Micro Acupuncture 48: INSIDE THIS ISSUE

SPRING 2018 www.paciﬁccollege.edu

NEW BEGINNINGS: How 9/11 Changed the Face of Acupuncture and Established Community Trauma Medicine

BY DR. JANET BARDINI, DACM, DiplOM aid citizens during times of critical disasters such as in New York City post-9/11, he 2000-year-old medical practice in New Orleans after Hurricane Katrina, of acupuncture has been brought in the Connecticut community of Sandy T into the 21st century through Hook following the elementary school proven, effective, researched methods shootings, and in the UK for the survivors to treat patients in times of shock and of London’s Grenfell Tower ﬁre. This ar- trauma. The NADA protocol, developed in ticle recounts the ﬁrst-hand experience of the United States by licensed physicians, an American acupuncture practitioner at is currently used on military personnel in the forefront of establishing community the United Kingdom and the United States trauma medicine in 2001. for post-traumatic stress disorder (PTSD). Community Acupuncture has been used to continued on page 4

Micro Acupuncture 48: INSIDE THIS ISSUE.... PAID PRSRT STD PRSRT U.S. POSTAGE Bolingbrook, IL PERMIT NO.932 A Bright Future for Patients Experiencing 3 California Burning…and Healing Acute or Progressive Vision Loss 6 Achieving Clinical Success With Upper Back Pain Combining Old and New By DR. ANDY ROSENFARB, ND, LAc, DiplAc, DiplCH 8 in the Clinic 10 A TCM Approach to Nourishing The New Mother: Acupuncture pproximately 285 million that my eyes had been feeling tired, & Dietary Therapy for people worldwide are visu- blurry, and that I was getting minor Post-Partum Healing A ally impaired: 39 million are headaches from studying so much, 10 Ripples in the Flow: Nan blind and 246 million have low vi- so had started using acupuncture to Jing Pulse Teachings sion. Many of these conditions are see if it would help my vision. 11 Remembering Dr. Michael considered untreatable by conven- A few years later, as I began Smith, NADA Pioneer tional medicine, often leaving pa- my clinical practice, I took on a few 11 Las Memorias: tients in a hopeless situation. cases of degenerative eye conditions Volunteering in Mexico My interest in treating degenera- including glaucoma, cataracts and Knee Pain: Testing Western. tive eye diseases began when I was macular degeneration. Some cases 13 Treating Eastern. an acupuncture student at Pacific were mild, and some were severe; College of Oriental Medicine in San some patients were even legally 14 Acupuncture’s Impact on Diego. As a result of the intense blind. Opioid Addictions and Pain reading, writing, studying, and com- I found that I became rather frus- Management puter work, my eyesight was notice- trated with my results. A few patients 16 7th Annual Alumni Awards ably deteriorating, and my corrective showed some minor improvements 16 Taiji Principles for the prescription was getting progres- but nothing exceptional. I began to Improvement of Modern sively stronger. seek the aid of others in the AOM Posture I decided to try some acupunc- field who had had success treating 17 Acupuncture and Tourette ture on myself for a few months after eye diseases. For the most part, other Syndrome which a routine screening by my op- than suggestions of reviewing my 21 Newly Formed Shen Nong tometrist revealed that the astigma- diagnosis, everyone seemed to have Society Looks to the Future tism in both of my eyes had resolved the same points, the same herbal for- of East Asian Herbal and that my prescription no longer mula suggestions. I tried them all, to Medicine needed to be as strong. The op- no avail! Self-Regulated Learning For tometrist was astounded, and asked 22 Acupuncture Students what I had been doing. I explained continued on page 9 7445 Mission Valley Rd., Suite 105 Rd., Valley 7445 Mission 92108 CA San Diego, www.PacificCollege.edu 800-729-0941

California Burning…and Healing

By CARLA CASSLER, Associate Director of Acupuncturists Without Borders, with MELANIE RUBIN, Associate Director of Acupuncturists Without Borders

Diego, two in Ojai, one in Ventura, FIRE and three for firefighters at the Ven- tura County Fairgrounds in collabora- I didn’t know tion with Chiropractic First Respond- the crickets were still singing ers and Integrative Healers Action that the sky could still be blue Network. In total, about 150 people that walking near sweet pines were treated. could be an act of liberation “I’ve been on the fire for quite I didn’t know some time and this is the first mo- the edgy nervous tension ment I’ve had to venture to the beach the quiet restless panic Thomas Fire in Southern CA, taken by the fear to sleep Captain Maggi Kouffeld, Humboldt Fire (where treatments were provided). could last for days and days Department, CA, when she was flying The acupuncture/ear seed treatment in for the deployment, and used with helped me reach a point of relaxation I didn’t know permission AWB volunteers in Northern CA I haven’t felt since I left home. Thank the depth of our compassion you so much for helping me get there. how the ties that bind strengthen weeks. One recipient’s account: work! I’ve learned that disaster relief Bless you.” that tears could be shared with strangers is never predictable and is a moving -Captain Maggi Kouffeld, deployed in a market “Just had an amazing session in target. Although it was challenging to from the Humboldt Fire Department, on a park bench Sebastopol CA for the impact of the breathe the air, be amidst the chaos, California or in the morgue fires on our emotional health, our and to witness the heartbreak, the change in people’s faces after they re- Finally contained in mid-January, I didn’t know that “It’s so humbling” families and friends and our region! ceived treatment made it all worth it. I the 6,000 or so firefighters deployed followed The fires in the area have had a tre- remember our clinic at the Petaluma by only silence mendous impact on all of us here from Ventura County Fairgrounds could mean and I have felt absolutely awful emo- Armory, in a huge building with tall to fight the Thomas Fire have been “I’ve lost everything” tionally and physically. I can breathe ceilings, cots all in a row, the sun set- sent home. Now AWB volunteers are right again! I have never experienced ting in a smoky sky out the massive looking into opportunities for treat- -by Amy Humz, LAc, resident of Sonoma that type of opening. The amount of door out back, looking at soldiers resting first responders where they are County and AWB volunteer, who pro- stress and the trauma around us has ing in a circle during their treatments, stationed, as well as additional pos- vided trauma healing treatments in her led to some very strange days indeed relaxing music playing, us volunteers sibilities for treating residents who community after the October 2017 fires and helping my family and friends looking around, taking it all in. I told were evacuated or lost their homes deal with the evacuations and sense one of the volunteers that this was one during the fires. At this writing, 17 of impending doom has caused in- of the best moments of my life.” people are missing due to mudslides ast year, California experienced somnia and stress. But this session secondary to the fires and many peo- the most devastating wildfire was amazing! I felt so many sensa- The Northern California fires are ple have been evacuated from their season in its history: over 9,000 tions cut through many of the confus- out, but recovery for thousands of homes. AWB volunteers will likely L people will be long and slow. AWB distinct fires across more than a mil- ing thoughts and feelings funneling provide treatments for those affected. lion acres with billions of dollars their way through me and there were continues to work with local practi- of damage and dozens of lives lost. even moments of clarity. I felt a great tioners to provide ongoing long-term “Doing these treatments felt very In October alone, 250 fires just in deal of release. Thank you!!! I can’t services for people in fire-affected magical. As acupuncturists we go Northern California devastated almost express this enough!” communities, especially those with- along and do what we do every day. 250,000 acres and killed 44 people. out legal immigration status or eco- When you suddenly have an oppor- December brought a new series of As is often the case when doing nomic resources. tunity to really connect with people fires to Southern California, including relief work in disaster and conflict Though the California fire sea- and make an immediate difference the Thomas Fire in Ventura County, zones, practitioners also receive heal- son usually ends by November, 2017 where it’s needed, it is powerful. One forcing almost a quarter of a million ing and inspiration from the people turned out to be different. Strong of the most special moments was people to evacuate. The people of they encounter and care for. This is Santa Ana winds created multiple when I treated a firefighter who was California are still reeling from this from Catherine Herbin, AWB’s disas- fires, including the Thomas Fire, the obviously feeling the impact of the devastation, which has now contrib- ter relief coordinator for the Northern largest wildfire in California history. deployment. She completely decom- uted to lethal mudslides. California wildfire relief effort: The weekend before the fires broke pressed during the treatment and I Over the past decade, hundreds out, on December 4th, AWB had could tell that she was so touched. She of California acupuncturists have been “Helping to organize these clin- trained 80 acupuncturists at a Healing went back and got a T-shirt with her trained by Acupuncturists Without Bor- ics has been one of the most powerful Community Trauma training in San firehouse logo on it and gave it to me, ders (AWB) to provide trauma relief experiences in my life. I now have a Diego. Within several days, a group apologizing that it smelled like smoke and recovery treatments in communi- taste of the amount of teamwork, or- of newly trained practitioners set up and needed to be washed. I told her I ties affected by disasters like these. ganization, resources, patience and pop-up clinics for local residents and will never wash that shirt...” Once the fires began in mid-October, improvisation that it takes to make it first responders, including one in San -LeRoy Griggs, AWB Team Leader, AWB volunteers sprang into action. Ventura County Fairgrounds In Northern California, AWB staff worked with volunteers to set To donate to AWB’s Disaster Relief up over 20 clinics in evacuation and Funds please go to http://www. medical centers to treat evacuees, acuwithoutborders.org/donate first responders, and other members of the community. Clinic locations AWB would like to thank all the included Petaluma Armory National volunteers who have made these re- Guard, Santa Rosa Fairgrounds, Peta- lief efforts possible, giving up their luma Veterans Center, Napa County, personal time during the middle of and the Permaculture Skills Center in the holiday season. Special thanks to Sebastopol. AWB also partnered with individuals and institutions like the the Integrative Healers Action Net- Pacific College of Oriental Medicine work of Sonoma to provide hundreds who have supported these efforts by of treatments over a period of three First responders receiving treatment at the Petaluma Armory, Northern CA donating supplies and funding. OM

Oriental Medicine • www.PaciﬁcCollege.edu SPRING 2018 3 NEW BEGINNINGS: HOW 9/11 CHANGED THE FACE OF ACUPUNCTURE AND ESTABLISHED COMMUNITY TRAUMA MEDICINE continued from page 1

It’s probably safe to say that most New York City acupuncturist Wendy addiction in the U.S. military. The of us in New York City awoke on Henry, CRREW (Community Relief RAPID RESPONSE auricular point prescription (Omega the morning of September 11, 2001, and Rebuilding through Education * 2, Shen Men, Point Zero, Thalamus, unaware of how our lives would and Wellness) was established with ACUPUNCTURE has Cingulate Gyrus) is one of the proto- change. As a student at the Pacific the goal of organizing practitioners cols currently in effect in U.S. military College of Oriental Medicine’s New to treat trauma victims during times found its way into a hospitals (www.drclearfield.net). York campus (PCOM), I received a of crisis. In the days following the number of U.S. commu- call that morning from the clinic di- 9/11 attacks, the CRREW team were CONCLUSION rector telling me that we were under on-site, treating staff members at the nities following various My work in rapid response acu- a terrorist attack and not to come PAPD trailers at Ground Zero and at natural disasters and puncture continues today. In March in for my shift. The following day, St. Vincent’s Hospital in Greenwich of 2014, a gas explosion leveled an PCOM staff members approached Village. CRREW also used their grass- gun violence. East Harlem New York building. I the Federal Emergency Management roots effort to treat the New York organized a small group of practi- Agency (FEMA) with a new idea: li- City community at firehouses, syna- tioners to offer acupuncture trauma censed acupuncturists and students gogues, and churches. mass shootings at a cinema in Au- relief to the community and worked would offer 24/7 trauma relief on In the aftermath of 9/11, acu- rora, Colorado in 2012, and after the out of storefront churches around a volunteer basis to the search and puncturists in the United States de- Boston Marathon bombing in 2013, East 116th Street. After the Grenfell rescue teams working at the World cided it was a good idea to further local acupuncturists organized rapid Tower fire in London this past June, Trade Center. FEMA said yes, please the development of ‘rapid response response acupuncture services. In I posted a message on Acupunc- come. The call went out throughout acupuncture’. CRREW continued their May 2013, a destructive EF5 tornado turists on Facebook to contact me the New York acupuncture commission in the United States, organiz- struck Moore, Oklahoma and adja- should they need my assistance. I munity to round up practitioners to ing community acupuncture clinics cent areas, killing 24 people and in- am happy to have connected with organize a makeshift clinic at the during other times of crisis, following juring 377 others; local acupuncturists practitioners Sheira Chan and Gisela Jacob K. Javits Convention Center Hurricane Katrina in New Orleans in set into motion an emergency acu- Norman when they reached out to on Manhattan’s west side, where the 2005 and after 2012’s Hurricane Sandy puncture clinic. Acupuncture groups me for guidance and support as they rescue workers were staying. Vari- in New York City. CRREW operates as were formed in Las Vegas, Nevada formed Emergency Acupuncture ser- ous acupuncture supply companies needed. Acupuncturists Without Bor- to help those affected by the killings vices in the Latimer Road area. Cur- joined the cause and donated what ders was founded by acupuncturist of a mass shooter during a coun- rently I am volunteering my services was needed. A few days later, the Diana Fried in September 2005 follow- try music concert in October 2017. with CRREW to treat the New York clinic went into action. ing Hurricanes Rita and Katrina, and Acupuncturists are also gathering in Puerto Rican community. I arrived at the Javits center for now have a worldwide presence train- Northern California following the The impact of serving my commu- my first shift the weekend following ing practitioners to treat trauma. wildfires in Sonoma and Napa. nity in emergency situations has been the attack. Massage tables were lined In 2012, another catastrophic New York acupuncturist Joan a humbling experience. It has also up in rows where rescue workers event unfolded in the United States. Boccino’s organization, the Integrative been a challenging one. As a practitio- were resting for treatments. There On the morning of December 14, Health Project (IHP), provides Tra- ner who has witnessed trauma, there were many workers from the New twenty young students and six adult ditional East Asian Medicine (TEAM) have been situations where I myself York City metropolitan area, as well staff members of Connecticut’s San- treatments and training to the under- have felt overwhelmed. During our as from other places in the United dy Hook Elementary School system served Latin American community. time in Newtown, we made sure each States. Military personnel were also were shot to death by a lone gun- IHP is currently working with another of us also received acupuncture treat- on hand, protecting the site. The man. Members of the Connecticut non-profit group, Proyecto Salud y ment to keep grounded. workers came in exhausted, dazed Society of Acupuncture and Oriental Acupunctura para el Pueblo (Health Our medicine shines in treating looks in their eyes. The acupunctur- Medicine (CSAOM), with the aid and Acupuncture Foundation for the trauma and shock. In today’s world ist supervising the makeshift clinic of Acupuncturists Without Borders, People), to aid the New York Latino of weather catastrophes, gun vio- gave me the following instructions: organized a makeshift acupuncture community traumatized by the most lence and social upheavals, our fragile limit the conversation to asking how clinic in the Newtown community. recent Caribbean hurricanes (www. psyches are subjected to falling apart. can I help. Do not start a conversa- A local merchant graciously granted theintegrativehealthproject.org). This is the opportunity for acupunc- tion about what the worker had wit- CSAOM an empty retail space to Acupuncture Ambassadors is a turists worldwide to put together a nessed. Since I was not yet licensed form the clinic. Calls were made to U.S.-based nonprofit organization plan ahead of time. I encourage prac- to treat with needles, I was instruct- acupuncture supply companies to founded by acupuncturist Anthony titioners to start the process now: go ed to do tui na manual therapy and donate, and for licensed practitio- M. Giovanniello. Their mission is to into your community and set up com- reiki healing using essential oils. I ners to volunteer. I signed up for a organize acupuncture training and munity acupuncture clinics, create a assisted licensed acupuncturists who few weekend shifts. These were the treatment clinics worldwide to care buzz, gain the support of your fellow provided treatment using the NADA shifts where the presence of acu- for refugees, victims of violence, citizens. Please also make sure you are protocol. During those shifts, I wit- puncture services made a tremen- victims of war and international con- not only a giver, but also a receiver of nessed first-hand the power of au- dous difference to treating trauma. flict, and others suffering from PTSD acupuncture services for trauma. OM ricular therapy to transform trauma Residents walked into the makeshift (www.acupunctureambasadors.org). into peace. The first rescue worker clinic with blank expressions, some This article was first published in the Eu- I treated was a man in his early 20s even unable to talk. I heard stories ACUPUNCTURE PROTOCOLS ropean Journal of Oriental Medicine from Kansas. He could hardly form a of residents unable to sleep, eat, or The most commonly used pro- Volume 8 No 6, 2017. sentence before getting on the table. work. The supervising acupunctur- tocol for PTSD is the NADA 5 point The supervising acupuncturist treat- ist organized residents into seated auricular protocol (Shen Men, Lung, ed him using the NADA protocol circles while practitioners treated Liver, Kidney, Sympathetic). In 1974, DR. JANET BARDINI, DACM, DiplOM re- and body acupuncture. I did a reiki using the NADA protocol. As word Dr. Michael Smith and his staff at ceived her Bachelor of Arts from Fordham treatment on him while the needles went out about this clinic, the New- the Lincoln Recovery Center in the University, New York, and her Doctorate of Acupuncture and Chinese Medicine were in place for 30 minutes. Fol- town community quickly came out South Bronx developed the protocol from the Pacific College of Oriental Medi- lowing the treatment, I could see each weekend to receive treatment. to treat a growing addiction problem. cine, San Diego. She studied in Beijing the shen returning in his eyes. He I remember one Saturday afternoon In 1985, the National Acupuncture with practitioner and published author continued treatments throughout where we treated about fifty resi- Detoxification Association was incor- the late Dr. Wang Ju-Yi. Dr. Bardini has his tour and told me he could sleep dents in a single four-hour shift. porated. NADA continues to function also been a guest lecturer on chronic pain better and handle the stress of work- Rapid response acupuncture has worldwide in training practitioners to at the University of Westminster London, ing at Ground Zero with the aid of found its way into a number of U.S. treat mental health disorders.(www. as well as a Grand rounds clinic guest at acupuncture. communities following various natu- acudetox.com). Pacific College of Oriental Medicine, New York and the Swedish Institute, New York. Simultaneously, another group ral disasters and gun violence. Acu- Battlefield Acupuncture was de- She is an active member of the Acupunc- of acupuncturists and health care puncturists in Joplin, Missouri treated veloped by retired Air Force Colonel ture Society of New York and Acupunctur- practitioners formed a volunteer team victims who survived a catastrophic Richard Niemtzow, MD as a way to ists Without Borders. Dr. Bardini practices in downtown Manhattan. Led by EF5 hurricane in 2011. Following the address PTSD and prevent opioid in New York City.

4 SPRING 2018 Oriental Medicine • www.PaciﬁcCollege.edu ------FINANCIAL AID NOW AVAILABLE ------YOU DESERVE A DOCTORATE EARN YOUR TRANSITIONAL DACM OR DAC

TRANSITIONAL DOCTORATE NOW OPEN TO ALL QUALIFIED ACUPUNCTURE GRADUATES All classes offered online. No travel to campus is required. Can be completed in as few as two semesters.

• Candidates who enter with a master’s in Oriental Medicine or the equivalent will earn the Transitional Doctor of Acupuncture and Chinese Medicine (DACM), while those entering with a master’s in acupuncture or the equivalent will earn the Transitional Doctor of Acupuncture (DAc).

• Integrative medicine focus, based on 28 entry-level doctoral competencies.

• Tuition currently ranges from $7,395 to $9,570 dependent on transfer credits. Most Pacific College graduates will receive transfer credit.

• Pacific College’s accreditor, WSCUC, has approved the transitional doctorate.

• Financial aid available, for those who qualify.

“I would like to express my appreciation and satisfaction of the transitional DACM program. It truly has exceeded my expectations and I feel privileged for my enrollment. It has tied up the TCM education with the medical profession and provided me with the perspective and understandings of where the practice of Chinese Medicine fits in the healthcare delivery system. It has resulted in my increased confidence and I have highly recommended it to all my friends and cohort.” - Ali, Transitional Doctorate Graduate

(877) 292-9404 adissionsACMaciccolleeedu wwwacicColleeedu Achieving Clinical Success With Upper Back Pain

By DR. JUSTIN MANDEL, DOM, AP, LAc

hronic upper back pain af- physical examination. The 4 general fects millions of people parameters of the upper trapezius C across the United States muscles that need to be thoroughly every year. Upper back pain does assessed are: not discriminate and affects people 1. Superior/Inferior of all ages from highly diverse 2. Medial/Lateral backgrounds and professions alike. 3. Anterior/Posterior Because upper back pain is so ex- 4. Spasm/Flaccidity tremely prevalent, the chances are Without first properly assessing incredibly high that it will be com- the degree of our patient’s upper monly seen in a general practice, back pain, we will fail as practitio- sports medicine practice, or orthope- ners to properly communicate its dic specialization. impact on our patients. Without A fascinating online social media properly communicating its impact, poll of acupuncturists conducted in the likelihood that we will convert 2017 revealed the staggering number our prospective patients into paying of upper back pain patients com- patients will deteriorate. Over time, monly seen by acupuncturists: a low prospective patient to paying • 37% of acupuncturists see up- patient conversion rate will sink our per back pain in 75% to 100% of practice into the financial doldrums. their patients Worse yet, without proper exami- • 10% of acupuncturists see upper nation we’ll ultimately fail to properly back pain in 50% to 75% of their treat it. Without properly treating it, patients we will lose out on short-term and • 42% of acupuncturists see upper long-term patient referrals along with back pain in 25% to 50% of their honest testimonials, which can aid patients practice success. This vicious cycle • Up to 11% saw upper back pain that will negatively impact both prac- in 0% to 25% of their patients. titioners and patients alike can be stopped dead in its tracks by simply Typically, upper back pain is understanding how to do a thorough treated locally by acupuncturists with upper back pain examination. non-specific treatments like acupunc- Beyond that, we can buoy our ture and dry needling, which can be success by offering our patients an applied to any body part. But all too upper back pain “report of findings” often for patients suffering in pain, and “care plan” that details exactly these treatments only offer temporary what their issue is. This highly pro- relief. Worse yet, patients often get fessional touch will put you in the locked in a negative cycle of reoc- league of truly successful doctors curring pain with root causes that are who deliver to their patients all of the rarely properly treated. reasons why they are the right practi- In such cases, Western medical tioner to treat a particular condition. doctors have resorted to prescribing The added benefit of a care plan dangerous opioids to help control will place your patients on an easily the severe pain. This highly addic- understood plan for the future--how tive prescription medication merely many treatments they will need and masks the pain and can ultimately what the exact course of action will destroy families. With this surging be to remedy their upper back pain. epidemic, we need natural solutions Providing this road map will put your now more than ever that deliver real patients at ease, since they will know results. exactly what they to do. Without Patients who suffer from upper such a care plan, a seed of doubt can back pain often have complicated, grow in prospective patients’ minds, difficult-to-treat medical conditions of muscles (F-BOMs) that have ac- while using a smartphone. especially if their treating practitioner such as musculoskeletal pain, bulg- cumulated in the upper trapezius Without treatment, upper back is not specific about what their plan ing or herniated cervical spine discs, muscle. This twisting of one’s once- pain can get worse over time and of attack needs to be. radiculopathy that causes numbness, healthy individual muscle fibers become more difficult to treat. Head- All three together--report of find- tingling and weakness that radiates often proves frustrating to treat ing off upper back pain at the pass ings, care plan, and upper back pain down the arms into the finger tips, permanently. The endless cycle of is important because it can quickly examination--will leave them with or even limited range of motion from temporary relief following treatment go from tolerable to debilitating. As the feeling that they are in the best, rotator cuff surgery. Multiple medical followed by terrible, frequently de- it progressively gets worse, treatment most capable hands possible. conditions such as these will often bilitating pain, needs to be broken times can increase and conventional occur simultaneously, which unfortu- once and for all. treatment effectiveness rates can de- THE ISSUE WITH ACUPUNCTURE FOR nately complicates treatment. These incredibly painful F-BOMs crease, which is another reason why UPPER BACK PAIN can occur due to a variety of reasons upper back pain needs to be treated Without directly acting upon UPPER BACK PAIN CAUSES such as a lifetime of poor posture, after it sets in. these renegade F-BOMs that have When we look at the causes of accidents like trips and falls, poor formed over time, pain will eventual- upper back pain we find that, most ergonomics at work, repetitive stress THOROUGH UPPER BACK PAIN ly return with a vengeance even after of the time, the nagging constant injury from performing the same ac- EXAMINATIONS the very best acupuncture treatments chronic pain that’s so difficult to tions repeatedly, and from craning Achieving clinical success for up- get rid of is due to fibrous bundles one’s neck for long periods of time per back pain starts with a proper continued on NEXT PAGE

6 SPRING 2018 Oriental Medicine • www.PaciﬁcCollege.edu ACHIEVING CLINICAL SUCCESS WITH UPPER BACK PAIN continued from page 7

WHY USING AN UPPER BACK PAIN their examination, and finally (5) TREATMENT SYSTEM MAKES SENSE offering a proven 4-step formula In 2018, busy acupuncture pro- for resolving upper back pain by fessionals are saddled with com- systematically diminishing and/or plicated existences. In addition to eliminating the F-BOMs that cause needing to be highly proactive in the debilitating upper back pain in publicizing and marketing one’s services, practitioners need to provide the first place. OM excellent care and deliver results that’ll make patients keep on returning. This makes running a successful DR. JUSTIN practice very tricky, but without the MANDEL, right systems in place practitioners DOM, AP, won’t be able to consistently deliver LAc started easily repeatable results and generate his first acu- the necessary level of success. puncture in- A successful system to treat possible from needling GB21, SJ15, along with their size, including upper back pain will ease a practi- ternship in SI13, etc. The problem with using length and thickness, we can go tioner’s burden by streamlining the 1997 with a 38-gauge acupuncture needle, for about systematically breaking them entire process from start to finish. Dr. Jun Tu, example, is that even if we needle up over time in a highly organized This means: (1) helping practitioners OMD in his directly into small diameter F-BOMs, fashion. Then, treatment by treat- find the local upper back pain pa- college hometown of Oneonta, NY and the needle is way too small to break ment, we can objectively observe tients who need their help, (2) pro- developed the patent-pending TrapEAZE up and separate the gangly individu- our results and see how closely they viding the most comprehensive up- Technique™. The TrapEAZE Technique™ al muscle fibers into healthy sections match up with our patient’s subjec- per back examination possible, (3) has been positioned to be the “gold stan- of muscle. tive reports of their progress. It’s supplying prospective patients with dard” for how post-graduate courses will With the right examination, our extremely common for the objective a report of findings and care plan be offered in 2018 and beyond thanks in patients will finally feel like they are and subjective results to sync up that will position the practitioner as in competent hands since we can perfectly, thus making one’s profes- the perceived expert on upper back part to its proprietary done-for-you online accurately zero in on the precise ar- sional assessment of what’s happen- pain, (4) furnishing readable, direct and offline marketing system that makes eas of their upper back pain. Once ing with their patient’s case highly response-based marketing materials it much easier to get hypertargeted upper we identify the locations of F-BOMs accurate. for prospective patients following back pain patients into one’s practice.

Oriental Medicine • www.PaciﬁcCollege.edu SPRING 2018 7 Combining Old and New in the Clinic

Acupuncture Malpractice Insurance By TOM INGEGNO, LAc • AAC is an active participant in your acupuncture n 2015, I had been in practice inflammation and improves both community 15 years and had established the quality and circulation of blood I myself in Baltimore; my lease flow. There was, however, an issue • Our legal professionals are eperts in handling was coming up and I had to decide with classical traditional East Asian what my next steps were. Three op- theory and the use of cold. The clas- acupuncture and oriental medicine claims tions lay before me and all were vi- sical theory states that cold is a yin able. I could have simplified my life, pathogen that can injure yang (Maci- cut my current office down to a solo oca, 2015 p. 297). Would incorporat- • AAC helps promote and fund acupuncture practice, let go of the employees and ing WBC do more harm than good? research and education programs other practitioners leasing from me, After review, several studies showed and run a small clinic with just two increased energy, metabolism, and rooms and a front desk. Another op- a significant release of endorphins tion I explored was updating my fam- (Leppäluoto, 2008). These effects, ily’s passports, skipping town, open- when looked at in yin/yang terms, ing up a small shop in some Central seem to be yang in nature. Could it American country, and living a stress- be that this extreme short-term ex- free life. The option that excited me posure to cold is activating the yang the most, however, was to make my within the utmost yin? This question workload infinitely more compli- would require further study, but cated and attempt to put together a what we’ve seen in the clinic may center with multiple modalities that suggest this to be the case. followed the same ultimate goal of acupuncture: to provide patients with COMBINING WBC WITH therapies that stimulated the body’s ACUPUNCTURE natural healing processes. Some days The primary goal of our clinic is I wish I had gone with either of the to get the patient as much therapeutic first two options, but my mental value as possible, so we try to em- health be damned, I chose to build ploy a synergistic approach whenever a center. I looked at how acupunc- feasible. Our original theory was to ture worked and tried to find simple have patients do a WBC before acu- biomedical principles to describe it, puncture, to start increasing blood then searched for services that caused flow rapidly to make the acupunctur- both a reduction in inflammation ist’s job easier. What we found was (Frantz, 2017) and increased circula- that the endorphin rush and subse- tion (Yao, 2015). quent energy boost made even some of our calmer patients a little too alert THE QUEST FOR NEW MODALITIES to lay down for an hour. Switching In my search for cutting-edge the order seemed to help. We found and new services that still adhered that the very calming, parasympa- to the previously mentioned criteria, thetic nervous system acupuncture I found Whole Body Cryotherapy treatment followed by very stimulat- (WBC). WBC is a new trend in the ing, cold therapy to be a better fit for US but was invented back in 1978 by patients. Dr. Yamaguchi, who was looking for

2015-AAC-OM Coverage underwritten by Allied Professionals Insurance Company, a Risk Retention Group, Inc. a Risk Retention Group, Insurance Company, 2015-AAC-OM Coverage underwritten by Allied Professionals a way to decrease inflammation and WHAT WE HAVE SEEN CLINICALLY reduce the pain of rheumatoid arthri- Overall, patients who receive tis. The process involves an intense both acupuncture and WBC during rapid cold exposure, usually from air treatment have been reporting better cooled with liquid nitrogen for up pain relief, sleep and overall quality to 3 minutes. This exposure causes of life versus patients who have been contraction of tissue from the skin receiving only one of those two mo- level down to the joint spaces, which dalities. It would be interesting to de- efficiently squeezes byproducts of velop a study using MYMOP or some inflammation back to the core of the other patient reporting tool to com- body. When the treatment is over, pare and contrast results more for- the body rapidly warms up causing mally between patients who choose massive vasodilation and allowing one service over the other, or both. fresh blood to bath the tissue (West- It is difficult to do in our clinic as erlund, 2003). This contraction during patients choose the treatments they the cold exposure also drives blood want and may not be interested in back to the torso, enabling it to pick having their course of care randomly up more oxygen from the lungs and selected for them. more nutrients from the gastrointesti- My clinic has been running with nal tract. new equipment such as WBC for From a physiological response over a year, and we are excited to perspective, cryotherapy was akin to acupuncture, in that it reduces continued on NEXT PAGE SPRING 2018 8 Oriental Medicine • www.PacificCollege.edu MICRO ACUPUNCTURE 48 continued from page 1

One day while reading a health Using Micro Acupuncture, I have magazine, I came across an acupunc- had a great deal of positive, measur- turist in Arkansas named Otte who was able clinical results. Responses vary treating people with macular degenera- widely from patient to patient depend- tion and claiming excellent results. ing on how well the individual re- Acupuncture Malpractice Insurance I called to find out what methods sponds to the treatment. The amount he was using. The long and short of of treatment a patient needs also de- • PCOM has chosen AAC to cover you while in that story is that I would have to wait pend on how well patients responds three years before I could train with and other co-existing health issues. school, in part, because of AAC’s low rates him. Finally, however, I made it out I have found that it is not always to his clinic to train and was amazed best to rely on the patient’s subjec- at his success rate, as well as the tive reports for confirming definitive • Lower cost limits of liability and program overwhelmingly positive testimonials response or non-response. For this options available given by each patient I talked to-- reason I recommend that ALL eye most had macular degeneration. patients have vision testing done be- “Wow!” I thought, “This is incred- fore they begin and then again after a • Special PCOM student discount available ible. This Micro Acupuncture is really serried of treatments. This vision test upon starting with AAC helping people to see again.” enables us to map the progress of the I went back to my practice in patient over time and confirm mea- New Jersey and started working on surable response. myself, my friends, family, current When treating eye patients in patients, and so on for the next 6 conjunction with micro acupuncture, months. The results I got were noth- I usually recommend Chinese herbs ing short of amazing! and nutritional supplements. Among the most common supplement I SO WHAT IS MICRO ACUPUNCTURE? suggest for eye diseases are ginkgo Micro Acupuncture is a relatively biloba, fish oil, lutein, bilberry, L-tau- new acupuncture system developed rine, and zeaxanthin. Chinese herbal in Denmark in 1984 that involves formulas are prescribed (as expected) 48 acupuncture points located only based on individual TCM pattern di- in the hands and feet, and is gener- agnosis, rather then just giving every- ally not associated with any other one a generic formula like Qi Ju Di acupuncture system. It’s used for a Haung Wan. variety of health conditions and is ef- Also, I have found that a signifi- fective for treating pain. cant number of my patients have free The best results that I have seen radical damage and oxidative stress. clinically are for pain, peripheral In these cases, administering anti- neuropathies, and for eye diseases. oxidants is extremely important in The most commonly treated eye con- overall vision preservation. ditions that have seen stellar results There are many good anti-oxi- include macular degeneration, glau- dant formulas on the market today, coma, diabetic retinopathy, Usher’s but from a TCM viewpoint, we know syndrome, optic nerve atrophy and retinitis pigmentosa. continued on page 23

COMBINING OLD AND NEW IN THE CLINIC continued from page 8

Scand J Clin Lab Invest. 2008;68(2):145-53. see how we can further enhance our Inc. a Risk Retention Group, Insurance Company, 2015-AAC-OM Coverage underwritten by Allied Professionals efforts to keep inflammation low and doi: 10.1080/00365510701516350. PubMed PMID: 18382932. our patients feeling their best. We hope to expand these efforts into a Maciocia, G. (2015). The foundations of Chi- nese medicine: a comprehensive text. Ed- more formal case series to better un- inburgh: Elsevier. derstand how mixing modalities af- Westerlund T, Oksa J, Smolander J & Mik- fect patient outcomes. OM kelsson M (2003) Thermal responses during and after whole-body cryotherapy. J Therm Biol 28: 601–608. REFERENCES Yao J. [Acupuncture theory of promoting blood circulation and removing stasis and Frantz AL, Regner GG, Pflüger P, Coelho VR, its clinical application]. Zhongguo Zhen da Silva LL, Viau CM, de Souza MS, da Jiu. 2015 Apr;35(4):389-92. PubMed PMID: Silva JB, Picada JN, Saffi J, et al. Manual 26054154. acupuncture improves parameters associated with oxidative stress and inflammation in PTZ-induced kindling in mice. Neurosci TOM INGEGNO, LAc, is a licensed acu- Lett. 2017 Sep 22;661:33-40. doi: 10.1016/j. puncturist in Baltimore, Maryland. He owns neulet.2017.09.044. [Epub ahead of print] PubMed PMID: 28947384. and operates Charm City Integrative Health, a clinic designed to help people with vari- Leppäluoto J, Westerlund T, Huttunen P, Oksa ous health conditions by reducing inflam- J, Smolander J, Dugué B, Mikkelsson M. Effects of long-term whole-body cold mation through multiple services including exposures on plasma concentrations of acupuncture, East Asian medicine, mas- ACTH, beta-endorphin, cortisol, catechol- sage, nutrition, halotherapy, cryotherapy, amines and cytokines in healthy females. and oxygen therapy. www.acupuncturecouncil.com Oriental Medicine • www.PacificCollege.edu SPRING 2018 9 A TCM Approach to Nourishing The New Mother: Acupuncture & Dietary Therapy for Post-Partum Healing

By LAUREN DYER, MSA, LAc, DiplAc (NCCAOM), future DAc

ostpartum depression (PPD) tural and socioeconomic factors. was as vulnerable as her newborn, tails of her daily experience... is a sensitive and stigmatized For instance, when societal and requiring her own steady stream of After she has her baby, however, condition that afflicts 1 in self-induced expectations of the ‘ma- attention and care”10— in today’s mother-focused support rapidly P1 2 8 7 or 11-20% of women each year. ternal instinct’ are unmet, a sense of society, more concern is placed on declines. Typically a woman is Even a 15% average3 of 4 million live isolation, incompetence, and shame the mother during the pre-natal and discharged from the hospital births4 each year in the United States ensues—i.e. the stigma of a “bad birthing phase. This attention is not within 24 to 48 hours after a means that nearly 600,0005 women a mother” emerges. Moreover, a lack just from physicians, but echoed in vaginal birth, or 2 to 4 days after year suffer from PPD. These figures of policies supporting paid maternity magazines, self-care books, and inad- a cesarean... She may or may do not account for women who mis- leave, job protection, and financial vertently the family too. Dr. Kendall not have anyone to help her at carry or whose babies are stillborn, assistance also pose barriers for new Tacket, a health psychologist and In- home... Her mate will probably and can still experience PPD symp- mothers who lack the means (fa- ternational Board Certified Lactation return to work within the week, toms. With consideration to these milial proximity, availability and/or Consultant poignantly describes this and she is left alone to make marginalized yet clinically recognized financial) to take the time to care for dynamic in the following manner: sure she has enough to eat, to pregnancies, the estimated total themselves as well as their child. This teach herself how to breastfeed, women suffering from PPD is closer barrier is exemplified by the United “While a woman is pregnant, and to recuperate from birth... to 1 million annually.6 Unfortunately, States, the only developed country people may offer to help her the people who do come around only a fraction of women receive devoid of partial-to-full paid materni- carry things... to ask how she is are more interested in the baby... professional treatment. According ty benefits unlike Sweden, the United feeling. Friends (or family) will (and) she must wait to see her to PostPartumProgress.org, “850,000 Kingdom, and France.9 give her a baby shower...there physician until her 6-week post- women each year are not getting the Unlike ancient, multicultural cus- are prenatal classes and prena- partum checkup.”11 help they need.”7 This stark lack of toms that honored the season of new tal checkups, and many people support is the result of empirical cul- motherhood—that understood “she wanting to know about the de- continued on page 12

Ripples in the Flow: Nan Jing Pulse Teachings

By Z’EV ROSENBERG, LAc

his excerpt from Z’ev Rosen- If the heart pulse is very strong, heart Wen and Ling Shu. The Su Wen also phase transmits the disease to the berg’s upcoming book, Ripples evils have entered the heart (itself). states that ‘where evil qi collects, the controlled phase (the heart/fire trans- T in the Flow: Nan Jing Pulse If the heart pulse is slightly strong, correct qi must be depleted’. In Su mits the disease to the lung/metal). Teachings, concerns the diagnostic small intestine evils have entered the Wen 68, it says “where there is All of these are describing interrela- 應 and clinical strategies unique to the small intestine (itself). If the heart ying/correspondence, then there is tionships of internal processes, which Nan Jing/Classic of Difficult Issues, and pulse is very relaxed, evils from the shun/compliance. If not so, there can lead to pathologies if not cor- 顺 explains the concept of the ten varia- spleen have attacked the heart. If the is ni/opposition. Where there is rected through five phase acupunc- 逆 tions/十變 shi bian, in the movement heart pulse is slightly relaxed, then opposition, then this gives rise to ture strategies. Many of these can be 化 of the vessels when feeling different evils from the stomach have attacked hua/changes. Where there are chang- caused by excesses of the associated sections of the wrist associated with the small intestine. If the heart pulse es, then there is bing/disease.”2 In emotions with each of the wu 病五臟 the specific 臟/zang organs. is very rough, then evils from the context of the Nan Jing, this means zang/five viscera (anger with wood, lung have attacked the heart. If the that the harmonious progression of joy with fire, pondering with earth, 十難曰：一脈為十變者，何謂 heart pulse is slightly rough, evils qi via five phase sheng/nourishing grief with metal, fear with water). 生也？ from the large intestine have attacked cycles and ke/controlling cycles One of the most interesting as- 克然：五邪剛柔相逢之意也。假令 the small intestine. If the heart pulse maintains the equilibrium and health pects of Nan Jing pulse diagnosis 心脈急甚者，肝邪干心也；心脈微急 is very deep, evils from the kidney of the viscera and bowels. is feeling five phase relationships 者，膽邪干小腸也；心脈大甚者，心 have attacked the heart. If the heart Nan Jing Difficulty 10 describes within the positions in terms of spe- 邪自干心也；心脈微大者，小腸邪自 pulse is slightly deep, evils from the wu xie/five evils that can afflict cific qualities, and then applying this 五邪干小腸也；心脈緩甚者，脾邪干心 bladder have attacked the small in- the zang-fu /viscera/bowels if to the interrelationships described 臟腑也；心脈微緩者，胃邪干小腸也；心 testine. The five yin viscera and their they ‘violate’ each other. The first is in Nan Jing Difficulty 10. In other 脈濇甚者，肺邪干心也；心脈微濇 associated bowels have their hard or zheng xie/correct evil, where words, we may be able to feel wiry 正邪者，大腸邪干小腸也；心脈沉甚者， soft evils, and each pulse may have a viscera or bowel falls ill by itself. qualities in the metal/ tai yin 太陰腎邪干心也；心脈微沉者，膀胱邪干 ten variations.”1 The next is xu xie/vacuity evil, position (right cun), associated with 虛邪小腸也。五藏各有剛柔邪，故令一脈 In describing xie qi/evil qi where the mother phase attacks the the jue yin/少陽 shao yang 邪氣厥陰輒變為十也。 in the Su Wen, Paul Unschuld writes child phase, as if from ‘behind’. Next pulse position (left guan), or hair-like that ‘evil qi’ can be understood as is a shi xie/repletion evil, where qualities in the wood/ jue yin 實邪厥陰 “One pulse may undergo ten any phenomena that has violated the child phase attacks the mother, position, normally associated with variations. What does this mean? It its ‘correct’ location in the realm of from ahead. Next is wei xie/ the right cun and tai yin/lung. 微邪太陰 refers to the five evils, the mutual nature. Acupuncture treatment was weakness evil, when the evil is trans- The specific pulse qualities discussed interference of softness (evils) and designed in the Su Wen to ‘repair the mitted backwards from the controlled in Nan Jing difficulties fifteen and hardness (evils). For example, if the walls before the thief enters’, in other phase (for example, the lungs/metal sixteen are here connected to specific heart pulse is very tense, liver evils words, harmonizing and strengthen- are controlled by the heart/fire) by disease patterns, seasons, and behav- have entered the heart. If the heart ing the wei qi/defense qi and the controlling cycle that skips phas- ior. Qualities associated with specific 衛氣營 pulse is slightly tense, gallbladder ying qi/construction/nutritive qi, es. Finally, is a zei/destroyer 氣賊邪 evils have entered the small intestine. mentioned multiple times in the Su (thief) evil, where the controlling continued on page 33

10 SPRING 2018 Oriental Medicine • www.PaciﬁcCollege.edu Remembering Las Memorias: Dr. Michael Smith, Volunteering in Mexico NADA Pioneer By DR. DREW POLLACK, DAOM, LAc

r. Michael Smith, MD was a f the three years I spent On a rainy morning in January pioneer in our field, most at PCOM, the last was my 2016, a good friend accompanied me D noted for his development O most memorable, when I on the first of many visits to “Las Me- and implementation of the use of spent one day a week volunteering morias”. A large cinderblock building acupuncture for substance abuse. For in Mexico with the homeless, the at the end of a dirt road on the east over 30 years, at the Lincoln Hos- poor, and the dying. side of Tijuana, this part drug rehab pital and through the efforts of the Prior to embarking on this jour- facility, part hospice, part tubercu- National Acupuncture Detoxification ney of discovery, I set objectives for losis clinic hosts resident patients of Association, Dr. Smith was a tireless myself: to put myself into challeng- all age groups. After introductions in advocate of the benefits of Chinese ing situations as a means of eliciting the large, open common area where medicine. Dr. Smith was responsible my own discomfort, fear, and feel- sermons were also held, we were for acupuncture licensure in states ing of being overwhelmed. From brought to the hospice section of which first experienced the benefit this position, apply TCM techniques the facility. Here, we were told, we of acupuncture detox and then con- and theory learned in the clinic and would observe and treat the most se- cluded that the full use of acupunc- classroom to facilitate improvement vere cases of HIV/AIDS. ture must be even more valuable. Dr. of learned acupuncture skills of as- It wasn’t until we got to the tu- Smith was the first advisory board be what it is today. Dr. Smith was sessment, diagnosis, compassionate berculosis ward, however, that we member of Pacific College of Orien- also a regular presenter at Pacific communication, and time manage- truly grasped how ruthless an illness tal Medicine in New York. He gener- Symposium. ment. Most importantly, I hoped can be when left untreated. We were ously introduced us to other advisory Thousands of acupuncturists that these challenges would help me given face masks as protection again board members and faculty. He was and millions of recovering addicts discover something deeper within TB infection and led to a second-sto- a friend who provided a needed owe the deepest debt of gratitude myself by exploring the significance ry room. Suddenly the terms “barrel sense of confidence that our project to Dr. Michael Smith. We can honor of death in relation to medicine, chest” and “blue bloaters” were no could succeed. Without Dr. Smith, his memory by continuing his work. acupuncture, and my personal asso- Pacific College New York would not Thank you, Michael. OM ciated fear. continued on page 18

Oriental Medicine • www.PaciﬁcCollege.edu SPRING 2018 11 A TCM APPROACH TO NOURISHING THE NEW MOTHER: ACUPUNCTURE & DIETARY THERAPY FOR POST-PARTUM HEALING continued from page 10

These sentiments are part of an of a traumatic event occurs at or TABLE A: Postpartum Acupuncture Point Protocol Summary29 insidious interplay in which mod- around the time of birth, as a lack of ern new mothers are “pressure(d) to emotional support from their spouse, ACUPUNCTURE POINTS REASONING bounce-back—(bounce) back to (their) family, and friends are all predisposing Baihu (DU-20) Where the mind is housed & yang channels gather pre-pregnancy productivity, back to factors as well.16 Current biomedical (their) pre-pregnancy body, and back treatments for PPD include counsel- Sishencong (EX-HN1) Where the mind is housed & yang channels gather 12 to (their) pre-pregnancy spirits”. It ing/talk therapy and pharmacological Neiguan (P-6) Luo-Connecting: benefits heart, calms mind is worth elucidating these cultural dy- intervention, with anti-depressants the namics and disparities to demonstrate primary medication prescribed. Taichong (LIV-3) Regulates qi, blood, yin, yang (with Hegu LI-4) that the demands of a new mother In TCM, “birth is a shift from a Sanyinjiao (SP-6) Access 3-Foot-Yin Channels, regulate qi & blood are not to be underestimated or over- yang state, in which the pregnant looked as exacerbating factors to PPD. woman’s body is warm with the high Zusanli (ST-36) Benefits blood production, ST qi, source qi These pressures only perpetuate more volume of circulating blood and full (unreasonable) expectations that can due to the presence of a baby in generate greater feelings of guilt, self- her womb, to a more yin state—the the fact that, despite the lack of sta- doubt, and despondency. Alleviat- empty and cold counterbalance to WHEN WORKING tistical significance in the difference ing these pressures where possible yang”.17 During birth, a woman loses * between total efficacy rates, acupunc- through cultural awareness, public an abundance of qi, blood, fluids, WITH NEW MOTHERS, ture did not elicit any of the side ef- policy, and professional medical help and jing essence, becoming deficient fects experienced with Prozac® such (the focus of this paper), will serve to in these vital substances. TCM PRACTITIONERS as “nausea, dizziness, and loss of ap- foster healthy child development and If not replenished quickly and have the opportunity petite”.27 Therefore, acupuncture and family dynamics. abundantly through rest and nutrition, counseling combined is just as good Although postpartum depression these deficiencies can have nearly to pass on the tenants as if not slightly more effective than is indeed perpetuated by our cultural irrevocable or at least long-lasting ef- medication for depression alone. For paradigm exalting busy lifestyles, fects on her health and vitality with of zuo yuezi, the ‘gate- this trial, acupuncture was performed high demands, “supermoms”, and respect to the functionality and har- way’ and ‘retreat’, by once a day, five times a week, for six the like, it should also be understood mony between her zang-fu organs weeks altogether. “The acupuncture within the context of its physiological and “anima”18 (spirits: shen, hun, po, nurturing their pa- points used in the study were: Baihui manifestations and essential etiol- yi, zhi). In other words, TCM recog- tient’s transition into (GV20), Sishencong (EX-HN1), Nei- ogy—taxation on a physical, mental, nizes PPD, it just does so under the guan (PC6), Taichong (LR3), Sanyin- and emotional level as a result of lens of specific patterns and their dis- motherhood with grace. jiao (SP6), Zusanli (ST36)”.28 For the labor and embarking on a paramount tinctive expressions through the anima explanation of these point selections, life transition “from expecting woman that arise due to taxation/deficiency as described by researchers, please to new mother”.13 following childbirth. ing (pre-natal) to another (post- reference TABLE A: Postpartum Acu- What follows is a discussion of As women are more yin in na- partum)”.22 It is also translated as puncture Point Protocol Summary. postpartum depression’s a) mecha- ture, TCM practitioners are aware that “confinement”23 or “retreat”24 meant These findings on acupuncture’s nisms from a biomedical and tra- the nature of birth coupled with in- to convey the importance of mothers efficacy are consistent with a more re- ditional Chinese medical (TCM) adequate rest and nourishment make and their babies guarding themselves cent meta-analysis and systematic re- perspective, b) common TCM pat- women more susceptible to Blood not just from the outside world (nois- view showing that acupuncture paired terns and acupuncture treatment ap- and yin deficiencies, explicitly of the es, people, and exogenous patho- with antidepressant eases depression proaches therein, and c) a summary Liver Blood/yin, Heart Blood/yin, gens), but their relationship to one severity more than pharmacological of research on acupuncture’s efficacy Spleen qi/yang, and Kidney yin/jing another in the earliest stages. During intervention with SSRIs (selective sero- for postpartum depression and de- essence. If the placenta is retained zuo yuezi, mothers are encouraged tonin re-uptake inhibitors) alone.30 pression as a whole. for too long, or if there is residual to reinvigorate their yang by sipping Physiological mechanisms that en- According to the National Institute scarring from birth, Blood stasis herbal teas and eating warm, soft, able acupuncture to ease depression of Mental Health (NIMH), the biomed- (and qi stagnation)19 is also a pattern easily digestible substances that serve severity include its ability to regulate ical cause of PPD is attributed to dras- worth considering. to a) strengthen the Spleen, b) nour- gene expression and the body’s levels tic and erratic changes in hormone In addition to deficiencies of vital ish Blood and yin (especially for proof melatonin, serotonin, dopamine, levels following birth, with recognition substances, there can also be imbal- ducing breast milk), and of course c) norepinephrine, and endogenous given to compounding factors such as anced interactions between vital or- build qi. Ideal foods include soups, opioid-peptides.31 In other words, sleep deprivation, physical discomfort, gans, i.e. Heart Blood and Spleen qi, bone broths, congee, cooked vegeta- acupuncture facilitates a shift in the and exhaustion.14 PPD can become Heart and Kidney yin, and Heart and bles, and animal protein (if vegetar- central nervous system’s state—from pronounced immediately after birth Lung qi. The Lung and Po spirit can ian, ensuring an abundance of plant- ‘fight or flight’ (sympathetic) to ‘rest and at any time during the child’s also be afflicted by grief, most obvi- based protein and iron from legumes, and digest’ (parasympathetic), pro- first year. Most women with PPD will ously in cases of trauma during preg- tofu/tempeh, whole grains (quinoa, moting relaxation and regeneration on exhibit symptoms by their 3rd week nancy/birth including stillborn deliver- oatmeal), plus nuts and seeds. a cellular level. The common thread postpartum. A range in severity of ies or miscarriages, both of which can Research conducted on acupunc- through these studies is their promis- clinical symptoms from the NIMH in- still lead to symptoms of PPD. This ture for postpartum depression yields ing implications for acupuncture as clude: a) feelings of depression, irrita- pattern, as aforementioned, would promising findings when compar- an “effective, safe and well-tolerated bility, rage, restless and/or moodiness; most likely manifest in persistent sad- ing acupuncture to pharmacological monotherapy for depression” and b) crying easily with or without per- ness related to Heart and Lung qi con- treatment. According to “Observation postpartum depression alike. ceived anxiety, worry, or fearfulness; straint.20 All patterns can be compli- on therapeutic effects of acupuncture When working with new moth- c) difficulty concentrating; d) a loss cated by Liver qi constraint and mixed plus psychological intervention for ers, TCM practitioners have the op- of interest or withdrawing from social in nature. Postpartum patients seeking postpartum depression,” researchers portunity to pass on the tenants of situations, family, and activities once acupuncture will often complain of found that “acupuncture combined zuo yuezi, the ‘gateway’ and ‘retreat’, found enjoyable; e) feeling discon- depression, sadness, worry, fear, fa- with psychological intervention has by nurturing their patient’s transi- nected and/or apathetic towards their tigue, insomnia, melancholy, difficulty a similar total efficacy rate for the tion into motherhood with grace. We child; and f) consistently doubting concentrating, and/or poor appetite/ treatment of postpartum depression can do this by encouraging patience their ability to care for their child and/ digestion, with possible accompani- as the drug fluoxetine hydrochloride in the phases and healing process or considering harming themselves or ment by head/body aches and pains. (Prozac®)”.25 The total efficacy rate ahead, and create space for self- their child”.15 A traditional Chinese approach for acupuncture plus counseling was acceptance therein. Whether a new The risk of developing PPD is to the postpartum period is charac- 90.7%, while that of Prozac® alone mother exhibits or expresses experi- higher in women who have a history terized by the phrase “zuo yuezi”,21 was 90.5%.26 At first glance, perhaps encing postpartum depression/ (or family history) of drug/alcohol which refers to “(the) Gateway...a this is not impressive. However, abuse and depression. The occurrence threshold between one way of be- consideration should be made for continued on page 30

12 SPRING 2018 Oriental Medicine • www.PaciﬁcCollege.edu Knee Pain: Testing Western. Treating Eastern.

By DR.TRAVALL CROOM, DAc, LAc

KNEE PAIN nee problems can be complicated, but one basic concept K will simplify your understanding of knee pain: that the knee pain is either internal (issues within the knee joint itself), or external (problems of the patellar quadriceps mechanism). Take a look at this picture of the knee so you’ll know what I’m talking about.

ture, body work, and rehabilitative Grade 3 (Fair) cun lateral from ST32. I use this exercises. The patient can only complete point to reset vastus lateralis. the range of motion against gravity. • Heding is replaced with needling TESTING WESTERN When external (outside) force is ap- the midpoint between Heding As part of the acupuncture cur- plied, the patient gives way. and ST31. This location is used to riculum, we each learn several or- reset rectus femoris. thopedic assessment exams. These Grade 2 (Poor) • SP10 is replaced with the extra THE MOST COMMON CAUSE OF exams are great at diagnosing issues The patient cannot perform the point Baichongwo. Vastus me- KNEE PAIN involving the knee joint: the Ante- movement against gravity, but can do dialis can be reset needling this rior Drawer Test, for ACLs; the Varus complete range of motion when pull point. The knee joint itself is where mo- Stress Test, for LCLs; the Valgus Stress of gravity is eliminated. No resistance • ST35, Xiyan, and SP9 remain the tion occurs between the thigh Test, for MCL; and others that also is applied. same, except that SP9 is needled bone (the femur) and the shin include testing for possible meniscus in an upward direction until the bone (the tibia). tears, like the McMurry’s Test, and Grade 1 (Trace) needle touches the bone. This the Bounced Home Test. Patient is not able to move the is done to stimulate the perios- But overlying the knee joint is the The only problem with these joint even with gravity eliminated. teum surrounding the tibia (the quadriceps muscle (not shown orthopedic assessment exams is that However, slight muscle contraction membrane that covers the outer in this picture) along with the pa- they only cover the second most can be felt through palpation. surface of all bones). tella (kneecap) and the tendons common cause of knee pain. They • ST36 is replaced with Master attached to the patella (the pa- are not helpful in diagnosing issues Grade 0 (No trace) Tung point 77.08. 77.08’s location tellar and quadriceps tendons). involving individual muscles or mus- No contraction is noticed, even is very similar to ST36, except Problems with these patellar and cle groups. with palpation. that it is needled as high and quadriceps structures are the most Manual muscle testing is a great close to the tibia as possible. common cause of knee pain. way to assess issues involving the TREATING EASTERN quadriceps muscles, which are usu- Once the hypertonic (tight Distal needle choices depend on Diagnostic possibilities within this ally involved in the most common muscle), has been identified, the the acupuncturist system of choice. general category include: cases of knee pain. The muscles of practitioner can begin to formulate Each system, or combination of sys- • Quadriceps tendinitis the quadriceps are first tested as a a treatment plan. I have found lo- tems, seems to work well with the • Patellar tendinitis group, then rectus femoris, vastus cal needling (in the affected muscle) above approach. Since vastus lateralis • Quadriceps strain lateralis, and vastus medialis are test- combined with distal needle place- and rectus femoris are related to the • Patellar maltracking ed individually. ment to be the most beneficial ap- stomach or foot yang ming, while When testing a muscle, it is given proach in treating knee pain. vastus medialis is related to spleen a grade from 5 to 0. Most acupuncturists, while in or foot tai yin, the selection of distal SECOND MOST COMMON CAUSE school, become familiar with a knee points should correlate with and treat OF KNEE PAIN Grade 5 (Normal) treatment protocol called “the seven these pathways. OM The next most common cause of The patient or subject can com- needle knee”. This local needling knee pain is disruption of the liga- plete the whole range of motion treatment involves placing seven nee- DR. TRAVALL CROOM, DAc, LAc, runs ments or cartilage inside the knee (movement) against gravity with dles in specific points: ST34, Heding, Ameliorative Therapies LLC, an acupunc- joint. Some of the various problems maximum resistance applied at end SP10, ST35, Xiyan, SP9, and ST36. ture center integrating traditional Chinese inside the knee joint include injuries of range. In my practice, I’ve modified this acupuncture with anatomy, orthopedics, to the anterior cruciate ligament, the treatment protocol to one that I have and Western medicine practices. Dr. Croom, posterior cruciate ligament, or one of Grade 4 (Good) found to be extremely effective in licensed in New York and Pennsylvania, is a graduate of the Pacific College of Orien- the menisci. The subject can complete the treating both external, and internal tal Medicine in New York City where he The good news is that most whole range of motion against grav- knee pain conditions: earned his doctorate of acupuncture (DAc) knee conditions can be treated with ity with moderate resistance applied • ST34 is replaced with the extra with emphasis in orthopedics and sports the right combination of acupunc- at end range. point Xinfutu. It is located 1-2 medicine.

Oriental Medicine • www.PaciﬁcCollege.edu SPRING 2018 13 Acupuncture’s Impact on Opioid Addictions and Pain Management

INTRODUCTION Ch. 1: Opioid Epidemic Statistics merica is being rocked by Ch. 2: Acupuncture Therapy for what medical authorities are Pain and Addiction A deeming an “epidemic” of Ch. 3: New to Acupuncture: Ques- growing proportions. Opioids, a fam- tions and Answers ily of mid- to high-strength painkillers that are routinely prescribed to treat Chapter 1: Opioid Epidemic everything from chronic fibromyalgia Statistics to pain caused by cancer treatment, are highly addicting. Opioid overuse is occurring in Evidence is beginning to sug- epidemic proportions. The National gest that percentages of opioid users Institute on Drug Abuse (an agency who are prescribed a routine opioid within the National Institutes of medication find themselves quickly Health, or NIH) has reported a huge “hooked” — progressing through the increase in opioid overdose deaths stages of opioid addiction by building over the past 10 years, with the most tolerance, consuming increasing dosag- dramatic increase over that time peri- es, and developing dependencies that od occurring between 2013 and 2016. ultimately cause strong addictions. Monetary costs associated with Increased or long-term consump- opioid abuse have recently been cal- tion drastically increases the risk of culated in the billions. The opioid opioid overdoses and fatalities. The epidemic has been declared a public American opioid epidemic has been health emergency. Opioids pose a sig- estimated to cost the country hun- nificant threat to the American econo- dreds of billions of dollars annually. my, healthcare system, and population. The opioid epidemic is a complex adversary. THE NUMBERS: OPIOIDS IN THE U.S. • Evidence of opioid addiction, if The stereotypical drug overdose detected at all, is often mistaken case born from systemic poverty for psychological instability, mood can often be far from reality. Stories swings, or even the effects of aging. emerge every day of individuals out- • Limited regulations control the side of poverty across the country use and prescription of opioids, who succumbed to powerful opioid and pharmaceutical providers addictions and then experienced have invested countless dollars drastic deteriorations in their physi- in promoting the usage of opioid cal condition, social standing, and medications to physicians and quality of life. Some of these cases healthcare providers. advance rapidly enough or continue • Many patients who become opi- long enough to add their victims to oid-dependent employ methods the death tolls rising every year, with of duplicating, stealing, buying, opioid addictions often develop- or otherwise obtaining illicit pre- ing from seemingly harmless opioid scriptions to feed their addictions. painkiller prescriptions written after • This healthcare emergency is routine surgeries or during injury costing the American population recovery periods. In many cases, unfathomable problems and must patients had no idea how power- be addressed. ful their medications were and how easily an addiction could take hold This guidebook will give an — sometimes in as few as 10 days of overview of the opioid epidemic and prescribed consumption. then provide information on how acupuncture has proved to be a vi- OPIOID EPIDEMIC STATISTICS able alternative for treating pain to What makes opioid addiction mitigate the use of opioids, as well as such a severe problem is its subver- a treatment strategy for rehabilitating sive nature. Opioid addictions are those suffering from opioid addic- often instigated by prescribed usage. tion. Content will be divided into the Because opioid prescriptions are following chapters: made in relative abundance by practicing healthcare providers, it can be Ch. 1: Opioid Epidemic Statistics easy for a patient on the fringes of Ch. 2: Acupuncture Therapy for Pain an addiction to obtain more opioid and Addiction medications and thus strengthen his Ch. 3: New to Acupuncture: Questions or her need for the drug. and Answers • According to the Centers for Disease Control and Prevention Read on to find out how acu- (CDC), nearly 250 million opioid puncture can make a difference in prescriptions were written in combating opioid addictions. 2013 alone in the United States. continued on NEXT PAGE

14 SPRING 2018 Oriental Medicine • www.PaciﬁcCollege.edu OPIOID ADDICTIONS AND PAIN MANAGEMENT continued from page 14

• That exceeds 2013’s total Ameri- The White House Council of can adult population (numbered Economic Advisers (CEA) estimated at 242,625,484, according to data that the total cost of the opioid from the U.S. Census Bureau). epidemic to the American econo- • Because opioid addictions are at my reached $504 billion in 2015, once easy to fall into and easy which equals almost 3 percent of to hide, it is difficult to extrapo- that year’s gross domestic product late how many opioid addictions (GDP). And the numbers show no may exist. sign of slowing down. • Opioid usage is on the rise, however, and could lead to a huge OPIOIDS AND ILLICIT DRUGS and frighteningly undetectable Opioids are not the only drugs increase in addictions. increasing in prevalence in the Unit- • According to CBS News, the Na- ed States. tional Survey on Drug Use and • Between 2006 and 2016, the num- Health found that more than 33 ber of deaths attributed to drug percent of American adults were overdoses (including both opioids prescribed an opioid painkiller and illicit drugs) climbed from just in 2015. over 30,000 to 64,000, according • That same survey revealed that to data collected by the CDC. 1.9 million Americans reported • Opioid overdoses, however, ac- being fully addicted to opioids in count for a large percentage of 2015 alone, though the number those deaths, causing 20,000 of unreported addictions is al- (almost a third of the total) most certainly drastically higher. deaths in 2016 alone. The opioid epidemic has reached staggering HOW MUCH OF THE OPIOID INDUS- proportions in the United States TRY IS CONSUMED BY THE U.S.? and is only beginning to incite The United States of America corrective action and awareness. accounts for a consumption of the • In October 2017, its growing sever- world’s opioid drug production that is ity caused President Donald Trump far larger than proportional. According to declare the opioid addiction epi- to a CNBC article, “approximately 80 demic a “public health emergency” percent of the global opioid supply is and direct that concerted action be consumed in the United States”. taken to address the issue. The same article reveals that American consumption for hydroco- But many experts feel the efforts done, a speciﬁc opioid in the form necessary to reverse the opioid addic- of a high-strength painkiller, has tion epidemic may extend far beyond reached 99 percent. The BBC echoes those that have been enacted to date. these grim facts, reporting that the U.S. is the No. 1 country in the world Chapter 2: Acupuncture Therapy for opioid consumption, surpassing for Pain and Addiction Canada, Germany, Denmark, and Austria by a wide margin. Acupuncture, a form of alternative medicine, can provide an effec- ANNUAL DEATHS FROM OPIOIDS tive substitute for opioid painkillers According to the NIH, the num- in pain treatment efforts, perhaps ber of overdose deaths due to opi- even circumventing opioid prescrip- oids has skyrocketed in recent years, tions entirely in some cases. It can increasing from less than 5,000 re- also provide an effective method of ported deaths in 2013 to more than rehabilitation treatment for patients 20,000 in 2016. addicted to opioids. In fact, the drastic increase in American drug-related deaths has Chapter 2, Section A: Acupunc- impacted the CDC’s U.S. life expec- ture as an Alternative to Opioid tancy projections, and drug-related Prescriptions deaths were partially blamed for consecutive annual decreases in the average life span expectancy (decreasing from 2014 to 2015 and then WHAT ARE OPIOIDS USED FOR? again in 2016). According to the CDC, “Prescrip- tion opioids can be used to treat COSTS OF THE OPIOID EPIDEMIC moderate-to-severe pain and are of- Though it would be impossible ten prescribed following surgery or to calculate the total ﬁscal, emotional, injury, or for health conditions such and physical costs of the opioid epi- as cancer.” Opioids are prescribed to demic because of its far-reaching and manage pain in the following cases, pervasive effects, even the calculable among others: costs to the inhabitants of the United • Orthopedic, joint replacement, States alone are staggering. and cancer removal surgeries, as The NIH reports the estimated well as other types of medical cost of healthcare measures necessi- procedures tated by prescription opioid overuse to be $72.5 billion per year. continued on page 28

Oriental Medicine • www.PaciﬁcCollege.edu SPRING 2018 15 7th Annual Alumni Awards Taiji Principles for

very year Paciﬁc College and a free pass (including CEUs) to the the Academic Collaborative Symposium. This year’s theme was the Improvement of E for Integrative Health award a Institutional Healthcare Culture and graduate from each of PCOM’s cam- Practice. Winners were Lindy Ca- puses who demonstrates core values mardella, PCOM-Chicago graduate; Modern Posture shared by ACIH and the college. Noémie Le Pertel, PCOM-NY gradu- The award winners are honored at ate; and Paige Wimmer, PCOM-San By DR. ANGELA LEE CHEN, DACM, LAc the Paciﬁc Symposium and receive Diego graduate.

oor posture is becoming more Annuloplasty (IDET): cauterizing the and more common as people nerve endings within the disc wall P spend ever greater amounts to block pain signals using electro- of time sitting at their computers, thermal catheters. Not only did the reading their smartphones, watching first procedure not work, but it was TV, or commuting to work. Common performed again--to no avail. When problems regularly encountered in she came in to see me, she could not the clinic range from mild stiffness hold her head upright from the pain. all the way to severe pinched nerves, I treated with acupuncture, but I es- with sensations down the arms or pecially focused on her posture. With legs. Numerous studies from the past daily practice of simple stretches, her year or so also show more serious pain level was significantly reduced. posture-related health effects. Not a In contrast to all the complex mod- surprise to most of us; posture can ern medicine she was subjected to, influence mood: Nam (2017) dem- the time-honored and straightforward onstrated an increased risk of major solution was the best one. depressive disorder in South Koreans The two taiji principles I describe who sit too much. below are simple… but simple is Sitting for long periods is also often the most profound. The easiest correlated with diabetes and high way to start practice is standing up, cholesterol. Grace (2017) showed a with feet about shoulder width apart PCOM CHICAGO correlation between binge-watching and toes pointing straight ahead, LINDY CAMARDELLA, LAc, a 2011 graduate of the MSTOM television and an increase in diabe- knees bent, hips loose, shoulders program, is Chair of the Health and Wellness Committee tes and mortality from inflammatory relaxed. I recommend imagining at the Arlington Heights Chamber of Commerce, through disease. Diaz-Jimenez (2017) also some air under the forearms, to give which she was awarded the community’s highest award in studied self-reported sitting time, the hands a feeling of gentle energy. 2016: the Pam Stocking Heart of Gold Award. She has served reporting its positive correlation to Once you have practiced standing as Treasurer, Vice-President, and Legislative Chair for the Il- diabetes Type 2 in Chile. Penning like this, applying the principles be- linois Association of Acupuncture & Oriental Medicine (IL- (2017) showed that reducing sitting low, you can extrapolate the feeling aaom), and represents the state with the American Society time in an adolescent’s school day to sitting as well. of Acupuncturists for which she has been chair of the Public resulted in significant improvements The first principle is to “suspend Education Committee since 2016. In addition to private prac- total cholesterol, HDL cholesterol, from heaven”. The idea is to imagine tice she is a practitioner and part of the team working on and total cholesterol/HDL ratio. a fishing line attached to the top of integrating acupuncture into the Edward-Elmhurst hospital Cognitive function results also show the head actually suspending you group in Illinois. improved effective mental-attentional from above. The line attaches directly capacity. Ekelund (2016) finds that above the point where the spine at- over an hour a day of moderate taches to the skull. You can imagine PCOM NEW YORK physical activity seems to eliminate it as the feeling experienced by one DR. NOÉMIE LE PERTEL, DACM, LAc, is a graduate of the increased risk of a lot of sitting of those plastic spine models that PCOM’s MSTOM and DACM programs, with additional time – but does not eliminate the show the cranium and spine hanging degrees in health psychology/human biology, policy, risks associated with high television from a single point of suspension. management, and applied positive psychology. She pro- viewing time. The idea is to feel gentle traction on vides acupuncture at Columbia University’s Medical Cen- These cited studies are only the the neck and back without straining ter in primary care, where she supports medical students, tip of the iceberg: research shows any muscles to do so. After a period residents, fellows, and researchers and educates them definitively that sitting for long peri- of practice, the stretch no longer about integrative medicine in the process. She has had ods is a serious health hazard. With feels imaginary; you feel like you re- extensive in-patient and out-patient clinical experiences the many ways in which the modern ally are hanging from above! and has consulted in a variety of industries including pro- lifestyle encourages more screen The second principle is to “sink fessional medical education programs, academic, clinical, time, poor posture is an epidemic. into earth.” This means, all physical international, and research, serving organizations includ- Ironically, however, the solution is tension should be released and al- ing Harvard Medical School, among others. Noémie also ancients: taiji. lowed to sink into gravity--down our has a private practice in New York City. A tall 43-year-old man, bent over body, into our feet, then through our in the thoracic spine like an old man, feet into the earth. Mind and body started taiji lessons with my teacher. being one, mental or emotional ten- PCOM SAN DIEGO It was remarkable: after just 6 months sion will follow the physical into PAIGE WIMMER, LAc, has nearly 20 years of experience of practice, he was standing upright! the earth. Releasing tension has a in complementary healthcare fields. Beginning her career It seemed miraculous, and his is the grounding effect. Normally we carry as a massage therapist, she now provides acupuncture to most dramatic case I have witnessed tension in our head (mind) or shoul- oncology and women’s services patients at St. Luke’s Hos- of improved posture. ders; if allowed to stay there, it will pital in Boise, Idaho. Paige assisted with the creation of a An 85-year-old woman came dominate our vision. To function in new pilot program to provide acupuncture services to the into my clinic with neck pain (up- this world, we need to bear in mind inpatient women’s medical surgical and antepartum popu- per trapezius area). She had been our responsibilities and duties, but lations, which has evolved into a thriving inpatient pro- to every doctor she was referred to we need them to ground us, not gram, with growth expected into the labor and delivery for over a year. One surgeon per- wards and inpatient mother/baby units in the near future. formed Intradiscal Electrothermal continued on page 18

16 SPRING 2018 Oriental Medicine • www.PaciﬁcCollege.edu Acupuncture and Tourette Syndrome

By DIA PFLEGER

hat is Tourette syndrome? According to the Mayo W Clinic, Tourette (too-RET) syndrome is a disorder that involves repetitive movements or unwanted sounds (tics) that can’t be easily controlled. For example, patients might repeatedly blink their eyes, shrug their shoulders, or blurt out unusual sounds or offensive words. In ancient cultures, Tourette syndrome (TS) was thought to be the influence of an evil spirts or demons. Unfortunately, there lingers to this day a negative stereotype that Tourette’s is simply a sudden uncontrolled outburst of foul language, as played out in the movies. According to the study “A Na- tional Profile of Tourette Syndrome, 2011-2012” by the Centers for Dis- ease Control and Prevention (CDC),1 in every 360 (0.3%) children 6-17 years of age in the United States has been diagnosed with TS based on parent report--about 138,000 children. Among children diagnosed with TS: • 37% have been reported as hav- also had been diagnosed with co-oc- receiving other alternative medicine and St36, KD3, KD6. She tracked her ing moderate or severe forms of curring conditions of obsessive-com- treatments, such a massage therapy acupuncture treatment progress in the condition. pulsive disorder (OCD) and anxiety. and chiropractic medicine. her diary, reporting a decrease in her • Boys are three to five times I treated her anxiety, stress, and In traditional Chinese medicine, anxiety as well as improved sleep more likely to have TS than girls. sleep problems for almost a year. I Tourette syndrome can be under- quality. She also noted 30-40% fewer People from all racial and ethnic also treated her tics. Tics are classified stood as yang excess due to deficient simple tics occurring daily. groups can have TS. Non-His- in two categories: simple and com- yin leading to wind. Those show a Based on the significant improve- panic white children are twice as plex. Simple tics, from which my pa- deficiency in kidney yin deficiency ments that my patient reported re- likely to be diagnosed with TS as tient suffered, are sudden, brief repeti- or liver yin deficiency leading to liver garding her symptoms, acupuncture Hispanic and black children. tive tics involving a limited number yang rising. Acupuncture has a long can effectively treat chronic disor- • Children 12-17 years of age are of muscle groups. Complex tics are and successful history in the treat- ders, like TS. Like my patient with TS twice as likely to have TS as chil- distinct and coordinated patterns of ment of the tics, uncontrolled move- and other patients like her, they are dren 6-11 years of age. movement involving muscle groups. ments, and vocal disturbances of seeking acupuncture for better clini- At the time of treatment, my pa- Tourette syndrome. cal outcome to control and eliminate CO-OCCURRING CONDITIONS tient was taking a dopamine blocker My patient’s acupuncture treat- Tourette syndrome rather than taking Children diagnosed with TS are to help lessen her tics and antide- ment plan was: Buddha triangular Western medications for the duration also very likely to develop co-occur- pressant medication prescribed by on dominant hand, PC6, four gates of their lives. OM ring conditions. 86% have been di- her medical doctor. She was also LI4, LV3, Cv17, Cv14, Yintang, SP6, agnosed with at least one additional ADDITIONAL REFERENCES: mental, behavioral, or developmental 1. Bitsko, RH, Holbrook, JR, Visser, SN, Mink, condition, such as: JW, Zinner, SH, Ghandour, RM, Blumberg, • Attention-deficit/hyperactivity SJ (2014). A National Profile of Tourette disorder (ADHD), 63% Syndrome, 2011-2012. J Dev Behav Pediatr • Anxiety problems, 49% 35(5), 317-322. • Learning disability, 47% 2. Centers for Disease Control and Preven- tion. Prevalence of diagnosed Tourette • Autism spectrum disorder, 35% Syndrome in persons aged 6-17 years – United States, 2007. MMWR Morb Mortal Obsessive-compulsive disorder, Wkly Rep. 2009; 58(21): 581-5. behavioral, speech, and language 3. American Psychiatric Association. Diagnos- problems, intellectual and develop- tic and statistical manual of mental disorders: Fifth edition, DSM-5, Washington, mental delays or disabilities, and de- DC; 2013. pression are also common. According to DSM-V, Tourette’s is an inherited neuropsychiatric disorder, DIA PFLEGER earned her master’s in acupuncture and Oriental medicine and is believed to be organic damage to the currently a PhD student. She became in- central nervous system. Currently, terested in alternative and complementary there is no cure, and no medication medicine when her young son was diag- that works universally for all patients. nosed with severe autism. Dia began her The medications that are prescribed journey at National University of Health Sci- often have significant adverse effects. ences in Lombard, IL, studying chiropractic Prevalence of co-occurring conditions and disorders among children with TS: medicine and oriental medicine. At NUHS, My patient, age 22, was diag- Data on 65,540 US children aged 6-17 years from the 2011-2012 National Survey Dia was selected for a residency at Stroger’s nosed with Tourette’s at age 10. She of Children’s Health Cook Country Hospital, Chicago, IL.

Oriental Medicine • www.PaciﬁcCollege.edu SPRING 2018 17 LAS MEMORIAS: VOLUNTEERING IN MEXICO continued from page 11

longer medical jargon but directly ap- enlarged spleen. My last memory relief: their struggle finally over, at last plicable to living, breathing people. of Adrian is of him sunbathing in the pain had ended. True illnesses were staring me in the a wheelchair, hiccupping. I don’t A second excerpt from my journal, face, challenging the intelligence of think I will see him next week. With on the same day, January 28, 2016: my decision to volunteer in such a one death a whole universe ends. setting. I was scared, and the patients I think about this place during the obviously were too. Adrian passed the day after I treat- week; about the patients, families, I treated a man as he sat up in ed him. The following week, his bed and children who live here. I also bed and gasped for air, unable to lie bore a new patient. And so on it went. worry. It’s a big risk. I could get down because of his lung infection. Every week, I returned to Las Memo- sick. I could poke myself with a He had arrived a few days before, rias. New patients. New deaths. Their needle. I could get TB. This place when he had been started on antibi- stories of how they ended up in the is changing me, how I think about otics to treat his TB. I administered hospice were often similar: they were life and death. Then I get in my auricular acupuncture to calm him car and drive home, and it all and slow his breathing. He was seems to be forgotten. extremely sensitive, flinching with Patients’ families often visit; today every needle. His right ear was fever- it’s Jorge’s family. Jorge is in his ish with hues of purple and red. The mid-20s. Last week he was suffer- left side of his face was cold, his yin strange situation, to be a part of ing severe head pain, to the point and yang separating, mirrored on something tragic and beautiful, ob- of screaming, writhing in pain. his face. His eyes darted from place serve objectively, and give a gift to a The week before that he had 3 sei- to place, unable to remain still in community in need. zures. Today he is quiet. It’s nice his discomfort. He mumbled to him- An excerpt from my journal: to see Jorge so peaceful compared self, with a far-off look in his eyes. to last week. He is like a child When I sat down next to him and January 28, 2016 now. He reaches for my face when got his attention, he kept asking me I remember Adrian, as he is near- in the US, usually Los Angeles, work- I talk to him. I worry if his hands over and over if he was going to be ing death quickly. He is resting ing, getting treatment for HIV, then are clean. His eyes constantly okay. All I could reply was that yes, on his back, under covers, with got deported and dropped off in the turned sharply to the left. He can somehow, everything was going to his head turned sharply the right, streets of Tijuana. No more treatments, barely track my finger. He mouths be okay. The next week I returned vomit on his shirt over his right no access to medical care. Inevitably, something to me, but I can’t un- to the tuberculosis ward and he shoulder. His breathing is labored. symptoms would set in. Fevers, vomit- derstand his gestures. He doesn’t was gone. His lungs had failed him. I call his name and shake him. No ing, diarrhea... three or four days in a recognize his father. His family is These fragile patients, their experi- response. He was at the hospital row, all night long. Now in hospice, huddled together, whispering, de- ences, and the mystery of death, are two days ago, the other patients tell lying in a bed, under blankets, and re- ciding what to do, take him to the what I found myself thinking about us, but the doctors sent him back ceiving IV fluids, they are without fam- hospital or leave him in the hos- on the hour-long drive back and to hospice. He has cirrhosis (of ily, friends, or medication. pice. I tell them about our efforts to forth from home to clinic. the Lv), Kd stones and ascites. No I often reflected on the hospice’s treat him. They decide to take him amount of acupuncture or medi- simplicity between visits. Behind a to the hospital. cation can save him. He hasn’t building, against a brick wall, and Due to lack of resources, and taken medication in years possibly, under a sheet metal roof, a fire burns because patients commonly have and today he refuses food. It looks to warm water in a large pot. The drug addiction problems, patients like he aged ten years in the past residents fill buckets to bathe. What if often go without pain medication. week. Thinner, darker. He moans life wasn’t about filling up a bank ac- Philip, like many patients at Las occasionally. At this point what count and vacationing in Cancun once Memorias, has a history of drug can I do? I needle his abdomen, a year? What if this was the meaning addiction; he is stick-thin, like a yintang, and burn lots of moxa. of life… to be uncomfortable, to be Holocaust survivor. As I needle The needles are of no consequence; challenged, to face the scariest situ- him, he screams in pain. I remove it’s more to give me time with him, ation you can imagine, and make it the needle, but the pain remains. to pray with him. We are merely beautiful? I find it interesting to think He begs for his pain medication. It is a gift to comfort someone two souls. I play my role. He plays about the notion that when a person I massage the point and burn during a time of difficulty, to lessen his. What his experience is, I have is born, people cry with happiness, moxa. Again, he asks for his pain their pain, to listen to their story. no idea. I palpate his abdomen, yet when one dies, people cry with medication. Tears roll down his Acupuncture offered me the unique which is swollen like a water bal- sorrow. In the HIV hospice, when a opportunity to step into a new and loon, his ribs bulging over his person died, I often breathed a sigh of continued on page 20

TAIJI PRINCIPLES FOR THE IMPROVEMENT OF MODERN POSTURE continued from page 16

overwhelm us. Sinking the tension, more time and energy you put into physical activity attenuate, or even elimi- rean adults: a cross-sectional study. we gain better perspective and there- your practice, the more you will get nate, the detrimental association of sit- BMC Psychiatry, 17(1). doi:10.1186/ ting time with mortality? A harmonised s12888-017-1439-3 fore more easily prioritize and make out of it. OM meta-analysis of data from more than Penning, A., Okely, A. D., Trost, S. G., Salm- better choices. 1 million men and women. The Lancet, 388(10051), 1302-1310. doi:10.1016/ on, J., Cliff, D. P., Batterham, M., … Par- Between suspending from heav- REFERENCES s0140-6736(16)30370-1 rish, A. (2017). Acute effects of reducing en and sinking into earth, we exist sitting time in adolescents: a randomized Díaz-Martínez, X., Steell, L., Martinez, M. A., GRACE, M. S., DILLON, F., BARR, E. L., cross-over study. BMC Public Health, as human, energetically aligned with Leiva, A. M., Salas-Bravo, C., Labra- KEADLE, S. K., OWEN, N., & DUN- 17(1). doi:10.1186/s12889-017-4660-6 the universe. For the moment, our ña, A. M., … Celis-Morales, C. A. (2017). STAN, D. W. (2017). Television viewing Higher levels of self-reported sitting time time and inﬂammatory-related mortal- problems seem smaller, our need for is associated with higher risk of type 2 ity. Medicine & Science in Sports & Ex- distraction less… and our posture so diabetes independent of physical activ- ercise, 49(10), 2040-2047. doi:10.1249/ DR. ANGELA LEE CHEN, LAc, DACM has been teaching taiji for 25 years and practic- much better! Better posture leads to ity in Chile. Journal of Public Health, 1-7. mss.0000000000001317 doi:10.1093/pubmed/fdx091 ing as an acupuncturist for almost as long, better health, in every aspect. The Nam, J. Y., Kim, J., Cho, K. H., Choi, J., Ekelund, U., Steene-Johannessen, J., Shin, J., & Park, E. (2017). The impact currently located in Myrtle Beach, SC. She profound beneﬁts of these simple Brown, W. J., Fagerland, M. W., Owen, N., of sitting time and physical activity on teaches the material offered in this article as principles manifest with practice. The Powell, K. E., … Lee, I. (2016). Does major depressive disorder in South Ko- CEUs to various health practitioners.

18 SPRING 2018 Oriental Medicine • www.PaciﬁcCollege.edu Earn CEUs from home with online courses!

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PacificCenterForLifelongLearning.com All Courses CAB & NCCAOM Approved LAS MEMORIAS: VOLUNTEERING IN MEXICO continued from page 18

cheek. The volunteer in charge of without treatment. He is sure to few pesos each. A pitbull puppy however, suddenly nothing is taboo. distributing medication says he die, a preventable death. His death wanders through the hospice, so Everyone becomes equal; the fear of gets his pain medication only be- will be slow and painful. It is hard we turn and smile, grateful for the embarrassment is lost. fore bed. It’s 12:30 pm. I tell him. to stand at his bed side while this distraction. I often wonder why it is that I He cries. No matter what position, grown man tells his story in tears. find it inspiring to be around dying he has pain. He asks for more I am angry, but I don’t know who people. I suppose it’s the lack of pre- acupuncture. to be angry at or with. I want to tense paired with the subtle need to bring him back with me. Take him be reminded that life isn’t all about February 13, 2016: to a hospital. the “American Dream”, about mak- Last week, I treated a man who is ing money and being comfortable. on oxygen. Small, thin, his shoul- March 17, 2016: I long to be with those who cannot ders rise with every breath he takes; Paulino had no appetite for the live that life, who have nothing and it takes a long time to say a full last month, enough energy to nobody. Perhaps surrounding myself sentence. He had TB for 2 years speak just a few words. He kept with challenging situations serves to and the scar tissue left behind losing weight, the skin on his face remind me that life is fragile. makes it difficult to breathe well. like tan leather, vacuum-sealed When giving acupuncture, I re- His oxygen tank is too big to walk on a skull; two large dark eyes, ceive more than I could ever imag- with. He asks me for a small tank surrounded by pure white. He ine. In life I try not to run away from of oxygen to be more mobile. He was recovering from pneumonia. things that scare me. I observe them, sells loose cigarettes to the other pa- That he survived it, with advanced I have learned to welcome experi- tients, his only source of income. AIDS, was impressive. ences. I used to fear death. Embrac- I treated a pain in his back and ing the opportunity to volunteer at February 18, 2016: hip the last time I saw him. He was a drug rehab facility/hospice/TB Carlos, a sweet, middle-aged Mexi- coughing up phlegm again, into an clinic in rundown Tijuana seemed can man missing most of his teeth, old plastic Folger’s coffee container. appropriate. Experience and medi- lies in bed. Last week he showed No matter how bad he seemed to tation jointly provide sanctuary in us the beginning of his Kaposi’s be doing, his assessment of himself this world of chaos. Yogis of India sarcoma (KS), which he has as a was always “fine”. The last treat- meditate by the crematory pyres as result of his untreated HIV: two ment I gave him, maybe two days I recently found a quote. In the a means of overcoming attachment small, dark, round spots on the in- before he passed, his self-assessment end these things matter most: how to the physical body. Tijuana was side of his upper arm, and several was “so-so”, a significant but subtle fully did you live? How well did you my meditation during my last year at more on his ankle. sign that he was in trouble. love? How quickly did you let go? I let PCOM. I was blessed with a learned This week we found that the lesions This week, Paulino is not in his go of many patients during my time skill that helps to ease suffering. had spread, covering one-third bed. A patient informed me he at Las Memorias. Some got better, Despite the language barrier, com- of the soles of his feet--no longer passed Sunday. I wonder if the some didn’t. Others looked for some- munication was seldom lost. I was individual spots, but one continu- treatments helped. A woman with one else to help them--perhaps acu- merely there to offer help to whoever ous raised area. His false teeth a penny-sized canker sore on her puncture wasn’t appealing to them. was open to receiving it. To my sur- won’t fit any more, and he shows lower lip is there instead, waving Others passed beyond the threshold prise many people didn’t want my me a KS lesion in his mouth. He at me, asking for acupuncture. of this physical world to the astral. I services, but some, when their last complains of abdominal pain. I I treat the woman with the canker am learning to let go. days on this earth were approaching, can feel a lump just under the skin sore instead. Halfway through the Acupuncture is not just a way of allowed me to sit with them, cry with above the belly button. He winces treatment, without warning, she making a living; it can be way of life, them, share in the loss that we all as I palpate. It’s difficult for him to vomits; bile splashes off the floor, a path of self-discipline. I yearn to must face one day. A quiet presence urinate. An obstruction, caused by and I jump out of the way, escaping make acupuncture an expression of is what I offered during their final the KS, I assume. I don’t check. KS with a small amount on my shoes. selfless service. I know I have failed, hours. These moments helped me develops on the connective tissue A man in all black is sitting on the and I know I will continue to fail to look beyond myself. Today in the of the skin, muscle and bones and edge of his bed, arms and hands because I’m still attached to money. I clinic, treating young athletes, I am is one of several definitions of hav- shaking violently, hiccupping, ask myself, did I treat the patients in able to feel their (physical, mental, or ing AIDS. It is the result of herpes clutching a plastic bottle of cheap Mexico the way I now treat patients emotional) pain; simply being with virus 8. liquor in both hands, black under in the local clinic in NY? The answer them and sharing in it, just as I did in This is the second time he has gone the fingernails. He gulps it like is no. But I will not give up; I will Tijuana, that pain is lessened. During through this experience. The first water on a hot day. The assistant continue to improve, and know that challenging cases or difficult life situ- time was in the US several years director doses the medicine; he success will prevail. ations, I return mentally to these ex- earlier. It had become difficult to will die if he goes without alcohol As I look back on my experi- periences in Tijuana. I am reminded walk, crippled with pain. He says for too long. He doesn’t want acu- ences, in Mexico and this past year that life goes on in the presence of the sensation of the KS feels cold puncture. His pulse is thin and in New York, I understand how for- death, that there is always hope and when it first starts, then like a stab- rapid and he winces in pain with tunate I am. I recently took a trip to there are great lessons to be learned bing pain. It had spread to his any touch. He vomits clear liquid Tulum, Mexico, about 2 hours south in suffering and loss. intestines, causing stomach pain. into a trash can, then falls asleep. of Cancun. It wasn’t the Mexico I Every individual will pass Though undocumented, Carlos If he wasn’t going through with- knew when I lived in San Diego and through death. It is my belief that was able to receive chemo in the drawal I wouldn’t have noticed crossed the border as a means to we have all experienced death many US. He got ill. Nausea and vomit- anything seriously wrong with challenge myself and foster personal times. These experiences are some- ing. He said the treatment was him. No bloating, or redness in the growth. I missed the gritty and dirty thing to be embraced rather than very bad but he survived. Deported face. He looks 50 maybe, a weath- streets of Tijuana. Something about it ignored. If we take time to observe, several years ago, he no longer has ered face. He likely has HIV or else makes me feel alive, vulnerable, real. reminders are put in our path to re- access to treatment. he wouldn’t be here, but he is in One cannot be pretentious when mind us to reflect on the life we are Now he waits, alone, no family, in too much suffering to answer any faced with a terminal illness. The living today. What we must ask our- a room with other people who are questions. Still I want to know, I smiles I saw at the clinic were al- selves is... How fully are we living? also very ill. Carlos begins to cry want to ask what happened, how ways sincere. No one had time for How much are we loving? OM as we ask about his experience. did this happen? How much al- pretense. It was refreshing. Outside He remembers the pain from the cohol does he drink on a normal of the hospice setting, clients often DR. DREW POLLACK, DAOM, LAc, re- first struggle with KS. He’s afraid day? Where are his family and arrive for treatment and lack intro- ceived his professional doctorate from Pa- of the pain. He doesn’t receive the friends? He may not be here next spection. They are afraid to broach cific College of Oriental Medicine. He cur- antiretroviral medication he des- week, not dead, just gone, back to a subject of concern and impor- rently practices with M&R Acupuncture on perately needs. He has no money; his old ways. Maybe panhandling, tance to them. Perhaps it’s a fear of Long Island, New York. He practices Kriya the hospital will turn him away or washing cars at the line for a judgement. When a person is dying, Yoga as taught by Paramahansa.

20 SPRING 2018 Oriental Medicine • www.PaciﬁcCollege.edu Newly Formed Shen Nong Society Looks to the Future of East Asian Herbal Medicine

By DR. CAROLINE RADICE, DACM, LAc

s the number of committed March 2017, at the Tri-State College Frog at the Bottom of the Well: Why practitioners of East Asian of Acupuncture in New York City. We Siloing and Polarization in East Asian A herbal medicine has grown, were delighted with the outpouring Medicine Leads to Poor Patient Out- it has become increasingly clear that of support for our inaugural confer- comes”. Other speakers will include we, as practitioners, should no longer ence and we sold out all available Cara Frank of Six Fishes Healing have our interests and needs sub- seats two months in advance. Among Arts in Philadelphia, Jean Giblette sumed under the larger umbrella of a the presenters we were privileged of High Falls Garden, and Maryanne professional acupuncture association. to feature was our keynote speaker Travaglione. Please visit http://www. The time has come for an East Asian Sharon Weizenbaum, of White Pine shennongsociety.org for more infor- herbal medicine-specific professional Healing Arts in Amherst, MA, who is mation. OM body. Inspired to establish an organi- an internationally regarded teacher zation for practitioners to better com- of classical herbal medicine. Her pre- After selling out last year, this year municate with not just each other but sentation, entitled “From What Foun- we will have a larger venue at the DR. CAROLINE RADICE, DACM, LAc, has also growers, educators, distributers dation Do We Grow: Toward the SUNY Global Center in New York been practicing and teaching acupuncture and consumers of East Asian herbal Future of Chinese Herbal Medicine” City, which will allow us to seat over and Chinese herbal medicine for more medicine, Sally Rappeport, MS, LAc, discussed the roots of our medicine 100 participants. Featured speakers than 20 years in the New York area. She is a Brooklyn-based practitioner and in her uniquely accessible manner. include Sabine Wilms, translator of presently on faculty in the departments of board member of the High Falls We were also honored to have Z’ev the Shen Nong Ben Cao Jing, the Jin herbal medicine at the Pacific College of Foundation, requested my assistance Rosenberg, long time educator and Gui Yao Lue and many other texts Oriental Medicine New York and Tri-State founding such an organization in scholar of Chinese herbal medicine will speak on “The Divine Farmers College of Acupuncture. Additionally, she 2016. As a practitioner and instructor and former chair of the Pacific Col- Message to Modern Practitioners of maintains private practices in NY and NJ of herbal medicine for more than 20 lege of Oriental Medicine San Diego’s Chinese Medicine”. Craig Mitchell, and is committed to the flourishing of the years, I shared her desire to organize Department of Herbal Medicine, translator of the Shang Han Lun and practice of herbal medicine. This article a platform to speak with a unified speaking on “Seasonal Qi, Epidemics, President of the Seattle Institute of was graciously edited with the assistance voice for all who have an interest and Chinese Herbal Medicine”. Jean East Asian Medicine will present “A of Dr Marnae Ergil. in a well-trained, ethical community Giblette, of the High Falls Founda- Oriental Medicine Ad_Dec_2017.qxp_Layout 1 12/11/17 2:50 PM Page 1 of professionals who furnish excel- tion, representing growers, discussed lent care using high quality products. “Quality in Herb Production: The Dirt With an eye to history and to the on Dirt”, and Dr. Eric Brand, with The Institute of future, we called ourselves the Shen unique training in herbal pharmacy Classical Five-Element Acupuncture Inc. Nong Society (SNS). and ethnopharmacology, was en- The Shen Nong Society exists as thusiastically received for his talk on a non-profit organization under the “Changes in Herbal Medicine from auspices of the High Falls Founda- Ancient Times to the Present”. Repre- The Classical Five-Element tion. High Falls Gardens started as a senting the Kampo traditional medi- Acupuncture Program “small farm with a big idea” based in cine of Japan, Nigel Dawes spoke Philmont, NY. As longtime growers on “How to Study Herbal Medicine 2018-2019 of medicinal herbs, High Falls Foun- in the 21st Century”, and Dr. Frank dation shares the goal of the SNS: Butler rounded out our presenters Presented by to increase communication among in a Q&A on “Training through Ap- the various interests that use herbal prenticeship in Chinese Medicine”. As Neil R. Gumenick products in cooperation with the Ap- you can imagine, with such remark- M.Ac. (UK), L.Ac., Dipl. Ac. palachian Herb Grower’s Consortium, able presenters, the conference was a based in western Virginia. Their mis- huge success! and Staff sion is to further education, research, In Sally’s opening remarks at and conservation of medicinal plants. the conference, she noted that there We hope that the Shen Nong was no professional organization that “This Program was, by far, the most valuable training Society will become an organization existed as an umbrella for practitio- I have had in acupuncture and Oriental Medicine – that upholds the values and integrity ners of East Asian herbal medicine exceptional beyond what I had ever imagined.” of East Asian herbal practitioners and to communicate with each other and Brian Bender, DACM, L.Ac., Dipl. Ac. that respects, acknowledges, and to discuss the many important issues supports the various interests that specific to our practice, such as herb One Year – 9 Monthly Weekend Modules grow, use, sell, and legislate herbal acquisition, herbal substitutions, FDA medicine. As an organization, we and legislative issues, pharmacy pro- 1st Session – September 14-17, 2018 intend become a resource for post- grams, and continuing education. As Subsequent Modules Friday-Sunday ing case studies, blog features, and committed practitioners who have an 210 CA CEUs and 7.5 PDAs per day pending approval events of interest. Additionally, we interest in designing formulas for our will publish monthly articles on vari- patients, we must be the ones to sup- Become the Practitioner ous topics that will be on the website port this ancient practice into the 21st You Always Wanted to Be and sent to the inbox of all Affiliates. century and we must be organized For the first year, Sally and I made up to address important topics as they the Board of Directors as President arise. The Shen Nong Society intends www.5elements.com • (310) 453-2235 and Vice President. In April 2017, to fill that void and represent East we were joined by Marnae C. Ergil, Asian herbal medicine practitioners DACM, LAc, who currently serves as and growers on the national and in- Secretary and Treasurer. ternational level. After months of organization and We are excited to announce planning, the Shen Nong Society that the date for our second annual held its first annual conference in conference is set for March 24, 2018.

Oriental Medicine • www.PaciﬁcCollege.edu SPRING 2018 21 Self-Regulated Learning For Acupuncture Students

By VLADISLAV KOROSTYSHEVSKIY, MS, LAc

his is a problem with the edu- acupuncture points and meridians as cation system in America: they well as how the meridians and zang T don’t teach you how to process and fu organs interact with each other. information,” says Dr. Dmitry Royter. Research suggests controlling For the last fifteen years, Royter has six components that are fundamen- prepared students for standardized tal for academic self-regulation: (1) tests such as the GMAT and SAT. When motivation, (2) time management, Royter, who runs his own test-prep (3) learning techniques, (4) physical firm, IvyPrep, took the GMAT himself, environment, (5) social environment, he scored among the highest three per- and (6) monitoring methods. Scien- cent of those taking the exam, so he tists recommend first setting a goal as should know a thing or two about how the first step in self-motivation. The to get ready for a test. second motivational self-regulation “The way I think about informa- technique is self-verbalization or tion—it’s like a website,” Royter ex- self-talk. This technique can take plains. He says the information is or- many forms, and should address ganized in “a tree structure—the main individual behavioral patterns, such idea, then it goes into subpart one, as boredom, anxiety, or other traits subpart two, and so on and so on”. (Dembo & Seli, 2012). While self-talk When he first encounters information may seem silly, it plays an important that he must master, Royter first reads role in self-regulation children and through it “really fast. I only retain turns into an internal dialog as they the main ideas. Then I go back as I become older (Diaz & Berk, 2014), need it. That’s very, very simple and but adults can use it effectively for very efficient.” self-regulated learning, nonetheless. The idea of regulating one’s own Time management can be tricky. learning is hardly new. For example, While procrastination is often seen Benjamin Franklin wrote extensively as a bad habit, some students use it on the techniques that he used to effectively. The best approach is to improve memory and the methods observe how you manage your time he used to “arrange his thoughts”. by creating timetables in which you Admittedly, before the last two de- record how much time you engage in cades, methods that allow students to various activities during the day. You become masters of their own learning then decide when and how much were backed by very little empirical time you need to spend studying evidence. In the past two or three (Dembo & Seli, 2012). Fortunately, decades, however, researchers began you already have years of experience examining various learning techniques studying, and you must have noticed and strategies, searching for most ef- which approaches work most efficient ones (Zimmerman, 1990). fectively for you. Finding or creating The academic discipline known as the least distracting environment can educational psychology includes the also be tricky, because some students topic of self-regulated learning. Even study best when background noise though a lot of research has been is present, such as music or even in done in this area in the recent years, a crowded café, while others prefer and scientists have established which silence. If, however, you feel that learning strategies are more and which you can focus your attention on what ones are less effective, the outcomes you’re studying, then you can learn of their research and their recom- in that environment. Keep in mind mendations do not reach the majority that learning becomes worse when of students, who continue to believe students study longer than 30 min- that you need to be smart or talented utes, after which short, 5-10 minute to study well. While finding the right breaks are best (Dembo & Seli, 2012). strategy to suit your personal learning Learning and monitoring techniques style does require some resourceful- are intertwined. You can, for exam- ness, anybody can be an excellent stu- ple, talk to yourself about the main dent. In fact, according to one study, ideas that you just learned. Ensure students’ academic achievement can that they are connected with each be “predicted with 93% accuracy using other. If you stumble, look up the their weighted strategy totals across material that you are unsure about. the learning contexts” (Zimmerman, Then begin talking to yourself about 1990). Fortunately, acupuncture stu- smaller details, as Royter recom- dents need very little mathematics, for mends. You can also reproduce main example, but they do need to memo- and secondary ideas using pen and rize great many anatomical terms and paper. Whether you use words or must be able to visualize various ana- tables, diagrams, webs, or some other tomical structures in relation to each other. They also need to remember continued on NEXT PAGE

SPRING 2018 22 Oriental Medicine • www.PaciﬁcCollege.edu SELF-REGULATED LEARNING FOR ACUPUNCTURE STUDENTS continued from page 22

form of graphic representation de- thinking, otherwise known as meta- the counseling center at Polytechnic In fact, it seems almost like a game. pends on your personal preferences. cognition. While there are many as- Institute of NYU, where he also runs I’m sure it takes more than a While the nature of material that pects of metacognition, the one that workshops on study habits. Manzo few weeks of experimenting to re- students need to process affects the is particularly important is to ensure says, “What I like to do—if I’m doing ally master these techniques, yet the type of learning techniques that will that you understand what the text- a multiple-choice exam—I cover up methods seem very simple and useful be most effective for an individual book’s author says every paragraph. the answers. I read the question, and for anyone willing to put some effort student, essentially, all students want Scientists recommend either stating I try to answer it in my head before I into improving his or her study habits. to be able to process (whether to aloud to yourself what you just read look at the answer choices.” After all, the techniques all boil down memorize or to understand) the in- or taking brief notes of the material When it comes to test prep, prac- to just three main points: (1) identify formation that they study at school that you are studying (Paris & Wino- tice is every bit as important as meth- each major point that a textbook is devoting minimal time and effort to grad, 1990). As you read through odology. According to NYU-Poly’s trying to make; (2) move from general it—no matter whether it is mathemat- a textbook, talking to yourself or Lewis, “The more you practice the concepts to smaller details; and (3) ics or anatomy. Although mnemonic taking notes lets you monitor how better you get at seeing. You know, practice taking tests. According to at techniques might be helpful for your brain processes the information ‘Oh, I didn’t see the “except”.’ So, least three educational professionals, students who need to memorize a you have just read. Typically, if you practice and take your time. Read these methods, used together, should lot of related and unrelated informa- have trouble putting it into your own through each question carefully.” work every time. OM tion (Putnam, 2015), keep in mind words, then it means that you are not Practice really does help. Still, that depending on an individual’s grasping the concepts that the text- though, I have trouble believing innate as well as acquired strengths book’s author is trying to convey. If that I’ll really remember everything REFERENCES and weaknesses, different mnemonic that is the case, then you might want I study and won’t have to guess the Dembo, M. H., & Seli, H. (2012). Motivation techniques can be more or less ef- to reread the paragraph that contains answer, at least occasionally. Ivy- and learning strategies for college suc- fective (Sarma, 2015). The only way confusing information or look up that Prep’s Royter, however, disagrees. cess: A focus on self-regulated learning. to know for sure which techniques information elsewhere. The key is to “If you got it, you got it,” he says. Routledge. work best for you is to try them on be aware of what you are learning According to him, if you don’t know Diaz, R. M., & Berk, L. E. (2014). Private speech: From social interaction to self- yourself. Certain aspects of learning, and—what is even more important— the answer, you’re just not processing regulation. Psychology Press. however, are universal and can be what you are not learning. Once the information correctly. Paris, S. G., & Winograd, P. (1990). How meta- applied to all and every student, no you read all the pages that you need When it comes to doing an initial cognition can promote academic learning matter of what discipline. The first to read, and after you were able to review of the information you need and instruction. Dimensions of thinking universal aspect is to know how to explain the material you just read in to learn, Lewis has some tips. “One and cognitive instruction, 1, 15-51. read textbooks efficiently. your own words, you are ready to is to throw away the highlighter,” Putnam, A. L. (2015). Mnemonics in education: Jim Lewis, a professor at Poly- restructure the pieces of that infor- he says. “A lot of times people just Current research and applications. Trans- lational Issues in Psychological Sci- technic Institute of NYU who con- mation in relation to each other—as sit there and highlight material. It ence, 1(2), 130. ducts research on study habits, says Royter explained, first, general con- means, ‘Ooh, it’s really important. I’m Sarma, G. (2015). A Simple Technique to Re- that “textbooks aren’t really designed cepts, and then, smaller details. gonna learn it later on.’ As opposed cord Mental Events. Journal of Conscious- to be read front to back”. According I tried this method myself, us- to when you take notes on it while ness Studies, 22(7-8), 172-182. to Lewis, “the best place to start is ing a physiology textbook. Just as you are reading. Then you’re actively Zimmerman, B. J. (1990). Self-regulated learn- to read the chapter’s summary—to Royter and Lewis recommend, I first engaging. Because now you read it, ing and academic achievement: An over- get the whole picture of what it’s all read each chapter’s summary, then view. Educational psychologist, 25(1), kind of comprehend it, and then take 3-17. about. And from there, you sort of skimmed the text of the chapter, and notes on it. And you actually absorb follow through.” only then attempted to answer the it much better than you ever would Royter concurs: “the efficient way questions at the chapter’s end. When have if you just passively read it.” VLADISLAV KOROSTYSHEVSKIY, MS, LAc, holds two master’s degrees—one in acu- to memorize is to go from general taking tests in the past, I nearly al- I’ve begun following Lewis’s puncture, from PCOM New York, and the structure to small details,” he says. ways had to guess which of a mul- advice when studying: I take notes other in technical writing and journalism. “Otherwise, you have nothing to tiple-choice question’s answers was on what I’m reading, point by point. His articles have appeared in publications hold the pieces together. You’ve got correct. This time, though, I knew Usually, each paragraph has only one such as Tathaastu, The American Acupunc- no skeleton. First, you need a struc- the correct answers to some of the major idea, and I diligently transcribe turist, Acupuncture Today, Medical Acu- ture, then you start putting in every- questions before even looking at the every such idea in a notebook, using puncture, The California Journal of Oriental Medicine, The Journal of Chinese Medicine, thing else.” answer choices. my own words. I find it interesting and on Acupuncture.com. He has also writ- Researchers also found that an My experience squares with a that once I grasp a textbook author’s ten a book titled Secret Techniques for Con- important part of self-regulated learn- technique suggested by Dr. Luis Man- concept, answering questions at the trolling Sadness, Anger, Fear, Anxiety, and ing is to become aware of your own zo, a psychologist and the director of end of a chapter seems less irritating. Other Emotions.

MICRO ACUPUNCTURE 48 continued from page 9

that different substances will have the last and only hope for vision re- different effects. For example, green covery and preservation. Conventional tea is one of the best known antioxi- medicine often has little or nothing to dants, very drying in nature (not wise offer folks diagnosed with degenera- to use with a yin-deﬁcient patient), tive vision loss. Two case studies: whereas blackcurrant seed oil is another great antioxidant that would CASE STUDY #1: nourish yin for that same patient. JA, 63-YEAR-OLD FEMALE Other antioxidants include vitamins A, C, and E; selenium; and zinc. IV Western Diagnosis: dry-type glutathione treatment is by far one of ARMD the most potent means of reducing Chinese Medical Diagnosis: free radical damage. kidney and liver yin and blood For many who suffer from these insufﬁciency degenerative eye conditions, acupuncture and Oriental medicine may be continued on page 38

Oriental Medicine • www.PaciﬁcCollege.edu SPRING 2018 23 Crossing The Barrier: Applying TCM Food Therapy to American Cuisine

By JK DELAPP

dinners, early nights, refraining from ourselves some tender love and care? Oh the weather outside is frightful, The fire is slowly dying, heavy workouts and sweating, light I’m not sure what nurtures your soul But the fire is so delightful, And, my dear, we’re still good-bying, workloads, and plenty of warmth. when it’s hurting for a hug, but I’m And since we’ve no place to go, But as long as you love me so, This is what the ancients have recom- happy to share a few of the things I Let it snow! Let it snow! Let it snow! Let it snow! Let it snow! Let it snow! mended to us for millennia. do for myself. Sadly, the world that you and I live A wood fire. Nothing melts the It doesn’t show signs of stopping, The wonderful Christmas song Let It Snow in is one where the end of the year is icicles of the soul quite like sitting And I’ve bought some corn for popping, was created by lyricist Sammy Cahn and full of quotas, bottom lines, paperwork, around a wood fire. I can literally sit The lights are turned way down low, the composer Jule Styne in 1945. The lyrics holidays and travel—and the beginning for hours watching logs burn. I have Let it snow! Let it snow! Let it snow! reflect the feeling of warmth and security of the year is just a reset of the daily no idea what it is about the trans- associated with Christmas and bring in the grind. There is little time for resting be- formation of wood into vapor, but it When we finally kiss goodnight, more modern customs of popping corn, a How I’ll hate going out in the storm! previously long-forgotten Native American fore January. I don’t know about all of touches something deep inside me. But if you’ll really hold me tight, tradition! you, but after the seasonal fun of Hal- Especially on a cold winter’s night All the way home I’ll be warm. loween and Thanksgiving, endless holi- while watching a movie! day parties and everything that must be A hot salt bath. Relaxing back in done before Christmas and Hanukkah salty waters (and great for your Water inter is upon us! The sol- spent indoors with family around a and New Year’s Eve… I am just shy of Element/Salt = Kidneys & Urinary stice was on the 21st of wood fire… it is exactly what the exhaustion. If you are like me, you are Bladder), especially with some es- W December, officially mov- soul is craving! in some dire need of TLC! sential oils splashed in there! Need I ing us into the winter season. Winter is a time of early nights say more? We are past the time of storing, to bed, a respite inside from the cold SO WHAT CAN WE DO TO SHOW Flowers. There are plenty of and are now moving into the three weather, rich and nourishing foods, OURSELVES SOME TLC? winter flowering plants out there. months of hibernation. A time of and plenty of rest. Winter is a time That’s a good question. What is quiet and solitude of spirit, to be of taking a back seat in life. Early it we are supposed to do to show continued on page 26

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24 SPRING 2018 Oriental Medicine • www.PaciﬁcCollege.edu The Six Essential Principles of Ayurveda

By JONATHAN GLASS, MAc

ix essential principles are the of existence: physical, physiological, core of Ayurveda and capture emotional, mental, and spiritual. S the essential dynamics that contribute to optimal health. Un- AGNI Prescribe derstanding them helps us to better “When agni is sufficient, there will Real Chinese Medicine grasp the causes of health and dis- be no toxic buildup in the body, the ease. They also identify the elements mind and the senses will be clear and of any authentic detox process, lead- acute, and we will possess the energy ing us tohealth in body and mind. to change our lives in a positive direction. When agni is deranged, we will Six Essential Principles: suffer from dullness, heaviness, stag- • Buddhi: universal and individual nation, and cloudiness of emotion and innate intelligence perception.” -Dr. David Frawley • Prana: universal and individual Agni means “fire”, and it relates life energy to our metabolic capacity and diges- • Agni: fire of digestion and tive power. It is that which consumes, transformation assimilates, and transforms. Without • Ojas: essence of energy and agni, we would not be able to create immunity energy. However, the same agni that • Ama: toxin creates life also consumes life en- • Prajnaparadha: acting against our ergy—like the flame of a candle that knowledge, wisdom, intuition, emits light yet simultaneously burns and love the candle down. Generally, agni refers to the power of digestion and BUDDHI the capacity to transform food into Buddhi is the innate and universal the body’s seven major tissues: rasa intelligence within all life. It manifests (plasma), rakta (blood), mamsa (mus- as the laws of nature that control the cle), medha (fat), asthi (bone), majja perfect rhythms and movements of the (marrow), and shukra (reproductive tides, planets, sun, and moon. Buddhi tissue). Many people today are having controls the interdependent actions of infertility issues. This can be due to all kingdoms of life—microbes, plants, having insufficient agni, or the body’s insects, fish, birds, animals, and hu- inability to fully transform food and mans. This same buddhi, or innate in- prana into healthy reproductive tissue. telligence, acts within each and every Not only does agni transform living being to control the activities of food into our tissues, it also trans- every cell in the body. Most of what forms our sensory impressions and goes on in our bodies happens with- experiences into useful knowledge Formulas tailored out our conscious will. For example, and wisdom. Anything we take in we don’t say, “okay, now digest, through our senses and mind—expe- please,” or “oh, yes, that ankle needs riences, relationships, conversations, to your patient’s needs. some extra nutrients and healing right books, movies, TV, the news, music, now”. Bodily processes occur auto- nature, websites, social media—has matically through the power of bud- to be assimilated, transformed, and at the Mayway dhi. However, the healing influence comprehended. Agni is the fire of of buddhi can be blocked by ama or intelligence, giving us the ability to toxins. When it is, imbalance and ill penetrate deeply into any subject. Herbal Dispensary health begin. Ayurveda explains that the primary cause of any mental or emotional PRANA imbalance is undigested experiences. Prana is the intelligent vitalizing Some experiences can be so over- life force that energizes and moves whelming that they are “indigestible”, through all living things. Prana travels such as serious trauma, abuse, or • Raw herbs, extract powders, capsules intelligently through channels known unresolved misunderstandings. Undi- as nadis in Ayurveda and meridians gested experiences store within the • Geo-authentic pharmacopoeia species in Chinese medicine. Prana is subtle; nervous system, muscles, organs, and it connects the body and mind. When various tissues of the body. In time, • Field-to-patient traceability it moves smoothly, we feel relaxed, this can cause derangements in our alert, energetic, and enthusiastic, and prana, leading to discomfort, pain, our body and mind function in har- mental disturbance, and disease. mony. When it becomes deranged, the energy of our body and mind be- OJAS comes disturbed. Prana manifests in Ojas nourishes, strengthens, and five primary forms or directional flows gives endurance and longevity. It is of life energy within our body: in- the essence or substance of our phys- ward, upward, outward, around, and ical being and nourishes our mind downward. Each flow of prana sup- Real Chinese Medicine Since 1969 ports specific functions on every level continued on page 38

Oriental Medicine • www.PaciﬁcCollege.edu SPRING 2018 25 CROSSING THE BARRIER: APPLYING TCM FOOD THERAPY TO AMERICAN CUISINE continued from page 26

Several types of cactus, bromeliads, even when any incense hasn’t been u All three can be used in cooking, are available if you’re ever traveling and plenty of other “Christmas flow- burned for hours, just how clean and and are great for adding into soups. through the Emerald Isle, or Europe ers” are available for a winter bloom. sweet-smelling the house is. They Just take a second to think about at large. Beers have been used in A few around the house can really really do a great job of purifying the what you are trying to accomplish the West over the last two thousand transform the energy—so pick a few home—and the soul. in your dish (i.e. tonify qi, warm, or years within the clergy for fasting, up and enjoy the flare of color! moisten/nourish) and that will guide and darker beers such as Guinness Massage. Getting a massage loos- u A few companies I’d suggest your choice in which type to use. were drunk by everyone throughout ens up the knots and kinks in our looking into: If you don’t like thinking… maybe Europe and the New World during the system and feels great. Personally, I  Shoyeido (www.shoyeido.com) throw in a root of each! cold months up until recent history. tend to prefer medical massages over is a Japanese company that makes American brewers have picked a general “feel good” massage. Shi- some of the most subtle and magical **If cooking a soup for a short up on the brewing tradition of dark, atsu and Thai are just two of many blends. I use these daily when I wake amount of time (1-2 hours), reserve nourishing beers, and now many hol- examples of medical massages—and up, and when I’m working—and even the ginseng for a second use. May iday or Christmas brews are available with a little communication with now as I type! They also make a body also be consumed as a root vegetable at this time of year. They offer many your caretaker, it does not have to powder that is like an old-school in the soup, which is my favorite of the same benefits as Guinness. be uncomfortable. I also recommend deodorant. Fantastic for meditation, thing to do. Darker beers such as Guinness were 5-15 minutes of self-massage a day as well—just rub a little on your ear often common breakfast beverages, on the hands, feet, face, or ears, all lobes and let it work it’s magic! Huang Qi: Astragalus Root especially for labor-intensive work- of which are great ways to share  The second company is Sweet in taste and slightly warm ers, as they are quite strengthening, your love for one another with your Mermade Magickal Arts (www.mer- in temperature, Astragalus enters the especially as they often tonify the spouse or children or roommate. madearts.com) Mermade brings you Lung and Spleen channels to tonify Kidneys. I suggest drinking a dark Why the hands, feet, face, or ears? the finest in natural incense blends qi and improve digestion, as well as beer by a wood fire, or while watch- Each of them is a microcosm of the and Materials, as well as artisan per- being considered an immune tonic. ing a movie, or as an after-dinner entire body—all your body’s systems fume oils and fine frankincense. There are several thousand types of drink. Also great to use in place of are connected in those four areas.  Rising Phoenix (www.etsy. Astragalus, so make sure to purchase water if making a soup, especially if The easiest way to get a full body com/shop/RisingPhoenixPerfume) from your friendly herb purveyor to beef or goat-based. Great as a snack massage for all of your insides is as Given that we work in medicine, make sure you are getting the medi- (they literally call it “food” in Ire- simple as a few minutes in one or Rising Phoenix’s work with tan cally active real thing. Great in soups land), and if you are in the tradition more of those areas! They are best xiang (sandalwood) and chen xiang (just don’t eat it… it’ll get chewy/ of fasting, I’d recommend a proper administered upon waking, or before (agarwood) is worth mention. San- woodsy, although it certainly won’t dark beer as your beverage of choice heading to bed. dalwood and agarwood form the hurt you to eat) or in tea with goji during those sacred moments. An in- Smell Goods. Haha—that’s also backbone of the incense and per- berries and a half lemon, which is teresting breakfast recipe to follow! what I call Scented Goodness. Aro- fume industries, and Rising Phoenix great for boosting your immune sys- matherapy. Beeswax candles scented offers the finest selection of quality tem and soothing your Liver. (Boil NOW LET’S TALK ABOUT SOME with all natural essential oils, or natu- of both the woods and the oils dis- goji berries and Astragalus together FOOD! ral perfumes from The Rising Phoe- tilled from them. If you’re looking for 15 minutes, then pour over a half Everybody knows the holidays nix Perfumery (www.etsy.com/shop/ for potent aromatic medicine, look lemon in a cup and add honey to are as much about the food as they RisingPhoenixPerfume) or Floraco- no further. I hear the owner of the taste). Great to use through the win- are about the family. peia (www.floracopeia.com) are fan- company is a graduate of PCOM and ter as it tonifies the metal element, Some interesting things to think tastic ways to nurture yourself, calm- also an LAc. the mother of water, who reigns dur- about that we’ve lost sight of are the ing your spirit, and giving yourself ing the winter months. great variety of winter meats that that little acknowledgement of love. NOW, WHAT TO PUT IN MY FOOD? once adorned the tables across this Tailor your needs by purchasing “It’s the crazy notion that the lon- Oxtail country. The colder months were, in products—and maybe even mixing gest, coldest, darkest nights can be Oxtail is a food, but I include the days of yesteryear, best for some a few—that really strike a resonance the warmest and brightest. And when it here as an herb, as it is an ex- of the richest varieties of meats, as within you. Your mood, and the we all agree to support each other in tremely powerful meat. Literally the many game animals are quite warm- moods of those around you, will take that insanity… something even cra- tail end of the spine of an ox, oxtail ing, or even hot in temperature. notice of your newfound aromas! zier happens—it becomes true.” warms and strongly nourishes the A quick guide: —Christmas 2010 episode of Kidneys and strengthens the spine. **All of these meats supplement EVERYTHING on the market Community Not offered in all grocery meat de- qi, build Blood, and stimulate yang. that is not real is fake. Do your partments, so it may take a little Duck and Goose, which are two homework on the companies you Ren Shen: Ginseng looking around for. Check your of my favorite birds to eat (especially purchase scented products from Sweet and slightly bitter in taste better-stocked grocers and butch- if wild!), are the least warming on this so as not to be wasting your mon- and slightly warm in temperature, ers. Best, of course, if you can find list. In years past, they were the most ey on synthetic neurotoxins. This Ginseng enters the Lung, Spleen, and it organic or grass-fed. If you live in common meats on the table at Christ- goes for everything from candles Stomach channels to strongly tonify qi, a more rural area and know some- mas dinner in this country, along with to body care to cleaning products. improve digestion, and assist in recov- one slaughtering a cow or an ox, lamb for its symbolism. The skin is ery from illness. Red and white ginseng ask them kindly if you can have the fantastic to be rendered into oil, and A quick read on question- come from the same plant, but differ in entire spine, as they are not sold on can be reserved for sautéing through- able fragrances: http://www.intel- their preparation. We could talk about the open market anymore. This is an out the season. If skinned, reserve the ligentnutrients.com/our-vision/ ginseng for hours, so I’ll break it down extremely invaluable herb, and quite meat and bones for soup. Otherwise, not-intelligent#artificial-fragrance in a very simple way: tasty to eat! Recipe to follow! the whole bird can be roasted for a • Chinese White Ginseng: Good succulent, delectable dish, for which Incense. I have to admit… it for tonifying qi and strengthening Guinness and other Dark Beers there are endless recipes. kinda falls under the same category the lungs, spleen, and stomach. Yes, I’m talking about the beer! Beef, which is generally consid- of Smell Goods, but I think it de- • (Most often Korean) Red Gin- Warming in temperature, Guinness ered the strongest acting to replenish serves its own mention. Incense is seng: good for tonifying qi as enters the Kidney channel to warm spent energy, is particularly good for something that I’ve always enjoyed, well as nourishing Blood. Is and tonify the Kidneys. The ancient tendons and bones, as well as for but over the last few years, it’s re- warmer in temperature than Chi- Irish were actually very accomplished strengthening the Stomach to address ally found a special place in my life. nese white ginseng. herbalists. In fact, many of their a weak appetite. The smell of really quality incense • American Ginseng (Xi Yang most accomplished herbalists were Buffalo, which is native to North wafting through the air as I sit at my Shen): A true ginseng, is cooler members of the clergy and beer mak- America, is similar to beef in its computer working, reading, cook- in temperature than white gin- ers (often one and the same guy!) properties and is becoming more ing, hanging out with friends over a sengs, and is less about tonifying throughout Europe. To this day, there readily available in grocers across bottle of wine is magical! Everyone qi and more about nourishing yin are still herbal beers (called worts) always comments when at my home, and jing. that are made in small breweries and continued on page 34

26 SPRING 2018 Oriental Medicine • www.PaciﬁcCollege.edu Does This Sound Like You?

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Financial Aid is available for those who qualify. Pacific College of Oriental Medicine is accredited by the WASC Senior College and University Commission (WSCUC), 985 Atlantic Avenue, Suite 100, Alameda, CA 94501, 510.748.9001. The college’s MSTOM, MSAc (CH and NY), and DAOM (SD) programs are accredited by ACAOM. For important information on program costs, completion and placement rates, median debt incurred, etc., please visit http://www.pacificcollege.edu/prospective/programs. OPIOID ADDICTIONS AND PAIN MANAGEMENT continued from page 15 “ The best part of my job is helpinghelping ourour policyholders;policyholders; therethere isis nono questionquestion thatthat • Cancer treatment better benefits than synthetic drugs, • Injury without the risks of addiction or side isis tootoo simplesimple oror tootoo • Chronic illness effects.” routineroutine for me. II am • Palliative care Acupuncture has a lower associated cost. Acupuncture safely treats alwaysalways happy toto help.”help.” There is a major difference be- pain without risking the slough of as- tween certain over-the-counter pain sociated costs that accompany opioid 能够帮助我们的医生解答误 relievers (OTCs), such as aspirin, and overuse. opioid painkillers: namely, that the During a pilot program from 医保险方面的各种问题是我 ceiling-proof nature of opioids makes 2014 to 2015, as documented by the 工作中最大的快乐。 it possible to compensate for a grow- California Health Care Foundation, ing tolerance by increasing the ad- health plan provider Central Califor- ministered dosage over time. nia Alliance for Health (CCAH) made Underwriter In contrast, OTCs reach a thresh- alternative medicines available to its Ronni Fan old beyond which they no longer members and witnessed significant have an effect. This makes them reductions in medication dosages, potentially less effective but much pain levels, and overall care costs, as safer than their more powerful opioid pharmacy savings offset the costs of counterparts; however, even though acupuncture care visits. The CCAH New Lower Rate, Same patients prescribed opioids can be has since made the program available susceptible to developing addic- to all its members, and other medical tions, opioids are used to treat a large service providers will likely follow Amazing Service! range of cases, from injury sufferers suit in the coming years. to individuals recovering from recent Acupuncture boasts proven re- 最新低价保费, 同样一流服务！ surgery and cancer patients. sults. In a 2015 study published in Go to miec.com/calculator to see our lower rates! 请上网参阅 The Spine Journal, 21 methods for ADVANTAGES OF ACUPUNCTURE treating sciatica were compared. THERAPY COMPARED WITH OPIOIDS These methods included both acu- NEW 2017 Rates for 1/3M: Acupuncture is healthier and puncture and conventional opioid Year 1: $500 Year 2: $815 more holistic. “Acupuncture helps treatments, among other strategies. the body to regulate our innate The results indicated that “bio- natural pain relievers; such as en- logical agents were significantly bet- MIEC所提供的福利包括: BENEFITS INCLUDE: dorphins, serotonin and dopamine, ter for pain reduction than bed rest, which in turn helps patients dealing non-opioids, and opioids.” The study FREE premises coverage 免费场地（跌倒摔伤）保险 (Slip and Fall coverage) with pain relief, stress and addic- also reached the following conclu- tion,” says Greg Lane, the Director of sion: “For overall recovery as the out- Fillable PDF online 可上网直接申请 Clinical Operations at Pacific College come, compared with inactive control Consent to Settle 医生必须同意方可赔偿申诉 of Oriental Medicine. According to or conventional care, there was a DrugAbuse.gov, opioid drugs func- statistically significant improvement Flat 10% dividend* and additional 连续保险两年以上可得10% 的 tion by targeting the opioid receptors following disc surgery, epidural injec- 10% discount for Sponsoring Assoc. 红利， & Network throughout the brain and the body. tions, non-opioid analgesia, manipu- By interacting with the receptors, the lation, and acupuncture.” Defense Cost up to 25K for CAB 针灸局调查辩护费$25,000 drugs are able to reduce the flow of And this is just one of many ex- pain messages from nerve endings amples. According to JAOTF, “The Securiy and Privacy Liability 病人安全隐私责任保险 throughout the body to the brain, ef- risk-to-benefit ratio of acupuncture Cyber Extotion and Terrorism 网络勒索恐吓保险 fectively reducing pain sensations. for common chronic pain conditions Opioids artificially stint the body’s is clearly superior to opioid medica- 不需要仲裁协议 No Arbitration Agreement required natural chemical processes. Acupunc- tions and often better than other non- ture, alternatively, makes use of natu- opioid therapies, regardless of mech- MIEC coverage is limited to the California Business and ral mechanisms to promote natural anism. … There is growing research Professions Code regarding Acupuncture and includes: pain relief. evidence to support the effectiveness Acupuncture does not cause ad- and efficacy of acupuncture for the 保险面积包括加州执照中医师可行业的范围，并且包括： diction tendencies. “The body’s natu- relief of pain, especially chronic pain. Infertility Acupuncture Treating Pregnant Women ral chemistry can be used to replace Acupuncture has been shown to be 不孕不育治疗怀孕引起的症状治疗 external substances such as opioids,” effective for treating various types Treatment says Lane. “Acupuncture helps to re- of pain with the strongest evidence Facial Acupuncture 面部治疗 No Arbitration Agreement required duce cravings, decreasing the need around back pain, neck pain, shoul- 不需要仲裁协议 for external stimuli such as pain kill- der pain, chronic headache, and ers.” In January 2016, the Joint Acu- osteoarthritis.” puncture Opioid Task Force (JAOTF), For more information or to apply 申请详情请见: formed by the Acupuncture Now Chapter 2, Section B: Using Acu- ■■ www.miec.com or call 800.227.4527 Foundation and the American Society puncture to Treat Opioid Addiction ■■ Premium discount for members of Sponsoring Assoc./Networks: of Acupuncturists, issued a letter to the CDC regarding the value of non- (AACMA, AATCM, Acu-Care, ASCM, CSOMA, CAUA & Han’s Medical Group) In addition to providing a vi- ■■ pharmacologic alternatives to opi- Email questions to [email protected] able pain management alternative to oids, which included the following * (On premiums at $1/3 million limits for those acupuncturists that have been with us for at least 1 full year. opioids in order to mitigate opioid statement: “Research is showing that Future dividends cannot be guaranteed.) usage and help prevent opioid addic- acupuncture can effectively stimulate tion, using acupuncture for addiction 1百万/3百万保费标准计算。将来红利不能保证 the production of the body’s own treatment could provide an effective ‘endogenous opioids’ as well as natu- way of rehabilitating patients who ral anti-inflammatory compounds. In have become addicted to opioid other words, acupuncture can facili- painkillers. tate the better usage of the body’s 6250 Claremont Avenue, Oakland, California 94618 own natural chemistry creating the 800-227-4527 • www.miec.com MIEC potential for similar or sometimes continued on page 31

PCOM_OM_12.22.17 Owned by the policyholders we protect. SPRING 2018 28 Oriental Medicine • www.PaciﬁcCollege.edu

PCOM_OM_12.22.17.indd 1 12/22/17 5:14 PM 2018 PACIFIC COLLEGE STAFF ACKNOWLEDGMENT PROGRAM

Since January 2012, the Paciﬁc College Staff Acknowledgment Program their service and passion for what we stand for,” said Elaine Gates-Miliner, has featured shout-outs to its incredible staff members in each winter issue Chief Compliance Ofﬁcer and Chicago Campus Director. of the OM Newspaper. PCOM is ever grateful for its motivated and talented staff members, “We realize that we have a lot of very loyal employees; some have many of whom have been with the college for over a decade, and we look been with us for many years, and some have just joined our team with forward to growing the PCOM family over many successful years to come. enthusiasm. We want to make sure they each know how much we value OM

SAN DIEGO

NAME YEARS NAME YEARS NAME YEARS

Miller, Jack ...... 24 Zieber, Deanna ...... 5 Monroe, Sabrina ...... 2

Gomes, Stacy ...... 21 Elefano, Elaine ...... 4 Paniagua, April-Dawn ...... 2 Creney, Shanna ...... 20 Powers, Teri ...... 4 Zhang, Ronghuan ...... 2 Floyd, Cindy ...... 18 Aguilar, Matilde ...... 3 Alilin, Sasha ...... 1 Apolonia, Jennifer ...... 10 Alvarez, Crystal ...... 3 Calder, Allison ...... 1 Leyva-Padilla, Brenda ...... 10 Johnston, Jessica ...... 3 Cobbs, Aletra ...... 1 Siddall, Karen...... 10 Kathan, MiIes ...... 3 Robbins, Tracy ...... 9 Roberg, Jason ...... 3 Gornbein, Jaclyn ...... 1 Floyd, Charles ...... 8 Russo, Gregory ...... 3 Moore, Wyntres ...... 1

Hotelling, Brian ...... 8 Sanchez, Diana ...... 3 Ostrouch, Lisa ...... 1 Luger, Todd ...... 6 Smith, Beatrice ...... 3 Othman, Eiman ...... 1 Monreal, Francia ...... 6 Bristow, Melinda ...... 2 Phouthavone, Deanna ...... 1 Reuss, Deborah ...... 6 Diaz, Alexander ...... 2 Roberts, Jeannine ...... 1 Andrews, Cathy ...... 5 Exner, MiIes ...... 2 Rodriguez, Vivian ...... 1 Lane, Gregory ...... 5 Guptha, Leena ...... 2 Sims, Shareema ...... 5 Lewis, Edna Barajas ...... 2 Virgen, Marlene ...... 1 Wilkins, Omar ...... 5 Leyva, Rose ...... 2 Zamudio, Melissa ...... 1 NEW YORK CHICAGO

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Garwood, Shana ...... 19 Youngblom, Laura ...... 4 Gates-Miliner, Elaine ...... 30

Neipris, Cynthia ...... 16 Kowal, Ashley ...... 3 Mattson, Brendan ...... 10

Anderson, Belinda ...... 12 Ramkalawan, Rajendra ...... 3 Sheldon, Lynn ...... 10 Husbands, Sheldeane ...... 12 Charles, Monifa ...... 2 Sol, David ...... 8 Musick, Allison ...... 9 Dorcely, Farah ...... 2 Swenor, Christopher ...... 8 Oziransky, Svetlana ...... 9 Figueroa, Adrian ...... 2

Parisi, Joseph ...... 7 Miles, Lydia ...... 2 Hawley, Sarah ...... 6

Sherman, Keith ...... 6 Rodriguez, Anthony ...... 2 Jones, Connie ...... 6

Youngren, Malcolm ...... 6 Ambrosio, Nicholas ...... 1 Adams, Paris ...... 4 Knight, Kellie ...... 5 Chiu, Kathy ...... 1 Baldwin, Olivia ...... 2 Rios, Isabel ...... 5 Lombardi, Arianne ...... 1 Gladney, Leon ...... 2 Barry, Alexander ...... 4 Mojica, Erika ...... 1

Garcia, Julian ...... 4 Ploof, Alyssa ...... 1 Belacic Palenske, Tiffany ...... 1

Ruiz, Rafael ...... 4 Welbeck, Sandra ...... 1 Graves, Matthew ...... 1

Oriental Medicine • www.PacificCollege.edu SPRING 2018 29 In Your Element A TCM APPROACH TO NOURISHING THE NEW MOTHER continued from page 12 Calculating Your Feng Shui Element anxiety, combining point protocols 10. Heng Ou, et. al., The First Forty Days., and Trigram found efficacious via evidence based “Introduction,” 3. research as well as those which ad- 11. Dr. Kendall Tackett, “How Cultures Pro- tect the New Mother.” Women’s Health dress the nuances in patient’s pattern Today. Praeclarius Press: Excellence By AMANDA COLLINS or patterns are ideal. Combining such in Women’s Health. Published 30 Jul. a holistic approach of acupuncture, 2017. Retrieved Oct 24, 2017. http:// Eastern dietary therapy, and herbal womenshealthtoday.blog/2017/07/30/ how- cultures-protect-the-new-mother/ therapy (not discussed but nonethe- 12. Heng Ou, et. al., The First Forty Days., etermining your personal and given to deep thought but tend less applicable) in a stigma-free space “Introduction,” 3. feng shui element can al- to worry too much and may be overly can ensure not only expedient but 13. Ibid. low you to bring things in sensitive. empowered postpartum healing. OM D 14. Postpartum Depression Facts. (n.d.). Re- to your environment that will help • Essence colors: Black, indigo or trieved October 24, 2017, from National you to thrive and to position yourself dark blue Institute Health, https://www.nimh.nih. REFERENCES in directions that will improve flow. • Colors that feed you: Gold, silver gov/health/publications/postpartum- Essence colors are colors that feed and grey Acupuncture Alleviates Postpartum Depres- depression-facts/index.shtml sion. (2014, December 21). Retrieved 15. Post-Partum Depression Facts. The Na- you. For example, if you’re a number • Element that feeds you: Metal October 24, 2017, from http://www. tional Institute of Health. 9, then your element is fire. Wood is • Water’s shape: Wavy and curvy healthcmi.com/Acupuncture-Continuing- the element that feeds fire, so bring- patterns Education-News/1411-acupuncture- alle- 16. Ibid. ing in little amounts of red/sunlight, • Materials: Metal fountains, aquari- viates-postpartum-depression 17. Heng Ou, et. al., The First Forty Days., red colors, and wood or plants will ums and pools Acupuncture Antidepressant Pairing Eases De- “My Story” 10. pression. (2015, February 02). Retrieved help support you in your home—as • Personal best direction: Southeast 18. Will Maclean & Jane Lyttleton. (2010). October 24, 2017, from http://www. Clinical Handbook of Internal Medicine: red represents the fire element. Your • Best location for sleeping: North healthcmi.com/Acupuncture-Continuing- The Treatment of Disease With Tradition- essence colors also help to support Education-News/1424- acupuncture-anti- al Chinese Medicine (Vol. 3, Qi, Blood, your energy and are the best colors YOUR NUMBER IS 2 AND ELEMENT IS depressant-additive-depression-relief Fluid, Channels). Pangolin Press. 97. for things that touch your body, such EARTH Chan, Yuan-Yu, Wan-Yu Lo, Szu-Nian Yang, 19. Will Maclean & Jane Lyttleton, Clinical Yi-Hung Chen, and Jaung-Geng Lin. “The Handbook of Internal Medicine...129. as clothing, bed sheets, even the You are a very strong care-giver benefit of combined acupuncture and color of your car. Also bring in wood and can be a great leader, but with antidepressant medication for depression: 20. Ibid. 123. and green colors, as these represent Earthly intentions. A systematic review and meta-analysis.” 21. Heng Ou, et. al., The First Forty Days., wood—which feeds the fire! • Essence colors: Terra-cotta, yel- Journal of Affective Disorders (2015). “My Story” 10. Your personal best direction is low, browns and beiges Huang, Han-ling, Li Peng, Su Zheng, and Lu- 22. Ibid. your best location for prosperity and shan Wang. “Observation on therapeutic • Colors that feed you: Red and effects of acupuncture plus psychological 23. Ibid. great fame and it’s recommended purple intervention for postpartum depression.” 24. Ibid. Journal of Acupuncture and Tuina Sci- to have your back face this direc- • Element that feeds you: Fire 25. “Acupuncture Alleviates Postpartum ence 12, no. 6 (2014): 358-361. tion for productivity. When setting • Earth’s shape: Square, low ob- Depression.” (2014, December 21). Re- up your desk both at home or in the jects associated with the feeling Maclean, W., & Lyttleton, J. (2010). Clinical trieved October 24, 2017, from http:// office, position yourself with your of stability Handbook of Internal Medicine: The www.healthcmi.com/Acupuncture-Con- Treatment of Disease With Traditional tinuing-Education-News/1411-acupunc- back to this direction. In your living • Materials: Large-scale furnishings, Chinese Medicine (Vol. 3, Qi, Blood, ture-alleviates-postpartum-depression room and dining room, again, posi- sand, clay, ceramics, marble, Fluid, Channels). Pangolin Press. tion your back to these directions granite, river rocks, crystals, ado- Ou, Heng., Belger, Marissa., & Greevan, Ame- Reference: Han-ling Huang, et. al. “Ob- and you will be constantly supported be brick, and stucco ly. (2016). The First Forty Days: The Es- servation on therapeutic effects of acupuncture plus psychological intervention while sitting. If you want to improve • Personal best direction: Northeast sential Art of Nourishing the New Mother. Stewart, Tabari & Chang: ABRAMS Press. for postpartum depression.” Journal of sleep, point the headboard of your • Best location for sleeping: West Acupuncture and Tuina Science 12, no. 6 Postpartum Depression Facts. (n.d.). Retrieved (2014): 358-361. bed in the best sleeping direction. October 24, 2017, from https://www. YOUR NUMBER IS 3 AND ELEMENT IS nimh.nih.gov/health/publications/post- 26. “Acupuncture Alleviates Postpartum De- CALCULATING THE MALE TRIGRAM WOOD partum-depression-facts/index.shtml pression.” HealthCMI.com., Ibid. 1. Subtract 1 from the birth year if You are usually even-tempered Tackett, Kendall Dr., “How Cultures Pro- 27. Ibid. born between January 1st and but you can have sudden outbursts. tect the New Mother.” Women’s Health 28. Ibid. Today. Praeclarius Press: Excellence February 5th. You like to be moving and hate a job 29. Ibid. in Women’s Health. Published 30 Jul. 2. Sum the digits of your birth year where you have to sit still for long. 2017. Retrieved Oct 24, 2017. http:// 30. Acupuncture Antidepressant Pairing repeatedly until it reduces to a You are enthusiastic and can be loud womenshealthtoday.blog/2017/07/30/ Eases Depression. (2015, February 02). single digit. at times. how-cultures-protect-the-new-mother/ Retrieved October 24, 2017, from http:// www.healthcmi.com/Acupuncture-Con- “The Statistics.” Post-Partum Progress. 3. Subtract this single number from • Essence colors: Greens - but the tinuing-Education-News/1424-acupunc- org. (Published 2013, December 11. The result is your trigram color is not as effective the element. ture-antidepressant-additive- depression- 18). Retrieved October 24, 2017, relief number. • Colors that feed you: Black and blue from http://postpartumprogress.org/ 4. If the result is 5, your final num- • Element that feeds you: Water the-facts-about-postpartum-depression/ Reference: ber is 2 (i.e., a man born on • Wood’s shape: Rectangular, 1. “The Statistics.” Post-Partum Prog- Yuan-Yu Chan, et. al., “The benefit of com- 1/23/1978 would use 1977 – see columns, patterns vertical or ress.org. (Published 2013, Decem- bined acupuncture and antidepressant rule #1, 1+9+7+7=24, 2+4=6, 11- horizontal ber 18). Retrieved October 24, 2017, medication for depression: A systematic from http://postpartumprogress.org/ review and meta-analysis.” Journal of Af- 6=5, 5 becomes 2). • Materials: Trees, plants and fresh the-facts-about-postpartum-depression/ fective Disorders (2015). flowers 2. “The Statistics.” Post-Partum progress.org. 31. Acupuncture Antidepressant Pairing Eases CALCULATING THE FEMALE • Personal best direction: South Depression., Ibid. 3. Postpartum Depression Facts. (n.d.). Re- TRIGRAM • Best location for sleeping: East trieved October 24, 2017, from https:// 1. Steps one and two are the same www.nimh.nih.gov/health/publications/ as above. YOUR NUMBER IS 4 AND YOUR postpartum-depression-facts/index.shtml LAUREN DYER, MSA, LAc, DiplAc (NC- 3. Add 4 to this single number. The ELEMENT IS WOOD 4. “The Statistics.” Post-Partum progress.org. CAOM), and future DAc is co-owner of result is your trigram number. You are insightful and often 5. Ibid. EMPOWER Chiropractic & Acupuncture 4. If the result is 5, your final num- driven but, like the wind’s direction, in New Gloucester, Maine. She earned her 6. Ibid. master’s from the Finger Lakes School of ber is 8 (i.e., a woman born you can change your mind abruptly 7. Ibid. Acupuncture and Oriental Medicine (FLS- on 1/23/1978 would use 1977, and often. You tend to be creative 8. Maternal Instinct meaning the expecta- AOM) and is in the process of earning her 1+9+7+7=24, 2+4=6, 6+4=10, and artistic. tion for new mothers to immediately doctorate of acupuncture (DAc) from Pacif- 1+0=1). • Essence colors: Greens - but bond with their child ic College of Oriental Medicine. She is passionate about spreading awareness of acu- the color is not as effective the 9. Heng Ou, Marissa Belger & Amely Gre- puncture’s viability in our healthcare system YOUR NUMBER IS 1 AND YOUR element. evan. (2016). The First Forty Days: The Es- and is dedicated to providing patients with ELEMENT IS WATER sential Art of Nourishing the New Mother. Stewart, Tabari & Chang: ABRAMS Press., the highest standards of care. Lauren spe- You are flexible, yet focused and cializes in acupuncture for women’s health, continued on page 34 “Maternity Leave Around The World.” determined. You’re empathetic, artistic, Chapter 2. especially postpartum care.

30 SPRING 2018 Oriental Medicine • www.PaciﬁcCollege.edu OPIOID ADDICTIONS AND PAIN MANAGEMENT continued from page 28

BENEFITS OF ACUPUNCTURE IN own research supporting the use of epinephrine, endorphin, serotonin, effect sizes in comparison to no CASES OF OPIOID ADDICTION acupuncture in addiction rehabilita- norepinephrine, and dopamine.” acupuncture controls were 0.55 The California Highlands Ad- tion, citing its widespread use in U.S. Utilizing a holistic and multifac- SD (95% CI, 0.51-0.58) for back diction Treatment center cites the and Indian military units; U.S. and eted practice such as acupuncture and neck pain, 0.57 SD (95% CI, following observed acupuncture European prisons and psychiatric provides palpable benefi ts over 0.50-0.64) for osteoarthritis, and benefi ts: hospitals; and other facilities. using a drug or synthetic additive 0.42 SD (95% CI, 0.37-0.46) for • Reduced drug cravings and with- Use of acupuncture is rapidly to treat maladies. Drugs may be chronic headache. drawal symptoms expanding and gaining ground as hindered by any number of infi ni- • In all analyses, true acupuncture • Lessened pain a respected and effective treatment tesimal variations that exist within was significantly superior to no • Improved sleep method for addiction sufferers. the patient and could also cause acupuncture and sham acupunc- • Supported physical and emo- a host of unpleasant or dangerous ture controls.” tional healing Chapter 3: New to Acupuncture: side effects. How It Works Acupuncture has been applied to A white paper co-produced by WHAT CAN ACUPUNCTURE BE USED the following symptoms and condi- six organizations of acupuncture or According to the Journal of FOR? tions, among others: traditional Chinese medicine (TCM) Natural Longevity, “Stimulating acu- Acupuncture has quietly built • Mental health and psychological titled “Acupuncture’s Role in Solv- puncture points spurs the release of a precedent and successful track conditions (including anxiety, ing the Opioid Epidemic” revealed a substance called nitric oxide (NO) record among widely varied applica- stress, and depression) widespread usage of acupuncture in at the acupuncture site. NO, in turn, tion types around the globe over the • Headaches and migraines addiction treatment. signals the release of natural pain- past several hundred years in both • Back, neck, and shoulder pain It cited more than 1,000 treatment killers in your body. NO also dilates Eastern and Western settings. • Joint pain centers across the United States and your blood vessels. Subsequently, • According to JAOTF, “Acupunc- • Insomnia Canada that currently utilize acupunc- blood pressure is lowered, and blood ture has been shown to be effec- • Arthritis and osteoarthritis ture in their rehabilitation programs. fl ows more freely.” tive for treating various types of • Pregnancy pain Acupuncture treatment is relatively Forbes magazine describes acu- pain, with the strongest evidence • Sciatica inexpensive, portable, and low-thresh- puncture this way: “Acupuncture around back pain, neck pain, old, making it easy to use in a variety has many benefi ts, including stress shoulder pain, chronic headache, FINDING AN ACUPUNCTURIST of contexts that range from clinics to reduction and pain relief; however, and osteoarthritis. Individuals interested in fi nding an prisons, rehab centers, in- and outpa- psychologically, acupuncture is • In an individual patient meta- acupuncture practitioner have a num- tient facilities, and more. also reported to increase the levels analysis of 17,922 people from ber of resources available to them: The National Acupuncture Detox of various chemicals in the central 29 randomized controlled trials Association (NADA) published its nervous system — enkephalin, (RCTs), it was concluded that the continued on page 35

G OLDEN FLOWER CHINESE HERBS

Safe. Effective. Quality you can trust. Staying Grounded in Turbulent Times Health-wise and in all other aspects of life, the most effective way we have of staying grounded is by tonifying the Earth element— supporting our center. Supporting digestion improves not only our ability to assimilate food, but also allows us to assimilate our life experiences. Here are a few of the formulas we suggest to help you and your patients strengthen the center: Earth-Harmonizing Formula (He Tu Pian) Six Gentlemen Formula (Liu Jun Zi Tang) is the treats chronic disharmony between Earth and Wood most popular formula worldwide for supplementing when the liver habitually invades the stomach. It is the qi of the middle burner. As a safeguard against regulating, harmonizing, cooling, and nourishing. the qi stagnation that can develop from tonifying qi, Ginseng Nourishing Formula (Ren Shen Yang Six Gentelmen Formula contains herbs that resolve Ying Wan) roots the emotions while supplementing phlegm and circulate the qi. the middle burner. It nourishes blood and the heart, Shu Gan Formula (Shu Gan Wan) treats acute supplements qi and calms the spirit. It is used for instances of Wood invading Earth, especially when people with qi and blood deﬁciency who also can there is pronounced discomfort. beneﬁt from anchoring their shen.

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Oriental Medicine • www.Paciﬁ cCollege.edu SPRING 2018 31 RETROSPECTIVE: Paciﬁc Symposium 2017

ozens of states, as well as spired by brilliant charismatic speak- nations from around the ers, gaining new insights, sampling D world, were represented at new offerings from vendors, and Paciﬁc Symposium 2017. This world- CEUs or PDAs; it’s about making new class conference brings acupunctur- friends, and meeting your Facebook ists, medical doctors, students, and friends in person… and of course professors together to exchange cut- there’s no medicine like old friends. ting-edge knowledge at the beautiful Don’t miss this year’s Paciﬁc Sym- Catamaran Resort in San Diego, Cali- posium 2018, from October 23 – 30. fornia. It’s about more than being in- OM

32 SPRING 2018 Oriental Medicine • www.PaciﬁcCollege.edu RIPPLES IN THE FLOW: NAN JING PULSE TEACHINGS continued from page 10

jing mai/channels/network ves- treatment strategies to correct the loss cape’ and appear in another phase. a pulse system that is clearly ex- sels and zang-fu/viscera/bowels of equilibrium with the self, time, and This means that one finds the qual- plained and defined in the process. 臟腑 are now seen to be signs of disease the environment. ity (wiry, relaxed, replete, vacuous, In further chapters, we will describe when appearing in positions associ- In the Nan Jing, evils are not soft) associated with a phase in a further dimensions that are available ated with other channels, viscera/ necessarily seen as contracted from position associated with another in Nan Jing pulse diagnosis as the bowels and their associated qualities. the exterior, but also from within the phase. For example, sometimes the foundation for treatment. OM It is a form of ‘dislocation’ of quali- viscera and bowels themselves, and middle position on the right wrist ties appearing outside of their normal transmitted via the five-phase cycle will be wiry, while it will be relaxed positioning in the mind/body dynam- between each other. The root concept on the left wrist in the middle posi- REFERENCES tion. This means that liver qi has vi- ic. This is congruent with the general here is that any excessive influence 1. Unschuld 2016: 121-122 tendency in Chinese medicine for from a viscera or bowel that ‘over- olated the spleen, and has ‘vacated’ qualities to belong to certain phases flows’ its area of influence, or any its normal position. If the left hand 2. Unschuld and Tessenow 2011: 218 and stages, in a certain progres- depletion of a viscera or bowel (or its middle position is vacuous or soft, sion through time and space. When associated channel) is ‘ xie/evil’ in this is often a sign of liver disease. 邪 Z’EV ROSENBERG, LAc, began his studies these changes happen in an orderly and of itself. If the balanced, normal The practitioner needs to apply of Chinese medicine in the early 70s, with manner, health and equilibrium are functioning of the visceral systems is five-phase theory using the 五 studies in macrobiotics, shiatsu, and was maintained. When the normal cycles disturbed, it may lead to systematic wu shu xue/five transporting points, introduced to the theory of Chinese medi- of visceral function are disturbed, disharmonies or disease. As within along with seasonal considerations, cine at that time by Michael Broffman, LAc. disease results. families, or social groups, compensa- to ‘recover’ the qi and bring it back He holds degrees from Santa Fe School of The Nan Jing is based on a dy- tory behaviors are common, where to its original position. This situa- Natural Medicine, Kushi Institute, South- namic model that is appropriate for the weak individuals, overbearing strong tion may also be affected by 氣 west Acupuncture College, and Emperor’s complex illnesses we now confront in people, or highly dysfunctional peo- shi qi/seasonal qi. In other words, College of Oriental Medicine. Z’ev has lec- clinical practice. The ability to perceive, ple all adapt behavioral strategies in liver qi tends to be more replete in tured widely both to the public and to stu- diagnose and treat subtle changes in order to maintain a seeming harmony. the spring time, so a wiry pulse in dents of both Chinese medicine and mac- the equilibrium of the bodily systems As Kato Bankei, a Japanese com- summer time in the heart position robiotics over the last twenty-five years. He with subtle stimuli from filiform nee- mentator on the Nan Jing states, each means that evil qi from the liver has is the former president of the Acupuncture dles, moxa wool, or herbal medicines section of the pulse (inch, bar, cubit) attacked the heart. Association of Colorado, where he spear- is a cutting-edge dynamic applied to may show that the qi of one channel, This chapter explains some of headed a successful drive to the registra- the human body and mind. The text viscera or bowel may ‘invade’ or enter the sophisticated diagnostic and tion of acupuncture practitioners in that provides several conceptual models for another position, causing disease. clinical strategies that are unique state. He also maintains a private practice observing the flow of bian/changes Abnormal pulses may indicate to the Nan Jing as THE classic of in Chinese internal medicine, specializing in the human systems dynamic, and that the qi of one phase may ‘es- five phase acupuncture, based on in autoimmune disorders.

3030thth 20182018 October 23 - 30, 2018 San Diego, California

Ted Kaptchuk Misha Cohen Andy Ellis Kiiko Matsumoto JulieAnn and Andrew Nugent-Head Chad Conner Whitfield Reaves Guohui Liu Mark Kastner Subhuti Dharmananda East Haradin Sarica Cernohous Peter Deadman Holly Guzman Robert Nations Felice Dunas David Bomzon and Avi Amir Bill Helm Roger Jahnke Andrew Gaeddert

Keynote by Paul Chek of C.H.E.K Institute and other special friends!

To Find Out More Information: www.PacificSymposium.org

Oriental Medicine • www.PaciﬁcCollege.edu SPRING 2018 33 Warming Winter Goji Adzuki Porridge

By DR. JAMIE KOONCE, DACM, LAc, DiplOM

Here’s what you’ll need: • 1 tsp cinnamon duce to a simmer. Cooking time will (or rice) protein and stir until evenly • a stainless steel saucepan • ½ inch slice fresh ginger, vary depending on whether you are distributed. Next, add the coconut • water (preferably spring water chopped using an electric or gas stove, climate butter, cacao nibs, cinnamon, ginger, or reverse osmosis water with • 1 tbsp coconut butter and humidity, and other factors. Just and Himalayan salt. If you prefer a added ionic minerals) • optional: 1 tbsp raw cacao nibs cook the beans until they are soft sweeter ﬂavor to your porridge, add • 1/2 cup adzuki beans, soaked • optional: berry flavored liquid and tender, making sure to stir oc- a few drops of liquid stevia or a cou- overnight (makes 2 servings) SweetLeaf stevia or 2 tsp coconut casionally so they cook evenly and ple of teaspoons of coconut sugar. • vanilla flavored Jay Robb’s whey sugar adding water when needed to prevent (Note: if you add too much stevia, protein or Sunwarrior Warrior scorching the beans. When the beans the mixture will start to taste bitter.) Blend rice protein After soaking the adzuki beans are soft and tender, remove from heat Add warm water if you prefer a • ½ cup frozen goji berries, thawed overnight, drain off the soak water and drain off any excess water. thinner consistency to your porridge. (or substitute dried goji berries and transfer the beans to your stain- Add the goji berries and stir un- Stir well and transfer into a heat-safe soaked overnight) less steel cooking pot. Fill the pot til the gojis are completely mixed in thermos for a healthy meal on the go! • 1/2 teaspoon Himalayan salt with water, bring to a boil, then re- with the beans. Then add the whey OM

IN YOUR ELEMENT continued from page 30

• Colors that feed you: Black and • Metal’s texture: Smooth, as are • Best location for sleeping: You are extremely active, some- blue the surfaces of metal when Southwest times to the point of being ill or • Element that feeds you: Water formed or heated burning yourself out. You are very • Wood’s shape: Rectangular, • Personal best direction: West YOUR NUMBER IS 8 AND YOUR passionate however; and you can be columns, patterns vertical or • Best location for sleeping: ELEMENT IS EARTH hot tempered. horizontal Northwest You are very stable; however, • Essence colors: Reddish like a • Materials: Trees, plants and fresh you can be stubborn. You are very flame, reds and purples, burgun- flowers YOUR NUMBER IS 7 AND YOUR youthful. dy, cranberry • Personal best direction: North ELEMENT IS METAL • Essence colors: Terra cotta, yel- • Colors that feed you: Green • Best location for sleeping: You are artistic, creative, socia- low, browns, and beiges • Element that feeds you: Wood Southeast ble, and talkative. • Colors that feed you: Red and • Fire’s shapes: Triangles, pyramids • Essence colors: White, gold, sil- purple and tall pointed shapes YOUR NUMBER IS 6 AND YOUR ver, copper, reflective colors and • Element that feeds you: Fire • Materials: Candles, the color red, ELEMENT IS METAL pastels • Earth’s shape: Square, low ob- full-spectrum lighting, candles, You are a natural-born leader • Colors that feed you: Earth tones, jects associated with the feeling lamps, and night-lights and authority ﬁgure. However, you browns, yellows, cream of stability • Personal best direction: East can be headstrong with very strong • Element that feeds you: Earth • Materials: Large-scale furnishings, • Best location for sleeping: South masculine energy. • Metal’s shape: Oval, arches, sand, clay, ceramics, marble, OM • Essence colors: White, gold, sil- round granite, river rocks, crystals, ado- ver, copper, reflective colors and • Materials: Rod iron, steel and be brick, and stucco AMANDA COLLINS is a feng shui expert pastels copper, any objects made of • Personal best direction: for the International School of Feng Shui, • Colors that feed you: Earth tones, metal Southwest a Yoga teacher, a singer-songwriter, and a browns, yellows, cream • Metal’s texture: Smooth, as are • Best location for sleeping: spiritual guide who leads people on jour- neys around the world, their own homes • Element that feeds you: Earth the surfaces of metal when Northeast and most essentially, their internal land- • Metal’s shape: Oval, arches, round formed or heated scape. She also teaches the Paciﬁc Center • Materials: Rod iron, steel and cop- • Personal best direction: YOUR NUMBER IS 9 AND YOUR for Lifelong Learning’s online Feng Shui per, any objects made of metal Northwest ELEMENT IS FIRE Master programs.

CROSSING THE BARRIER: APPLYING TCM FOOD THERAPY TO AMERICAN CUISINE continued from page 26

the country. It is slightly warmer persons with cold extremities. Goat is ing and providing for yourself. If from our memories. With their than beef, and is quite delicious. great for everyone once a week dur- you live in an area where hunting disappearance, so too is gone the Lamb, which is even more warming the cold months, and is great to is common, check with your local warmth our spirits so desperately ing than beef and buffalo, is great have more frequently for those suf- butchers, as they often keep por- need. Enjoy revisiting and reviving for dispelling cold, and is the perfect fering from the shivers and has trou- tions of the animals as their pay- the warmth and nourishment of our meat for the elderly, and for anyone ble staying warm through the winter. ment and then offer the fresh meat ancestors! who has a difﬁcult time staying warm Goat is pastured, by law, and tends for sale. As my former roommate Den- during these cold months. to be a bit tough. Great for long Surround yourself with the nis Reid liked to say, “what you put **A great mint-rubbed leg of roasts, and the perfect meat for stews warmth of food, friends, and fam- out in the world goes out and makes lamb recipe from my ﬁrst published and soups. Make sure to cook it long ily to help stave off the cold of the friends and comes back to visit you”. article, which is a fabulous recipe enough to get it nice and tender. coming months. Really take some I hope that this winter season brings for Christmas dinner, is available Deer and Caribou, both even time to be intentional about prop- back all the love and intention you here: http://nuherbs.com/resources/ more warming than lamb, are bor- erly nourishing yourself, both with have put out into the world and re- crossing_march derline hot. Perfect meats for those some TLC, and on your plates. And visits you in these coming months Goat, which is even more warm- living in areas where these animals best of all, have some fun exploring with love and warmth manifold! ing than lamb, is very quick at dispel- are native. If you are a hunter, now the vast array of winter meats and ling cold, and is the perfect meat for is the time to think about hunt- meals that have all but disappeared continued on page 36

34 SPRING 2018 Oriental Medicine • www.PaciﬁcCollege.edu OPIOID ADDICTIONS AND PAIN MANAGEMENT continued from page 31

• The National Certification Com- that may be employed to comple- mission for Acupuncture and ment or enhance the effectiveness of Oriental Medicine (NCCAOM) acupuncture vary by practitioner. provides a complete directory Acupuncture can provide a low- Head Start! of licensed acupuncture practi- threshold, safe, and effective treat- tioners who have been certified ment method for a wide variety of by the NCCAOM. This is not an ailments. Acupuncture is quickly exhaustive list of all licensed gaining traction as an alternative to acupuncturists but does catalog conventional pharmaceuticals and those who have received NC- could change the medical landscape CAOM certification. over the coming years. OM • The Acupuncture Now Founda- tion (ANF) has compiled a list of several other helpful acupunctur- SOURCES: ist directories that may provide additional results. https://acudetox.com/phocadownload/Re- search_Summary_2013%20(2).pdf • Acupuncture Today also provides https://acupuncturenowfoundation.org/wp- users with a searchable database content/uploads/2016/01/Joint-Acupunc- of acupuncture professionals, al- ture-Opioid-Task-Force-CDC-Submission-. lowing searchers to filter by loca- pdf tion, gender, college attended, http://www.asacu.org/wp-content/uploads/2017/09/Acupunctures-Role-in-Solv- services provided, and more. ing-the-Opioid-Epidemic-_Final_Septem- ber_20_2017.pdf ACUPUNCTURE CERTIFICATIONS https://www.asam.org/docs/default-source/ In order to find a qualified acu- advocacy/opioid-addiction-disease-facts- puncturist, new acupuncture clients figures.pdf http://www.bbc.com/news/ world-us-canada-41701718 should look for specific certifications https://www.cbsnews.com/news/more-than- to identify levels of training and ensure one-third-americans-prescribed-opioids- quality of services. There are minimum in-2015/ requirements for licensure, which vary https://www.cbsnews.com/news/opioid-fen- by state. Additional certifications, how- tanyl-overdose-deaths-us-life-expectancy- drops-for-second-year/ ever, are available to practitioners to https://www.cdc.gov/drugoverdose/epidemic/ increase their levels of training. index.html Full Kit with 387 • The NCCAOM provides acupunc- https://www.cdph.ca.gov/Programs/CCDPHP/ turist certification and is the “only DCDIC/SACB/CDPH%20Document%20 real herb samples ( 12 binders ) national organization that vali- Library/ChangingCourse_HealthPlansOpi- dates entry-level competency in oid06292016.pdf the practice of acupuncture and https://www.cnbc.com/2016/04/27/americans- consume-almost-all-of-the-global-opioid- -or- Oriental medicine (AOM) through supply.html professional certification.” http://www.cnn.com/2017/10/26/politics/donald-trump-opioid-epidemic/index.html Just In addition to the above re- http://datacenter.kidscount.org/data/ sources, other organizations and tables/99-total-population-by- the cards child-and-adult#detailed/1/any/fal geographically specific associations se/870,573,869,36,868/39,40,41/416,417 can help provide assistance in choos- https://www.drugabuse.gov/about-nida/ ing professional and well-trained legislative-activities/testimony-to-con- acupuncturists from whom to accept gress/2016/americas-addiction-to-opioids- treatment services. heroin-prescription-drug-abuse https://www.drugabuse.gov/related-topics/ trends-statistics/overdose-death-rates WHAT TO EXPECT FROM ACUPUNC- https://www.forbes.com/sites/toriut- TURE TREATMENT ley/2016/06/24/the-role-of-acu- • During a first visit, an acupunc- puncture-in-the-midst-of-the-opioid- turist will often ask for profiling crisis/#7b2b992a537c and historical health information https://www.journalofnaturallongevity. com/2017/09/15/acupuncture-pain-relief/ to most effectively design a treat- https://www.mayoclinic.org/diseases- ment plan. conditions/prescription-drug-abuse/ • Depending on an acupuncturist’s symptoms-causes/syc-20376813 preferred modes of treatment, http://www.medicalacupuncture.org/ some may utilize electroacupunc- http://www.medicalacupuncture. ture, moxibustion, or other forms org/For-Patients/Articles-By- Physicians-About-Acupuncture/ of complementary TCM. NCCAM-Acupuncture-Information • The Cleveland Clinic describes https://www.nature.com/articles/aps2006173 the sensation of being treated https://www.ncbi.nlm.nih.gov/pmc/articles/ with acupuncture needles as be- PMC3796320/ ing somewhat akin to a “slight https://www.ncbi.nlm.nih.gov/ prick.” But the feeling is different pubmed/24412033 Mayway’s Herb ID Kit is the perfect study tool for learning than an injection, because the http://www.nccaom.org/ herbs. Buy ten or more sets and save $20 per kit! find-a-practitioner-directory/ needles used in acupuncture are https://nccih.nih.gov/health/acupuncture/ much thinner. After insertion, pa- introduction tients often describe a feeling of https://www.nytimes.com/2016/06/11/your- numbness or tingling at the inser- money/prescription-drug-abuse-among- tion site. older-adults-is-harder-to-detect.html?_r=0 https://www.whitehouse.gov/sites/whitehouse.gov/files/images/The%20Underesti- The length of the appointment, mated%20Cost%20of%20the%20Opioid%20 the suggested duration of care, and Crisis.pdf Real Chinese Medicine Since 1969 various other methods of treatment https://wonder.cdc.gov/

Oriental Medicine • www.PaciﬁcCollege.edu SPRING 2018 35 CROSSING THE BARRIER: APPLYING TCM FOOD THERAPY TO AMERICAN CUISINE continued from page 34

Merry Christmas, Happy Hanuk- OR and the second on low for 4 hours. kah, and a Happy New Year to you, 4 large meaty marrow bones From there, it should switch automat- my friends and readers! OR ically to “warm”, and will be ready at 4 pounds of ribs all times to eat. Perfect for breakfast RECIPES REVISITED: OR the next morning. Popcorn: http://nuherbs.com/ Any combination of the above resources/crossing_september ROASTED CHRISTMAS DUCK OR Mint-Rubbed Leg of Lamb for **Can be made from lamb, goat, GOOSE Christmas Dinner: http://nuherbs. deer, or caribou as well. Especially Good For: com/resources/crossing_march Duck and goose are commonly Vegetables: hunted, and in many parts of the OXTAIL SOUP Carrots country can be found in the meat de- Especially Good For: Celery partment (farm-raised) of your grocer This is a staple in my home as Potato or sweet potato or at a butcher’s shop (either farmed soon as the weather starts cooling Cabbage (my favorite!) or hunted). If you can get your hands down. I make it in a crockpot so that Onions on one from a friendly hunter, or are it is always ready, and makes for a Garlic a hunter yourself, I highly recom- great breakfast food or snack, as it Any beans mend keeping your eyes to the sky for 7. Roast the duck for up to 3 hours takes little to no effort since it will Any squash or pumpkin one of these delicious birds. or until no fat remains and the be already made and warm and is Any mushrooms Ducks and geese were common skin is crispy and brown, turning just waiting to be ladled into a bowl. favorites of hunters, and still are to the duck over every 30 minutes. Makes for a great main course for **Herbs that can be added: this day in the areas that you can Basting the duck with the juices dinner as well. Ren Shen/Ginseng, either Red, hunt them. No longer widely com- may help to release more fat Any meaty marrow bone or cut White, or American—3 or 4 pieces mon today, in years past, they were whilst cooking, although this is of ribs can be used to make this dish, Shu Di Huang—3 or 4 slices also kept alongside chickens for their not necessary. but using an oxtail gives the added Gou Qi Zi/Goji Berries—1 to 2 eggs as domestic birds. Every Christ- 8. Once the duck is cooked, remove it benefit of strongly strengthening the large handfuls mas, one would end up on the dinner from the oven and transfer it onto a Spine, as it is literally an appendage Huang Qi/Astragalus—1 large table. They are absolutely delicious, carving board. Let it rest for 15 min- of the ox’s spine. Marrow bones, of handful and their fat can be reserved for use utes before carving and serving. course, also strengthen the Kidneys Kombu/Kelp/Seaweed (great for to make the most delicious fried eggs, and jing, as marrow is jing. the Kidneys)—1 to 2 large pieces sautéed vegetables, or French fries. **The savory juices will taste This is the perfect dish for a staple In France, it is traditional to pan-fry great over mashed potatoes. throughout winter as it is a great dish You’ll also need: potatoes in duck fat, and they are **You can also reserve all the for your Kidneys, warming and toni- Mirin/Japanese rice cooking wine the most delicious potatoes you’ll ever juices in a container and place it in fying the water element. My room- Soy sauce come across! Pan-fried duck fat pota- the fridge. The fat will separate from mates love stealing a bowl of it, and Guinness or another dark beer or toes are a favorite of my mother’s! the liquid, and can be removed and always comment on how it makes water, to cover Duck and goose fats are also very stored in a separate container. Make them feel really rested, as well as help- easily digestible, and also greatly sure to store it dry, so any remaining ing them to get really deep sleep. Just Directions: nourish the skin and elasticity of it, liquid does not cause it to spoil. a cup of the broth also makes for a 1. Heat your oven to 450° F as the fat from these birds is literally u This fat can be used to make great warming drink and does won- 2. In an iron skillet or oven-safe pan, coming from their thick layer of skin. French fries, fry an egg, or sauté veg- ders to boost a sluggish body out of roast your meaty bones one or **Ducks tend to be smaller, and etables, and will add the most deli- exhaustion. two at a time until they are brown geese a bit larger. Take this into ac- cious flavor to whatever you cook! It generally takes me, if I’m eat- and very fragrant, and then trans- count when buying them, as you may u The remaining liquid that sepa- ing it solo, 2-3 days to finish. I leave fer to your cooking pot. need 2-3 depending on the number of rated from the fat can be used to it in the crockpot the entire time. 3. With the last batch of bones, people you’ll be feeding. flavor just about anything, and will It will not go bad, and the flavor will when finished, cover in a gen- add a rich, meaty taste to mashed po- continue to develop as it continues to erous amount of mirin and soy Ingredients: tatoes, or cooked with rice to make a stew on the “warm” setting. If making sauce. The more you use, the 1 large goose or 2 ducks delicious rice dish (my favorite!). OM it on the stove it can, of course, be re- more depth of flavor your soup Sea salt frigerated if not all consumed in one will have. Simmer down the liq- Pepper, freshly cracked sitting. But if you’re making it in a Paprika uid a little bit, and make sure to EDITOR’S NOTE: The complete crock-pot, I highly recommend letting use a wooden spoon to loosen all references can be found online it sit and continue to develop until the the great meaty stuff that sticks to u Mashed potatoes or oven-roasted at https://www.pacificcollege. last bite. It really is magical! the pan—you want this for flavor. carrots and potatoes make a great edu/news/blog/2018/02/13/ This is not a difficult recipe to Transfer all of it to your cooking side dish. crossing-barrier-applying-tcm- make, and there are infinite varia- pot. food-therapy-american-cuisine tions of how you can make it. Be cre- 4. Add your sliced vegetables of Directions: ative with each batch and make this choice and any herbs you’d like 1. Preheat the oven to 375°F style of a meal a staple through the to add in. (190°C). coming months, and enjoy! 5. Cover with dark beer or water. 2. Rinse the duck thoroughly, inside JK DELAPP has over fifteen years experi- 6. Set the timer on your crock-pot and out, under a cold running tap ence as an herbalist, with five years of Ingredients: and let it cook all night long. and pat dry with a paper towel. formal education in Chinese Medicine & **Every crockpot or pan is differ- 3. Pierce the skin of the duck all East Asian Medical Herbalism from Pacific ent in size. I’ll let you eyeball all the **I like making a batch of this in over with a cocktail stick, fork, College of Oriental Medicine-San Diego amounts of the ingredients to fit your the evening, or before going to bed, as or a thin bladed knife, at 1-inch (PCOM-SD). He has spent time working in cooking needs, so I will just mention it will take all night to cook. It’ll need intervals. three hospitals in Shanghai and is currently in private practice in metro Atlanta. While the ingredients and leave the specific the long, slow cooking time to tender- 4. Rub salt, pepper, and paprika into pursuing his Diploma of Oriental Medicine amounts up to you. Remember— ize the meat, as the cuts that are used the skin of the duck, inside as from PCOM-SD, JK was exposed to the an- there is no right or wrong on this for this are usually a bit tough to eat well as outside. cient world of herbal medicine, perfume, recipe! outside of stewing. If making it on the 5. Position the duck on a rack incense, and the global spice trade. It was stove, just set it on low and let it cook placed in a roasting tray, breast during this time that he formulated his idea for The Rising Phoenix Group, which is fo- **Organic and grass-fed meats or with the lid on all night, making sure side up. cused on making more naturally-minded game animals are best! there is enough liquid in there so it 6. Pour a few cups of boiling water aromatic products. He considers his ‘sweet wont dry out. If using a crock pot, set into the roasting tray and place spot’ to be the intersecting point of the fra- 3 pounds of oxtail the first round on high for 4 hours, into the preheated oven. grance, cosmetic, and medicine industries.

36 SPRING 2018 Oriental Medicine • www.PaciﬁcCollege.edu Chinese New Year: Year of the Earth Dog

elcome to the Year of the become part of the calendar, but that pursuits. Famous Earth Dogs include izing rebirth and wealth. Earth Dog! The Chinese only the first animals to arrive would Madonna, Tim Burton, Ice-T, Neil Great care is taken to set a good W Lunar New Year is one receive this honor. In each, the dog deGrasse Tyson, Michael Jackson, tone for the upcoming year. It is of the longest chronological records was second to last: rat, ox, tiger, rab- Bill Watterson, who illustrated Calvin believed that one’s behavior during in history, dating from the Zhou dy- bit, dragon, snake, horse, sheep, mon- & Hobbes, and Albert II, Prince of New Year’s can decide the mood for nasty, which ruled China from about key, rooster, dog, and pig. Monaco. the rest of the year; words that sound 1046 BCE until 256 BCE. The Chinese The 10-year cycle is an elemental Chinese New Year, also known like unlucky or undesirable events, calendar is a yearly one, with the one, in which each of the five ele- as the Spring Festival, is a lengthy such as death or poverty, are not to start of the year pegged to the cycles ments reigns for two years. The tu- holiday, lasting for 15 days. Prepara- be spoken. Arguments, crying and of the moon. Therefore, the begin- multuous 2-year reign of Fire has just tions usually begin about a month breaking things, and the scolding of ning of the year can fall anywhere ended. As fire forms earth, through before the New Year itself. Homes children are also taboo. During this from late January to mid-February. volcanoes and ash, now begins a are thoroughly cleaned to sweep time, it is typical to wear something This year it falls on February 16th. 2-year period of Earth, which will be away any traces of bad luck; altar red as the color is believed to ward Two cycles define the Chinese followed by Metal, Water, Wood, and decorations are often burnt and re- off evil spirits. Black and white are lunar calendar, one of 12 years and back around to Fire. placed, to send the deity back to avoided, as these colors are associ- one of 10. Those born in the year of the report on the past year. Doors and ated with mourning. Each of the 12 years is named af- Earth Dog often seem reserved, but windowpanes are given a fresh coat The New Year is a time to ex- ter an animal. One legend is that Lord have a gently persuasive manner and of red paint and hung with paper press appreciation for protection and Buddha summoned all the animals tend to achieve their goals quietly scrolls decorated with themes of hap- good fortune during the year. It is to come to him before he departed and with little pretense. Dogs are piness, wealth, and longevity, a prac- also a time of reconciliation when from the earth, but only 12 came to famously loyal, devoted to the cause tice believed to keep away evil spirits debts are paid and old grudges are say farewell; as a reward, he named of justice and fairness, persistent, and ghosts. Many Chinese homes easily cast aside. Although celebra- a year after each one in the order and serious. Generally they don’t also decorate with live, blooming tions of the Chinese New Year vary, they arrived. Another is that the Jade like to interfere in others’ lives or plants and flowers, such as peony the underlying message is always Emperor ordered that animals would affairs, preferring their own artistic flowers and kumquat trees, symbol- one of peace and happiness. OM

Oriental Medicine • www.PaciﬁcCollege.edu SPRING 2018 37 THE SIX ESSENTIAL PRINCIPLES OF AYURVEDA continued from page 25

and intellect. It is our power source Prajnaparadha also has deep of immunity, resistance to disease, esoteric meanings. Aparadha means protection from negativity, and ability to offend, to go against your true to recover once we have become ill. self-interest and away from love. Ojas is the condensed form of prana. It implies a sense of going against It is especially concentrated in the your deepest self-interest, wisdom, ovaries, testes, and heart, and can be knowledge, and love. This is denoted seen in the luster of the eyes. Stag- by the word radha within aparad- nation and toxicity will negatively ha—Radha is known as the god- impact the lymphatic system and in- dess of the full embodiment of love. terfere with the positive influence of Ultimately, aparadha is any unkind ojas. Cleansing, on many levels, sup- action against the self that causes ports health in the lymphatic system, harm to us or to others. Imbalance immune system, and ojas. manifests to the degree to which we ignore our innate wisdom. When we AMA continuously make choices from the Ama, the negative influence of place of negative habit, imbalance, toxins, can be externally generated, and lack of awareness, we perpetu- like pesticide on food, or internally ate various manifestations of addic- generated, such as improperly di- tion and disease. The practice of gested foods. Toxins cause cellular and weakens healthy digestive agni. experience—as the primary cause of cleansing and yoga helps to minimize damage to the blood vessels and When our digestion does not func- disease. Its cause can be due to an prajnaparadha.2 OM stagnation in our lymphatic system tion properly, internally generated external source. For example, young due to interfering with our prana, toxins further perpetuate deranged children intuitively know when agni, and ojas, within and around the prana, agni, ojas, and buddhi. In this they have had enough to eat. That REFERENCES 1 cells. When our cells are deprived of way, toxicity, or ama, is the cause of wisdom—their prajna—is disturbed 1 https://www.sciencedaily.com/releas- prana, they quickly oxidize, stiffen, disease. Clearing toxins, minimizing when they are routinely forced to es/2012/10/121030062007.htm, J. Can- and prematurely die. They lose their toxic exposure, and strengthening the finish the food on their plates and tin, S. Lacroix, J. Tardif, A. Nigam. 390 Does the Adherence to a Mediterranean innate intelligence (buddhi), their channels of detoxification are there- eating more than they want. This Diet Influence Baseline and Postpran- healthy DNA coding (agni), and fore essential components of any au- can create a habit that lasts a life- dial Endothelial Function? Canadian their ability to communicate with thentic health program. time. Prajnaparadha can also be Journal of Cardiology, 2012; 28 (5): S245 DOI: 10.1016/j.cjca.2012.07.367 other cells and tissues. When cells caused by the frequent consumption completely lose intelligence, they PRAJNAPARADHA of junk foods. Nutrient-poor, empty- 2 https://www.medscape.com/viewarti- cle/843017 Anxiety and Depression Associ- become cancer cells—cells that have Prajna is our innate intuitive calorie, high-sugar foods confuse the ation of America (ADAA) Conference 2015. gone mad! Ama blocks the proper intelligence combined with the wis- body and brain. The stomach may Abstract 0.91. Presented April 10, 2015. functioning of the body’s innate dom that comes from experience. be full, but the hunger is not satis- intelligence. This then causes the Aparadha means to offend or to go fied as few real nutrients have been JONATHAN GLASS, MAc, is an Ayurvedic against. Ayurveda identifies pra- derangement of pranic flows. De- fed to the body. Regular junk food practitioner and author of Total Life Cleanse: ranged prana, when it moves into jnaparadha—offending, ignoring, eating leads to overeating and addic- a 28-Day Program to Detoxify and Nourish the digestive tract, disturbs digestion or denying our innate wisdom and tive food cravings. the Body, Mind, and Soul.

MICRO ACUPUNCTURE 48 continued from page 23

MA Points: Foot: SP-A/B, LR-A, microcurrent stimulation. Her vision KI-A, GB-A is stable, and she reports much less Hand: LU-A, HT-A, SI-A blurred vision (which was a result of Discussion: the retinal bleeding). JA presented with relatively mod- Micro Acupuncture can offer so erate-stage dry-type ARMD in her left much hope to so many in need. It is eye. She had great results with acu- our duty as doctors to help educate puncture, eye nutrients, essential oils, and treat this population in need. Sit- and Chinese herbs (mingmu dihuang ting around and waiting for conven- tang). She continues on these herbs tional research to come up with a so- and supplements. lution is disempowering and a poor JA continues to have clear vision strategy for these patients. Vision with minimal distortion, even years will continue to decline as people sit after she started therapy. Her case is a back and wait for modern medicine clear indication of how tremendously to save them. We can do something effective Chinese medicine can be for TODAY to help these people save dry-type ARMD. their sight! OM

LR-A, GB-A procedures and cortisone injections in CASE STUDY #2: ANDY ROSENFARB is a world-renowned Hand: LU-A, SJ-A, SI-A the past had stopped the retinal bleed- HH, 72-YEAR-OLD FEMALE expert in the ﬁeld of Chinese medical oph- ing. Shell moxibustion was used over thalmology and teaches Micro Acupuncture Discussion: the right eye in an attempt to help the 48 regularly in both the US and abroad. He Western Diagnosis: wet-type is also an executive council member of the ARMD HH has wet-type ARMD in her frequent bleeding episodes. Acupunc- Specialty Committee of Ophthalmology, of Chinese Medical Diagnosis: right eye and dry-type ARMD in her ture, Chinese herbs (Qi Ju Di Huang the World Federation of Chinese Medicine. spleen and kidney yang weakness left eye. She has had a history of Wan), and eye supplements were used. Dr. Rosenfarb has published six books on chronic leaking and hemorrhaging Chinese medical ophthalmology and oph- with extreme damp accumulation thalmic acupuncture, including The Black and yin excess due to the overgrowth of blood vessels After one year of no reported Book of Micro Acupuncture 48. His clinical MA Points: Foot: SP-A/B, KI-AB, in her right eye. A few laser surgical retinal bleeding, HH began using practice is located in Westﬁeld, New Jersey.

38 SPRING 2018 Oriental Medicine • www.PaciﬁcCollege.edu