Tag Archives: treatment protocols

AACTTPGELLISHD06242022 thumb

Facial Acupuncture for Treating Drooping Eyelids (ptosis)

 

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, Michelle. Gellis here. I want to thank you for attending this AAC live presentation and thank you to the American Acupuncture council as well. Today, I am going to be talking about treating. I chose. And for those of you who don’t know me, I teach cosmetic and facial meaning neuromuscular acupuncture classes internationally.

So the topics for today are going to be how some possible techniques for treating eye TOSA. Looking at the etiology from an Eastern and a Western perspective and then different treatment techniques, including submuscular needling motor points. And I’m not going to get into scalp, acupuncture and cupping, but those are some other treatments that can be used.

To treat I ptosis. So what is ptosis of the eyes? I chose this is when the muscles that raise the eyelid and there are a few of them. So there’s the levator muscle and the superior tarsal muscles. And in some cases also the frontalis muscle, when these muscles are not strong in. One or both of the eyelids can droop.

So testers can affect one or both eyes. It can be congenital. It can be cause through disease or injury. It’s more common in the elderly as the eye muscles begin to weaken and deteriorate. And here are some pictures of different degrees of eyelid ptosis. So in this person here on the top left, it’s very mild and in the person right below them both of the eyelids are what is referred to as hooding, meaning the.

Eyelid itself is eclipsing the part of the eye that allows us to see, and this again, can happen with old age. It can happen due to disease or injury in the middle photo. We have a slightly. More pronounced degree of eyelid ptosis, and then in the photo on the far right. Someone who has severe ptosis.

And so I am going to go into, again, some of the etiology and treatment for the varying degrees of islet. So Don damage or trauma to the eye can happen through injury or anything that damages the third cranial nerve, which is the ocular motor nerve, which controls this muscle. If someone has Bell’s palsy stroke they something like this can happen from a brain tumor, even conditions like diabetes or my skin you gravis can cause ptosis of the another cause common cause of ptosis is Horner syndrome and that is a.

Nerve damage that occurs in the face and the eyes. And in that case, it most likely wouldn’t just be the eyelids, other sorts of brain injuries, spinal cord injuries cancer can cause harm. Syndrome and ptosis cluster headaches can also cause ptosis what a cluster headache is a severe headache that has a frequent pattern for a period of time.

And then it will go into recession from a cheese TCM perspective. Ptosis is due to a congenital deficiency. Either a deficiency of the spleen or the kidney or balls or an obstruction of the collaterals by wind flam, leading to some sort of malnourishment of the upper eyelids. When we’re looking at doing body points to.

TOSA is from a TCM perspective where you would differentiate between the spleen kidney deficiency with wind flam and points on the stomach. Bladder and spleen meridians are typically used in that instance. And some of the manifestations for. The deficiency of spleen and kidney is it’s typically bilateral.

There might be some soreness and weakness in the lower back and the knees, poor appetite, loose stools, and the tongue body would be pale with a white coating, deep, weak pulse. And so the treatment principle would be to reinforce the spleen, warm the kidney. And I’ve listed some possible points that you can do, and you might want to add in let her 20 and 25 use a mocks that are really tonify the spleen and the kidneys.

And then the explanation is listed here below.

for us spleen. Whoops, sorry for a spleen deficiency. With when phlegm, the manifestations would be more of a swelling and numbness in the upper eyelids, possibly difficulty moving the eyeball. Numbness of the limbs fatigue, poor appetite here, your tongue would have a pale body with a white and sticky coating.

The pulse is going to be soft and thready, and the tree treatment principles would be to reinforce the spleen and resolve the phlegm. And the primary points are listed. And then the explanation. For why you would do each one of these points is listed below. If we have time at the end, I’ll come back to this, but I’m always mindful of time when I’m doing this live presentations.

For a scalp acupuncture, I had mentioned that you can treat. Eyelid ptosis with scalp acupuncture. We don’t have time for a whole scalp acupuncture lecture, but needling the lower two fifths of the motor area on both sides. And. For doing motor point. So facial motor points, you could do the motor points for the and those are two motor points.

It’s the extra point show how, and you would do an oblique absurd insertion. And there’s also a motor point halfway between gallbladder one and Sanchez 23. Again, you would do an oblique insertion also for the corrugator because the corrugator muscles work in conjunction with the eyebrows and the eyelid.

So treating the corrugator muscle. By doing the motor point that is just lateral to bladder too. And also treating the motor point for the front desk. Because as I mentioned, the frontallis, which is which are these muscles right over your eyebrows, the frontallis raises the eyebrows. So doing the motor point for the frontallis, which has gallbladder 14.

And again, a bleak insertion, and you can also do facial cupping and guash Shaw gently around the orbicularis ocular a little bit inside the orbital Ram. You can even stimulate the acupuncture points, all the acupuncture points around the eye, stomach to gallbladder one, the X per point. Ladder to you?

Yeah. Sanjay 23. So gentle cupping, gentle guash Shaw stimulating the point. We’ll all work on the ambiguous virus. Oculus. And if you choose, you could even use a Derma roller around the outside of the eye area. You never Derma roll inside the orbital rim, but really stimulating that area can be very beneficial.

So I mentioned these three points, bladder to you yell and Sangyo 23 when I needle them, especially with you. Yeah. I will lift the brow up out of the way and I will needle straight. Yeah. Under the eyebrow and for you. Yeah. If you go in line with the pupil, as opposed to the center of the eyebrow, if you go in line with the pupil, you can catch the edge of the levator muscle Azure noodling, and it really helps to lift this entire area.

I think I have a video.

Let’s see if I can get this sleigh, like really this. What I’ll do is I’ll pull up, but for her, I would just use the two and push underneath the brow like that. So again, I’m not on the lid on underneath the brown. Okay. Where they call this you yet? Don’t you? Yeah.

So those of you who don’t know me I do teach cosmetic acupuncture classes, which is what all of these other points are. And I incorporate this in my cosmetic acupuncture classes because as we age for many people, the drooping eyelids is very much a concern. And I realized the video is a little jumpy, but a few go to my social media.

I have a lot of these short little videos. I do a facial acupuncture tip of the week. So you could see it a little more smoothly than than you just did,

like really another. That can be very beneficial is gallbladder 18. This is not a widely used point, but it is a fabulous point for treating the eye area. If you look at this drawing from a medical textbook, this shows right here, the supra orbital nerve, and. This runs right along the Gallia up and erotica, which links the subtle and frontal bellies of the occipital from talus muscle gallbladder 18 is in line with do 20.

And so do 20 is here. The bladder line is here and then gallbladder. The way you can find it is you go to a gallbladder 14 and then 15, and you’re going to follow it straight back till you get to 18 noodling. This affects the entire occipital frontalis muscle and helps to open up the eye area.

So I had talked about the motor points for the , which is the muscle that goes all around the outer side of the orbital rim here. And the two motor points of. Between gallbladder one and Sanjay 23. And then the extra point Q ho. And you would treat only the affected eye. If both eyes were affected, you would treat both eyes, but if it’s just one eye that was affected, you would just treat the one eye.

And here is a picture of gallbladder 18. You can see it is in line with do 20 and it is right along the gallbladder line. Another point. That I will thread actually is I start at bladder four and the way you find bladder four is you go to bladder two, you go straight up to bladder three, and then you are going to come over at 1.5 soon to.

Bladder for. And when you were at bladder for you thread, a long, the scout all the way back to ladder six. You can use a half inch needle or a one inch needle, but this added in with the other points here. Whoops. I have a little delay here. So if you add these points, gallbladder 14 and Gulf letter 15 all together,

along with some of these motor points and you leave them in for about 20 minutes or so, what I do is I would leave the points and I might include. Some scalp acupuncture and with the scalp acupuncture, you would come in every 10 minutes or so and stimulate the needle. Then you would take the face points out, continue to stimulate the scalp point.

Cause you want to leave that in for about 30 minutes and try to get your patient to lift their lid. And sometimes it helps. If you’re doing scalp acupuncture to have them sitting up, you hand them a mirror and have them really focus on lifting up their eyelids. If they can see in a mirror, it helps to connect the brain to the muscle group.

Once the noodles come out, then you would do your. Cupping and Guam Shaw and Derma rolling. And I also sell my patients a set of cups and I teach them how to use the small cup and the facial wash shot tool. And. That way in between treatments, they can be working on these muscles. It’s a great way to reinnervation the muscle to re educate the muscle.

Obviously your patients can not be needling themselves at home. Teaching them to work, these muscles at home can be. Very beneficial. And so the order would be you put in the body points, right? You’re going to treat the underlying condition. Then you’re going to do any points around the eyes and scalp.

And then once the eyes. Come out, continue with the scalp points, have them work the muscles, then the cupping and GWAS Shaw, and then the German walling.

This was a patient of mine. She was actually young. Sorry. She was actually young. She had come to me for. She was going to be getting married and she had ptosis of her left eyelid, her entire life. And she was concerned because when she got tired, It became more pronounced. It was more noticeable and she suspected, or if she was sick, it would become more pronounced and more noticeable.

And she was very concerned that moving forward that the day of her wedding in all of the wedding photo, That she would have this one, very droopy eyelid. So she came to me for about three months before the wedding. And. Worked very much. He had very deficient kidneys. I spoke to her about getting proper rest and drinking.

Plenty of water treated. Her kidneys, did a lot of work. And what I would do is I would do the points on her back. Lots of mocks, a heat lamp. Then I would turn her over. I would do the body points on the front of her body and treated her. Eyelids. And after about six treatments, she really started to notice a difference.

And then by the end of three months, the treatments were holding to the point where I only saw her from time to time and you can see the after photo. This was a close-up actually from one of the. Photos a day of the wedding. She did it before she put her makeup on her. Eyelid had opened up and she was very happy.

Think so worried about time. I talk really fast. Let’s go back to the beginning and I just want to run through the diagnosis. A little more thoroughly and then wrap it up. So for the actual points that you would use, if someone had a deficiency of spleen and kidney, the primary points would be the eye points that.

I spoke about, so gallbladder 14 bladder to tie on, which I didn’t mention. You could also do gallbladder one. You yell Joe 23, very gently manipulated, do 20 stomach, 36 spleen, six, kidney seven. And then the explanation is. Bladder 20 and spleen six reinforced the spleen and tonify that she bladder 23 warms the kidney yang, especially with moxa stomach 36 and do 20 reinforced.

She raised the yang and can help to lift things that are sunk in. Gallbladder 14 bladder to Ty young and you yeah. Are all local points. They helped to nourish the upper light eyelid and strengthen the local muscles for the spleen deficiency with wind phlegm, the primary points would be gallbladder 14, bladder two.

Ty young you. Yeah, again, so a lot of the same local point do 20 Sanchez, 23 and stomach 36. Again, spleen nines, blend three and stomach 40. So stomach 36 helps to reinforce the kid, the stomach chew spleen nine spleen three, reinforced the spleen and remove dampness stomach. 40 helps to transform phlegm, do 20 dispels the wind and gallbladder 14 also promotes a nourishment of the.

Upper lip. So I think that is everything. I don’t recall if we can do Q and a, but I don’t see any questions popping up. So I am just gonna conclude. This talk today. And next week we have Matt Callison and Brian Lau presenting live. And if you missed any part of this, or if you’re interested in seeing any of the other AAC, Facebook or Instagram live shows, they are available on YouTube and on the AAC.

So thank you again for coming and I look forward to seeing you again. .

 

GWRHDDoran06222022

Ghost Point Treatments

 

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.

To the point, generously sponsored by the American Acupuncture Council today. My guest is Leta Herman. And I’m Virginia Duran of Lumina beauty.com. And LE’s gonna talk about the ghost points and her special approach to treating them. Leta was on, I think it was last month on my show. And I don’t know if we need to introduce you again.

Thank you to the American Acupuncture Council for having me on the show. Yeah, I’ve been in practice for, over 20 years in teaching, a lot of different concepts related to alchemy. And so the 13 ghost points are alchemical treatments and we have a teaching a school called alchemy learning center.com.

And so we also have a clinic in Northampton, Massachusetts alchemy healing center.com. But my history is that I’ve been doing this work for a very long time. And I study extensively with Jeffrey UN. Who a lot of this work, I was doing the ghost points before I met Jeffrey UN, but a lot of the work since then, since, early two thousands has been about Jeffrey’s, influence on my work.

Yeah, that’s good. And tell us, or for anybody who doesn’t know or at least your view of the ghost since not everybody uses them and they may not understand them the same way as you. So there are actually quite a few ghost points, 20 ghost points, and they were invented a very long time ago, but sun, which is also a very long time ago, sun, the king of medicine in China, a very famous practitioner decided to put together 13 of.

And these 13, he called the 13 ghost points and he wrote a what’s called the song of the 13 ghost points and owed. That explains how to do this mysterious treat. And it wasn’t, it really was a different kind of treatment and it really was for ghosts or obsessive thinking or any kind of obsession.

And so if you take these individual ghost points that, we all have learned and you just do one or two of them, you’re not really accessing the power of the ghost points. You can do one or two in the mode that. Working with them as a unit of 13, you can even do three is a common way.

People do them two or three of them in a treatment, but you need to understand the deeper ways of working with them, which I call getting into the void of your heart. And so in terms of just how you’re gonna do these points, they’re almost like rich ritualistic points. You have to think about the influence of doism on the treatments.

So those are some things to think about. And so the way that we are working with them is gonna look very different than, modern, classical or TCM type of practices. Do you, is there any kind of energetic flow with them? Like the way Meridian acupuncture looks at things? That’s a really good question.

They’re their own. Yeah, that’s the really good question. The flow isn’t so much aligned with the meridians at all. The flow has to do with things that are more external to a person. How I interact and react to the world would be the beginning of the treatment. And as you walk through the treatment, we’re looking at deeper and deeper issues.

So by the time you get to the last point, which is the identity of a person. You’re talking about the deepest kernel of a person’s authentic self. So you’re you’re beginning at what I like to call the door to your palace due 26 and you’re ending at well, there’s two alternative points.

We can explain that later, but we’re ending at what I like to call the identity of a person. Like when you came into the U in utero and you were a fetus, who was that spirit before you were even born and messed with by life who is that person? Yeah. And so that’s the flow. And do we know why he chose those 13 out of the.

No, we do not know why, from years and years of having treated these points, I do a as I’ve gotten more and more sophisticated, I really see that one leads to the next. And in my more advanced classes, I try to explain this, but it could take, hours for me to go through it.

But so it’s definitely a longer topic, but if you really look at the flow of things, And how things basically, how does like a trauma let’s say you experience a trauma, you were in a car accident. Okay. So now how is that trauma going to infiltrate into you and begin to really mess with you?

So in other words, we know a common. Side effect of having been in a car accident, let’s say you were on the highway every time you’re in that particular situation. Again, your body gets tense, you don’t, you’re looking around. You’re really alert. You’re in hyper drive, it’s like these are common, reactions to having had an accident before.

So how deep does that go? How much does that affect you? And that sort of how this flow of the treatment works. You begin to see that the more serious traumas are going to get in much deeper than. Oh, I had a little accident. I was a little traumatized for a few days. Maybe I was in shock, and then I got over it and I forgot about it.

And I moved on, so not much, or, something that changed your life dramatically. And we all have clients that come in and they’re like, ever since that day I’ve been changed dramatically. And that’s when you start thinking a 13 goes points, treatment would be really fantastic.

. Yeah, I see. What do you sense when you’re doing it? I wanna ask how the, how you do the treatment, but between the differences between these various ghost points and are they all involved with something like a trauma? Are there certain ones that you find seem to be more implicated? It’s certainly not just for trauma because there’s life circumstances that go on for a very long time.

That can be very trauma, like in a life let’s say you have parents who, when you get into your teens they’re just on you all the time. Be like me. I don’t like who you are. That’s very. Traumatizing, you might not consider it like a car accident or sexual abuse know or like trauma, but parental indoctrination or, yeah, there are a lot of things like that maybe in modern society, we wouldn’t think of as trauma.

Just even neglect by a parent. Is something the ghost points would be very helpful with. So you have to expand your horizons on really more. What we’re looking at is the symptom. What is the symptom? The symptom is, obsessive thinking and, or even some kind of entity possession, if you wanna go there.

Definitely I use the ghost points in my practice, mostly for. As I, I said before in our last podcast, anytime someone who is pretty much older than the age of 20 is as you move along in life, you accumulate more of these things. And so we go, oh, I don’t want that to ever happen again.

And every time we say no, that I’m never gonna let that happen again. That means we are on the alert constantly. For any scenario that looks like the previous scenario so that we can make sure it never happens again. Yeah. So that’s a lot of work. It’s exhausting. For, again, for anyone who’s older over the age of 20 I, I used to think the ghost points were really just for extreme cases of psychosis and, extreme O C, D or ex all kinds of things that we see, in our practice mental issues I used to think it was just for that.

And then what happened was I would treat people and their loved ones would say, wow, this person is completely changing, doing so great. I want that treatment and then I started doing it with them and I said, wow, look, it’s more mild with like you or me, if we had it and we’re not having any of those other symptoms.

Of psychosis or mental illness of any type. But these days, a lot of people have at least anxiety, if you think of that as a mental illness. So what we’re looking at is expanding the idea of these points to more of a general population and saying, yeah, not everyone needs that.

Some people are really living pure in themselves. Just really their authentic selves. They’re beautiful selves. They’re just really living who they are and they wouldn’t be a good candidate for this, but the rest of us , who’ve been around a while. We get a little funky and.

Most of the time is cuz we don’t want that thing to happen again. And that’s where the ghost points can really help. So I certainly still do them with people who have been diagnosed with mental illness and that level, but I’m also expanding it to say a lot of us need that right now. And I think in this society, I have seen a huge increase in people who are anxious.

Or depressed then, when I started 20 years ago. So I think it’s just been more and more something that has helped people and that I believe could help a lot more people there. It’s there’s something in the air people are feeling, and they don’t necessarily understand what it is.

And so it’s UNC. Panic or confusion, or could be depression that, is this gonna go on? What’s our future. And yeah, I think it’s very valid. So because you do a much longer, like a four to six hour treatment, can you kinda walk us through it because it’s, I think it’s hard for people to envision.

How do you do the good points in 46 hours? What is it that you’re doing differently? Okay. So imagine, trying to do something radical to help someone in an hour. We all know what the feeling is. When the clinician says time’s up, see you later. And you’re like,

so what we decided to do maybe 15 years ago or more was what if. And this isn’t just for the ghost points. There are other alchemical treatments and even the Worsely treatments like the IDs and the EDS can be done in this format. What we decided to do is say, What if the person could put aside time and space in their life to work on their stuff for the day, we’re not, we only say four to six hours because you really can’t predict, but you gotta give the person a little bit of okay, I should be available between these hours of the day.

Yeah. But what if we said there’s no time limit? What if we said you can tell your whole story in one session? I had a therapist the other day say to me I’ve never, and this is a psychotherapist. She said, I have never. Told my whole story to one person in one sitting in my entire life. And even if nothing else happens from this treatment today, she said that is such a healing and such a gift.

So if not everyone wants to tell their whole story in the ghost pointing treatment, but if that’s what, obviously what she wants, she’s a psychotherapist. But, in terms of what happens if I create a space for you to enter into and to give. Complete attention, complete presence and no judgment, none.

And I allow you to let whatever happens happen. You bring the treatment. I don’t do the treatment. I just facilitate the treatment by walking through this ancient sort of almost like a ritual of points. And as we go through those points, I can talk to you about what each theme is. So each point has a theme.

And as I say what do you think about the door and how you interface with the world? Since that trauma, did it change who you are? And then we begin to have this like really intelligent conversation about. Oh, yeah. Before that, I, when I was a little kid, I used to do things like this and I used to be like really social and now I’m not.

And so what changed that person? And so as you go through theme and you take your time and you don’t switch to a new point until that theme is done until you feel in your. Body mind, spirit that, okay, that’s good. I can move on to the next point, which is a big skill that we teach and how to develop that.

But all of us do that in our Chinese medicine treatments as acupuncturists, when the, the point is done, it’s just a little bit harder if you’re gonna spend an hour on one point . So we take our time and as part of how these treatments were done, traditionally was with music.

And so the idea is to bring in another vibrational component, we have the vibration of the point and the manipulation of the needles. However, you’re doing that. But in terms of how they looked at it now, remember a lot of these were DOIs priests. They did chanting, they played symbols and wood blocks and all kinds of instruments.

And so they would bring music. And so in the modern day, once the technology, now I started this before this was available. Once the iPod technology came out and the idea of shuffling songs and having a large body of music that you can access we now do that. We do it to music and it’s incredibly powerful.

I call it the divine DJ yeah. Oh, that’s funny. With the long treatments, this is something that I do in my own, in regular acupuncture, as well as the facial acupuncture, because I feel like you just can’t do really deep, transformative work. I can’t in a short period. There’s some perhaps that can, but I want to. relax into it and go deeper and deeper.

And I want the patient to have that experience instead of it being this sudden, I want it to be a smooth entry and exit, so to speak of in the treatment. So with you, do you find. Possible to do, cuz realistically it may not be possible for all practitioners to do this.

Maybe their patients can’t afford extended time sessions. How do you work with that? I. That’s a great question. And it’s probably the number one question that practitioners ask me. So when we teach our apprentices how to do these treatments, we start them by doing one point in the session or two points in a session.

And we pick points that from the ghost point, That aren’t going to disregulate a person too much because what can happen? What I love about doing the whole session in one, one day is that as you go through these points, you’re gonna get stirred up a little bit and sometimes a lot of it, and you’re gonna have a lot of things released and it’s nice to wrap it up in that day and to send them off with.

Some things resolved, to really get revolution. And that’s why it takes so long. And then I have them come back the next day or within a week and do a follow up session to make sure that they’re stable and not disregulated by, in some cases opening Pandora’s box. Frankly, if you’ve had a lot of really traumatic stuff in your childhood, it could feel like Pandora’s box.

If that happens, you need to make sure you’re there for them, the next day or the day after. And it can happen that someone feels that way. It’s rare that it’s like really distressing for them. Because again, if you do them together, there’s a resolution, there’s an elegant kind of map of that.

And they usually end up going home feeling like, yes, I feel great. But that’s, again, everyone’s different. And so that’s why I do this, what I call the follow up session that I include in it. So if you’re gonna break it down and say, Hey, I’d like to do the 13 ghost points over a period of time.

And if you wanted to map it out and do that, I’ve done that with people. But the risk you’re taking is that the person’s going to have to go home and deal with those emotions. Yes that may, maybe each point is accessing. And in some cases it’s too much for them. They’re not able to do that on their own.

They don’t have, me in their pocket as they go home going, Hey, it’s okay that you have these feelings. Let’s, the safe container. That I create in the room. Isn’t with them at home, they’ve got their partner, filling up whatever. So let’s say you just wanted to do a few, then there’s a few that I often teach in my webinars that are pretty safe.

So due 26 is my favorite one. And that is called ghost palace, but I like to call it the doer palace because it, it basically is the entryway. How you breathe, how you eat. It’s symbolizing, how things get interface with you. And so if that, one is out of whack in you cause of something that happened and you, and now, like you don’t know, maybe you used to have an open door to the world and now it’s like shut and you’ve got some locks on there and a little people, and you’re just really cautious everywhere you go.

That’s not the true, authentic, you. That’s the trauma that’s made that happen. But however, that’s a point that isn’t really that triggering for people in terms of, some of the deeper points like pericardium eight is later in the treatment. Now that point is for deep part pain. So you have to, so I actually had a person, I was treating the ghost points with over time and we got to this point and the strangest thing happened.

We treated it. And she went home that day and wherever she went that day, people screamed at her like at the gas station, like at the line, getting. She went home and her partner screamed at her. It, her kids and it, and, but here’s the weird thing. When I was doing the point, I wanted to scream at her and I didn’t know where that came from.

That’s never happened to me before, but something in her was evoking from the external world, what she felt and the trauma she had was so significant. Intense probably, I say there’s no hierarchy to paint, but most of the people in the world would’ve said, okay, her turn, she wins she wins that at very unfortunate contest.

And so that she was like the picture of the scream painting, she was like the. In herself. And so when she activated that point, now it, it made people outside of her, like furious with her. They wanted to scream at her. It was very bizarre. So that, , that’s an extreme example, but a lot of ghost points, stories sound really extreme, but there’d one off, that’s that happened once.

So I don’t want you to think. Yeah, sure. Every time we do. I see a couple questions coming in. One is a. You obviously can’t build their insurance. Okay. Here’s the thing I think. Every case is different. And to me, it depends on if you’re doing them in one hour sessions. It’s, as far as an insurance company is concerned, I think it’s just acupuncture.

However you build that. If you’re, if you wanted an all day session, like I would actually recommend, that’s gonna just depend on your insurance company and what they. Say about a long session. Like they might be more open to a two hour session. And maybe you break it up into longer chunks.

Like you were saying, Virginia, maybe you do two hour sessions. That’s enough to at least I would recommend, two hour sessions at a minimum. If you’re gonna, if you’re gonna try to break it up for insurance purposes, I think you might get coverage for that perhaps so while one person asked are the points done?

Bilaterally? Yes. And then also somebody said, where is there something more written about it from you in the way that you’re doing. I like the book it’s through the mystery gate, is it? Yes. Yeah. The book through the mystery gate explains alchemy in general, and we have some case studies that we included in the book in terms of points, we have a ghost points online workshop@thealchemylearningcenter.com and we have an apprent.

and we have classes that are more in general, not just the points themselves. So if you’re thinking, whoever asks this question, if you’re thinking about doing this, I recommend also looking at what I call the becoming and alchemical healer classes that we’re going to be. Having on the site in the future and alive at different times.

So you have to just go check the site out, but those kinds of classes are more about the technique than the physical points, the points you already know, we’re gonna explain them more in the classes, if you wanna take a class in and the ghost points, but the really hard doing that as an online class, we.

It’s always available so you can sign up yeah. At the alchemy learning center.com. And so you wrote on with, I have the transcript from your webinar with Lotus and each point is your teacher. Yeah. You must develop your own relationship with each point. I love that. So I don’t know if there’s anything more you wanna say about.

Or any specifics. So I think what I really think about what I bring to this work, because it’s not like there’s any secrets out there. Like we all know what since emails owed is you can find it online. But what does it mean? And so even when I learned it from my different teachers They explained it more technically, and as we use the points over and over again, so I’m doing two or three of these treatments a week, so I’m really learning.

So they teach me. So over time, for example, calling this the door to your palace was something that I began to feel maybe 10 years ago. So I started saying, oh, wow, whenever I’m doing this point, people wanna talk about this topic. and when I learned what the character meant. For the point. It did.

It does mean that when they say palace for that as a translation, what they’re talking about is the part of the palace where the common people can come in. So it’s the interface of the palace. It’s like a big courtyard or hall where, you know, where everyone gets met, as opposed to later in the treat.

There’s another point due 23, which is called or often translated as hall, you can translate it many different ways, of course, but that hall character is the hall that’s closest to the emperor’s bedroom. So it’s the place where the safest people get entry. . So how does that interact or interface with the pericardium?

Energetic. I think of that. Yes. Think of the heart is a sovereign rule and you have your small official, official at the outer gate. Then you have the pericardium official yes. Regarding the inner gate so that the heart is not, or the sovereign is not burden with all the dramas of life and or people’s dramas.

So is it that kind of. . Yes. So actually there are two pericardium points in the list of the 13 ghost points, and there’s actually a number other of other paracardial points that are ghost points that aren’t in the 13, but the two that are in the 13 are pericardium seven and pericardium eight. And interestingly pericardium seven is playing the role of more that outer level. It’s it? It comes in the treatment at the point where things start to get deeper. But they’re not quite deep yet. So the first Trinity is really about how the trauma on the outer part of you, like, how do I see the world differently now?

How do I interact with the world? I would explain how do I see the world differently? And now how. How do I trust that things are okay? Do I start having am I racked with doubt for the first time? Yeah. About what’s gonna happen out in the world. So those are very external things. And then as we go to the second Trinity points, pericardium seven is the first one.

So you would think that would be a really deep point, but what it is it’s transition. Okay. Now that this is happening all out there. How are my relationships gonna change? How am, how is my heart gonna start to feel about interactions still with the outside world, but it’s that interface that, that pericardium that heart protector function that pericardium seven points about.

And then much later in the treatment, right before the intimacy point we just talked about due 23 is pericardium. and it’s like, where do we store our deepest heart pains, in the void of the heart in, so it’s representative of much deeper issues. So that, that, that’s how now, oddly, there’s no small intestine point in the beginning.

It’s not really it, small inte doesn’t. Ma talks about pericardium six for like breakups and relationships and the, that, those kind of yeah. Traumas. And then he says pericardium seven for men for men makes me, yeah. Okay regarding sex for women. So I, it just made me think do you find a difference that might be attributable to, we know about the differences in pulses between male and female.

Is there any difference you notice with the ghost points between the two sexes? We’re gonna limit it to that. Oh, between the two sexes. I was gonna talk about Perone six of pero seven. Okay. Oh, about that? Yeah, that would be really interesting. I’ll hold that thought. Between the sexes. Other than the physical points, we do a different point for men than women on the ghost.

Hidden. Theme. We do Ren one for men and we do an extra point called you men on women, which is above the clitoris. So that’s, obvi an obvious difference. But other than that, I’d have to think about it because nothing comes to mind about the differences. Like he’s saying. However, Perone six of Perone seven is a really interesting topic because in another treatment that we do in alchemy, which is called, I call the nine heart pains.

Treatment and that we’re going through all the pericardium points in as part of the treatment . And as we get to pericardium, actually we go reverse direction in the pericardium channel, as we do pericardium seven. Now, remember pericardium seven is often translated as burial ground. So what is that person needing to put in the ground?

What do we wanna have a funeral for? Oh, that rape that I had that has plagued my entire life and made me miserable from that day forward. Maybe it’s time to set it aside and bury it in the ground and say, can I put it away? Can I let it go? Can I let it go? So as part of this long treatment of heart pains, we’re working through some, I’m just using a very extreme example.

Of course, then when I get to paracardial, It’s okay, now maybe you successfully put that away. And can you now open your heart? That inner frontier. Can I allow that pericardium now to begin to like a flower begin to transform and open again. So that would be Perone six. And again, that wouldn’t really matter.

Male or female this is a good example of why a longer time, a longer session, a longer treatment is all more viable because we’re running outta time. Yes, according to this program. And I just say about male, female, that I just forgot. That’s really obvious. We start with male on the left and we start with female on the right when you’re treating bilaterally.

So that’s an obvious difference. That might answer somebody’s question. Yes. A little bit. There’s so many, so much more we could say, but thank you so much for doing this, taking your time and It’s just such a fascinating topic love to know more about it. So I wanna also thank the American Acupuncture Council for hosting the show and all the work they’re doing.

And I’m grateful leader for people like you who are exploring the outer reaches in such a beautiful way. Thank you for tuning. Thank you. Thank you for having me. I really appreciate it. Oh, sure. Thank you. Okay, so your website again, alchemy learning center.com and alchemy learning center.com.

Yeah. And you can look at the live event page for, upcoming live streams. Great. And on luminous beauty.com, having some problems with my website, but you can email me if you have a question. So thank you again, and we will see you all soon. Bye. Thank.

 

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Prolo-Acupuncture with Anthony Von der Muhll

 

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As our viewers can see the title of our talk today is Prolo acupuncture, and I’m guessing that stem from prolotherapy, but I’m not sure what that is. So you can tell us what that is.

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Hi, welcome to this week’s Facebook podcast show for the American Acupuncture Council. My name is Poney Chiang from neuro-meridian.net. I’m talking to you from Toronto Canada today. My guest is Dr. Anthony Von der Muhll who is joining us today from Al Cerrito, California. Anthony Von der Muhll graduated from the five branch university of TCM, 2002, and founded as Santa Cruz, acupuncture, orthopedic and sports medicine connect in three.

He now practices at the sports acupuncture connected in Berkeley, California. Anthony’s one of very few acupuncture in the United States with extensive experience serving as an expert witness for the California acupuncture board and civil mal. Practice litigations. He emphasizes the highest in safety.

Ethics is sustainability in his classes. He’s the founder of AOM Professional. Has taught certification acupuncture, orthopedics since 2015, he has served as a clinical supervisor at masters in doctoral levels for close to 20 years. And he has taught acupuncture, orthopedics and pain management programs at the doctoral level for.

Numerous, very highly prestigious academic institutions across the United States. I’ve invited Anthony to join us today for interview because he has a lot of experience with the, with orthopedics, but he does something that very few people talk about, which is using acupuncture to increase joint stabilization and increase joint mobilization.

So it is my honor. To have you here today, Anthony, my honor to be here. Thank you very much for the invitation let’s get started. As our viewers can see the title of our talk today is Prolo acupuncture, and I’m guessing that stem from prolotherapy, but I’m not sure what that is. So you can tell us what that is.

And how is pro acupuncture differs when. Yes. Yeah. Great question. Yeah. This name, Prolo acupuncture is basically what I call it. There, isn’t a a defined name for this technique in some classical text, but the technique has its correlates in ancient Chinese medicine. As best we can tell, or at least I can tell from reading descriptions of kneeling techniques, but I happened to learn it through a rather different route, which was another acupuncturist.

Who had studied extensively with I think primarily osteopathic physicians. The acupuncturists I learned from was Alan Marcus, who is now retired who specialized in orthopedics and what he learned from studying with some osteopaths and sports medicine physicians is the technique of probing lax, ligaments, and joint capsule.

To bring about tightening and re stabilization of the joint. And the same technique can also be used to remobilize a joint that is lost range of motions, say through adhesive capitis or joint contractual osteo. Although those are more difficult to treat than a joint that is simply lax in a, in, one or more planes.

And so the derivation of the name again is, proliferative therapy is the term is used by physicians who use this technique. Typically they’re injecting an irritant solution of some sort like Dex or salt water, or sometimes they have cocktail like MSM or Conroy and sulfate and they’re.

But a lot of the effect is actually from just simply the needle itself is the mechanical and various neuromuscular reflexes that occur from. Needling into particular tissue. And so it can be done with a dry needle, an acupuncture needle, a filoform needle, or sometimes occasionally a seven star needle.

Interesting. Are there any indications, counter indications for this type of technique? Yeah. Good question. So the indication is very simple, but it’s not intuitive. The indication is simply a joint that has an abnormality either hypomobility or hyper-mobility in one or more planes, not pain.

And so that I’m emphasizing that at underlining that because we are so wired by our training and education to to think about only pain and to respond to patient’s complaints about pain. But pain is a complex multifactorial phenomenon and there’s all kinds of ways to treat pain. But this is a technique that is very specific to restoring the function and the integrity of joints, which in my clinical experience.

And there’s a lot of, other clinical experience and evidence to support this, that joint hyper mobility or hypo mobility. Can be at the root of a lot of chronic pain and disability. So in some sense, it’s an indirect method, but the benefit of focusing on the joint rather than on pain is that you’re improving structure and function.

You’re not just providing temporary relief for addressing psychosocial factors that contribute to pain, which are important, but. Pain tends to come back until you improve structure and function in certainly in my experience. And so that’s why I gravitated to this technique is that it seemed to have a longer lasting effect on not just symptom relief, but actually bringing somebody back to their full functional capacity in everyday life work, et cetera.

That’s very interesting. Yeah. I I never thought about, stability or instability. Independently from pain. And it’s definitely making me very curious about the your method and your instruction. I’m curious about you mentioned seven star and needles.

So we can use this with our existing toolbox. There’s no special, copyrighted trademark products. I have to buy to, to take these courses. Okay. That’s very cool. Having said that, are there certain tools that you find work better for this. Sure. Sure. That’s a great question. So the one thing that’s a little different from what many of us are, were used to or experienced at say the master’s level training is that in general for probing deep into larger joints, we often used need to use larger gauge needles than some of you might be comfortable with.

And certainly I was comfortable with initially. And I’m talking, for example, a very large joint, like the knee joint, where we can do a lot of good in restabilizing a stretched out sprained anterior crucial ligament. I may use a 24 gauge needle. That’s much thicker than the 32 34 36 that are common in in more superficial acupuncture.

Using, classical locations. But the thickness and the stiffness of the needle are important because I don’t want that needle to bend or worst of all break off inside a joint. And I actually have better control and ability to direct the needle that might sound like it would be much more painful.

And actually repeatedly from both patients and my fellow practitioners to whom I’ve taught this technique, the response is surprisingly, it actually does. It feels different. It’s more like a blunt probe and a little less sharp and pokey than a very thin gauge needle. So it’s not necessarily any more painful.

It’s just different. So what type of a gauge are we talking? That’s at one end of it is a, a very large joint, like the hip or the knee on a large patient. I may need, I may reach for a 24 gauge needle, but more typically I’m using, a 30 gauge needle, a 28 gauge needle on small joints, like the fingers, a 32 or even a 34 will work.

Okay. But a deeper, larger joint needs a stiff. Thicker gauge needle to be both safe and effective in my experience is is the technique completely manual or is there like electrical stimulation in conjunction or depending? Sure. Good question. The answer is no, it doesn’t depend on anything else.

Besides the mechanical probing with your hands electrical stimulation can be useful for a patient who does have a lot of pain at the site of the joint hypermobility or hypermobility, but the essential technique. Itself is one of the reasons I began using it is that it works very fast. Under a minute worth of probing with a needle, and then you can take it out and you’ve accomplished your entire treatment effect.

You don’t need to retain the needle. On a very a joint that is badly sprained with, multiple planes that are hyper mobile. I might spend, four or five minutes, probing around till I get the joint stability I’m looking for. But again, once this is a. There is a, an immediate response that I’m looking for.

I can probe for a minute or so, withdraw the needle and recheck the joint through a manual technique called joint play testing, or end field testing. And I get immediate feedback. It’s oh, it’s either more stable or it’s not, if it’s not, I. Probably just didn’t quite get the angle. Right? Didn’t get the needle into the right location.

I can go back in probe around a little more, but with a little bit of experience, you get very fast and accurate at knowing exactly where to go with the needle and getting that re stabilization, take the needle out. You can move on to the next joint, or you can do something completely different. You can, do GU hour cupping or herbs or, treat a different condition like their I or whatever.

So I do retain the needle though on a patient who is experiencing either a lot of post needling discomfort or is just in severe pain and then I’ll hook up the electrical stem and that will provide some additional, that’ll provide the pain relief, but it doesn’t really, it’s not necessary for the effect on restabilizing or Reil the.

To help our viewers visualize, can you describe a little bit of what you’re doing with your hands? Certain change, intensity you’re feeling for, are pecking, are you going through resistance because most people have not learned this technique and we’re not asking you to teach us, but give us some idea.

What is the technical feel or the sensation that you expect the patients to feel while you’re operating this method? Sure. That’s a great question. So the technique there are basically two methods of physical exam that, that. Guide me to where the needle needs to go. The easiest one that comes, that is you need the least training for essentially is simply palpating the joint for tenderness.

And typically it’s the joint line, the crack or crevice in between two bones that span by ligaments and joint capsule. That’s where the palpation is most instructive. And for example the medial knee, extremely commonly sprained, the medial tryout of MC ACL and medial meniscus palpating along the tibio Foral joint line to find where is it most tender in its medial aspect tells me exactly where I need to go.

And then I will take that needle and I’m often asked a question, what’s the right angle is the angle that you need to get into the tender area. That in occasionally you have to be careful about bypassing a major artery, the hip joint, for example, we have to avoid the femoral artery.

So there’s some safety considerations there, but most joints, most of the time, it’s simply finding the tender aspect of the joint line and inserting directly into it. The second method that allows you to verify whether or not your technique has been effective is what I mentioned earlier. The joint play testing, and probably the best way I can do this actually is the, I’m just.

It’s basically a two handed technique, but I can grab a needle here and give you an idea of how I would do this. For example, say on my own, say I, sprained my thumb. And I wanna restabilize an inter financial joint there. And so I will, and it’s perfectly safe to do this on an uninjured joint, by the way.

So if for some reason, your history and physical exam guide you to a joint that doesn’t need this, you’re not gonna do any harm as long as you follow basic safety procedures of clean needle technique. And like I say, occasionally avoiding a major artery that’s in the area. So I’m gonna take my uninjured thumb here and I’ll show you how this would work.

I can palpate along the joint line, say, oh, ouch. And what I’m really looking for is a patient. I actually watch the patient’s face while I’m doing this. Cause what I’m looking for is reflexive unconscious, involuntary grimacing or wincing, not just them telling me verbally it’s tender, but I want, I’m looking for something like this.

I press in the joint line and they go, oh, Wow. Yeah, that’s it. That’s where it’s really sore. And then this is counterintuitive. I know, but remember, I’m not treating pain here. I’m treating structure and function. I’m gonna go right into that tender area. Will it be sore? Yes, actually. That’s how I know that I’ve got the needle where it needs to go.

Is that the patient says, oh, you’ve got it. You’ve produced my typical symptoms. That’s the bulls. And then I know I’m in an injured ligament because uninjured ligaments in joint capsules, oddly enough, won’t really hurt that much. You’ll feel a little poke as the needle goes through the skin, maybe a little pressure, a little mild achiness, but nothing beyond that.

But when the patient goes, ah, that’s it, that’s the pain I’ve been feeling. I know that the needle is where it needs to be. And then I can probe around a little bit pecking, but it’s not hard pecking, it’s more probing. And then. Like I say, typically within a minute, I can just take the needle out, recheck that joint and it’s rest stabilized.

I see. No, that’s very helpful. Thank you very much. Do you find that there are certain joints that you tend to apply your technique more often than others? Like the, for example, in other words, like other which joints in your clinical practice, do you find the most? Unstable and most able and or, or most hyper mobile.

Yeah. Great question. So the I’ll just mention three joints that really were where I first started using this or that really got my attention. I was introduced to this technique by being a demonstration patient for Alon Marcus. Some gosh. 1520 years ago where he, I was having a lot of chronic low back pain at the time.

And he needle into my posterior SAC, IC ligaments along the SAC IC joint line. And, within a couple minutes of probing around the needle, he took it out. I stood up off the table and I was like, Wow. I have never felt an acupuncture treatment like this. Not only was the pain down in my back, but my entire posture from head to toe felt completely realigned in a way that was more comfortable.

And required less energy and essentially to stay standing and that lasted for a good week or so, and then slowly dissipated. Like all of our acupuncture treatments, it does need to be repeated sometimes, but I was so I, I had felt completely different that I was like, wow, I wanna learn something about this, but the two joints where I’ve actually probably used it the most commonly that where I saw the biggest difference in.

Patient’s clinical outcomes was, number one is the acromioclavicular joint that small little crack in between the clavicle and the AROM which is very superficial, easy to find, easy to needle into safe to needle into as long as you don’t needle immediately towards the lungs. And I began to, I was having a lot of trouble with, chronic rotator.

Shoulder, pain and dysfunction and so on. And I was like, oh, that’s right. There’s that technique that Alan showed me, let me try that on the AC joint. And right away, I started getting, instead of 60%, improvement, et cetera, Mo almost invariably, most of my patients. I found through joint play testing had a loose AC joint that they weren’t even aware of.

It was not painful or symptomatic, but needling into it. Suddenly we got stability of that joint full range of motion in the shoulder. Very often, sometimes there was still some range of motion deficits coming from the GLE humeral joint, but improvements in range, muscle strength. Verified through manual strength testing very frequently, fully restored or greatly improved.

And interestingly neck pain also going down because the upper trapes is attaches to the clavicle. And when that joint is hyper Hoag and not stable the muscles around it, overcompensate and tug on the neck. Wow. One needle, one joint, huge regional effect. Couple of minutes worth of probing. Big difference.

Objectively verifiable that lasts sometimes indefinitely from a single treatment sometimes needs to be repeated a few times, but typically will last for months or years without any repetition. After an effective re stabilization. The other joint I’ll mention very quickly is the ankle similar, easy to treat, easy to.

With effects up and down the biomechanical chain from the hip to the foot improved by restabilizing a hyper mobile ankle joint.

Very fascinating. So it’s you have to, if you’re scaffolding, your foundation is compromised, then your muscles are not gonna properly. Improperly it’s different.

Are. Able to share us with us a inspiring clinical story that you’ve had recently, perhaps your practice or from teaching where it was something that, was very transformative. It made a difference. And wasn’t for this technique. Yeah. Yeah. I’ll mention a patient in her mid seventies that I’m actually currently treating , who a long time ago she was in her twenties.

So 50 years ago was an. Obese large person fell on her from, and sprained her superior tibio fibular joint, a small joint. That’s actually part of the calf, but where the superior part of the fibula articulates with the Tal Condi and also sprained her ankle. So she had a she fell sideways onto the ground with this person falling on Herra her superior tib joint, and her ankle.

And her. Couple of small midfoot joints as well, and has been in somewhat chronic pain ever since in her leg. And it’s affected her back and her neck, et cetera, 50 years ago. And and comes to me. And she happens to be medical professional herself has tried a number of different modalities, nothing really helped.

And I should say, this is why this technique is so important because there isn’t really any other technique that can restabilize a hyper mobile joint. You. Repair and replace it surgically, you can inject cortisone to reduce pain and inflammation, but actually changing the function structure without surgery.

This is really the only thing. Guha cupping manual therapy. Won’t do it. Distal kneeling. Won’t do it. So anyway, so I evaluate her calf and your ankle and go, wow. You’re on your superiority, fib joint and your lateral ankle ligaments. Small joint called the Calkino cuboid joint and the spring ligaments on the medial arch of the foot.

All of these are hyper mobile and stretched out from that single injury because they were never treated locally with this type of technique. About three or four minutes a couple of minutes per joint, again stands up off the table. It’s wow. My leg feels completely D.

And I recheck all the joints. Everything is stable. don’t see her for a month. She comes back in, everything’s still pretty good. The superior tib joint needed a little bit of tune up a little more kneeling, but I didn’t have to treat the ankle or the foot joints again. And then I see her, three or four weeks later and she’s can we work on something else?

Now? My life’s doing pretty good. I can. Yes. I love it when you get that oh, by the way, can you also treat this? And it’s yes. Got it. That’s that was super enlightening. I can’t wait to study with you. So if somebody like me wanted to study with you, where can we find out more information? Sure.

Thank you very much for asking and I’d be happy to work with anyone on this technique. My website is www dot a as in acupuncture, O as an Oriental medicine. And I know this is a been a standard term and I’m in the process of actually changing everything in my notes and eventually my website.

But right now it’s www.AOM, A as in acupuncture, O as in Oriental M as in medicine, professional, all is one word AOM, professional.com. And that’s where you can go for information about live webinars, distance learning classes, and returning to in-person teaching this summer, after a couple years off for the pandemic.

Excellent. Thank you. Once again, I’d just like to thank you for your time on behalf of the American Acupuncture, Acupuncture Council, and and to all our friendly viewers out there. If you have any feedback please comment. And and we would love to hear from you. Thank you very much.

All right. Thank you all for your time too.

 

 

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Using Ma Huang in Formulas

 

 

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Hi, I’m Sharon Weizenbaum from the White Pine institute and the White Pine Circle. And I appreciate the American acupuncture council for having me here today. The topic of the lecture today is how to use Ma Huang safely. So I hope this is interesting to you all. So go to our first slide.

Okay. So we’re going to be looking at using Ma Huang safely in relation to some formulas and what Ma Huang does in these formulas and how it’s used differently. So we can get an idea of which formulas are really strong and bring out certain characteristics of my Hong and Richard are actually quite gentle, even though they have.

Ma Huang in them. So we’re going to be looking at first, this idea of cold damage, Ty, on Shanghai gone. So that’s on the surface of the body, this damage from cold, which is the quintessential pattern for which we give Ma Huang. And I’m going to be, I’m telling you more about how I see the use of mobile.

It’s a little bit different than, or my hometown a little bit different than the standard way of thinking about mom one time. So here are the symptoms that go along with the Mohan tongue pattern. Called damage, headache, fever, body, and back pain, joint pain, aversion to cold, lack of sweating, panting fullness of the chest.

And the pulse is tight and floating. So these are the symptoms that are listed in the Shanghai load for this pattern. And I’d like to just go over some of these with the idea. That the model long tongue pattern is a pattern in which the surface of the body is frozen shut. So just imagine that the surface of your body is frozen and therefore it’s.

So you can imagine if the surface of your body is frozen and shut, that you would be very cold. And with the Hong Kong pattern, this aversion to cold is really an extreme version of version. Like you cannot get warm no matter how many covers you put on. So you’re really cold, but at the same time, there’s this lack of sweating because the surface of the body is frozen clothes.

Now this panting that’s here is related to the fact that the surface of the body is completely closed down. The pores are not opening at all because they’re frozen shut. And it’s actually true that. For example, you got a bad burn over more than 60% of your body. You die of suffocation. So we actually breathe through the surface of our body quite a lot.

And so when the surface of your body is frozen closed, it’s difficult to breathe. So there’s. Panting. And the same is true of the fullness of the chest. It’s a deer lungs are not able to open and circulate. Now we’ll go back to the beginning, this a headache and body and back pain. This is a tie young pattern in the Tyrone channels.

Go up the back and onto the. And those are the channels that are frozen closed. So you feel really a lot of pain with a mom. One time pattern, you just feel so achy. It’s not a minor symptom, the way it would be with like a grade, your tongue pattern here, you just feel so achy. And the reason you have a fever is because all the time, the young and our body is going up and down.

So we’re always sweating a little bit, but we’re letting off body heat at the same time. And when we when the surface is frozen shut, that young comes to the surface of the body and accumulates. So you can get fever, it’s pathological heat. So it can’t keep us warm. In fact, we’re very cold so we can understand these signs and symptoms and that.

Holes is floating because the pathology and the life force is stuck up at the surface of the body. And it’s tight because it’s frozen, closed, floating can be in a certain position. Me that it’s, mostly in the term position, it can also mean in another position it’s towards the surface.

So usually with this pattern, that’s one position. Floating and tight. So if you have that image of the surface of the body being frozen closed, so imagine this is the frozen circle around your body. And so you feel all these symptoms, then you bring in my hometown. And so with montage, what we’re doing is bringing pungent warrants from inside the body.

We drink the herbs. Now we are punching warmth inside our body. And it goes up and out, punching in their bodies go, goes up and out. So we bring this pungent warmth into our body and it goes up and out and it melts the surface of the body. And therefore we swap. No. So then the sweat comes out.

And I sometimes ask my patients, do you feel, do you have a feeling like if only I could sweat, I would feel better. And usually a Moncton pattern is actually really good news because it’s so easy to treat. The person is so painfully uncomfortable and yet the herbs. So fast. And if the person, usually within 10, 20 minutes, they have a nice sweat and they feel such a sense of relief.

So anyway, so we have an idea about this cold damage that matches Mohan time. So now let’s look at as Mojang itself. And when we look at my home, we want to look at what it does in the body, but we also want to look. What’s the proportion of Mazatlan in the formula. Some formulas are long and have just a small amount of mamma.

Other formulas are short and have a big proportion of mama. What is the model and combined with that makes a really big difference in terms of the action of the Maha and what are the proportions of Maha to the other types of. And this will tell you the way and the extent to which you’re using mom’s characteristics.

Here’s my rooster out the window. Okay. So Maha Mo long is pungently and warmly stimulating upward on the surface of the body, up and out in a very warm way. Hung is also bitter and it’s bitterly descending an opening from the surface lung to the bladder. So we also have more long patterns where the surface gets frozen and it’s like putting your finger at the top of the straw and the water accumulates.

It can’t go down through the bladder. My hung is also hollow. And so it has this quality of opening through it too. So by opening the poor. You. You can then P I remember just a little story, anecdotal story that might help remember this. Like I said, I had a patient who had a urinary incontinence as a general rule, and she got a cold and it was a Mohan tongue pattern.

And her incontinence completely went away while she was sick. And she noticed that God, I’m coughing and sneezing, and I’m not. And it’s because those pores are closed and it holds that water in. Okay. So when we’re using Mont long, all the symptoms come from the pattern and they can vary a lot. So Mojang is very stimulating to the heart.

So it treats the opposite of that, where you feel fatigue and dog. With the Maha tongue pattern, you want to go to bed and just curl up and sleep. You’re so fatigued and doll. My Hong is warming to the surface, so it’s really good for cold and it’s opening to the surface. So it treats the panting and the lack of sweat it’s hollow and bitter.

So it opens the surface to the bladder to allow water, to descend. It also leads other. To the surface of the body. Okay. So here’s my hometown. So we look at this proportion of mob in a formula and we have three Leon or nine grams. And then we have six Leon of wager, six grams of Granger and 10 grams of shingles.

And then just a little bit of gun set with just three grams. So there’s the formula. So we see there’s a large proportion of third of the formula is . The other thing about mom on tongue is that it’s combined with great. So when you see mama combined with wager, this is going to be opening the surface and creating probably creating a sweat.

If it’s just a little bit of both, maybe not so much, but wager is like a potentiating or . So when you have more hung in a formula, as we’ll see, without wager, it’s not nearly so dispersed. To the surface of the body. So think of wager as potentiating model making it stronger. So the Afrikaan seed and the shadow Bansal Jamie says it’s sweet and warm, beneficially cold.

And with slight toxin, to me, the. The way that the shaman works in the montage is that while Mafong is making the the lungs and the surface of the body go up and out this we, and we’re losing liquid, right? It promotes this sweat. The sweetness brings in oyster for the lungs, and it also helps the lungs go down.

So we’re opening up the poor so that there’s breathing and then also descending the lungs. So rules, cough with reversal of the G, which is what’s happening. Then the chia is rising and getting stuck up about. So those are the primary things we want to notice there. And then 10 show you and says the seeds are more bitter than sweet.

So this gentleman, Sergeant hesitance was sweet, but also bitter, which is really why it is known to have this. Moving down. She said for the rising up of the cheek. So Shinran is in there really to help the lungs to send once they’re open. So if we’re looking at the lungs here at the top of the body, we have the rising on the left and the descending on the right.

She ran works here on the right, helping the lungs descend. And if you’ve watched my previous Videos you’ll know about this circle. So mama tongue is the quintessential model and formula it’s potentiated by Granger and it has little else to really control it. So it has this frozen exterior mama goes up and out and it’s also bitter.

So it helps descend with the Xing run. And then it dissolves the frozen. Okay. So now we’re going to look at another formula. And so maybe now you’ll notice in this formula though, there’s a lot of long proportionally given the amount of sure go. It’s actually quite a bit less than in my hometown. In addition, not only is it not potentiated by wager.

It’s also got the shirt go to balance it out. So if you think about what Shergill does, if mom’s long excites the heart and stimulates, sure go columns agitation. If mom goes up and out in order to help produce a sweat. Sure. Go. Opens up the young Ming to relieve and stops waiting. We know in, by Hutong, big sweat is one of the symptoms of

So we can see that shirk out really counteract some of the negative effects of ma Xing shotgun tongue. It’s also sometimes called mushing gunshot tongue, or

And so this is an amazing formula. I just love this formula. And so I want you to see how this formula is safe. You know what, with mom one time, not only are we worried. Someone is getting insomnia and having palpitations because it’s so exciting, but also we’re worried about their pores opening too much.

And them losing a lot of young through their pores and a lot of yen through the sweat, so there are a lot of cautions and contraindications for Mohan. However mushing. Sure. Gone Tonya is quite different. And in my experience, it doesn’t induce a sweat at all. And this formula is one reason.

I really love it. When you have some over and over again, great results with it and you feel just when to give it and you feel like you have a super power. And so I feel that way with mushing shirt on. So in this formula it’s really for when the surface was frozen and it really has just dropped into your lungs, not in a way that you’re getting better.

Like sometimes when you have a cold, as you’re getting better, you get a cough, but you feel actually not as bad as you did in the beginning. This is that feeling of. Oh, no, my condition’s gone south. I’m getting worse. It’s dropped into my chest. Really. This is going to turn into bronchitis or pneumonia.

Just draw that feeling of dropping in. And you’ll have patients where, when they get a cold, it always does that. The beginning, it’s just a cold and then they’re, oh, no, dropped into my chest. I’m going to be in this for awhile. I’m getting worse. And. And this formula mushing turn on time.

It’s, just some opening the exterior, but really opening the downward movement of the lungs and preventing them from getting hot. For me, the shirt gal is not necessarily such a cooling or it does have a cooling effect, but that’s because of. Is pungent and it opens up the downward movement of the young men.

So if you were in a room and all the windows were closed in getting hotter and hotter, and then you’re just shitting all over the place because it’s getting hotter and hotter, it’s like opening the windows and it sure gal has the quality of going down, not from being bitter, but from the slivers actually being vertical.

Slivers of the stone. It’s also sweet. So the it helps to moisten the lungs back up when they’d gotten hot. So it’s just a beautiful formula when you take it. And it’s the right formula. Again, the result is almost instant, like whenever you have an acute issue and you get the formula, it, the results are usually really fast compared to working with a chronic issue.

But so you can see that the fear, like I’ve taken mushing shirt on Tom before and with long time. Oh my God. The littlest bit. And I would get palpitations because I’m so not a mop on Tom type of person. I don’t get mop on them. Tongue types of issues, but with mushing shirt on Tom, never a problem. I think a lot of people are really afraid to use mom long at all.

Oh, I can’t give somebody a formula, but what I’d like you to see is like all mom formulas are not the same. So here we have mashing shirt on top. The right solution is floating and slippery because of that heat and the young Ming and the sweating means that the lungs are blocked. And so here we have the and there’s this block in the young, main preventing the lungs from going down and it’s getting hot and you give the white tiger, which is sure.

Go and it clears that okay, the next formula I want to look at and I put the clauses here for you, but I’m not going to read them. And if you can look at this and see, okay, how strong is this in terms of opening up the surface of the body? Inducing a sweat and you can probably see, wow, this is really strong.

So it has Mojang at six Leon or 18 grounds and wager to potential. So dodging long-term is a formula. That’s going to strongly open up the exterior of the body. It’s going to create a sweat. You have to be careful with this formula. Now it also has sure go, but it’s got relatively less usher gal and a lot more of mom long.

So this is a formula to be careful with. Now we also have in this formula, the the. Three Musketeers. John Datta. And we have gone so in my hometown, but here, we also have shown John and dad’s house. And that’s super important for this formula because not only are you inducing a sweat and getting rid of young that way, you’re also giving sure go, that’s very cooling and you have to replace.

Those that fluid and warmth it from the stomach. So Sean, John, with that though, it starts this cooking process in the stomach of bringing in more fluids, especially with gun sale. So we can see in this formula, I would love for people to be able to now look at formulas and see how strong is this formula going to be.

No. So this is a really strong open. The exterior melt, the exterior formula. And it’s like mom, Hong Kong, except not only is the surface still blocked, but there’s starting to be a lot of heat developing now in the mushing shirt on Tom, those surfaces just barely blocked. And so it’s much more that the heat is developing.

So here we have a comparison of the dodging lone tongue versus the mushing shirt on Tom.

So mashing. Sure. Gone has no Granger or Sean, John. So it’s not for water. This young John is in there for water and it’s not so diaphoretic. And the Xing ran is high in mushing shirt, Anton drains. It’s more for the lungs. So it’s much more of a young men formula mashing shirt on tongue and less for Taya compared to dodging.

So here in dodging London, lots of Granger with lots of Mohan, also shown Jong is going to be pungent and warm. So diaphoretic, the Chung drawn means there’s water. So this, there can be water swelling, especially like in the joints with touching long tongue, much more. Taitung less young men. So dodging low tongue.

We have. It’s very cool. With some heat starting to develop, and we give the blue green dragon, which is Mont long and Granger, and we give the white tiger and we melt the cold and also clear that he, while replenishing the fluids from the middle, the fluids and the warm from the middle. The pulse is same as shouting, long time.

And it’s, but it’s slippery in the right Guan because of the heat could go all the way up to the right.

So dodging lumatone indications. It disperses that coal that’s on the surface of the body and also water on the exterior, like swelling in the joints. There’s no sweating with this pattern or mushing shirt on. You might have sweating. You might not have sweating, but it’s not a big part of the pattern.

You will have pain with the dodging one-time pattern. You will have heat. And also vexation, you’ll feel agitated.

So we look at the doses of Baden comparing dodging long tongue with Mohan time.

My hometown is pure Ty young dodging, long tongue is mostly Italian and going into younger. So at our final formula, hopefully well-trained by now you look and say, wow, there’s a lot of my one. There’s also a lot of sure gal. And so then we also see there’s quite a bit of Shung John.

So this formula has no Quaker. Really inducing a sweat. It’s more just opening the pores and warming the surface of the body and cooling heat in the Shung. John tells us that it’s for water and this is called wind water. And with this formula, you get swelling and pain in the body and sometimes swollen joints that get very hot as well.

Same in the . But here, the surface is not so cold. There’s a formula family of the maid servant w way formulas where you can add a bite, you, if there’s more dampness and a thicker coating on the tongue, you can add on Shaw, if there’s vomiting and then there’s a formula. That’s a very small doses called wager R UAB E.

Two times grade your tongue with one part two parts, grades, your tongue, and one part UAV. But the main point I wanted to make here for this lecture about using Mojang safely is that this is the main servants of your way are known for their consideration and gentleness. And we can know that Mojang with sure gal without wager is very gentle.

So you don’t have to be worried here about agitating, somebody or creating too much of a sweat when you have this sure. Gout without the wager, just like in marching shirt on. So this is basically saying what I just said. Okay. So would the UAB tongue, the surfaces lightly closed? And it’s made there be water swelling, and actually it’s the combination of the Gonzo.

And the mama also treats the water swelling, and then it also starts to get hot because it’s not moving once that blocked surface starts to get hot. And we say, oh, it’s moving into young name. And so you get not only water swelling, but it starts to. Red and the water swelling is painful and we’re also, you can see where replenishing the fluids from the fluids and the young from the inside.

So we add the blue, green dragon mama shown tongue and the white tiger. And. It opens things up and clears the heat. So the water swelling goes away and the heat is clear to the person is comfortable. Again, an amazing formula when it’s given at the right moment. Okay. So thank you. Just to end with a few little farm pictures.

We had three pregnant goats and every one of them had triplets. This is a couple of. And so now we have nine baby goats. So that’s Elm and Jasmine with their babies. And that’s my daughter, the farmer with our puppy that was born New Year’s Eve here. Okay. Thank you very much, everybody.

 

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Evidence-Informed Acupuncture Practice

 

 

And so today we’re going to be talking about the importance of evidence-based practice. Or evidence-informed practice, which means it’s coming out of a lot of the research, which the exciting part about that is that we’re getting from the other aspect, the more Western scientific model.

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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 today’s episode of the American Acupuncture Council live stream. My name is Tsao-Lin Moy. I am a licensed acupuncturist and herbalist with a brick and mortar practice in union square in New York city. I’m very excited. Today to be welcoming Sandro Graca and very grateful to the American Acupuncture Council for putting these livestreams on now a quick Al Sandro is a licensed acupuncturist and lecture and research.

Is he’s done. He’s writing lots of papers about in particular women’s reproductive health, which is extremely important because not enough is done for women’s health. And he is also an avid speaker. And he is the director of evidence-based acupuncture and a fellow at the American board of Oriental reproductive medicine, and S and also the society for acupuncture research.

And so today we’re going to be talking about the importance of evidence-based practice. Or evidence informed practice, which means it’s coming out of a lot of the research, which the exciting part about that is that we’re getting from the other aspect, the more Western scientific model. Is now really recognizing, the benefits there’s like more concrete evidence and information.

And so we’re really looking at integrative medicine, or this is the, this is what we’ll be bridging that helps to bridge, understanding and better practice. So thank you so much, Sandra, for being. Thank you so much for asking me, inviting me to be here and asking me to do this talk. It’s always a pleasure to talk about.

I love research, but more so, it’s a pleasure because I get to contribute towards the future of our profession. Absolutely. We really need, we really and this is for the, for the public. Because we’re looking at what’s happening is, Medicare is going to be covering a lot of insurance companies are covering or not covering because there is, where’s the evidence.

And this is an area that it just benefits everyone. And if somebody is on the fence, About I don’t know if it works that here. We’ve got some great studies. And again, we were talking before the break about the one with carpal tunnel and I’m so very excited to see your presentation Sandro.

Yeah, thank you so much. I think that’s a really good point. And one of the things that I would mention is that there are actually different ways of using this information and different ways of using research. So one of them is, as you said, just having that you know the language to be able to talk to other people about what we do because not everyone knows what we know or loves acupuncture and Chinese medicine as much as we do.

So they might not have that language. But if we have another language to be able to communicate with them, then it just becomes a little bit easier to have that interaction and to get the ball rolling in terms of communication. And also, as you said, with the policymakers, obviously, But another aspect that I will bring up on my presentation as well is going to be that fact of the more you write about what you do in your clinic, because that’s research too, reporting, what do you do?

And the results you’re getting in your clinic. You’re contributing to the literature and you’re leaving something there for not just the people around us now, but also for the future for others to read what we’re doing in the clinic and taking that a step further. Absolutely mean, what would we be doing? What would we do without the sew-in aging or the link shoe, or, the golden cabinet or all of those things where this is very traditional practitioners, we’re recording all of their cases.

And then from that, tome of information gathered. That they were getting results that then ended up being prescriptions and points to use that they could pass down. This is thousands of years, so there’s no reason why, we shouldn’t be continuing to contribute. And then with modern science to take advantage of, that aspect of.

Yeah, absolutely. Yeah. Yeah, I’ll talk a little bit about those different aspects during my presentation. So if we’re okay to go and then I’ll obviously I’ll leave a little bit at the end as well for us to talk about it, but I’ll show you how I try to put those together. Hopefully what do you will take from this and thinking about my main role, in terms of research with evidence-based acupuncture and being that idea of ancient medicine, modern research, and the evolutionary thinking that hopefully for all of us to continue to carry our perfection forward, this is almost like a little bit of a disclosure as well.

So what I do, as you said, I’m on the board of directors of evidence-based acupuncture, I’m a fellow of the born. And on my, for full disclosure to pay jobs. I am a lecturer at the Northern college of acupuncture, and I’m also a researcher on the Cochrane review group for acupuncture, for IVF. My main work is and research and passion is on PCLs polycystic ovary syndrome.

And I am a member of the SRM of Astra and the androgen excess society for PCLs. So that’s really the. My passion lies. And I want to say big, thank you. And this is not just a, a token of gratitude. This is really a big, thank you for you inviting me to be here because I’m a doer. I like to put the M get my feet down and could do some work.

And this is a paper that came out only. Last month was the end of March that was finally published. And this is a survey of clinical practice. And this is really asking the practitioners what they’re doing, how they are doing. Really proud of this is my first author paper as well. And working with such a great, an amazing group of people that are, really motivates me and to do more.

So what this says, and this is why I’m really saying a big, thank you, is that practitioners that were in the survey actually said that they favored knowledge obtained from webinars and conferences. Ah, nice webinar talking about research. So I hope that this reaches as many people as possible and the message for our side, because as I was talking just before we started, I don’t spend as much time in the clinic anymore.

The message for academics and clinician researchers is to hear what the practitioners are saying and saying that they still want this dissemination of knowledge. They want to know about this, but beyond those traditional publications on the journals and stuff like. They do want to know more about research literacy and special interest groups, like for example, da Borum or the obstetrical acupuncture association that I’m connected with as well and the AAC as well.

Like it’s the associations needing to link with the practice. Just a quick acknowledgement, because again, we like doing this and TCM and here I am saying that I would not be here if it wasn’t for the passion for research from professor Ian McPherson, who unfortunately is no longer with us.

And he’s there with the person who was my supervisor for my MSC. That’s Dr. Lara McClair. And I just want to say that yeah, Lara was spot on when she wrote that for Hughes retirement. When she said that he inspired thousands of us to become researchers, that I’m really proud to be one of those and to continue that work.

And obviously Dr. Mike Armour, who we saw the name on that publication there, who’s really helping me. And in this new career, for as a researcher. So I’ll start this with a little story and. Because my granddad was a great storyteller and I always look at Dr. Leon hammer and think about the great stories that he always shares with us.

And this really connects and links for me in terms of research and why we’re doing this rather than just being in clinic and keep doing the same thing over and over again. So he wrote this paper in 2002. So that’s 20 years ago. And look at how relevant that is. He started with the paper could be some not, but a small story.

And he said a little girl once asked her mother why she cut off the end of the roast before putting in the oven. And the mom said because that’s the way that my mother, your grandmother used to do it. We’ll have to ask her. So off they go to grandma’s house and only to find out that grandma actually did it because her mother had.

So the three generations are to go over to great-grandma’s house. And I love his wording was there to seek the wisdom of the ages. And when they posed the question to the great grammar and the great grammar just said, why? Dear the pan was too small. So that story just continues and it’s a great article.

If you have the time to read it, it’s amazing. And he just talks about that. Chinese medicine needs a new pond for a roast that has grown since ancient times in size and in shape and what we can talk about now, he says then at the end there about the. Pulse is no longer a sign of internal cold in our time is a sign of overworking nervous system.

And I always think about this and going, this was written in 2002. How would this tide pools will be described in 20, 22 after all that has happened recently? So it’s really interesting to see that sometimes. And this is no disrespect to our practice, but some is there. More cases that we’re just doing things because that’s what we were told.

And then when we asked the people who told us they were doing it as well, because that’s what they were told. So that’s what really motivates me. And at the time when I was getting this information together, I would, as I was at a webinar, there you go with Elizabeth and she said this is word by word, what she said, Chinese classical medicine is not yet finished.

We have to continue to edit it. And I thought, huh, that’s really interesting. And bearing in mind like me. So I’m Portuguese. I speak English. I know a little bit of Chinese from learning. Elizabeth Tasha is French. So she’s speaking in English and she’s talking about Chinese medicine as well. So for me, the language is very important and she said that it’s not to invent, but to discover new ways to express, it’s not because it’s not in the classics that it’s not interest.

And then this was the sentence that really, I was talking to her, like emailing back and forth after this webinar, because I thought this was really interesting. There are a lot of things that we are yet to develop. If we want to continue to practice a living medicine and not a dead. And again, I really liked language and that really stayed with me.

And this is the work that I was already doing, and that I’m really passionate about doing now, because it depends on how we see things, order and chaos could be different in different ways that when they are in front of you, So I do love the classics. I read them when I was studying and I still do when I have the time, you always go back to them, but now I just do more work in research and I love research.

And I think that it’s really important for the continuity of our medicine. And just like Elizabeth Kasha said to continue to practice this Olivia. So you might be wondering, and if you’re one of those purists that would say that, no, this is, ancient medicine. We need to stick with the ancient medicine.

I thought that too, and I was able to see things from a different perspective and I always bring up this study because it, I came across this just by pure accident. And again, it’s just one of those things Dr. June mouse was involved in this, as you can see in the name. And it just really caught my eye because when considering barriers for occupants to use.

And bearing in mind, this is a hot topic, right? Like it’s breast cancer survivors. So it’s really, it’s charged and it’s emotional. And I would always think that the main thing would be because I don’t use acupuncture because it interferes with the treatment that’s that was my perception would be, that would be the top thing.

So when I started reading the paper and realizing that lack of knowledge about acupuncture was actually the main reason why these people weren’t getting acupuncture was just mind blowing. And knowing that interfering with the treatment, not based on science, the side effects, painful, difficult time finding an acupuncturist.

I thought, I always thought those were going to be way up higher. I did not think that lack of knowledge was going to be an issue. And since it is, then we need to get this information and try to make sure that people know about acupuncture, but that they know about it from reliable sources. And if we can’t communicate with them in terms of the classics and old language that is harder for them to understand, let’s bring a language that it’s easier for them.

So that’s I want to like interrupt you just for a second about the cancer research, because I mean our the information okay. That is one of the very, if I remember correctly, the th the evidence and the efficacy of acupuncture for nausea. From chemotherapy, that was one of the burbs studies for nausea, for pregnancy and chemotherapy.

That was really validating okay, this is why acupuncture works. So the surprise that in the area among, breast cancer, that is still not this is a great thing to do that, it’s a, non-drug, it’s, easy to. Very it’s not going to injure you in any way.

That’s the surprising is that it can really help simple, very simple thing to be doing to help somebody. But so you can see how important it is that to language is, so this is going to be teamwork, right? So it’s going to be the patient needs to know the clinicians that are already looking after that patient.

They need to know as well. Practice. I think that we all have to be ambassadors for our medicine, for sure. Yeah. Yeah. And we need to, and once we are called up to be on that team, we need to be able to talk to them because if they ask us, what did you just do? What treatment was that for that particular patient, we need to use a language that they can understand this.

Otherwise, they still won’t know what, when damn cheap Schwab, they won’t know what that means. So how would you want to work with someone that you can’t understand? So it’s being part of the team and what language you’re using to make sure that people can go actually allowed something here.

I always say this on my presentations in we do the. Practitioners graduated and they start going into their own practice. And what they do. I always say that do not ever let any patient leave your clinic without them knowing a little bit about what you did, because you don’t want them to go and talk to someone else and go, Hey, I went for acupuncture and it was brilliant.

And that person is going to ask him, oh, acupuncture, I’ve heard about that. What did they do? Oh, I don’t know. I was just lying there and they put in some needles. I don’t know what kind of advertising. It’s not really, that’s not really great word of mouth. Is it? I was lying there at then. It’s, people, patients that are informed make better decisions about their health, right?

Yeah, absolutely. Yeah. So that’s really good. And thanks for bringing that up because that’s one of the aspects. So that was a little bit of about. How it relates to our practice and to the people around us. So more specifically now I’ll give you an example of B for me, how it’s start. Was I looking at points or IVF?

So I was getting people into the,

and Nick and they were going, and I remember clearly the very first time of looking at a re what’s, this thing, all about this, Paul, all those protocols. Points are to use this right? So it helped us. And it was interesting for me, need to go. It wasn’t available in the classics in this detailed way for this specific issue that is so recent.

And this kind of gotten me thinking and from then on, it was like, okay, so what else is actually been written and in research and what else can I, what other information can I get from these papers as well? And to take that con the continuous from the policy protocol and how things changed here we are.

Now, all these nipples protocol was published in 2002. Here we are now in 2019 with a systematic review and meta now. Telling us more about three or more treatments, the use of a modified protocol. We know the C MoPTA credenda migraine. The acupuncture protocol is even more used now and how we’d adjust to the changes on the IVF procedures as well, because the IVF procedures now are not the same as they were when the policy protocol was designed.

So again, it’s a living medicine, so we’re all learning from it. Yes, exactly. Am I just want to point out that, protocols are. So really a guide. They’re not because of course each we’re still practicing patient centered medicine. And, radically personalized. And so this two ideas about the idea of improving blood circulation, calming the nervous system down, right?

So those are these points elections, but they’re not the only thing. And then there are many practitioners that do, assist with reproductive, with the IVF protocols, et cetera, et cetera that are going to tail. To their patients and use some, maybe all maybe less. But yeah.

So with protocols, I like, okay, it’s not with everyone. It’s got it. We still have to personalize treatments. Absolutely. Yeah. And I’ll show you a good example of that then towards the end. Cause I have one again, because I have more experienced with the IVF side of things and how important it is to have, as you said, like that protocol, that set of ideas, but then how.

Also work with that and add more related to that person in front of you. So just to summarize, and I will talk a little bit more about these points, just more specifically, but research literacy. So knowing about research, why is it important if anyone was to ask you. Through the main points that I would say to someone best practice.

So we spoke about this just now, knowing what is being done, what has changed, what are other peoples in other parts of the world doing and how is it working for them? So in other words, is it informing my practices? Professional credibility. When you’re talking to someone, if you’re able to talk to them in a language that they understand, it’s easier to have a conversation.

So it’s not taking anything down from the classics or from Chinese medicine. Language is just adopting that if I was speaking Portuguese only because I was in Portugal, we wouldn’t be able to have this conversation. If the classics weren’t translated from Chinese into English. We wouldn’t be able to read them when we were in college and we wouldn’t be having this conversation.

So it’s the credibility of, oh, I understand what you’re saying. And we’re having a conversation and then linked with that is engaging with other healthcare practitioners, because we want to be part of that team that is looking after the patients. And that is pretty much how evidence-based acupuncture was born.

By the way evidence-based acupuncture was something that was set up by a medical doctor who did acupuncture. And in his own words, it was just getting the same question all the time when he told people to in his office and they say, oh, I think you should get acupuncture. People who go but you’re a medical doctor and you’re telling me to go and get acupuncture.

Do you believe in that? I knew would always say the same thing. It’s nothing to do with belief. It’s to do with it works. So I’m telling you to go learn. Belief has nothing to do with this conversation. So the EBA has this one sentence thing that you see on the website and on our forum. It’s the goal is to construct a successful evidence-based explanation, and that will help us to communicate.

Acupuncturist evidence effectively and support the public clinicians and healthcare policy makers. And that’s really important because those people are the ones that will decide what type of medicine and who gets to work, where, and that is using the language of science. The healthcare policy makers was something that we added more recently in the last few years.

And it’s been really interesting for me to look at that group specifically because. They might not have any medical background at all. They might be coming from a law background or, anything else, not necessarily a medical background. So not only they wouldn’t know about what we would call biomedicine or Western medicine, they definitely would not know from Chinese medicine eater.

So really important to have a language that we can talk to them about. And that’s because the public. And these, everyone is reading stuff from all the way from, as you were saying, these great papers coming out in terms of acupuncture for cancer. But the other side of the spectrum has stuff that is not accurate at all.

And we just can’t change it because it is the way it is. So there’s a big wide spectrum of information that these people are accessing. And I would prefer them to get this information from us. I added a slide because he asked me to, because he wants to talk about this one. And I really liked this one and seeing the stuff that came out of acupuncture research that is so much part of our day-to-day life.

And that’s sometimes we might not even realize that it came about because of acupuncture, research, neuro imaging research, you were talking about the. The paper and talking about how MRIs have been used and gave us so much information about what’s happening inside our brain, when we’re getting acupuncture biomedical knowledge of connective tissue, Penn level Lily Helaine Lowe’s event, like a it’s all, acupuncture is definitely so fascinating that as it looking to see how it works, they find so much more and it actually does advance.

The Western medical model. It’s yeah. So you see it adds onto it. Yeah. Insights into therapeutic encounters. Again, professor you McPherson wrote a lot about this as well and how, and even, yeah, Vitaly not, but I’ll put this out there as well, how the encounter actually matters. And that should account for when you’re doing the research tens machines, the anti-nausea wristbands, all of this stuff is there because of this work that is being done.

Hooray to us, and the new thing that you seeing more and more the comparative effectiveness research in terms of really trying to get that pragmatic approach to what we do in clinic and trying to put that into what is happening in research as well, and the amount of stuff that is out there.

And again, I won’t go on too much about this because we all know about this. John puts this amazing stuff together, compiles all this information. There’s almost 16, probably. Now this was in February 16,000 of Cochran’s central register of controlled trials. We should not discard this information.

We should use it. And that information is of good quality. This is something that we hear every once in a while about there’s a lot of research, but is it of good quality? We now have information showing that it is it’s the last 20 years. Yeah. Twice to fold higher rate than biomedical research.

The quality of that research is better as well. It has improved on journals and we have the papers to prove it as well. So this is good information to have on your website and to have on under your belt when you’re talking to other people. If they say, oh, there is stuff written, but it’s not a good quality.

Actually let me show you. And this is, I always go back to this amazing sentence that John said when we had our conference about the research is out there, but who’s reading it. And I guess that this is why I’m here doing this with you. And this is why we have our goal with EBA to get people, to talk with different languages and understand different languages and ultimately whatever floats your boat acupuncture.

So I’m asking you to be the change, you all listening to this, you and I say this, that you spend more time in clinic than I do. So you matter. And here’s the example that I was saying to you about the IVF work. So we’re looking at this from 2012, the Delfi consensus put together. So this is asking practitioners about information, about what you’re doing in the clinic for your IVF treat.

That information is, can even see that Shane Littleton was involved in this professor. Carline Smith’s name is Derek says on grant. Anyway, the names you’ll recognize the names anyway, but this was asking to practitioners, tell us what you do in the clinic. All that information goes towards an RCT. It doesn’t always have to be an RCT, this group is really reliable and really good at putting this research together.

They were able to put it in RCT together. That goes into a secondary outcomes of that RCT. So more information from that in terms of anxiety and quality of life for women undergoing IVF. And sometimes the clinics are really interested in this quality of life, anxiety for those people going through IVF.

Then all that information that started with the clinic remember goes into a systematic review and meta analysts. That gives us a lot of information. All of that goes into information for the Cochrane review, which is more likely to be something that, again, healthcare policymakers and medical people will be reading about that.

Remember how it started with that email in your inbox. Hey, do you have five minutes? Do you have 10 minutes to help us out with this? So what I want to say is that, if acupuncture is helping with anxiety over IVF, then. It’s obviously going to also help with anxiety over climate change, anxiety, over whatever anxiety.

And we see, move that there is this opioid crisis for pain. Acupuncture is great for pain. It’s great for helping people get off of addiction. But also if it’s great for anxiety, then we’re also gonna be looking at the future where so many people are on anxiety medication. Which are also very addictive.

And so just by, I’m just like adding into this. Just because one research area is about they’re a little more granular. The information then, gets applied in other areas as well, which is a very easy bridge, especially when it’s addressing those biomed those Mo biological mechanisms, that are showing up for things like anxiety, depression, and all of that. So this is a really big. And a good add on to that would be also to say that if you are, which I’m going to go into now auditing your clinic and showing and putting out there what’s happening in your clinic, you might actually be finding new trends you are now seeing in clinic a lot more patients complaining with X condition compared to what you were before.

And once you write about that, maybe someone in. Austria is going to go. Oh, actually it’s funny. You mentioned that because I’ve been noticing that too. And then someone in New Zealand is going to go, oh wow. It’s not just me. These guys also noticed that, right? Oh, there’s definitely, I’ll tell you in my practice over the last couple of years, anxiety and sleep problems.

And then looking at other research, there was, increase in writing of prescriptions for anxiety medication. Like even looking outside of. Who’s coming in your office, you start to see other, trends that are in the media and being reported, you start to look at, oh, cause I look at it when a patient comes in, I’m having a sleep pro and I’m like, wow, it’s all happening.

And then all of a sudden you see so many people. Are experiencing having these things. And once it that’s what I was saying. Once you start, if you keep this in your clinic only no one will know. Then you’re going to beat the best, kept secret. If you find a prescription that is really good for that particular condition, and you don’t tell anyone again, let’s go back to the beginning and think, is this a living medicine?

Is that going to, is that going to be the secret from your practice? And no one will ever know. So I know I’m exaggerating, but I’m just giving the example of why it’s important to audit your clinic. Just show what you’re doing and how you’re doing it. And then when you look at the outcomes, you might be helping practitioners all over the world to access.

Improve the type of treatment that they’re giving to their patients. So on-screen now there’s just a few examples of how you can do it. My mom, a lot of people know about it and a lot of people use it, which is great. There’s one which is online now in the U S you might’ve heard about it because I can track are actually involved in the study going on in the Northwest as well.

So yeah, you will hear more. About them because they’re online. So it’s just a little bit easier to collect this information from the patients as well. So that would be my thing. And for those who are interested in getting to know more about how to collect that information, then write it down in a case report.

And here’s what you have to do. Basically just look up. Care, which is case reports and then start collecting the data from your clinic. There’s actually more specific into Chinese medicine. It’s called Karch. And a lot of people will know about it even for N of one trial. So when you have just a one person this information is out there, but I would go back to what John Weeks would always say, it’s out there, but who’s reading this right.

I’m always in there. I’m in there. Yeah. Yeah, jumping in and I go if this herb is doing that, I’m going to look in the other categories. And I also look at the foods, what’s in the food medicine, there’s so much there. So this is really, I’m really excited about, you talking about.

Big point of interest for me, because it’s important that, a lot of practitioners may not do continuing education or, they may get a little bit I don’t know, stale with their treatments. And so I think this is important, very important to be up to date on what’s out there and also really again, to be in back.

For our medicine to be able to talk about it intelligently. Now, when I was in school, we didn’t have as much, I was in school, graduated 20 2002. So over 20 years ago there wasn’t a lot that was out there. There was the IVF study coming out of Germany. There was the study for the nausea and I think there were still working on the.

Down at NIH, right? So there wasn’t really a lot. And then you’d have to have things well, actually coming out of Japan, there were things, but they’d have to be translated. So what we have now, and also the internet was, very much in its infancy. This is, it’s so accessible for practitioners to do that and good good clinical practice.

To double check. Yeah. And this is we didn’t, people are going to be watching this and thinking that we arrange this, but we didn’t, and this is a great segue into this because what’s on screen now. It’s only part of the slide and I, this is actually a sentence from the paper itself that I’m going to show you.

And it’s something that adds on to exactly what you’re saying and what still to this day. And I hope that this will help to change that. Turns people against acupuncture research a little bit while clinical trials provide valuable data about if efficacy of interventions, findings often do not translate into clinical.

That’s something that you see and you hear, I would say that too, like maybe 10, 15 years ago, but then after learning and after doing my MSC and getting more into research, I don’t anymore. And talking about the timescale that you are giving this sentence is out of this paper that has just been published recently by a good friend of mine.

Beverly Devela. She collected information over 15 years. 15 years of information. Now, anyone can come from anywhere saying that, oh, there’s not enough evidence about acupuncture, or there’s not enough for us to base our decisions. That’s 15 years of information right there and published for everyone to see.

So in looking at this and saying these are sentences from the paper itself and that key punchline on, in day-to-day clinical. Practice not appears to be a safe, effective intervention for breast cancer survivor. This is really important for us to know and to have this, to be able to say straight away.

Actually, and what I’m going to emphasize too, is the beauty of doing the research is we also have thousands of years of, knowledge about the, how it was used. So we’re not, it’s not just being made on. We’ve got these, it’s not made up something it’s really based on, okay, this is what they say, this is what was going on.

And this is why they continued to do these practices. Now we can take that and look at it. So this is the point. So it’s the only 15 years ago, 15 years. Thousands of years of evidence that’s in, in these records and then really looking at them. So it is actually like we’re doing like a little bit of a retrospective, right?

Look at everything that’s been done and then designing. Different kinds of research based on what’s showing up in, in health for us and how, and like how we can actually use this and integrated with what I consider like the traditional model, right? Like where that fails.

There are these other things, and there’s no reason why we can’t do both. It’s not an either or and it’s and again, as you, we see that a lot of the acupuncture then informs better practices in a Western medicine model, like areas for growth. Yeah. Yeah. And this is again very timely for you to say this because I’m going to give you the two examples, just because we spoke about a discount at the end of the presentation.

This is just out in the last couple of weeks. Good friend of mine. Good colleague, Dr. Mathias, zoom or Martinez works. Mathias is a medical doctor who was also trained in TCM. He works in oncology and. And he wrote this case report about what are the patients? So this is like debunking a bunch of stuff against occupants in one paper right there, right?

Is a medical doctor trained in TCM who uses it in the oncology setting. And as now published a case report, which I’m asking you to do more and more showing the difference in one patient between getting acupuncture. This is one treatment, just one treatment. The difference between getting one treatment of acupuncture and the oncologist.

Like amazing stuff. And I just put another one because again, to link it back to the states as well and see, cause people would be familiar with this they’re obscene and Valerie, Valerie actually sent me a message before this. So if she’s watching hi and yeah, just publishing a case report and showing what’s happening in your own setting.

Again, hospital setting, acupuncture being used and how it’s helping the patients, but it needs to come from you. It doesn’t have to be a big, huge RCT a case report will do with. So here’s my plea and my punchline and my please. And then you can stop and you don’t have to listen to me anymore begging you to write research.

So here’s a time I’m V I’m more visual. So I like this and this makes sense to me. So I hope it makes sense to you as well. We started with the classics. All of this was written. Back in the day we read them. We learned about them in school. The first book that I read about Chinese medicine when I started studying in Portugal was Giovanni’s book translated from Chinese, some Chinese terminology there as well.

It all starts to make sense. Then you go into what brought me into research occupants or research the book. And again, the names they’re amazing. Rosa Schneider just, really inspirational for everyone. That’s how I started. And that’s what I read about. And it becomes the classical book now in terms of where it all started.

Now we have all this information going into Cochrane reviews and going into research and starting to be part of the research literature. My question then is who is writing tomorrow’s classics because yesterday’s classics have been. But in 200 years, in 2000 years, when they look back, what are they going to say?

That those guys in 2022, what were they writing about? What were they doing in their clinics? So this is why I’m asking you. To do it and to please make it your turn now of writing the stuff that you’re doing in the clinic and telling more and more people so that we can adjust and adapt the trials as well into being more like what you do in your own.

So that’s the end of my presentation and my begging for you to write what you’re doing. Oh yeah. I, and I have to say, I love that book. I actually have four different copies of Sue and aging and link shoe because each translation is slightly different. And I also had the pleasure of studying some with Elizabeth shot, the LA she’s amazing sense of humor.

And what I would say is that it’s also important to reread the classics, especially after you’ve been practicing, because then when you read it again, you go, oh, so a lot of this is you need to read over and over because and research and read papers because you’re at one level as a practitioner and then you get some experience and then you go back and then you can catch the deeper meaning and then also apply it.

So it’s always, so this is not, it’s like review, do that retrospect review again. Go back and you’re like, oh, wow. I didn’t know this before. And our information comes from many different places. I find my patients are fantastic for reporting stuff back to me which is also important.

So what I want to ask you Sandra, how what can we do to help you? Can we where can we find you? How can we follow you? Listen to more of the stuff that I have to say. Ah, yeah, I wasn’t expecting that. Yeah. Okay. So look as an individual, obviously it’s my pleasure. And it’s my passion to to the research side of things.

It’s just how I get to write. So some people would write books for example, which are very valuable. I, that my passion is that, writing these papers and putting it out. Sharing this information with people. So on a personal level I’m working in research. I’m I love lecturing. I love teaching.

I love learning from the students as well. So people can find me, Sandra grass online that they will be able to find more information about me. And the main work that I would do that would be more visible than for people would be through evidence-based occupants. And. Thankfully, we have a lot of people helping and supporting it’s a nonprofit organization.

So evidence-based acupuncture.org is where people can go and check it out. We have a forum as well, so we don’t do discussions on social media anymore. And we just take that to a private place where we can all talk as practitioners and as colleagues and outside of the eyes. Are there any. Censorship of social media type thing.

And without any distracting voices, either from the outside, so just for us to talk on the farm and share ideas and yeah, EBA connect is the way that people help and support the work that we do with EBA. Awesome. Awesome. Fantastic. Thank you so much. For coming on and sharing all this great information and also really helping people to really keep their practice from going stale.

And then also, be better practitioners, better, clinical practice. And then, this is how we bridge to other professions and become part of the team. And keep keep us professional, right? Yeah. Share what you’re doing in the clinic. Like it’s amazing.

I really appreciate the opportunity of coming here and being able to talk about this. I know I speak a bit too fast when I get excited about it. But it is really I’m learning so much every time. To find out from other people in their clinics, what they are doing and how can that influence? You said it yourself.

The study was from Germany and then you were reading it and then someone else, the paper I showed you, the survey of practice was actually in Australia and New Zealand, and now it’s everybody else in the world is reading it. Mathias wrote that paper from the hospital, the oncology. In Austria and now everyone is reading it.

So I think that it’s really important for us to stand proud of what we do and, have it on our websites. Haven’t, especially have it published and be able to talk about it in terms that other people can understand. And as I said, like the case reports would be, as you can see, the example would be the best way to put it out there and publish it for everyone.

Awesome. Thank you so much. Okay, so here we go. Hopefully you will join us next week. We are going to be having Jeffrey Grossman will be coming on and presenting for the American acupuncture council. And all right. And again, thank you for the American Acupuncture Council for putting this production on.

 

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Treatment of Radiation Side Effects in Cancer Patients

 

 

Hi today we are going to talk about the treatment of radiation in TCM and this is quite an unusual topic, but we are, it’s one of the topics that we are getting a really great results, both in the treatment.

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

Hello, everybody. And welcome. I would first like to think the American Acupuncture Council to put up this presentation for all of you. And I would like to start with the presentation. I hope you’re all. Hi today we are going to talk about the treatment of radiation in TCM and this is quite an unusual topic, but we are, it’s one of the topics that we are getting a really great results, both in the treatment. And also even in the research that we are following up. Radiation therapy also known as radiotherapy is one of the most common treatments.

In cancer. Almost half of the cancer patients will get radiation therapy. Although, there’s so many advancement in the treatment of cancer, different drugs, et cetera, radiation therapy is just continuing to develop and be there as the, one of the major modalities that are used the cancer care.

And how does it work? Basically radiation is a very high frequency of radiation, which is used and it works in two ways. One, it has a direct effect and direct effect of radiation. It damages the DNA in the cell by producing more and more free radicals, but it is also a. Eh, a larger indirect action by producing the whole area of more free radicals, which are damaging more cancer cells and much less healthy cells.

So this can also give some kind of additional effect to the radiation. When we look at the radiation, we are actually looking at the very high frequency res. If you look here, you see the size of J regular Ray radio radiation. And as we move along, you can see the side that the radiation that we are using in x-rays is here.

And in gamma rays, we are even going to a much smaller size, but x-ray the size. And the frequency of radiation is extremely high, and this will help to understand the effect in Chinese medicine. And one of the side effects of radiation is here. As you can see here in the picture, like a person that is radiated for neck, a very common area for neck cancers or for women with breast cancer.

So you can see the redness appearing there, and this will help us also later to understand the effect of radiation in Chinese medicine. And the side effects of radiation are very much dependent on the doses. The area of which is radiated and also the sensitivity of the surrounding tissues or organs.

And today, the radiation is very exact. So there is less damage to surrounding tissues in the past, there was much greater damage and the radiation side effects, first of all, the main one is really this heat, but there’s also fatigue. And there is some diffused feeling of not of being ill, not being yourself.

Sometimes headaches obviously on the skin, they can be in DEMA inflammation, like in his trunk. So sander. And if the radiation is like to the throat, to the mucus area, then there can be mucositis or dry mouth or dry dryness, wherever the radiation is directed at, the radiation can be directed to any place in the.

The very common thing we see in the clinic is radiation to an in throat, in their throat cancers, but also to the head and to the breast, obviously for breast cancer. But radiation can be done to any tumor. The side effects let’s look at them for a minute from the Chinese medical point of view, the way we view them.

So as you can see, it’s a very stressful. And small frequency of a phrase that penetrates deeply and they’re causing dryness. First of all, dryness to the fluids and dryness to the fluids over a long period of time in Chinese medicine, we’ll create in deficiency, which means a long-term thirst and a longterm inflammation, either the local or even more general.

Radiation in itself is toxic heat. And I think this is one of the key issues when we are teaching oncology acupuncture now to treat and diagnose patient with a TCM in oncology. Toxins is one of the main things we have to consider, because this is a new parameter, a new pathogenic factor, which is not very much obviously mentioned and then aging and the classical Chinese medicine.

So to understand toxins and its effect is one of the key factors. We have a combination of toxins and. And toxins and heat. We’ll also create some cheat deficiency. And if after a long period of time, even Jing deficiency, this deep penetration of the Ray goes deep inside the cell. And obviously also to the DNA of the cell.

But if Chinese medicine we’ll talk about this going deep into the gene level. And so this is the main factors that we are seeing in the. And this is the pathology in Chinese medicine. So first of all, it’s toxic. It is the nature of the x-ray. We see the dryness in many different area. It can be either superficial to.

Dryness or can be deeper. And then we’ll talk about the fluid and fluid production, like on the land, in this and the stomach, which are involved in Flint production. If it’s a very strong radiation, we’ll see in the efficiency, as we talked before, especially if it’s for a larger area, Xi deficiency is a classic and the two deficiency can also extend even four months after the treatments and locally we can see.

And which can affect like the tender masculine Meridian in the area that is being radiated. And we look at the supply of the tender muscular Meridian to the area, the classical combination of points, which are addressing this pathology. So large intestine elect will help to take the heat and it’s a young midpoint, so it will also help to cool.

And also GB 14 is actually for head radiation or neck radiation. It’s when they all the young meridians are joining will help to take the heat out. The excess young for drugs. Again, we’ll use points on the young meaning stomach for the foreign, large intestine. Two, both of them are water points and they’re in reaching back the fluids for inefficiency.

We can add kidney the six and if the radiation is over a long period of time or area with many bones, then we can add gallbladder 13. Which is the viewpoints and for bone marrow and some other kidney points depends on the radiation area. If there’s a general chief efficiency, we’ll do stomach 36. If it’s deeper, we’ll go to the seas and use stomach 30 and, or Lang nine, the gain to help to rebuild back the cheap.

For local area, we’ll use more local effected points, team end points. So let’s give you a kind of a general idea how I will treat the radiation and how we are treating radiation. And when we are teaching them college acupuncture, we start with some general prescription and go into many other options of treating.

One of the very interesting research that was done because there’s many high quality research, which are showing that acupuncture is good, especially for dryness of the mouth of the radiation for patients with head and neck cancers and this dryness. Extreme, and it’s very debilitating and it really create a extreme suffering to this patients.

Imagine that on top of having radiation and having a throat cancer or mouth. Your mouth feels like it’s desert, there’s no saliva or free for the production and because there’s been many evidence that acupuncture is good for it. There was one really interesting research that they want to share with you.

And it’s, they looked in functional MRI on patient. It’s actually not patients. There were just volunteers. I know Gary Dan from Memorial Sloan Kettering, he did this research, so we took volunteer. And punctured them a large intestine to, and looked in functional MRI and the amount of saliva produced and and the real comparing to placebo.

So this was the use of the occupancy was at the large intestine to comparing to a non occupant tree point, just on the side of. And this design is quite a interesting, because they did this time acupuncture, some got the real acupuncture, some got the sham acupuncture. Actually they did the crossover. So this.

People who were in the research in the beginning either got real or shy and then crossed over. And what was compelling was the mechanism, the functional MRI, and also the amount of saliva, the results were quite unusual. And you can see that the patient, whenever they are this, in this respect, the people who are examined when the large intestine two was punctured the area in the.

Which is to do with the saliva production was got more blood and you could see it in there. It was activated, comparing to the placebo point where there was no specific area in the head, in the factional MRI. And as far as salivation, they put the cotton ball in the mouth of this patient. And. Wait it before and after the puncturing of either the real large intestine two or the placebo, and this was very significant higher amount of saliva where large intestine two was punctured.

So it’s one of these beautiful research which shows you how a point. Both has a physical effect and potentially some mechanism of action, how it is working. So the conclusion of the study was that acupuncture in large intestine, two was associated with neuroma activation in the brain, but also was correlated to more saliva production.

I love this research because a lot of time, even as an acupuncturist, we would laugh to see this correlation between the city. What we know and the real finding, and that’s the beauty of research that you can actually look at it finding. Cause what it means. It has a lot of other ramifications than just supporting people with.

And dryness in the mouth due to radiation. It also means that this point is effective to many other conditions of dryness in the mouth. For instance, your grin, which is an auto immune disease, which the mucous membranes that had drying up any other dryness of the mouth which is stemming from different disease or even from in the efficient.

That we see, like for women, with menopausal people who get up at night and have to drink water. So we can use this point in additionally, maybe to kidney six and other points that they discussed to help with this dryness. And why is it working? And that’s, to me, the beauty, and as I say, I teach a lot. I am cology acupuncture.

You’re all welcome. If you’re interested in this field to do join us teaching and. It’s one of the things that we see this strong effect of acupuncture on different side effects in cancer patients. And we can understand why when we look both into research and we look into the Chinese understanding of the point.

So a lot of interesting people, too. And always been a water point and the large intestine Meridian goes to the mouth, as we know, and it’s a young Ming Meridian, and it was indicated for dryness in the mouth, but also for two sakes and for throat pain 2000 years ago. Now we can see the evidence, how it works and we can utilize it also with more confidence, looking at the risks.

But also understanding more how occupant you can help for patients with cancer. I’m on this beautiful project. When we draw the points with my two colleagues about the human needs, key from Poland, Dr. Babish Kaminski and Annie yell from Israel. And this is just an example of the drawing of the large intestine in Meridian and large intestine two.

And this is just to add to the beauty and understanding of the water production. Eh, around this point, another optional points actually see between 83 and another point, which helps in producing saliva and generally enrich the body fluids in the body. So as we know, large, interesting too, is both a water point is in spring point.

So it has a lot of different Chinese, eh, indication. So both reduce here. Young meaning points like large intestine in stomach of both helping to reduce it, helping to replenish fluids and in a deep way, even to strengthen the kidney and through the internal docs of the same chow. So despite, as you can see as a very large options in helping patients with dryness, But specifically also to treat radiation other points because we are on the treatments of radiation, which are very good for the neck and the patients who have neck and throat cancers is also maybe Lang 11, the Firebird.

And you can use lung five or alleged. This 18 is a local point again, to gain back this Floyd and reduce the heat and the toxic heat, even bleeding a point like large intestine 11, if there is a very stubborn and acute throat pain and a pain in the throat after a day. This was a little bit about acupuncture and the use of acupuncture and the, also the proof for acupuncture points and why acupuncture works so well for ideation, I did also more than 15 years of research into one formula.

And one of the things that we tried this formula, and when we combine it with radiation there is always a few. That herbal medicine, especially willingly they’re fear with radiation. And what we know from this formula, it’s called LCS. One, one is that it’s not that it’s not interfering, but it’s actually working through the same mechanism of actually producing more free radicals.

And also we have proven how it’s kills cancer cells. And does it affect. When we tried it with radiation, and this is a publication that we publish this in one of the very reputable journal. With my colleagues here. And my last colleagues is professor Berger, who is the head of the oncology services in the hospital that just to work Sheba hospital.

So it’s a very interesting publications, which is showing actually the twin. We take this formula here. We showed it the different cancers here. It’s for example, breast cancer in prostate cancer. Because if you actually have a look, you can see the blue line is just radiation alone. And on the side you see the amount of cancer and that is killed.

So the lower you go is the hundred percent of cancers are killed. So this is the, just the radiation. It’s. That the amount that we are using here is killing around 50% of the cancer cells. When we are adding the formula in small dose, it kills much better when we are adding it in higher doses, it much better, but even five.

So this isn’t for example, for breast cancer cells, and this is for prostate cancer cells. So what we see actually in this experiment that we published it, the formula is not just helping him killing cancer cells, but it’s actually even having a synergic effect. Definitely not interrupting. And there’s the whole debate of using herbal medicine together with radiation.

Definitely anything which reduce the amount of free radicals you shouldn’t use with radiation vitamin E for example, vitamin a. But actually it was this herbal formula. This we’ve been researching, we’ve shown not just that it’s not interfering, but it’s actually potentially adding to the radiation effect.

And that’s what we see because it’s similar. We know that the mechanism of action, so we can explain even why. So I’m advocating for people who are using radiation also to use this formula. So we have that. We have acupuncture, we have herbal medicine. All helping patients, oncology patients. So in this presentation, I talked about acupuncture stressing about the, also the mechanism of flagging this thing, do it, how it helps in radiation and other points.

You have quite a nice selection of points that you can use for patients in radiation and the herbal medicine LCS 1 0 1 or protective veil. Is it called? So you have already, I think even from this way, Some key component in ideas of how to help patients with the radiation, especially for the, they can throat.

But generally, if you’re interested in courses, you can look at it the same academy, there is much more information and quite a lot of free information about it. So I hope you enjoy this presentation and I’m wishing you all the best of. And from Shane to Shen thank you. On Friday, we’ll be Tsao-Lin Moy presenting on this channel.

So you will come to watch it. So keep healthy and safe and all the very best buy for me.