June 2017

June 2017

June 2017

    The Office: DNA – Live Case-Study: Middle Back Pain

  • Needle along the DU channel along DU 20 to DU 17 ish for spine-related (scoliosis) problem
  • Needle HT 8 to HT 4 ish for spinus erectus problem
  • Explanation advantage distal vs local needling

 
 
 

    The Office: Special – MPD & Preclinical Heart Failure

  • A recent sub-study of Framingham Heart Study (below) found 60% of the population have “preclinical heart failure”
  • Study references:
    • https://www.sciencedaily.com/releases/2016/07/160706172037.htm
    • https://www.bumc.bu.edu/busm/2016/07/06/preclinical-heart-failure-is-more-common-than-you-think/
  • From MPD (irregularities left cun) we found this for the last 20 years in this clinic
  • From a western point of view the aberrant pulse presentations in the left cun could mean the following:
    • Various degrees of coronary blockage/ coronary artery disease of small or large coronary arteries
    • Bundle branch block or other electrical heart problems
    • Valve problems
    • Vasospasm of coronary arteries
  • From years of experience and matching patients reports who underwent modern cardiac testing with MPD findings, we argue to have found the following about the left cun area:
    • If pulse is stage 3 blocked (completely blocked sensation): narrowing of small coronary arteries (blockage)
    • If there is a “pulse within a pulse”: coronary artery vasospasm
    • If there is a positive Large Vessel Pulse (pen-tip): narrowing of large coronary arteries
    • If there is a positive Mitral Valve Pulse: heart valve disease (mostly mitral)
    • If there is a substantial (pounding) Distal Styloid Pulse: hypertrophy of ventricle walls
    • If the distal half of the Cun position is blocked: blood pooling in the atrium (usually due to a valve problem)
    • If the medial half of the Cun position is blocked: insufficient blood flow to the medial aspect of the myocardium
    • If the lateral half of the Cun position is blocked or more dominantly blocked: insufficient blood flow to the lateral aspect of the myocardium
  • The MPD Cun position is right on acupoint Lung 9 with the finger-pad turned distally
  • Pay attention: there are 3 branches of the radial artery (from the bifurcations of the radial artery around the styloid process), which in TCM terms make up the Cun artery (middle), the Yin Wei artery (medial) and the Yang Wei artery (lateral), all running right next to eachother in the “Cun valley”

 
 
 

    The Office: DNA- Advanced Imaging For Lower Back Pain

  • 1st line imaging: needle onto the lower abdomen (10-15 needles) on the same level where the pain on the lower back is, spread the image
  • Later in your treatment visits, you will not need this step, but do it in the first few treatment sessions
  • 2nd line imaging: needle into the joints around the ankle (around the external, internal malleolus) to target joints and ligaments of vertebral structures, so place needles into joints
  • Highly recommended: needle into the space/joint around KD 6 and UB 60
  • 3rd line imaging: LU, KD and UB to treat muscle groups associated with lower back pain, e.g. LU5-LU 9/10, UB 40-UB 61ish

 
 
 

    The Office: MPD & Cardiovascular Diseases

    Left Cun:

  • Proximal Cun Pulse (Distal Styloid Pulse): Ventricles (the proximal aspect of the “Cun valley” towards the radial styloid process)
  • Distal Cun Pulse: Atria (the distal aspect of the “Cun valley” towards the scaphoid)
  • You will often feel a pronounced Proximal Cun Pulse, but a blocked Distal Cun Pulse. This usually indicates pooling of blood in the atria (often due to mitral valve prolapse, especially when it coincides with a positive Mitral Valve Pulse)
    • Pxs may experience FAD (fatigue, anxiety, depression)
    • Pxs at risk for stroke (form pooled atrial blood)
  • Obese people with mitral valve prolapses often have enlarged ventricle walls, which will manifest as a (pounding) hardened Distal Styloid Pulse, which expands onto your finger pad, as you lift the finger from a deeper to a superficial depth.
  • Small or large coronary artery narrowing: complete blocked pulses throughout the entire “Cun valley” (ischemic), accompanied by chest pains, anxiety, depression, insomnia, fatigue
  • TCM treatment strategies for these types of cardiovascular issues:
    • Vasodilators
      • Chuan Xiong
      • Dang Gui
      • Sheng Ma
    • Blood movers
      • Dan Shen
      • Dang Gui
      • Yu Jin
      • Mao Dong Qing
      • Jiang Huang
    • Diuretic especially for water retention in the chest
      • Gua Lou Xie Bai Ban Xia Tang
    • If there is enlarged, hardened ventricle and or the vessel walls of the radial artery feel hardened, add
      • Kun Bu
      • Hai Zao
    • If there is high blood pressure, add/change vasodilators to:
      • Mu Dan Pi
      • Hu Zhang
      • Cha Chi Huang
    • If heat in the heart accompanies the pulse, add
      • Huang Lian
      • Chi Shao
      • Yu Jin
      • Dan Shen
    • If px suffers from pronounced insomnia and/or anxiety, use calmers that are vasodilatory as well
      • Yan Hu Suo
      • He Huan Pi
  • The general principle is gently move blood into the myocardium or to move the blood more efficient through the heart chambers.
  • The pulse will improve and the heart will start to heal itself (to a certain extend).
  • Symptoms will usually improve significantly.
  • There is a wealth of information about the state and functionality of the heart on your right index-finger-pad when it’s placed on the left Cun pulse.

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