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Yin Tui Na Techniques for Treating Injuries of Parkinsons Disease and Any Dissociated Injury Other books by Dr. Janice Walton-Hadlock, DAOM Tracking the Dragon Recovery from Parkinsons Medications of Parkinsons Disease or Once Upon a Pill All titles available at www.pdrecovery.org. (Click on Publications) Tracking the Dragon also available at www.Fastpencil.com Yin Tui Na Techniques for Treating Injuries of Parkinsons Disease and Any Dissociated Injury Dr. Janice Walton-Hadlock, DAOM, LAc Copyright 2012 Published by Fastpencil.com All rights reserved, including photocopy, e-copy, and translation Table of contents Introduction p.1 Chapter 1 Why use Yin Tui Na for treating Parkinsons? p. 3 Chapter2 Bringing a patients attention to the injury p. 17 Chapter 3 Forceless, Spontaneous Release: very Yin Tui Na p. 31 Chapter 4 FSR technique: setting your hands on the patient p. 37 Chapter 5 FSR technique: following the movement p. 47 Chapter 6 FSR technique: a diagnostic tool p. 53 Chapter 7 FSR technique: letting go p. 61 Chapter 8 Advanced FSR techniques p. 67 Chapter 9 Foot and ankle work p. 73 Chapter 10 Testing the feet p. 101 Chapter 11 Shoulders and hips p. 107 Chapter 12 Head and spine p. 115 Chapter 13 Psoas muscle release p. 127 Chapter 14 When and where to apply Yin Tui Na p. 131 Chapter 15 A definition and history of Yin Tui Na p. 143 Chapter 16 How I learned Forceless, Spontaneous Release p. 153 Index of drawings and photos P. 163 Introduction This book teaches the hands-on therapeutic techniques the types of Yin Tui Na that the Parkinsons Recovery Project uses in the treatment of Parkinsons disease. Tui Na is pronounced tway nah, as if to rhyme with Hey! Ma. Tui Na doesnt translate easily into a specific English term. It is often translated, inaccurately, as massage. A more accurate translation would be any form of hands-on body work. Literally, Tui means push or shove, and Na means hold or take. 1, 2 Any form of bodywork, whether vigorous or gentle, is called Tui Na. This book teaches Yin Tui Na a subset of Tui Na. Yin Tui Na might be translated as those forms of Tui Na that are very subtle, gentle, slow, with movements that might not even be visible to the naked eye. We use a collection of Yin Tui Na techniques when treating people with Parkinsons disease (PD). What makes a technique Tui Na is the application of the practitioners hands. The practitioner might be touching the patients bare skin or be working through several layers of the patients clothing. The practitioner might use bare hands or, if concerned about infectious disease, might wear protective gloves. Yin Tui Na can be used to treat any syndromes resulting from unhealed injury, but this book will focus on its applications for people with Parkinsons. This book is an adjunct to a larger book, Recovery from Parkinsons. Originally, the contents of this book were included between the covers of that larger book but, when Recovery from Parkinsons grew to be a monster of more than 650 pages, steps had to be taken.3 Those steps consisted of moving these instructions for the hands-on, therapeutic treatment that we perform on people with Parkinsons from the larger book into this stand- alone book. Also, a new chapter was written for this book that provides introductory material about Parkinsons disease for people who stumble across this book without having first read the main tome. Also, a chapter that explains the pronunciation and literal meaning of the term Yin Tui Na, and a bit more about the history of this type of medicine, was added at the back of the book. The techniques in this book were chosen for the treatment of people with Parkinsons because they best help a person bring his mental, emotional and somatic (feeling of 1The Pinyin Chinese-English Dictionary. Commercial Press. Hong Kong. 1979. p.698 2 Although the title of the official Chinese governments English translation of the official Tui Na textbook is Chinese Massage, most of the techniques of Tui Na, both Yin and Yang types, bear little or no relation to massage, as we understand massage in the west. Chinese Massage. Publishing House of Shanghai College of Traditional Chinese Medicine. Shanghai. 1988. 3 For more detailed information about Parkinsons disease in general, treatment for the mental/emotional components of Parkinsons, and an explanation of recovery symptoms from an old injury from which a person has dissociated symptoms which can sometimes be unpleasant and even painful please read Recovery from Parkinsons, available for free download at www.pdrecovery.org. As an aside, Recovery from Parkinsons was, for several years, released under the title Trouble Afoot, but has been restored to its original title. 1 sensations in the body) focus to a long-standing, unhealed injury so that the injury can begin to heal. In the realm of Chinese medicine, these types of techniques fit under the large umbrella term Yin Tui Na, which itself fits under the vast umbrella term Tui Na. Again, the techniques in this book may also prove helpful in the treatment of any unhealed injury, whether long-standing or recent, whether presenting in a person with or without Parkinsons disease. The material in this text is the same material Ive taught to acupuncture students in the Yin Tui Na class at the local acupuncture college, a class in which students learn Yin Tui Na for many situations involving physical injury. For example, these techniques are used with great success for the setting of broken bones. In fact, Tui Na, historically, was also referred to as bone medicine. The various techniques of both Yin and Yang types of Tui Na were used over a range of structural (bone and tissue) problems, ranging from the visually obvious, physical (Yang) repositioning of overtly displaced unbroken bones to the extremely subtle work (Yin) of supporting broken bones and/or displaced soft tissue so that they reposition themselves back into correct alignment. Parenthetically, some people understandably assume that the term Chinese bone medicine refers to the use of petrified bones in medicinal teas. For certain medical conditions, old bones are ground up and boiled in order to deliver calcium and other trace, biologically-bound, minerals for patients deficient in these nutrients. But the classical Chinese term bone medicine refers to the certain types of Tui Na, both Yin (subtle) and Yang (overt) that are used for structural realignment work on bones, tendons, ligaments, and fascia. These techniques can also be helpful for almost any physical injury, whether new and painful or old and painless. Injuries ranging from concussion to badly stubbed toe can usually benefit from treatment with Yin Tui Na. In my many years as an acupuncturist, Ive seen that most patients recover far faster from their injuries or physical pains if some Yin Tui Na precedes the administration of acupuncture. Very often, after the Yin Tui Na work is finished, the pain of the injury is gone and the channel Qi has restored itself to its correct pathway eliminating the need for any acupuncture needles at all. Yin Tui Na is a valuable medical tool, one that every acupuncturist and every person should have in his repertoire. Whether you are an acupuncturist, a hands-on therapist, or a support person for someone with Parkinsons disease, I hope you will enjoy this book and maybe someday write your own book about your experiences with Yin Tui Na. In this way, awareness of this ancient medicine can continue to thrive and prosper. 2 Chapter one 0,* %, &)+)+ %)" %*&%7* **3 A traumatic injury from which a person has dissociated will not fully heal. Only when the injured person can bring himself to fully acknowledge the injury and its accompanying pain, will the injury be able to heal completely. The most effective treatment for such injuries is often firm, manual support that is non-invasive and non-manipulative: Yin Tui Na -)- .&++% (,*.,* The first technique discussed in this book, Forceless, Spontaneous Release, or FSR, instructs in a certain tempo of treatment (slow), amount of pressure applied with ones hands (firm), and a lack of intention that the practitioner brings to the treatment. The physical and emotional support provided by this technique can bring a patients attention to an injured area so that healing can begin. FSR can be performed almost anywhere on the body that has unhealed injuries. In people with Parkinsons, the legs, feet, and ankles are areas that nearly always call out for treatment. This technique does not apply particular vectors, directions of movement, to the patient. However, corrective movement in twisted or displaced tissues often occurs, spontaneously, as the patient responds to the firm support. This technique can also be used diagnostically, to detect injuries and holding patterns. The second technique discussed uses very gentle nudges to suggest directional movements in muscles that have become stuck in a particular holding pattern. The examples of this technique included in this book show applications for the rotational joints of the hips and shoulders, but this technique of gentle nudges can be used in almost any body part that has become locked up. This particular technique does not have a name. It uses the tempo and support principles of FSR, but has intentional movement. The third technique, craniosacral therapy, is a method for improving and regulating the flow of cerebrospinal fluid via correcting displaced cranial and spinal bones or micro- muscle holding patterns in the joints of these bones. To assist in healthy movement of cerebrospinal fluid, gentle, directional pressures are applied at the various cranial and spinal joint articulations.