April 2018

April 2018

    The Office: The Energy Nonsense

    Notes

  • Not applicable.

 
 
 

    The Office: Insights From An MPD Cardiovascular Workshop – The Most Common Heart Pulse Shapes

    Notes

  • The most common pulse shapes in the Left Cun
    • Blocked pulse:
      • Rather than drawing a blocked heart pulse, write B1 or B2 or B3 in the cun position
    • Deep and pounding pulse:
      • Deep and pounding left cun indicates “craziness” (mental disorder, often bipolar disorder)
    • New mitral valve pulse:
      • Proximal cun position has a pulse, but on the distal area of the cun position you will feel a blocked pulse indicating a mitral valve problem/ pooling of blood in the atrium
      • Puts patient at risk for a stroke
  • Having a high volume clinic give you a great experimental pool, bc you can test hypotheses at 800-1000 people over the course of 2 weeks. That’s how Robert Doane and his team come up with new pulse and herbal advancements
    • Weak pulse:
      • Easy to become emotional, patients are generally weak and tired
      • Draw a weak pulse by a valley-shaped line below a thin line
    • Deep but clearly palpable pulse:
      • Start of a congestive heart (preclinical) but patient will have symptomatology like fatigue, anxiety, insomnia
  • Strengthen this pulse with diuretics

 
 
 

    The Office: 5 Reasons Why You Lack Confidence As A TCM Specialist & How To Overcome Them

  • Most Chinese medicine practitioners show a tremendous lack of confidence in what they are doing, especially when confronted or together with Western pati medicine practitioners.
  • Reason #1: The first reason for the lack of confidence is the energy model. There is no historical basis for it in the classics, it does not intellectually make sense, so patients will not feel confident in what you do or how you explain what you do. The patient will pick up on your uneasiness/ lack of confidence and will not buy your treatment plan or trust you as a specialist.
  • Therefore provide a physiological pain model of the mechanisms of acupuncture.
  • Reason #2: You don’t provide a physiological explanation of how the medicine works. Don’t go into the weeds of neurophysiology, but give the patient a brief explanation of a physiological pain model that you feel comfortable with/ what the latest studies claim to have found. Speak in the patient’s language, so use modern, biophysiological terms, not energy concepts. How I usually explain it in the following way:
    • Acupuncture has a vasodilatory effect on the area of pain and therefore increase blood flow into the targeted area.
    • The needles stimulate the midbrain to do the vasodilation.
    • The body has corrective mechanisms. Chronic pain is not natural to the human body. Your ’shoulder’ should have been healed a year ago by your own body. When an area is injured, the brain will vasodilate the arteries feeding nutrients and oxygen into the damaged area, so that it can heal quickly.
    • In your case that mechanism is not working right. This mechanism is conducted mainly by the midbrain. I stuck needles in you that ’share the same real estate’ in your midbrain and cerebral cortex as your shoulder. I am stimulating neural responses in the brain that are related to your shoulder. This increase forces the brain to wake up and do it’s job which is to increase the release of your body’s own natural painkillers as well as to vasodilate the arteries of your shoulder area, so it gets nutrients and can heal.
  • This will usually suffice. You don’t need a PhD in physiology to explain this model (it is just a model after all). Don’t use the energy model. You feel weak and the patient thinks you are stupid.
  • Reason #3: Realize that we, as TCM specialists, can treat the number one cause of death in the world effectively, which is cardiovascular disease.
  • With TCM herbs and acupuncture we can have a dramatic effect on atherosclerosis and arteriosclerosis. Thermoscan and PET scan studies show this. Atherosclerosis develops over time (at birth already the intima makes adaptive changes such as thickening; in later stages of atherosclerosis the typical lesions develop, which can be calcified or non calcified until they eventually rupture and thrombosis occurs). Being able to successfully treat and furthermore prevent cardiovascular disease is something to feel very confident and very proud of!
  • Reason #4: 90% of chronic pain is neuropathic pain, and acupuncture is the treatment of choice! Only 10% of chronic pain is structural in nature and require surgery. Acupuncture, especially DNA has a great effect on neuropathic pain, because it treats the underlying problem of chronic neuropathic pain, which is the lack of painkillers release (enkephalins etc), which seems to be due to insufficiently strong proprioceptive input (weak signal strength leads to chronic pain cycles). We can be very proud that we can treat chronic pain very very well.
  • Reason #5: We have the right approach to diet and weight loss – which is based on ancient food guidelines which have proven themselves over thousands and thousands years. We know that eating high amounts of fat and protein and minimizing carbohydrate intake is the ticket to gaining and maintaining overall health and a healthy weight.
  • Our instruction is the opposite of what the MDs are doing. They turned ‘everybody’ into a diabetic by telling them to not eat meat and fat, so the only thing that is left is carbohydrates. Constant high levels of blood sugar cause constant insulin release, which means overtime our cells don’t respond to it anymore, which means over time we become diabetic.For these reasons there is no real reason to be insecure about what you are doing!!!
  • But we have rarely if never been taught this at TCM schools, but it is changing now!
  • DNA-based acupuncture is exploding!
  • Cheer up, get confident and go out there and help people!!!

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