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Alchemical Chinese Medicine: Entering the Mystery

 

 

And in terms of saying that alchemy in Chinese medicine, Is this idea that we’re all perfect. We just don’t know it.

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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, and welcome to another edition of, To The Point. Very generously produced by the American Acupuncture. Today on this cold spring day, I am really excited to have a guest. Leta Herman is now chemical healer and a TCM teacher. She has a podcast called the Inspired Action and she’s an author of several books.

One is through the mystery. Also the energy of love, connecting your circle and the big little guash of book. And she’s just a delight. She has a training center for her El chemical work called the alchemy learning center. And we had a nice long discussion by phone about her work. And I think you’re really going to be interested.

Many of you are really going to be interested in this. We’re calling this entering the mystery of alchemy with Chinese medicine and Leta. Please, introduce yourself, say hello.

Thank you. Thank you so much for inviting me, Virginia. And thank you to the American Acupuncture Council for having me here.

I’m thrilled to share this information with you in any way I can.

Yeah. Now we hear the word outcome. He tossed around. And some of us have studied it with Jeffrey UN for example. And it’s, and it really transcends just Taoism. And but how do you define alchemy or how are you looking at and trying to practice alchemy?

Yeah. So I think about, for me as a very generic word, and as there’s alchemy in the west as well as the east. So it’s a very broad word that generally means transformation, but because of the studies that I’m doing in alchemical Chinese medicine, I would like to define it a little bit more narrowly.

And in terms of saying that alchemy in Chinese medicine, Is this idea that we’re all perfect. We just don’t know it. And we need to like, as human beings, we’re here to evolve. We’re here to have experiences and we’re here to maybe even the Dallas would say fulfill a curriculum of this lifetime. And alchemy is about transformation in a big scale, on a big scale.

And it’s about how can we ask ourselves better questions about who we are? How can we take a journey along in our lives so that we can continuously evolve. And I think it’s equivalent somewhat to the Buddhist enlightenment idea where Buddhists are trying to achieve something in called enlightenment and in Daoism, we’re trying to achieve something that would be called a realized human being.

Jen Ren and and that’s a person that’s like a Sage or a wise person who basically is approaching life very differently than the average person. And there’s a long tradition in China of Chinese medicine, healers who have done this, like since they Meow and go home, but others as well, who were the ADA mortals, for example, that a group of people and there were others.

That group of alchemists who got together and they were working on their own evolution.

Yeah. And that’s solid bet.

So I, I know that we both not only studied with Jeffrey Ewen, we both studied plant spirit medicine. That’s a rather rare, esoteric subject. How do you bring that into this work? Or do you, or are you doing it more in a Dallas way? Is it a fusion of things?

It’s funny because I studied plant spirit medicine, which is truly a shamonic technique, even though it came out of the five element acupuncture tradition it basically incorporated the shamonic traditions with acupuncture and came up with a new and new kind of medicine.

From that perspective, of course, plant spirit medicine has been a native man medicine. Eons, but, so I studied that first and then I went on to study with Jeffrey Yuen and really delve deeper into the alchemy concepts. And then much later Jeffrey Yuen started teaching shamanism as well, which was just very interesting to me because I’ve obviously been attracted to the esoteric.

Day one. And I’ve always been working with people where I felt like I really wanted to get to the root of their problems. It’s like they, they didn’t feel well or they had emotional issues and I always wanted to find what is that root of the problem? What is that? Psychological, mental, emotional, spiritual root of those problems and both plant spirit medicine and alchemy are about that.

So I, I think that’s why I’ve been attracted to those different approaches.

Yeah. Yeah. I know the work that I did with plant spirit medicine was really, probably the most perfect. Lead transformative work that I did, despite a lot of meditation and other kind of traditions and practices.

And I had done shamonic work as well, but it was something It was from me. It was the straw that broke the camel’s back, so to speak on certain issues and traumas that I have. And so I’m really, eager and curious to see how you work and whether it doesn’t matter whether or not you bring that into it, because I know from reading, your book, the which is the entering the, what is it?

Which one is it? The through the mystery gate that. You have had amazing results with patients, very transformative, not just getting rid of just physical pain, but getting at the root of very deep issues and Yeah, excited to, to learn more about that. And so actually, since we’re talking about treatments, how, what is your treatment like?

Okay. Okay. I have two kinds of treatments. One is a set of treatments that are just ours. Two-hour long treatments that people do over a very long period of time. It’s called the nine stages of alchemy. And that’s really about cultivating your passion in life, your full potential in life.

I say it, the goal is to really get you to fly in your life. So that’s all of the kind of forward-looking. This is where I’m headed work. But before we do that, There’s a lot of the past. And we say a lot of skeletons in our closet, a lot of things that haunt us from the past or that are hooked into us and won’t let go.

And so that’s where we do longer sessions. We do a, basically we devote a whole day to someone’s healing in that perspective and the most common one we do in that case, it’s the 13 ghost points and the 13th ghost points is about those hooks. They use the word ghost. Which it doesn’t mean you’re haunted by an entity.

It could just be you’re haunted by the past. It could be that, someone did something to you or you had an accident, or you just had a really difficult childhood or some kind of abuse scenario and those things they, you’re not free in your life because those are hooked into. And so we basically have a whole day where we do the 13 goes points.

It usually takes somewhere between four to six hours. And we just give someone the time and the space and the honoring of what they need. To let it go to really, truly let it go. And it is a transformational, like I’ve had

phenomenal and also your head is not into the mentality of oh, keeping on the clock and the next patient.

And then, you can really dive in very deeply with people. That’s beautiful.

Beautiful work. And people always say, aren’t you more tired after you do a long day like this? And I say, no, actually I’m less tired because I’m not switching eight times in the day changing, getting people in and out of the room, et cetera.

I’m just devoted to that person for the day.

Yeah. That’s one of the things I like about the facial rejuvenation acupuncture that I do because I try to make it a transformative treatment. But it’s I’m just with someone for a couple of hours. And you can just slow down and just you, I don’t know, you just, for me, I need that time to go more deeply with someone than, maybe some people could just go in and give them a look and change their life.

But yeah I think also for the patient, they feel more cared for and can really open up and relax into the. Yeah. Yeah. Yeah. Beautiful. Wonderful.

And the changes are pretty dramatic. Sometimes it’s right in the treatment room, where someone will say, oh my God, the monkey’s off my back.

Like I feel it. Or and they truly mean it. Like they come back in after that and they’re like, my life has completely changed. Sometimes someone’s voice will literally completely change. They might have a really high voice and suddenly. Lower voice or I’ve had people who that goes points are really interesting where I didn’t even know they smoked.

And that was an issue for them, but like a month or so later, they’re like, I don’t know why, but I just stopped smoking and I wasn’t even trying. And it was like maybe that’s because he were smoking. Because of this thing that basically were carrying around, it was latent in your body and now it’s gone and you don’t need that habit anymore.

You don’t need to smoke to deal with it, that pain.

Do you work with any prenatal trauma or.

Oh, absolutely. There’s another treatment that I do call the nine heart pains and then the nine heart pains treatment we begin with utmost source heart one, and that is supposed to be related to pre.

So in terms of just what you’re coming in with, what we’re basically a human being that’s incarnating. And that point is representing this, the start of a new ARN incarnation. And what’s all the baggage that might be there in the very beginning in utero. Wow.

Can you talk about the, so when somebody comes in how does the treatment.

I like to start with a little kind of ritual that I do with people, which is just talking and then having them pick a poem out of a book, having them pick a card out of a deck of cards, just to break the ice and get, even if I know them well, it’s just, they might be nervous. They might be anxious about getting there.

They just settle into something very simple. And then they get up on the table and. I take pulses and we, we do something really unusual in these treatments. We have an iPod or some kind of playlist with 20,000 songs on. And we shuffle it and they’re of all genres. And the idea is we’re trying to simulate how things were done in the ancient times where they had live musicians which I was really fortunate to see a similar type of event at mouth Shaun in China.

When we went there with Jeffrey Yuen, where these musicians were just playing. This live improvisational music and, there were symbols and all kinds of instruments. I don’t even know the names of, but that music was very. Emotional. It emoted things from people like people had tears running needed down their face.

And we’re here where, we don’t really know Chinese music as much. I have Chinese music on my playlist, but it’s more than that. It’s we need music that we can identify with. So I put every genre I could think of good, bad, whatever. You’re. Opinion is about music.

We have it all and we don’t segregate, we don’t we don’t try to limit it in any way. And so what we’re doing is just allowing the music to vibrationally. Move the treatment along. And the treatment itself is a vibrational technique. It’s about shaking up stuck patterns.

All alchemy is vibrational in the technique. And so it’s really about stimulating something that is been stuck and trying to really evoke more than just transformation. I like to say transmutation something really. Stronger than a slow evolutionary change.

And are you using needles or is it more energetic or.

I

am feeling I have, I, you can do needles or not needles. And I personally do not use needles for alchemy. I use my finger as a needle, and the idea is, I don’t want the separation of between me and the person of the needle. So energetically, my finger becomes the needle. So I just call it non needle needling.

And I always recommend my acupuncture students attempt to do some of these treatments with needles and without, and then they can choose how they want to do. It’s a little more challenging to do some of these treatments with needles, because some, in some of the treatments, the needles are retained and there are needles on the front and the back.

So it’s a logistical issue and it has been done. It’s not that it can’t be done, but there is an issue of, if you’re. Four to six hours on the table, the person’s going to have to go to the bathroom. What are you going to do about the knee? So there’s a lot of complexity that gets removed.

If you do the non needle technique,

and then you’re probably more apt to use your intention and transmit your G then just relying on the needles to do the.

Exactly. Exactly. And I really don’t recommend in general, I’ve had people who have gone to acupuncturists and receive the ghosts points and the, they did it like in a traditional stick, the needles and leave the room.

I don’t really ever recommend that because it’s such a powerful, emotional shift that it really needs to be. The, what I talked to people about is becoming an alchemical. Healer is really walking the walk with the client. So you have to be in the room. You have to be not only just not sticking the needles in and leaving the room, but each needle could take an hour to insert if that would be extreme, but it could because.

It’s takes that long for that person to allow the shift to happen. So you have to think of it in a totally different way. Becoming an alchemical healer is really different than just, how we’ve been taught Chinese medicine in general.

Now I understand even, even better why you’re doing it without needles.

Yeah. That makes sense. And can you talk a little bit more in detail about the nine stages of that? Yeah. So treatment approaches.

Yeah. Yeah. It’s actually my favorite work. The ghost points are very dramatic and they really shift people in huge way and it feels like a miracle often every day in my clinic, when I watch people walk out the door completely transformed.

That’s beautiful and I love that work, but that’s trying to get rid of something. That has been that package for them, that they that’s not about them, that they’re just trying to unload and. And then when you do the nine stages of alchemy, it’s like, how can you almost become more precious, like a metal that’s being polished and polished until it’s, beautiful.

And I feel we’re all a little bit tarnished and we need a lot of polishing. But in, there is something really precious. And so the nine stages of Alchemy’s. Just taking one step at a time. And I like to say that you can invent your own alchemy. There’s no right or wrong way to do it. I just like to say there’s some really.

A wise old ancient Chinese people that said, Hey, if you do it in this order, it works really well. So stage one is a treatment that we do. That’s just about E. It’s about creating more ease in your life. And so you do this treatment, maybe quite a number of times, you might do it over a whole year with someone where they’re just getting to a state of ease.

Now, imagine you might have someone who already has their. So you don’t need to do a lot in that stage. Maybe you do it once or twice or three times. And then it’s there’s not much happening here because you’re already there. You’ve done that work. So then you move on to the next stage. And the next stage is about I call it the best protections, no protection.

It’s about all the armor we wear and we don’t ever want that bad thing to happen again. And so we’re always on the lookout for it. We’re always checking for it and it’s tiring. It’s exhausting to live that way. And so what would happen if we removed that protection? Because we’re so good in ourselves and some of them throws a dart at you.

You just Dodge it. It’s not about you. It’s about them. They’re having a bad day and you can see that. And so once you start to step into stage two, you’re no longer protected. And then stage three is about all that prenatal stuff. It’s about the ancestors stuff. It’s about your past lives. So we need to unload that and then stage four, five, and six are where all the fun begins because you get to be, you get to be free of all that stuff and you literally start to shine.

You start to look like a light. And stage four is about being like a child. Stage five is about channeling and listening to the world and being like a wise person. And stage six is about really, truly flying in your life. Some of the immortals were purported to fly. And as late as in the 1950s people send, they saw them flying.

The movie, crouching tiger, hidden dragon, that’s not supposed to be just fictitious it’s supposed to be real. And what I like to say is I haven’t seen anyone levitate off my table yet, but I expect them to do it at some point, but they start to fly in their lives, and that’s really magical to see.

It’s yes, like taking off on a runway, it’s maybe some people have been taxing a long time, but they just haven’t been able to get liftoff. And a lot of this work is about that. And it’s about. Living what we call in our podcast, the inspired action podcast. We talk a lot about Wu Wei and stage six is about what is sometimes translated as non-action, but I like to call it inspired action.

How do you live that kind of spontaneity in your life, where you’re just free and easy and just, basically looking at the footsteps in front of you that are already there. And all you have to do is put your foot in there and put your foot in there and put your foot in there. You’re good to go.

So that’s on me.

I like that, flying in your life because that’s really more important than, developing some yoga city, some power You know it, I know I had a teacher who used to say, these people that spent all this time and energy, trying to levitate, even if it’s just a few inches or a foot off the ground.

And if they use that for, more of their inner development or for helping, world peace or something, how much more useful that would be. And yeah. I like that idea of people flying in their life. It doesn’t have to be something literal, and that it doesn’t even have to be that doesn’t even have to be the goal.

Any literal flying. It probably would just happen if somebody reached a certain stage. Yeah. Yeah.

Yes. That’s how I look at it. Exactly. And like I said I would love to see it literally, but I just like to see it as someone living their full potential and. It just really not held back by all the things that hold us back.

Yeah. And so what about 7, 8, 9.

Yeah interesting that you ask. So I decided a long time ago that I can only go as far as how far I’ve gone. And so I’m working on stage seven and I. I believe that in stage seven, you have to really go into the case. So to speak, you have to retreat from the world to do that level of work.

And it’s really about morphine. It’s really transforming in a big way. And in ancient times, in, for example, when I went to , there are caves, there were people. Basically living inside the cave for many months at a time, people bring them some water through a hole or maybe a little cracker too, but they’re basically in there until they figure their stuff out.

And so the idea is, I have. Been, I’m still very much in the world and I’m still like living a stage six life. And I want to keep working on my stage seven. And so therefore I don’t really want to take anyone else through stage seven, eight and nine. So seven is about this idea that you can morph.

You could completely transform yourself. Stage eight is that you can become like a ninja. You can become an. And stage nine is that if you become invisible, you need to learn how to reappear, if you want to. And there, there is a story of go hung when we went to gongs mountain where, he basically was surrounded by all his apprentices and he suddenly vanished and his clothes fell to in a pile on the ground.

And so he never came back that we, that I am aware. Or that I’ve been told. He obviously could still be a mortal walking this plane, but but the, his idea of immortality wasn’t necessarily that you had to come back that you just needed to transform into some other dimension.

Yeah. Also the, in India they say, if you reach a certain stage. Enlightenment or development that you have a choice, whether or not you come back to incarnate. And then

third

answer is you do come back to.

Yes. And that they not talked

about needs and desires and unfinished biz. Yeah.

Yeah. And we say that it’s stage nine is like being a Bodhi. PSAT’s a bodhisattva, you come back for the benefit of all and you’re coming back to help.

I’m going to bring you. Okay, here we go.

Okay. I’m back.

Yeah actually, maybe because of the tech issue, it’s a time to maybe it’s a sign to conclude this, but I would like to have you back and have you talk about the starry sky points and the nine heart pains and, there’s so much more we could talk about, unless there’s anything you want to say in conclusion,

Okay. All right. I was thinking that in terms of alchemy and just Al chemical healing in terms of like people who are doing acupuncture that are interested in delving into these concepts, it is it is like a a different roadmap for people it’s really about.

Am I interested in cultivating myself in terms of my own alchemy? Am I interested in becoming an alchemical healer because I want to transform as much as I want my clients to transform. And so I really look at this as like first, what about me? The practitioner? And I really came to that conclusion because in the beginning, I didn’t really think of it that way.

And it took me a while to understand a lot of that. Through my own cultivation. So as I did more and more work with this, I transformed much more quickly than I think I would have on my own. So I say to practitioners that every single time you do like a ghost point treatment or one of these treatments, the sign that you’re actually doing it well is that you transform as much as the client.

And I know that all of us have that experience of that big aha moment when the client shifts and then you shift as a result. But it’s way more apparent in alchemy. It’s really about not only the client, but the practitioner themselves. And I don’t mean that in a selfish way at all.

You’re not doing it so that you can transform but that’s one of the things that happens.

That’s, I always say that, people can memorize the classics and Chinese and what have you, but if they have. Cultivated themselves, spiritually and psycho spiritually. And if they haven’t learned to cultivate their cheek, then if there’s limitations on what you can do for people.

But if you’ve done those other things, it can transcend anything that you can find written, modern origin.

Yes. And so that’s why one of the things that we are doing is we have a website called the learning center and there’s an app as well called the alchemy learning center. And what we’re doing is we’re putting a lot of these.

Genes into a format that people can do on their own. So there’s things for both lay people and acupuncturists, and there’s this, just very simple cheek gung as an example of things that you can do to build your cheek, but there’s also, things about a deeper level of the five elements and how to understand ourselves on a very deep level, because if you’re doing alchemy, you really need.

Who is my authentic self, energetically, but also, in all different ways. And we talked a lot about the nine palaces, which we also, did a lot of teaching in that’s available there. And then we have something called the master outcome program. And that is for apprentices.

We have two programs now. We’ve. People coming from all over the world. So we have a virtual one and then we have an in-person option where you can come to the clinic and get supervision to do some of these treatments on your own. So when I did it, I had a teacher who really, mentored me.

Much many years later. Now I want to offer that to people as well, because it is work that is really hard to embark on your own.

Yeah. And it’s very hard to find an apprenticeship, people get out of school and they’re they’re not totally on their own, but th it’s not, there’s a reason that the traditional way was, a continued apprenticeship because that’s how you got.

And,

Yeah. Yeah. And I like to say, we go to a lot of CU classes, and we get a lot of download of information, and I just took this one piece and I did it in the clinic over and over again. And now 20 years later, it’s I want to share that with others so that it doesn’t take you as long as it took.

To figure this stuff out. So I think in practice it’s much different than in theory. And so the theory is great and it’s great to get CS is about theory, but we all know we have to somehow translate that into practice. And I always feel like my gift is that I used to be a tech writer before I went into Chinese medicine.

And so I like to take something super technical and then bring it into something that is. Easy for us to learn and utilize. And that’s, that is the same as tech writing. Really. That’s really what it’s about. It’s a health

teacher. Yeah.

Yeah. So that’s what I’m doing at the alchemy learning center. We have ongoing programs that start every every six months or so.

And. And so we will take a new group through starting in September. So yeah, so we, and we have a clinic in north Hampton, Massachusetts, that’s called the alchemy healing center. And if you want to actually get the supervision and you want to shadow, for example, a ghost point treatment, Just be able to observe me doing the work.

You can come to the alchemy healing center and do that as an apprenticeship program. So that’s what we’re offering in terms of that. So again, it’s just, it’s really about you can go and do it on your own. Everyone knows what the ghost points are there they’re online. Like anyone could use them, but, are you going to just stick the needles in and leave the room?

How

do you use them? I taught school for years and all the beautiful, poetic spiritual sounding names and qualities attributes that are, attributed to them. But it’s how, you’re actually. Helping people to achieve those kinds of results that you can’t do from just reading the description, really it has to be an alchemical process for the practitioner.

Absolutely. And just, when I started out, I actually started from more of the five element tradition. My, my mentor was a part of the Worsley school in England. And so I came at it from more doing internal devil’s IDs and EDS, internal dragons and external dragons treatments, and then started incorporating the ghost points as another option.

And then I started learning more and more. But going back to those days, I remember feeling terrified about doing my first IDs treatment. I imagine that a lot of people are scared in the beginning. We don’t really understand it. We don’t know what it’s about, so we need a lot of handholding

and also you’re entering into territory of somebody’s psyche that you really don’t know what to expect.

And. You shouldn’t just go charging in there. I know, you know that.

Absolutely. And I think that the important thing is to remember too, in the beginning interestingly, you don’t want to, you think you want to do the ghost points with the people that have the most obvious, disruptive. Things going on in their lives either mentally, emotionally, or spiritually.

But when you train, I’m really looking for people that are a little bit, Pretty doing pretty well in their lives. They’re not in deep crisis because we don’t want you to train with someone who’s, everything is just so tumultuous in their lives. That’s a very advanced, case.

And you don’t want someone new in that level of work quite quite at the beginning. So a lot of times when people take a class with me, they’re like, oh, I’m going to go do this. And I’m like, okay. But pick someone. Might just want to unload a little bit, if a few skeletons in their closet, not a whole closet full of skeletons that are going to bust out and remember it is a Pandora’s box for some people and there’s no closing that box back up once it opens.

And you have to think about these. There’s a lot of ethical issues to think about in terms of when you’re doing this level of work, how do you feel about it? What do you think is right and what is really going to be best for the client? So there’s a

lot of, we spoke about that on the phone. If somebody comes to you for.

10 of the muscular pain and you sense that it’s something deeper, I’m thinking of that story. You can tell them from the book. But do you have to ask permission or in, in your way of looking at things as opposed to just treating what you’re seeing if you see that there’s something much deeper than.

I use, I tell the story of my golfer person who came in and I said, this elbow pain you’re having go, this golfer’s elbow. I, is it possible? It’s emotionally based. And he kept saying no, there’s not. I, my life is great. There’s nothing wrong. I just have this pain. It’s my.

It’s my elbow. I just have this pain and he kept pointing to one of the coast points, large and test at 11. So we went round and we did a lot of treatments and we did . We did cupping. We did all kinds of points. He did everything you can imagine. And even he bless his heart. He came back, he kept coming back and no change, which is usually a good indicator that you need to do this work.

So finally I said to him, look, why don’t we just try. Emotional treatment. Let’s just try it. I didn’t talk to them about the ghost points, cause that’s a little odd and I knew it was a little bit out of his sort of frame of reference in the world, but I didn’t want to throw him off that way.

And honestly it’s just large intestine 11. It’s just another point. So I said, but this point, this point might really help you. And in fact, I think we should do a series of the points I did all of the ghost points with him and I said, let’s do a series of points and just see, okay.

We haven’t gotten it yet and you’re still covered. So let’s try this. So I did. And as soon as I got to large intestine 11, in which I did it over, you can do the points over many treatments if you want. So the day that I got to large intestine. He suddenly out of the blue started telling me about the fact that his secretary who was a longterm, many generational friend of the family embezzled like a hundred thousand dollars or something like that from him.

And it was. And that she was currently in court to be tried and go to jail about it. And so he said, yeah, I guess that is an emotional thing. And the next day he came back, the next day he came back, the pain was. So he became a convert obviously, and we did all of the stages of alchemy together.

And by the time he got to stage six, like all of the money concerns went by the wayside. He did, he got like a million dollar contract. He sold this house. Like all these things were happening and he just couldn’t believe it. It was just like, my lucky stars or something, yeah.

I think that, when you look at, how people are unaware of these things that are lurking deep down and they just think, oh, my wife’s good. My job’s good. They just don’t necessarily think about it, but sometimes there’s a lot there. And so do you have to say I’m doing this like really esoteric ghost point treatment?

No, you don’t want to lie to them. It’s more about what’s the language that they use. So I don’t try to shock people into thinking they’re doing like really weird stuff. I’m just like, what’s the language that helps them understand what you’re going to do. And in fact, there’s a ghost point called ghost market rent 24 and rent 24 is the fact that there’s a gift that you have that needs to get to only certain people in the world.

You don’t want it to go to the people who don’t. You only want it to go to the people who need it. What are the words that are going to best express in a way that person can receive the. If you say a bunch of things that are very alarming to the person who needs the gift, they’re going to be like no.

So you know how I look at it is how about, just using words that the person can take in and can help them understand that. Yes, I need Barden tested 11, I, it doesn’t need to be some big, scary thing. For some people, yeah. Some people come into my clinic and say, I’m feeling. I have a possession and I know it.

And then it’s okay, so we need to use that language. I need to be able to express to them. Yeah, we can work with possession. That’s okay. That’s what these treatments were traditionally for. So of course,

like a literal, energetic. Just that people get so obsessive that it becomes like a possession of thoughts, both versus an entity,

right?

Both. So the ghost points are wonderful for obsessed. In fact, that’s my favorite way to use them is there’s so many of us right now who need ghost points. Pretty much all of us. If you’ve been on this planet for like more than 20 years, it’s pretty likely that you’ve had some events in your life that are continue from the past.

So we that’s obsession. Like we can’t let that. And so that’s what the ghost points for really miraculous for. In addition, if you actually have an entity which is called a gateway to you, I just ghost a good way is a person that maybe died at some point and their spirit didn’t go home, to, to heaven or wherever you want to think.

And it stayed around and then potentially got into someone else. That is the Chinese medicine belief that can happen. And, whether you believe in it or not, doesn’t matter. The fact is that the person exhibits certain qualities that we would associate with that kind of possession.

And so we say there’s emotional possessions, and then there’s these entity possessions. And then we would do different treatments depending on which one you might have. And that’s really something that I. Developed through practice. For example, I still use Worsley’s IDs and EDS treatments, and I love them for particular cases.

And then I like the ghost points for other cases. And they’re all in the same realm, they’re all in this realm of, you’re not totally in charge of yourself, whether you’re obsessed or possessed, you’re not really running the show. And that’s the level of that.

I’ve heard alcoholism described as people especially for people whose personality changes when they drink that they, it’s almost there’s an entity that wants to experience that sensation of drinking or drunkenness.

And so they keep Eh, they exert this control over the person. It’s like somebody sitting on your shoulder and that you really have to, for some people with ringing problems, you have to, do, if it’s not a formal exorcism, somehow you have to deal with that energy.

Yeah. And for alcoholism or any kind of drug problem, I would say that there’s two parts to it.

There’s probably something that is like a ghost, again, it may just be. The drugs influence on you, but something taken over like a possession or an obsession. So there’s that. So I might do the ghost points, but then there’s more to it with any kind of addiction, because there’s often a reason why we got addicted.

And that is where I would do something called the nine heart pains. And the nine heart pains treatment is about loving yourself. And usually what’s behind an addiction is some kind of self-hatred or self-loathing or dissatisfaction with who you are. And so that treatment is usually also necessary and really important.

Yeah. Yeah, absolutely. Cause that’s getting it, and maybe in this case it could be a two-pronged route to the cost, but yeah. To get to the root cause, no matter what.

And a lot of people when they’re just learning about alchemy, they don’t understand. So we can talk about the points.

The points are fascinating. They’re interesting. But to do that treatment, that loving yourself treatment, for example, which I call the nine heart pains treatment, you have to be so present. And so unprotected yourself, vulnerable yourself. So that person. I can now take that in and start to love themselves so that’s a deeper level of motivation.

Like we got through that. Yeah.

Yeah. Oh that’s great. I want to thank you so much. I know, taking time out of your day for this and do it with hard energy and humility. So I’m looking forward, maybe we can do this again in June and. Looking forward to doing more things with you, so fantastic.

Yeah. Anyway, thank you very much everybody. Next week. It’s Matt Callison and Brian Lau talking about they have great things. But we will see you soon and thanks again, the American Acupuncture Council and for all you listening. And I hope you’ll look into this because I think it’s going to make you a better practitioner and a better person, no matter what you’re doing.

So I’m signing out Virginia Doran of luminousbeauty.com.

 

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9 Growth Strategies To Build A Referral Based 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.

Hi there, Jeffrey Grossman here. And I’m thrilled that you took the time to join me here today. Today, I’m going to talk about nine growth strategies to build a referral based practice. So thank you again, the American Acupuncture Council for inviting me back for yet another installment on business and marketing and how to grow your practice on a Facebook live.

I’ll be talking about the K L T factor and how it’s going to be key for the longevity of your practice. And I’m going to talk about the main hub for your practice and how to maximize its usefulness. . Excuse me to help land qualified new patients into your practice. And I’m going to share nine different strategies that can help you build a referral based practice.

So my intention is to lay the groundwork for long-term growth, and I want to help you plant the seeds, not just for now, but for the long haul, not something that’s a one hit wonder. I want to really stress to you. The fact that marketing takes time, all marketing is about building relationships and planting seeds.

It’s a myth to assume that a referral will occur right away. So keep that in mind things take time. You won’t see the results overnight and. If you’re just starting, or if you have a small practice, keep in mind too, that you may not get the same results as another practitioner who has a larger practice that also gives them a larger referral base.

Okay. So I just want to say that your referral volume is proportionate to your referral network and referral based marketing is just one piece of the marketing puzzle. Because there are many aspects that make up a solid and quality marketing plan for an acupuncture practice. So I hope this makes sense.

My hope is that you walk away from this talk with just one or two actionable items, something that resonated with you that you’ll actually do. Just one simple tweak to the way you do things can make all the difference in the world. For those of you that don’t know me. My name is Jeffrey Grossman. I started my acupuncture practice in 1998.

I’m the founder and owner of Acupuncture Media Works, Accu Perfect websites. And after you downloads and like many of them. I’ve struggled in my practice. I had no idea how to grow my practice, how to do marketing, how to talk to patients, how to give the report of findings. And none of that was part of my forte.

And I didn’t have the savvy or the mindset to do that. And I noticed that there was a huge. I didn’t know how to run a business. I knew all the techniques and all the tools to help me become a successful practitioner, but I didn’t have what it takes to run a business. And as an acupuncturist, you are an entrepreneur, you are a business owner, and you’ve got to wear both hats, the hat of the healer, which hopefully you do well.

And the hat of the entrepreneur business person, CEO. These are why the AAC is bringing these talks to you. This is why I’m here to spread this information to you as well. I want you to also realize that if you don’t know this by now, You, my friends are an incredible resource, your natural healers, you know how to help people become balanced and healthy.

You’re use safe, natural drug-free methods and you’re changing lives every single day on your treatment table. People need you, they need your services and they want your help. But the thing is they might actually not know that you are available. They might not even know that you can help them with condition X, Y, or Z.

And that’s what these talks are about. That’s what I’m here to do is to help you be seen, to be heard and to ultimately bring more people into your practice so you can ultimately make more money so you can live the life that you want. So I want to remind you that your. That I’m here for you. And if at the end of today’s talk, or whenever you’re seeing this presentation that you feel like you need help getting set up or becoming focused or some accountability, or need a little bit of motivation.

Please reach out to me. There’s more opportunities now than ever to help more people, but you have to understand what they’re looking for now. And you also have to learn to understand how this integrates into marketing into your practice. Because like I said today, w use, today’s talk as a resource to help reset your practice because one or two simple things.

That you tap into can make all the difference. Okay. So I’m going to go ahead and start sharing my slides and jump into the nine growth strategies to build a referral based practice. I have a gift for you guys at the end of today’s training, I have a ebook that you can download. That’s got outlined some sample scripts and some sample calls to action.

Examples that we’re going to be talking about today. Today’s presentation is going to be relatively on the shorter side, 20 minutes or so. Yeah. If you want to dive into the details, I will give you a link to download this after today’s presentation. The reason I do that is because if I give you the link, now you’re going to take off, download the ebook, and you’ll forget that I’m even here.

And I don’t want you to do that because I value your time. And I’ve got this gift for you, and I’m going to share it with you towards the end of today’s training. First thing about referral strategy that I really want to get across to you is the fact that you need to identify your perfect patient avatar.

What the heck is the perfect patient. Avatar. Glad you asked. So this is the idea of identifying who your perfect patient is. If you haven’t done this exercise before I encourage you to do this, I do this with all of my coaching clients. And it is important because. Understand who it is that you are perfect patient is, then you can talk directly to that person, you know exactly what their problem our problem is.

And you know exactly what solutions that you have to. That can help address their particular problems. And when you identify your perfect patient, then you start identifying the patients that you really resonate with, that I call your a patients. These are the people that you love. These are the people that when you see them on your schedule, your energy raises as opposed to what certain people on your schedule.

Maybe your energy pulls you down a little bit because it’s going to be a challenging. I get that all the time. So when you identify your perfect patient avatar and what they like and what their needs are, and then you can create an ambassadors, people who can actually go out there and communicate the messages of what you do and how you can help by identifying who your patients are, which are, is one of the first steps to building a referral.

Next thing to do is to really get clear on your core message. Now I’ve been teaching practice management class for the last four years, and I’ve been in this business of helping practitioners grow their practice since 2002. One thing that I’ve come across that is really true is the fact that not many of you have a core message and it’s really important to have this.

Kind of like your elevator pitch, but it’s a little different. Okay. And if you don’t have your core message, I did a workshop on this a couple of weeks ago and I encourage you to really dive into what it means to develop your core message. First thing about that core messages is I D it comes in three parts.

You have to identify what kinds of problems your patients have. What are they coming to see you for? What are their needs? What keeps them up at night? What hurts them? What do they, what are they struggling with in their life? The next part of that is what you need solutions.

Do you offer your clinic? And then the third part is what will their life look like after they come see you? Okay. Now your core message. Should be just three sentences. Here’s the core message for acupuncture, MediaWorks, acupuncturists don’t like marketing. They’ve never been taught how to grow their practice.

They never been taught this, the tools and the skills to to develop a business and entrepreneurial mindset here at acupuncture, MediaWorks, and I could perf websites and Accu downloads. We provide online digital print. And coaching solutions for acupuncturists. So they can go out there and grow their practice, educate their patients, make greater income and change the world.

One person, one needle at a time. That is the basis of what a core message is. Now. It’s not exactly word for word. I’m just going off of my mind here, but that is what you should come up with. Something like that core messaging is important because it allows you to. Brand your practice brand, your website, brand your business cards, brand all of your marketing collateral based upon what your core message is.

Okay. The next part of the creating a referral strategy is connecting with referral sources. Okay. What are your best sources? How are you going to reach out to them and what are you going to supply them? First thing. Who is already referring to you? Are there any doctors, natural paths, chiropractors, massage therapists, dentists, eye doctors.

I don’t know. Who are you getting referrals from now? Write a list of them. And then. Figure out a way and a strategy that you can start. We reaching out to them on a regular basis and also identify the tools like booklets and conditioned specific cards and brochures and gift certificates and other collateral.

That you can share with them that they can share with their clientele. Okay. Referral strategy, number three, referral strategy. Number four is make it easy to get those referrals. Okay. So what tools can you use to make it easy? One thing that’s really important are making sure that you have gift certificates or a call to action cards that have.

Something on there that is a loss leader that motivates people to be like, wow, that sounds interesting. I feel like I need that. I’m going to reach out to Jeffrey too, to get that appointment or whatever that is. Now, what I’ve done in the past was. Was mini stress reduction treatment. So at any event I did or any talk that I did, I would offer people to come in for a mini stress reduction treatments where I would just do 0.0 Shannon, middle ear.

I called them acupuncture, happy hour events. And that was my loss leader to get people into the clinic so they could experience acupuncture, experience me. So I could talk with them, get more information about them and then let them try the treatment. And then from this. Upsell them into the next level of care, which is coming in for the comprehensive evaluation.

And then from there, move them into treatment plans. So what do you have now to make it easy to have other people refer to you? Calls to action are important. I’m going to talk about that in a minute more. Also, it’s important to show Goodwill by referring out to others first. So maybe you need to create a list of other people that you can refer to other specialists that maybe you’re not getting the right the right care.

Sorry about that. The right the right results for your patients that you expect. And maybe you can then refer them out to somebody that you know, and trust. Okay. What resources do you have? Brochures and flyers and how can you make it easy for people to give you reviews and testimonials on your website, on social media and and in the clinic.

Okay. Referral strategy, number five. How do you reduce the risk of people falling out of. Now, if you’ve been in practice for any length of time, you probably have more inactive patient folders and you have active patient folders. So first thing to do is to plant the seeds from day one. Of the, what you what they can expect from you during their care.

And one thing that’s really important to discussed is your treatment protocol, your outlines, and how you have a unique strategy that, that how you can go, you will go about getting them from point a, which is I’m in pain, I’m uncomfortable, or I don’t sleep well to a point B. They they. At night they have unlimited energy.

They can now go out there and ride their bicycle. Cause they’re not in pain anymore. What is the process, the path that you have, or that you can think of, that you can map out for your patients, maybe it’s eight treatments. What are you going to do? Visit 1, 2, 3, 4, 5, 6, 7, 8, 12 treatments and so on. So there are unique and specific.

That you can do where you can set expectations from day one to plant the seeds towards health and longevity. One of those things is making sure that you answer the five questions when you deliver your porta findings again, on the ebook that I have for you, there’s more detail about the report of findings that you can access there.

And the report of findings, you asked the answer, the question is, what’s wrong with me? How long is it going to take? What can they expect? What’s it going to cost? And what kind of other, what things that they should be doing at home. Okay. So when you lay that out for a patient, then they have certain expectations.

Again, that’s important piece of the new patient process of getting another piece of that is what stage of healing do you discuss the different stages of healing with your patients? As in relief care, corrective care, maintenance care, wellness care. I imagine that you’re an acupuncturist. And you assume that you have the knowledge that there are different stages of care.

When someone comes in there and obvious pain, they want to get out of pain quickly, that’s relief care, your ultimate goal, where you plant the seeds during that visit is into. Wellness and long-term care if you’re not doing that, please reach out to me at the end of this training. And let’s get on the phone and kind of consult with how you can make that happen.

Okay. This is other sort of findings that you could should be delivering to your patients. And this is the. This is the the stages of care that you could be reviewing with your patients. The visits here are closer together because obviously in this stage of care, you want patients to get better, faster.

So you have more frequent visits as they get better, the time moves out. Okay. There’s a whole conversation around this. When I talk about the report of findings, better for another. Strategy numb referral strategy. Number six is practice and rehearse your referral dialogue. So again, this goes back to creating your core message.

And this also goes back to how. Educate your patients and patient education is what I found in acupuncture. Media works on because there were no tools that I felt comfortable using in my own practice. I created a whole line of marketing tools and educational tools that I wanted to share with my patients and hence share them with other acupuncturists.

So one thing that’s really important for you to determine where you might be lacking in your educational process, in how you educate patients is by asking them this one question. When you tell your family or friends about acupuncture care, what you tell. Or, if you were invited to a party and someone’s oh, what do you go to see your acupuncturist for?

What would you say, ask your patients that question you could do that today or tomorrow, and you’ll be surprised at what some of the answers will be. And sorry about that.

So nature of doing the live training with dogs in the house. So I apologize. Oh my goodness. Excuse me.

I always have to get one last Barkin. So try this, ask your patients what the issue is here and ask your patients to what would they say and you’ll will understand where you might be falling short with regards to your, for patient process and your education strategies?

Because every treatment, my friends. Is an opportunity for you to further educate your patients around what you do. What acupuncture is, what she is, what seasonal changes are happening. Every time a patient comes in every week, you should change your whiteboard to something that elicits a question to them that encourages them to ask you what’s going on.

Okay. So try that also, you might want to ask your patients, how would they explain what she is? When a friend asked him about care, this was really an interesting process that you would be working on in your practice to really find out where you need to fill the patient education gaps. Okay.

Referral strategy, number seven, tone of five, your practice hubs. What is it? What’s your practice hub, right? So anytime someone refers to you, or anytime you hand out a business card, anytime you do any type of marketing. Oh my goodness. Excuse me.

Anytime you do any type of marketing that. That people will be they’re going to the first place they go to is your acupuncture PR your website, right? So anytime you hand out a business card, anytime you hand out anytime someone refers to you, anytime you place them out on Facebook or.

Where are they going to go? They are going to go to your website. So that is the first impression that everybody will have of you. So every digital strategy, every marketing strategy leads back to your website and not. You need to have a website that works effectively, that communicates the bigger picture of what you have.

And when you identify what your core message is, then you, then when people hit your website, they should have an understanding of what you do immediately as they, when they hit your website. Okay. Referral strategy number eight is be consistent. Okay. So being consistent means that you’ve got your mobile ready.

You’ve got reviews. You’re answering those reviews. You’re keeping current with your website. You’re reaching out to referral networks and you also. Over-delivered you have a process in your clinic that when patient comes in from visit one all the way to visit 12, there are steps and strategies that you go through.

Okay. And then referral strategy. Number nine is make sure you have strong calls to action. Again, if you don’t know what a call to action is, or if you don’t have any of these, you need to get these going up. So on your web. What will motivate a person to raise their hand and be like, I want to come in to see you.

Do you have a download? Do you have a free report? Do you have a gift certificate that they can pull em, start, come into the clinic. Okay. When you do a talk, what will you give them that makes them raise their hand to come in, to see you at? Okay. So calls to action are really important to have in the ebook that I have for you.

You will have some examples that are. So these are some examples. There’s more of them. So types of calls to action or setting up a contact us schedule now downloaded a gift certificate. Sharon social media register for this event. Learn more call now. So these are a couple of examples. There’s more in the ebook that I have available for you.

The key is to have an organized, structured system that you consistently constantly use in order to consistently receive referrals. This is not something that you can just do one off and that, and just assume, but you’ve got to be consistent in asking you’ve got to be consistent in educating and walking people through the particular process on how they can learn more.

Through this educational process about what you do, how you can help in the different conditions you can treat. Okay. So thank you guys for joining me here is the link to the free download, where it has outlines and scripts and samples and examples of calls to action. So you can go to Accumedia.us/growth and download this ebook and it will be available for you, thank you so much for taking the time out to join me. I appreciate you being there. Join next week when the AAC will be hosting yet another live event for you, and it’s going to be great. They just do this and it’s an amazing service to the acupuncture community. Thanks again for joining me.

Talk to you guys soon.

 

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. Thumb

Using Ma Huang in Formulas

 

 

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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.

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How Do You Promote Your Practice?

 

 

And let’s focus on what are we doing to promote our practice? What changes have we made? What changes will we make?

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 everyone. This is Sam Collins, your coding and billing expert for Acupuncture and the American Acupuncture Council Network. Giving it another episode to try to always, as we do uplift you uplift the profession. This time, we’re going to go off topic for at least where I generally go, which is going to be coding and billing.

And let’s focus on what are we doing to promote our practice? What changes have we made? What changes will we make? What are we doing to really make sure that we’re getting people to understand what we do, how we do it and how we can help them always think of what is the barrier to care. Some of it is just lack of communication.

And I want you to think of it like this. Think of companies that have went belly up and I’ll think of one that comes to mind, which is the store Sears. Why did they do that? Well, someone at Sears didn’t have enough foresight when Amazon came in and started selling things online. Wasn’t that actually what Sears was, think about that.

What is Sears could adopt and adapt that say, Hey, we do the same thing. Wouldn’t they still be around. So I want to think the same thing about our profession, where we’re going to go, what we’re going to do to promote what we do, make sure people understand because of course acupuncture works well, but until we get more people to try it, it’s never going to be as big as we would like it to be because we obviously want to touch as many people as possible.

So let’s go to the.

Do. And there’s so many ways to think of it, but I want to kind of simplify it a bit. Let’s not make this too complicated. However, I use this to say, how are we perceived? You know, think of these pictures. What do your friends think you do? Your mom thinks you’re inserting a big needle. Western medicine has negative views.

What do people really do? Still take pills, but at the end of the day, look at that. Is that the concept are people that are not seeing a shit understand when they get acupuncture care. Think of how many people you’ve seen, who probably were skeptical before they tried your care. Wasn’t even sure it was going to work.

And then we’re like, oh my God, I can’t believe. Think of how often that miracle happens. When people walk into an acupuncture office, they’ve been to so many places. So how do we make sure to attract more people? I start with, what does the public know about what we do? And I’m saying this generically as our profession, but mostly about ourselves.

So I want you to think of ask your friends, ask your family, if you will, what do I. What do I treat? And I don’t want you to bias them. I want you to literally find out what do they really think about what we do. I want you to have an honest answer because we run in circles among other acupunctures. So we hear this all the time and we think this is out there.

And maybe it’s not asking your family, your parents, just friends. Okay. Acquaintances, people, you just meet casually. I fly. You know, for seminars. And one of the things I learned to strike up a conversation is, Hey, have you ever been to an acupuncturist? And the majority are no. And of course it’s an opportunity though, to discuss what we do, how we do it, and we’ve got to promote that part of it, but I want to know what are they thinking?

And you always want to know. That’s the perception we have, what are we doing to mold that perception make a different, but what I want you to do is really see what’s out there. What do people really understand? What we do, frankly, ask some strangers, see what’s going on. How do they go to the doctor by the way, you know, when they go in and do they pay cash, think of in your own practice, are you a mostly cash practice that can work really well, but think of yourself, do you go in to another doctor and pay cash?

So are you potentially limiting patients? Because we have to know what does the public know about what we do? Does it. Well, what happens if someone does an internet search for acupuncture? What does that say? Well, this is one from the Mayo clinic that talks about and inserts needles to reduce pain. So a lot of people say, well, it’s a pain relief, but is that all that you do?

I think there’s so much more. So what if someone who has fibromyalgia says, oh, I don’t have pain. I have fibromyalgia. I know that may sound counterintuitive. But it is sometimes how people think now on that same website, what they talk about, maybe it’s main to relieve pain, but it does get into things like nausea, vomiting, labor, pain, back pain, but you’ll notice it’s a very stringent on pain.

Now notice it does say menstrual cramps. That’s Mayo clinic. How about house? It says it’s an effective for a variety of conditions, but it’s not for everyone. If you choose an active person discuss with your doctor first, he has a practitioner licensed with proper training. So notice it just gives a vague, well, it treats sorta some stuff.

So again, is that really giving people anything about what we do think of your way? If someone went to your website, what did attract them for the type of condition they have? So let’s take a look. What else can you find on the internet? If you search, what does acupuncture do? The national institutes of health.

Of course, you’ve all seen this nausea, addiction, headache. So this goes a little bit beyond, but here’s one thing I would take a look at. If you’re someone who specializes in treating women with menstrual cramps or medical. Could I find you, if I were to Google acupuncture, treating menopause, would you come up?

Would it come up in the city? Remember internet searches are based on information that’s on your site. If the information is not there, it doesn’t appear. Do you have any type of blogs or newsletters that might give a little bit more what they call it? SEO. So people can get to your site. There’s a lot of things out there, but does it say it for you?

Well, here’s one from a company called Evercore and Evercore is behind the scenes on a lot of Anthem policies, as well as United health care. And you’ll notice here, it lists a lot of things that are way different notice asthma cancer, pain puncture. Might you have something that would promote and say, no, this could be helpful.

I have a couple of doctors in the state of Washington. That’s. They work with a couple of psychologists and psychiatrists, but that’s all they treat by the way it’s paid by insurance. But again, that’s something that they promote because most people would golf. It can treat that. I mean, what if you’re an infertility expert?

What if somebody is looking for that, would they be able to find you, is your, are you telling them what you really do? Let’s look at another carrier. How about American specialty health? And of course, I know everyone has a little bit of problem because they should pay more, but let’s talk about how does American specialty health cover?

Well, they talk about kind of, neuromusculoskeletal kind of what I call the chiropractic end of it. So it talks about headaches, hip pain, neck pain, back pain, and so on. So again, that promotion is there for that, but is it promoting. What, if someone were looking for this, what is it saying? Is this information on your site?

If you take this plan, here’s the conditions that we cover and we can help you. I mean, obviously marketing is done by every company. A RP uses acupuncture to market their product. Take a look. Here’s an ad for them. Medicare will cover here’s another one for a company called clever care. This is a TV.

They’re using acupuncture to cover. Now what about this? It says Medicare advantage. Is there anything that you’ve done? So if someone has Medicare advantage, they know they can come and see you. Is there anything as they pass by Medicare advantage here, take a look at this one. This is the United healthcare one.

And think of the promotion here. They’re literally using you to promote their business, but are we utilizing it to promote ourselves? Can you imagine if you have a zero copay acupuncture visit, do you think that’s very hard for some of the. Probably not now we would have to accept payment in full from these plans, but I’ll tell you they’re about a hundred dollars a visit and they cover much more than you think here’s their acupuncture coverage for this Medicare part C policy.

And you’ll notice that it says acupuncture, routine codes, but not all inclusive. And it’s not only including acupuncture, but what does it include? Therapies, things that you do, whether it’s massage exercise. Uh, myofascial release or manual therapy wash off 20, not so much more. Do people know that we do this?

Can it be something that might attract them? Always think of what is going to attract someone. What is going to make them know that what you can do can help them. Here’s another one from good morning America, where they talked about prescription for wellness and it indicates acupuncture. And. How about something like that on your side to make sure people know, okay, we do herbs.

Someone may be looking for that, tell them what do you do, herbs for? What can help? How does it help? And I’m not saying write some long drawn out article, but there’s a little bit of information that at least is introductory. So someone can go, oh, I think I want to try that. So here’s what I want you to do.

If you’re thinking of marketing, what do you mean. Start thinking, what is my thing that I do? How do I know people are going to find me if I do it? So here’s a couple of interesting offices that I think has done something in a positive way. The one on the left is an acupuncture office that they’re in a medical building.

And when you walk by their office, this is the sign. And look at all the things she’s talking about. Fatigue, stress, tension, anxiety. When someone’s walking by. They treat anxiety, they treat arthritis and notice it. Doesn’t just say pain. Now. Pain is many times the origin of most of these, but people often think, well, no, I have fibromyalgia.

I have TMJ. We want to let them know. Yes, we can treat it. Notice that even talks about veteran’s benefits. Look at the one on the right chronic pain, neck and shoulder stress, depression, insomnia tendonitis, Bell’s palsy, nasal analogies, weight control PMs. You want to think of who am I attracting? If you do a lot of sports medicine, guess what you should be talking about?

I do sports medicine. There, isn’t a professional team. That’s a professional sports team that doesn’t use and promote acupuncture. I know several acupuncturist who work directly with the teams and that’s their whole job. But again, are we promoting that this P do people know that they can come to us for it?

Often think of if someone says, what does acupuncture going to do for me? They may not. Because they’re going to have a condition that they’ve never heard, it’s going to be helpful. So I want you to thinking, when a person sees your website or your office, what do they see? What do they know? Will you be able to help them?

So what does it say? Does it talk about you where you went to school? Does it talk about your philosophy? Does it talk about the conditions? Would I be more important is a little bit of that. What have been some of your success stories of people you’ve helped? How you’ve helped them change? Think of that someone searching, like, if you think of it, if you did a Google search in your area and said acupuncture for menopause, would there be anything from your office that will come up?

If you put information like that on your website, guess what Google does. They pull that information and then that’s how someone would be directed to it. I want you to think, how does it attract. What is someone looking for? And remember, it’s not something that you need to write a lot, but something that’s going to go.

Oh, okay. Cause think of most ads don’t take that long. Does it really communicate to their needs? I mean, think of what is your specialty? What are the things that you treat? I have an office. He does only infertility. So I guess what’s prominent on it’s infancy. And he’s very busy because he’s had good success.

Everyone wants to come in because if you have a 50% increase and people getting pregnant, who doesn’t want to spend that extra money considering they’re spending 20,000, all, all the other things. So think of it this way. What is the barrier? I think one of the barriers of care is just people not knowing, but it’s often fear.

So is there anything on your site that talks about the gentle approach and that you won’t feel anything? Think the other barrier can help you. What does communicating to the patient about how it helps them kind of put it from the patient’s standpoint, if you were looking, would, you know, what’s helpful and of course, money, I think that’s often the biggest barrier.

So you want to start to think of, are there things that you’ve done on your site to show people you make it affordable? I always use cars as a way of showing you how we make things look before. When you see some of these fancy car commercials, particularly the mercury with Matthew McConaughey, do you know, they never tell you that car actually costs $80,000, because if they told you that you’d never want to buy it, but if they say, oh, you can lease it for 4 99, that seems affordable.

So also think of, are you having anything in there that helps the patient understand? Do you offer payment plans? Do you offer any other types of discounts do even take insurance and I’m not saying you have to, but you got to think of this. Someone has insured. And they want to come to you what they know.

So for instance, when you belong to any insurance or you accept insurance, I would certainly want to put it on my side. I want people to know, yes, we do take blue cross blue shield or Aetna. And I’m not saying you have to, but you got to think of if someone’s looking, how are they going to find us? And that leads me to something that the American physical therapy association talked about last year.

Now, as a seminar person, I teach seminars not only to acupuncturist, but to chiropractors, physical therapists and medical. And at one of the programs, and one of the things that the American physical therapy association literally said was this many of us look at the way chiropractors have branded themselves in the last few decades and feel a twinge of resentment.

Why can’t that be us? So think of it for a moment. Do chiropractors do a lot of marketing? Do they let people know if you’re in a car accident, you can see me. By example, if you treat the auto injuries, does anyone know you treat them? If you treat VA patients, does anyone know. Is there any way for you to find that out if I look at your site, because if I’m looking and I can’t find it.

It doesn’t mean anything to me, I’m going to move elsewhere. So realize that even these professional associations are beginning to realize that they have to do more, to do their own branding acupuncture. Let’s take control of the message. Let’s take control to put out there whether or not this stuff is covered by insurance.

I do not care because is there a value to what you do? Remember something my mom always said is this people buy what they want. And beg for what they need. Acupuncture is something people want not necessarily needed. And I hope you notice with the connotation. I mean, something that they value they’ll do think of how many people go, oh, I gotta pay that bill.

But what I really want these shoes in a way, that’s what we want to be. Someone who I know there’s enough value there. And trust me, the value can be high. What if someone’s had migraines taking medication that’s not helping. And they come in for a handful of visits to. And they’re gone. Is any of that information somewhere for people to see you allow the patient to do a testimonial?

I certainly would think of it. There’s a great opportunity here that I think all of us haven’t really taken heat of. You have control. Think of how much easier it is with the way you can market now with internet based. Forget Facebook. No, one’s looking at that anymore. Even Instagram too short. I mean, Tik TOK, forget it.

It’s just simply your site. People are doing searches. Are there any acupuncturist in this area that treats what I have or takes my insurance. So I want you to think of who are these patients going to be? If you have a mostly cash practice, talk about it, tell them why you do it. You’re making it affordable.

What if you offer pro pays or prepays? And then of course you have all these insurances. So in my opinion, there’s 12 ways to get. And I want to highlight a few of these. I mean, if you’re treating personal injury, workers’ comp VA Medicare parts seen. It’s why I bolded and underlined I’m in a Medicare part C policy.

It can be fantastic if you didn’t watch last month’s show with me, take a look. There’s some great opportunities. Here’s the thing. You need people that need your care and watch your care. And that’s where your practice will grow. Because one thing that I can always say is acupuncture does really work very well.

Once someone is. But what’s that barrier. Do I know that you can help me? How do I pay for it? That’s what mostly people are thinking. So we want to make sure we set ourselves up that yes, this is how you can come to us. Here’s how we can help. You always know there’s ways of promoting that. Like even on our website, the American acupuncture council network, here’s something last month we talked about Aetna.

Now has all of their commercial plans, not necessarily federal, but all commercial plans now have acupuncture benefits. Wow. What if you’re in the state of Massachusetts that you don’t even need to have a diagnosis? You can treat anything under their plan and there’s 12 visits. But what I want to know is does anyone know that besides you take a good look at how you’ve marketed and branded yourself when you meet someone, do they know you’re an acupoint.

Do they see someone that’s a professional, trust me, getting out in the public, having people know you is one of the best ways for people to come in because it’s people they trust and bottom line people, they help. So think of it. What have I done? Create a plan. Start to put a few things out and track what attracted people when they come in how’d you find me, then you’re going to start to learn what works.

Remember every business does that. Don’t be serious. They’re going to be people who promote and do better than others. Why? Because they have taken some, I guess, old fashioned put the nose to the grindstone and just tried some things, maybe what works for you is not for someone else, but there’s always something.

What I want to say to you is acupuncture has a great opportunity. The access that you have now to people and the understanding the growth potential is infinite. Think of addiction. Think of the VA and all the things that are there, but does anyone find you and I’ll leave it with that? What about a VA patient?

If you’re doing VA, if a veteran was looking for someone, what they find you don’t leave it to happen. Hopefully, we’ll take a little bit of this and do a little bit at a time. I’m not saying you have to be perfect, but it’s trial and error. What I’ll say to everyone is get out and help yourself. We’re always here to help you.

The American acupuncture council is your partner. We want to make sure you’re doing well. Anything that you need, if you need help with coding, billing, documentation, medical necessity, you want to verify that your notes are fine. Not getting. Come to us, we offer two services to do that. Just go to our website.

If you need further help go to our website, we’re always going to be there. Don’t be afraid to call or email. I’m going to say to all of you. Thank you very much. Here’s our phone number and information there. Ultimately, we’re here for you now. Pay attention Friday, coming up is the host will be Shelly Goldstein.

I’m going to say until next time everyone. This is Sam Collins, your coding and billing expert. I’m here for you. Go out and be a good acupuncturist..

 

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Cosmetic Facial Acupuncture Theory and Treatment for Enhancing Dermal Collagen

 

 

And today we will be talking about cosmetic facial acupuncture theory and the treatment for enhancing dermal collagen.

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 everyone. Thank you for joining us today and thank you to the American Acupuncture Council for producing and hosting this presentation. My name is Dr. Shellie Goldstein. And today we will be talking about cosmetic facial acupuncture theory and the treatment for enhancing dermal collagen. So let’s go to the slide.

Great. Okay. When we talk about enhancing collagen, and then we talk about cosmetic facial acupuncture, if this is really not a new topic, it’s based on the principles of my run, my. Rung needs beautiful appearance. And it is a holistic regime that was practiced throughout Asia for centuries. It was designed to promote systemic health and wellbeing delay, the visible signs of aging.

And it was a combination of acupuncture and herbs that were either topically applied or ingested. And that as the story goes, it was designed for emperors to keep their concubines looking beautiful and health. And for emphasis to maintain their youthful and raving appearance. But honestly, I believe that there were variations of this service of my wrong regimes utilized in most households throughout Eastern.

The today’s modern application of ancient. My rung is similar and slightly different. We generally use it today as an alternative or an adjunct to patient neurotoxins, volumizer, or other enhancing appearance enhancing services that are mostly familiar in our Western culture. I call what we do. Modern application, a tight, healthier, tighter, brighter, natural look, and feel.

And that is truly what it is when we, as a cosmetic facial acupuncturist, that one of the advantages of specializing in any type of profession is that our patients come in with a certain subset of complaints. They’re fairly common and throughout there’s, there are certainly some changes, but for the most part, Our patients come in and they talk about wrinkles increasing across their forehead, around their eyes.

They talk about eyelid ptosis, which is that drooping of the upper lid onto the eye itself, swelling or darkness under the eyes, possibly wrinkling or creasing between the brows and around the. And then in the cheek area, they talk about wrinkling in the cheek area, skin laxity, which is a loose pitted appearance, a nasal labial fold.

That’s the fold between the corner of the nose and the corner of the mouth. And then around the mouth and along the jaw. And they complain or talk about wrinkling or creasing around the mouth. Particularly the smokers creases above the lips and creasing horizontal creasing below the lips, marionette lines. Marionette lines are the lines that form between the corner of the mouth and the edge of the jaw area.

It’s a perpendicular line. And then the horizontal line is called the mental crease and it’s right underneath the lower lip. And then loss of definition along the jaw area. And then in the net, patients will talk about their skin being lax or platysma abandoned collectivism, abandoning, or these little bands that you see running in a vertical fashion along the neck area.

And then from a dermatology perspective, acne, rosacea, hyper dyschromia, which we often hear of is sunspots. When we treat with facial acupuncture, cosmetic facial acupuncture, there are both visible changes that we see and then internal changes so visibly. And this is our topic for today is toning skin laxity.

And we’ll talk about these more throughout the year, but today we’re going to focus on skin laxity. Other changes that you can see with cosmetic facial acupuncture treatment are saw. Softening of deeper wrinkles, eliminating of fine wines improvement in muscle tone, correcting and healing skin problems that we discussed, even in skin, texture, color, and luster and enhancing the overall appearance and vitality of the.

And then internally, because we are working from the inside out as facial acupuncturist will see an improvement in muscle integrity, a thickening of finning, a trophic tissue, which will ties in today’s presentation and improvement and the physical, mental, and emotional wellbeing of the individual themselves.

As we are adjusting channels, organs and other systemic impacts. When we talk about facial aging in our Western culture, we are often times used to immediate gratification. So when we are talking with our patients and working with our patients, we need to be really honest about what it is that we can actually do.

And I speak to my patients like this. I say, although the. Aging as part of the aging process, you’re not going to stop aging. It’s normal. It’s part of the intrinsic and extrinsic mosaic of aging itself. But what we can do is we can delay those signs of aging. And when we treat you with one treatment, we can see short term benefits lasting maybe three to seven days, and then generally.

When we perform this in a series of treatments, averaging 10 to 12 times per once a week, we can see longer benefits lasting between four and 16 weeks. And then we’re going to maintain the results or the benefits of your treatment with monthly maintenance treatments. And that’s approximately one time a month.

Now they may be a little bit confused as to why they’re not getting longer treatments or longer. Longer effects from our treatments because we are used to immediate gratification with longer term, say three months to six months with neurotoxins and maybe even longer with volumizes or filler. So I explain it to them as what we’re doing is we’re taking your face to the gym.

And we talk about going to the gym and the benefits of going to the gym as a cumulative effect. So you can’t go to the gym. And pump up and then expect to see large muscles, right? What you get is tired and a little bit sore. You’re not going to get tired or sore from facial acupuncture, but the concept is we are treating a giving a series of treatment to make an internal change that will last throughout time.

And ultimately you feel healthy and you feel better as well. In 1996, the first landmark study for facial acupuncture, measuring the efficacy. Yeah. Was in the international journal of clinical acupuncture. They took 300 cases. This wasn’t treated in China, that it gave them patient will acupuncture 10 treatments, one time a week.

And the patients noted a 90% market effect in terms of their subjective experience of the treatments. The benefits it’s said was there was an improvement in skin texture, stint, color, skin elasticity. Wrinkle reduction and overall rejuvenation. And also they noted that these results were not just confined to the face, but also included work from the practitioner’s point of view to address the entire body, the organ system, as well as the face.

So ultimately what we’re doing is Chinese medicine. We’re treating the body to sustain the changes on the face for appearance. And the reason why we are working in that vein is because we are traditional Chinese, Eastern medicine practitioners. And it’s because we still are applying the concepts of channel theory.

We are looking at cosmetic facial acupuncture as a whole systems approach towards diminishing the signs and symptoms of. This means that we, when we are support, when we are treating with facial acupuncture, we are treating and supporting the entire patient. That’s foundational because even though the wrinkles and the other facial concerns are the chief complaints, we are looking at it from a holistic perspective, and we know that the conditions on one’s face, the conditions that they’re talking about.

Skin laxity muscle tone. And that type of thing is really directly related to their internal health and overall well. When we treat with facial acupuncture, we’re not just working with the face as practitioners of Chinese medicine. We know that we need to consider and address all of them, energetic Meridian pathways and all of their corresponding organ systems.

And we treat them in the same way that we’re treating other conditions with acupuncture. We address those imbalances in those internal systems, digestive, circulatory, reproductive, neuromuscular, whatever it is and in doing so we are from the inside helping to diminish those visible signs of things. When we talk about these concerns, skin, laxity, wrinkles, muscle Capone, skin, dyschromia, et cetera.

We call those the symptoms. Those are just the symptoms of that underlying pattern is disharmony. And when we treat, we’re going to treat the root cause first with body points, and then we’re going to treat the symptoms. So we. Points on the extremities. And then, and along the torso, first, we do our diagnostics.

We treat the patient for their underlying condition. We apply acupuncture points on the legs, the arms torso, and then we address the symptoms or the facial concerns with points on the face. And then we take them out those needles out in the opposite direction. And that point selection on. Body is specifically related to the underlying pattern disharmony and the points selection on the face can be either on the Meridian, off the Meridian or around the associated channels.

And this is what we’re going to address today. When we think about acupuncture points, we know that acupuncture points are located in areas with higher concentration of superficial nerves. We know that there are a higher concentration of blood vessels around those points. And we know that there are neuromuscular attachments where those vessels and nerves penetrate the deep of the muscle fascia.

What we also know about points, acupuncture points in the body is that when we stimulate the acupuncture points, that sensation is transmit mid. From the peripheral nervous system to the central nervous system by the dorsal root ganglion. We also know that due to Nur, or when we look at neuro imaging, we know that there are acupoint stimulation is activity in the brain areas that is associated with that local area that we actually put the needle in.

But it also transmits into more distal areas, not on the knee, the point of needle insertion. This is important because when recently we’ve discovered that we have interstition when we first were looking at bodies and we would dissect cadavers and we would open them up and we would pull out this sheet of sticky film.

Substance and we would throw it away. Guess what we’ve been throwing away has recently been discovered as a very important structure in our body. It’s called interstitium and it is a fluid filled cavity that contains connective tissue, fascia, and fluid. And you can see this in the demonstration.

This is an, a. This top area is a microscopic expansion of what’s underneath and you can actually see that there, this whole area is the interstitium. So it’s made up of fluid fill barriers, and then it’s made up of these little structures that are more split support structures called connective tissue and fat.

Guess what? Within that fascia, we have college and college in is the primary fascial component of that connective tissue or on the face. We’re going to call it fascia. And that college in actually has an electric. Signaling component to it. It’s called college and Paz electricity, collagen fibers have this mechanical or electric property.

And it’s actually the basis for communication from the insertion of the needle throughout the fascia and into the, not just the local areas, but more general areas as well. And when we alter that college in, when something happens like aging and that college and those college and fibers get altered, it’s going to change the physiological response as that stimulation moves out into other areas of the face.

And in fact, what we’ve been looking at recently is that therapeutic efficacy of acupuncture, why acupuncture works may be linked to this, maybe linked to the ability of needle insertion in an acupuncture point to radiate outside of that local area and flow through the interstitial tissue, into other areas or other neighboring structures of the face or in the two.

Here’s what fascia looks like. You can look at the bottom, it looks like sticky film or some type of saran wrap that actually does two purposes. Either wraps around substances to protect them or connects them such as on the face from say the muscles to the upper layers of the skin and under repeated or intense stress that fascial tissue changes.

And it becomes disorganized and it decreases in flexibility and it loses its ability to signal. And if you look at this image right here, this is what college in stress looks like. This is how it changes from a more. Area, if you think of your face and you think of this area of the face and a younger person, it’s much more plump, but this is what that disorganization of college in fibers decrease in flexibility, decrease in an electric signaling and ultimately tissue breakdown.

So we’re going to look at how to change that. Here’s what it looks like in an image. And here is the superficial area or this top of the skin. On the top of our face. And as we age, it moves from the bottom, which is nice, organized, thick banding of co of college and tissue to disorganize broken down college and fibers that then create a pitting area in the surface of this.

When you think about a mattress, you think about a brand new mattress. It’s nice and full it’s, nice and plump. And as we sleep in that mattress in the same position over and over years and years later, it starts to form a little pit. That’s the same thing as the pitting effect that happens in our skin, that little dumpling or the little.

Drop in the mattress is what we see on the skin. And we start, we call that college in breakdown. And when that happens, skin has no place to go. So for the purpose of this today’s lecture, the loss of college and underneath the surfaces of skin causes that pinning and causes that skin to dry.

Now with an acupuncture needle, we can actually make a change. So when you know that acupuncture needle and creates a natural wound healing cascade to release growth factors to stimulate the production in deposition of college men in the dermal layer skin, what is that? When you look at the skin, there are the very top layer is called the epidermis and the very, very top layer.

What you look at when you look in the mirror or you look at somebody else’s called the stratum corneum and then underneath the epidermis is the dermis. And the dermis is actually the integrity or the health of that, of our skin tissue, a healthy cell. Start at the bottom of the dermis and make their way up to the top and float up to the top.

As the cells float through this tissue, the integrity or the volume of this dermal layer is supported by colleagues. And collagen and another T is elastin, but we’re not going to talk about that right now. So you can see this thick area in the top corner. There is our college and fibers and the very, very thin ones are called elastin.

And the little dots that you see are called fiberblast fiber blast. Are actually what needs to be stimulated in order to make collagen in the skin tissue and there’s research, particularly by a man named does Fernandez who has done a lot of work with Derma rolling or skin piercing with acupuncture needles.

And what he’s found is that when you place a needle into the skin you create a microtrauma in the tissue and that might . In this cascade of information to fibroblasts, I’d say, make college and into the fibroblasts, just make as much healthy colleges as they can possibly make. So it changes it from being that on uniform clumped appearance of college and underneath the tissue to lay a Ficker, as you can see a thicker line.

Of college and in the upper dermal layer and throughout the dermal layer as well, to support the upper layer of the epidermis. And we do this with needles. We do this with short needles because let me go back remembering the different layers of tissue and layers of tissue in the body. This layer, this dermis epidermis dermal layer is really the very, very surface.

Of the skin of the face. Because if you think about the pace and you just take your finger and touch your face well, before you know it your own, do you feel that before it, between the skin, the upper layer of skin and bone, you have muscles, you have connective tissue, you have nerves, you have. Your circulatory system, you have fat, there are so many layers that are between the surface of the skin and the bone.

So when we are treating this dermal layer, we actually have to have very shallow insertion. And we do that challenge insertion with small short needle. My favorite. And and also the favorite of many of the other practitioners that treat with facial acupuncture for appearance enhancement are serum.

Serums are always great needles. They, and what I like about them is the safety quality about them. Their medical grade stainless steel used around the needle shaft. They’re triple polished and clean cleansed with ultrasound and. Alkaline acid or water to remove foreign substances, and then they sterilize them.

And then the honing of them they’re specifically rounded to reduce damage in the skin tissue, because remember we’re working on paced people’s faces. There are a lot of nerve endings. There are a lot of capillaries and vessels. And so we want to use the best calling the needles that we can possibly use in order to get maximum results.

And Siron also has a line called J 15 that are specifically designed for cosmetic patient acupuncture. And on the other side I tend to use the 40 twos and 40 fours. Although some people use forties, this in this area, the one set up about, I liked. Another great line is called dong Bancorp.

Their DVCS are made specifically for low loss of LMS. This is another option. They are also well-made and compliance with the world health, our organization in the U S and then FDA approved and throughout Europe in England. Because they are the largest manufacturer of acupuncture needles in the world.

They’re much more economically priced. They’re basically a fifth of the cost of this here and needles. Many practitioners will use these needles on the body and then they’ll use the on. There’s another company that I really like in use in that called Acue fast. And what I like about them is they’re environmentally friendly.

Their packaging is biodegradable and the plastic material is recyclable. Again, they are Korean made spring handled with surgical stainless steel, their machine sharpen. There’s another, they’re just another great needle. In order to eliminate some AQI trash, they come 10 needles in a package and a bliss and a vacuum seal pouch, and they sell the tube separately.

So in some of these treatments with that, I’m going to show you or the system, you may not need a tube. And so that book, optional tubes are different. And then the other types of needles that we use to penetrate the very surface of the skin, it is the intradermal needles, either the straight intradermal needles that run in a horizontal position for insertion and a horizontal manner.

These were invented in Japan and then the press needles, go in vertically. Those were come from. There are many types of intradermals. This is a really good line. It’s called thrive. Great needle. Hard to get because they come from England. They’re triple Pall, double polished, and there’s three.

Different sizes, the gold, the copper, and the silver again, just another example of a really good line. So those in you who are from the UK are watching from another country. This, you can see I’ve put on. Bottom the links in order to purchase them, or cammo here in the U S CRN has another, the spine next intradermal needles, I think is acupuncture.

We’ve used these most of the time. And again there, what’s interesting about them is that heat sealed blister pack. And then the little ring holder, you definitely need to use tweezers with them and they make them in certain different sizes with the. PO box of a hundred needles. DBC has started to make another intradermal needle.

That’s interesting as well. Again, five needles in a foam pack, and there’s a new one coming out. This is not on the market yet, but it seemed to be there in their first line of production this year. Ella piss. I liked them a lot. But they come in there again, the high, same quality at that as serum upholds their integrity of their production, of their needles.

They come in five needles in a blister pack. What I like about them is that they’re short. But they also have handles so that you don’t need to use tweezers. For those of you like me who are somewhat uneasy, need a tweezer compromised. And then there’s always the pie. Next introduce dermal is a single press tax press tax are great.

Not all states will let you leave a needle in there, patient. So you need to make sure to contact her, find out what your regulations are. Within your state to see if you can actually leave these in your patient when they’re not in the office. And again, they come in different diameters as well. So let’s get to the treatment.

When we are treating our patients, this is what we’re looking at here. You can see in the, before, this is the image that we were looking at before you take any of those needles that you want to use, and you can treat them either on the acupuncture point S either The point rate lateral to the corner of the mouth stomach for depending upon how you can see the skin pitting, you may want to go a little bit higher, but just remember that in order to get the beneficial effects, you don’t need to be on the point.

Exactly. So what I might suggest is say, needling stomach for me again. You’re going to do your normal intakes and discover your patterns of disharmony. So if you look at this, you’ll find most people who have this pitting that have some type of a spleen deficiency. Either. We explained us digestive disorder or something like that, because if you’re looking at the stomach Meridian, it runs right through this area.

And how many people as we’re aging, don’t have some type of digestive. Disorder. So remember your spleen, remember your stomach, treat the underlying pattern of disharmony and then come back and we’re going to go back and treat this spleen area. So say stomach for, and then take your smaller needles and you can slide the.

At a 10 to 15 degree angle. Now that’s very superficial. That’s almost like Japanese acupuncture where you’re actually angling them almost parallel to the surface of the skin. So you can take those needles either the intradermals or the the half inch, and just slide them into the area of deepest pitting.

You can also write in here in the integral. And the nasal labial fold, just slide them right in there. And then that’s and then this is what I did. And then after treatment 10 treatments, you can actually see. A much bigger difference. If you have other questions about those, you can certainly let me know.

I know these are are these recordings are available and you can always contact me just to let you know that I have partnered with the Pacific college of health sciences. We offer a program called facial applications for cosmetic, and he has met, which is a much more in-depth program that you can access in the way to.

Contact us is this phone number and email below, and it’s not, we’ll be learning my techniques. We’ll be learning other techniques with other leaders in the field, such as Matt Callison, Mary Elizabeth, Wakefield, Michelle Gellis Deandra Courtney, Carrie Hart. A lot more. This program allows financial aid will be as available classes begin January of 2023.

And then again, if you have other questions, you can follow me on Instagram. Or Ann or contact me@infoathamptonsacupuncture.com. So thank you again. Thank you for the American Acupuncture Council for allowing me to present today and also please join in next Wednesday too. With Chen Yen. She’ll be presenting at the American Acupuncture Council and hope to see you again.

Thank you. Goodbye.

I do have a question. Is it there is one question, Elizabeth, thank you. The, yes the course that is being offered as a hybrid program. So the didactic component of it is online. And then there five days of hands-on clinical learning offered once or twice a year.

Do I recommend patients take college and it really depends upon the college in remembering that college in is a large protein. And it may, or if you are explained to you deficient with terrible gut problems, you may or may not be able to absorb it. That’s the clinical and the written information or that, or the more.

Therapeutic information. However, that being said, I take collagen in every day. I use a company called Vital Proteins and honestly, I see a difference in my skin. Yes and no, I hope that answers your question.

 

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Treating Neuromuscular Facial Conditions

 

 

 

So today’s presentation is an overview of a multifaceted approach to treating neuromuscular facial conditions.

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, everyone. I want to thank you. And the American Acupuncture Council for hosting me. Thank you for coming today. And if we can go to the first slide, I’m going to go ahead and hop. So today’s presentation is an overview of a multifaceted approach to treating neuromuscular facial conditions. My name’s Michelle Gellis and I teach facial and cosmetic acupuncture classes internationally.

And one of the. Things that I do in addition to just the cosmetic is I treat individuals that have various neuromuscular facial conditions that are affecting them in some way. So what exactly is a neuromuscular facial condition? Essentially a neuromuscular facial condition is any condition that affects the face, either the facial movements or any sort of sensory issues such as if someone has neuropathy or pain and some examples of neuromuscular facial conditions.

And certainly some of these are not. Just, they don’t just affect the face, but for many of these conditions, the most noticeable or troublesome part of the condition can be the part that affects the face. So Bell’s palsy, Ramsay hunt syndrome. Synkinesis stroke, Tam J trigeminal neuralgia. My esteem, gravitas, ptosis, Ms.

Shingles, and hemifacial spasm.

When I approach treating and the, of these conditions, the part that affects the Fest. I, what I have learned over the years in practice is that using a multi-faceted approach. Which I will describe is the best way to really take care of the issues and especially issues that have been around for a long time and to make your treatment long lasting.

These conditions such as Bell’s palsy and. TMJ can have a major impact on the face. And so there are again conditions that have to do with more muscular movement. And then there are ones like trigeminal neuralgia, which have pain. So the modalities that I use in order to. Treat. When I say a multi-faceted approach, I will use scalp acupuncture, facial motor points, submuscular and intramuscular, needling, facial cupping, and Derma rolling.

And some of these modalities can be used in conjunction and some are better for certain conditions and some are better for other condition. Scalp acupuncture is a fairly new series of techniques that we use in our practice. It’s only been around since the 1950s and it became popular in the 1970s and essentially you’re stimulating areas of the brain that correspond to.

Functions, whether they’re sensory functions or motor functions and it’s based, it’s not based on acupuncture points, it’s based on neuroanatomy. And it is really fabulous for treating any sort of neuromuscular condition, but specifically for neuromuscular facial conditions. And if you look at the homonculus if this is a cross section of the brain and you look at the homonculus, you can see the area for the face takes up the bottom two fifths.

If you were to break it up into two feds, two fifths, and one fifth, the face takes up a huge area of. The brain and the way scalp acupuncture works is you take a needle and you insert it into the loose connective tissue and you thread it into the new loose connective tissue corresponding to the area of the scalp that you would be working on.

So here is a map. Of a couple of the different areas. So we have the motor and sensory area of the scalp on one side of the head. And then this bottom two fifths here is where you would be needling in order to affect the face.

And I’m just going to talk through this video. Let me get it going. So this is me demonstrating how to put the needle into the scalp. First, you have to measure the scalp and the bottom two fifths is what you’re going to be needling until.

So this so the motor areas in front, the sensory area is behind it. And this part of the scalp can be sensitive. So you have to be careful when you’re needling and it’s helpful if your patient is sitting up and then you want to work very quickly. You don’t want to be too tentative when you’re going in.

And I’ll, you can either use a one handed method or a two handed method. I use a one hand for the insertion in the beginning, and then sometimes I’ll use two hands to push it down. And then once the needles and you’re going to stimulate it and For that, there are a lot of contraindications and precautions and scalp acupuncture is a very wide field.

It requires specialized training, but it went, especially when combined with some of these other modalities can really affect a tremendous change for some of these neuromuscular facial cues. So the next is our official motor points. So motor points are something that have been used. Actually I found some information back in the late 18 hundreds in a medical book.

A medical doctor had mapped out some of the motor points, but most recently people like Matt Callison and other researchers have really. Built on this foundation and have used motor points on the body, especially to restore muscle from.

So what exactly is a motor point? A motor point is essentially in a nutshell, the most electrically excitable, part of the muscle where the motor nerve bundle is attached, but it’s not a trigger point trigger points or something different, but it’s And frequently, many of the motor points that we’ll use on the face are also acupuncture points.

So it makes it easy for us to feel. And if a facial muscle is in spasm, if it isn’t moving properly, if it’s overly tense or overly relaxed, then by needling the motor point, it will cause it’s like a reset switch and it will cause it to get back into its normal functioning. As I mentioned, motor points are not trigger points, or.

Typically areas along the muscle that can be sensitive when you push on them. But motor points are something entirely different. And as I said many motor points are also acupuncture points, which is great for us. So here’s an example of a motor point, and this is the motor point for the frontalis muscle.

And. Coincidentally. It is also gallbladder 14. And by putting a needle into gallbladder 14 and stimulating it, it can help. If someone has ptosis, if they can’t raise their eyebrows, it can also help if they’re having some eyelid drooping. And another motor point. This is a quick video of a motor point for the mentality, and this was I’m going to play it and talk at the same time.

So this was a student of mine in. Class I was teaching, she had Bell’s palsy many years ago and she still was missing some muscle movement in her chin. So I went ahead and I needle the motor point for the mentality muscle. And try it one more time. You can see the needle. It when I stimulated.

The her chin started to move and Twitch, and I have a lot of these videos. You can see it moving right there. I have a lot of these videos. On my Facebook group, it’s called facial acupuncture. And on my Instagram page, I have a lot of, I do a facial acupuncture tip of the week and some of them are cosmetic and some of them are neuro.

That’s a good place if you want to see a bunch more of this stuff. So some examples of motor points. For example, if a person cannot smile, there are four main muscles that are affected the zygomaticus major, which draws the angle of the mouth upward and outward. This Acumatic is minor, which elevates the upper lip.

The LaVey levator labii superioris, which elevates the upper corner of the mouth and the resource, which retracts the angle of the mouth laterally. So by knowing which motor points to use, you can help someone who has lost their ability to smile.

The next thing is submuscular needling and. This is something that is uniquely suited to help with a lot of different disharmonies of facial and neck muscles. And essentially if a muscle, much like motor points, if a muscle is not functioning properly, that. You can needle either underneath the muscle or through the muscle and it will help to bring blood and she back to the muscle.

And it’s great for people who have had long-term paralysis. And when I teach my class, I go through all the different facial muscles. The big few are the corrugators, the frontallis, the temporalities and the massive tier. And you would needle from the origin to the insertion. So for example, this is the frontallis muscle.

You would thread needles on either side, just like this. Underneath the edges of the frontallis muscle. And you just put them in, you can stimulate them a little if you want, but you want to try to get underneath the muscle. It is a lot less painful if you do, if you’re working with a bigger muscle, like the massive tear, you might not be able to get underneath it.

So you would be needling through. But the, this is how you would needle. So underneath the muscle on either side, and this is what this would look like. And again, I’m going to talk through this. The first thing you have to do is measure the muscle. And the best way to do that is Asher patient to raise their eyebrows because the muscle is on either side of the eyebrow and when they raise their eyebrows, you can see the skin right over the muscle will wrinkle, and then you are just going to needle, right?

Underneath the edge of the muscle

are you usually use to. And that helps get my angle of insertion. Correct. And then I will press down on the skin to get it way underneath the muscle. Again, I’m not treating wrinkles. This is not cosmetic. This is a way of bringing muscle function back into the muscle.

And then I’m going to. Once I’ve done one side. So here I’m showing if you angle to date, you’re not going to be able to get underneath the muscle. If you go to superficially, you won’t be able, you’ll just be hitting this.

So once you’ve done the lateral side, then you’re going to come in and you would do the medial side

and I’ll do, depending on their forehead, I’ll either do two or three on each.

This is just for one, our brow or one side of the frontallis. If you were treating Bell’s palsy, then you would just treat the effected side.

And if you were needling the temporary Ellis, this is what that would look like.

The next thing is facial cupping and guash Shaw and facial cupping and gua SHA is designed to bring blood and treat cheese circulation to the skin and the muscles. It helps to relax tight facial muscles. And facial tissue, it can move out stagnant, lymph and toxins. It helps the lymphatic system to function better and that the lymphatic system is functioning better than the whole face will function better.

It helps with inflammation and it will help to strengthen the vascular integrity of the face. And it can help with any sort of nerve entrapment, especially if facial fascia has trapped some facial nerves. So here’s a cross-section of the face and the face is the only part of our body where our skin is attached to muscle.

And so the functioning of the muscles and the nerves that. Make the muscles work is very important because if the muscles not functioning properly because of nervous and trapped, then the skin is not going to move and you won’t be able to fully smile. So here’s a picture of that bone, muscle skin on the face.

And this is a picture of fascial adhesions. So the fascia is this stuff it’s like when you have chicken. Pull the scan off that stuff that looks like spiderwebs. So it really helps to release a lot of that in the face. And facial cupping is not like cupping on the body. You don’t leave the cups. You Stimulate different acupuncture points on the face and the cups are meant to move.

And this is just a slide from one of my classes where I’m showing gliding and then suction and releasing down the neck into the lymphatic drainage area. And. Also Derma rolling is something that can help to stimulate the channels. Like our channel rollers that we might use on the body. Derma rollers have these tiny little needles on them and.

You can stimulate the channels on the face, stimulate the cheap and your patients can buy a Derma roller from you and you can teach them how to use it. And then it will stimulate they can do this at home in between treatments. So what are some of the. Neuromuscular facial conditions that that we’ve, we can work with that I’ve worked with.

I mentioned in the beginning Bell’s palsy, stroke, TMJ, trigeminal neuralgia, Ms. Ptosis hemifacial spasm. And I have enough time to just talk about one and I’m just going to talk about Bell’s policy, which is the most common form of facial paralysis. And typically it just affects one side of the face.

Usually it’s temporary, but. The people that come to see me have had Bell’s palsy frequently. It’s been years. They still don’t have complete movement of their face. They’ve tried everything and then they come for acupuncture. It can affect blinking opening and closing the eyes, facial expressions, hearing taste, the salivary glands.

And that I say hearing it can affect their hearing. So I use a multifaceted approach. I’m going to do my body points. I’m going to do face points and depending on their underlying conditions, what’s going on with them, of course, I’ll treat them constitutionally and then bringing the multi-faceted approach in I’m going to do.

Motor points on the scalp. So the lower two fifths on the opposite side, I might use your Shan, men and face points just to calm the patient, treat their face, and then have them do some exercises. Look at their face, have them try to move different parts of their face, figure out where the paralysis is.

And then do facial motor point. And possibly some submuscular needling to get these parts of the face, moving cupping and wash eyes. Great. Derma rolling is gray. And you’re going to want to see the person two to three times a week until they get the movement back in their face. So I. Teach a cosmetic and neuromuscular.

Acupuncture facial acupuncture classes. My website is facial acupuncture, classes.com and some of the products that I was showing the cups, the washout tools at Derma rollers microneedling devices are@akeelaskincare.com. And these are my social media links. I do have a bunch of live classes coming up and all of my classes are also recorded.

That is the end of my slides. And I, again, I want to thank the American acupuncture council for giving me this opportunity. Next time is Sam Collins. And I believe he’s next Wednesday. I can’t see that right there, but it is next week. So you want to check in with that he’ll be streaming live and do we have time for Q and a or.

People on that we can open it up to where there any questions,

crickets. Okay. I’m not seeing any questions in that chat box, so I am.

Not now, I guess there’s no questions now. Okay. Thanks again to the American Acupuncture Council. And if you need to reach me, you can just drop me a line at visual acupuncture classes.