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Acupuncture Malpractice Insurance – Pulse Diagnosis: Beyond Slippery and Wiry Part 2



Lovingly call a slippery and wiry school where all the patients we saw in clinic had slippery and wiry pulses, or thin and wiry.

Click here to download the transcript.

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

Hi, I am Dr. Martha Lucas, and I am here with part two of Pulse diagnosis Beyond Slippery and Wiry. I am located, my practices are in Denver and then in Littleton, Colorado. I. Work at a regular internal medicine, modern medicine practice. They asked me to come there many years ago to what they said was help them with their diagnoses, which I thought was pretty cool.

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I also, I. Teach Chinese medicine classes. I’ve been in practice for more than 20 years. The name of the course is, or the name of these webinars in my book is Post-Diagnosis Beyond Slippery and Wiry, because I always say that I went to what I call a slippery. Lovingly call a slippery and wiry school where all the patients we saw in clinic had slippery and wiry pulses, or thin and wiry.

Occasionally we could say thin and wiry, but that was pretty much all we learned, and my school did not have any courses on pulse diagnosis. I was very lucky and. In my very first semester of school, my mentor, Jim Ramal, offered a full semester long course in pulse diagnosis, which I was so excited to be there that I took the class because I had previously been, or still working in Western medicine as a research psychologist, but was very curious about what else is going on besides my patients were cardiovascular.

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Patients who had just had bypass surgery and researchers are curious and I just wanted to know, hey, your engine just got fixed, but what else is working to keep that engine working well? So that’s why I started to study various energy medicines and ended up in Chinese medicine school. Just because I had, as a regular person, taken a color puncture course, but needed to know why certain colors, why on certain points, which I knew nothing about ’cause I was just a regular person, but.

My mentor made me fall in love with his method of pulse diagnosis, and and I never looked back. I continued in school, became a, obviously became a practitioner, and my specialty is the diagnosis. People come to me for. An in-depth diagnosis because guess what? Your treatment is going to be more effective if you actually give a correct diagnosis, and I would like to take that sentence.

I had acupuncture and it didn’t work out of the English language because either the patient didn’t work at it. They expect you to cure their five year long back pain and two treatments or. The diagnosis wasn’t right and then the treatment just didn’t work right? So I want to very much thank the American Acupuncture Council for allowing me this opportunity to go on and on about Pulse diagnosis, because as you can tell, I’m super excited about it.

And you can always look me up@lucasteachings.com or my private practice site is acupuncture women.com, and I am always happy to answer. Any questions that you might have. So let’s go to the slides. As I said, this is part two. So I asked this question, what is this thing called the normal pulse? Because in part one I talked about how even historically, and not only in Chinese medicine, I.

Doctors talked about this thing, taking the pulse during healthy times, and they talked about what a normal pulse is that practitioners need to know how to feel a normal, balanced pulse as well as morbid pulses or imbalance or the pulses of a person who has an illness. And we are going to talk about the normal pulse.

Jin we said it is imperative to know the normal pulse or the pulse in the healthy person before the morbid pulses are to be learned because a morbid pulse is in fact. The abnormal change of a normal pulse? My school never told me what normal was. They talked about I think my school might have been a stomach cheese school that they said, oh, a normal healthy pulse is slightly slippery and somewhat wiry.

Oh my goodness. Could that be more ambiguous? What? What do you mean slightly wiry or slight, somewhat slippery. That’s wrong. That is not what a normal pulse feels like. What a normal pulse is a sine wave yang and yin. So yang rises, yin falls, and then they connect each other. So it’s a series of sign waves, yang and yin yang and yin.

And it’s symmetrical. So the yang isn’t founding up, and the yin is this little tiny thing. It’s symmetrical, it feels smooth, it’s connected. The yang and the yin are mixing, which is what they do, right? They mix with each other to create a wave that they’re each supporting each other. So that’s what normal feels and that’s the goal of every treatment.

The person comes in, you feel they’re outta balance pulse. You determine what you need to do with whatever you’re going to do. Acupuncture gua, una, herbs moa, and then you do your treatment. I recommend a little bit of treatment, refill the pulses to see what happened or what didn’t happen. A little bit of treatment.

Refill the pulses, so it’s a kind of a little puzzle that you’re trying to fix. So any break in symmetry from that normal sine wave yang and yin yang and yin is pathological. If the body isn’t able to self-regulate itself anymore. I. Without help in a perfectly healthy world, the body would self-regulate.

You’d have some outta balance. Let’s say there’s a cold or something and your pulse gets a little bit outta balance, but then your body regulates itself and it goes back into balance. If that. Doesn’t happen. If it can’t return to the normal sine wave, then we need to see people, which is why I recommend what I call maintenance treatments, which is, okay, we got you back into a healthy state.

I’ll see you in a month. And I always tell people, don’t go back to square one. Don’t not go back to square one and call me and say, oh my goodness. Because that would be. Your body is going back into the old pattern of imbalance, instead of staying in a more balanced state.

And believe me, we can retrain a person’s body to learn how to reregulate itself and get more balanced. Are we all ever gonna be perfectly balanced like we were in utero? And sometimes, not even then, frankly, depending on our parents’ health, depending on our parents’ relationship, et cetera. But we can get closer to it.

We can go out of a sickness state into a wellness state more quickly or out of an emotional state, into a calmer state more regularly when we, as the practitioners retrain the person’s body to remember what normal feels like. Because when all of our energies are substantial in communicating with each other, then there is not what we call a pathological pulse.

So we can deal, we can literally watch the health issue go from healthy to unhealthy to back to healthy, as I said, the front of the position. The uprising part is young. That’s the functional aspect of the organ and the back or the downward flow is the yin, which is more the physicality of the organ. So again, using this idea, we can see is this person’s problem more a function or more of a physical?

Problem the large intestine and constipation, we would maybe be able to determine whether the constipation or change in bowel habits is due to a weakness in the large intestine function handling a typical food load, or whether or not it’s over that physical organ is overburdened or both. Other interesting qualities are the co-sign.

So in my way of my system, we have the sine wave, which is normal. We have the co-sign wave, which is the opposite of a sine wave. So it starts more in the yin part and goes up. So that’s, and you, when we, when I teach this in classes and you get to see it like depression is a co-sign in the liver.

Position. Once you see a co-sign, then you are able to recognize it more and more. As I say, it’s often seen in the liver, but it’s seen in other positions as well, and we need to know what level it starts at. If the co-sign starts at the deep level, it’s an older issue with the person, an older emotional issue, or an older.

Physical issue, maybe even they’ve adapted to it. If it starts at the top level, it’s more current, something that they’re dealing with right now. For example, taking that depth idea, sinking or emptiness or you don’t feel anything, it’s empty in the spleen, stomach, the earth position. That can mean early childhood trauma.

It can mean what? What is called the relinquishment wound by psychologists, which means. The person was separated from their mother right at birth. For example, my oldest grandson was a preemie, and so he was, had to be taken out by emergency c-section, and he was taken away from my daughter at that moment.

All right? So he would have a tendency to have what is called the relinquishment wound, and sure enough, because. Spleen, stomach, lung, large intestine, rr immune system. What did he have as an early young one? Immune system issues. What did he have as an early, young one? Skin issues. So these were predictable according to his, preemie experience leading to immune problems may be seen. And he recently got diagnosed with asthma. So all of that, and he’s, thank God, and I also thank Chinese medicine. He is what I would call a very healthy 17-year-old, despite the fact that he went through some early life problems with strider and with rashes, and now has asthma.

But he’s a track runner in cross country. So Chinese medicine, I. Really as you if you couldn’t tell. Really love it. And then other interesting qualities are nodding. This movement is a three dimensional movement, so it comes up in the pulse. You can feel it, touch your finger, and it stays there. You probably heard about it in school as called the spinning bean pulse.

What you would feel in the beginning as you’re learning how to feel an knotted pulse is just it hitting your finger and no flow. It’s not going anywhere. That’s what a tumor feels like. That’s what a cyst feels like. That’s what a fibroid feels like, because what is that diagnosis? It is stagnation.

Stagnation in one spot, right? That cyst is in one spot. That fibroid is in the uterus, the nodding movement is eventually you’ll, if it’s growing, especially, you can feel the spinning at the top. You can feel the movement at the top, but that knotted movement is you feeling a localized stagnation.

Sometimes you feel it after people have a surgery because they just had localized. Trauma, localized damage in their body. You might feel it in the lung pulse because the person has some sort of mucus blocks in there. So that’s what nodding is. And it might seem like a pause because it’s not flowing.

It seems like a pause because it’s rising up. And you feel it before you feel the movement on. Some people think of this as an intermittent pulse, but sometimes you need to be a little more discerning to see whether it’s an actual or not, and. I’m talking to my patients while I’m taking their pulses because when I feel something, as I just said, it can be more than one thing.

So to asking the patient, how’s this, how’s that? Have you ever had this? Is this happening? Is that happening? Then we, I. Are getting down to the nitty gritty of what’s going on. Like the person says, oh yes, I’ve just been diagnosed with colon cancer. That’s why I’m here to see you. Then we might feel that in the right distal position because that’s the lung large intestine.

But we also might feel it in the proximal position because we are feeling the physical organ, the pulses can be a model for the whole body. What’s deep inside and what’s more on the surface, and where it is not only located in what we learned as the traditional pulse positions, but also where is that organ in the actual body.

So we are doing a lot of observation along with what we might call clinical findings, what their doctor has told them they have. So we we might think we’re looking at energetic qualities, but actually we are looking at impulse diagnosis at the physical body, the emotional bodies, and the spiritual bodies.

For example, we don’t ever wanna see a scattered pulse, right? That’s someone who’s living in fear, right? And fear and anxiety are almost the same thing. Fear is a little more dramatic than anxiety, but this person is in constant vigilance. Their kidneys get overloaded, get what we call scattered.

We don’t ever wanna feel, scattered kidney position. And then everything gets more tight after that because the kidneys aren’t flowing, they’re scattered. The sympathetic nervous system is showing up in the pulses because their muscles are getting tight. They’re. Central nervous system is overloaded, so it feels scattered little points of light under your finger instead of a nice kind of flow.

So this patient might think of everything as threatening, and that’s because they’re not centered, right? Their pulse. Can’t moderate itself back to calming the nervous system down and regulating and centering them anymore, they’ve become in that pattern of fear, anxiety, nervousness, and what we do is help that get regulated back to normal, back to balance, back to flowing back to the kidneys, being not scattered and supporting all the other organ systems.

So we talk a little bit about the pulses in cancer development, since we’re talking about nodding in tumors. In a healthy person, we know about the microcosmic orbit, right? Think about it. It’s a sine wave, and what happens when you do a sine wave? The other wave. So sine wave. Sine wave, which is how we communicate left and right, is the infinity symbol, right?

Sine wave this way, sine wave that way. And so we want to support the lower Dante N. We want to facilitate that connection. Some people call it the Tai G connection between yang and Yin and. There’s this story about how monks used to click their teeth actually pumping the salivary glands to catch and contain the fire element Ming Mu, to generate the saliva and swallow it, guiding it down.

The Ren Ma, back to the Dante. And so this idea of preserving your Ming Man fire has been around for a long time. And there are various ways that people in the past have done it. Now a blockage in the diaphragm, what we would call a dmai block, may prevent that saliva from getting down to the Dante.

And it’s the same way energetically, if the dmai is blocked, the vertical flowing channels are not communicating with each other anymore. So if you are, for example, treating a fertility patient and men and women, and you’re. Tonifying, the lower, their reproductive system in the lower J and also trying to help their digestion, but their dimmi is blocked and you don’t know it, you’re not helping them because where’s that energy gonna go?

How are, how is digestion going to communicate with the reproductive area? How is the middle or the upper going to connect with the lower? It’s not because those organ systems are dissociated when there’s a DI block, we need, that’s an example, a simple example of something that we need to be able to feel in the pulses so that we can reorganize those systems so that they’re flowing into each other.

So I recommend taking the pulses with your non-dominant hand for one thing with your right hand, I mean with your dominant hand. It happens to be my right hand. I might take, be taking notes. I might be writing down something that the patient says, and I’m also going deep to superficial. So feeling the Ming man feeling the kidneys.

Feeling what’s going on in their core and then moving up to what’s more current. And for example, a short kidney pulse that can be a blocked dite. Usually a blocked dite feels a little stronger than just a weak kidney. But if the, if there’s a short kidney pulse, a short proximal position, pulse, the kidneys aren’t flowing, that’s the bottom line.

If it’s short, they’re not flowing. They’re not supporting the other organ systems. A short heart pulse. Liver attacking the heart, maybe liver attacking the heart, and the heart is. Stopping that because it’s trying to protect the spirit. Is it old trauma that’s causing that? It could be. These are all things it could mean, and this is partly why we need to communicate with the patient.

I said in part one that like the great sociologist, Andrew Greeley said people will say anything and he was talking about surveys, how you can’t believe surveys. Because people will say anything. Same thing with po with the person’s body. They, I’ve had so many patients that I have felt some sort of old unresolved emotional issue or trauma.

I don’t use the word trauma in the first treatment, of course. And they’ll, I’ll ask them, oh, do you have anything unresolved? Something from the, and they’ll say no, I don’t think so. And then the second or third visit, they’ll say, I was thinking about what you said, and you’re right, I had blah, blah, blah.

So it’s. I just helped that patient know themselves better. I just helped that patient understand the cause of their fibromyalgia or their stomach, their digestive issues. So we are helping the patient know themselves better and understand why. Understand why they are having this particular illness or symptom.

Knotted left kidney pulse in the system I’m using in teach, the left kidney position can be the uterus and the prostate. So if it’s knotted in there, maybe it’s uterine fibroid, maybe there’s some prostate inflammation. A knot at the top of the stomach and or large intestine position is thyroid. In Chinese medicine, we don’t have a thyroid organ, right?

We don’t talk about it. We don’t have, certainly don’t have a thyroid channel per se, but where is the thyroid? It’s near some channels where it’s blockage it’s having little nodules or it’s inability to function well, can be felt in the pulses, and then the gallbladder and San Jal positions, especially at the sensory level.

Can show brain or central nervous system activity. In fact, gall bladder and Sanja channels are very good channels to treat the brain. So let’s talk for a minute about a couple of case studies. So a large gel pulse, right proximal. Remember, we’re gonna look at the positions in some unique ways. This can be, as I said, something going on with the brain.

Or. Something going on physically, right? A patient who has IBS, you might see that big movement in either the middle or the lower gel, but sometimes it’s nervous tension going to the brain. It might have some heat and dampness in it. So we’re looking at things in a unique, more detailed way. A young woman after a C-section, and she has a very stiff and painful neck.

All the tests come back normal, right? She doesn’t have any spine issues. If her pulse in the small intestine position is. Empty. Okay. Of course, her neck is full of muscle tension and knots and inflamed trigger points because there’s no oxygen and blood flow in the small intestine channel. So you know, you might be thinking, oh, wait a minute.

I should be feeling a choppy pulse. No. Remember, sometimes back problems, neck problems, muscle problems are hidden. Because it’s severely depleted, cheat, in her case from childbirth. It’s the hardest thing a woman’s body is ever going to do. Build. Then deliver another human being. So we, this is what I’m saying, we need to be open to what’s going on in all of the channels near where the person’s symptom is.

Or they may have a short wry movement going from the stomach backward. That’s what worry feels like. And we never wanna have worry in the pulses because not only is it not going forward to. Help the lung, large intestine and the immune system be strong, but it’s going backward and attacking the kidneys.

So case study examples, block dite, like I said, fertility example. The person has fallen, they’ve been rear-ended. They’ve been in some sort of accident. And by the way, falls include things like ski falls and sports falls where the person falls and gets right back up. They look down, nothing’s broken, they’re not bleeding.

The Dai still gets blocked. So again, it’s important to know what the person’s history is, what their activities are, if we’re feeling the Dai block, because our treatment is not going to be as effective as we want it to be. If there’s a Dai block. I mentioned a little bit about earth and metal connection.

That’s the immune system, right? So the spleen, stomach, lung, large intestine, they all need to be flowing with each other. So that would mean the kidney position, earth position, metal position, all Y and yin yang and yin. So we can have a strong immune system. Let’s say the person comes in with acne, maybe that is liver stress shooting out.

To the skin, especially on the forehead. Stress, acne especially shows up on the forehead. So again, with acne, we can’t just look at hormones, we can’t just look at heat. We have to look at other possibilities. Of what’s causing this person’s acne. And then the separation of yin and yang, they call that the end of life, right?

That looks like you. What it looks like in the pulses is you only feel yang. And when you go down into the deep portion, it’s pretty, pretty empty. That’s ’cause the organ systems are getting weaker. They’re not able to hold energy anymore. And so what happens? There’s no root. So the pulses just go up y yang, young.

So you know, that’s I treat internal medicine, that’s my specialty. So I always say practitioners who only treat pain are fairly lucky ’cause they’re probably never gonna have to go through the death of a patient. But I went through the death of a patient my very first year out of school. I just had one pass away last year.

It’s when you treat internal medicine, you are going to eventually, as your patients get older and older. Feel that separation of yin and yang, and I don’t like it, but I, it’s a hint of what I need to do. Try to get some of that connection back so they have more of a flow in their pulses. And I’m always optimistic.

I am really, no matter what the person comes with, I at least. I am optimistic that I’m going to be able to maybe slow down the progression of the disease, slow, slow down their symptoms, take their symptoms away, make them feel better quality of life. Always super, super because I get a smile out of the pulses every day.

I. I’m one of those people who’s really lucky that as a woman of a certain age, as I like to say, I still love my work. It still makes me smile every day. It makes my patients smile every day. They’re always interested when they’re like, oh, you’re feeling something, aren’t you? I appreciate your listening to this part two of Pulse diagnosis beyond Slippery and wiry, and I will hopefully see you for part three.

Again, I want to thank the American Acupuncture Council for allowing me to express my excitement to you about Pulse diagnosis, and hopefully I’ll see you next time.


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Acupuncture Malpractice Insurance – Pulse Diagnosis: Beyond Slippery and Wiry Part 1



In a very blessed way, my pulse diagnosis mentor, and then I became in love with the way I take pulses and frankly, that’s what’s kept me interested in Chinese medicine for the last 25 years.

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, this is Dr. Martha Lucas, and today I am going to be talking with you about pulse diagnosis. I have a special system that I’ve been using for my whole Chinese medicine career in my offices in Denver and Littleton, Colorado. I am a research psychologist, so I started out my. Quote unquote medical career in Western medicine doing research in hospital settings.

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But I was immediately curious as researchers tend to be about what was operating with the patients I was seeing other than. They just had cardiovascular bypass surgery, so I knew the engine had been fixed a day or two before, but I wondered what else is operating for their healing. So I started to study various energy medicines including reiki, tonal alignment, and then I learned something called color puncture.

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Which as you would imagine, is based on acupuncture, which is based on Chinese medicine. But the teachers didn’t talk much about the theory of why you did certain colors on certain points. So I went to Chinese medicine school. I. To learn that I didn’t really intend to become a practitioner of Chinese medicine.

I just wanted to learn why I was doing certain things, because I couldn’t imagine my patients asking, oh, Dr. Lucas, why are you doing blah, blah, blah? And I say, because Aquila said, Dr. Mandel says so there I met very. In a very blessed way, my pulse diagnosis mentor, and then I became in love with the way I take pulses and frankly, that’s what’s kept me interested in Chinese medicine for the last 25 years.

If I was doing prescription Chinese medicine, I’d be bored. So my goal, part of my goal in my practice is to help as many practitioners as want to be most excellent diagnostician. So we are going to be talking about pulse diagnosis. I. And I want to thank the American Acupuncture Council for allowing me this opportunity to do this show.

This will be part one in a series about pulse diagnosis. So let’s go to the slides. I, the whole presentation is called Pulse Diagnosis Beyond Slippery and Wiry because. I always say I went to a slippery and wiry school where everybody’s pulses were slippery and wiry. That’s what the teachers all knew.

And occasionally we could say they were thin and wiry, but that. That was about the extent of our experience with Pulse diagnosis. So I am excited to show people that there is so much more in Pulse diagnosis than just three and wiry, which is why I call my book and this presentation beyond slippery and wiry.

I am fascinated and I hope we all would be fascinated by the history of Pulse diagnosis. In fact, it has a very storied history, so I really don’t understand why in modern schools they’re not teaching it as our. Primary diagnostic tool. As I said, I was lucky to have a mentor. My school didn’t teach pulse diagnosis.

I think the theory teacher talked about it for about a week. Maybe occasionally someone would say, oh, let’s go around the room and feel everybody’s pulses. And guess what? They were all wiry, where students were spleen deficient, et cetera, et cetera. I the old pictogram actually is an image.

It’s the classic pulse taking with using three fingers. The other diagnostic methods or examinations are used in modern medicine as well as Chinese medicine. There’s an inspection, but in modern medicine, its imaging technologies. Our inspection tools are our pulses and our eyes, our fingers rather to take the pulses in our eyes.

There’s listening, obviously, or maybe not. So obviously the DOT MDs listen, they want to hear what your chief complaint is. We certainly listen to our patient’s chief complaint, but. As the great sociologist and survey master, Andrew Greeley said, people will tell you anything. And so that’s why he suggested we shouldn’t believe surveys.

I believe in pulse diagnosis that people will tell me anything or they’ll tell me nothing. How often does somebody tell you their digestion is great or. With women, oh no, they don’t have any PMS. Their periods are quote unquote normal. So I have learned for many years that people will just say anything and that it’s our job to really figure out what’s going on with people.

I know you’ve all heard someone say, oh, I’ve had acupuncture and it didn’t work. There are two reasons for that. Number one, the patient didn’t work at it. They had back pain for a bunch of years. They come in, they’re hoping you’re gonna make it better in one or two treatments, and so then they tell their friends, oh, I had acupuncture for that, and it didn’t work well, the patient didn’t work.

And then there’s the other reason, which is an incorrect diagnosis. A non a, not a total diagnosis that the practitioner just touches the pulses for a second and sees their wiry, and that’s their diagnosis. No, that is not, that’s not what you would call an adequate diagnosis. So that’s our inquiry part.

We can question the patient, but as I said they’ll say anything. So I feel like. We need to have a tool that even while they are talking with us, we can have our fingers on the pulses and we can be talking with them about what’s going on. For example, I have a patient who’s struggling with Lyme dis he is struggling with the treatments for Lyme disease, and right now he’s taking three different antibiotics.

That’s the protocol of either one or two doctors that he’s going to see, and of course, he. Tells me yes, he’s doing well because he can tell there’s die off and this other stuff. And I’m feeling his pulses and I can tell that his digestion isn’t right. And finally he admits. That he’s having some watery diarrhea.

And I explained to him already about the cold energy of antibiotics and how your digestion loves warm energy. And so he should be expecting maybe some negative side effects from the antibiotics. And of course, he tells me he’s. Pumping lots of prebiotics and probiotics, which also by the way, can have a negative effect on digestion.

Because I could tell that the digestion was struggling with the cold, I just put a Ong on Ren 12. No needles yet and put my fingers on his pulses and immediately could feel some young coming back, some more fullness to the pulses. And this young man has been seeing me and another practitioner who was trained in pulse diagnosis by me for a long time.

So he loves to talk about it, he loves to be educated about it. He’s very curious about how his kidneys are doing, how his liver is doing. And so it’s. I like educating our patients as well because an educated patient is a better referral source for you because they can say, I saw Dr. Lucas, she did blah, blah, blah.

She said, this is why this is happening. And then she treated it instead of, oh, I’m getting acupuncture and I don’t know what they’re doing. And it’s just a magical tool. It isn’t. It is not a mystery. It’s a medicine. And pulse diagnosis is not a mystery either. It’s a diagnostic tool that can be explained.

So for us to be able to decide what’s going on with the patient is the primary goal of every treatment in Chinese medicine. And we also have smelling right in, we would call these in modern medicine, more like blood tests and urine tests. My very first kidney disease patient, I could see. Smell. I could smell his kidney disease and he hasn’t had that smell since I think two treatments out.

So we’re all trying to do our diagnostic tools. And then the art of changing yin and yang. I call it balancing like my kidney disease patient. I balanced yin and yang. He came to me with priapism, and when I explained to a few students that I was doing some kidney yang points, they couldn’t believe it.

They’re like, yang. Oh my gosh. That would create an erection. Why on earth would you be doing kidney yang points for priapism? Because I was balancing. Not only kidney, yin and yang, but the whole system of yin and yang. So in the old days they used to say that the diag, you diagnosed the causes of illness according to what they called the complicated pulse.

And I just taught a seminar in cosmetic acupuncture, and we were talking about pulse diagnosis, and the students were saying, how, oh our teachers told us it’s too complicated. It would take a whole. 30 or 40 or 50 years longer than we’re gonna be in practice to learn it. And that is totally wrongheaded.

That is absolutely not true. You can absolutely learn how to be a good diagnostician. And the process back in the day was called ology, and this was as early as the inner canon talking about the normal pulse and the morbid pulses. Now, why is that important? Because if you don’t know how to see a normal pulse, if you don’t know what normal feels then you’re only ever going to be feeling.

Out of balance pulses. So part of what I like to teach people is the goal of every treatment is the normal pulse and how that feels. And I love the whole history of it. I love the original names and labels of things like the lung, great abyss. And honestly, if you think about the names, the original names.

It can also help you think about what you’re feeling in the pulses large intestine Union Valley of the Hand, young Ravine stomach surging young, like I just said, with that case study of the young man suffering through his medical treatments for Lyme disease. I put that Mong on run 12 to raise some young spleen surging gait, young pour the heart or also inside spirit gait celestial window, the small intestine beside the throat bend center, bladder bent part of the knee.

Great ravine, the kidneys. Of course the kidneys fund everything, right? Of course. They’re a great ravine. They fund all of the other movements, which is partly why they are so important. We all learn. Kidneys kidneys Ming Mu Fire, original Chief Fire in the belly. Why? Because that’s funding everything.

So if that starts to go down, then all of the other organ systems are going to be out of balance. There’s no such thing as an out of balance kidney pulse. Everything else is balanced. Not gonna happen. Palace of Toil. A colorful network vessel in the palm and rep represents the heart harmony, bone hole, sanja, suspended bell gallbladder, supreme surge liver.

And we know the liver helps. Move everything according to the inner Canon Pulse examination inspects the distribution of blood, and we know it’s of blood and oxygen inside the channels or meridians, and that diseases generate uneven distributions inside those channels. In other words, we are feeling the imbalances, the disruption of oxygen and blood in those channels, and that’s a part of how we make our diagnosis.

I. Some historical positions because I teach in my diagnosis courses, I teach it maybe what sounds like a few different positions. The basic positions are the same, but there are additional things we can feel like the uterus in the left uterus and prostate in the left kidney pulse. So in the old days. We might talk about the left distal pulse being heart, chest center, small intestine or pericardium or the right sun being the lung in the chest and the large intestine left, middle position, liver, diaphragm, gallbladder, spleen.

So these are all things that historically were felt you could feel in that position with the right side stomach and spleen. The left chair position, kidneys, pretty much the kidneys have always been in that. Most proximal position, kidney, abdomen, bladder, large intestine, and small intestine, because they’re deep, they’re in the lower jaw.

So it makes a certain amount of sense that we would feel that what’s going on with that organ system in the HUR position. Right side. Kidney, abdomen, pericardium, sanal, bladder life gait, small intestine, large intestine. Now, these are all historically talked about, the organ systems that we can feel in the certain positions.

The inner canine indicates that the stomach is the regular chie of a normal person, which of course I. Think is super, super ambiguous. But again, we’re going over a little bit of the history of it. And we talk about that being the person’s y qi. And if it gets weak, the stomach is going to come, become a little bit weak if it gets.

Vanquished gone. Stomach chi will be then scattered. And that’s a basic sign of life, right? That’s how we make our energy. So to have a good earth, solid earth, spleen, stomach, right middle side position is very important. And in my system, which goes back to early sixth century Korea. And from, in my experience, I know and teach about how early childhood trauma is held in that position, in that middle position on the right side, spleen, stomach, earth.

And it has to do with nurturing, lack of nurturing or even perceived lack of nurturing being separated from a parent at an early age or having early trauma. The classic of difficult issues mentions that if the upper part doesn’t have a pulse and the lower part has a pulse, that’s they call cumbersome, but we need to look at getting that better, right?

There shouldn’t be just a low pulse or a high pulse, a deep pulse in a superficial pulse. We need to get those pulses. Communicating with each other because the pulse can’t only have a root. It should have a root, but not only a root. And we all know that absence of a root pulse is going to show that there’s some debilitation in the kidney going on.

In the energy of the kidney, the history of pulse diagnosis isn’t only Chinese medicine either. Hindu physicians looked at the pulses they likened them to certain animals like the serpent, the frog, the swan, the peacock diseases were attributed to the humors, air, bile, and phlegm. And they felt like they were all reflected in the pulses.

And we talked certainly about. We talk a lot about phlegm being in the pulses. Otherwise, this wouldn’t be called beyond slippery and wiry. And they said that a disturbance in phlegm, the pulse would be slow and heavy, like the motion of a swan or a peacock, whereas dis some sort of disturbance in the air would be like the motion of a serpent.

Greek physicians also used pulse diagnosis. They included the knowledge of both music and geometry they felt were necessary in order to interpret the pulse and they. Paid attention to its rhythm or cadence. They also recognize size, frequency, force, and as I said, rhythm. And it is said that the physician Galen wrote more books on the subject of Pulse diagnosis than anyone before or since.

He emphasized the importance of feeling the pulse during healthy times so that we knew what a normal pulse felt like. And then the irregular, the imbalance, the illness pulses became more clear to us. They also studied the speed of the pulse length, depth, broadness strength, so you can see that not only Chinese medicine historians and doctors studied the pulses or all of these little subtle distinctions that can be in the pulse.

In fact, Galen even drew wave pictures, which is part of what I teach in my classes in Europe. Bordeaux brought about the idea of organic pulses and talked about. The, some of the pulses being shown above the diaphragm, seeing the organs above the diaphragm and some below the diaphragm, and then the superior pulses were divided into certain organs and the inferior pulses, the lower ones.

And I talked to people about feeling the upper, middle and lower jou locations of the organs in the pulses. So the earliest case histories used visual exam, listening, questioning, but palpation was the main diagnostic tool. They were palpating or reading what they called the grand rendezvous of the vessels.

And that is that area, the three finger width on both sides of the wrists, the grand rendezvous of the vessels. We have one dimensional models, which say the pulse is wiry. We have two dimensional models, which might say, I can feel a young pulse and a yin pulse, but we’re gonna be looking at more than three levels, three or more levels.

It’s quantum mechanics, which does sound complicated. Physics, quantum mechanics, that all sounds like it’s super, super comp complicated. But I can take that into. A discussion that everyone can understand and we can. Learn what I call a plausible methodology. So we’re going to be talking eventually about the top level skin, superficial level, skin surface, meridian activity, chief flow, emotions, the body’s interaction with the environment, middle level blood, functional aspects, organ function, metabolism are interfaced with.

Our internal organs in the environment. And then the deeper level, the bottom bone marrow organs, chronic disease, hidden emotion, unconscious emotions, adaptive level patterns that are fixed and you might not even know about. So unconscious emotions. And all of this means that we are going to be able to see current situations with the patient and older situations with the patient.

So the physical space that we’re feeling is going to give us a diagnostic. Perspective from birth or before birth up to the current because nothing is omitted in your pulses. It’s like a Rosetta Stone. It’s one symptom didn’t just come from yesterday. It’s a historical. Adding up of events that we can see in the person’s pulses.

So we are gonna be able to look at the circumstances, emotions, healing, disease progression, and that’s all gonna show up in the pulses. And the pulses should change during the treatment. You’re. Your treatment should work like that little Moab bong, changing the pulses while I was watching it, or your acupuncture prescription, changing the pulses.

So acupuncture treatments should be fluid, not prescriptions. I am not a believer in pre what I call prescription Chinese medicine, which means, oh, the person has. PMS. Let me look in a book and see what acupuncture points I should do. That is totally wrongheaded because not everyone’s PMS is caused by the same thing, and that’s your job to figure that out.

So this ends part one of my story or my training in Pulse diagnosis, my ex. You can see how excited I am about Pulse diagnosis and in part two, next time we are going to talk about what a normal pulse feels like. Talk about some emotions, talk about some case studies. So again, I wanna thank the American Acupuncture Council and I will see you next time.


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Acupuncture Malpractice Insurance – Supporting the Immune System in Winter



I’m happy to talk about today about supporting the immune system with Chinese medicine during the winter months.

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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 happy New Year. My name is Moshe Heller from Moshen Herbs and I’m happy to talk about today about supporting the immune system with Chinese medicine during the winter months. So let’s move to the slides so we can start. Discussing. Today I’m going to talk about, as I said, supporting the immune system with Chinese medicine.

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This is a subject that has been on my mind because in my office, I see a lot of patients who are sick. AnD I always have this call saying, oh, I’m feeling under the weather, I think I want to cancel my appointment. And we hear that a lot that people say, oh, it’s just a little bit of a cold, but maybe I’ll wait and see how it’s going.

So I. Make it a really important aspect to, or important point to educate my patients that it is actually very important time to either comfort treatment if acupuncture is possible to to give. But if not, the minimum is to take some herbs because this is the beginning of any pathogenic influence.

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Attack is the time to treat it. Super, super important to teach our patients that it is important to support the body at the beginning of any cold whether it’s a flu or any other illnesses that start with signs of a cold. So I also wanted to remind everybody that we when when I discuss a lot of times the immune system, I tend to point out the importance between our neuro gastro immune relationship.

There’s a triad that is really important to pay attention to. So when we look at the immune system, . We also need to take care of the gastrointestinal system as well as the neurological system because they influence one, one another and they are connected. maKing sure that the, in terms of the digestive system that it, that you’re supporting it with the correct nutrition and correct foods as well as maybe the making sure that the biome is being supported also. And in terms of our neurological system making sure that we are able to sleep well, relax and not be overstressed or

Influenced by, by affecting the creating a sort of a hyperactive neurological system because of environmental issues. iN Chinese medicine, we su we see that neuro gastro immune complex. So clearly when we look at the production of Qi and blood in our in our in the theory about that, that everything comes from the middle burner, the spleen and stomach receive food and digestion.

And they also, then they transform that into what we call Gucci. And the Gucci then connects with our with either the lunchie or the clear chi of the lung and produces the waiti and and the also the yin chi. Then that further connects to the heart. And in the process of making.

Blood. And in that connection with the heart, I think is the connection to our neurological system and our brain, right? The relationship between mind, brain and the heart is very clear. So again, we have this kind of neuro gastro immune connection that we always need to remember when we are addressing issues of the immune system.

So I want to discuss in this the, this idea in two aspects. One is the process of selecting or supporting prevention before we get sick. Before we get sick. whEn we have, when we ha when we are not sick and we want to prevent us from being sick we, we think of formula that a classical formula called ING Fang Sun.

I created a different version of that. And in Moshen herbs, we sell it as a shield. So this formula is based on ying fang San, but added some other aspects, which we’ll see in a bit to support or support the immune system as a preventative for for having for not getting sick.

So I just wanna make sure that it’s clear that. Sometimes we need to take, if we see a patient that has a weak che or a weakness between the che and the yin chi. It is also important that we. Continuously give f or shield for at least three months, a three months period. It’s a it’s a formula that takes a while to sink in.

And it’s even if you get sick in that period of time, I usually combine the shield with other formulas, which we’ll discuss in a second. I also classically Yin Chaan is sometimes used in low dosages as a preventative also for, people with stronger constitution and xo. Huang also is sometimes used as a preventative, especially if some patients who have a weaker immune system, which we are concerned that had in the past a lingering pathogenic factor.

And we wanna make sure that the sha young level is harmonized and working well. hEre’s the shield. I wanna take a few seconds to talk about the SHIELD formula because it is it is based on y Ping Fang, but I actually combined it with the two emperor herbs of Kuang. And so together these formulas strengthen the exterior, but also harmonize the function between the weighing the Yin Chi.

And if they an encounter with a pathogen happens, the body’s able to resolve it quickly so it doesn’t stop you from being sick completely, but it supports your immune system or your way in chief weighty and yin chief function to resolve the pathogen effectively and quickly. I also added another aspect into this formula.

I wanted to make sure that the chi transformation is complete. So I added the two cured decoction or urchin tongue which is another two. Herbs, Banian, gen P. Those help the transformation of dampness. And and therefore in support the normal functioning of the spleen. I Also added some more support with Chen, which is sometimes called Prince Ginseng.

It’s would allow the formula to be also a chi and supportive or strengthening but really appropriate for children. It’s not as warm as, and it’s more even than having actual wrenching. , I added another another herb for supporting the immune system or or consolidating the exterior and bringing the kidney support to the lung with weight.

w Weights to strengthen that function. And I also, last thing I added is gogan for supporting the mu muscle layer and also the digestion and. Lingers and an AP adapt adaptogenic mushroom to support the immune system. So SHIELD is a, is really a beautiful formula and used for a wide variety of issues surrounding immune imbalances from 10 C to allergies to to weakened immune system and as a preventative.

For the cold and flu season. So again, just to summarize, ying Fean is this combination of Huang Chi Basu and Fang. Then I added Chen to that from Jiang. I added Baha and . GaN and are here to support the muscle layer and urchin tongue. This is, we used cia. And fooling and added these two herbs of Wu and Ling.

wHen we think of point of acupuncture point selection, of course we have stomach 36. whO doesn’t know that? That’s usually co usually for when we’re trying to support the immune system. Better to use with moa. UV 12 is maybe another point that we don’t think so much about, but is really important for prevention.

It is like the backhoe of wind and it’s really helpful as a preventative. Then making sure that the Q is circulating with large intestine four and re lung seven, stomach 36 and re six. This is an overall q ification in support of circulation of weight, qi, and then also . Of course, advising people to avoid phlegm producing food, milk dairy fried food, spicy food in moderation only.

These are really important aspects to support the, or prevent being sick and also balancing your life between rest and activity. These are all important things. But when we have a pathogenic influence, then we need to consider some other points. And it all depends on the signs and symptoms of the patient that’s presenting.

Sometimes if there’s more heat we’ll need to use or points that relieve heat D 14 and large intestine 11 rather than . Four. When we have more cold, we might need to use lung seven and large intestine four to relieve the exterior and gallbladder 20 to help relieve the wind and triple burner.

Five. we Can also consider using cupping and again the same thing for prevention, preventing, avoiding phlegm producing foods and which is milk products. Wheat products and fried foods, spicy food all of that should be reduced or avoided. And of course, drinking warm soups are very helpful for supporting the immune system and from the center.

The formulas that we might consider Yan is for wind heat in the exterior. Ian is also for wind, heat, but when cough is added in Yin Yan, you will have a little bit of sore throat. anG is when there is a little bit of that kind of un imbalance between the ying and the way. So there’ll be cold symptoms, but the disease might seem to be a little more lingering.

GaN Mal Ling is a patent medicine that is made for I think the main in symptom that I usually look for gun ling is, is a sore throat because it has some really herbs that clear heat and toxins and are specific for the throat. And also shouting tongue is when we have cough and a lot of cold phlegm.

So these are example formulas. wHen we have formulas for when we have formulas for a pathogenic influence this is a continuation, we might need to use xang. If it is a penetrated, the more the middle layer or the Shao yang level we sometimes need to support with

Oh. Support the resolution of of phlegm. Just to clarify now, these are form the formulas that I am talking about are formulas that help to recover from a pathogenic influence. So sometimes we have patients that come in and they’re . They had a cold or a flu and they’re still not a hundred percent clear.

This is really important aspect that needs to be addressed because we need to clear the pathogenic influence and sometimes the res, the residual from the pathogenic influence is usually or could be pH flaming dampness, which can linger and we want to help the body kind of support.

Resolving that completely. So these are formulas that we might consider for that. Hai Huang is one of them. When there, the pathogens lingering in the middle level, urchin tongue, if there’s too much or residual phlegm. Cia ang. is When there’s flamin, its really stuck in the throat, right? It’s like the plumet formula.

Ling Baan is the formula when we have dampness in the spleen in the center, and BHO one ian or variation of bowel one when we have residual issues with digestion or with the digestive system. So these are the formulas for recovering. so Thank you for listening. I hope this little short talk helped you understand how to maneuver or look at formulas from different formulas to support the immune system during these winter months.

We have a lot of the patients coming with these kinds of issues.


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Acupuncture Malpractice Insurance – Weight Loss and Menopause Part 2



this is part two of Menopause and Weight Loss

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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.

Hi, my name is Tsao-Lin Moy, and this is part two of Menopause and Weight Loss. This is a really important thing and what makes Chinese medicine practitioners acupuncturists different from a Western model is we’re not looking to fix them. We’re gonna help them . To get a better grasp on how their body actually works.

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We can help them understand from that perspective of how to get themselves into a place of balance. For, again identifying the constitutional type, the yin and yang within the body constitution plus . What else is going on? How are they eating their environmental stressors? We can’t be there all the time.

So these are things that they’re gonna have to identify and then work with. So body and fluids are really . Believed to be derived from food and drink, and they serve to nourish and warm the muscles and the skin and lubricate our joints, right? And they also surround our brain. This is really like something to not just address with herbs, but really incorporate dietary recommendations.

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So I just wanna give like an example of one of my patients she’s 52. I actually treated her 20 years ago. So I really know what her constitution was when she was younger. Was a very, let’s say lung, large intestine, stomach, spleen type. She had chronic constipation, a lot of weight on below, right?

She was and why I say lung, large intestine is she emotionally was dealing with like trauma from her childhood, like grief, loss of a parent. And then also like holding on to. Things that weren’t really true, but as a child she believed them and she was also very damp ’cause she had a lot of squishy fluid.

So recently she came to see me and after, having kids and then she had moved to the south very damp and hot where she was which was not great for her constitution. So this is also, we look at . Seasonally, you can figure out someone’s constitution also, like how they are seasonally, what do they prefer?

How are they’re a lot better. Some people are perfectly fine in a hundred degree weather and 90% humidity. I’m not one of them. But some people even will need a sweater. They’re very dry and they are always cold and they, so the heat and the moisture they love so working.

So she’s been working a lot and stressing, her main complaint was this weight gain and swelling, right? That she was starting to swell. She was having frequent urination, but she was still . Gaining all of the water. So she, was working a lot high cortisol overall not getting enough sleep.

And especially at night, this is this circadian rhythm. And again, going back to women have a cycle, men too, right? If men don’t sleep. At night, it’s actually really affects their fertility and their sperm production. So we are creatures that need to be much closer to nature.

So when someone’s not sleeping, then we know that’s also, they’re off balance. And so strategy, because she’s in menopause, I was looking, both her yin and yang were diminishing though, not at the same rate. So lots of water. In her body. Am I thinking kidney? Yes. Because of her adrenals.

And also that the jing is depleting and her constitution. But also from a five elements perspective. The water is not nourishing the wood, so she was . Had this liver defic deficiency, right? Because liver is involved with the blood, it’s involved with the uterus reproduction, it’s responsible for the smooth flow of qi and blood and our emotions.

So really, the strategy was like, okay, how can we address this simply, right? Because when the body is in a state of fluctuation, you wanna have a clear direction. To the body. So the more complex a person’s symptoms, then the more simple you want the the treatment to be. The first order is how can I bring this person into balance?

How can I help them so that then their body is going to heal, they’ll balance out, and then they’ll get stronger and they can at the same time make adjustments. So in terms of let’s say the strategy . With acupuncture. So this is where you’re, we’re looking at what methods do we have? We have food, we have acupuncture, we have herbs, we’ve got some cupping.

We’re doing a, we’re checking constitutionally and where the person is, we have teas as well. Okay. So in terms of . The strategy for this person, and I think this is something that is no matter what you can you’re not gonna do any harm with somebody is to look at source points and also shoe points.

So for this patient really my focus was, spleen, spleen three, liver three, large intestine, four combination, like kind of move, get things moving adding in spleen nine or seven for all the dampness. CV nine for that fluid. So fluid accumulation. Also dimmi because a lot of the fluid was below.

So like sitting in water. Kidney seven. Which actually goes to Dai. So really, and then according to Kiko, Matsumoto style, really like looking at stomach chi, which is, finding the points. And that’s around stomach, 36, 37, 39. So really looking at the stomach, the large intestine, small intestine, because we are looking at digestion right now in terms of food.

Warm foods, . For someone who has the damp, we want warm and like gentle dispersing. So I always think of something like a little bit of cinnamon. So that actually increases a little bit of the peripheral circulation and it’s actually warm. It’s also great for someone who might be, have a difficulty with sugar metabolism and maybe even pre-diabetic is, that’s actually something that can be incorporated, in addition. Looking at excellent probiotic with your patients. You also want to look at dietary adjustments. These are absolutely a must and a kind of detoxification support, whether it’s lymphatic. Some different kinds of foods to clear out to help the system release metabolic waste, let’s say.

And also, oftentimes in menopause with lower estrogen, there’s an increase of what is known as the non-alcoholic fatty liver, which is an means that there is this weight gain because the liver is not able to process, right? So everything gets backed up. In terms of formulas, basic formulas, I like ones that are less than 10 ingredients.

And again, because we’re looking at . The perimenopause menopausal state is in fluctuation, so it’s not that stable. So you start adding a lot into the mix. Then what happens is that you’re sending mixed messages. So better to go simple. I love like jwe shaan, right? The shaan for someone who has a spleen, like kinda worrying.

Type of personality Ong or Swan again for yin and blood deficiency. And this is this recent research with Iwe to and Shan Ma Huang, which are very close was actually used for premature ovarian failure they’re looking at. So it also gently nourishes the yin and the blood, and so

Nothing wrong with, possibly adding those formulas if you know your patient and you also know herbs, right? So we don’t wanna just give herbs based on formula based on a protocol only, right? We need to do a good diagnosis. Okay? So in terms of food and diet I cannot, emphasize more.

This is where the gold is. Your patients absolutely must make changes. It’s really if they’re not willing to do that, then it, it be, it’s you’re constantly battling, right? . So things like eating fresh and organic, primarily plant-based, ’cause it’s a lot cooler and nourishing. I didn’t put it in the list, but in season.

And this is also a way to be in the cycle of the season and also have the body go with the season, right? And also the food is much more nutritious because you’re gonna it because it is actually gonna have a higher nutritional value to it, right? No diet drinks or artificial sweeteners.

One of the traps for women that are trying to like they’re trying to lose weight is that they start looking for diet foods and things that are zero calories or fat free and things. But that actually is very problematic because we do need fats and in fact, because. We are becoming yin and blood deficient, that it’s really important that we have fats and eating foods like a bone broth, right?

Or even marrow stews. That are gonna be nourishing. We can add in even the the dots out, the jujube beads. Really looking at more of like kind of medicinal soups and we really. Getting about it too, right? Gluten and dairy can be very inflammatory. And even when my patients say I’m not I’m fine with gluten I really encourage them to maybe

Try to limit certain foods or to do something called food combining. And that’s a strategy where if you’re gonna have a starch, then you eat it with like leafy green or leafy green with an animal protein, but you don’t eat like animal protein with a starch because that changes the absorption and the sugars the way we digest.

Alcohol. And so these are things to look into and I would actually encourage you to try them yourself, right? The best is if you’ve experience, you can also share it. The other thing too is you can decide, Hey, for all of my . Patients that are in their forties, fifties, and going through a change.

Let’s do it together. Let’s do a sleep work on our sleep, let’s work on eating more vegetables and fruits and stuff and really, come up with recipes and stuff to get involved. I think if you’re involved with your patients and you’re excited about it, that you’re gonna have a better outcome for them.

And always the idea is to teach them, right? Alcohol, preferably none. Alcohol is not. Good . It reduces the immune system. It causes inflammation. Actually, yeah. I know there’s maybe some, that’s something that people will have to make a, make decide to do that, right?

There’s plenty of evidence that it’s not really great and can cause inflammation. So why do that? And again, oh, and I mentioned the food combining. Okay. And let’s see where we are. Yes, here’s some wonderful food. One of the things that is really useful is to certain kinds of foods are can help with hormonal health, so things like seeds. One of the strategies for, for the menstrual cycle is something called seed cycling. And then using the four phases of the menstrual cycle to then have flax seeds, pumpkin seeds, sesame seeds.

So these are things that you can actually. And encourage. I would encourage, because again, even though like I showed in the very beginning of the slides that the . Period is ending, the cycle is still going on underneath. And so being able to look at the cycle and nourish according to where the cycle is going to make a difference.

So once you find, it’s like when you find the wave, then you can ride the wave. If you don’t know where you are on a wave, you’re gonna be tumbling and be pulled in the current. Okay. And then, okay, so this last of heart, and this is teaching your patient self-care. Now here’s the thing, consistency and commitment is gonna get a result.

And so I know oftentimes patients say how many times do I need to do it or how long before it will happen? And really everybody is different, but one thing is certain they need to commit to make that commitment and have the consistency and really look at like when do they give up? Sometimes they just give up or it’s too hard, right?

But the thing is you know, that’s where we can help and coach them through and encourage them so little wins. Let’s say they, stop drinking diet. stuff we need to say great, how long are you doing it? Helping with a mindfulness practice, this is a really big thing because stress is going to increase cortisol.

It’s gonna cause sleep problems, it’s gonna cause more problems with weight. It’s gonna interfere with hormonal balancing and emotional stability. And so having a mindfulness practice, . I encourage doing breath work. I do it every morning. I do Wim Hof breathing and I’ve done GR technique. And really what does breath work do?

It helps you with your nervous system but also when you do breath work, it actually pumps your lymph, right? It actually supports your organs, and this is important to get. Of the inflammation and move the fluids. Sleep hygiene again making sure to go to bed at night. Really important is get off of the phones.

Stop with the Netflix and the videos and the Instagram and the Facebook, even though we’re . On Facebook to really stop that because it actually interrupts our brain patterns. It also creates a lot of anxiety and a lot of worry. And then on top of that, we’ve got cortisol and the stress, and that creates more of this like cycle of doom and gloom.

Exercise and movement again to move the chi in the blood. Not overdoing it, but really looking at what is the purpose is to increase the blood flow, tone the muscles. And it could be used as a practice drainage, again with the breath work. But also I encourage teaching your patients how to actually do a little lymphatic massage on themselves or even to get some body work for that.

And then again making the dietary adjustments such as preparing food themselves. And this is something that. You can offer to your patients in your newsletter or in your posts, some healthy recipes. Again, you can decide to do, a campaign maybe in January as we’re coming up on the people making resolutions or even maybe before start, before, since we’re heading into Thanksgiving and Christmas and all the cookies, et cetera, et cetera, to really start creating things as tools for them.

This is the end of the presentation. If you have any questions, please, to put them in the chat and we can get back to you. Thank you.


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Acupuncture Malpractice Insurance – Weight Loss and Menopause Part 1



So today I’m gonna be talking about menopause and weight loss. And this is really menopause is, we have a 50% of our population is female, and we’re, heading into a larger . Portion of a population is gonna be over 40, over 50, moving into this phase of life.

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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.

Hi, my name is Tsao-Lin Moy and I’m a licensed acupuncturist and herbalist with a brick and mortar practice in New York City at Union Square. so I’d like to first thank the American Acupuncture Council for having these opportunities to speak about topics of health that are very important to us as practitioners.

And also to our patients. So today I’m gonna be talking about menopause and weight loss. And this is really menopause is, we have a 50% of our population is female, and we’re, heading into a larger portion of a population is gonna be over 40, over 50, moving into this phase of life.

We’ll go to the slides. Okay. So this is weight loss and menopause, like how to help your patients with the menopausal weight game. Lemme go here. Okay, so the key topics that I’m gonna be talking about is we’re gonna do a little review of yin and yang. Really what’s happening. I’m gonna talk about constitution.

I think we often forget to look at our patient’s constitution look at some treatment strategies a little bit about acupuncture, herbs and supplements, and diet, which is gonna be really important. And . Self-care, right? So if your patients are not involved in their health and taking care of themselves when they’re not seeing you or they don’t have homework or something to do, then oftentimes they end up quitting or giving up or just deciding they’re gonna take, drugs or, go on some crazy weight loss diet.

Yin and yang again, is something that is a dynamic balance. It’s not yin or yang. It’s really yin and yang. And women are relatively more yin, right? And in this, picture, it’s, it is the four stages of a menstrual cycle. So women’s biology is actually very cyclical, with, it’s known as a moon phase.

And so even when women stop bleeding, they still have a cycle. And so it’s really important to recognize that women’s biology, . Their cycle is very different from a man’s. It’s not the same. It’s always going through, um, a a blood phase, a yin phase, a chief phase, and then again, into the yang phase, right?

And so even though the bleeding may stop, there is still this phase. And so what often happens is this is a slide that looks at . What is happening with the hormones? So if we look at, pre menopause and we look at post menopause, in the end, both the estrogen and progesterone are going to end up being like the relatively in the same position except for less, right?

So women are relatively more yin, and this is because . It’s part of our physiology is making blood and being able to hold onto life, right? So always as we head towards menopause, we’re looking at, we’re losing the yin part. And so when we have the hot flashes, this is relative yang, but overall both yin and yang are starting to decline.

So the hormonal fluctuations actually cause . The hot and cold flashes, interruption of the circadian rhythm, like sleep interruption of the result of yin and yang kind of trying to stabilize uh, blood deficiency results in more yang excess, but it’s really relative excess. But not like from abundant young, right?

So you can have someone . Who’s hot? A woman will hot flash, but she always gets cold, hands and feet. So we’re really like looking at this kind of circulation. So this is just a little bit of a review. So what happens is this. The dynamic balance becomes a little bit unstable. And so what we can observe is that when this yin declines, it can’t balance the yang.

And that’s that experience, the hot flashes, right? And the night sweats. So losing more of the yin. And eventually though, as you can see in the slide, that the hormones, the yin and yang kind of balance out. But before that, it can be extremely uncomfortable. Now, for menopause complaints, what I’d say hot flashes really at the top.

Weight gain, skin and hair insomnia, usually from the hot flashes. And the ups and downs are also showing. But for the most, what I’ve found, and I’m guessing that. Because there’s the media, because there’s this aspect of we always have to be thin, that when women start to gain weight it’s very upsetting.

wOmen are always trying to lose weight, stay fit, look good, and then as we enter into this particular phase and our body starts to feel a little bit out of sorts, and then all of a sudden what’s happening is this weight gain, and especially around the middle. Weight gain is in general, I would say a sign that there’s something systemically getting blocked or backed up.

There’s also going to be inflammation in the body as weight gain is office excess fluid. It’s often that and fat that will store waste. So when we have metabolic waste or a lot of chemicals, what’ll happen is our body will try, will store it, convert it into fat, and oftentimes it’s going and especially hormonally.

So if as with women are doing fertility treatments and they’re injecting themselves with all kinds of hormones that they tend to gain a lot of weight around the middle. . This is also due to stress, but it’s also due to the fluctuations of hormones. And then there’s this metabolic waste, or we can call it like turbidity, right?

That’s in the system. So one of the things is that you can also be a endocrine problem, such as thyroid. Or fatty liver, which is also metabolic. But for sure we know that this is part of the digestion because this is postnatal, the digestion is gonna be involved, right? So it’s not just diet, but it’s also

The ability to absorb food nutrients and then make the hormones and make the blood, and make the fluids so for the skin and the hair, right? So all of these things, so we’re looking at. We have our jing, or our Jing that we’re born with which is kinda like a blueprint for life.

And then as we develop, our environment is very much a part of affecting, how we develop, right? So we got a blueprint, and then we have the environment, which will give us a range of how tall we’re gonna be. How healthy, like all of those things. But also we’ve got our, genetic makeup that’s there.

And so once we’re born really environmentally, we’re looking at that postnatal cheese. So environment, and then what are we bringing into our body not just food and nutrients, but also, energetically, emotionally, what else is happening for us? And stress is a big issue, right? Because that’s gonna actually affect our our nervous system.

Okay, so a quick overview. Constitutional body types, right? We’ve got yang, we’ve got yin type, damp phlegm, dry, and then we have neutral, so women are gonna be more in the yin and the damp phlegm, and then also neutral. As menopause, like perimenopause starts to come, this is going to show up and be more exacerbated.

In terms of the characteristics. So if we look at, a young body type is gonna be really like sturdy, energetic, that red complexion to. Tend towards like heat preferring cold drinks. So this is they, if somebody who’s tends towards young starts eating a lot of spicy foods, it’s gonna be problematic.

So looking at the constitution of the person. Is gonna be really important because that’s really like that kind of underlying blueprint that they’re born with, right? Something that their constitution. And so always we’re gonna be looking at constitutionally, how is this pattern emerging?

So it’s not just the signs and symptoms where we can say, oh it’s a yin deficiency, it’s blood deficiency. It’s really, we’re like, oh, in a young person or in a yin person, what is that gonna look like? Because that’s gonna, I, that is actually going to direct you towards like how you’re gonna treat that person, right?

Someone who’s very damp and Fleming is gonna be like more watery. But water is inflammation. Even if it’s not hot. We’re looking at, the body is retaining fluid to dilute some kind of inflammation, and over time it can actually get hot. So in, in terms of a strategy, you wanna be careful, someone is cool and damp.

If you heat them up too much, it can actually turn into that damp heat and phlegm, right? And inflammatory conditions. So that’s why going back to the basics and looking at what is their constitutional body type. And from there we’re looking at what is that pattern? It’s emerging for them, not just their, oh, they’re blood deficient.

Yes. But blood deficiency in a particular body type has a different pattern. Although we can still use the same treatments, we might even use the same herbal formulas. We still have to recognize what is the underlying pattern and not just rely on protocols or, or. Really using herbal formulas, like a supplement.

A lot of, practitioners, I would say forget they that they’re, they may have their western mind cap on and or patients think of them as, oh, give me that herb formula again. I really liked it. I felt really good. Which is great. But then we’re looking at

What else can be done? Because maybe they’re not changing their diet, maybe they’re not doing other things unless somebody’s really ill they don’t necessarily need to be on formulas for a really long time. And that’s the determination of what’s a long time. And as we know, it’s very hard to get people to make changes and especially with their diet and lifestyle, but.

This is a really important thing and what makes Chinese medicine practitioners acupuncturists different from a Western model is we’re not looking to fix them. We’re gonna help them to get a better grasp on how their body actually works. I’m gonna stop here and next time there’s gonna be part two where I’m gonna talk about simple methods on how you can treat your patients that are suffering from weight gain and menopause.



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Memory and Cognition : Special Points for Treating Chemo Brain



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 everybody. Today I would like to lecture on the very interesting topic related to memory and cognition, and especially the effect of acupuncture in reduction of memory and cognition in patients with cancer or patients who are undergoing chemotherapy. And I would like to thank the American Acupuncture Consult, putting up this presentation.

This phenomena of cancer related cognition, impairment, or chemotherapy related cognition impairment are quite known. Sometimes patient describe it as chemo brain or chemo fog, which means they are, have difficulty in concentrating. So different normal tasks, even like reading a newspaper or having memorizing, simple tasks.

Are becoming a chore and becoming a really difficult situation. And it is very, the prevalence is very high. If we see three out of four breast cancer, survivals will say that they had some kind of memory impairment or cognition impairment, and it ranges from 16% to 75. And even more depends on the cancer, depends on the chemotherapy and the length and strength of the chemotherapy.

There’s been few acupuncture studies which are very promising in the result, and they’re very innovative. In the way they look at how acupuncture affects this cognition, one of them look at the effect of acupuncture in breast cancer patients undergoing chemotherapy. It took 80 patients, 40 received acupuncture, 40 were in the control group, and it looked at two parameters.

One was a biomarkers, which is neurochemical peptides, which are released in the brain. The more you have them, they’re called B D N F. The higher the B D N F level in the serum level of the patient, the better cognition, the lower. The worst cognition. So it’s actually looked at the biomarker that you can see objectively the effect of acupuncture versus the control group.

And it took a battery of different tests like assessment of cognition test that the patient had to feel and looked the difference between the patient in the real group comparing to the . patients who were just in the control group and the results were very promising. There’s different things that were different that you could see that statistically are different between the group.

First of all, in the all the tests, the patients who had the acupuncturist scored my higher than the patients in the control group, but also the serum level of B D N F. This biomarkers were much higher in the patients who receive acupuncture comparing . To the control group and when you compare both, there was a good kind of relationship between the higher B D N F level and the higher score in the tests.

So this is showing that this biomarker has significance and potentially it’s another way to understand, or later on to research how acupuncture is affecting the brain and affecting condition cognition. Not just in this group of cancer patients and then going chemotherapy, but generally within the general population and in the control group, there was no significance different on both, not on the B D N F and not on the scoring for the tests.

So the conclusion was that acupuncture therapies an effective treatment for . Chemotherapy related cognition impairment in breast cancer patients, although we need to look deeper into the mechanism and look how the B D N F has affected in this group. When we look at the acupuncture point, it’s quite interesting.

You’ve seen that the group of acupuncture points are concentrated in the head and there is additional points on the leg, like stomach 36. So it affects more in Chinese medicine, we’ll say the spleen, the E. The ability to digest information. Gallbladder 39 will affect the gallbladder, which also and nourishes the brain, but it’s also a point for the marrow, which is reduced during chemotherapy and kidney point and kidney as we know.

And the disease of the kidney is especially important for a long-term memory. So the design was quite interesting. Some point on the head that the fact . Memory and points that affect the postnatal and prenatal chi. Another interesting study was on it’s a very small it’s a kind of very pilot study or initial study, but it was very interesting in the way it was designed and it was in cancer related cognition, impairment in Chinese group gynecological cancer patient.

But the reason I want to bring this study, because they looked already at three parameters. So they look at the assessment like patient has to fill in the forms. They looked also at the micro structural of the white matter in the brain because there is a certain reduction in a certain area in the brain.

When cognition is lowered. So they look at the difference and also in the wide matter itself, in the brain and look at the different neurochemical peptides in the brain, the n a and also in the small group, there was a big difference between control group and between the real, these are the different points, all of them on the head, as you can see.

So it has its advantage and this advantage. And the patient can determine which points he’s choosing according to the patient’s condition. This is example for Tang Point on the head, which can also used for other headaches and other problems in the head when we use it normally in acupuncture. And the results were very interesting because again, there was a better scoring on the test, although the group was very small.

But also there was a difference in this micro structural Side of the brain that is related to cognition, especially the apo colonus and the bdnf. The n a level was also higher, so also this peptide, which you can isolate from the serum was higher. So we are moving into kind of a new era of research, and first, let me say a word about acupuncture and cognition and memory.

In acupuncture, we look at the body, mind, spirit approach. So in the body we, it very much relates to the kidney and to the gene and the strength of the body and the vitality of the body. The stronger the vitality of the body, the better the memory on the mind level. We’ll look at the E, we’ll look at the spleen, we’ll look at the different aspects of ability to think and to assimilate memory and bring things from memory.

But additionally, in Chinese medicine, which is not , Difficult to put in research. We also look at the spirit and Duchenne and the heart, which gives this kind of coherence of cell up awareness and general coherence. Although, we can, when we look into chemotherapy, we need to look also in other aspects of phlegm and toxins.

We can, which we, I will touch on in a minute, a little bit more. So now we are looking at a different paradigm of research. When actually the researchers look at the body of, like in functional MRIs, we look at brain fractures, biomarker pathways, and different neurological system, which are affected by acupuncture.

On the mind. Patients will do the cognition tests and can be compared, but still, hopefully in the future we’ll also give space to something which is more in Chinese medicine, we’ll say, the spirits, the presence, the ability of . Self awareness and being in, in a good awareness, not just in a, for cognition, for tests.

So this integration of Chinese medicine into especially oncology, has a very promising future. I would like to mention that we are doing looking at the, very much at the skills. That acupuncturist needs in order to treat cancer patients. And in the T C M Academy, we’ve developed a very unique and international course, very deep course that looks into the core competence that ones need in order to treat cancer patients.

And as you can see, like cognition and memories is just one aspect. Chinese medicine, especially acupuncture, has been shown . With evidence to help in many other conditions. And when we are looking at teaching the core competence, we are looking at the Western medicine understanding and research. We are looking at the Chinese medicine understanding and also generally we can look at the evidence that are available there and see how we can conclude for evidence.

So in this International Oncology Acupuncture certificate course, We go deeper into understanding this and covering many conditions, especially many conditions, that there is already evidence for them, helping acupuncturists to become a well equipped to treat cancer patients. So we look at different conditions such as pain, nausea, vomiting, fatigue, dry mouth.

And a big list of others in order to equip acupuncturists with the best knowledge and the core best core competence to treat cancer patients. So I hope you enjoyed this presentation. I would like to thank you very much. If you have further questions, you can write to me and all the very best. Be healthy and well.

Thank you very much. . . .