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TCM Infertility, Pain and Overall Wellness Geek-Out Session

 

 

However, the focus really is going to be on clinical and why it’s important to just keep learning and how neuroanatomy can advance your practice.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Again, thanks to the AAC, um, for inviting me to be part of their, uh, To The Point show. And my name is Lorne Brown. I’m a CPA, a charter accountant. I’m also a doctor of traditional Chinese medicine in Vancouver, BC, Canada, and I’m also trained in laser therapy and, uh, I run healthy seminars and today we’re going to have a special guest. Um, my colleague and friend Poney Chiang, um, Poney is an acupuncturist as well. Um, he’s a neuro Meridian and neuro anatomy expert. And so he’s been teaching on healthy seminars so we can understand the neuroanatomy and neuroscience of acupuncture, both the classical and mainstream. And we had a geek-out session. So Poney and I had a Geekout session a couple of weeks ago, and we decided to share this with you, and I’m going to tie this into practice management. However, the focus really is going to be on clinical and why it’s important to just keep learning and how neuroanatomy can advance your practice.

And so again, I want to thank Poney for joining me today. Um, and there he is great to have you here and we’re going to, we’re going to geek out again. What I want to share with you is low-level laser therapy for fertility, and I’m going to give you a very short version story, but this has been my focus. I think I’m one of their early adopters outside of Japan using laser for fertility. And I do combine it with acupuncture. Um, and the reason, um, I started doing this was I came across a paper, um, where a medical doctor, Dr sure. Out of Japan, um, he, he he’s a pain specialist and he would treat people for pain. And he had this technique, which is later, um, been dubbed the Oshiro technique or the proximal priority technique. And he did a lot of work around the neck area.

And, um, he would always treat this first, before he treated the local area where there was pain. And in the story, the true story that happened here is he was treating a woman who was 55 years of age with menopause for back pain. And so he would do this proximal treatment. Um, the purpose is to create blood flow everywhere because if you increase blood flow everywhere, it would go to the toe and you’d go to the back and this would help with the healing. And so he did this technique with her and lo and behold, not only did he resolve her vaccine, but her cycle returned, uh, she wasn’t happy about that. And he thought it was a, one-off go see your OB GYN, cause it could be something serious. Well, within the calendar year, he was treated another woman in menopause for back pain.

Her period came back. So what they decided to do in his, at the hospital is they did a very small pilot of about 74 women that were translating to English as severe infertility average age, 39, several years of infertility, um, many cycles of art assisted reproductive techniques. And about 23% of them became pregnant. And over 60% had a live birth rate. And this is from a very poor prognosis group. And then they expanded that study to 701 women and 23% got pregnant, 50% got it, had a live birth. And his thinking was the reason these women had an improvement in their fertility is when doing this technique around the neck. Um, it created a parasympathetic response, which they were able to measure using thermal photography and other lab tests. Um, it would increase blood flow everywhere, including blood flow to the ovaries and more blood and circulation to the ovaries, better follicular Genesis, and lo and behold.

This was the reasoning why they thought the improve the fertility in these women. So I had been working on my protocol and I’ve spoken to practitioners around the world that are experts in laser therapy and treating fertility. Some that are treating the endometriosis and they’re doing stuff around the neck. They’re doing stuff locally on the abdomen. There’s doing stuff on the sacrum as do I. And I wanted to know why for a couple of reasons, one is it’s important to communicate to the patients how this will benefit them. And also the, the, uh, IVF doctors I work with. They want to understand this from a Western perspective, it’s, they’re not going to learn Chinese medicine. And so it’s important for them to understand that from a Western perspective, here’s the small little practice management tip and then pointing is going to come in and I got some questions for him and we’re going to geek out.

The practice management to appear is because I became well known as an early adopter for laser, for fertility. And because I invested in these machines, just so you know, um, I have several machines machines, each one’s, um, about $25,000 or more. Um, and I invested in these and women before COVID, uh, were flying to my clinic to be treated by this. So it wasn’t something I was expecting, or it would happen, but because I separated or separate myself from the pack, in a sense, I was doing something different. I was doing acupuncture for fertility, but I was bringing in laser for fertility. And I was able to explain from a Western perspective, how this can benefit and become familiar with the papers and share this, this attracted both, um, Western doctors and the public to seek my clinic for these treatments. So here’s the Geeko part because it’s important to know you can’t just buy laser, start doing this.

You want to understand how to use it so you can keep using it better and patients have questions. And so we have doctors, you got to explain it. So if pony can come back on here, pony, I got some questions for you. They talk about this parasympathetic response and, um, for acupuncture. So I’m going share with you. They talk about the anatomical features, but what they did is they did points in the nuclear, the also pity area. So do 15 bladder, 10 gallbladder, 20 area. They did stuff to, to reach the vertebral artery. So gel 17, um, they did the carotid stomach nine, 10, and they wanted to hit a feature called this Dalai ganglia, stomach 11. And can you explain to us in pony, how is this? Cause this is something we could use on all of our patients. If it’s going to bring chief flow everywhere, um, specifically also for fertility, can you explain then why these points stomach 11, 9, 10 do 15. How is this going to engage a parasympathetic response and increased blood flow everywhere, including the reproductive system?

Sure. Uh, if we can have the slides, please would make it easier for us to explain. So when you’re doing points, um, on the occipital area, um, or looking at points at gallbladder 20 blurred, 10 points in this area are actually where, as you know, the cervical portion of the trapezius muscle goes there, you might not know about cervicogenic headache. Ty traps can give you headaches, right? But the attribute this muscle is interesting is that as the muscle innovated by a cranial nerve 11 spinal accessory nerve. And so when you put a needle in trapezius muscle, including points that Goldberg 20 bladder, 10, even Goldberg 21, um, you are stimulating the spinal accessory nerve. We used to think that spinal accessory nerve is truly a motor nerve, but now we know that it’s actually sensory and motor. So what that means is that as an African bring information back to the brainstem, back to the nucleus of this cranial nerve 11, and what’s interesting is that quite another 11th nucleus is right adjacent to the cranial nerve 10 nucleus, which is a Vegas nerve.

So it is known that there’s new Peters have interactions with each other. So this is why simply needing points that GABA are $20 21. Anything that is supplied by the spinal accessory nerve will have effect from the cranial 11 nerve nucleus to the or 10 biggest nucleus. And as you know, Vegas, 90% of the body’s parasympathetic response. So we can easily explain how points in the back of the neck can achieve this increase in parasympathetic state and therefore more profusion to all the glands and organs of the body. Now ask for points in the front. Um, uh, while you’re looking at here in the dissection picture, uh, it’s got the throw in the south big is all removed and D these long, um, cell tissues that the, um, the probes are supporting or raising, it’s called a, it’s called a cervical sympathetic ganglion. So, um, uh, if you look at the diagram on the, on the bottom, you’ll see there’s actually three cervical sympathetic ganglia superior, cervical, middle cervical, and thoracic also know as the Stella, as an a star.

So, interesting thing is that every single one is Ganga are actually an acupuncture point. That’s already been passed down to it by ancient acupuncture or ancient acupuncture anonymous. And when we stimulate these points, if we can look at the Sutton, the next slide, please, there are correspondence like given to us in terms of the point. And the exact ganglion does involve without going into way too much detail. Okay. But you should want to gangs are actually supplied nerves to the heart, the cardiac. So they each one of these gangs individually and collectively supply the cardiac nerve that controls the contraction. So if you are modulating this, you are improving cardiac output. Therefore it’s an increased blood flow to everywhere in the body. So this is likely how the Ashira protocol was able to, to, you know, inadvertently increased fertility, you know, even though the focus in our neck, but because it’s affecting the civic center Ganga, which is known to control the, the, um, the heart rate, it’s increasing cardiac output, which gives you blood everywhere, including reproductive organs.

Brilliant. And thank you for that. And this is, so this is why I think, because it’s on the parasympathetic, I think of cheapo like liver cheese stagnation would become tight and constricted and that’s authentic. And when you’re in parasympathetic that she’s flowing freely, which is probably why most of the research, the women 38 and under seem to be benefiting most from laser fertility, because they’re the cheese stagnation type. And once you get into the 38, plus we’re probably getting more into the kidney in, in young deficiency. And, um, maybe we’re not able to, um, with the laser therapy do enough for them. And so this is my working theory. I think a lot of the women we’re seeing that we’re helping have a form of stagnation in Stacy’s. The laser therapy has other benefits, too. It helps regulate inflammation. Doesn’t Al not only just increased blood flow and it does help improve the mitochondria functions.

So there’s all these benefits back to our neuroanatomy. So myself included, a lot of people started wanting to put the lasers closer to the ovaries, but in the laser world, um, red and infrared light, it’s really difficult to get that kind of light to the ovaries in the Oshiro group. They did the neck and they also did a point near when 12, they didn’t say why I was thinking, they’re trying to hit the ovarian artery because it kind of comes off the aortic arch near there. But you’re telling me from a neuro anatomy perspective, there’s a different level. And, um, can you tell me why there might’ve been benefit from then doing the, the red 12? Is there any reflex points or anything happening in the abdomen that we’d want to target and before you go, they’re pointing. I just want to share that where we’re at today is we want to do the approximal points.

We want to get the blood flow. We want to hit some lymph nodes that are feeding the abdominal area. And I want to talk about the lotto gene, a lot of non Chinese medicine, trained, um, laser therapists, um, always treat the nerve roots coming out that are innovating the area they want to effect. So this is kind of what I want to cover with you today from a neuro anatomy, neuro Murray and acupuncture specialty, what are we doing from a Chinese medicine and Western perspective? So is there any benefit doing something locally that’s going to help, um, with the ovarian function and uterine receptivity, keeping in mind when we talk about the needle or the laser, the laser is not going to reach therapeutic level. It’s unlikely. It’s going to reach the ovaries and you’re not going to put a needle in the ovaries, right? You don’t want to do that. So, so what is happening here? What are we doing when we do these lower abdominal points that can be impacting the reproductive system, or were they just having happy thoughts? And there is no real benefit from the run 12

Area. Uh, if we can have this slide with the sympathetic and parasympathetic, uh, innovations of the spine. Um, so while we get that ready, let me just explain that. Um, in Chinese medicine, we’re talking about ying and yang, visual, Oregon in Western medicine to have a similar and how we try to achieve healthy balance in Western medicine has similar notion of homeostasis where you’re trying to balance the parasympathetic and sympathetic nervous system. Yes, that’s the mind. And so it’s, to me, they’re very analogous concepts in Eastern medicine, and we’re trying to balance any, obviously Oregon in Western medicine, we’re trying to achieve sympathetic comparison, like balancing short and, and, and the other student is that each organ has both sympathetic and Paris, the next innovation. And they both do their job to encourage ensure optimal function of each Oregon. So if I can draw your attention to the left side of this diagram, what you’re seeing here is the spinal cord. And those little dots are horizontal lines that are coming out from the blue dots. And the blue lines represent parts of the sympathetic chain, which is, as you may recall from square thoracic or lumbar. So it’s [inaudible].

And so when you look at where those nerves go to, they go to various types of, of, uh, uh, plexus in gangland then, which then subsequently control the blood flow to various organs. So, um, as you know, a lot of the, the, um, uh, fertility related points, um, um, uh, they took on shirt for on the actual point, um, stomach 29, which was supposed to mean gray line is returning the period, right? So these points are located in the lower pelvic area. So where, um, so how can we account for this based on this, um, understanding of the sympathetic person and never system, if I can draw your attention. And if we really hone in to the very, very bottom blue nerve on the left side, it’s called a lumbar spine secondary. And, and, uh, so if you have a laser there, right there, perfect.

And you can see that, uh, from there there’s one more pink, red color that comes out, it’s called a hypogastric plexus, right? And then if you look at the very, very bottom word in the gray box, it says reproductive organs. So that means that if we can trace the report organs, blood flow to the hypogastric plexus, which by tracing one level up to the lumbar spine CIC nerve, and then back to level L one L two. So if we look at the points that are in that area, it’s going to share in stomach 29th. And, and it’s only Tanya that if you look at the indication though, I have to do with, with fertility, with men seas, with reproduction. So we can explain that because those points in that area are exactly Lyn 12 region of the, of the, of the dermatome. So by, by putting nerves there, we are having what’s called reflexive effect.

The needle stimulate T 12 L one nerves, which travels back to the spine. Does these nerves wrap around from the spine around to the interior as aspect of the body, does the Afrin sensation and back to the spine and reaches is corresponding T 12 L one segment. Now each second, each second response has sensory motor, as well as sympathetic, um, uh, types of innovation. So we call this reflex effect. Once the Afrin reaches a segment, it was sent information to the corresponding autonomic levels, which in this case are digs, precise, autonomic levels of the, of the body that controls the, uh, cemetery output or the blood flow to these reproductive organs. So it is by, it seems that we’re affecting and locally, we are, we are in tenders that were needing over the ovaries for example, but the information is going back to the spine and then the spine, um, passes it through the sympathy, Oregon, which then sends it back into the Oregon. It’s effecting it’s instantaneous, but it has undergone a complete full stroke. It, but it happens so fast that it’s, it seems as if there’s an immediate effect. And

So, um, when you’re the, whether this spinal segment segments that are innervating the ovaries and cause, um, I’ve heard also in some of the literature I looked at, they were talking about like T nine T 10 and T 11 innovate, the old reason, S one S two more for the uterus. When you mentioned stomach 29 and Z gong, you’re saying that’s more like T 12 L one. And we, when we did get go, you did say there’s like a Christmas tree effect. So when you’re needing below, you’re still getting a lot of these or lasering. You’re getting those above, but can you just clarify what you’re seeing there? What’s from this diagram, what’s innovating the old reason what’s innovating the uterus from the spinal second.

Okay. So if you were to, to, uh, look at the Y to Jaggi points or the, uh, the back shoe points along the spine, um, re recall what we were about the sympathetic chain is [inaudible] right. So all two of bring us to 2023 level and our be 20, 22 levels. I say bladder 2023 level is two. And then bladder 22 is our one. So, um, now we’re talking about what’s called the dorsal Ramiah of the spinal nerve, as opposed to the veterinary. And I, when we were talking about needing the pelvic area, those are the parts of the spine of that came forward. They call the interior Mr. Ventura, but there are ones that go back to integrate the muscles around the spine. And those fellow doors are in mind. So if you needle L one L two, which happens to be bladder bladder 22, 20 23, and these are the points that we would use anyway, because there can use reproduction in Chinese medicine, right? Actually, probably that you need to read it by KMS, but if you need, at that level, you are still at L one and L two. So the same simplest reflux applies. It’s just that now it’s happening through the posterior branch as opposed to the ventral branch, but at the same permission will ultimately go back to the same segment, L one L two and then cross into the sympathetic, uh, aspect of the, of our body. So

Again, beautiful Chinese medicine that we have, the front middle and the back shoes. If somebody is facing, we can treat anterior, we can do the Z gong and stomach 28 are still make 29 points and have that reproductive effect at the point say, or if we’re treating them face down, we can do the back Shu point, like we know for a kidney for reproduction. Um, and again, same segments so we can dress it, both sides. So the Chinese medicine approach understood this 2000 years ago. And now with neuroanatomy, we can explain why you can do it face up or face down, and you’re still having that effect. Am I, if I’m understanding

You correctly? Absolutely. And there’s this one tiny, tiny bit I can add to that is that we’ve been talking a lot about what’s going on to lifestyle as a slide today. Let’s take a look at the right side of the slide, which is a parasympathetic. So it, um, ultimately when we need all yes. If, if we can just focus on the sacrum area on the, on the bottom where the black two black lines coming out. Yeah. Or that area right there. So oftentimes I get asked, um, you know, if you’re stimulating a SIM and say, isn’t it that gonna reduce blood flow and, um, and, uh, uh, we only want to stimulate the parasympathetic that that is correct. But what we do know from a lot of studies in acupuncture is that, um, uh, the ultimate net gain effect that acupuncture is parasympathetic. It, even though it’s limit points are supposed to more sympathetic is a very short transient effect.

It’s almost like the body knows that, oh, I’m feeling more sympathetic. Now I can activate my own homeostatic mechanism to go towards parasympathetic. So the end result will always be parasympathetic. So you can think of it as using the young, to treat a year in Chinese medicine kind of concept. Okay. Obviously they are obviously see within each other. So inseparable concepts. Now let’s take a look about a, the Paris Stemmet idea. We would need a formula that directly. So those are your, your, your, um, your secret for MRR points, but our 31 32 33. So if you look at the bottom, uh, of the right side of the, this fixture, um, you’ll, you’ll see that these, um, these nerves also supply the reproductive organs, right? You see that there’s college coming up from there, from the black lines on there, right? It’s not just a red lines on the left.

That would mean that we put our origin as well. So just, if you want to be super finicky, theoretically speaking, or anatomically speaking, it’s only as two and three and onwards would have the effect. So that means [inaudible] or bladder 31 is not as important here. So if you have the ability to palpate the real for a minute and try to put the needle into that for, to affect those points, you want to target as to it onwards. So if we can have the very first slide, we can jump to the very beginning, we get it, we get a sort of inside out view. There it is. The inside our view of what happens in the sacred and the inside. And you see all those nerves and all the blood vessels over there, they actually communicate with each other. So when you put a needle into [inaudible], we are increasing the parasympathetic control of the pelvic organs and blood flow directly.

Now you may look at this and realize that, oh, this is kind of like the Sonic nerve, right? These nerves become the side nerve NSI. And it goes all the way down to the back of the thigh, into the lower leg, even down to the foot area. And what’s the point that’s most commonly associated gynecology in all the Chinese medicine, spleen six, right? As many as six lies exactly on the site, Agner trajectory. So even though you may not be needing the second directly by noodling spinning six, you are liking kneeling in the sacrum indirectly. What’s the message comes back to you because the sciatic nerve is, um, as, um, uh, alpha syn two segments. So crosses these these segments so that you will have a direct impact on the blood flow to of the, of the pelvic organs, reproductive organs, your genital organs, and so on and so forth.

So these things that we learned from, from traditional indications that passed down, there’s absolutely no reason to doubt they do what they say they do. It’s just that we don’t have the understanding to catch up with these information. But, but, uh, another thing is that if you understand this new anatomy, then you can actually create more points. So points like, can you four, can you, five are all derivatives the Stagner and, and, and you can see why they will also potentially be very effective for treating fertility issues and you can create your own protocol. So once you understand the new UNM, I remember

When we had our offline geek-out session, you’re sharing how spleen six, the nerves, a little bit deeper, but easier to reach it, like kidney three or kidney six, because of this reflex point. That’s what you’re talking about now.

Yes. So the, the, the, the part that say that reaches that immediate aspect, the ankle is called the posterior tibial nerve. So if you go through Spain stage, they actually got to pass through a muscle called the Fetzer digitorum muscle, you know, to get to the dinner. But if you go a little more distant with when the nerve becomes more superficial about, at the level of CUNY 3, 4, 5, 6, those points you can think of it as, like, can you say X four or more for year and aspect, right. Can you three for CI aspect, those points are still derivatives of the sagging there. So the message was still go back to the, to the S two S level two to improve circulation of that pelvic pelvic organs. So there’s no re ne no reason why you can, it cannot add another level of TCM on top of that heel. How do you decide within Spain six or seven spins three? You know, they are all Threadless. I never anatomic issue at work, but, you know, six might have more yin indications or is three might have other indications, you know, or you want to use a more of a, a low point. Like, can you afford, for example, so you can, how they’re actually not mutually exclusive. You can actually refine it further with, with a TCM lens on top of it.

And this is why, um, I like studying with pony and why I recommend pony. Um, I remember one of your course on healthy seminars, you’re talking about these nerve roots and having this discussion about the sympathetic and parasympathetic and how you mentioned you’re reaching the sympathetic, but it has this parasympathetic effect, because I think you were mentioning, there’s like three that were coming out from the dorsal root. Um, you reached the more superficial one, but when you reach that superficial one, they’re like their siblings, they’re all affected. And therefore you’re getting that parasympathetic as well. That’s right. And so, um, tying this together then, um, I just want to share with you that, uh, the Chinese medicine aspect of it, it just blows my mind still how brilliant it is because we’re choosing points based on a different paradigm. However, in modern times with this incredible technology, it is explaining it is validating these points.

And I know some of my colleagues are purists and they don’t want to know anything about the west. And I like to know as much as I can about both. Um, because as you’ve shared, it can help direct your treatment in choosing your points. And what’s really valuable in clinical practice is my patients and the doctors. I work with the medical doctors. Um, they’re not going to understand the back Shu point for the kidney, but they want to understand how this nerve root is going to innovate the old reason. If I do this, we know there’s a parasympathetic response, which brings more blood flow there or activates this organ. That’s important to them. And so this is why I highly recommend the integrative approach. It does not mean forget about what you’ve learned and forget it, what acupuncture. It really is going deep into the classical and going deep into neuroanatomy, but with a trained acupuncturist, like pony Chung, because you pay tribute to both medicines, you don’t dismiss one or the other, and you’re constantly the two which helps with clinic, you know, myself.

Um, I’ve invested, it’s almost embarrassing. I was looking, I have over $260,000 in lasers in my clinic now we’re, we have many practitioners, so patients want it. So we need to have these lasers. And I don’t know how many thousands of hours I’ve invested so I can keep, um, modifying how I do it. So I can be individualized and improve our, our approach. And as you can see, I’m talking to people like pony. We did this conversation, a version of this offline. And then I just said, you know what? This was so fantastic for me. I want to share this with everybody. And so this is why we came on and did a mini version of what we did already, because I think this is really beneficial. And so my message here is not to be scared of other things like laser therapy. It’s incredible how it’s transforming my practice.

I use both the acupuncture and the laser in my practice for fertility. Um, and so that’s been valuable. It’s made patients, um, want to, um, come to my practice for these treatments. And I keep learning and talking to people like pony, um, cause it gives you the confidence and the key is to be able to communicate why you’re doing what you’re doing. And so I’m not suggesting that you just violate her and start to do it. Um, just like you wouldn’t want somebody just to do a weekend acupuncture course and start doing acupuncture on people. You do want to under, you want to get good quality lasers and you really want to understand what you’re doing so you can play with your protocol. I have to give another big, thank you to pony again, for the cadaver work you’ve been doing. And just the deep dive you’re doing in neuro Meridian acupuncture. Um, and, and bringing this to the masses again, you can study with pony on healthy seminars.com, um, and a big thank you to the American acupuncture council for inviting me to host this show. I want to let you know that your speaker next week will be Poney, Poney Chiang also hosts a show on the AAC. So tune into the ACC and you can listen to Poney Chiang and hear what he’s going to talk about on his show. Uh, thank you all very much and Poney, Thank You. Have PTT anytime. All right, till next time

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How To Clarify Your Message So Your Practice Can Survive & Thrive

 

 

I want to help you get more people on your treatment table. And that’s what these talks are all about. To help you be seen, to help you be heard and to ultimately bring people into your practice so that you can make more money, change more lives, help more people, and kind of create the life and grow into the dreams that you imagined for yourself.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hi folks, Jeffrey Grossman here. Thank you for this opportunity to share some practice and marketing insights with you. For those of you that don’t know me. My name is Jeffrey Grossman and I’m the founder and owner of Acupuncture MediaWorks, Accu downloads, and Accurate, Perfect Websites. And I started my practice in 1998 and I had a lot of these trials and tribulations and so many struggles that I basically had no marketing savvy that I had to start from scratch like many of you listening today. And I noticed that I had a problem in knowing how to market my practice and properly communicate to my patients because all I wanted to do was to treat them and not to market to them. But this struggle took me down the path to create the companies that I run today. And it’s, it’s a longer story and best preserved for another time.

So what I want to remind you is, is, is that we as acupuncturists, you, as an acupuncturist are an incredible resource. You’re a natural healer. You now, how to help people get and feel balanced and healthy. You know how to help people get well using safe and natural methods and you change lives every single day. The thing is, people want your help. They’re looking for your help. They need your services, but unfortunately many people don’t even know that we exist and we’re gonna help you change that. Oh, I want to help you get more people on your treatment table. And that’s what these talks are all about. To help you be seen, to help you be heard and to ultimately bring people into your practice so that you can make more money, change more lives, help more people, and kind of create the life and grow into the dreams that you imagined for yourself.

So I also want to remind you is that you’re never alone, that I’m here for you. I’ve been where you are and I’ve struggled. I have one of the same issues and concerns. And if at the end of today’s talk that you feel like you need more help getting set up or becoming focused. Or if you just need a little motivation to move forward, please please reach out to me. The, there are so many opportunities than ever for you to help more people, but you have to understand what people are looking for now and how you can best present that to them. And because of that, because I feel like I want to support you in your practice growth on what you to have the latest updates, the latest research. So I created a detailed report for what is working now and recommendations on how you can make it work for your practice to get more people in your treatment table.

It’s a 15 page resource that you will find invaluable. And I’ll share that with you at the end of today’s talk. So you could use, today’s talk. You can use this ebook resource that I want to share with you, um, to help you grow your practice. And just one or two of these changes that you walk away from, from today’s talk and tap into from what we’re going to be sharing with you today, or from this ebook can make all the difference for you. Okay? So let’s go ahead and get started. I want to talk with you today about the three part framework to clarify your message so that your practice can not only survive but thrive. And today I want to talk with you about two marketing concepts that everyone on this call should consider adopting into their practice. And what I’ll be sharing with you today will separate you from your competition and allow you to deliver a more clarity and focus messaging to the community that you serve.

So you may have heard of Donald Miller. He is a profound author and influencer in the business world and his teachings and ideas. They’re not new. He’s simply been able to articulate them and simplify them for the marketing newbie to understand and connect with the concepts that I want to share with you are from his book. Marketing made simple and also from his other book called developing your StoryBrand. And I want to talk with you briefly on how to tap into the idea of creating your story brand and how to craft your one liner. And I’m going to break these down for you, tell you what they are, how to create them for your own practice and share a couple of examples with you. So first, let me talk with you about the importance of StoryBrand today. We live in a fast paced, overly automated, digitally driven society and expressing our humanity and cultivating connection is becoming a new premium.

These days. We’re surrounded with convenience and instant gratification. Making personalized human connections are increasingly scarce and they’re coveted these days. And with this kind of environment, your practice can no longer to appear to be human lists or a faceless entity. And in order to survive these days, you need to connect and bridge that human gap with prospects, engaging on a deeper level than before. And this is where your StoryBrand comes in. StoryBrand is the cohesive narrative that weaves together the facts and the emotions that your brand or AKA your practice evokes. And this is where you give your prospects, the reasons they should choose you, your services over your competition. Story. Branding is no longer a nice to have. It is a need to have and what will ultimately maximize your practices, visibility its profit and its impact. So treat this, treat your story brand as a compass for your marketing strategies.

So I want to briefly review the seven step framework of creating your story brand. Okay? And it’s more detailed. It is book for you to get it if you want to. So the first part is the customer is the hero a K a your patient. So you need to identify and be clear about who you are attempting to help targeting everyone is like targeting no one. So you act, you need to strictly define who you are helping. This is where I feel a lot of my clients fall short when it comes to identifying their perfect ideal patient. Step number two is that a problem exists, external internal conflicts that a patient may have. And there’s a reason that your customers choose you over the next practitioner is because of the external problems that you solve or frustrating them in some way. And if you can identify that frustration, put it into words and offer to resolve it.

Something special happens. And this is the first step to helping, which is clarifying the problem, your hero, AKA, your patient is facing step three, meets a guide, which is you. You’re the practitioner. The customers are looking for help, AKA a guide to help them through, to solve. The problem is that they’re faced with and the guide, which is you offers advice or wisdom or experience. And you share with them what they, what, what, what they would have done differently. Had the, how, how, how do you known better at the time? And you offer positive way, excuse me, a positive way forward to overcome their problems. Step number four, there’s a plan which is a treatment plan or home care recommendations. So customers are going to trust a guide practitioner who has a plan. So make sure that you make the hero note that you have suggested that you know why you’re suggesting the path that you’re suggesting to them.

So what steps do they need to take to schedule with you? What steps do they need to take to enjoy maximum benefits from your care? So spell out those steps. And this is usually mapped out during your report of findings and step five, there are calls to action. So coming in for care and following care recommendations, customers are challenged now to take action and nothing is going to happen unless they act on a plan. So a guide will motivate them or motivate the hero to take action. And having Claire clear calls to action means customers. They’re not confused about what actions they need to take to do the work with you. Step six, help them avoid failure, right? And this is when patients aren’t achieving their healthcare goals. So everyone is trying to avoid a tragic ending. So knowing what could happen if no action is taken is required to motivate the hero, to act on a plan that you’ve collaboratively set up with them.

And step seven seven, which is, it ends in success, which means you’re solving their internal and external problems and helping them achieve their healthcare goals. This principle shows people how your services can positively influence their lives. People are drawn to transformation. And when they hear about and see about transformation in others, they want it for themselves. And the more you, you featured their transformative journey with your customers that have ever have experienced that the faster your practice will grow, the more referrals you’ll regret. So that’s basically the seven step framework that you should go through in order to create a story brand for your practice. And I’ll tell you how to use them in your marketing shortly. So now let’s get, um, get into the next step, which is the importance of creating your one-liner. And this is another area that Donald Miller suggested all businesses.

And in our cases, our practices have dialed in a one. Liner is a concise statement that clearly explains your offer. And it gives you a simple, clear, and memorable way to tell potential customers what you do and how, what you do, benefits them. And it outlines the problem that you help your customers solve in a simple, relevant, and repeatable way. And this is composed of three parts, the problem, your solution, and their reward. And it’s incredibly easy to create, but it can take some time to refine. And here’s how to begin the process of creating your winning one-liner part. One is to identify the problem and in this step, identify your customer, right? And the major problem that you help them eliminate, where is their life painful or uncomfortable, and what do they want to change? What’s not working for them. What keeps them up at night and you can get specific, but keep it concise.

And when someone asks you, what you do, your habit is probably to give them a direct, not very compelling answer. For example, if you’re in the house cleaning business, then the normal way that you’d likely answer this is by saying I clean people’s houses. Or if you’re really could, you might say I clean people’s houses so they don’t have to. And when you answer in the normal way, you’re cutting out the part of the equation where you have the most opportunity to connect with people. And that’s exactly what the problem section of your one-liner does. In other words, if you start with the solution, I E that I clean houses, then you have nowhere to go in the conversation, which is why it’s vitally important to start with the problem instead, because the problem opens up a story loop in your conversation. So instead of answering with I clean people’s houses, you start with this kind of response.

Instead, most people pay cleaning their houses. It’s a completely waste of their time and it robs them of their weekends every single week. And when you begin your answer with the problem, instead of a success response, you’re drawing the other person into a more, uh, into more than just a conversation. What you’re doing is you’re actually inviting them into a story. And since you’ve only provided one part of the story, which is AKA are the problem that you start mentioning, you’ve opened up what they call a story loop in copywriting lingo, and their brain wants to know, and it needs to know the rest, right? So once you tell them that most people cleaning their house. So they’ll immediately think to themselves, that’s totally right. I pay cleaning my house every single week, and now they’re waiting for the rest, right? And no, you know, you’re not being sleazy or salesy when you approach the conversation.

In this matter, you’re simply engaging people in a story and using a more effective approach to marketing and sales. And here’s an example of the problem that you may be familiar with. And I’ll be sharing the rest of this. This is a gamble as they go on in the next few steps. But for now, the problem in this example is people are tired of taking pills. Okay? So just keep that in mind. I’ll get back to that in a second. So now for part two, so the first part is identifying the problem. Second part is coming up and bleeding what your solution is. So now that you’ve opened up the story loop by starting your answer with the problem, it’s time to begin to close it, but not entirely. The solution is where you get to begin telling them what you do. So going back to the housekeeping example, you could continue by saying, so I have an entire team of professional cleaners who clean your house and make your home look like a million bucks.

Again, you don’t just say I clean houses, you spice things up a little bit. You had some, some juicy little details and you include emotional elements, right? And you leave people thinking, wow, that sounds incredible. How do I get my hands on that? So if there is something unique about what you do or what your practice provides or what services that you provide, especially, especially if you’re in a crowded market, the solution section is also where you can include those details. In that case, you don’t just say I clean houses is dead. You tell them. So I have an entire team of professional cleaners who clean your house using state-of-the-art vacuums and all organic cleansers. Okay. You started the conversation, whether it’s taking place in person or on your website, you’ve started this conversation with a problem and you’ve opened up the story loop and you started bringing people in and interested into what you’re saying.

Okay. And the solution is where you solve that problem. And so how do you write the solution section of your one-liner? Well, writing the solution section sounds pretty simple because it can often be the easiest portion of right. And that doesn’t mean you don’t still work at it and write it down. You should come up with like three or four variations before you land on the winner. So here’s part of my familiar example. So the problem was, people are tired of taking pills. That’s the problem. They’re tired of taking pills. Your solution would be. So we offer traditional Chinese medical treatments and state of the art therapies for the relief of chronic pain. That’s the solution you offer now on to putting all this together in part three, which is the reward to this point in the conversation, again, whether it’s in person or in your marketing materials, you’ve introduced a problem that potential customers are facing, and you presented your solution that you have to offer, right?

So now it’s time to aim high and hit a home run. And the reward section of your one-liner is where you get to brag a little bit. And this is where you get to tell people what your life, I’m sorry, what their life will look like after they’ve used your services. And this is where you share the transformation that can occur in their life. As a result of working with you again, that housekeeping example, people don’t want their houses cleaned, and they don’t just want it to look like a million bucks. They want their weekend back. They don’t just want to spend that time cleaning. And the reward section is where you remind them that that’s exactly what you provide. How do you write the reward section in one of, in your one-liner? Well, you want to focus on how your product makes a customer’s life better based on the transformation that you identified already.

And again, you likely won’t man, nail it on the first, try instead, write out four or five or more options or different variations and see which one that you liked best. So remember at this point in your one-liner, you need to make sure that each section is telling a consistent story and that they all flow well together. And to put my familiar examples together, here’s what your one liner should sound like. The problem people are tired of taking pills, your solution. So we offer traditional Chinese medical treatments and state-of-the-art therapies for the relief of chronic pain and their reward is we help people have less pain, more movement and a better life. How awesome is that? One liner, people are tired of taking pills. So we offer a traditional Chinese medical treatment as there are therapies for the relief of chronic pain, and we help people have less pain, more movement and a better life done.

Okay. So to recap, what’s the pain point you want your customer, your customer wants to resolve. Okay. What’s your unique solution to that pain point? And how does your customer’s life look after their pain is resolved? Well, now that you’ve made your one-liner it’s time to share it with the world and I suggest doing it the following way first practice it. Okay. Ask some brutally honest friends or strangers at a coffee shop to listen to your one-liner and tell you if it is clear, what you do and how you help second memorize it, and like actually memorize it. Right? And if you have a team, have them memorize it to other part, put it on your website. This statement should be the first chunk of copy that people see when they hit your website. And don’t forget, make sure that you use it. So next time someone asks you what you do, give them your one-liner and see what happens and add it to all of your marketing materials, your business cards, email signature, LinkedIn, Instagram, Facebook, Google, Twitter, okay, just put it out there in the world.

This is transformative. And if you dial it in will set you apart from your competition. Here’s a couple of examples I want to share with you too many people struggle with pain and injuries. We provide effective treatment that allows you to perform well in life sport and work without pills, surgery, and high costs. We offer unique and individualized evaluations and treat injuries with prenup, cupping, and acupuncture so that at our, so our practice members can go out when their next race and feel great. So now you can clearly communicate what your practice offers and why people should buy from you in one simple sentence. So now the great thing is that this is the one-liner that you’re going to repeat thousands of time to every single patient until they can repeat it as clearly as you can. And this is the single line that your front desk is going to be using.

And it’s also what you’re gonna be telling your accountant as also what your spouse will repeat and your kids will repeat, and you’ll even put it on t-shirts or even hats. And, and if you can create a clear and concise message for your practice members, they will reward you with sending friends, family, and everybody else to you. Okay? So I hope that you receive some answers and inspiration and insight for what you needed today. And I want to encourage you to reevaluate your plans, right? What are you going to be doing over the next 30 and 60 and 90 days in your practice? Do you want to put together a one-liner? So, hi, I’d love to help you and give you a fresh perspective. If you need help. I love to start a chat with you and I offer a free 15 minute mentoring and discovery calls.

What you could do is shoot me an email at Jeffrey, J E F F R E Y at acupuncture, immediate works.com. And I’ll get back to you as soon as possible in the subject line, say, I saw you at the AAC. So again, Jeffrey, J E F F R E Y at acupuncture, mediaworks.com. And I’ll get back to you as soon as possible. And remember that you are an incredible resource. You change lives day in and day out. You know, all about this amazing natural life, changing ways to support a person, um, to be healthy and to be strong and to be immune strengthened. So people are looking for you and they want your help and they need your help. So how are you going to show up? So if you’re looking for help, I encourage you to reach out to me, shoot me an email then for those of you that are sticking around here is the URL for the free resource that I put together, which is called resetting your practice for 20, 21.

How to get more patients on your table, you can go ahead to, uh, grab this URL at Accu media, a C U M E D I a dot U S slash reset, 2021. So Accu media.us/reset 2021. You can download that ebook and reach out. Let me know, be well, stay strong, continue to change lives. One person, one needle at a time, you are awesome and the world needs you. And again, reach out if you need some more support next week, Lauren Brown is going to be joining us on the AAC network here. So be there, take care, stay beautiful. Talk to you guys too.

 

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Motor Points and Trigger Points: A Compare and Contrast Discussion

 

 

We want to talk about the compare and contrast of what is a motor point, what is a trigger point, which is a very, very common question and also how to use them clinically.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hello everyone. Thank you very much for attending our Sports Acupuncture Webinars sponsored by the American Acupuncture Council. My name is Matt Callison. I’m here with my colleague and good friend,

Brian Lau. So

Last month we had Josh Lerner as a guest. I was not able to make it last month, but Brian and Josh talked about trigger points quite a bit, and the pathophysiology and also different clinical uses. We wanted to this month to discuss and build upon last months, a narrative. We want to talk about the compare and contrast of what is a motor point, what is a trigger point, which is a very, very common question and also how to use them clinically. So before we actually start going into, let me talk about Josh a little bit here on the reason why we have him is he’s like Brian, who is, uh, not only just an excellent clinician, but a true academic. So that’s a pretty rare combination to have, uh, Josh graduated from the north west Institute of acupuncture and Oriental medicine in 2001. And he’s currently on faculty of the Seattle Institute of east Asian medicine, or he’s teaching orthopedic medicine trigger point theory, muscle-skeletal amp and also points and channels. Now he’s studied with Tom Bizzio and Frank Butler for quite a while. Starting in 2006, he also started taking trigger point release, uh, acupuncture trigger point release in 2007, and started dry needling classes in 2016, which he has become certified in dry needling in 2019. Now being an overachiever that Josh is, he also took the smack program at the same time and graduated from the sports medicine acupuncture certification program in 2017. So Josh is welcome. Thank you very much for coming Josh and help us out with this podcast webinar. Really appreciate it.

Thanks for having so you appreciate being asked back for this.

Yeah, absolutely. Well fun. All right. So we only have 30 minutes, so let’s jump right into what is the motor point? Well, you didn’t get into the trigger point, then start talking a little bit about case studies and how to be able to use them. Uh, first things first, the motor point when I first started studying them, this would be before I was an acupuncturist when I was going in and, uh, physical education and athletic training school at San Diego state university. I graduated from SDSU in 1986. Now in the training room, we were taught to use one inch by one inch or two inch by two inch could be even four inch by four inch electrical pads to place them over the central aspect of the muscle in order to influence the muscle belly or the motor point region. Now, it was common to be able to use these pads on agonist and antagonist muscles, for example, hamstrings and quadriceps, or even on hamstrings and then to a distal tendon or a proximal tendon in order to influence the electrical energy of that particular muscle.

Now, when I became an acupuncturist graduating from Pacific college Oriental medicine, which is now called Pacific college of health sciences, graduated from Pacific college in 1992, always was curious about the motor point and wondered as an acupuncturist. What would it be like to take a highly conductive electrical material, a stainless steel needle, and put it into this region as defined as having the lowest resistance to electrical conductivity. So therefore we, you have a region that has the lowest resistance to electrical electrical conductivity. That means that there is a enormous amount of cheap potential to manipulate. Now, of course, an acupuncture needle is much thinner than a one by one or a two by two pad. So therefore I started my journey and researching motor points. Where are they located at that time? Nobody was really talking about motor points, trigger points was the big thing.

Um, it was still under a lot of influence of Janet Chevelles and Dr. Simon’s enormous work and trigger point theory and their books as well. Um, and at that time, I, like I was saying, motor points really weren’t discussed very much. They were mentioned in the Shanghai text of acupuncture, which is an interesting read with that. And then going online and trying to find who was actually doing acupuncture on motor points, um, was Dr. Chan Gunn. Now he was up in Canada and he was also researching on motor points, but she’s got some incredible research if you guys wanted to go and check that out on Google scholar, um, being more of the dry dealer, um, he was really staying quite a bit away from traditional Chinese medicine and taking it more toward the dry needling aspect of it. And so we’ll finish that story at another time.

So what I found was taking acupuncture to the Motorpoint region was changing range of motion, changing muscle strength, decreasing pain. And this was really very, very exciting. Um, but trying to find where those motor points are at that time was very difficult because there really weren’t that many maps available. It was more of a line drawing with just like a black dot on it. So gathering a number of different research articles. I think it was in the forties or fifties, and today it’s well over 300 research articles that I have on motor points in their locations. But back then, there wasn’t very much so collecting that information and then also electrocuting a triathlete friend of mine with the surface surface electrode, trying to find exactly where these motor points are. Then I would map them and then locate them according to bony landmarks and acupuncture points for the acupuncturist.

Now this was way back in the early 1990s. And that was when the motor point manual came out, which I even have a copy of that anymore, but also the motor point chart came out and I’ll since then, it’s also has been updated the motor point chart. And this just came out in 2019. The original came out in the year 2000. Also some of the work that I was doing back then in the year 2000, I actually collected a whole lot of notes and started writing quite a bit and then published this treatment of orthopedic disorders manual, which came out, like I said, in the year 2000 or actually 1998, it came out and it’s been used at all three Pacific college campuses since then now in 2007, then my research came out and published the motor point index in 2007. So long story short, my work has been out there for a long, long time and has actually influenced quite a few people over the years.

Um, this has a lot of accountability and a lot of responsibility to it because even as today, Motorpoint locations have changed a little bit. The definition of the motor point has changed. Um, motor points. Now over these last 15 years are talked a lot about you’ll see research articles all over the place. It has infiltrated our field pulled a lot from the work that I have created, but then also what other people are also doing with motor points. So it’s, it’s something that is needing some discussion about what is a trigger point and what is a motor point. Now, the definition of the motor point in the 1940s, fifties, and sixties was basically an umbrella term for where the motor nerve inserts into the muscle belly and where the motor nerve inserts at the intramuscular junction, the neuromuscular junction. So both of those locations, which can actually be far away from one another in a muscle was the umbrella term called motor point.

Now recently, I would say within the last five to seven years, you start to see articles talking about motor entry points. And this is actually a better way of describing where my work has actually been taken is I’ve been looking for the motor point where it goes actually into the muscle belly itself. And the reason why is because it has the largest diameter of the motor nerve, then going into that motor point and has the lowest resistance to electrical conductivity, I’m taking that acupuncture needle and inserting it into that spot is where we can actually change quite a few things within that muscle, not only within the muscle itself, but also how the central nervous system views what’s happening within that muscle.

So the interesting, interesting thing about this is with motor points, like I said, that’s more of an umbrella term for what’s now being clearly defined as a motor entry point or where the motor nerve inserts into the neuromuscular junction would be the intermuscular motor point. So again, as the motor nerve comes in and inserts into the muscle itself has the largest diameter that goes into the motor into the muscle. Then it usually will bifurcate and go into a proximal part of the tissue. And also the distal part of the tissue sometimes close within an inch sometimes far away, six to eight inches, depending on the length of the muscle. So these collateral branches from the motor nerve travel within the muscle tissue and then insert into the actual muscle itself back can be called the intramuscular motor point. So we have motor entry points. We have intermuscular motor points, VM umbrella term would be motor points.

So I hopefully that actually helps. Um, you don’t really see motor entry point too much discussed in our field, but I’m sure it will start to spread over this next five or 10 years. Just, just because that gives us a little bit more clear definition of what exactly we’re trying to be able to treat. Now, the motor entry point is where the green triangles are on the sports medicine, acupuncture textbook, and also on the motor point chart, that’s where the motor entry point is located. Okay. So then now the intramuscular motor points themselves, um, those can actually be turning into trigger points with Josh and Brian and I are going to go ahead and discuss that in just a little bit or a trigger point can also develop, uh, at the location of the motor entry point. So from here, why don’t we now start to compare and contrast with the trigger point? Josh, do you want to take it away or Brian, do you want to add anything?

Yeah, I’ll, uh, I’ll step in here. And so Matt and I have had lots and Brian, Matt and Brian, and I have all had lots of discussions about, um, comparing and contrasting, um, trigger point phenomenon with motor points. And so there are a few different, um, dimensions within which we can kind of talk about these both contrasting differences and comparing areas that are similar. So one of the things to keep in mind, especially once we start talking a little bit more clinically, is that as helpful as it is to really talk about the, the differences between ideas about motor points versus trigger points to a large degree, especially clinically there’s a huge amount of overlap. And it’s a, if you really like Venn diagrams, there’s like a big circle about trigger point phenomenon and a big circle about Motorpoint phenomenon. There’s a huge gray area of overlap between the two of them.

So I’m going to try and keep that in mind as I’m discussing this, but it might sound at times like I’m being a little bit arbitrarily black and white about differences between them when that’s really not the case. So, um, one of the, one of the areas of contrast is that the motor points are basically a, a normal physiological phenomenon. Everybody has motor points. It’s just how the body works. Whereas trigger points are very specifically a pathological phenomenon. I’m not going to talk too much about the details about trigger point physiology, Brian and I spent an hour actually last time talking about a lot of that stuff. And so if you want to brush up on that, you can kind of go watch the previous podcast that Brian and I did. I think there are also going to be some links to some other discussions that Brian and I and a few others have had about trigger point stuff.

So you can refer back to that. Um, so that’s the first contrast is just normal physiology versus a pathological condition, right? Trigger points. Are they form due to some kind of muscle damage, right there, a small contracture in a muscle fiber that is the response to either like an excessive eccentric load or, uh, a low level contraction that goes on a long time and kind of wears out the fiber. Uh, another, another type of contrast between them is that motor points in a lot of ways are more like acupuncture points in that not only everybody has them, but the, the locations tend to be somewhat predictable, even though there can be quite a bit of variety of from person to person, whereas trigger points can really form just about anywhere in a muscle. So when you’re looking to treat trigger points, you really have to palpate the entire length of a muscle.

Whereas when you are treating motor points, um, you’re generally starting from a somewhat relatively defined position. Like it’s, uh, say, you know, in the middle, like the middle part of a muscle, or like in the case of say the rectus femoris, one of the common motor points is going to be halfway between like stomach 31 and hunting, right. You still have to palpate locally and the actual location you’re going to be looking for like a kind of an usher point. It might be, you know, one up to sooner, so away from that point, but you’re starting roughly from [inaudible].

Um, another, another area of contrast, uh, that I think will probably open up interesting discussion because Matt and I have talked about this quite a bit is how you use them clinically and what muscles you choose to treat, whether if you’re thinking about a trigger point versus a, um, a motor point. And so I’ll just kind of talk just very briefly about my take on this and then maybe, uh, Brian and Matt, if you guys want to pop in and, uh, contradict what I’m saying. Awesome, nice and heated, spicy debate going. So motor points in my practice, I tend to use very, uh, very kind of more generally to really overall improve the functioning of the muscle and to treat in the sense of the little skeletal homeostasis, what I’m really focusing a lot on biomechanical issues, where there’s a joint dysfunction in gallons of muscle pull across a joint, or are treating, uh, a muscle in one area of the body.

And I want to treat the entire senior channel. I might need other muscles more display or more proximally in that CGU channel. I’m 10 years motor points is in those locations, more commonly, um, and for trigger points, I tend to overall use the more specifically to treat the referral patterns when there’s pain or some other like parasthesia, that might be part of the referral, but even having said that there’s a huge amount of overlap between them. And so I also very commonly will use trigger points to treat more general biomechanical issues and old very often also use motor points to treat painful conditions. Um, and there’s a more subtle distinction to be made. And how I diagnose personally between the use of those two things. Um, it has to do with the fact that when you have pain, sometimes the pain is coming from a motor point, but you can have pain due to a muscle dysfunction that isn’t sorry, a trigger point.

Um, you can have pain from muscle dysfunction that is not from a trigger point pain, but just you can have pain because the muscle itself isn’t firing correctly, which can send signals to the central nervous system, kind of a warning signal. That just something isn’t right. We’re going to just give you some pain. So you stop using the muscle. Um, so you can have cases of pain that are in a muscle that are not to the trigger point, but they can be helped a lot by motor points. Um, so there are just kind of muddied the whole discussion a little bit with that. So I I’ll, uh, let’s open this up, Matt, Brian, uh, what do you guys want to talk about in terms of that?

Uh, Brian, I’ve got a few things to say, but why don’t you go ahead and start? Uh,

Well, I just say something simple and that’s, uh, you, both of you guys painted an ice clear picture of, uh, a difference between a motor point in a, in a trigger point. But if you look at a lot of the discussion and sometimes even the research out there, it’s not always so clear cut as, as Josh kind of alluded to it, the Venn diagram of how they overlap in terms of, um, comparisons, but even in terms of discussion like Matt was mentioning, sometimes they use the term motor entry points, sometimes motor point to encompass all of that. It’s not always very, um, consistent sometimes there’s discussions of trigger points that talk about, like, I saw several research articles that talked about an anatomical basis for trigger points. And they were basically looking at the motor entry point as the site of where trigger points tend to form.

Um, so the it’s not so clear how we’re going to try to discuss it from a, um, you know, compare and contrast and as if they’re different, but there’s a lot of overlap out there. So if you’ve looked into this at all, sometimes it’s easy to get confused because it’s confusing cause there’s a lot of different, different people saying different things about it that aren’t always consistent. Um, and I know this isn’t the case with the newer edition at Trevell and Simon’s book, but, um, in the previous additions, you know, they had Xs on sort of the frequent location of where a trigger points tend to form. And there was numbers, you know, like trigger point number one, upper traps trigger point number two, and in a different regions and different kinds of common sites. Now, of course, within that common site, you’d have to palpate and find the exact location.

Um, uh, and it’s going to be very variable, but there were sort of go-to sites, so to speak. And, um, if you look at those go-to sites, you’ll see that those go-to sites tend to be at the motor point, the motor, uh, close to the motor entry point location, um, where the muscle is getting the innovation. So, uh, the reality is that motor points are at the location of where common trigger points form, and both of them share one similar thing in their description and their language is that a motor point is the highest concentration of motor in plates. It’s a motor in plates or the cite on muscles that are, uh, have receptors for acetylcholine. So a motor point is the highest concentration of motor end points, a boater, um, in plates. I think that’s more of the classical definition of, of a motor points. Now with motor entry points, that’s more about the entry side of the nerve, but the classic definition going a little farther back as the highest concentration of motor in plates and trigger point in the language is often described as forming at the site of the highest concentration of motor in plates. So there’s a lot of parallel and there’s a lot of overlap and it’s not always clear to differentiate one from the other, my turn.

All right. Thanks Brian. Um, Josh Brian, that was awesome. That was good. Uh, in, in my mind, the motor implants are going to be where the intramuscular motor points are a little kid at, um, where the motor nerve enters into the muscle. There can be collateral branches that go into the motor end plates, but not always. So let’s now take this information and see if we can be able to bring it into some kind of clinical sense, for example, let’s I remember before we get into clinical sense, let’s remember that motor points also can be used as empirical points that will take pain away from a distance site. And that pain from a distance site has nothing to do with the trigger point referrals. Like for example, a flexor carpi ulnaris motor entry point is pre magnificent and taking pain away from the levator scapula attachment.

And that lateral posterior side of the neck or the piriformis motor entry point takes pain away from a urinary bladder 10 region. So there’s a number of different ways of looking at the motor entry point. And also what the trigger point is. Let’s say that tomorrow a patient comes in with sciatica, you use slump tests, you use straight leg, raise tests, a neural tension test, and they’re negative. So it doesn’t seem like it’s true sciatica. So what could be causing the sciatica like sensations? There’s a number of things that can, for example, a Fossette joint can cause referral pain, a sick really act joint can cause referral pain trigger points can cause the sciatica like referral pain. So let’s say that with this patient that you’ve done slump test and straight leg raise, and you’ve ruled out sacred iliacs joint dysfunction or Fossette joint dysfunction.

And you’re palpating along the iliac crest where the gluten minimis attaches and you find with palpation, it reproduces that patient’s sciatica likes sensations. This is just in the hypothetical example. So you’re looking at the glute minimus at its attachment side, or maybe the muscular tenant is junction site that you’re palpating around that area. And it’s a way from the motor point, which would be the muscle belly halfway between the superior border of the greater show canter and the iliac crest. That point definitely needs to be treated because it was causing this person sciatica or sciatic, like sensation definitely needs to be treated and TCM. We look at it as being either as an access or deficient, is it cold? Is it damp? And we are treated according to how we know how to get rid of and resolve damp or treat cold, reduce access, reinforce the deficiency.

It’s all going to be predicated on your palpation. Now, from my experience, if we treated the motor points of the gluteus minimus, first that trigger point that was located two or three inches away would be difficult to find it’s not going to be reproducing that same type of parasthesia. So from my experience, I would like to treat the trigger point. First, what I’ll do clinically is treat the trigger point first because that’s what’s causing it. And they’re like what Josh was talking about before let’s treat the motor entry point, cause that’s going to be then communicating quite a bit, the central nervous system about where that muscle is in space. You guys want to comment on that? Yeah. So

I think, um, another really great aspect to think about motor points is that in that particular case that you’re talking about, the motor points are also going to be incredibly useful to then treat the other muscles that might be involved in why that glute minimus develop trigger points in the first place. Right? So there may be, uh, there may be some, you know, if there’s like a pelvic imbalance where you have to look at the balance between the, the hip, uh, AB doctors like the glute medius and minimus plus with the add doctors plus with like the QL, um, that there may be this larger muscle imbalance issue between keeping the pelvis level in the, in the frontal plane, right? So it could be that treating the motor points of the adductor longus and brevis the quadratus lumborum and even using the motor points more in a TCM sense of looking at excess and deficiency to try and balance.

A lot of that is going to be a really important part of the treatment to keep that one gluteus minimus that’s causing referral pattern to keep that from developing further trigger points, right? Cause the trigger points could just be the end result, like the last symptom of a dysfunction that has been going on from these other areas, right. Um, where you might need to treat motor points, uh, down in the, in the cap for any of the motor points for the muscles that control the foot of the ankle. Cause maybe the glute minimus is developing trigger points because of its being overloaded because of an ankle dysfunction. Right? So I think that’s another aspect to the balance between looking at trigger points versus motor points that can be really helpful clinically. Awesome. Brian, anything you wanna say?

Yeah, I would just add into that some distal channel points do it. Now we have a pretty comprehensive picture. You know, we, we use this one a lot with the glute medius and minimus minimus in this case. Cause it’s clearly on the gallbladder sinew channel ma uh, Josh mentioned the quadratus lumborum and the add doctors, which we on time to go into it now, but the QL is, uh, part of the liver send you a channel as the ad doctors are. So you could also include points, um, to affect the relationship between those channels like sourced and low combination gallbladder, 40 liver five would be a really good combination that we use quite easily in the program. So you do, maybe we have this one point, that’s creating a referral, but it’s linked, uh, functionally with other muscular structures. So glute minimus in this case, linked with quadratus, lumborum add doctors in terms of how they’re in dysfunction together. So we can use motor points and trigger points and combinations of those muscles along with distal channel points. And that’s a to create a good local distal and point combination from a TCM standpoint.

Oh, awesome. Yeah, that’s good. Let’s go farther into that. So remember you guys, Osher points have been treated for thousands of years. So trigger points and tender motor points have been observed and treated with traditional techniques. And in some of the discussions that Josh and Brian have had is that when a trigger point is located in a different location than the motor entry point, it’s really common to find a tight palpable band linking the two. So for example, from the motor entry point, if you cross fibered toward the trigger point, many times you’ll actually find that type palpable ban linking the two, which maybe is why punk’s a needle technique was developed, which is really quite common in myofascial acupuncture by kneeling three or four needles in a row within that tight palpable bag. One of the needles would be at the motor entry point.

One of the needles are two of the needles might be the trigger point. So you’re covering those bases. And then as Brian was talking about linking that particular channel with points that will open up the channels in the collateral Xi, cleft Lubo points and such, and let’s also remember this patient, what’s their internal balance. What’s happening with them? How well can they handle inflammation because it’s on the gallbladder channel. Well, how is their liver and gallbladder functioning in their life? Could the liver and the gallbladder be contributing to part of this clinical picture? Always something for us to be able to consider is people are not just coming in as meat suits. We treat the entire patient. Great discussion. You guys.

Yeah. Another really interesting aspect to, uh, bringing TCM theory into this is also looking at, uh, general, like we get into TCM basic constitutions, right? There’s I very often find an element of spleen Xi deficiency with certain types of people who tend to develop a lot of trigger points because of the, the spleen’s ability to supply energy to muscles. Right? Cause the trigger point formation is in a sense of problem with energy supply to the muscle after it gets damaged, right? There’s a, there’s a very strong case to be made for looking at the importance of blood status and using herb formulas to treat a lot of blood status. Um, I think I mentioned maybe in a previous discussion that Brian and I had, I’m a big fan of the drew Yutang family of formulas for treating various types of musculoskeletal pain for that, uh, for that purpose. So I think that that’s, that could be a whole other podcast. We could talk about like a TC woman also talking about like postural distortions and TCM constitutional diagnoses, and then talking about muscular relationships between postural distortions and TCM stuffs. That could be a whole other thing we can get. Right, right.

That would be hours and hours and hours or people would just go to the smack program. Right. Well, this has been a great conversation, you guys, and I think there’s a lot of clarity that was added to this. Um, we are right approaching that 30 minute mark right now. Is there any closing comments that you guys want to be able to say?

Uh, I’ll just say, well first, um, Matt and Brian, thanks again for inviting me to do this. I really appreciate it. And uh, I just want to put it out there for everybody listening that the, the, the smack program, the sports medicine acupuncture program was one of the real turning points in my career. It kind of brought together, even though I’ve done a lot of work with trigger points and some orthopedic stuff before then, um, it really brought together, uh, so many different elements of what I was trying to get at when I was doing, um, orthopedic work with my patients that it’s probably saved me 15 or 20 years of studying on my own, trying to do a lot of this together. So I just wanted to say, thank you, Matt and Brian for, uh, giving people this opportunity. Great.

Well, thanks for that, Josh really appreciate that. And that’s good. Um, yeah, it’s always welcome. And no, Josh, you didn’t bug me with your questions during the smack program where you sat down as a no, no, you just have very inquisitive mind. And the thing is, is that kind of dialogue is so welcome to because other people are stimulated by that kind of conversation. So it’s always welcomed. So thank you, Josh, for that also for more, let me finish this one real quick, Brian, for more information about Josh in the comments section, there’s, uh, three different links that, um, he’s talking about trigger points for anybody who’s interested in a motor point chart or motor point book. There’s also, there’s going to be links for that as well. Go for what Brian.

Yeah. On the topic of, uh, messages coming up, there was a question which we could go into a lot of detail and we don’t have time, but it was about osteoarthritis of the hip. Um, and I just want to quickly say that the same discussion we were just having about balancing the pelvis, um, by using motor points, uh, in terms of like, if there’s a, uh, elevated Lem, QL, glute medius, and minimus, and the combination of motor points, plus distal points, that’ll help balance the hip joint would be really a great idea for osteoarthritis, but you could also look at, uh, what trigger point referrals are referring to that region of pain. The hip joint itself can refer pain and can be, can be the pain source. Sure. But since we’re talking about trigger points and motor points, looking at the trigger points that are part of that referral, uh, it could be that the trigger point is causing 20, 30, 40, 50, 60% of that pain. Um, so also treating the, the, uh, looking for trigger points in those, um, regions that could be referring to that area would be a, it would be a good idea to start with

Joshua say something, I’ve got something to add.

Um, uh, the only thing I would add to that is if you’re not used to looking up trigger point referral patterns, it not is going to not just be the muscles locally to the hip, right? One of the muscles that might recreate something like osteoarthritis of the hip could be like the lung just amiss muscles up around the thoracolumbar junction around T 12, right. That can refer pain down to the truck hacker. So there’s a lot that has that a lot of, um, resources out there to allow you to look up for pain in one particular area of the body, what is the list of different muscles that can all refer to that area? And it’s really helpful looking, you can find those online it’s in Trevell um, uh, yeah, very useful resource.

Um, just to add some clarity with this one, cause I don’t know what kind of diagnostics were made with the osteoarthritis. So the patient may actually have confirmed osteoarthritis, but now these comments that we’re making is that, um, there also could be, uh, pain contributors, which would be trigger points. So as we know, uh, trigger points can also live not only in muscle tissue that we’ve been addressing over these last couple of hours is also can live in joint capsules, tendons, ligaments. So needling the joint capsule itself may also help in this particular case as well.

All right. Anything else, gentlemen? I think we, uh, we covered most of the stuff we wanted to cover.

All right. Well thank you very much. Really, really appreciate it. And so stay tuned for next week, come in, check in, check out Jeffrey Grossman for next week. And Brian is, was nice hanging out with you, Josh. Thank you so much. Really, really appreciate it. Thanks you guys. Bye now. Bye-bye

 

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Supporting immunity with TCM – Yair Maimon

 

 

Today I will lecture about immunity or different aspects of immunity as you know, immunity or immune system is actually a Western term. So we need to do a lot of translational medicine to understand it from the Chinese medicine perspective.

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hello everybody. This is Dr. Yair Maimon from yairmaimon.com. Uh, first of all, I would like to thank the American Acupuncture Council, put up this, uh, show in lecture. And, um, today I will lecture about immunity or different aspects of immunity as you know, immunity or immune system is actually a Western term. So we need to do a lot of translational medicine to understand it from the Chinese medicine perspective. It’s one of the most complex system in the body, and it encompasses, um, the root of many diseases we know from what immune to other. And obviously now during the pandemic, we know that the immune system plays a big part, both in, in protecting, but also a big part in the side effects of the COVID in recovery. Uh, so we’ll touch on few aspects of immunity and, um, later I’ll give kind of a small overview of the translation from Chinese medicine to Western medicine and immunity. So let’s start with some slides, please.

Okay. As the slides are coming up, um, uh, I would like to mention that it’s more, I’ll talk in this lecture about like few layers of immunity. One of them is to do with compromised immunity, like in cancer patients. And then the other one will, uh, I would like to discuss more the type of immune and immune response when the immune system is weak from both from how can we treat it from a horrible perspective and how can we treat it from acupuncture? I was very lucky to, um, do also research herbal research, uh, which proved the effect of acupuncture on immunity and especially on deep immunity or innate immunity, which is our, uh, um, the type of immunity that protects us also from viruses and protects us from, uh, all the different aspects of, uh, not acquire the immunity, which is the learning part of immunity.

So, as I say here, I’ll start with this general idea and move. And, um, also in the classics already, um, in so-and chapter 72, they mentioned if sanctuary and sanctuary is a kind of concept of all the upright chain, the body. So if Zen chief, the chief of the body remains strong shakuhachi, which is a general term for invasion of pathogens to the body cannot invade the body. Then she must be weak when invasion of Shechem take place. So already 2000 years ago, they were very aware that there is, let’s say constant war or a constant struggle between two aspects. And it’s important to understand that because when we treat, we are looking at this struggle on one hand, we want to strengthen immunity. On the other hand, if there is a pathogens we want to weaken the pathogen and there’s different ways to talk about immunity in Chinese medicine, and one of them, which I would like to start with, and I’ll try to evolve as, as we go on is to look at three different aspects of immunity Cenci and Shen is an important part of immunity Shen is our connection to self.

And let’s say even our emotional life and spiritual life. So when one is balanced, the immune system is better when one is not balanced emotionally or in the Xena life, then the immune system will go low, we’ll go low and weak. And we have a lot of examples for this, for myriad part of disease, uh, that can come up when the emotion and the spiritual part of the person are disconnected. Then we have the way cheese, white cheese, the very common way to discuss immunity in Chinese medicine. But it’s very superficial. It’s the kind of immediate fight from external threats. And then we have the gene chain, which is like the deepest part of immunity. And really immunity comes from the steepest part of gene chia or interaction all the time of our constitution and our gene with, with life. So, and, and when we go, we have look at the immunity also from a different perspective and I’m proposing different way of how we translate here.

Again, I’m taking this model that we discussed before and enlarging it. So if we look at way cheaper in Chinese medicine, we’ll look at the lung, we’ll look at the way pathogens are invading. The lung is the upper inner organ. Yeah, that is all the time connected with the external. So external pathogens will enter the lung the same as we have now with COVID. And then we can treat the, uh, external pathogens with different, um, method. By the way, also, by treating with 10 Damascus, meridians was divergent Meridian. A lot of the complications of COVID can be explained by the Virgin Meridian. Uh, and then we have [inaudible] and it’s more related to the kidney and it deals with more with internal pathogen. And then sometimes we need to resolve and look at extra meridians, and then we have [inaudible], which causes more collects to the heart and it relates to traumas.

And then we have different special points that can help the person to unlock trauma and deals better with trauma in Western medicine, we also differentiate between adaptive and innate immunity. Most of the lecture now will be on this innate immunity and also most of the, our herbal research. So we are kind of focusing on this aspect. When we look at the class practical example of a weakening of gene as a result, there is a weakened immune system, and you can see in one sentence, I’m talking Western medicine and Chinese medicine, Jenkins, Chinese medicine chemotherapy, which has given to cancer patient for example, is Western medicine. So that’s a classic example of chemotherapy will weaken immune system. And we can explain it from a Chinese point of view. So, um, you feel looking at this, the side effects, for example of chemotherapy, we’re looking at weakening of bone marrow and which causes reduce white and red blood cells.

That’s why I said medicine, Chinese medicine is weak Miro. We have general compromise the immunity and we have lots of hair and no Chili’s medicine Herod belongs to the kidney and to the gene, we have reduced in cognitive and memory functioning, more related to the gene, uh, reduced fertility, eh, aging people will age sometimes very fast when they’re exposed to chemotherapy and deep fatigue. So all this stuff I kind of explained in Chinese medicine, the weakening, this very deep substance, which is called gene. And that means also that when we applied therapy, we’ll use points or herbs to treat the, uh, this aspect of gene. I’ll give a simple example. Well, Herb’s like, uh, the best example is maybe to look at Wrenchen again, very special gene saying very special, a herb, which tonifies the gene and the UNG. So we have the normal [inaudible] that works mainly on the cheese.

We have the prepared, the red, eh, hungry tension. So it most tonifies the young, if there is more young and coldness, we have Xi and Chen, which is like the American ginseng. Um, tonifies the UN and also the superior engine St. Which is not exactly gene thing. See what ya, that actually strengthening the, not just the immune system, but also its ability to cope in stress and difficult times. So all of this herbs are very adaptogenic and this is actually the key strengths for herbal medicine in immunity. It helps to balance the immunity. If it’s overactive, it reduces it. If it’s underactive it, tonifies it. And this is the strength of, uh, looking at Chinese medicine. We hardly ever use single herbs in Chinese medicine. So we use formulas and the classic formula for immunities, you being [inaudible], um, Jane screen made of three herbs, one, she buys you think thing.

It’s amazing classical formula for general general tonifying of immunity. And obviously with the inspiration of this [inaudible] formula, we, we change it. I changed it to one formula, uh, which I’ve researched for many years in Altria, which is the result of research of just one research of almost five years when we tested this formula on different individual, both healthy and eh, cancer patients and immunities suppressed patient. So this is the LCS, eh, one or two in our research on tonics are called now. And then I did another research on the formula, which are let’s discuss here, which also affects immunity, they’ll say is 1 0 1 or protectable. So this formulas have been studied deeply. This is one of our, uh, um, published research on the effect of the botanical compounds, the LCS one-to-one and innate immunity. And I specifically mentioned the native immunity because this is the part of the immune system that both responds immediately to threads like viruses, but also has a very strong component of, uh, checking the body all the way, surveilling the body and killing cancer cells.

So this is the importance of this research. If you see, one of the conclusions was this, this research, uh, works, um, on the net immunity, but we also tested it with different types of chemotherapy and others just to see also that there is no drug in herb interaction. And that’s one of the key components of my work. And I had a very extensive, a biological lab where we can test things on different levels, not just test them on the, uh, immune system, but also see interactions with different drugs and see how different patients they’re responding to it. So this is how we ran the research. We take usually blood, uh, from, uh, patients and, uh, but also from, uh, volunteers, we isolate if you see in blue, the neutral fields from their blood. So we isolate the active, one of the active components of innate immunity.

And then in the next Quare, you can see that we are examining the neutrophil activity. So what we’re actually doing is looking at activity. When you have a normal blood tests, you just have quantity. How many you have, we are looking at how active it is after we are adding the LCS. Uh, one or two, the tonics are to the protectable, to the, uh, cells. So this is a example of, um, uh, in like four patients you can see in blue is their bladder that control Blab. And when we are adding the formula, it’s sometimes active three or four times more, both in healthy patients and in sick patients. So you can see the, how the neutrophil activity has been elevated in Chinese medicine. We also see tonifies cheese. So people are less tired, which is the classical effect of chemotherapy. So like you produce study, but I also think this formula just to sometimes when I’m fatigued I to, to tonify because it tonifies deeply, uh, the chair of the body and not a thing that we are checking, not just the neutrophil activity, but also the activity of natural killer cells.

This is the subtype of the, uh, white blood cells. And this actually are the cells that are both, uh, very active in killing viruses, but also killing cancer cells. So having a strong natural killer cell activity is something which is important to maintain health in all the levels. So here also, you see the difference between the control, uh, the component of the formula are quite interesting. There is three, um, mushrooms. It takes quite a lot of time to make the formula, to establish it, to concentrate. It, it’s always a process of testing it and testing on in, in the lab testing in different ways. And if you look at the three mushrooms put together, they also, uh, have a significant effect on immunity. In other studies, they improve the ability to cope with tress. They activate, um, and their, their active ingredient also being found and being isolated.

So on some of the mushrooms, we can really follow the active ingredient. And a lot of time is the polysaccharide like a big sugar component, which are very good in activating immunity and also balancing immunity, the other herd like a stragglers attracted. And lygus true. Also demonstrate a lot of immunomodulation function and they’re good for fatigue for mental function and stabilizing blood sugar level and even enhancing liver and kidney function. So if formula overhaul is, we know has allistic effect not much wider than just on the immunity, and this is the beauty of it. So when we are designing formula, we are looking at something that works on three different levels of immunity or Nietzsche, which is it’s actually designed Fuji that protects the Sandpoint. And [inaudible], so we’re looking at this different Herb’s and their component and how they work, not just on allowing the body to fight better with external pathogens, but also keep a better immunity inside.

And, um, I would like to know we’ll demonstrate it in a case so you can see how it is applied. A practically, as I say, I see a lot of patients in different stages and, um, this is, uh, a cancer patient. I am patient of mine. She’s 62 she’s after a lung cancer, that the main part of a treatment was removal of her left lung. She didn’t have any further treatment, just the removal of the lung, where the tumor, uh, was found. And she came immediately after the operation. So she was extremely lacking of energy. You can even see a she’s extremely vivid person. I knew her also, I used to see her in the past before she had the lung cancer. So series very active, but suddenly she was white. As we know what happened when you have achieved the efficiency. If you look in their eyes and I put the eyes, she was very depressed and detached and very sad, deeply sad.

I mean, her husband brought her in and, and really like, bang me know, do something for her. She, she really like, you know, she came before the operation. She was herself enough to shoot that. Like she lost it. You know, he feels like she’s, he’s losing her. I’ll not just on a physically, but mostly on this emotional product. So the points that I did was a combination of stomach 36 and large intestine, 10 to lead points since suddenly on the Lange and the lead point on the hand, which you combine it together as strongly tonifying the, and the chief, but again, on a deeper level, because they’re on the young meat and kidney nine, which will, tonify more the gene part of, uh, the, um, the immunity, especially working on the, on the sheet cliff points and the way my suite works deeply on terrifying immunity.

And on the back, this is one of the key points, bladder 42, the poo hall, the door of DePaul, uh, which will both work on her, Shen on the sadness. It’s quite amazing point it’s on the level of bladder, a 13.4, the lung, because it has few function. One, it treats severe immunity of the lung. It works on DePaul, the spiritual or deeper aspect of the land that is when you’re detached from it, there is deep sadness, but it also helps to reduce heat from the lungs. So it’s one of the key points to treat patients with COVID because it will achieve this dual thing that we want. In one hand, it will come this heat in the lung, which is part of the cytokine storm or excessive inflammatory reaction of immunity, but will also strengthen the land that has been weakened by the COVID.

Then by fighting the disease. And I gave her this botanical LCS one or two, the tonics are. So, by the way, if you want to read all the research, you can look away. We have just a research plant website, it’s for data formula with, for both the LCS. One, one that comes with just some pure research website and you have access to the research and also all the herds. So if you are interested, you can always read there more and, uh, to look at this, a prescription for this patient. So you can see again, I’m trying to, I have this kind of whole picture of the face. So for like, for the Shan part to do bladder 40 to DePaul who the tour of DePaul, so it will address not just the physical part, but also the shell is spirit part. This detachment is deep depression that she felt after the operation and then treating the way and the itchy by combining points on the young mean the stomach and large intestine combination and kidney nine, working on the gene.

So you’re seeing Chinese medicine. We kind of very much go from theory to practice and gave her the LCS one or two in the same times, again, to work on the way change, changing. So we are kind of having a complete, um, cover of, of immunity. And that’s the beauty of acupuncture to me that we can think in three dimension and, and treat them three dimension. And the results were amazing. I mean, a week later she was like a different person, you know, it’s like this patient tell you, wow, it’s a magic. So this is a, I think a good example of how it works. And, um, I did, there’s a lot in explaining, uh, especially during the coffin in explaining immunity. And, uh, I put it into one large teaching package it’s called to serve and protect where it has different components. So it doesn’t just look on the, uh, it looks on the foundation of immune system, like focuses also on allergies, inflammation, the way the body responds to external pathogen.

Then it goes deep into in Nathan adaptive immunity and talks about how the immune system works. And how can we it, and also talking about what we look like also deeply in this, uh, or started to look deeply in this teaching about, uh, internal causes and deeper aspects of immunity. And one of the interesting thing from a Western point of view, and it helps us to understand Chinese medicine actually goes deeper into it is when we talk about auto-immunity we talking about distinguishing self from non-self and in Chinese medicine, it has a lot of meanings. So if you will, wherever interested to look at it any further, you can look at the TCM academy website and are able to look at some of these lectures. I think they can kind of give you a wider range of appreciation of how immunity can be treated, especially with acupuncture, because it’s a vast subject.

And to me, one of the key in the clinic, so this is serving protect actually like the idea, cause immunity is a bit like, you know, it has all this aspects of having, uh, when you look in guarding, you know, society, so you have the placements, that’s how he took this name from, and then you have the, um, soldiers on the borders and you have the intelligence, et cetera, et cetera, all of them working to keep society safe and the same works in immunity. So, um, I think this kind of, uh, gives you some insight and some ideas of how we treat them to treat the immunity in Chinese medicine. So, uh, again, I would like to thank the American acupuncture council and, uh, thank you very much for watching wishing you the best of health and healing your ear. So all the very best, and you can watch also next week on the, on this channel and Matt Callison and, uh, Brian Lau talking about, uh, uh, the treatment of sports medicine. So you get another aspect of Chinese medicine and the scope of this medicine and how it treats the variety of problems. And, uh, so I hope now you’ll get more insights about immunity and then hope it was inspired and helpful. So thank you very much again for watching. Thank you.

 

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Chinese Medicine and Vision Conditions

 

 

“I believe that knowledge is power and we’re all trying to be have our patients and society become educated consumers. So as much as we can share knowledge, as much as we can share what we know with each other, the better.”

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hi, I’m Virginia Doran of luminousbeauty.com. And I want to welcome you to another edition of the point to the point. A show, very generously produced by the American Acupuncture Council today. I’m extra delighted to have as my guest, Dr. Mark Grossman. Uh, when I met Mark in 1992, we were both going to acupuncture school in, uh, New York and Connecticut. Uh, but Mark is very unusual in that he holds the licenses in both acupuncture and is a doctor of optometry and, uh, to fulfill his dream of practicing holistic and integrative eyecare, he’s fully trained in acupuncture. Uh, even though he, he didn’t need to be to, uh, to be practicing. Um, and he’s also trained in nutrition and visual vision therapy, and he saw this significant void in holistic eye care, um, and not only, you know, filled in to practice that way himself, but he trains practitioners internationally online and in-person, and, uh, he’s published many books.

Um, the four ones that, um, are probably most notable and, and, uh, appropriate for this audience is Nash, natural eye care, a comprehensive manual for practitioners of Oriental medicine, where he goes into both, um, acupuncture and herbal prescriptions. And then he has a book, natural eye care, your guide to healthy vision. They sound similar or different book. It’s an 800 page texts, and it covers about every eye condition from both the Western and Eastern perspective, plus nutrition and supplements, herbs, clinical tips. It’s really a must have for every practitioners library. He’s also written a book, very interesting book, very unusual, greater vision, a comprehensive program for physical, emotional, and spiritual clarity. Uh, another thing that he teaches about and the international bestseller magic eyes beyond 3d your vision. Um, so you can find more information about his books. Trainings has specifically done products, but also about many, many different eye conditions.

His website is full of information. He’s very generous with his knowledge as he shares it to people and that’s natural eye care.com. So after that, um, uh, I, I asked you to, to, um, you know, speak on this because I think it’s so necessary and there’s not much draining or, um, awareness of this in our field. And also, um, I think that, uh, you know, if you could give some examples of like, say glaucoma, for instance, you know, a common condition that, uh, to give an idea how you work, the in-depth, uh, approach, you have to things. So thank you so much for being out. Cause I know you were in the middle of her work day. Uh, so, you know, if you can tell us how you got into this, that’d be very briefly. And then, uh, you know, what you want to impart.

Oh, thank you so much, Virginia. And I’m very, very grateful to you, Dr. Alan Weinstein. Who’s a master of putting this out the American acupuncture council, because I believe that knowledge is power and we’re all trying to be have our patients and society become educated consumers. So as much as we can share knowledge, as much as we can share what we know with each other, the better. And it’s very interesting. I was meditating this morning and I was saying, oh, I think I know what I have to start with saying, and you said it beautifully. How did I get into this acupuncturist? Usually have a drive. It’s like, oh my God, this is my calling. This is my calling of what I want to do in life. And my story was, I was already an eye doctor for, uh, 16 years had just finished paying off my student loans.

And then I went to a friend’s house. And in the middle of her living room was one of the first books in the Western hemisphere, an acupuncture called the web that has no Weaver. And I felt that I could remember it. Like it was yesterday. The book looked at me, I looked at the book. I said, I can’t believe I got to go to acupuncture school. Now I thought I had a way out because acupuncture wasn’t licensed in New York state yet. And as you know, as one of my, uh, classmates, we had to go to school in Connecticut first. So we went to school in Connecticut for a year. And then we spent the next two to three years in new York’s New York city. So I said, well, I guess I got to go. I don’t know why I’m going. Uh, I just know I have the calling and we’re going to talk about the call and we can talk about those moments in our life that we get those signals of what we need to do and how our vision, how not only our outer vision, but our inner vision affects how we are in life and how it affects eye conditions.

And we are in an epidemic. That’s an epidemic in society right now. Do you know that over 90% of young adults from 14 years and younger in China and Japan are near-sighted, if you don’t consider 90% epidemic, then the thing is, you know, and with the advent of computers and being online. So we need to take care of our eyes. And as we know in Chinese medicine, if you can go to the first slide Allen, we know that all the meridians go to the eyes, all the meridians go through the heart. So when we are working with people with high conditions, acupuncture, Chinese medicine, I believe is an integral part of the integrative medicine team that needs to be to help these conditions. I, um, about a month or two ago, I lectured at the east west integrative medicine department that UCLA that’s been going on for over 25 years.

Oh my God. And we did an international conference, which I was part of the panel on Chinese medicine and vision. So the need is there, there were some amazing acupuncturist, like one of my colleagues and co-teachers Dr. Andy Rosenfarb who specializes in vision and Chinese medicine. So what I want to really put out today is how important and how Chinese medicine can be part of that team and myself. And I’ve been practicing for over 40 years as an optometrist. And what are we up to now, Virginia 26, 28 years, 26 years as an acupuncturist. And I didn’t even know when I was in a, I doctor school, optometry school. And I would say, excuse me, why did they get a cataract in the left eye and not the right eye? And they go, you mean, you want to know why I said, yeah, I’d like to know why.

And Ted Kaptchuk said it beautifully. He said in Western medicine, in which I was trained, we look had, how does X cause Y but in Chinese medicine, what do we look at? What is the relationship between X and X and Y? And I believe that all disease dis ease in the body mind has to do with relationships, relationships, to our environment, to the trees, to the oceans, to our, uh, families, to our friends. And what are, what is the goal of every acupuncture or Chinese medicine treatment, balance and harmony. And when we have balance and harmony and Chinese medicine speaks about it beautifully, we have no stuck energy. And I believe in my experience that almost all eye conditions, uh, due to stagnant energy. So let’s go to the next slide. Allen integrative medicine envision, we need an integrative approach. You know, I lectured at the integrative healthcare symposium and there were acupuncturists in the audience, functional medicine doctors, natural paths. Yes. I always tell people who I see, I’m just a little part of your team. We want to do integrative medicine. Next slide.

Can I interrupt a second? I went recently to an eye doctor to, you know, just have a checkup and tests. And I don’t think I’ve actually ever done that as an adult. And, um, you know, they dilated my eyes for something. They put some other drops in. I mean, for three weeks, I could barely see, and, and my eyes didn’t adjust back, you know, the dilation, but they were cloudy from the second. They put the first drops in and, um, you know, all they could suggest was a drug. And they said, oh yeah, it’s not, it’s not, it’s no problems with it. But I looked up the side effects of the drugs. It was every organ, every organ. And it was going to change. It could change the color of your skin, your eyes, but they thought, oh, no, this is totally benign. So there’s such a need for what you do, you know?

And for some and others to know about it, really, we all should be trained in this specialty because it’s, you know, what’s going on is kind of barbaric really anyway, sorry to interrupt, but you’re never interrupted. And yet at the same time, I talked to you about it and you were like, oh, we have, you know, we have technology and ways to do it, that you don’t have to be dilated. Oh, there’s different versions of these different medications without the preservatives. That cause a lot of the effects side of it, you know, why don’t other doctors know this?

So as somebody in both professions with both hats on I, doctors are really, really nice people. They really try hard. But as we know with most Western medicine, we have limited things in our toolkit. We have medication, we have surgery and that’s it. We are looking at the eye as an isolated organ. I had a patient I’m going to see later at my last patient today because he was told she has eyelid cancer, but I started talking to her. And what are the lids related to in Chinese medicine, the stomach and the spleen. Is she having problems with her microbiome? Is she having issues? Is she seeing a functional medicine doctor? Yes. But the eye doctor said, oh, you’ve got bumps on your eyelid. You know, it’s maybe it’s eye cancer, but I’m just saying, we need to look at the relationships. And remember when I just said before, um, well, why did you get a cataract in your left eye before the right Chinese medicine in most people?

Right. I father I male, I yang. I left, I feminine yen receptive. So when I really look in, I mean into why somebody develops macular degeneration, glaucoma cataracts, and why they may get an in one eye versus the others, I’m going to talk to them. What’s going on in their relationships with their father, with their husband. I mean, I’ve got stories, I’ve got stories, you know, after 40 years. So let’s keep going because this is just a preview because I really want acupuncture is to, to, to get the power that they have for this kinds of treatments. My website, natural eye care started about 20 years ago. My business partner in that is, uh, Michael Edson. And Michael is an acupuncturist also. So we refer to acupuncturist all the time because it’s both are bent. Uh, you see a pho a phone number there, (845) 255-8222.

The direct number for Michael, which is the new number on our website is 8 4 5 4 7 5 4 1 5 8. But you can go to the website and Michael loves talking to acupuncturists and we are there as a service to help you work with your patients. Next slide, Allen. These are some of my books beyond 3d magic eyes. Those of you who are old enough know about these 3d pictures that you relax your eyes and then a hidden picture comes out. Uh, it was published. We, uh, they sold over 30 million of those books. I wrote two of them. I’m the medical consultant to them. Uh, I got there, but after they sold the 30 million, so I didn’t really profit from it. Um, but those magic eye pictures, uh, one of the tools I use not only to help people’s eyesight, but to help reduce liver stagnation through the eyes, the greater vision book was written because I do believe in the Mati body, mind and spirit of all eye conditions, natural eye care that I wrote with about twenty-five years ago, which was the book before it’s time with a good friend of mine, Dr. Glenn sweat out is in Hawaii. Um, and then we can go to the next slide where we expanded on it to that 800 page, 2000 peer review references book, uh, on natural eyecare. And that book is also available on Amazon and then on Kendall. And we also divided it into about five or six smaller books because that’s a very heavy book, but it is, it is. I have had the 10 different doctors help me with it. So it is, uh, a really good resource. Um, next down, next slide.

So let’s talk just a little bit. The only thing worse than being blind is to have sight, but no vision. Where does vision happen? It happens in the mind. That was a quote from Helen Keller. Next slide, Dalai Lama, in order to carry a positive action, we must develop here a positive vision. One of the real keys in Chinese medicine is the person has to have it in their belief system that the, this kind of thing can help. You know, we’re not there to convince people. We want people to feel positive and if they can conceive, if they believe it, they can conceive it. Next slide. This is, uh, something which my magic eye books are based on vision is the art of seeing what is invisible to others. You know, we need to see the bigger picture and what does Chinese medicine do? It sees the bigger picture next, and this is how I sign all my emails.

And I’m going to give you all my personal email, um, today, because you’ll see if you have any questions that come up, because the question is not what you look at, but what you really really see next slide. Okay. And here we go. No, no, that’s good. We got to go to Shakespeare. The eyes are the windows to your soul. We know about that. People, the Shen the spirit, the pilot light our eyes tell us how much our spirit is connected with our soul. And I believe that through the eyes we can help people, uh, go through their soul’s journey next and Benjamin Franklin, an ounce of prevention is worth a pound of cure. So nutritionally Chinese medicine wise, if we can get people on good visual hygiene, the dentists talk about dental hygiene, plus your teeth, brush your teeth, brush your teeth, but we’re on computers. Yeah, because 11 hours a day on digital devices, we need to do visual hygiene. We need to take care of our bodies and our mind next.

And this is the integrative medicine approach, which is, I think the Chinese medicine approach imagine a oriented towards healing rather than disease, where physicians believe in the natural killing capacity of human beings and emphasize prevention above treatment in such a world, doctors and patients would be partners towards the same ends. And that’s why the minimum I’ll see patients or clients is I say, I want you to come in after we’ve worked for awhile, once a season, as the seasons change, as you are going to be relating to your environment different than, uh, we need to do a tune-up. So on all my clients, I say the minimum I’m going to see you is once we get everything balanced and in harmony is once a season. Next slide. So these are some of the allied complementary practitioners I might refer to for different eye conditions. Um, and acupuncturist is right there.

And even though it’s, it’s not on top, let me tell you, uh, my partners in my practice, my PA one partner is a chiropractor and the other partners, and as an acupuncturist. So, uh, acupuncture and chiropractic are some of the biggest referrals that I make in my, um, uh, integrative team approach, along with natural paths and functional medicine practitioners. But at different times, I may use any of these different complimentary practitioners. Next, this is the office I rent space in. This is the outside next slide. The reason I’m showing this is the waiting room before COVID where now we have people six feet apart. Next next one, contact lenses next, because contact lenses from an acupuncture standpoint, what they do is they put people who are very near-sighted. They create a larger retinal image size. So actually just switching people from an eye as an eye doctor from glasses to contact lenses may open up a whole way of Le less liver tree stagnation.

These are some of the, this is some of the high end technology that’s available today because, and I can help you as acupuncturists, uh, read the reports on this and, uh, talk to you about the findings on some of these tests, in terms of Chinese medicine. These are pictures underneath the retina. They take pictures underneath the macula, underneath the optic nerve. They take a 3d picture of the eye. And as, um, Virginia said some many times we don’t have to even dilate the eyes. Do you know, as we said, the eye Embrya logically physiologically and neurologically, what is it? It’s brain tissue. If you continue to mind, you can change your eyes. We all know about the neuroplasticity of the brain. Therefore we have neuroplasticity of the eye and you know, that you can diagnose, uh, Alzheimer’s disease early through retinal photos. Yes. This thing is out there. So the technology today in the eye will give good insight to people’s eyesight. Next slide. Okay, let’s go to slide 23. [inaudible].

So, as I said, the hi is brain tissue. Do you know that there are studies that in multiple personality disorders, they all had different prescriptions. Oh, very interesting. Mind, body spirit, next slide and trigger points. Uh, both me and Virginia. We had the pleasure and the utter gratitude that we were able to learn from. Uh, one of the, the pioneer of trigger points, Janet Trevell who wrote these two giant giant books, even bigger than my book on trigger points. And when I learned that it’s the neck, the shoulder, the upper trapezius, going to the sternocleidomastoid up to the suboccipitals that many vision problems come from, because why not that that happened? Because people have poor posture when they’re on devices and things tension. Exactly. Next slide Allen, the spleen is surveys is the neck muscle. So when we’re doing trigger point therapy, we can help with pain in the eyes.

We can help with glaucoma, which, um, I’ll talk about very briefly after, but I really wanted you to know that trigger points, uh, whether you do it through deep tissue or you do it through acupuncture could be very, very helpful in, uh, treating, uh, eye problems. Next slide again, the SCM, a biggie player, especially with musicians, especially like violin and Viola players. Ah, because those people I’ve got studies on how that affects a stigmatism. So yeah, the eye and the body and posture are very related. Next slide. The psoas muscle. If you have a tight psoas muscle, sometimes it relates to a vertical imbalance between the two eyes. So again, we have to look at the whole body next.

Okay. That’s it for the slides on. Thank you. So I’ve got about six minutes. I’m going to give you an overview of glaucoma because glaucoma is so we can do so many things because glaucoma is a disease, this ease of the optic nerve. But the only thing that I doctors having a toolkit of glaucoma is medication with lots of side effects and surgery, and they even have people. And then what they say is, oh, oh, we just have to lower the pressure. But look at that. Here’s the, here’s the optic nerve. Yes. According to physics, if you lower the pressure in the eye pressure hitting the optic nerve, that’ll be helpful because the higher the pressure, the more it could possibly break down the optic nerve, normal pressure and glucometers between 10 and 22. But wouldn’t it make sense to also build up the ocular blood flow to the optic nerve?

Wouldn’t it make sense to work on neurodegenerative neuro uh, uh, neurodegeneration? I mean, that’s what, uh, the eye research is showing. We want to have, um, things that are helpful for the nerves. So nutrition very helpful for that alpha-lipoic acid N-acetylcysteine, um, sublingual, vitamin B12, the B vitamins. So nutrition, very helpful acupuncture super-duper for, uh, helping with ocular blood flow and circulation because circulation, that’s why studies show that as little as aerobic exercise, four times a week can help with, uh, lowering the pressure. But what is one of the, some of the main things in Chinese medicine? You know, we all say liver, liver, liver, nice, but in Chinese medicine and glaucoma liver is a big player because it’s the stagnant liver cheat that can add to, to, uh, CA um, Livia, hyperactive, liver, young, that can cause a high eye pressure. So I’m always trying to bring the pressure down, bring it down.

I want to deal things with the earth element. I may have them stand in dirt, rub a, a ball on kidney. One, bring the energy down. So liver three, liver aids for blood, uh, gallbladder 20 to release the tension in the occipital. Uh suboccipitals so liver kidney very, very important. Especially sometimes the pattern is a kidney yin and Liberty in deficiency. So there’s basically, this is where it gets a little tricky. There’s like six different kinds of glaucoma. Some glaucoma is due to more due to inflammation, such as pseudoexfoliation glaucoma. Some glaucoma has normal tension, normal eye pressure, but has what we call large cupping in the optic nerve. And therefore, you know, we can lower the pressure, but it’s more about getting more blood flow to the optic nerve and, uh, helping the nerves. And then there’s the eye, the glaucoma that has high eye pressure.

But again, the tool dry doctors is just lower the pressure. So we can see very easily how Chinese medicine can have an effect. And going back to the muddy bind spirit stress, oh my God, they have studies that show that stress can increase the eye pressure. So even in the regular literature on Western medicine, so we want to relax. That’s why my favorite formula that I created with my, uh, acupuncture partner, Jason Elias, and we called revision. And what is it based on B Florim and Pini combination. Why, because what is that called relaxed wander? And I added some bilberry and some Ginko, and I added a little Licey and chrysanthemum to bring energy to the eyes. So we really want to do Western Chinese herbs coleus and air vinegar. That’s very good to lower eye pressure. So I really, what I really want to share with you and hope you get a, and if you want to learn more, I am totally available.

My personal email is D R Grossman 20 twenty@gmail.com. I really want to let you know that the ability for Chinese medicine to help with chronic eye conditions and basically all eye conditions, is there that Nick, that place that you, if you really into it, that you want to add to your practice is there. And you will, you will have patients. My friend and colleague, Andy Rosenfarb is busy, busy, busy, and he trains, uh, acupuncturists in a special kind of acupuncture called micro acupuncture. So again, thank you so much for your attention and your time. And hopefully listening to this, uh, again, knowledge is power, and I hope that you become part of an integrative medicine team to help people in the world keep their precious gift of sight. Thank you so much.

Thank you so much, mark. And thanks again to the American acupuncture council, um, Virginia Doran signing off from luminousbeauty.com and yeah, Yair Maimon is next week. So, so he’s always got something interesting. I hope you’ll check that out too. All right. Goodbye. Bye.

 

Some Tips Finding The Best Acupuncturist Liability Insurance


If you run an acupuncture clinic, you will do your best to protect your business and professional reputation from any threat. For instance, a single lawsuit from a patient claiming malpractice can cause a big blow to your business, which can put a strain not just on your corporate account but personal finances as well. Therefore, you should put some level of protection in place.

Finding the best acupuncturist liability insurance to protect your business is something that you should not take for granted. Having one can go a long way. For example, it can offer protection for your business both from natural calamity and “legal calamity” as well as fire.

With the right coverage, you can rest assured that you are protected financially. You can use the insurance coverage should you need it to cover the cost arising from a lawsuit. You can also have the money to procure new equipment, reconstruct/repair your facility damaged from a natural calamity – or even fire.

Now, the question, how to find the best acupuncturist liability insurance? Although there is no perfect formula, the following tips can help increase your chances of finding the best provider available that caters to your needs.

Tip #1: Scrutinize reviews – any company can easily claim that they can provide you with the best acupuncture insurance in town. But that can be misleading; thus, it is crucial to counter-check their claim as the “best.” Reading reviews from clients is an effective way to get an idea of how reliable your prospective insurance company is.

Tip #2: Check out several options and compare – Build a list of prospective acupuncture liability insurance providers and put them side by side for comparison. With the accessibility of the Internet, where you can have acupuncture information, including quotations, with just a few clicks, doing this thing should not be that difficult. Doing this will allow you to have an easy understanding of the similarities and differences of their insurance packages.

Tip #3: Find responsive and honest prospects – prospective insurance providers who are responsive to your query means they know what they are doing. That also means they are knowledgeable about the product they are selling. That, coupled with honesty (they tell all; no hidden charges), will make them highly qualified acupuncture insurance providers worth considering.

Online looking for the best acupuncturist liability insurance? Contact American Acupuncture Council today.

Call (800) 838-0383.