cold, feeling hot and then not hot, mind from body and spirit From our own tradition, we ter understanding of moods through craves food at one moment and then • some students believe they gradu- know that cultivating reflection and modern medicine and psychology, doesn’t want to eat, and they are ate with PTSD self-awareness can help practitioners the incidence of mood disorders con- taciturn and vague. I have found that • seeing too much pain and not to listen attentively and better be able tinues to rise. many patients with chronic fatigue enough joy is unhealthy to accomplish the following: Can we learn anything helpful and post-viral chronic fatigue pres- • for a practitioner, a cry for help is • realize their own distress by going back over our literature and ent this vagueness when trying to weakness • identify causes and conditions to looking into the ways our ancestors describe what they are feeling. This • we are part of the nation’s social refine their technical skills dealt with moods? In the Huang Di formula has helped. safety net with few resources to • make effective lifestyle and clini- Nei Jing, Shang Han Lun, and other We will cover several cases, each help patients cal decisions early texts, we read many passages describing some commonly seen clin- • recognize their own errors around the theme that if we fail to ical conditions, anxiety, anger, rage, As helpful professionals we lis- • clarify their values so they can act follow certain things in one season, depression, PTSD, abuse, and eating ten to patients’ stories of difficult with compassion, technical com- we are likely to develop problems disorders. Through the cases we can diagnoses, depression, anger, fear, petence, presence, and insight in the following. Or, if exposed to see how to modify interviewing and pain, trauma, or other issues and we certain harmful climatic or dietary examination, possible formulas and may absorb some of this emotional We can develop the conditions influences, we will more likely expe- points to use, and other techniques residue. If we do not have ways to that lead to a “not taking up” state rience unpleasant symptoms in the that helped. We will cover how to digest or process these stories, we of mind. “Not taking up” is learnt future. This year at Pacific Sympo- create the conditions for your pa- may develop secondary trauma and/ from reflecting on how we fuel our sium, in my workshop, we will ex- tients to safely explore what contrib- or compassion fatigue. experiences. What we are seeing amine some representative passages uted to their moods and to cultivate Secondary trauma and compas- is not a self, but a way of perceiv- and explore the views inherent in other conditions more likely to lead sion fatigue are not burnout. Burnout ing and structuring our experience them. The above examples suggest a to positive moods. is more related to the daily stressors as if there is a self. We can see the view that symptoms and moods arise From each of the cases we can of the job. Secondary trauma and way we structure our experience as out of certain causes and conditions. also learn something of how we are compassion fatigue are directly relat- belonging to us, identifying us, as If we can better understand the rel- affected by our patients and ways to ed to what we absorb of our patients’ defining us. All of our relationships evant causes and conditions, we can take care of ourselves. We may find stories and experiences. are colored in this way. Not taking learn to cultivate those that lead to some of the same treatment strate- Secondary trauma may occur up is not taking up a way of self- more positive mood states and avoid gies useful for ourselves. Knowing when issues that patients bring to us structuring. Our medicine teaches the conditions that lead to negative our own moods and the role we play are similar to issues we may have en- that we are an aggregate of five states. This leads to not just treat- in the therapeutic relationship is also countered in our lives. phases in flux, not something fixed. ing the arising moods, but also their important for our own health and our Compassion fatigue may occur We can establish the conditions for sources. There are many other in- effectiveness as practitioners. when issues patients bring to us be- ourselves of gentleness, curiosity, teresting and clinically helpful views As practitioners we are also gin to exhaust our ability to work ef- and permission, which leads to un- inherent in our early texts. experiencing moods. Just as our pa- fectively. We reach the limit of what learning fixed notions. We see into By using my own case histories, tients are subject to conditions that we can tolerate. the patterns and forces that have we will cover what practitioners need influence their moods, so are we. It Signs of secondary trauma and shaped us. We are freeing ourselves to know to be more effective with can be helpful to know the condi- compassion fatigue may include any from them. OM patients who are deeply distressed. tions that influence our own moods of the following: We will cover how to interview; key and shape how we practice. Some of • flashbacks (about our own issues/ points in diagnosis; some old for- the conditions include the following: experiences) Greg Bantick, BAc, MTOM originally mulas revisited; some favorite point • our medicine is not widely under- • hyper-sensitivity, triggers / but- began training and practicing in 1975. He combinations and their uses; moxa stood and often misunderstood, tons that a patient may push helped found one of Australia’s first teach- and other techniques, and self help even by our colleagues • beliefs that are challenged by our ing colleges. He has studied in England, Ja- practices. For example, Bai He Tang • busy assembly line practices can clients pan, China, and the U.S. where he spent 20 is the core formula of the four clas- undermine the patient-practitioner • old wounds re-opened years teaching and in senior academic posi- sic bai he decoctions mentioned in relationship • intense dreams, perhaps about tions at Pacific College of Oriental Medicine the Jin Gui Yao Lue, or the Essentials • many practitioners are burned something a patient has shared or (PCOM) and the Seattle Institute of Oriental from the Golden Cabinet chapter on out, overworked, underworked, how we haven’t been able to help Medicine (SIOM). He is now practicing in ‘Lily disease’. This is one of the most or exhausted • a lack of separation between pro- Brisbane, Australia. Find out more about enigmatic syndromes. The text is • workaholics are admired fessional work and personal life Greg at www.menla.com.au.

14 Summer 2014 Oriental Medicine • www.PacificCollege.edu Unwinding The Meridians For Health Vitality and Clarity continued from page 13

like a bass drum, among many other ancestral patterns or optimal health, beautify the face. She was immediately sensations. Your mind, qi, and pa- balance, creativity, and vitality. amazed at how much better she felt. tience will bring the meridian into a A recent example involves a 22 A month later, she continues to enjoy higher state of wellness. year old woman who came to my of- vital health; her face stopped swelling As you become more familiar fice complaining of facial swelling, and that continues well. Her skin with Unwinding the Meridians, you sores over her body, bloating and con- is clear, her digestion is balanced, can ask the point to indicate a yes/ stipation, hot flashes, erratic energy, and her body temperature stays no response as you ask questions cold extremities, scoliosis, and kypho- appropriate. Unwinding the Me- either verbally or silently with your sis. We began the treatment with her ridians is a fast and simple way thoughts. The answer can come as a standing. First, I unwound Yaosho Du to tap into the body’s heal- stop of the Cranial Rhythm, a jump 2 for grounding and balance, lower ing abilities as well as the in the rhythm, a twist or a circle in burner issues, and to create a base to wisdom to access other a different direction than previously work from. Then Baihui Du 20 to lift levels and dimensions of felt, or other experiences. You can ask fallen yang Qi, clear the mind , benefit healing. By simply feel- questions to which you know the an- digestion and to balance the Cranial ing the points and meridians swer (name, age, etc.) to calibrate the Sea. Then the Du was unwound with while consciously partnering responses. Some of the questions you these two points to create the pillar with the patient’s inner qi, might ask could be: are all the merid- between Heaven and Earth to support ultimate levels of healing can ians flowing and harmonious, does her systems on many levels. Next she be achieved. OM any meridian need any more or less reclined on the table, and by asking qi, are the elemental pairs in balance, the wisdom of the body,we nourished or is there an issue on another level the Kidneys and refilled the Ming Men Kenneth R. Koles, PhD, DSc, LAc teach- or dimension. The most impressive fire. This was done by unwinding es Unwinding the Meridians of Acupunc- reason to talk to the body is that the Yongquan K 1 to refill the qi and then ture for The Upledger Institute internation- wisdom of the body can let you know Shufu K 27 to invigorate the Heart ally. He maintains a private practice in where it needs help and most impor- and Shen, benefit digestion, and bal- Shaker Heights, Ohio treating people tantly, the body has the power to heal ance the energies of the body. Next and animals locally and long dis- itself. You can ask the body to access was unwinding the Kidney meridian tance. From over 40 years of the best DNA to regenerate an organ, with the same points simultaneously practice, the confluence of Ori- system, bone, and more. You can ask and bilaterally. Finishing with Reny- ental medicine and CranioSa- the body to put ancestral patterns of ing ST 9 bilaterally to balance above cral Therapy has been the imbalance to sleep and to wake up and below, a Sea of qi point and to polestar of his work.

The Science of Acupuncture Safety: Risks, Harms, and Ancient Goodness continued from page 6

part of normal practice but can be An MRSA infection related to mitigated with attention. That is, acupuncture negligence caused a these are conflated as adverse events severe case of septic arthritis in from acupuncture. It is important Hong Kong (Woo et al. 2009) and that our professional community dis- necrotizing aortitis with infected tinguish medical errors from risks of pseudoaneurysm in Korea (Lee et adverse events for acupuncture. al. 2008). A medical practitioner in Perth, Western Australia who was Harms colonized with MRSA was responsi- Jake Fratkin Kiiko Matsumoto Whitfield Reaves Harms associated with acupuncture ble for transmission to eight patients can be listed as risks of the following: using acupuncture and joint injec- • Infection tions (Murray at al. 2008). • Lesions including organ, vascular, A woman being treated for low and nerve puncture injury back pain developed bilateral psoas • Bleeding abscesses (MRSA) and polyarticular • Broken and migrating needle septic arthritis two days following an acupuncture treatment (Japan) (Ogas- Jeffrey Yuen Lillian Bridges Neil Gumenick Negligence is involved in almost awara et al. 2009). all cases of infection, organ or vascular Finally, a 15 year-old boy in the U.K. was treated with acupuncture puncture, bleeding and broken or mi- TO: Learn directly from these world-renowned experts grating needle. Some infections and le- for eczema. Two days after his fifth sions are rare unexpected complications treatment he suffered bilateral knee WHEN: Anytime you want! Complete courses on your own schedule. that might be avoided in the future. swelling, fever, and subsequent en- docarditis from Staphylococcus au- WHERE: Online, from wherever you are, only at www.eclearning.org Negligence reus (Buckley 2011). He was admit- Infection from negligent acu- ted to a hospital for weeks and was puncture has been associated left with permanent cardiac damage. with transmission of the following Four months prior to the initiation of diseases: acupuncture, nasal and skin swabs • Hepatitis (in the U.S., Vietnam, isolated Staphylococcus aureus. OM Korea and China) (Stryker 1986; Nguyen et al. 2010, WITH ECLEARNING.ORG YOU CAN Seong et al.2013; Birch et al. 2013) The complete article can be found • Tuberculosis (Kim et al. 2010) online at www.pacificcollege.edu/ • Mycobacterium (Woo et al. 2002; acupuncture-massage-news/ articles/1359-the-science-of- Kim et al. 2011) acupuncture-safety-risks-harms- Learn online from Earn CEUs or PDAs Accelerate your practice • Methicillin-resistant Staphylococ- and-ancient-goodness.html wherever you are with new, invaluable skills cus aureus (MRSA) infection

Oriental Medicine • www.PacificCollege.edu Summer 2014 15 Using the Gall Bladder Divergent Channel to Calm an Irritated Vagus Nerve continued from page 7

induced palpitations as a thud, a and heart palpitations is the Gallblad- Bladder Divergent Channel can bring • Gagging fluttery sensation, or a skipped beat. der Divergent Channel. It separates almost immediate relief. I usually use • Holding your breath and The sensation varies depending on from the regular Gall Bladder Chan- the separating and convergent points bearing down (Valsalva the point during the heart’s normal nel at the greater trochanter, then of the channel GB 30 and GB 1, maneuver) rhythm that the vagus nerve fires. In curves around the hip joint, then along with GB 34, LIV 3, PC6, SP 4, • Immersing your face in ice- many cases, this becomes a vicious goes to the external genitalia, where LIV 14, and UB 19. cold water (diving reflex) cycle where the anxiety caused by it joins the Liver Divergent Channel. How can patients suffering from • Coughing the missed heartbeat further exacer- It then travels up the flank to enter an irritated vagus nerve help them- • Herbal formulas that support di- bates the fight between the sympa- deeper into the body at just below selves? Here’s the advice I give my gestion (and calm the heart) along thetic nervous system and the para- the ribs where it connects the Gall patients, with one caveat: Because with probiotics and digestive en- sympathetic nervous system, leading Bladder to the Liver and then trav- these symptoms can be caused by zymes can really help remove the to more palpitations. els up to connect with the Heart. It so many disorders, I always refer my GI inflammation that is part of this Gastrointestinal bloating, indiges- then flows from the esophagus to the patients to their MD to rule out more syndrome. tion, loose stools, shortness of breath, mandible, near the mouth. From here serious pathologies before giving • Likewise, diaphragmatic breath- and hiccups can also be caused by an it disperses over the face, connecting self-help suggestions. ing, yoga, and meditation help the overstimulation of the vagus nerve, be- to the eyes before joining the regular parasympathetic nervous system cause branches of the nerve innervate channel again at the outer canthus. • Regular acupuncture reduces the over-ride the sympathetic nervous the GI tract, diaphragm, and lungs. In this way, the Gall Bladder Di- inflammation that is often at the system and calm the vagus nerve. So how does the vagus nerve get vergent Channel further cements the root of this disorder and calms the irritated in the first place? Any kind Gall Bladder’s relationship with both irritated nerve. As for Katy? She felt better after her of GI distress can put pressure on the Heart and the Liver. Many of the • During an attack, patients often first two treatments. With some lifestyle the nerve and irritate it, with a hiatal patients who present with symptoms find that moving, stretching and/ adjustments, she was able to maintain hernia being a frequent culprit. Poor of an irritated vagus nerve have what or burping can relieve the pres- her good health, having finally found posture along with muscular imbal- could be described as a Gall Blad- sure and calm the heart. an explanation in both Eastern and ances can also cause the vagus nerve der and Heart Complex in Chinese • During an episode of tachycardia, Western medicine for what had been a to misfire, as can excess alcohol or medicine. This traditionally has been vagal maneuvers can be used to confusing symptom pattern. OM spicy foods. Stress can inflame the a diagnosis used to describe a collec- slow the heart rate. These simple nerve, along with fatigue and anxiety. tion of symptoms such as esophagi- maneuvers stimulate the vagus So what is the best way to get tis, hiatal hernia, gastritis, insomnia, nerve to slow down the electrical Jill Blakeway, MSc, LAc is the Clinic Direc- the nerve to calm down? In my prac- palpitations, fearfulness, being easily impulses through the atrioventric- tor of the YinOva Center in New York City. tice, one of the best solutions I’ve startled, chest fullness, and a bitter ular (AV) node of the heart. Vagal She makes frequent appearances on national found for patients suffering this com- taste in the mouth. In these patients maneuvers that you can try to television and in the print media and is the bination of gastrointestinal distress I’ve found that accessing the Gall slow a speedy heart rate include: author of two books on women’s health.

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16 Summer 2014 Oriental Medicine • www.PacificCollege.edu A Guide To

2014 November 4-11, 2014

San Diego, CA · 64 CEUs Possible

Giovanni Maciocia · Kiiko Matsumoto Janet Zand · Jake Fratkin · Arya Nielsen Lillian Bridges · Mary Elizabeth Wakefield Felice Dunas · Jill Blakeway · Amanda Collins Mark Kastner · Suzanne Robidoux Cathy Margolin · Esther Gokhale Ken Koles · Robert Peng · Holly Guzman Yefim Gamgoneishvili · East Haradin Greg Bantick · Robert Nations Bill Helm · Rick Gold

Keynote Address: Dr. George Pratt and Dr. Peter Lambrou - November 7

Pre-Symposium Workshop: Giovanni Maciocia - November 4-5 Arya Nielsen - November 4-5 Post-Symposium Workshops with: Kiiko Matsumoto - November 10 Mary Elizabeth Wakefield - November 10-11 Robert Peng - November 10-11

TCM · Acupuncture · Massage Pacific Symposium 2014 Schedule at a Glance - 64 CEUs/PDAs Tuesday/Wednesday Thursday Friday Saturday 11/4-11/5 11/6 11/7 11/8 Early Morning Qi Gong (1 CEU per session) 7-7:50 am Everyday Primordial Qi Gong Everyday Primordial Qi Gong Everyday Primordial Qi Gong Bill Helm Bill Helm Bill Helm Two-Day Sessions: Morning Workshop: Alternative to General Session Lectures (3 CEUs) 9 am-12 pm Incorporating Aromatherapy Into Cold Feet: Sacroiliac and Lower Your Practice and Life Lumbar Treatments Part 1: Diagnosis and East Haradin Kiiko Matsumoto Treatment of Benign General Sessions (1 CEU per speaker/3 per morning) Prostatic Hypertrophy and 9-9:50 am Erectile Dysfunction Tongue Diagnosis of Integrating Functional Medicine Finding the Origins of PTSD Part 2: The Pathophysiology Breast Disorders with a TCM Practice with Facial Diagnosis and Energetics of the Giovanni Maciocia Jake Fratkin Lillian Bridges Vertex, Face, and Occiput 9:55- Acupuncture Risk and Harm: The Connection Between Estrogen, The Structure of Channels Within Giovanni Maciocia 10:45 am Medical Literature Reality, Part 1 Metabolism, Gut Bacteria, and Health the Environment of San Jiao Arya Nielsen Cathy Margolin According to Dr. Wang Ju Yi Yefim Gamgoneishvili Gua Sha: Science, 11:10 am- The Many Facets of Fatigue: The Gokhale Method® - 12 pm Evidence, and Skill for Embryo Implantation: The An Introduction Chinese Medicine Connection Interplay of Yin and Yang Clinical Practice Janet Zand Esther Gokhale Arya Nielsen Jill Blakeway Afternoon Qi Gong (1 CEU per session) 12:15- Everyday Primordial Qi Gong Everyday Primordial Qi Gong Everyday Primordial Qi Gong 1:05 pm Robert Nations Robert Nations Robert Nations Afternoon Workshops (3 CEUs per workshop)

2-5 pm The Pathology and Treatment More Important Herbal Formulas Shen Diagnosis and Treatment of Ulcerative Colitis in My Clinical Practice for PTSD Giovanni Maciocia Jake Fratkin Lillian Bridges Acupuncture Risk and Harm: Learn How to Balance Female Hot Headed: A Sign of Imbalance Medical Literature Reality, Part 2 Hormones at Every Life Stage Kiiko Matsumoto Arya Nielsen Cathy Margolin

The Many Facets of Fatigue: Gokhale Method® - Posture Solutions for Tai Yin Physiology, Diagnosis, and A Working Session Deficient Kidney, Spleen, and Lung Qi Clinical Application According Janet Zand Esther Gokhale to Dr. Wang Ju Yi Yefim Gamgoneishvili Unwinding the Meridians for Traditional Thai Medical Massage for Preventing Miscarriage: Recurrent Health, Vitality, and Clarity Upper Leg and Pelvic/Inguinal Region Pain Pregnancy Loss and How Kenneth Koles Rick Gold to Devise a Treatment Jill Blakeway Trimester Cooking When Sex Goes Bad Qi Gong Ecstasy and Energy Holly Guzman Felice Dunas Protection Robert Peng

Evening Events 7-9 pm The Healing Power of Sound Keynote Address: Dr. George Pratt Symposium Party Rick Gold, Yuval Ron, and Dr. Peter Lambrou and Ken Goff The Intersection of Acupuncture and Psychology

Early (by Aug. 21) rEgular (Aug. 22 - Oct. 9) latE and OnsitE (After Oct. 10) 2014 Package Prices Online Mail/Phone Online Mail/Phone Online Mail/Phone Pre/Full/Post - All Pass Event (Tues-Tues) 64 CEUs $900 $990 $940 $1,034 $980 $1,078 Full plus 2-Day Pre AND 1-Day Post $835 $919 $870 $957 $915 $1,007 (Tues-Mon) 57 CEUs Full plus 2-Days Pre 50 CEUs $730 $803 $785 $864 $835 $919 Full plus 2-Day Post (Thurs-Tues) 50 CEUs $730 $803 $785 $864 $835 $919 Full plus 1-Day Post (Thurs-Mon) 43 CEUs $655 $721 $705 $776 $730 $803 Full (Thurs-Sun) 36 CEUs $520 $572 $575 $633 $630 $693 3 Day General Pass $435 $479 $475 $523 $515 $567 2 Day General Pass $330 $363 $385 $424 $435 $479 1 Day General Pass (Thurs or Fri) $180 $198 $215 $237 $250 $275 1 Day General Pass (Sat or Sun) $170 $187 $205 $226 $240 $264 1 Day Post 7 CEUs $195 $215 $225 $248 $260 $286 2-Days Post 14 CEUs $320 $352 $360 $396 $390 $429 Pacific Symposium 2014 Schedule at a Glance - 64 CEUs/PDAs Pre-Symposium Workshops Sunday Monday/Tuesday Part 1: Diagnosis and Treatment of Benign Prostatic 11/9 11/10-11/11 Hypertrophy and Erectile Dysfunction Part 2: The Pathophysiology and Energetics of the Vertex, Face, and Occiput by Giovanni Maciocia Everyday Primordial Qi Gong 14 Tuesday and Wednesday, November 4-5, 9:00 am-5:00 pm Bill Helm One-Day CEu/Pda Session, 11/10: The workshop will discuss the pathology and treatment of male disorders such as benign prostatic hyperplasia and erectile dysfunction. Participants will The Stomach: A Key Factor in derive an understanding of the physiology and pathology of the male genital The Significance and Treatment of Diagnosis and Overall Health system together with the main patterns of disharmony involved in benign Prenatal and Natal Medical History Kiiko Matsumoto prostatic hyperplasia and erectile dysfunction. In Part 2, Maciocia will look Kiiko Matsumoto at the body and mind as vortexes of qi in different areas of the body and will discuss each area separately. In this workshop, participants will start from a given area (which may be the vertex or face) and explore all the diagnostic Developing The Doctor Patient Two-Day aspects of the area. The physiology, pathology, diagnosis, and treatment of Relationship With Mindfulness each area will be explored. Maciocia and participants will also explore the Greg Bantick Sessions: flow of channels and points energetics of a particular area, as well as the pathology and common disorders of the area. Clinical Understanding of TCM Zang Fu and Constitutional Facial Acupuncture: Classical Medicine Differentiation, Part 1 The New Protocols Gua Sha: Science, Evidence, and Skill for Suzanne Robidoux Mary Elizabeth Wakefield Clinical Practice by Arya Nielsen Four-Point Needling for 14 Tuesday and Wednesday, November 4-5, 9:00 am-5:00 pm Soft Tissue Injuries CEu/Pda Mark Kastner Attendees will explore the science of Gua sha’s anti inflammatory and Qi Gong Healing and Four Golden immune protective effect and applications for internal organ disease such as Wheels Excercise COPD, cardiovascular, renal and liver disease. With this two day course, you will gain an overview of the clinical evidence from trials published in the Everyday Primordial Qi Gong Robert Peng Chinese and English medical database and learn protocols for the safe use of Robert Nations Gua sha and Baguan. Participants will deepen their expertise in ways that are immediately applicable to daily clinical practice. Learn to assess and palpate for sha and how to introduce and apply Gua sha. Feng Shui for Healing Amanda Collins Post-Symposium Workshops The Stomach: A Key Factor in Diagnosis and Clinical Understanding of TCM Zang Fu and Classical Medicine Differentiation, Part 2 Overall Health by Kiiko Matsumoto Suzanne Robidoux 7 Monday, November 10, 9:00 am-5:00 pm CEu/Pda Diagnosis and Treatment Techniques for Injury Recovery In this class, the practitioner will learn to view the stomach as central to Mark Kastner the overall health of their patient. Often, even acute conditions will arise because of an underlying weakness in the stomach. The course will present Moods in the Clinic information based on the Chinese classics, specifically Nei Jing and Su Wen. Greg Bantick Participants will learn the benefits of treating the stomach as part of the root of the problem. Attendees will discover the benefits of adding CV12 to treatments. Leave this course knowing the best ways to palpate the stomach as part of the diagnostic system. Qi Gong Healing and Four Golden Wheels Excercise by Robert Peng 14 Monday and Tuesday, November 10-11, 9:00 am-5:00 pm CEu/Pda

In this two-day workshop, Robert Peng will introduce the different types of energy and how we can apply Qi Gong to our own lives and treatments with patients. Peng will teach a special technique called ‘Dian Xue’, which will strongly increase each practitioner’s energy communication with clients and, thus, the effectiveness of treatments. Discover first-hand how to use different Qi Gong healing techniques such as Sword Finger, Magic Palm, and Ying Yang press. Learn the Wogu technique to avoid invasion of sick qi. Master the ‘S’ pattern that can reorganize an energy field. Peng will also teach a Qi Gong practice called the ‘Four Golden Wheels Exercise’ that can balance energy physically and spiritually. Don’t miss the powerful group healing that Peng will 10% Discount for PCOM Alumni conduct in this workshop. and Groups of 10 or More Registering Together Constitutional Facial Acupuncture: The New Protocols (individual workshop fees excluded) by Mary Elizabeth Wakefield 14 Monday and Tuesday, November 10-11, 9:00 am-5:00 pm Observers, Students, and CEu/Pda Non-Professionals See Online Pricing, www.PacificSymposium.org Constitutional facial acupuncture has begun to make an impact on popular culture and perceptions about authentic beauty and the aging process. This hands-on seminar will include “new” facial protocols based upon origin/ insertion muscle techniques that are gentle and effective. Wakefield will provide demonstrations and the participants will give and receive treatments. Participants Ready to Register? will learn how to successfully treat 12 problematic areas of the face with origin and insertion muscle techniques. Discover how to incorporate Shen scalp points Go to www.PacificSymposium.org and essential oils into treatments. Identify and use facial acupuncture treatment protocols based upon muscle structure, which are effective for lifting and toning the facial muscles (i.e. saggy neck, droopy eyes, etc.). Don’t miss this hands-on experience to explore the many benefits of facial acupuncture. Daily Exercise Unwinding the Meridians for Health, Vitality, and Clarity by Kenneth Koles Everyday Primordial Qi Gong by Bill Helm and Robert Nations 3 Thursday, November 6, 2:00-5:00 pm 1 Daily, 7:00-7:50 am and 12:15-1:05 pm CEu/Pda CEu/Pda The “Unwinding the Meridians of Acupuncture” technique is the confluence of Primordial Qi Gong is a series of standing Qi Gong exercises from the Oriental medicine and CranioSacral Therapy. Koles will explain and demonstrate Hun Yuan Taoist System. The emphasis is on gently clearing obstructed and how the Cranial Rhythm influences the entire brain and nervous system, hence stagnant qi from the organs and pathways of the body and circulating fresh, the acupuncture points, meridians, and energies of the body. Participants will vital qi. The exercises are suitable for patients as well as practitioners. experience the Cranial Rhythm method first-hand to balance points and merid- ians on themselves and others. Participants will be able to experience a yes/ Thursday, November 6, 2014 no response from the Cranial Rhythm and hence communicate with the points, Tongue Diagnosis of Breast Disorders meridians, and wisdom of the body to balance the entire being. After completing this course, participants will be able to feel the Cranial Rhythm of the points and by Giovanni Maciocia meridians in themselves and others and will be able to ‘Unwind the Meridians’ to 1 Thursday, November 6, 9:00-9:50 am release blocks and enhance qi flow for optimal health vitality and clarity. CEu/Pda Trimester Cooking by Holly Guzman This workshop will discuss little-known aspects of tongue diagnosis. The talk will concentrate on the area of the tongue that reflects the condition of heart 3 Thursday, November 6, 2:00-5:00 pm and lungs as well as the breasts. Patterns of disharmony related to this area will CEu/Pda be discussed including qi stagnation, Blood stasis, Phlegm, Toxic Heat and Yin This course is an overview of treating pregnant women in each of the critical deficiency. Many tongue photographs will be shared in this presentation. trimesters that contributes to that all-important prenatal qi. For example, embryos the size of a pea don’t need the same dose of iron and calcium that they will Acupuncture Risk and Harm: Medical Literature when they weigh several pounds. Taking the same doses of supplements in early Reality, Part 1 by Arya Nielsen pregnancy and late pregnancy is standard in prenatal teachings. However, the 1 Thursday, November 6, 9:55-10:45 am dose of minerals is excess for the first trimester, contributing to vomiting and CEu/Pda constipation, and inadequate to build the baby’s blood and bones in the third This talk will focus on risk, complications, serious side effects, medical errors, and trimester. It makes sense to offer distinctly different support for each trimester. mild but unwanted side effects from acupuncture that are reported in medical In this course, the most clinically supportive advice regarding acupuncture, literature. Most often, a practitioner is unaware of side effects because any they may nutrition, and herbs for each trimester will be clearly laid out. have caused are not reported to them. Equally important and profound is that the The Healing Power of Sound acupuncture community itself is unaware of the reporting of complications from By Rick Gold, Yuval Ron, and Kenneth Goff practice. This talk outlines areas of practice safety that are essential for a practitioner. 2 Thursday, November 6, 7:00-9:00 pm The Many Facets of Fatigue by Janet Zand CEu/Pda 1 Thursday, November 6, 11:10 am-12:00 pm Practitioners will learn about the Six Healing Sounds (Liu Zi Jue ) aspect of CEu/Pda Five Element theory and basic Qi Gong breathing exercises that are part of According to the National Institute of Health (NIH), fatigue is one of the most this theory and practice. In addition, practitioners will learn about applied common causes for a visit to the doctor. This hour, substantiated by clinical efficacy neuroscience and brain entrainment achieved through specific sounds. All and recent research, will be an introduction to addressing fatigue in association participants will be able to practice both the sound and Qi Gong exercises with a variety of conditions. Discover some of the many complexities of the while listening to original music produced to enhance this practice. In clinical presentations of fatigue. This is an introduction to the concept of enhancing addition, participants will experience the live music of Yuval and Kenneth. common Chinese medicine protocols substantiated by contemporary research and clinical results. Some of the conditions (and their relation to fatigue) discussed will Friday, November 7, 2014 include persistent pain, sleep disorders, type 2 diabetes, hypothyroidism, anemia, depression, and autoimmune disease. Incorporating Aromatherapy Into Your Practice and Life The Pathology and Treatment of Ulcerative Colitis by East Haradin by Giovanni Maciocia 3 Friday, November 7, 9:00 am-12:00 pm CEu/Pda 3 Thursday, November 6, 2:00-5:00 pm CEu/Pda This course is appropriate for all levels. Participants will gain a basic understanding of aromatherapy history and how to use this ancient technique. Ulcerative colitis is a serious autoimmune disease of the colon that is challenging Learn the top ten essential oils used in aromatherapy, understand the risks, to treat. Participants in this workshop will learn how to confidently identify contra-indications, and potential side effects of this healing modality, and the patterns of disharmony of this disease and a treatment approach with obtain recommendations for aromatherapy that addresses major Chinese acupuncture and herbs. Maciocia will discuss the acupuncture treatment for medicine patterns. Students will be able to ask questions, share experiences, Damp-Heat, Blood stasis, Toxic Heat, and Stomach and Spleen deficiency as well and practice the methods and techniques taught in the class. as how to identify patterns of disharmony with tongue diagnosis. Integrating Functional Medicine with a TCM Practice Acupuncture Risk and Harm: Medical Literature Reality, by Jake Fratkin Part 2 by Arya Nielsen 1 Friday, November 7, 9:00-9:50 am 3 Thursday, November 6, 2:00-5:00 pm CEu/Pda CEu/Pda After completing this course, participants will be able to identify areas of risk Functional Medicine describes an approach to modern illnesses that includes in practice and be informed on how to practice safely. This talk will focus on newer understandings based on physiology, etiology and biochemistry, as well risk, complications, serious side effects, medical errors and mild but unwanted as the availability of recently developed laboratory tests (blood, stool, saliva) and side effects for acupuncture that are reported in medical literature. Most often, the application of specific nutritional supplements. Combining this approach with a practitioner is unaware of side effects because any they may have caused are Chinese medicine allows a more effective approach to the treatment of modern not reported to them. Equally important and profound is that the acupuncture diseases including food allergies, chemical sensitivities, autoimmune diseases, community itself is unaware of the reporting of complications from practice. This diabetes, obesity, infertility and miscarriage, chronic fatigue, irritable bowel talk outlines areas of practice safety that are essential for every practitioner. syndrome, leaky gut syndrome, hypothyroid, and adrenal fatigue. The Many Facets of Fatigue: A Working Session by Janet Zand What Does Our Gut Have to Do With It? The Connection Between Estrogen, Metabolism, Gut Bacteria, and Health by Cathy Margolin 3 Thursday, November 6, 2:00-5:00 pm CEu/Pda 1 Friday, November 7, 9:55 -10:45 am This is a working session including challenging case studies, clinical pearls, CEu/Pda common biomarker recognition, and the resolution of fatigue associated with New research from the human micro-biome project suggests gut bacteria has the following conditions: depression, fibromyalgia, sleep disorders, essential a previously unknown effect on our ability to eliminate estrogen, the dominate hypertension, type 2 diabetes, hypothyroidism, adrenal exhaustion, anemia hormone affecting our moods, body weight, stress, and genetic expression. and cold and flu. With this course, practitioners will develop improved critical With this course, you will get a new perspective on your gut and learn how thinking and better problem-solving when addressing fatigue. you can optimize Chinese medicine modalities using the spleen and stomach channels, diet, lifestyle, herbs, and more.

Ready to Register? The Gokhale Method® - Chinese Medicine Connection Traditional Thai Medical Massage for Upper Leg and by Esther Gokhale Pelvic/Inguinal Region Pain by Rick Gold 1 Friday, November 7, 11:10 am -12:00 pm 3 Friday, November 7, 2:00-5:00 pm CEu/Pda CEu/Pda The Gokhale Method helps people restore natural posture as observed in Upper leg and inguinal region tightness with limited range of motion is our ancestors, indigenous populations, and young children. This approach a common complaint for many individuals, especially those involved in to restoring harmony and balance in the body is parallel to the approach of vigorous exercise. Students will be taught a specific protocol of techniques Chinese medicine in restoring the harmonious flow of qi and blood through to therapeutically address these areas of pain and tension. Students will the body. Whereas Chinese medicine might be viewed as an “electrical” learn to utilize their palms, fingers, forearms, elbows, knees, and feet in the approach to the problem of disorganized qi, the Gokhale Method could be application of this style of therapeutic Thai bodywork. Special emphasis described as a “hardware” approach to the same problem. Using images, will be placed on proper body mechanics and client positioning. Contra- examples, and volunteers from the audience, Gokhale will invite you to indications to practice will be taught. This course will also benefit the revisit the roots of acupuncture in Tai Chi, Qi Gong, and movement through a participants’ own flexibility and health. Learning to utilize other parts of the modern, anthropological, historical, and technological lens. body (e.g. feet) as tools for treating enhances practitioners’ work as healers and helps preserve the hands and wrists. Please plan to wear loose fitting More Important Herbal Formulas in My Clinical Practice clothing made of natural fibers. by Jake Fratkin When Sex Goes Bad: The Health Damaging Effects of Pornography 3 Friday, November 7, 2:00-5:00 pm and Sexual Exposure During Childhood, Adolescence, and CEu/Pda Adulthood as Defined by Oriental Medicine by Felice Dunas In this course, students will learn the classical and modern formulas that Dr. Fratkin considers the most important, based on frequency used and efficacy. 3 Friday, November 7, 2:00-5:00 pm CEu/Pda After his 36 years in Chinese medicine clinical practice (with 32 years in herbal medicine), Dr. Fratkin has noticed certain formulas that come up over and Sex is the force that life uses to recreate itself. While it can bring joy and the next over again. These formulas fall into two groups: the foundation formulas that generation, it can also cause pain and destruction. Inappropriate exposure to can be used for a wide variety of applications, or modern formulas that have sex, no matter one’s age or circumstance, damages health. Dr. Dunas will define been developed for focused applications. Unlike other classes where students “healthy gender/sexual development” from an Oriental medicine perspective. analyze herbal formulas to explain why the formula works, this class will focus Childhood and adolescent exposure to promiscuity, sexual violence, and internet on the broad (or unusual) applications of a number of formulas. This class is for pornography is on the rise. Many patients are affected by this trend. This course practitioners and students who already know the Material Medica well and are will explore how violent expressions of sexuality and domestic violence can interested in seeing how common formulas are successfully used. affect patients and their health conditions. Treatment protocols for addressing problems that arise from inappropriate sexual exposure will be provided. This Learn How to Balance Female Hormones at Every Life practical class will address an important topic never before presented on the Stage: A TCM and Functional Medicine Approach to national stage of the Oriental medicine profession. Estrogen Dominance, Menopause, and Progesterone Saturday, November 8, 2014 Deficiency by Cathy Margolin 3 Friday, November 7, 2:00-5:00 pm Cold Feet: Sacroiliac and Lower Lumbar Treatments CEu/Pda by Kiiko Matsumoto Discover how xeno-estrogens are affecting your patients’ depression, thyroid, stress, energy, digestion, and emotional wellbeing. Estrogen mimicking 3 Saturday, November 8, 9:00 am-12:00 pm CEu/Pda chemicals are abundant. Learn where to find them and how they cause nearly every woman some degree of estrogen dominance resulting in endometrioses, Properly treating the LS/S1 area can significantly improve many common dysmenorrhea, infertility, early menopause, and life-threatening diseases such conditions such as persistent orthopedic problems and poor circulation in the legs as breast cancer. Recent research will be presented on artificial hormones and and feet. In this class, students will explore the human structure, evolution, and studies linking them to everyday diseases. Participants will learn how to treat why this LS/L1 area is so easily damaged. Find out how to diagnose and treat this hormonal imbalances with functional medicine approaches such as dietary area. This course will cover techniques for palpation and distal points. Class will supplements, lifestyle modifications, and more. This lecture will expand your include a lecture, demonstration, and time for questions and discussions. toolbox beyond acupuncture with healing modalities to fit all your patients’ Finding the Origins of Post-Traumatic Stress Disorder with needs. Gain fresh insight and an advanced perspective on women’s health. Facial Diagnosis by Lillian Bridges Gokhale Method®: Posture Solutions for Deficient Kidney, 1 Saturday, November 8, 9:00-9:50 am Spleen, and Lung Qi by Esther Gokhale CEu/Pda 3 Friday, November 7, 2:00-5:00 pm Post-Traumatic Stress Disorder (PTSD) is an increasingly common diagnosis CEu/Pda and a challenging condition to treat. What appears to be the most significant In this workshop, with the use images, examples, and volunteers from the trauma, such as participating in a war, experiencing an act of violence, or being audience, students will examine some postural roots of deficient Kidney, involved in a disaster, may actually have been preceded by even earlier traumas Spleen and Lung qi. We will focus on common modern postural distortions, in childhood that also need to be addressed in order to treat patients with PTSD including an overly-arched (swayed) upper lumbar area and a diminished most effectively. Therefore, uncovering original traumatic events and knowing L5-S1 angle. Participants will learn to use techniques such as ‘stretchsitting’ how to read the severity of the presenting trauma is essential. The Facial Map, and ‘stretchlying’ to reset these postural distortions. Learn how to empower like rings of a tree, can reveal the origins and depth of PTSD. This course will also your patients to reestablish their qi. This course will help you to increase the cover specific treatments involving effective facial point combinations for PTSD. efficacy of each treatment.

Keynote Address The Intersection of Acupuncture and Psychology by Dr. George Pratt and Dr. Peter Lambrou 2 CEu/Pda Friday, November 7, 7:00-9:00 pm This presentation will inform attendees how acupuncture and the meridian claustrophobia (see Subtle Energies & Energy Medicine Vol. 14. No.3, p. 239) systems can be used to help the emotional and psychological lives of patients. and other researchers have found significant treatment effects using similar The speakers will discuss how practitioners of acupuncture and psychology procedures, particularly for trauma. Attendees will learn about a system overlap in helping patients overcome trauma of both physical and emotional from this emerging field of Energy Psychology that incorporates acupressure, sources. Over the past 20 years, the field of Energy Psychology has evolved focused thought, and structured breathing to rapidly desensitize patients from to provide an innovative approach to resolving a wide range of emotional emotions that persistently cause distress and limitations in their lives. distresses. In a pilot study, the speakers’ method was shown effective for Go to www.PacificSymposium.org The Structure of Channels Within the Environment of San Jiao Preventing Miscarriage: The Chinese Medicine Perspective on Recurrent According to the Teachings of Dr. Wang Ju Yi by Yefim Gamgoneishvili Pregnancy Loss and How to Devise a Treatment by Jill Blakeway 3 Saturday, November 8, 2:00-5:00 pm 1 Saturday, November 8, 9:55-10:45 am CEu/Pda CEu/Pda This course will focus on repeated miscarriages and the prevention of further One of the fundamental principles of Applied Channel Theory is that the body’s pregnancy loss using Chinese medicine. The course will cover the main channels (and acupuncture points) have a physical structure and exist within the biomedical reasons that women miscarry and the ways Chinese medicine can be larger environment of the San Jiao. This concept lays the foundation for channel applied to each of them. Jill will draw on ancient texts as well as modern research examination, a technique that can help hone diagnostic skills. This is a practice to show how Chinese medicine has treated pregnancy loss both historically developed by Dr. Wang Ju Yi over 50 years of clinical practice. This course will and in the modern clinic. Participants will learn how to diagnose each patient help bridge classical theories of physiology and anatomy with modern clinical correctly and apply precisely tailored treatments to each case. Although the findings. Students will receive an introduction to Dr. Wang’s approach to the focus of this course is on preventing miscarriage, Jill will also cover managing an channels as a living system. ongoing miscarriage and treating the grief and loss associated with miscarriage. Embryo Implantation: The Interplay of Yin and Yang Qi Gong Ecstasy and Energy Protection by Robert Peng by Jill Blakeway 3 Saturday, November 8, 2:00-5:00 pm 1 Saturday, November 8, 11:10 am-12:00 pm CEu/Pda CEu/Pda In this workshop, Robert Peng will introduce different energy types and how to One of the most common and overlooked causes of unexplained infertility is apply Qi Gong to everyday life as well as treatments. He will present step by step the failure of a fertilized embryo to implant. In this course, Jill will talk about the direction for a special technique called Dian Xue, which can strongly increase complex interplay of hormones and blood flow that supports the implantation of energy communication with clients and the effectiveness of treatments for any a fertilized embryo. She will examine this from a biomedical perspective and then kind of bodywork. Robert will lead students in a Qi Gong practice called ‘Qi look at how Chinese medicine views this crucial phase of the menstrual cycle. Gong Ecstasy’ and will conduct a powerful group healing. Jill will discuss the impediments to successful embryo implantation. Participants will learn acupuncture and herbal approaches that increase the chances for a Sunday, November 9, 2014 fertilized embryo to implant. Shen Diagnosis and Treatment for Post-Traumatic Stress The Significance and Treatment of Prenatal and Natal Disorder by Lillian Bridges Medical History by Kiiko Matsumoto 3 Saturday, November 8, 2:00-5:00 pm 3 Sunday, November 9, 9:00 am-12:00 pm CEu/Pda CEu/Pda ‘Shen’ in Chinese medicine refers to the quality of light behind the eyes and Most practitioners forget to ask patients about medical history that includes beneath the skin that reveals the psychological and emotional state of a patient. their gestation and birth. However, this is vital information that can provide When patients are suffering from Post-Traumatic Stress Disorder (PTSD), the deep insight into the patient’s condition and improve treatment outcomes. In Shen will change dramatically when patients are questioned about the event. this course, Matsumoto will discuss the significance of those early life events, The Shen will also reveal the success of treatments by becoming clearer after such as premature birth, epidural use, C-sections, and the health of the mother. Shen-based protocols are used. Evaluating the changes in a patient’s Shen can, Participants will also address how this information can help diagnosis and therefore, be used diagnostically. Treating the Shen can give immediate results development of a treatment plan. in clinical practice. Participants will be given case studies of effective treatment Developing The Doctor Patient Relationship protocols based on applied Shen diagnosis and Shen treatments involving the extraordinary meridian points. Students will be taught how to release repressed With Mindfulness by Greg Bantick emotions to increase emotional and psychological resilience in their patients. 1 Sunday, November 9, 9:00-9:50 am Hot Headed: A Sign of Imbalance by Kiiko Matsumoto CEu/Pda We all find certain patients difficult to be with. As practitioners we can sometimes 3 Saturday, November 8, 2:00-5:00 pm feel drawn into ways of relating where we are left feeling uncomfortable, frustrated, CEu/Pda and tired. Utilizing some of the views in our earliest literature and mindfulness, According to classic teachings, a cool head is a sign that the patient is in overall we can listen into the views behind the words patients use to describe their good health. What is the significance of a warm or “oven hot” head? Palpating conditions. With mindfulness of the views and their choice of words, we can GV20 is a good diagnostic tool to provide an overall prognosis for your patient. better understand both the way they are suffering, and the role they want us to play Often, it can seem hard to gauge the length of a treatment plan. Knowing more as their practitioner. about general conditions can help you increase patient retention. In this class, students will discuss the significance of a “hot head” and a palpation-based Clinical Understanding of TCM Zang Fu and Classical diagnostic tool to discover underlying pathology as well as treatment options. Medicine Differentiation, Part 1 by Suzanne Robidoux Tai Yin Physiology, Diagnosis, and Clinical Application 1 Sunday, November 9, 9:55-10:45 am CEu/Pda According to Dr. Wang Ju Yi by Yefim Gamgoneishvili Participants of this seminar will review over 20 different clinical cases and 3 Saturday, November 8, 2:00-5:00 pm analyze treatment approaches from a traditional Chinese medicine (TCM) CEu/Pda perspective and compare them to a Classical medicine approach. While going Tai Yin is the source of the body’s postnatal qi. It creates and maintains proper over the Six Syndrome approach, participants will review over 25 discrepancies levels of fluids and regulates the qi mechanism. Because of its broad scope between TCM and Classical medicine, which can make a world of difference of functions, Tai Yin plays a great role in the body’s physiology. This seminar in clinical treatments. After this seminar, practitioners will have a deeper will focus on the physiology and disease process of the Tai Yin. There will be understanding of the differences between these two Chinese medical systems and a discussion of diagnosis and treatment utilizing channel examination. This how this is useful in professional practice. seminar is based on teachings of Dr. Wang Ju Yi, the founder of Applied Channel Four-Point Needling for Soft Tissue Injuries by Mark Kastner Theory. After completing this course, participants will be able to have a better understanding of the Tai Yin channel/organ system and utilize information gained 1 Sunday, Novemer 9, 11:10 am-12:00 pm from channel palpation to refine and simplify diagnosis. CEu/Pda This course will provide students with up-to-date information on current Western medical studies pertaining to the pathological changes found in soft tissue traumas such as tendons, ligaments, and muscles. These findings will then be related to the traditional Chinese medicine (TCM) diagnosis of “Stagnation of Qi and Xue”. Learn how TCM can play a major role in the treatment of soft tissue disorders. A specific four-point needle technique will be profiled as a treatment for soft tissue Symposium Party injuries using the age-old protocol of “local, distal, and adjacent points”. Feng Shui for Healing by Amanda Collins Saturday, November 8, 7:00-11:00 pm 3 Sunday, November 9, 2:00-5:00 pm NCCAOM CEUs ONLY Be sure to join our 26th Anniversary Symposium Party in the CEu/Pda Aviary Ballroom on Saturday, November 8th from 7–11 pm. Feng Shui is an ancient art based on the Yin/Yang and Five Element Chinese You’ll enjoy music performed by members of our Pacific College medicine theories. With this course, practitioners will be able to identify what community, the Blues Doctors. If you want to join the jam, changes to make in a space (from a patient’s home to the practitioner’s own bring your voice or your instrument. Make sure you bring your treatment room or office) for optimal health. Discover how to make treatments business card to enter the raffle sponsored by our generous Symposium exhibitors. We give away amazing prizes! Ready to Register? Go to www.PacificSymposium.org more effective by combining the Five Element Theory and Yin Yang Theory with Feng Shui to improve the flow of qi in the physical body as well as the patient’s environment. Learn what environmental causes may be contributing to a patient’s 3 Easy Ways to Register poor health. Case studies of various diseases and environmental remedies to improve symptoms will be discussed. Attendees will learn how to provide a treatment that goes beyond the table. OnlinE Clinical Understanding of TCM Zang Fu and Classical www.PacificSymposium.org Medicine Differentiation, Part 2 by Suzanne Robidoux 1 Receive a 10% Discount When oRDeRing online 3 Sunday, November 9, 2:00-5:00 pm CEu/Pda Mail Participants of this seminar will review over 20 different clinical cases and PS2014 - Registration analyze treatment approaches from a traditional Chinese medicine (TCM) 27445 Mission Valley Road, Ste. 105 perspective and compare them to a Classical medicine approach. While going over the Six Syndrome approach, participants will review over 25 discrepancies San Diego, CA 92108 between TCM and Classical medicine, which can make a world of difference in clinical treatments. After this seminar, practitioners will have a deeper all understanding of the differences between the two Chinese medical systems and C how this is useful in professional practice. Participants will be able to understand 1-800-729-0941 or 619-574-6909 symptoms from a different perspective and how to treat them according to the 3 classical understanding of Zhang Zhong Jing. Diagnosis and Treatment Techniques for Injury Recovery Registration Confirmation A confirmation postcard will be mailed to you. Please contact the Pacific Symposium office by Mark Kastner if your information is incorrect. Bring the postcard to Symposium for a smooth registration. 3 Sunday, November 9, 2:00-5:00 pm CEu/Pda CANCELLATION/ REFUND POLICY: All cancellations must be in writing via email to [email protected]. An Students will leave this workshop with the ability to immediately use a simple administrative fee of $50 is assessed on ALL cancellations, postmarked or email dated needle technique to treat soft tissue injuries of all the major joints within the prior to Thursday, October 16, 2014. After Friday, October 17, 2014 a 50% cancellation body. Students will also be given information for creating treatment protocols fee will apply. NO refunds will be granted after Saturday, November 1, 2014, including and tips on educating their patients to assist in recovery efforts. Complementary no-shows. Refunds will be processed within 3 weeks of your request. Your refund will suggestions such as rest, heat and ice, electro-stimulation, and frequency of either be credited back to your credit card or mailed by check. treatment to accelerate healing will be discussed. Students will be shown how to Schedule is subject to change. No audio or video recording will be permitted by needle tendons, ligaments, and muscles to accelerate the healing of specific fibers cellphone or any other equipment. Violators will be asked to leave, and will be subject to in all the major joints. Myofascial techniques that assist in healing soft tissues will badge confiscation with no refund opportunity. also be demonstrated, such as cross fiber massage, Tui Na, and cupping. Meeting Space and Seating Moods in the Clinic by Greg Bantick All seating is ‘first come, first served’ seating. All meeting spaces are locked, while not in session, and no items can be left in rooms to reserve a seat. The doors will open and seats 3 Sunday, November 9, 2:00-5:00 pm become available 15 Minutes prior to the 2 pm workshop start time. Please arrive 15 CEu/Pda minutes early to lectures and workshops to secure a seat. Once a room is full and there All of us are affected by moods. The Huang Di Nei Jing, Shang Han Lun, and other are no seats remaining, please plan to go to another workshop location. No refunds will texts teach that the body and mind are conditioned by outside factors such as be granted based on no seats available to preferred courses. weather, food, family, upbringing, and more. Physical symptoms can shape and condition our moods, and they can shape the experience of our diseases. At times, the moods that seem to accompany some diseases or life difficulties can seem too Conference Details intense to tolerate. Participants of this course will learn how to interview those in distress and arrive at a clear diagnosis. Discover how to choose the best formulas, Hotel Accommodations point combinations, and relevant adjunctive therapies to effectively treat a wide The Catamaran Hotel (Symposium site) variety of common mood disorders. Chinese medicine is very effective both in 3999 Mission Blvd., San Diego, CA 92109 alleviating and in developing resilience, stability, and tolerance of difficult moods. 1-800-422-8386 Additionally, find out strategies for self care. www.catamaranresort.com $169 Single, Double/ $189 Triple/ $209 Quad Questions Regarding Hotels and Airlines Contact Barbara Weber, (619) 334-3180 or [email protected], 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: $8.00 for the first hour/ $1.50 each additional hour, Day Maximum $25.00. Hotel Parking validation stickers (all day parking for Can’t Make it to non-Catamaran guests) are available at the Symposium Registration desk after 11 Pacific Symposium this Year? am – rate $13 per day. *Street parking is available. If you choose street parking, please note the street We Have a Solution! sweeping signs posted in the Pacific Beach area.

Earn Your CEUs/PDAs From Your Home! Airport shuttle service to and from the hotel. The Catamaran Resort Hotel uses Cloud 9 Shuttle. For More Details on Registering, CEU/PDA Hours Pending www.PacificSymposium.org Pacific Symposium provides up to 64 Continuing Education hours total. * You must pay the professional rate to receive CEU credit. Pacific College of We Are Proud to Say We Have Over 50 Exhibitors Oriental Medicine Alumni receives 10% off the professional rate. Showcasing Their Products This Year! Recording Exhibit Hall Hours By registering for the Symposium, you understand that lectures and presentations Open to All held within the Symposium venues may be video and/or audio recorded for internal, broadcast, non-broadcast and promotional purposes. As an audience Friday: 11 am - 2:15 pm and 4:45-7:00 pm member, some of these recordings may contain your likeness and/or your voice. By your registration, you grant Pacific Symposium and its affiliates the irrevocable right Saturday: 11 am - 2:15 pm and 4:45-7:00 pm to record and use any recordings containing your likeness and/or your voice for internal, broadcast, non-broadcast and promotional purposes. Sunday: 8:30 am-1:00 pm No personal audio or video recording will be permitted, dismissal from the conference will be enforced. High quality CD recordings will be made of most Ready to Register? Go to www.PacificSymposium.org sessions and available for purchase during and after the Symposium. This Year’s Speakers

Greg Bantick, MS, LAc received his early education in Chinese Kenneth Goff is an accomplished Kirtan percussionist, drummer, medicine in Sydney, in 1975. He holds a bachelor of acupuncture vocalist, meditation guide, and gong master. Goff’s path to sound from Brisbane College of Traditional Acupuncture and a master’s of healing and healing touch includes earning his Yoga Alliance RYT-200 traditional Oriental medicine from Pacific College of Oriental Medicine. yoga teacher certification, as well as a degree in Asian bodywork from While in San Diego, he served in curriculum advisory roles and as a Pacific College of Oriental Medicine (PCOM). His work in the field of senior faculty member and clinical supervisor for over 15 years. Bantick energy healing includes Reiki Master credentials and courses in Healing returned to Brisbane in early 2005 where he has a clinical practice and Touch. With the use of fundamental notes aligned to the spiritual eye, continues to teach at Chinese medical schools and to the profession. throat, and sacral chakras, his three Chinese Feng (wind) gongs offer the listener an opportunity to align and calibrate their etheric energy. Jill Blakeway, MS, LAc is a practitioner, author and speaker who appears regularly in the media to talk about Chinese medicine. Esther Gokhale, LAc is the creator of the Gokhale Method® now taught Blakeway graduated from Pacific College of Oriental Medicine, San worldwide by over 20 teachers. Her book, 8 Steps to a Pain-Free Diego in 1999 and is the founder and Clinic Director of the YinOva Back, has sold over 100,000 copies and is available in 11 languages. Center, which is a large multi-disciplinary complementary medical Gokhale has been the host of the public television program Back Pain: center in New York City. She co-authored her first book, Making Babies The Primal Posture Solution and has appeared in numerous programs (Little, Brown, 2009), with a reproductive endocrinologist. Blakeway’s and publications including the New York Times, which dubbed her second book, Sex Again (Workman Press, 2013), is about Chinese “the Posture Guru of Silicon Valley”. Gokhale has been a speaker medicine for low libido. Blakeway is a former Associate Professor of at Google, IDEO, Mimosa Systems, and Varian Medical Systems. Chinese Medicine at Mercy College in New York and currently teaches She also speaks with medical physician groups including Stanford, obstetrics and gynecology in the doctoral program at Pacific College PAMF, UCSF and sports teams such as the trainers of the SF 49ers and of Oriental Medicine, San Diego. She has given a TED Talk and has several Stanford teams. Her method has been featured in publications appeared regularly on Dr. Oz. She’s given Katie Couric acupuncture including The San Francisco Chronicle, Toronto Sun, Chicago-Sun on TV and has talked about libido on The Talk and Fox News. Times, Prevention Magazine, and AAOS.

Lillian Pearl Bridges is the world’s leading authority on face reading and Richard Gold, PhD, LAc has been practicing Chinese medicine facial diagnosis. In addition, she is a recognized expert on Five Element continuously since his 1978 graduation from New England School Feng Shui. Bridges lectures and teaches internationally to doctors, of Acupuncture (NESA). Dr. Gold is one of the founders of Pacific acupuncturists and other health professionals at conferences, colleges, College of Oriental Medicine (PCOM) and served on the PCOM Board and universities. She is the author of Face Reading in Chinese Medicine. and faculty for many years. Dr. Gold is the author of Thai Massage: She has also been a contributor to several other books on Chinese A Traditional Medical Technique, now in it’s 2nd edition. In recent medicine published by Elsevier and for the Thieme Almanac and was a years, Dr. Gold has turned his interests to the study of neuroscience columnist writing about face reading and Feng Shui for several natural and the practical effects of sound on the brain and bio-energy. This health magazines. Bridges was featured on the Dr. Oz Show in 2013 in led to the founding of Metta Mindfulness Music in partnership with the episode, “What Your Face Reveals About Your Health”. world-renowned composer and performance artist, Yuval Ron and the creation of the CD box set of ‘Ancient Wisdom & Modern Sounds’ Amanda Collins is a Feng Shui expert, yoga teacher, and the owner that combines the wisdom of the Six Healing Sounds from Chinese and founder of the International Feng Shui School, a certification- medicine with modern neuroscience theories of brain entrainment. training program. She has studied with leading Feng Shui masters in China, Australia, Europe, and South America. Collins’ clients include Holly Guzman OMD, LAc began her acupuncture studies in 1972 at companies like Dream Works, Bloomingdales, Morgan Stanley, age 13 in Afghanistan. At age 17, she traveled to mainland China to Hewlett Packard, Bank of America, and Hyundai cars. She regularly study, observing acupuncture anesthesia, herbal formulas, community shares her Feng Shui wisdom through the media and has appeared health systems, and a school’s daily acupuncture treatment program on FOX News, WB, and a host of TV stations, as well as in many for student recovery. By her early 20s, Dr. Guzman completed clinical publications. She trained with renowned masters in China at the apprenticeships under the directions of Ted Kaptchuk, Efrem Korngold, Classical School of Feng Shui. Yat Ki Lai, Miriam Lee, and Kiiko Matsumoto. She has been teaching at Five Branches University since 1984, and completed her doctorate in Felice Dunas, PhD, LAc is an international lecturer and educator. Dunas traditional Chinese medicine in China in 1988. holds a doctorate degree in clinical Chinese medicine and pharmacology and recently won the coveted Acupuncturist of the Year award for her East Haradin, DAOM, MTOM, LAc is a graduate from the Pacific clinical and teaching skills. Dunas is the author of Passion Play: Ancient College of Oriental Medicine (PCOM) where she received her MTOM Secrets For A Lifetime Of Health And Happiness Through Sensational in 1999 and DAOM in 2013. In 2004, she joined the faculty of Sex, now published in five languages. Her work has appeared in many PCOM as a professor and clinical supervisor. In 2010, she founded periodicals including Ladies Home Journal, Brides, Cosmopolitan, Men’s Gem Elixirz(TM) a company providing unique health related and Health, Glamour, Prevention, Marie Clair, Women’s World, Living Fit, intentional-based aromatherapy products. In 2013, Dr. Haradin New Age Journal, Los Angeles Times and the Chicago Tribune. conducted a clinical trial that proved that combining aromatherapy with acupuncture was more effective in reducing stress than Jake Paul Fratkin, OMD, LAc has trained in Korean and Japanese acupuncture alone. Her private practice is currently in Newport Beach, acupuncture since 1975, and Chinese herbal medicine since 1982, California and she is the acupuncture specialist at the Mind Body including one year of advanced training in Beijing. He is the author of Medical Group at the Chopra Center in Carlsbad, California. Essential Chinese Formulas (2014), a new revision of Chinese Herbal Patent Medicines: The Clinical Desk Reference (2001). Dr. Fratkin has Bill Helm is an ordained Taoist priest, and has been studying Chinese just published TCM Case Studies in Autoimmune Disease with Dr. Zeng martial and healing arts since 1973. Helm has been traveling to China Sheng-ping for People’s Medical Publishing House, Beijing. He is the and studying since 1986. He is the founding faculty chair of the recipient of the Acupuncturist of the Year award, given by the AAAOM, Bodywork Department at Pacific College of Oriental Medicine (PCOM), as well as the Teacher of the Year award from the American Association San Diego, and is also the director of the Taoist Sanctuary of San Diego. of Teachers of Acupuncture and Oriental Medicine (AATAOM) Mark Kastner, LAc is an acupuncturist and has been in private Yefim Gamgoneishvili, LAc co-founded his first clinic in 1992 working practice since 1987. He is the author of Alternative Healing (Henry extensively with HIV/AIDS patients in San Francisco. Gamgoneishvili Holt, 1996). He has also published a novel Closing the Circle also concentrated on treating athletes and orthopedic issues, which led (Lotus Publishing, 2008), which delves into healing interpersonal to the development to his unique approach of treating musculoskeletal relationships. He has made guest appearances on KNSD TV news related disorders. In 1997, he began teaching at American College (local affiliate of NBC). Over the last five years he has been teaching of Traditional Chinese Medicine and has continued to serve as core orthopedics and sports medicine at the Pacific College of Oriental faculty at ACTCM, Pacific College of Oriental Medicine (PCOM), and Medicines graduate program. Mark has worked with numerous major Daoist Traditions. As one of Dr. Wang Ju Yi’s officially recognized sports teams including the Los Angeles Lakers, San Diego Padres, and apprentices, Gamgoneishvili teaches seminars on the subject of San Diego Chargers. Applied Channel Theory in the United States and abroad. Kenneth R. Koles, PhD, DSc, LAc has been a practitioner and Inpatient Care. Dr. Nielsen is considered the Western authority on Gua instructor of the healing, martial, and esoteric arts for over 40 sha: she authored the Gua sha definitive text and developed the Gua sha years. His focus has been the confluence of Oriental medicine Certification Course. She recently consulted with the Joint Commission and CranioSacral Therapy, which led to his development of the (the group who credentials every hospital and clinic in the US) on the “Unwinding the Meridians of Acupuncture” curriculum. From years of inclusion of non-pharmacological therapies as strategies for pain. working with various “Bone Doctors” and Dr. John E. Upledger D.O., Dr. Koles created Unwinding the Meridians as an energetic, kinesthetic Robert Peng is an internationally renowned Qi Gong master and approach to interact with the points and meridians of acupuncture. teacher. Peng began an intensive apprenticeship at the age of eight Dr. Koles teaches internationally for the Upledger Institute while under the guidance of legendary Buddhist monk Xiao Yao, an maintaining a private practice in Shaker Heights, Ohio. enlightened master known for his profound healing ability. At age fifteen, Peng performed a water-fast for 100 days in a dark room at the Peter Lambrou, PhD is a licensed psychologist with a private practice. secluded mountain monastery in the Hunan province. Peng underwent He is the former Chairman of Psychology at Scripps Memorial a radical spiritual transformation and awakened his own amazing Hospital in La Jolla California, where he continues to serve on the healing powers. He has now trained more than 150,000 students all Psychology Executive Committee. Dr. Lambrou is a clinical member around the world. His profound training techniques are reflected in of the Association for Psychological Science, and he is a Diplomate in his workshop and retreat: The Master Key: Qigong Secrets for Vitality, Behavioral Medicine. He has written and published books and articles Love, and Wisdom BOOK/CD/DVD series. for both the professional and trade markets, including his book Self- Hypnosis: The Complete Manual for Health and Self-Change, which George Pratt, PhD has been a clinical and consulting psychologist has been translated into 14 languages, and Stop Your Panic Attacks in private practice in La Jolla, California for over 30 years. Dr. Pratt Now. He also co- authored Hyper-Performance: The A.I.M. Strategy specializes in mind/body techniques, psychotherapy, hypnotherapy, for Improving Your Business Potential with Dr. George Pratt as well as and performance enhancement. He is on staff and Past-Chairman of the award-winning book Instant Emotional Healing: Acupressure for Psychology at Scripps Memorial Hospital, La Jolla. Dr. Pratt is the co- the Emotions, published (Random House). Their most recent book is author of four books including Instant Emotional Healing: Acupressure Code to Joy: The 4-Step Solution to Unlocking Your Natural State of for the Emotions; Code to Joy Hyper-Performance: Release your Business Happiness (Harper Collins). Potential; and the Clinical Hypnosis Primer. He has been a frequent guest of Larry King Live and has guest co-hosted Loveline for Dr. Drew. Giovanni Maciocia, OMD, LAc has practiced acupuncture in England since 1974, and has presented at numerous workshops at the post- Suzanne Robidoux, DOM, LAc is a Chinese medicine doctor, graduate level for colleges of Chinese medicine in the U.S., England, researcher, international professor, and author. After completing her Australia, and Europe. He is also a practicing Chinese herbalist, master’s degree in Chinese medicine in the U.S., Dr. Robidoux moved having studied with Dr. Ted Kaptchuk. Dr. Maciocia has been a regular to Taiwan to dig deeper in the knowledge of the Chinese classics. contributor to the Journal of Chinese Medicine, and has also authored In 2004, Dr. Robidoux moved to Nanjing to complete her doctorate several Chinese medicine textbooks. In 2006, the Nanjing University degree, where she focused her research on treating debilitating of Traditional Chinese Medicine in China appointed Dr. Maciocia as neurological diseases such as post-stroke paralysis, multiple sclerosis, honorary professor. anxiety disorders, and PTSD. At the time, she also practiced in a private hospital with a specialist in moxibustion for gynecological Cathy Margolin, LAc is a licensed acupuncturist and Diplomate of diseases such as infertility, PID, and uterine fibroid. Oriental Medicine practicing in Los Angeles, California. Margolin founded her dream company, Pacific Herbs in 2010. Pacific Herbs Yuval Ron is an internationally renowned World Music artist, brings innovative technology to Chinese herbal medicine for Western composer, educator, peace activist, and record producer. Among audiences. In addition to her herbal business, Cathy has written three his many honors, Ron composed the songs and score for the Oscar books including Stop Your Bitching…Naturally. Her newest book winning film West Bank Story. Under his leadership, the internationally Rock Your Hormones! 30 Days of Tips for the Menopausal Woman renowned music and dance group, The Yuval Ron Ensemble, has has recently been released. Margolin has a private Oriental medicine been actively involved in creating musical bridges between people practice in Los Angeles. She is a health writer for The Huffington of the Jewish, Muslim, and Christian faiths and has been featured Post and a frequent guest on radio shows and health blogs and is on CNN and National Geographic. Ron has also collaborated with committed to teaching preventative medicine. neuroscientists Mark Waldman, Andrew Newburg, and others to explore the connection between sound and the brain and has received Kiiko Matsumoto, LAc is internationally known for her scholarly work commissions from Metta Mindfulness Music to create music for on acupuncture and the interpretation of Chinese classic texts. She healing use in clinics. He has been on the faculty of Esalen Institute has published three fundamental texts on acupuncture in the United since 2009, is an affiliated artist with the Center for Jewish Culture and States, and has another in press. Matsumoto regularly publishes articles Creativity, and a “Guiding Voice” for Seven Pillars - House of Wisdom. in the Ido-No-Nippon acupuncture magazine in Japan, and has made two video series for the company. She is best known for her ability to Mary Elizabeth Wakefield, LAc, MS, MM is a licensed acupuncturist, integrate the work of very important Japanese Masters such as Master herbalist, Zen Shiatsu practitioner and CranioSacral therapist. Wakefield Nagano, Master Kawai, and Dr. Manaka into a coherent and clinically is the author of Constitutional Facial Acupuncture (Churchill Livingstone effective style. Matsumoto routinely teaches acupuncturists around the Elsevier, 2014). For nine years, she was the facial acupuncture world, including the United States. columnist for Acupuncture Today and has contributed articles on facial acupuncture and related topics to journals and spa periodicals Robert Nations, LAc, MSTOM, Dipl. OM began his study of self- worldwide. Wakefield recently created a two-year International Gold cultivation, herbs, and energetic healing in 1983 under the tutelage of Standard Facial Acupuncture Certification Program and a master’s level Warren Gold. Nations furthered his education at the Taoist Sanctuary program consisting of eight separate training modules. The first such of San Diego, where he earned his Tui Na massage certificate, and was program was held at Northwestern Health Sciences University and drew trained in the philosophy and practices of Taoism. This included learning practitioners from eight countries and 11 U.S. states. A second program from Grand Master Abraham Liu (Yang Style Tai ji quan), Grand Master is now in the works for 2015-2016. Wakefield maintains a practice on Chen Xiao Want (Chen Family Tai ji quan), Taoist Priest Sifu Share K Lew the Upper East Side of Manhattan, in New York City. (Taoist Elixir System), as well as Ted Kardash, Ph.D., MFT. In 1995, Nations received the honorable title of Tao Shi. He currently teaches at Pacific Janet Zand, OMD, LAc has over 25 years of clinical experience in College of Oriental Medicine (PCOM), is a member of the National Qi acupuncture, botanical medicine, nutrition, and homeopathy. Dr. Zand Gong Association, and maintains a private practice in San Diego. served as Chairman of the Board and Co-Founder and Formulator for Zand Herbal Formulas. She is the co-author of several books: A Arya Nielsen, PhD, LAc studied under the classical lineage of Dr. Parent’s Guide to Medical Emergencies (Avery, 1997), Smart Medicine James Tin Yau So. Dr. Nielsen is also a teacher, author, researcher, and for Healthier Living (Avery, 1999), and Smart Medicine for a Healthier advocate for integrating East Asian medicine to conventional practice Child (Avery, 2003). She holds a doctorate of Oriental medicine and is and discourse. She works at Mount Sinai Beth Israel, a New York a practicing herbologist, naturopath, and certified acupuncturist. teaching hospital where she also directs the Acupuncture Fellowship for An Interview with Music Composer Yuval Ron

INTRODUCTION acific Symposium is happy to welcome and present to our P Oriental medicine community the award winning and world-re- nowned composer, performance artist, lecturer, and peace activist, Yuval Ron.

Oriental Medicine Newspaper: What brought you to America and when was this? Yuval Ron: I came to America in 1985, directly from Israel. I came to study music at Berklee College of Music in Boston where I majored in Film Scoring.

OM: How did you decide to at- tend Berklee? Did they find you or did you find them? YR: No, I found them. I was into jazz when I was in high school in Israel. I found a great jazz guitarist who just came from Boston back to Israel. He was the best jazz guitar- ist in Israel and he was an alumni of Berklee. He was the first jazz guitar- ist from Israel who graduated from Berklee and then returned to Israel.

I was so impressed with his level. I Yuval Ron in action studied with him privately for several years and he recommended that I go to the school where he went; that led YR: Yeah, I started my career music magazine from the Monroe system. I went to Dr. Ilan Migdali and me to the school in Boston. in TV scoring a lot of the cartoons, Institute. They commissioned me to he put me on a protocol and he re- Saturday morning cartoons, some create works for getting the listener ally boosted my immune system and OM: What drew you to majoring live-action shows…I’ve done a lot of to go through a half hour trance, taught me a lot about myself, my sys- in Film Scoring? shows for kids. an emotional journey that would tem, and my body. And since then, YR: When I was nineteen, I was be accompanied by aural beats that you know, I’ve been in really good, in the military band in Israel. I met OM: What is some of the other they had created. So, they created a strong and stable health. So, that was theater people in that troupe. I be- work you have done? map of those frequencies of tones my first encounter of Chinese medi- came really fascinated with the the- YR: Well, I started in theater and that they would play to the listener cine and I’ve gone to, I think four or ater and they asked me to compose modern dance scoring productions through headphones. One frequency five different doctors over the years. music for a play. It was a Beckett such as Shakespeare’s “The Tempest” in one ear, another frequency in play that was very successful and the in Boston. I’ve also done Beckett and another ear, and a third frequency OM: Did practitioners play music music was very well received. Then, Yeats in theater. I’ve done music for would occur in the brain (this is during your treatments at the differ- I was asked to compose for another musicals like “Masada: The Musical known as binaural beats). They ent offices? play and then another play, and I re- Saga,” which was a Broadway musi- claimed, and still claim that by creat- YR: Yes, they always played ally fell in love with composing for cal. I’ve worked on a lot of TV shows ing the third frequency in the brain, music and I always had problems theater. And that’s what I did in Israel such as C.S.I., Two and a Half Men, they can affect the emotions and the with the music they played. I always for three years, from age of nineteen Late Show with David Letterman, 60 state of mind of the listener. had a problem. That was an issue. I to twenty-two. From these experi- Minutes, Grey’s Anatomy, Oprah Win- couldn’t relax. Because I would ana- ences, I changed my direction from frey, amongst many others. In 1998, I OM: So this was quite early on lyze the structure of the music and being focused on jazz performance got into the record business thanks to in what has become a rather big I would have critique and I would to being interested in composing mu- Omar Faruk Tekbilek, a great Turk- creative category of applied neurosci- be annoyed by the fake instruments, sic. By the time I came to Boston, I ish Sufi musician who asked me to ence through sound. fake synthesizer sounds and things focused on writing music for film. produce his album. This got me into YR: Yes, the Monroe Institute was that were really not sophisticated. producing albums and recording and an early and important place where And this bothered my relaxation. OM: How’d you end up in L.A. working with record companies. And sound and brain science developed Eventually, I requested to receive my YR: Well, the film music business that led me to performing again, to and has continued to be refined. treatments in silence. brought me to L.A. I got a job while I go back to the stage, which I had not was still in Boston; I was contacted by done for about sixteen years. I had OM: What is your personal expe- OM: What interested you in Fox Kids TV channel, and they asked become a full-time composer and I rience with acupuncture and Chinese the six healing sounds in Chinese me to come to L.A. to replace a friend didn’t even play my instruments. I medicine? medicine? of mine that had gone with me to wouldn’t practice. I didn’t even dream YR: I’ve been receiving treatments YR: My various practitioners school in Berklee and had recommend- that I would ever play again, much of Chinese medicine for many years learned that I’m a musician and ed me for the job. Fox TV listened to less perform on stage. Since 2000, I since 1996. I used to get sick every composer and they started telling my compositions and after a couple of have returned to performing in addi- winter with bronchitis, flu and colds, me about the five elements and weeks they called me and said we want tion to composing and producing. no matter what I did. I would lose a they said, you know, we wish we you to move to L.A. in one week and lot of workdays because, as a musi- could have music for the elements. start working on that series. Fox Kids OM: So, when did you first work cian, if my ears were congested and And one of them, Dr. Moshe Barkan TV brought me to L.A. in 1994. with sound and the brain function? I couldn’t hear, I just couldn’t work. started giving me material and in- YR: Okay, that’s interesting. In And so, I had very strong experi- formation and he was really hoping OM: So, it was a children’s show 1989, after I graduated from mu- ences with the needles and I came to you first worked on? sic school, I saw an ad in a Boston acupuncture to improve my immune continued on page 29

26 Summer 2014 Oriental Medicine • www.PacificCollege.edu Constitutional Facial “ The best part of my job is helping our policyholders; therethere isis nono questionquestion thatthat Acupuncture: isis tootoo simplesimple oror tootoo routine for me. I am The New Protocols always happy to help.” By Mary Elizabeth Wakefield, LAc, MS, MM 能够帮助我们的医生解答误 医保险方面的各种问题是我 e are presently experienc- 工作中最大的快乐。 ing a quantum evolution in our perceptions of the W Underwriter aging process, which involves the elimination of outmoded ideas about Ronni Fan what it means to be elderly. This paradigm shift has been facilitated by half a billion Baby Boomers1 world- wide who have provided a power- Needle placements for forehead lines ful stimulus for a collective change to the ‘face of aging’. 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With dramatic fluential point of Zang, is important advances in Western medical technol- because ‘unemployed sex hormones Go to miec.com/calculator to see our lower rates! ogy and a parallel expansion of con- are neutralized in the Liver.’2 Severe 到MIEC.COM 公司网页可查看最新低价保费！ sciousness about the effectiveness of migraines often occur as a result of alternative strategies to promote and excess gonadotrophic hormones. maintain optimum health, these high The Eight Extraordinary Merid- functioning people expect to live ians are considered to encode fun- Other benefits include: MIEC所提供的福利還包括: longer than their parents, with a level damental hereditary aspects of the n New Practitioner Discounts n 对新考取执照者有优惠折扣 of vitality and enjoyment that would individual, what Oriental medicine n FREE premises coverage n 免费工作地点保险（失足和跌伤 have been considered unrealistic by terms the Jing; thus, employing them (Slip and Fall coverage) 保险） previous generations. in the context of a facial acupuncture n The impact of this revolution is treatment can have profound impact No arbitration agreement n 不需要填写医师-病人仲裁同意书 also beneficial to younger genera- upon both the visible and implicit required n 精通中文的保险专业人员服务 tions, who are observing the Boom- symptoms of the aging process, pro- n Chinese speaking staff ers as they actively reject pre-existing moting healthy aging, greater quality beliefs about health, beauty, creativ- of life and harmony. ity and vitality being the exclusive MIEC coverage is limited to the California Business and Professions property of the young. These trail- The Ying Code regarding Acupuncture and includes: blazers are pursuing natural, holis- The Ying level, which targets 保险面积包括加州执照中医师可行业的范围，并且包括： tic, and less invasive approaches post natal Qi and utilizes the Twelve to maintain a youthful appearance Regular Meridians, is the second 1. Infertility Acupuncture 3. Urological Acupuncture without sacrificing their wisdom and constituent of Constitutional Facial Treatment 不孕治疗 Treatment 尿路症状治疗 integrity. They adhere to a concept Acupuncture’s three pronged consti- 2. Treating Pregnant Women 4. Facial Acupuncture of beauty that embraces the totality tutional approach. of their experience, keeps them pro- While traditional Chinese medi- 怀孕引起的症状治疗 面部治疗 ductive, and authentically transforms cine (TCM) diagnostics focus on qi, body and spirit. blood and fluids to address this level, For more information or to apply As acupuncturists, we stand poised I also integrate it with the Five Ele- 申请详情请见: to address the concerns of all our ments and their interaction with the patients, both the elder ones and the pathology of the Twelve Regulars. n Premium discount for members of Sponsoring Associations: young, who, already primed by popu- This particular constitutional UCPCM, CCAA and CSOMA lar consensus, fear old age as a time treatment is based upon Japanese n www.miec.com or call 800.227.4527 of decline and illness. Metaphorically, acupuncture: n we can function as a bridge, straddling The Liver and Gall Bladder signs Email questions to [email protected] both worlds of Western medicine and and symptoms usually are more other complementary disciplines. pronounced on the right side of the body. The patient may have weight The Three Levels of Constitutional issues, hepatitis, cirrhosis, or a fatty Treatment liver, and additionally manifest ad- dictions to alcohol and drugs, in- The Jing cluding prescription drugs. This level targets the Eight Ex- Hormonal headaches involving traordinary meridians, hereditary the pituitary gland originate at UB 2 factors and their relationship to the Medical Insurance Exchange of California endocrine system. 6250 Claremont Avenue, Oakland, California 94618 MIEC continued on page 35 800-227-4527 • www.miec.com Owned by the policyholders we protect. PCOM_OM_01.03.14 Oriental Medicine • www.PacificCollege.edu Summer 2014 27

PCOM_OM_01.03.14.indd 1 1/6/14 4:26 PM Aore Y u The Marrying Kind of Acupuncturist? continued from page 1

unconscious, or repressed material of the first to gain clinical traction and in the form of mental or emotional was streamlined by a non-clinician, disturbances, such as anxiety and Gary Craig, who first used TFT for depression. Psychoanalysis and psy- himself then modified the system Cal- chodynamic therapies seek to help lahan developed so as to be more patients understand their defense user-friendly. Craig disseminated his mechanisms such as repression, de- method dubbed, Emotional Freedom nial, and projection. In addition to Techniques (EFT) and made it avail- fostering insight, they use therapeu- able to clinicians as well as the gen- tic interventions such as dream anal- eral public at low or no cost. Thus, ysis and free association to words EFT became the most widely recog- and images. nized version of EP. Over the past two decades, refinements have been made What is Behavioral Therapy? in some cases, as with our ESM, to Another evolution of psychology include energy corrective processes is Behavioral Therapy movement, called Reversal Corrections. which is based on the belief that behaviors can be measured, trained, Acupuncturists Enter Energy and changed. Behavioral Therapy Psychology considers that all behaviors are ac- Tapas Fleming, one of the earliest quired through conditioning. Condi- acupuncturists to enter the EP arena, tioning develops through a person’s developed her own version called interaction with their environment, Tapas Acupressure Technique (TAT). including observing the behavior of The Association for Comprehensive others. One of the key interventions Energy Psychology (ACEP) currently of behavioral therapists is Operant as well as acupuncturists whose a continuum and disappointment and has about half a dozen acupuncturists Conditioning, which is a method of names are lost to this history. Over disgust on the other. Diamond does as members. ACEP has become the learning or changing behaviors which the course of a decade, these innova- not address medical issues with the trade group for therapists, coaches, uses rewards and punishments for tors discovered a process that incor- meridians and focuses primarily on and clinicians of all disciplines who targeted behaviors. porated elements from kinesiology, emotions, temperaments, and person- are interested in or currently using acupuncture, and psychology that ality factors associated with specific one or another EP method. What is Cognitive Therapy? provided a remarkable method for meridians. For example, he associates All of the various forms of En- Cognitive psychology is con- rapidly resolving fears and phobias. the kidney meridian with sexual inde- ergy Psychology (EP) methods and cerned primarily with a person’s Dr. Callahan had an employee, cision and the large intestine meridian their taxonomy are too vast to explain thought processes. Cognitive thera- Mary, who worked at his home in with guilt and self-worth. He used here, but the research has largely pists examine how thought processes the desert town of Indian Wells, Cali- processes of testing muscle strength been on Emotional Freedom Tech- influence how a person understands, fornia. Mary was visibly frightened while pressing or touching certain nique in one or another form. Psy- interprets, and interacts with the of water and gave wide berth to the acupoints to determine, in his words; chologist, David Feinstein, has been world around them and the future. swimming pool in Callahan’s back “…the effects of nearly all stimuli, the most prolific published writer on It’s in sharp contrast with behavioral yard. One day, as an experiment, physical or psychological, internal or the theory and mechanisms of action theory, yet many psychologists merge Callahan asked Mary to tap on an external, on the human body…most of all EP methods. In his 2012 article the two theories to form what is acupuncture point directly beneath importantly for our purposes, each in the Review of General Psychology, called cognitive-behavioral theory or her eye on the high cheekbone while meridian is also associated with a spe- a peer-reviewed American Psycho- CBT. CBT has become a standard of she viewed the pool from a distance. cific negative and a specific positive logical Association journal, he found practice for many psychological con- This point was Stomach 1 and Calla- emotional state.” 51 published articles on some aspect ditions including anxiety and depres- han theorized that because her symp- The point is that Diamond, who that would qualify as EP with 36 of sion and posits that behaviors are the tom of fear was largely experienced influenced Callahan, along with oth- those studies systematically measur- direct result of internal thoughts and as distress in the gastrointestinal area ers, began to codify a system of using ing outcomes of multiple treatments core beliefs, which can be controlled that it might provide some relief. meridians and their beginning and while using some form of tapping and changed. For example, a person In fact, it did provide Mary with end acupoints for treating emotional on acupoints. We conducted one who perceives a small setback in an some relief. Gradually, self-applying distresses across a wide spectrum, of those published studies, which exaggerated way may see the loss of pressure to that specific acupoint by from anger and anxiety to regret and focused on claustrophobia. In our a job as catastrophic, and will feel and way of continual tapping, Mary was shame. This system represents a sig- study, we measured psychologi- behave according to that perception. able to move closer and closer to the nificant departure from CBT. A variety cal factors of state vs. trait anxiety, They may shut down and not even pool, something she’d never done of treatment protocols emerged from physiological measures of EEG, EMG, look for another job, believing that before. Finally, after many days and Diamond and Callahan’s explora- heart and respiration rates, and a their prospects are dismal. A shift in many applications of this process, tions and formulations, including our measure of electro-conductance with- thought about that job loss to being a she was able to touch the water and own, which we call Emotional Self- in the meridians using Motoyama’s minor life event will allow the person thus functionally overcome her mor- Management (ESM). ESM is detailed in Apparatus for Meridian Identification to recognize their own strengths and bid fears of water. This led Callahan our book, Instant Emotional Healing: (AMI). We compared a treatment resources and act accordingly (such as to further explore the possibilities of Acupressure for the Emotions, pub- group of claustrophobic individuals search for a new job). combining self-applied acupressure lished by Random House. with a group of non-claustrophobic While this is not a comprehen- with a psychological process of expo- individuals and found both clini- sive overview of the evolution of sure, either directly or in imagination. An Alphabet Soup of cal improvement (less fear) as well modern psychology, we offer this Techniques as changes in several physiological “fly-by” to set the stage for another Psychology and Traditional Over the past 20 years, a num- measures after a single 30-minute evolution that is Energy Psychology. Chinese Medicine Meet ber of clinical studies and anecdotal treatment (Subtle Energies & Energy Psychiatrist John Diamond, who evidence has accumulated for the ef- Medicine, Vol. 14, No.3). A New Wave has Formed: authored several books including, Life fectiveness of a number of what has Energy Psychology Energy, and Your Body Doesn’t Lie, come to be broadly called Energy Psy- How Do Energy Psychology Around the mid 1980’s, a promi- described his exploration of the con- chology (EP) methods. These appear Methods Work? nent psychologist, Roger Callahan, nection between the meridians and as an alphabet soup of acronyms such The marriage of psychology and had contact with several colleagues specific emotions. He posits that the as TFT, EFT, ESM, TAT, HBLU, and acupuncture continues to evolve and including chiropractor, George Good- stomach meridian is associated with many others. Thought Field Therapy heart and psychiatrist, John Diamond contentment and calm on one end of (TFT), Callahan’s iteration, was one continued on page 30

28 Summer 2014 Oriental Medicine • www.PacificCollege.edu An Interview with Music Composer Yuval Ron continued from page 26

that I would compose something. Dr. composition for Earth around that Barkan revealed that to me because tone. And actually, that tone is holding he was hoping that I would compose on throughout the whole music com- music for those elements because he position, through the whole CD, that felt that they didn’t have anything one tone is there. And around that good to play that would invoke those tone, there are musical developments elements. But he never followed up that always come back to that home, with me and I didn’t have time to get that one, that center that is the one into it without support. I researched tone that the Chinese indicated that is it a little bit and put it aside and the natural vibration, natural frequen- moved on because I was very busy cy for that specific element. Each tone with other projects. is a different vibration. It’s a different resonance on our body. And it makes OM: So, how did you meet Dr. us feel differently, it vibrates us in a Rick Gold and what initiated the Met- different way. So, if you have a tone ta Mindfulness Music project? that is slightly higher, it may resonate YR: I met Dr. Rick Gold at Esalen in a different chamber in our body, Institute three years ago in 2011. We in a different chakra, in a different were both on faculty that summer. He center. And so it was very important was teaching his course on traditional to choose the right tonal centers for Thai Bodywork and I was teaching each of the elements. I didn’t experi- my course on sound and mysticism ment with that. I trusted the ancient and the impact on the brain. Chinese. I stayed with that.

OM: So by this time, you’re deep- OM: At a certain point, Rick Gold ly into neuroscience and sound? commissioned you with a task of cre- YR: Yes, because I’ve been teach- ating music that affected each of the ing already for three years with Dr. elements and all the emotions and Mark Robert Waldman who wrote the vibrations associated with each of book How God Changes Your Brain those elements. that is all about the neuroscience of YR: Yes, exactly, he tasked me the brain and music and chanting with creating music that would in- and spiritual work. I met Rick briefly voke the elements. on the grounds of Esalen and I heard about him from a friend who took his OM: And part of that creation was course. And she said, “oh you have he wanted to utilize your skill with to meet Rick, you have to meet Rick sound and neuroscience. So while Gold.” We didn’t get to connect at Es- you were building it with the vibra- alen and then I ‘bumped’ into him on tions of the elements and the tones, the way back to L.A. in a restaurant you were also shaping the music for between Esalen and Los Angeles in particular effects on the brain? Morro Bay. His family stopped in one YR: Yes, what I wanted to do is to restaurant and my family happened consult Western science literature on to stop in that very same restaurant what has been proven through neu- at the same time. We ended up right roscience and music therapy studies. at the same table at the same restau- I wanted to find what was proven rant, without planning it ; but it was to work in specific ways on humans planned by greater powers. Rick and in clinical trials, in studies. I wanted I started to have a dialogue about to find out which musical modes music, about art, about medicine and promoted healing, which music was then after awhile, Rick told me that used to reduce blood pressure, to in- he has a project he wanted to talk to crease relaxation, to increase the rate me about, the Six Healing Sounds. of recovery after stroke and surgery. And then we started talking about And I looked at all those studies and sound and the impact of sound on I gathered all the materials that were healing and the brain and we started out there and I used that for each shaping what would become the Met- of the elements whenever I wanted ta Mindfulness Music project. to invoke something specific. What we have created for Metta Mindful- OM: In the Chinese medicine the- ness Music utilizes both the ancient ory of the five elements and six heal- Chinese observations on what works, ing sounds, each of these elements plus the Western scientists and neu- is assigned a musical tone. So, as a roscientists that are researching what composer, what did that mean to you works and how it works on the brain. as you began to create the music? YR: The first clue about what to OM: You chose, in the Metta do with the elements was that I found Mindfulness Music production to use that the ancient Chinese indicated that live musicians and not synthesized there’s a certain tonal center, a certain music. Why? tone that is the home, that is the cen- YR: Right, that’s very important for ter for that element. And I followed this project because first of all, there’s their ancient guidance on that. I didn’t a lot of music in the marketplace that deviate from it at all. And they indi- is solely synthesized and I believe the cated that a certain musical note is the one for Earth, so I centered my whole continued on page 38

Oriental Medicine • www.PacificCollege.edu Summer 2014 29 Aore Y u The Marrying Kind of Acupuncturist? continued from page 28

one of the most likely explanations specializing in anxiety, work stress, and for the mechanism of action for the emotional management. He is the author reduction of emotional distress has of Self-Hypnosis: The Complete Manual for been put forth by Feinstein. He of- Health and Self-Change, which has been fers that “Imaging studies showed that translated into 14 languages, and Stop Your Reliable the stimulation of certain points with Panic Attacks Now. He is also co-author, Acupuncture Malpractice Insurance needles reliably produced prominent along with Dr. George Pratt, of the books decreases of activity in the amygdala, Hyper-Performance: The A.I.M. Strategy hippocampus, and other brain areas for Improving Your Business Potential, the • PCOM has researched and selected associated with fear. In almost all EP award-winning book, Instant Emotional acupoint stimulation protocols, the Healing: Acupressure for the Emotions, pub- AAC to protect the school and faculty physical procedure is done simultane- lished by Random House and their most re- ously with the mental activation of cent book, Code to Joy: The 4-Step Solution to • AAC supports Acupuncture Research a psychological problem or desired Unlocking Your Natural State of Happiness, state. In this sense, energy psychology from Harper Collins. Dr. Lambrou is past projects with PTSD and other anxiety disorders Chairman of Psychology at Scripps Memorial is an exposure technique” (Review of Hospital in La Jolla California, where he con- • Legal professionals that understand General Psychology, Vol. 16). tinues on the Psychology Executive Commit- acupuncture and have never lost a case tee. Dr. Lambrou is a clinical member of the What Does the EP Future Association for Psychological Science, and Look Like? he is a Diplomate in Behavioral Medicine. In a not too distant future, we envision that more acupuncturists will blend their skill-sets with psychological George J. Pratt, PhD is a licensed principles to address uncomplicated clinical psychologist with a private practice cases of phobias, anxiety, and depres- in La Jolla, California where he specializes sive disorders, just as they already assist in psychotherapy, hypnotherapy, behav- patients in quitting smoking, weight ioral medicine, performance enhancement, loss, and other quasi-psychological and corporate consulting. In addition to problems. Some licensed acupunctur- co-authoring books with Dr. Lambrou, he ists have already pursued counseling is also co-author of A Clinical Hypnosis and advanced psychology degrees to Primer, Expanded and Updated. Dr. Pratt marry what they know about the body is past Chairman of Psychology at Scripps with what they’ve learned about the Memorial Hospital, La Jolla, a Diplomate mind to create elegant mind-body heal- of the American Board of Medical Psycho- ings. This is a trend that we hope will therapists; the American Academy of Pain continue. OM Management; and the American College of Forensic Examiners. He is also a member of numerous professional organizations in- Peter T. Lambrou, PhD is in private cluding the American Psychological Asso- practice as a licensed clinical psychologist, ciation and is in Who’s Who in America.

Feng Shui and Chinese Medicine continued from page 11

sleep, eat, and work. We would bring perform a cleansing on the space. in elements, colors, and symbolic Chinese medicine’s goal is to items that will support fertility and en- release Sha energy blockages in the ergy flow to start a family. human body because such block- Like the body, buildings also ages create disease or dis-ease. Feng have meridian lines running through Shui also releases Sha energy, but 0711-AAC-OM Coverage underwritten by Allied Professionals Insurance Company, a Risk Retention Group, Inc. a Risk Retention Group, Insurance Company, 0711-AAC-OM Coverage underwritten by Allied Professionals them. In Feng Shui, we call these in this practice it’s released from the Earth Meridians and we use Earth’s home to support sleep, digestion, and acupuncture to bring about balance peace--qualities in the home environ- in the environment. Again we would ment that promote health in the hu- use the same remedies with the five man body as well. OM elements and three cycles of creative, reductive, and destructive phases to create energy flow. In acupuncture, Amanda Collins is the founder of the practitioners often burn moxa to get International Feng Shui School, a certifica- energy flowing, and in Feng Shui we tion-training program. Amanda was born use sage or palo santo. and raised in Ireland. She has studied with In both acupuncture and Feng leading Feng Shui masters in China, Aus- Shui, we view the flow of energy as tralia, Europe, and South America. Aman- we view the flow of water to pro- da’s clients include companies like Dream mote a healthy circulation in both Works, Bloomingdales, Morgan Stanley, home and body. A practitioner of Hewlett Packard, Bank of America, and Chinese medicine might recommend Hyundai cars. Amanda regularly shares her a cleanse with herbs and certain Feng Shui wisdom through the media and foods to bring the body into balance, has appeared on FOX News, WB, and a while in Feng Shui the same sug- host of TV stations, as well as in many pub- gestions are made to de-clutter the lications. Find out more about Amanda at rooms, drawers, cupboards, and to www.AmandaCollins.com 800-838-0383 Summer 2014 30 Oriental Medicine • www.PacificCollege.edu The Misdiagnoisis Of Tendonitis By Mark Kastner, LAc Affordable endonitis is the single most Acupuncture Malpractice Insurance diagnosed chronic connec- T tive tissue disease in Western medicine. It affects every major joint • PCOM students covered by AAC policy within the body and can make the most well conditioned athlete limp • Special PCOM Student discount when to the sidelines, as the pain can be overwhelming. Whether it afflicts a starting with AAC after licensure professional golfer or weekend tennis player, tendon pain is a huge prob- • Most comprehensive coverage for a lem affecting all sports. In our everyday lives, tendon pain low cost. also creates major problems. Accord- ing to statistics of Workers Compensa- • Quality customer service tion injuries in California, repetitive motion disease (aka tendonitis) is the leading diagnosis for claims and dis- ability in the state. Over the years, Figure 2 studies have begun to shed new light on this age-old problem, and it is my belief that acupuncture is positioned to play a major part in helping to solve this pattern of chronic pain. When I began my practice 27 years ago, Cortisone use for tendon pain was a no-brainer for most West- ern doctors. They didn’t think twice about using it over and over again to alleviate the pain associated with their diagnosis of tendonitis. How- ever, this slowly began to change as some interesting studies began to poke holes in the fundamental under- standing of what was really creating that pain. By the mid-eighties, there why acupuncture with electro-stim- was indisputable evidence that the ulation can play an important part paradigm for diagnosing and treat- in helping patients reduce their ten- ing tendon pain had been completely don pain. First, let’s review the basic wrong. Histological studies (study of function and structure of tendons to cells) showed that in chronic tendon understand the causation of tendon pain there was a minimal amount of pathology. Tendons, as we all know, inflammation. (2) attach muscles to bones. There are How could this be? Tendonitis two important areas in this connec- is, by definition, “inflammation of tion; they are the tendon muscular the tendon”. But that’s not what they junction, and the osteotendinous found. It was discovered that there junction. The muscular tendon junc- were no inflammatory cells, while the tion is where muscle tissue morphs inner tendon fibers had degenerated to become tendon fibers and the os- and were disorganized. (Fig. 2) Many teotendinous junction is the area in Inc. a Risk Retention Group, Insurance Company, 0711-AAC-OM Coverage underwritten by Allied Professionals fibers, in fact, had micro tears exhib- which the tendon literally grows into iting long-term load stress that had the bone called the condyle. These caused trauma to the fiber itself. This tendon junctions are where the ma- can be seen clinically as patients with jority of tendon fiber injuries occur. chronic tendon pain will commonly All connective tissue is made out lose strength and function in the as- of collagen fibers, however, tendon sociated joint. fibers are specialized to be able to You would think this information handle the enormous loads our mus- was so groundbreaking that treat- cles put on them. Biomechanics stud- ment protocols would have changed ies have shown tendons can handle to reflect it. However, that’s not what up to 10 times our own body weight happened. Yes, the amount and during stress tests. They are able to frequency of Cortisone therapy has accomplish this because of a num- declined, but to this day it continues ber of interesting characteristics of to be used to treat inflammation that the tendon itself. Tendon structure is is simply not there in chronic cases. based, as you can see by Fig. 1, on a And, in fact, the evidence shows that pattern of fiber bundles that becomes corticosteroids can contribute to fur- smaller and smaller throughout the ther injury of the tendons fibers. (2) tendon. These fibers are made up Let’s go back and take a more detailed look at the studies and see continued on page 38 www.acupuncturecouncil.com Oriental Medicine • www.PacificCollege.edu Summer 2014 31 When Sex Goes Bad: How Sexual History and Abuse Can Affect a Patient’s Health By Felice Dunas, PhD, LAc

he pendulum swings wide • 26 times more likely to abuse she had sex with him. She didn’t is the drive for reproduction and the when it comes to sexual expe- drugs enjoy it and felt pushed into it, method by which we quench our T rience. On one end is the most sort of. He didn’t pay much at- desperate need to recreate our spe- loving and intimate act between two Are you seeing anyone with tention to what she might have cies. It is at the root of our identi- people, an expression of deep affec- these disorders in your practice? liked. But she found him attrac- ties as individuals and, in Oriental tion and respect resulting in new life. Sex goes bad in other, less obvi- tive and his desire validated that medicine, it is the aspect of life that On the other is an act of war that can ous ways as well. Some examples of he wanted her, so she went with symbolizes all of life. According to be heinous, vicious, heartbreaking, and which, though subtle on the outside, it. Afterwards, she was surprised the oldest teachings in our medicine, even murderous. Certainly you have can have long-term negative physical, when she didn’t hear from him when the power to have erections, seen the benefits of healthy intimacy emotional, and energetic effects on again. Then she hated herself for generate lubrication, and experience and eroticism in the lives of your pa- your patient base. having liked him in the first place orgasm leaves the body, life itself tients. But have you recognized the has left the body. In short, if you do ramifications of unhealthy intimacy? not include a rich understanding of The erotic healing arts and prac- how human sexuality, identity, and tices of our medicine have been used health are linked, you minimize your for thousands of years to correct health effectiveness as a practitioner. and personality problems, and are The effects of sexual injuries even older than acupuncture. Given travel deep down to the Kidney this history of Chinese medicine view- where sex lives, to the deep ocean ing sex as closely linked with health, it of Jing, the power of our inheri- is important to understand the health tance. Five Element Theory tells us impact of negative sexual experiences. that the Ko cycle carries qi from As practitioners, we must recog- our ancestral chain and genetics nize that the aspect of self that is sexu- (Kidney) to our personal identity, al and gender related is closely related worldview, and self-understanding to health. You cannot separate your (Heart). It is sex that controls our patients’ sexuality from the rest of who perception of reality, not the other they are. Sexual and romantic behavior way around. The Water element and sensation are direct expressions controls Fire. And yet, as important of the energetic profile, the Oriental an understanding as this is, most of medicine (OM) diagnosis, and condi- us are unclear as to how negative tion of qi and Blood that makes up the sexual experiences affect our pa- health, outlook, and personality of ev- tients and what we can do about it. ery individual. Here are a few statistics Many in your practice have “bad to show you the epidemic numbers of Some examples are: and decided that she was a “slut”. sex” stories that would make you “sex gone bad” experiences that your • Jarred was 12 when he found From that time on, her social cringe if you knew them. And though patient base is living through. a dating website that featured behavior dramatically changed. they may be too ashamed, wounded A female, over age twelve, is nude photos. Old enough to She began throwing herself at into silence, or discrediting of their raped in the United States every two know what he was looking almost any boy who showed in- own trauma to tell you, the energetic minutes. One of every six women at and young enough to have terest, as her self-esteem spiraled results of those stories can be found in has experienced or will experience never seen it before, he was downwards. their pulses, their smells, their tongues, attempted or completed rape in their “hooked” until after 11pm, • Is Thomas’ girlfriend a sex addict bodies, and their views of themselves. lifetime. There are over four million even though it was a Tuesday because she can’t be monogamous In my Friday afternoon class at female rape victims in the U.S. One in night and his bedtime had long no matter how many times she Pacific Symposium, 2014, I shall be thirty-three men have or will experi- passed. The next day, and for promises to be and no matter how discussing the effects of negative sex- ence an attempted or completed rape several days thereafter, he was badly her promiscuity hurts him? ual attitudes and experiences on your in their lifetime. In 2003, one in every not quite himself. Quick to an- • Is Erin’s husband right when he patient base. We will have a dialogue ten rape victims were male with over ger at school, irritable with his says she had better stay with him about your specific patients with a 2.8 million men in the U.S. having younger sister, this studious, in- because she’s so unattractive that unique perspective--that of our pro- been victims of sexual assault or rape. troverted boy ended up violently no one else will want her? fessional ancestors, and explore their Thirteen thousand abortions pushing the girl whose locker • Is Josh reasonable in considering deep wisdom and understanding of are performed each year on female was next to his because he says suicide and murder because, as human sexuality. You will learn how children/adolescents involved in in- she “made me mad”. A meeting a college-age virgin, no girls will to approach this sensitive topic ef- cest. This is considered to be equiva- with the school principal en- want him? fectively and “safely” with patients lent to less than one percent of in- sued, followed by a call to his • Is Susan unworthy of erotic love and will be given simple and practi- cest victims. Most incest victims who parents. It took another 36 hours because she has gone through cal tools for addressing the energetic become pregnant do not have family for Jarred to have the courage, menopause and has lost the ability ramifications of negative gender re- permission to abort and must carry clarity, or whatever it took, to to lubricate? Are her wrinkles a rea- lated and sexual events. the child to term. tell his folks what he had seen son to discredit her sexual value? All practitioners should have • Over a quarter of the children in online earlier in the week. He • Is David’s fear of sex appropriate? exposure to these ideas as they are the U.S. are sexual assault victims didn’t connect the two events If his erections don’t work as they among the oldest and most consis- and, as a result, they are more sus- and, even with the telling, didn’t used to, is he right to avoid his tently used in our profession’s his- ceptible to the following conditions: understand that they might have wife’s invitations for fear of facing tory. If you don’t come to this class, • 3 times more likely to suffer from been related. He was fortunate this change? make an effort to learn these ideas depression that his parents understood and some place else! Our professional an- • 6 times more likely to suffer from could teach him. Sex is the force that brings us cestors knew what they were doing post-traumatic stress disorder • Jenna wasn’t sure how it hap- into life, the essence that links us and with the tools they developed • 13 times more likely to abuse pened on her first date with Dave. to those who came before and to you will bring far-reaching benefits to alcohol Though she hadn’t intended to, those who will descend from us. It those who seek your guidance. OM

32 Summer 2014 Oriental Medicine • www.PacificCollege.edu New TCM Tools to Replenish and Repair Our Gut Byt Ca hy Margolin, LAc, Dipl OM

ur health landscape is thought were developed in the 12th function. The dysbiosis of our guts is higher dosages of probiotics with one, changing rapidly and we century stressing “the importance of contributing to systemic inflammation, two, or ten probiotic Colony Form- O find ourselves in a new era. Preserving Stomach-Qi” as the most leading to the rise of obesity, asthma, ing Units (CFU’s) can cause dysbiosis. An era of degrading food supply, important treatment method. Diges- diabetes, autoimmune diseases, and Research shows no single probiotic systemic inflammation, and overuse tion is a corner stone of TCM with certain forms of cancer. In addition, is specific for every individual’s mi- of drugs, including antibiotics. Liv- a full range of modalities including: The Human Microbiome Research croorganism makeup. Although there ing in our modern world takes its healing cuisine, herbs, acupuncture, Project is also inadvertently proving may be a benefit to taking a certain toll and we see it in our practices and Qi Nei Tang, to name a few. what Chinese medicine has under- strain(s), we have no current tools to everyday. Antibiotics are failing, su- Zhang Jie Bin, one of the four great stood and has practiced for centuries: decipher which strain is most ben- perbugs are on the rise, and digestive masters from the Ming Dynasty and maintain the health of the spleen and eficial for which patient. Long term health is compromised by food and one of the most important doctors in stomach and lower jiao, and you have benefits are also unproven. Failure to lifestyle choices. Society is at a new the history of TCM wrote, “The doc- the basis for good health. change dietary habits or prescription crossroads. On one side, antibiotic- tor who wants to nourish life has to drug use will prevent healthy bacterial resistant bacteria are currently killing tonify stomach and spleen.”3 When we nourish the spleen/ colonies from thriving and will disable approximately 23,000 people every Could simply treating the spleen stomach we indirectly tonify all them from becoming longterm benefi- year and the number of antibiotic re- and stomach with acupuncture along the other organs. 6 cial communities. sistant superbugs is climbing.1 On the with treating the chief complaint be As a health practitioner, I believe contrary, long-standing and pervasive enough? Although this is an easy The good news is that unlike our the answers for our patients can be over-prescribing of antibiotics is at approach to include into just about inherited genes, which are more or less found within a variety of modalities an all time high. Additionally, we are every treatment protocol, I believe fixed, we can exert a huge influence including acupuncture, patient educa- exposed to antibiotic effects by eat- there is much more we can do that over our gut bacteria genetics. “We can tion, dietary changes, practitioner tools ing many meats and using antibacte- already falls into our scope of prac- repair some of the damage to your gut and herbs to cultivate healthy bacteria. rial soaps. Never before in history tice. Our place is at the forefront of bacteria simply by changing your di- We have a huge opportunity to alter have we had to overcome the effects the “healthy gut” movement. What etary habits,” remarked Oluf Pedersen our patients’ gut flora with these tools. of man-made drugs in the quantities Western science is “discovering,” we who co-headed the Danish portion of we are seeing today. By having a have known for thousands of years the Metagenomics of the Human In- Acupuncture well stocked tool box and the abil- and what Western science is giving testinal project.5 When we counsel our Support the spleen and stomach ity to talk about Traditional Chinese us are tools that can help convince patients on their dietary habits, we can in all your treatments. At the very Medicine (TCM) with Western medi- our patients of the critical importance be successful at preventing and revers- least, add Zusanli St 36 to every treat- cine friendly language, we may be of their digestive health. ing the top three pathologies of our ment protocol or a variety of Sp/St able to lead a worldwide resurgence Emerging science is proving our time. These three include: tonifying points. Miriam Lee, the first of healthy modalities to combat super gut is acting as our “second brain”. 4 1. Obesity - Gut bacteria appear to Licensed Acupuncturist in the state of bugs and promote long-term diges- Its ability to constantly transform us help food processing functions California, used St 36 in every treat- tive health. I strongly believe we is being unraveled by trail-blazing by producing signaling chemicals ment with every patient. have tremendous healing opportuni- scientists studying human bacteria that regulate our appetite, satiety, ties in this new era. worldwide. The project, known as and digestion. People with low Patient Education Chinese medicine has always the Human Microbiome Project may bacterial richness are significantly • Ask patients to keep a food di- been a deeply holistic healing ap- have something to teach us about more likely to be obese.7 ary and go over it with them. For proach. We know acupuncture and the way we practice TCM and East- 2. Insulin Resistant / Diabetes example, have them write about herbs have far reaching effects to ern/Integrative medicine today. The Those with less bacteria diversity a two- day food “cleanse” where heal even the most difficult patholo- Microbiome Project is confirming are more likely to be insulin resis- they remove sugar. Instruct pa- gies. But the focus here is the impor- microscopic bacterial colonies living tant and at greater risk for diabe- tients to observe how their body tance of digestion. Whole schools of in our digestive tract have important tes or heart disease. 8 reacts when they revert back to jobs for both our physical and mental 3. Cancer – The Microbiome Proj- their normal diet and get patients well being. They are confirming what ect is providing insights into new to commit to a plan. we have always known: If we nour- ways in which our bacteria, vi- • Give each patient a calendar that ish them, we simultaneously nourish ruses, and fungi interact with our includes times of the year to get ourselves. Because, “for hundreds of bodies and increase cancer risks.9 an acupuncture tune up. Tell them thousands of years bacterial and hu- you will send them an email to re- man cells have existed in a peaceful Help Your Patients Restore and mind them. Give them a list of re- symbiosis that is responsible for the Repair Gut Flora by Integrating sults they will see and feel as they health and equilibrium of our body. New Tools into Your Practice. heal. Get them involved in the Now, this invisible Eden is being irre- project. Celebrate the good results. vocably damaged by some of our most Research has shown that we can • Limit processed foods and supple- revered medical advances—antibiot- reshape, repopulate, and even cul- ments containing emulsifiers. In- ics—threatening the extinction of our tivate beneficial bacteria. As health gredients commonly called lecithin irreplaceable microbes with terrible practitioners, we are the gardeners derived from soy (likely GMO), health consequences.”5 able to help change the landscape for Datem, (found in commercial Trillions of tiny microbes living on our patients. So, where do we start? breads) Calcium propionate, Cmc our skin, mucosal membranes, and in In regard to acupuncture treatments, and polysorbate 80 are creating a our intestines are helping us extract Giovanni says “The stomach and host of new absorption problems nutrients from our food. Others are spleen could be tonified at the end of in our digestive tracts. 11 OM exerting enormous influence over each season, particularly at the end our metabolism, hormones, cravings, of winter, to regenerate the energy.”10 and even our genes. The Microbiome In addition to acupuncture, we The complete article can be found Project is proving healthy gut bacteria can prescribe dietary supplements online at www.pacificcollege.edu/ is the secret to dramatic weight loss, such as probiotics. However, I do not acupuncture-massage-news/ articles/1360-new-chinese-medicine- significant improvements in overall believe probiotics supplements (alone) tools-to-replenish-and-repair-our-gut.html health, mood, energy, and mental are the answer. Consuming higher and

Oriental Medicine • www.PacificCollege.edu Summer 2014 33

Constitutional Facial Acupuncture: The New Protocols continued from page 27

Zanzhu, with complaints of intense Needling diagram for forehead lines pain behind the eyeballs. With the involvement of the Gall Bladder, one sided migraine headaches may ensue. There may also be tendino- muscular spasms, tics and temporo- mandibular joint dysfunction (TMJ). Shoulder pain is reported at UB 43 Gaohuangshu, which is the outer Pericardium Shu.

Nagano sensei’s Obesity Treatment Treatment Points: Liv 14 Qimen, St Frontalis: 27 Daju, Ren 6 Qihai and GB 26 Raises the eyebrows in fright or surprise Daimai and wrinkles the forehead Locations: Liv 14 Qimen is 4 cun th Emotions: lateral to the midline in the 6 in- Fright, shock, surprise; disturbed Shen tercostal space. St 27 Daju is located 2 cun below the Diamond Acupuncture Facial (created for 2005 Academy Awards) Origin: In the epicranial aponeurosis, at the navel, 2 cun lateral to Ren 5 Shi- level of the coronal suture men Stone Gate an assessment of the patient’s include fibrocystic nodules or Ren 6 Qihai is on the abdominal mid- symptoms, and through palpation. tightness near GB 26 Daimai and Insertion: In the skin of the frontal region above line, 1.5 cun below the navel It is possible to release a tight waist the pubic bone, difficulty flex- the eyebrows GB 26 Daimai is located directly be- with tension localized around the ing and bending the spine to the th Needling: low the end of the 11 rib where GB 26 Daimai area. same side, lower back pain, an 15 mm; 40 or 38 gauge (#1 or #2 Liv 13 Zhongmen is located, at the imbalance of the right and left Japanese), 0.2 0.3 cun level of the navel “Wandering Skirt” Syndrome sides of the body when standing Needling Protocol: All points are This syndrome relates to the for long periods of time or walk- needled bilaterally except for GB Belt Meridian, the internal oblique ing for hours. It also increases Facial Needling: The Expressive 26 Daimai, and Liv 14 Qimen. muscles and issues of bloat, obesity the intra-abdominal pressure for Muscles Needle Liv 14 Qimen on the right and other imbalances, manifesting urination and defecation. After the constitution has been ad- side, pointed laterally between the around the waist. The patient has the Trigger point palpation: dressed, the face can be treated with ribs, with a 10-15 degree inser- attendant Shaoyang emotions of frus- • The trigger point, when needled the origin and insertion of the muscles. tion, and GB 26 Daimai on the tration, and anger, with an inability to with the pecking technique, may left side, angled toward the back. make a decision, and a tendency to elicit a jump or twitch within the The Origin and Insertion of St 27 Daju and Ren 6 Qihai are stuff these damp viscous feelings un- muscle. Muscles needled at a 90 degree angle. Use der their belt. Since one of the TCM • Pincer grasp the waist at GB 26 The origin of the muscle is the direct moxa after needling. indications for the Dai Mai is a sub- Daimai, between your thumb and beginning of the muscle, because it Indications: Abdominal obesity; jective feeling of sitting in cold water, fingers, with your non dominant is usually attached to the bone. This • High cholesterol; the patient may also have a Kidney hand; origin anchors the muscle, and it is • Fat metabolism imbalances; imbalance, and will lack courage. • Locate the internal obliques mus- needled first in Constitutional Facial • Abdominal and hypochondriac “Wandering Skirt” Syndrome can cle, which feels like a tight band Acupuncture treatments. This fixed distention and pain; be used with patients who have been next to the waist area; attachment permits the insertion of • Damp heat; in an automobile accident and com- • Palpate it by rolling the bands the muscle to move and make facial • Constitutional toxins in the Dai plain of low back pain, with difficulty between your fingers. This will expressions. Mai rotating their spine to one side of the make your patient aware of the The insertion of the muscle at- Comments: This Japanese acupunc- body. This technique also temporarily tightness of this long, fan like taches to the skin or muscle fibers, ture protocol indicates that only ameliorates lower back pain due to muscle. They may feel a local and is needled after the muscle ori- the left GB 26 Daimai is to be kidney stones. twitch, or a jump referring up the gin. The insertion attachment sup- treated. This is most likely due Muscle: The internal obliques are muscle, but not necessarily. ports muscle movement in making to the Wood Element hara reflex, a fan shaped abdominal muscle, Trigger point needling technique: facial expressions, and allows the which is palpated only on the left whose fibers range from vertical • Continue to hold the internal face to be mobile and flexible. side of the abdomen. Only the to diagonal to horizontal. All the oblique muscle and needle trans- The expressive movement of the right Liv 14 Qimen is indicated muscle fibers meet at the inguinal versely downward, 0.5-1 cun, facial muscles is an interplay between because the Liver organ is on the ligament, and the iliac crest of the toward the massage table, with the origin and insertion of the mus- right side of the body. lower spine. They flex and rotate a 36 34 gauge, 40 mm or longer, cles, which pulls the skin in the di- In Sensei Nagano’s experi- the spine and trunk to the same needle. Needling in this fashion rection of a facial expression when a ence, patients lost weight after they side of the body. will not puncture the perito- person laughs, smiles or frowns. This were treated with direct moxa ev- Treatment point: GB 26 Daimai is neum. Do not needle toward the interplay is similar to the balance be- ery day. Patients with a fast pulse directly below the free end of the waist, but downward through the tween yin and yang in Oriental medi- lost 10 pounds a month without 11th rib where Liv 13 Zhangmen is muscle; cine. Wrinkles are formed cross fiber regaining the original weight. located, at the level of the navel. • When the trigger point releases, or transversely to the fiber direction Indications: the patient usually experiences a of the muscle involved. The Wei Level • It regulates the uterus; irregular wave like sensation, flowing up Each muscle has a specific func- The Wei Level releases the ex- menses, dysmenorrhea, uterine and down the entire muscle; tion, range and direction of motion, terior and is within the purview prolapse and cramps; • If the muscle is very tight on one associated emotion, and specific of the tendino-muscular meridians • Resolves damp heat issues, such side of the body, first needle the wrinkles formed by repetitive and (TMM). These particular vessels are as leucorrhea; other side; this will release the habitual movements. OM referred to as tendino-muscular be- • Treats abdominal pain and hernia; tense side; cause they travel in the depressions • Pain in the lumbar area and • Massage arnica gel or cream into The complete article can be found and planes between the muscles hypochondria the area, and inform your patient online at www.pacificcollege.edu/ and the tendons. Signs and symptoms: The indica- that they may experience muscle acupuncture-massage-news/ Tight tender, trigger, motor or tions for both trigger and motor soreness, such as they would after articles/1368-constitutional-facial- acupuncture-the-new-protocols.html ‘ashi’ points are identified through points are similar. Imbalances a strenuous workout.

Oriental Medicine • www.PacificCollege.edu Summer 2014 35 The Gokhale Method® as a Supplement for Treatment of Qi Deficiency By Esther Gokhale, LAc and Diana Moll, LAc

ne of the four categories a C spine, the area around Qihai in of examination in Chinese the lower abdomen is compressed O medicine is the “looking as well as constricted by the ribs diagnosis”. Observing the patient’s curving inward. The qi pools in the skin tone, the Shen in the eyes, and belly, unable to circulate and rise, checking the tongue are all elements and Dampness accumulates. When of creating a clear, effective diag- the spine has an S shape, the lum- nosis. Observing posture can add a bar vertebrae sway, the abdomen layer to the examination that is in- is stretched tight, and circulation of sightful, especially given the frequent The most common modern postural blood and qi are compromised. As- occurrence of postural distortion in distortion results in a C-spine. sociation compromises Qihai. Opti- modern times. mally, the belly is relaxed, facilitating We can start looking at our pa- free flow. Clinically, Qihai, especially tients as soon as we greet them in the through the use of moxa, power- waiting room. How do they sit, stand, fully tonifies qi and yang for physical and walk? What kind of posture do and mental exhaustion. It lifts qi and they have? Instinctively, many of us relieves stagnation. In low energy pa- sense that a slouching or hunching tients with impairment at Qihai, these patient has a qi deficiency. There is attributes are clearly lacking. not sufficient qi to be truly upright. If the C and S spine shapes com- The opposite can be true as well: Whereas modern anatomy books portray promise meridians, points, and the poor posture can cause qi deficiency. an S-shaped spine (left), the illustration energy system as a whole, what is Attempts to “stand up straight” or Both can be simultaneously true, giv- on the right from an anatomy book pub- the solution? The Gokhale Method “sit up straight” generally result in an lished in 1911 portrays an older and more ing rise to a vicious cycle—but it’s a unhealthy S-shaped spine. truly natural J-shaped spine. proposes the J spine. This functional vicious cycle that can be broken. shape is found in our ancestors, very Treating a low energy patient can young children and pre-industrial produce results, but not always last- restores the correct alignment of the the area of the Kidney Shu, UB23, peoples (see image). The Gokhale ing ones if poor posture is involved. bones in ways based on anthropo- is distorted. In the C spine there is Method describes the J spine being Needling, stretching, or movement logical, historic, and anatomical find- tense convexity and in the S spine characterized by an anteverted pelvis, on the channel path invigorates the ings, as well as empirical experience. there is concavity. It is reasonable elongated and not very curved lum- qi, removing stasis and opening en- Slouching and hunching deform to conjecture that the Kidneys are bar, thoracic and cervical contours, ergetic blockages. However, a static the spine into a C shape (see image). weakened or inaccessible due to the chin angled slightly down, and shoul- distortion of the yin, the hard part When a person attempts to correct hindrance of UB23. Although there ders aligned along the posterior part of the body and the bones, creates a the slouching C incorrectly, the result are many powerful and interesting of the torso. It has some similar crite- deeper blockage. In ancient China, is an S shaped spine (see image). points on the Du and the Ren Chan- ria to Qi Gong and Tai Chi postures. the branch of Chinese medicine we Both these postures are inefficient. nels, two are most associated with The lifting of the Jade Pillow also call ‘Tui Na’ included bone medicine, The muscles of the neck, shoulders, low energy and are paired closely angles the chin and elongates the the manipulation of the skeleton. and upper back are continuously anatomically front and back: Du 4 neck. Hanging the spine “like a string Aligning the bones is important to engaged to keep the poorly bal- and Ren 6. of pearls” straightens and lengthens the qi flow. Every skeletal muscle anced head from falling forward. All Du 4 is located between the the spine. Some styles teach a tucked originates and inserts on bone. A the channels that traverse the torso, 2nd and 3rd lumbar vertebrae. The or retroverted pelvis, which straight- bone that is out of healthy alignment front, and back, will also be some- lumbar vertebrae at their points of ens the lumbar vertebrae and opens will stress the muscles and accompa- what compromised because of the articulation are flat and their corre- the Mingmen area, both criteria of the nying channels. Additionally, qi tends stress on the muscular and skeletal sponding disc is flat too. A chronic J spine. However, due to the wedge- to stagnate in the joints; a poorly systems. An I-shaped spine, common bend in the lumbar spine posteriorly shaped nature of the L5/S1 disc, tuck- articulated skeletal structure is one in older people, also compromises (C spine) or anteriorly (S spine) com- ing is not a realistic long-term solution that is at risk. The Gokhale Method the channels. Here, there is a loss promises the L2-L3 disc and distorts that can be used throughout the day of height with chronic compression, the space between the vertebrae. Any without damage to the disc. which shows up as long-term stagna- physical anomaly along the path of Moreover, tucking is not seen in tion, degeneration, and calcification. the channel can be a problem--a scar the demographic of naturally healthy Taking into consideration the or even a tattoo can cause a signifi- backs (see bibliography of Esther symptoms and channel pathways, cant disruption. A constantly com- Gokhale’s 8 Steps to a Pain-Free the Du and the Ren channels are the promised bone space where a major Back). An overly tucked pelvis inhib- most relevant. These two Extraor- acupuncture point lies will surely its gluteus action, leaving movement dinary Meridians serve as undermine the function of that point. up to the quadriceps and the psoas. reservoirs of the qi and Du 4 (Mingmen, “The Gate of Life”) The Gokhale Method does empha- regulate the flow of has many actions and uses depend- size straightening the lumbars, but energy for the twelve ing on the source consulted. In brief, this is achieved by rotating the rib- regular meridians. Du 4 can be used to strengthen Yuan cage forward to lengthen and stack Judged by some to be Qi and Kidney Yang Qi for chronic the lumbars. The shoulders are then branches of the same physical and mental weakness. Like- migrated back along the torso with a Extraordinary Merid- wise, its impairment can contribute to shoulder roll to correct any hunching ian, the Du and the Ren these conditions. that the forward rotation of the rib- share a common origin: The impairment of Ren 6 (Qihai, cage reveals. OM the Kidneys. In both the “Sea of Qi”) by posture, though not C spine and the S spine, as direct as in the case of Mingmen, The complete article can be found online at www.pacificcollege.edu/ is still noteworthy. Located 1.5 cun acupuncture-massage-news/ below the navel on the midline, Qi- articles/1364-the-gokhale-method- The J-spine described as normal in the Gokhale Method is found in our ancestors, hai, like Mingmen, is closely associ- as-a-supplement-for-treatment-of- pre-industrial cultures, and young children. ated with the Kidneys. In the case of qi-deficiency.html

36 Summer 2014 Oriental Medicine • www.PacificCollege.edu Does This Sound Like You?

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sound waves that are originated from element of Fire. Because how do electronic instruments are different I wanted to find out which musical modes you invoke fire and at the same time than the sound wave that is being * relax the listener? That was very chal- generated by acoustic instruments. It’s promoted healing, which music was used to lenging. So, some of those challenges a measurable difference if you look I really looked at them for a while at the vibrations. When we look at reduce blood pressure, to increase relaxation, to in- and researched various approaches the amount of vibrations in the syn- crease the rate of recovery after stroke and surgery. and I did find a way to do it. I can thesized sound, we see a reduction say gladly that I know that I managed in the complexity and the dynam- to create the aspect of relaxation in ics. What I mean by dynamics is that certain elements, to invoke the par- I recorded his voice saying those all the six healing sounds in order to a live instrument is ever changing. ticular elements. affirmations and we embedded it promote healing. So the composition When a live musician holds a note on throughout the whole piece. It’s sub- works as a healing enforcement and a woodwind or a violin or a guitar, OM: Please describe the layer- liminal, meaning the computer screen it also works as music the note is ever changing. It’s like ing that you put into the Six Healing shows me that it is there but my ear life. It’s like a river. A river is never Sounds? doesn’t hear it. It vibrates on my OM: Yuval, we know that you’ve the same. It’s never the same when YR: One important layer of the body, on my bones. It’s being per- won many awards, you’re recognized you walk into a river, it’s never going music of the six healing sounds is the ceived subliminally. It’s there, but it’s very highly in your field as a compos- to be the same river. It’s always ever voice of Dr. Richard Gold actually not registered by the conscious mind. er and lecturer and you also perform. changing and that’s the nature of life. performing in my studio the six heal- Unconsciously, we perceive it and on Please share with us a few of the That’s the nature of our body. The ing breathing sounds. Each element vibration level, we observe it, but we highlights of your performance career. problem with electronic, synthesized has a breathing routine, a breathing are not hearing the words. YR: Well, one of the highlights music is that it’s based on a small meditation that has a specific sound. was playing the Gala concert as the sampled little chunk of music that has I layered them as the initial layer OM: You kept that simple, correct? featured artist for the Dalai Lama’s been looped to trick your mind, to throughout the whole piece, and YR: Yes, there are only three af- Seeds of Compassion conference, trick your brain that it’s the real thing. then I layered sounds that created the firmations for each element. So it’s which he held in 2008 in Seattle. I It’s an excerpt of the real thing that backdrop that are holding the tonic, not a whole lot of information, just was invited to play that concert with is being looped again and again and the tonal center that associates with repeating a few words. my ensemble and we played in the again and again and again and again that instrument. Then I layered sound Seattle opera hall: Fabulous sound, and again. When we listen to syn- effects of the elements. For example, OM: Finally, you’ve created fabulous setting, esteemed audience. thesized sound, we are experiencing for the element of Water, I recorded something that’s musically beautiful Another memorable experience was impoverished sound on two levels. six different kinds of sounds of water that even a discerning listener in a playing at the International Sacred One, it’s a small segment that loops from bubbling brook to the waves of treatment will like the music. It’s not Music Festival in Fez with an invita- and it’s not ever changing dynam- the sea to raindrops to river sounds repetitive like synthesized music. It’s tion from the King of Morocco. To be ics. And the other thing is that the and I embedded those sounds in not your typical ambient music. What there in the botanical gardens of the amount of vibration within the sound, order to invoke the quality of water. were your biggest challenges in ac- King of Morocco, which is part of the even within the little segment, the And I did the same thing with each complishing this? royal palace, and to be invited there amount of vibration is less rich than element. So we have the actual vibra- YR: That was another impor- to play a concert and to speak to the the live instrument sound. I wanted to tions of these elements in real life, tant goal and another challenge, to audience in Hebrew and Arabic and feature live musicians and live instru- the sounds of wood, the sound of create an aesthetic experience that in English, it was very special for me, ments and just the background, the fire, the sounds of water, etc. This is people would enjoy putting it on especially having being born in Isra- layered background involves elec- all embedded in the background lay- in the background when they work el. That was a very special highlight. tronic sounds and live sounds. The ers of the music. And then, on top and when they have friends over or electronic sounds are the background of that, I composed themes for each when they write poetry or when they OM: Yuval, thank you so much layers, which create richness, but they solo instrument to invoke the ele- just relax or sleep while receiving for this interview and we look for- are in the background. They are not ments. And that is in the forefront, treatment would not get bored and ward to your participation at our Pa- the main solo musical theme that vi- the solo acoustic instrument playing irritated by when receiving a treat- cific Symposium. brates the listener and really leads the the theme. There’s one other layer, a ment. It would be a pleasant experi- YR: My pleasure. I am excited to listener. I chose instruments according bottom layer of affirmations. Dr. Rick ence to promote the relaxation while be in the company of hundreds of to the advice of the ancient Chinese Gold also recorded affirmations that invoking the elements. And that was TCM practitioners and to share my mu- who preferred certain instruments for are associated with each element. very challenging, especially with the sic and the Six Healing Sounds. OM

The Misdiagnoisis Of Tendonitis continued from page 31

of collagen down to the molecular Now that we have the basic Another very important event healing was also noted. It was found level. This structure, alignment, and structure, let’s take a look at why the that takes place is called neovascu- that the fibers go through three very number of bundles give tendons their tendon begins to break down. When larization. Small blood vessels begin distinct phases during the healing unusual tensile strength. This feature stress is repeatedly applied to a ten- to grow perpendicular to the good process. In the first 24 to 48 hours, an of bundles within bundles is no dif- don, interesting biochemical reac- collagen, yet, strangely, they do not Inflammatory Phase corresponding to ferent than the pattern seen in sup- tions begin to occur. These reactions nourish the surrounding tissue. Some the initial micro-tearing of the fibers port cables for suspension bridges. are very complex in nature, and scientists believe they may play an occurs. During this time, immune cells Interestingly, there is not a lot of vas- for this article I will not detail all of important part in the pain response of flood the area to initiate the inflam- cularity (blood supply) in the tendon them. What we need to know is that tendon injury. Interstitial fluid also be- matory response that is needed for all itself. As you can see in Fig. 1, all of healthy connective tissue is made up gins to enter the tissue causing local- cell healing in the body. These cells these bundles are encased in an out- of Type 1 collagen cells. With re- ized edema in the tendon. Over time, perform many functions; one of the er sheath that has synovial cells that peated stress, they begin to change these processes begin to weaken the most important is phagocytosis, which help lubricate the tendon as it moves into a different form called Type 3 good collagen, causing degeneration is the cleaning of the area of necrotic to and fro within the sheath. There collagen. This form is not as strong of the fibers. Scientists have given this material by lymphatic cells. OM are a number of other cells within or as linear, and under a microscope pathology a new diagnosis…it is now The complete article can be found the tendon that also help contribute looks much more disorganized. The called “tendonosis”, which literally online at http://www.pacificcollege.edu/ to tendon structure and health called mucoid and lipoid cells begin to means “tendon cellular injury”. (2) acupuncture-massage-news/ the extracellular matrix, along with morph and these reactions begin to With microscopic observation, articles/1362-the-misdiagnoisis- mucoid and lipoid cells. thicken the tendon itself. (2) one other important facet of tendon of-tendonitis.html

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