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Super Foods – Helping Patients Get Better Results with Small Changes

And today I’m gonna be talking about super foods and this is how you can get better results for your patients.

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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.

Okay.

Hi and welcome. My name is Tsao-Lin Moy and I am a licensed acupuncturist and herbalist with a brick and mortar practice in Union Square in New York City. I would like to thank the Acupuncture Council for creating this opportunity to livestream information to you. And today I’m gonna be talking about super foods and this is how you can get better results for your patients.

By informing them about making these small changes and you’re gonna have, to their diet and some of their lifestyle. So we are going to go to the slides. . Okay, so super foods, and this is about getting better results for your patients and really it’s about being smarter about eating and doing it.

So they’re going to get these results. Now, every year people gain between seven to 10 pounds of weight between Thanksgiving and Christmas, and that’s a lot because what happens is in the new year, We have everyone that makes resolutions that they wanna lose weight, they wanna get healthier. But after about six weeks, maybe two months, most people give up because it’s too difficult.

So if they’re not seeing the fast results, if they’re not getting encouragement, , they’re gonna stop. So here is an opportunity to give your patients these tools. Now, the US is one of the most unhealthy countries in the world with an almost the highest in healthcare cost. And as we know as practitioners that for the most part, many of our services are not covered on insurance, and patients have to pay out of pocket.

And it looks like the cost value is like, 4 trillion right, is spent on healthcare, but the quality of people’s lives is not getting better, and in fact, it gets worse. Oftentimes the solution from allopathic medicine is to end up being on multiple medications. And one of the. Main causes of death in the US is heart disease with a lot of the comorbidities of high cholesterol, high blood pressure, diabetes, obesity, right?

And looking at the simple things that I’m gonna cover, that it’s gonna support your patients and yourself, they’re gonna be really easy to incorporate and help to cultivate a healthier lifestyle. . So the topics the topic is food is medicine, and I’m, we’re looking at super foods. I’m gonna talk a little bit about mushrooms.

Mushrooms have a lot of magical properties, including magic mushrooms, which I won’t talk about. Magic mushrooms just at the magic that they can produce with health. I’m gonna do an example. Different greens. I’m gonna cover also a little bit about sugar and just dairy. So this is going to be an overview.

It’s gonna stimulate you guys to do more research on your own and maybe take a look at, where you can make improvements so that the food that you have and that you’re consuming is gonna be the highest quality and nutrient dense. . So mushrooms. Mushrooms and their medicinal magic. Okay, so in this picture we’re looking at there’s Lions Main, there’s Cortis, there’s Turkey Tail, there’s Rei Chaga Maya Taki, and Shiitake mushrooms.

Mushrooms are actually from the Fungi Kingdom. Genetically we are closer to fungi than we are to other plants and so I’m not gonna go over the whole Fungi Kingdom. My suggestion is, if you haven’t already watched it, is to go and watch the movie. Fantastic fungi. There’s gonna be so much information about how mushrooms and mycelium interconnect us throughout the world and how much that we and the environment really relies on mushrooms.

There’s something called micro remediation. And this is where the mushrooms are able to clean out toxic waste. Really helping to be help our environment, right? And for us does the same thing. Mushrooms are extremely helpful and medicinal for with their properties. So most mushrooms, they have many healing properties.

One, we know they boost the immune system. They lower cholesterol, regulate blood sugar, improve memory have cancer fighting properties they contain. Proteins, minerals and are packed with antioxidants. Now the seven strains, which are highly beneficial, are often found in a mushroom powder supplement.

And I put together, I just said STAT seven. Paul Stat is a very well known mycologist and he has a company and. He has different packaging is where will contain the Cortis, the Turkey tail, REI, makihiki, and Lions Main. Now, Cortis is also known as Caterpillar fungus, right? And it’s good for energy, for memory.

The Turkey tale research is done used for. Cancer. Also REI we know is the Lingerer in Chinese medicine, which is also used for immune and also helping with cancer. Myat. Taki this mushroom is good for blood pressure, cholesterol also blood sugar. And again, the same with shiitake mushrooms, also very healthy.

You can cook with them. Lions. is one that’s known for memory and they look at neuro regenerative properties. So maybe looking towards how it can help with motor neuron regeneration brain with like dementia Parkinson’s many issues that we’re having right now with brain fog, right post or during with from viruses and pandemics.

And then we have chaga, I put a little asterisks with Chaga because you. All of these have healing properties, but there’s also a tendency for let’s say western people to think more is better. And the one thing with the Chaga, you have to be careful because in super large quantities it can cause problems with the kidneys.

So we’re always looking at moderation and. Best way is if you can cook with the mushrooms. So most mushrooms, they’re gonna work through the middle j the spleen, the stomach, the liver. They’re also good for the lung and the heart channel. They’re good for gut health and help to regulate blood sugar and cholesterol.

And in turn, heart. With mushrooms, you really have to break them down, like cook ’em because they contain something called chitin, which is protein. They’re also very high in fiber. So we don’t really want to eat raw mushrooms. I think the little button mushrooms are okay to eat raw in a salad, but for the most part, you really need to cook.

So here what I’ve highlighted is Mya Taki mushroom. So I’m just gonna go through the Maya Taki mushroom, also known as Hen of the Woods. Now, this mushroom is known to reduce cholesterol. , it helps to clean out the blood. It’s anti-cancer, anti-inflammatory, and also helps with type two related diseases, other kinds of problems that show up from type two diabetes.

And I put on the bottom of this the different references for the research that’s done. I actually have a friend who. He had done some research, he had diabetes, he had high cholesterol, hypertension, like all of those three that we see so prominently in here in the west because of our diet.

And he had read about the benefits of the myat Tai mushroom and decided he was going to just intake more my Taki mushroom. And he. He made. So about one third of his diet was coming from mushrooms and ended up losing like 60 pounds and then got off, was able to get off the cholesterol, the high blood pressure medication, and also reverse his diabetes, right?

So this is really huge. This is a huge thing. So if we can avoid or minimize the amount of medication, That we’re taking this is gonna be a good thing, right? Because as we know, medication actually can cause inflammation in the liver and also cause problem with the kidneys. So oftentimes the medicines that we take and the pharmaceuticals, they have a lot of side effects, right?

And so if we can, whatever we can do on our own that’s simple would be maybe start eating some mayak mushrooms. So are there certain foods that are better to eat along with mushrooms for enhanced nutrition? Absolutely. Onions, garlic, shallots, leaks, chives. They’re excellent accompaniments for cooking with mushrooms.

So in Chinese medicine, onions and garlic are used in soups, right? We know like a miso soup cuz they open up the sinuses and the lungs. They also belong to the album genus, and those properties are also filled with vitamins, minerals, plant compounds, and antioxidants. Great for supporting immune fun immune function.

right? And reducing. They also reduce cholesterol and blood sugar. And also garlic and onions are great for flavoring. So if just in case the theme is , reducing your cholesterol, your blood sugar blood pressure and improving The your gut health. So all of these things that if we can do this, will be just, even one food that you can add in to your diet, make some changes.

It’s gonna make a really big impact and. From what I notice is that you have to give your patients really simple things that they can do. If they’re given a really complicated eat this in the morning, this in the afternoon, you have to something, then they’re gonna give up. So really like an easy thing is, have them start eating mushrooms, right?

Just say, start eating mushrooms, not with butter. But really give them a couple of easy recipes. You can roast mushrooms, right? With just a little bit of olive oil and salt in the oven. And they’re very TAs. So one of the problems in the US is sugar. So this is a, the US is the biggest consumer of sugar on the globe, and according to sources, the country’s per capita, sugar consumption is about.

30 teaspoons a day, right? And that translates into more than 10 times what the lowest recommended in intake is, which is about three teaspoons. And this translates into as it converts from grams to pounds to ounces, about over a hundred pounds of sugar per year, per person, right? Of course some people eat less.

But if you start looking at how much sugar is in like drinks and different kinds of foods that we really don’t realize, like how much that we’re consuming, right? So why do we need to cut sugar out of our diet? In the US we’ve got a lot of diabetes, 10% at least, of the adult population, which is about 34 million, has diabetes.

And then we’ve got. 34, almost 35% have pre-diabetes. So we’re already we’re trending, right? This is trending sh insulin resistance and sugar. Problems regulating sugar affect the endocrine system. We see this with a lot of problems with fertility. , a lot of women or a lot of people overall, obesity is a big problem in the us.

So we start to see problems with metabolism. The standard American diet known as the SAD diet, is really high in like animal products. A lot of animal fats dairy meat processed. Sugars and a lot of sugars and so we start to see like we need to make changes, but then all, so it’s not just stopping eating those foods or curbing it is really, we need something to help to clear out the system.

Sugar plays a role as a stimulant and it increases inflammation, right? And it can actually cause problems with yeast. It will cause problems with imbalances in mood and reproductive hormones. With a fertility. Polycystic ovary syndrome is a really big problem and we see more and more women are being diagnosed with it and often they have insulin resistance and this is what interrupts their endocrine system and reproductive hormones.

So we really wanna look also can we make substitutions? So there are a few things you can do, of course, like cutting out sugar as much as possible is really you. Is gonna be the best thing that we can do to go on like a sugar fast. But oftentimes people are looking for a substitution.

So if we compare sugar to maple syrup, I know that there are a lot of recipes that say, oh, use maple syrup. So maple syrup. Comparably in calories and carbs. It has a lower glycemic index than sugar. And it also tends to be a little bit sweeter. So this is something that maybe you’d end up using less of if you use that as a substitution.

But I also looked at a comparison of something like how’s molasses, what is molasses in terms of compared to. Maple syrup, because sugar has empty calories, sugar it’s processed. It doesn’t really offer anything other than the sugars. So when we look at maple syrup, because it comes from a tree, it’s going to have other.

Properties from the tree plants like antioxidants but then looking at what does molasses contain because molasses is also sweet. It has a sweet it’s also very bitter. But it can be used as a sweetener and things like, Coffee if you want to, or even hot chocolate. Black strap molasses is like really high in iron.

So if you have people that tend towards anemia, this would be like maybe a spoonful of the black strap molasses. And looking at in this slide how it contain, Calcium, right? Iron very high in iron, molasses, magnesium, phosphorus, potassium, copper, b3, B five, b6. If you’re going to have a little bit of a sweetener itch, this could be like to really kinda look at, am I gonna have some healthy things that are gonna come with it.

So not just the sweet. And again we’re looking at maple syrup also has. , right? So if you, if we’re gonna choose something to suite, we’re gonna look at not just the fact that it’s gonna be low on the glycemic index, but really what else can it offer? . Now getting to greens. So all greens are full of antioxidants, right?

But they’re not all equal. And I actually came I was in actually a Asian. Food market. And I happened to pass by this, sea of green and I saw these little flowers and I, wow, these are really beautiful flowers. And it happened to be like the flowers from the Chinese broccoli tips.

And so I bought them and I was like, oh, it’s really interesting. I don’t always see the flowers. And they made me really curious about what are the benefits of Chinese broccoli. And what I found out is, Chinese broccoli is one of the most, most nutritious vegetables, and one of the highest calcium content has the highest calcium content of any food.

Rich in iron, vitamin A, c, and E high amounts of beta keratin, and that helps with. Eyes for as we age we get macular degeneration. And it’s also a rich source of fiber. Now, regular broccoli is also high in many nutrients, including fiber, vitamin C, vitamin K, iron and potassium.

However, having bone health, we really wanna look at if we eat a little bit of the Chinese broccoli, That, comparing it to another green, that this may be a much healthier choice. Easy to do one green, just change it right. . Another also I looked at was the celery. What is celery?

Celery contains a lot of plant compound. A plant compound a, which is a role in traditional Chinese medicine is anti-inflammatory, right? We know that. Celery is very cooling. It’s a diuretic, right? Helps remove the toxins from the body. Studies actually show it has its antioxidant and has anti-aging properties.

Actually looking at it, it also has some neuro stem cell regeneration properties too in, in some of the research papers. The aspect you can drink celery juice, right? In Chinese medicine, drinking raw green juices is not so great cuz maybe too cold. The, in terms of nutrition it’s high in vitamin K and also modest source of B, the B vitamins.

You can chop it up and saute it. Just add it into maybe some other dishes that you have really think about just adding some more of the celery and in particular the Chinese celery is a little bit stronger in terms of flavor, so you can experiment with that. . Okay, so here we are with dairy.

The American diet has a lot of dairy and cheese, right? a lot of milk, a lot of milk products. And the thing is at least 68% of the world’s population has difficulty. Digesting dairy and milk. And so what happens is it is like a point of inflammation, even if we don’t, even if it’s not acute, right?

Oftentimes people feel like, oh I can drink milk. I don’t get a stomach ache. I’m fine. , if you have an intolerance, the symptoms actually will show up later on, right? Not everyone can tolerate dairy in their diet, and in fact Being intolerant to dairy is one of the most common food sensitivities among both children and adults.

And for the most part, we consume dairy when, with in our drinks ice cream, right? Lot of desserts, creamy, creamy foods. And so an intolerance of a food usually is gonna involve a delay, a delayed biological. So a lot of patients have i b s, they get abdominal pain, gas and bloating.

Of course you can, we recommend having foods that are are fermented or eating a probiotic to help with digest with digestion. But if somebody’s still eating dairy and it’s causing irritation they may think that it has nothing to do with it because it may not be acute. , but these symptoms, because there is a delayed biological reaction.

The important thing is like maybe to cut it out of the diet we see a lot of skin problems, eczema, psoriasis, right? Rashes, just itchy skin. We can blame it on the dry weather or we can blame it on something. . But if the patient is eating milk products, that more than likely that is contributing to the skin irritation.

We also see a lot of headaches and migraines. . And that can also be attributed to sensitivity to gluten. However dairy is really sneaky, right? Because we can put it in our coffee or tea or some in some other way. And we don’t really think of it as like the problem because it could be, we had it a couple days ago.

Dairy intolerance can cause a lot of weight gain swelling, a lot of inflammation. Also things like anxiety. , right? Any kind of food intolerance creates inflammation and then can actually affect our chemistry, fatigue, joint pain, even difficulty breathing, right? Because the inflammation is going to irritate also the lungs.

All right. I’d be very interested this is the end of the slide. If have any comments or questions what are you doing with your patients if there is something that you want to learn more about. I have started to do a lot more research into all the food that I eat.

Certain things when you’re making choices to really make those switches. And so the more you, the more you research the smarter you are and you can share with your patients. So I would like to again thank the American Acupuncture Council for the live stream. And I hope to see you in the future.

And I’m not sure who the next person is gonna be on for our presentations, but I hope everyone is gonna have a really happy holiday and a very healthy 2023.

Yamamoto New Scalp Acupuncture with David Bomzon

Our show for today is because I became very interested in Yamato’s new Scalp Acupuncture, and I heard great things about it.

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Welcome to this week’s American Acupuncture Facebook Live podcast show. I’m your host, Poney Chiang of neuro-meridian.net. I’m joining you today from Toronto, Canada, and today my guest is David Bomzon. And David is a Chinese therapist and lecturer who specialized in acupuncture in neurological rehabilitation, and is considered to be the leading authority on rehabilitation acupuncture in.

David graduated from the East West College of Classical Chinese based in Tel Aviv, Israel in 2006, and is a former student of Dr. Toshi Kasu Yamamoto, the discoverer of Yamamoto new scalp acupuncture. David. Together with Avi Amir, established the NEMA Center in 2007, which is the largest community clinic in Israel for integrated Chinese medicine, which combines classic Chinese medicine.

Yamamoto New Scalp Acupuncture with Western Medicine. He also established a unique support center at the NEMA Center, which provides continued professional enrichment as well as professional guidance to new graduates and experienced practitioners in the field of complimentary medicine. David is a lead acupuncture in the rehabilitation department in the Benig Zion Medical Center in Haifa.

And David is involved in clinical. Which is investigating the benefit of Y essay in neurological rehabilitation in 2020. Together with Avi David published the book entitled Clinical Handbook of Yamamotos New Scalp Acupuncture. Throughout his career as a therapist, lectures and mentor Deborah has published, has pushed for the integral combination of acupuncture, Chinese medicine, and scalp acupuncture.

And the reason why I’ve invited, To our show for today is because I became very interested in Yamato’s new Scalp Acupuncture, and I heard great things about it. So David, welcome. Thank you for sharing your time with us today and and how are you doing in are you in high far right now?

No. Hello Pony. Thank you for inviting me. I’m I live, I’m not far from my home. I live in the Galilee. I’m 45 minutes commute from. . Okay, great. Can you tell us about Dr. Yamamoto how did he research and discover this form of acupuncture? Dr. Yamamoto is an amazing amazing European amazing person.

I learned a lot from him. He actually started at he special. He didn’t come from the field of acupuncture, and he started actually on the field of anesthesia Anology. He studied anology. He finished in Japan. But in his travels, he traveled to the United States, and then he was in Germany for a couple of years.

Years. But then he, after a few years abroad, he came back to his hometown nana, where he opened the practice and clinic for. Pain management and basically with one of the patients there, he found himself stumbling onto the world of acupuncture. Due to, he says it was an accident, the kind of an accident that he had of a patient that when his patient had a lower back pain with disc and when he looked for an sensitive area to inject the neuro block, he was injecting Lido.

He gave her injection, but he only injected the cell line to the patient. And the next day when the patient came back, he was pretty sure he would be sued for medical malpractice. Cause he only realized in the evening of that day that he never injected any medicine Okay. And act. And actually she came to thank him and say that the pain was gone and she feels amazing.

And that was his first kind of encounter with Acupunc. and then he started studying for himself acupuncture. He was very much influenced by the idea of microsystems. He learned nasal acupuncture or Rico acupuncture, suzu, which is the hand the Korean acupuncture of the hand. And when in 1970, he, when they first published about the GI style scalp acupuncture came out, he went and he studi.

And he started using it in his clinic. He said it took him a while to really specialize and get the results he was looking for with the GL style. And then he basically, if we familiar with the G style, you have the motor and the sensory lines of the area of the ELOs area. And when a patient came to this clinic that was suffering actually from a shoulder pain, like a frozen shoulder.

And actually he had his head when he was looking for the points, he had his hand roundabout here on the patient. And this area is very tender for that patient. And when he pressed down on it, sudden the patient felt some release of in his shoulder and there was more mobility in the shoulder with yours.

That’ll become yamamotos, first point he ever discovered. And then Yamamoto is very curious. Very imaginative and always looking for the, because of the influence by this mirror reflection and the microsystems, he started searching for more points on the area of the scalp for treating different areas in different parts of the body.

And he actually started connecting the dots between the Chinese scalp, acupuncture or even D 24, which is a point that affects the mind. Okay, so D 24, we know it affects the mind. And he said, okay, if I have the mind here and the head, then slowly, if I go down, On my hairline, I’m gonna discover more and more points.

And then he goes to the area of the shoulder, which was the area of C, and slowly discovered 5, 7, 8 points. From that, the whole system developed to about today there’s comprises of about 60 points, I think, which is divided into different somatotypes and microsystems in a large microsystem system.

So that’s how we discover. Okay. You might, you mentioned Somato. Is that one of the underlying principles of wine essay or is it possible to generalize? You mentioned Microsystem any my understanding is that they, there’s actually several microsystems in this system there, several Somato Topes.

Can you comment about just introduce the US to sort the jet the broad strokes of the system. So we have, it’s, Yamamoto always mentions that his system is more of a microsystem. Which is divided into little groups of somato tops, which the first group is like the basic points, which is very as you can see, points that affect the body, like the physical structure of how western medicine sees the human body.

The next group is like brain points, so you can affect, the idea is to affect the brain in some. Some manner, but those brain points do not like that. You don’t match the neuroanatomy of the areas of the bone or the anatomy of the brain. Okay? So that’s the second group. And then you have what’s called the ipson points, which is another group of points, which actually is here is the connection to the organs and the channels.

And then you have cranial nerve points, which is actually a mixture of the Ipsy lung points with the brain points from my. All these just little microsystems that developed with the yours that not necessarily, some of them are on the scalp. He has like a microsystem on the, around the Mals area of the foot, but on the cervical of, sorry, on the spinal cord.

He also has a Soto top, the chest area. But the idea is always looking for different areas to affect different parts of the body. And you really see it in his practice that he’s always trying, Be very open minded and if something doesn’t work, he’s always gonna look for something else. And this is why.

Kept on discovering more and more points. . Okay. What type of patient would you say best benefit from Y nsa? First of all, I forgot to mention that Yamamoto style acupuncture is based on palpation based acupuncture. You have also spread out throughout the body diagnostic areas that tell you which group of points, which points to needle and which areas to needle.

Forgot to mention that. But the patients that benefit from Yamamoto scalp acupuncture, also from clinical research at the Doctor Yamamotos done, and also from research that I’ve been doing in my practice. Mainly, first of all, pain patient. It’s very good instrument for managing pain management. So it’s fantastic for that.

And this is what it was developed for. But also I found, and also Dr. Alo for different types of neurological disorders. It could be stroke, Parkinson’s, like I work also in a Parkinson clinic in the rehabilitation center. We found it very useful. It’s a special point for Parkinson. There’s also multiple sclerosis, any orthopedic car accident or nerve damage to the spinal cord.

So it’s very diverse in treating neurological problems and pain. And in rehabilitation, the advantage is that once you needle little scalp, you can do, the patient is mobile to do his activity or his practice. So actually you’re getting like one plus one is worth two, is two and a half, three.

So that’s the advantages of it. So let me just backtrack a little bit. So it seems like one of the things that’s different is that it’s very how patient informed. And and I’m I’m very pleasantly surprised to hear that Dr. Ya Moto has anesthesiology background and has studied gel style of Chinese scale acupuncture.

I have found that in my encounter with western medical practitioners that have interest in a acupuncture, a lot of times they come from I’m more likely to see anesthesiologists and neurologists. Being more open-minded towards acupuncture because they work the nervous system. They understand pain from a neurological perspective.

And so I’m pleasantly, happy to hear Dr. Yamamoto brings the neurological understanding and perhaps that’s why the system works so well for neurological conditions now. Is it possible for us to give you, give us a little bit more understanding as to. The young public acupuncture might is different than gel style or any other form of c acupuncture that that you’ve encountered?

I know there’s not, there’s probably some similarities. Just for the interest of the listeners who may be interested in learning to teach Yamamoto style, maybe they already learned J style and jazz style. Why should I yet learn another? If you can comment on that.

I’m also familiar with the juice style and GI style. I also use it in the hospital. But I found that one of, one of the things that first of all he always mentions that his system is more of a microsystem. And it’s less like based on the he or the anatomy of certain areas of the brain. If you go words like GI style, if you look, if you go deeper research into GI style even you, I think I watched the video of yours pony that you spoke about, let’s say the core line which has with the pre motor area of the brain.

Yeah. So it’s actually based on the neuro anatomy in general. The. J takes it also to the understanding of a Chinese diagnosis, which is important. And Yamato, if you look at the areas of the points there, like not much of the points in the zones match the neuroanatomy of the brain. , or if maybe if we dig research and found more discoveries about the brain, we’ll see that there is some type of batching of that idea.

So that’s the first difference. The second. The second difference is, so also the needle inside is not usually contralateral or lateral. Usually it’s the side that is chosen is according to the diagnostic zones that are, or in the abdomen or in the neck or in the elbow area. That tells you which side, which points need to be needle.

So that’s also a big difference between the Yamamoto and the Chinese scalp acupuncture method. And also the needle in technique is very different if in the scalp acupuncture, you have to have a thread in motion and then you gotta basically manipulate the needles could be dwelling or even pumping.

Yamamotos style is more acupuncture points. So actually you just, you need all the points perpendicular. , it’s not necessary to stimulate the points. And I once asked the Yamamoto, you need to needle the point, the stimulate the points. No, it’s not necessary to manipulate the points. Cause any movement of the mimics is actually moving the fascia below that the needle in that is actually causing the stimulation that you need.

So that’s one of the, another great big difference between it. So you could say, in some cases for us, whoever starts out, it’s more friendly for the patient until you become very specialized with the Chinese. So that’s very useful for us to know. A lot of the scalp acupuncture systems in particular the Chinese ones require you to have your own TCM or Western biomedical diagnosis.

Sounds like Yamamoto style has its own system of diagnosis. And and I actually. To, like hearing that the kneeling does not require a lot of stimulation and a lot of threading because that generally is a bit more uncomfortable. And if you work with children, let’s say if you work with cerebral policy or autistic children you wanna do it fast.

And just, put the needles in so that there’s less fuss and better cooperation with children. So I can see how the YAMA model style might actually be more practical in, in, depending on the type of patient demographic that you’re working with. Would you be able to give us a a clinical story or something that, you was maybe memorable in your experience applying Yamamoto maybe early on when you started doing this for the first time or in your rehabilitative work right now?

Something that like, really even for me, I practice a long time, but I still get like amazed and find acupuncture miraculous every day. Inspires me, please share with us something of that nature with Yama style that you felt you really changed some patients lives. So the story goes back I’ve been practicing acupuncture from 2007, so three years in Yamamoto from 2009.

And when I started out in my early time years of Yaba motto, I was actually called to come to a house, call on a patient who had a stroke. We’d speaking about five years after the stroke, and he had aphasia, motor aphasia. , and he’s around 80 at that time. And actually what they wanted me to try and treat, they heard that scalp acupuncture is very useful for aphasia and if I could come and try and help him.

So I decided I went to help him. Now, one of the things that the patient. He also had some paralysis of his shoulder, of his upper extremity of, I think it was the, if I remember correct, it was the right side. So if he was standing, his hand was like down here. He could’ve moved more than this of his hand.

So I came to I came to do the treatment and I’d done my diagnosis, I needle. Actually three points. One was like what’s correlated with the cerebrum and the cerebellum points according to, because of the diagnosis. And another point the area of actually the cervical spine. Cause you have the diagnosis.

And I think immediately after about the three needles, I said, okay, let’s see if you can speak. A lot of times the speech takes a long time to impair or improve. So I wasn’t basing myself on the speech. Just move your hand a bit. And he took his hand right up to his mouth and he just bursted out crying, right?

And this was, and I was like trying to keep my cool and say, oh, it works. But I was totally amazed. Like I was blown away, said Wow. And and that was a story with this patient that we just con and. Speaking five years after a stroke that he’s never moved, his hand moved more than maybe two, two to three inches.

Right? And now takes it up to his hand so he could even now attach a prop for him to eat now. , he saw as a mace, like that result. Wonderful. I’ve always like to ask them, my guests to share a couple of clinical pearls or techniques. I know it’s a very complex in depth system, but just to get, our viewers interested, inspired to maybe take up proper training in Yama style someday.

Some give us a couple of tricks that we can apply maybe. This AF today or tomorrow so that we can see and appreciate and admire the power of Yamamoto staff acupuncture. Okay, great. I’ll be thrilled to do so what some of the points, if you don’t wanna use diagnosis, you can use very much symptomatically and they amazing points and they have an amazing result.

The first point is actually what’s called the D point. Is located on the interior hairline. Okay. If you can show me the image. Okay. The first image, Alan sorry. One minute. Something’s knocking loud at the door. I wanna stop them a second. Sorry about this. And he’s saying it’s

And ready. Sorry about this. We’re meant to finish. My son’s calling me. So if you can see the D point here in black, it’s on anterior hairline. It’s very, and it’s about a centimeter above the zygomatic bone, okay? And it’s very powerful point for treating lower back pain or any problem of the lower extremities as well.

So it’s a very good and useful point that you can use in your clinic already. So this is how it easy, you can see the bone structure there. If we go to the next image, Allen you can see this is how it is with the ha of the hairline. So you can see it’s right on the hairline, it’s on the interior hairline and about a centimeter above the zygomatic bone.

And what you wanna do here is look for a very sensitive point and then needle that sensitive point. Okay? So that’s how much, how deep insert. Not not more than not more than a soon. So you’re looking between half a soon about insertion. Okay. Okay. But you can even help, you can even palpate it and push pressure on it and ask the patient to move around.

And if it’s better or the back, you just needle that point. It’s another way you can locate it. So that’s first point. And no simulation, just, and do you retain for, is it in and out or do you retain for some time? 30 minutes minimum. Okay. You can leave it fall per longer. The next point is actually what’s the a point, which is right here just on the line of the bladder channel, bladder three around bladder three area.

If you can see the image here in blue. Which on the line of the bladder three area, which is, let’s say the hairline, that’s gonna be the area of cervical. Cervical three. Four. And if you go about one centimeter up, you’re actually going up towards the head. So the superior part is about the head. And as you go down with that line, you’re going down from cervical one down to cervical eight, which is about a centimeter out of the hair.

And also you look for the most sensitive point on that line and you needle it. And if you need a couple of points, you can needle a couple of points, and that’s very useful for any cervical pain. Okay. Do you how they bilaterally? Just see which side is the most tender. Because we are not using the diagnosis here and we basically using it according to the symptoms, so you need a lot on the side that you have symptom.

For example, if it’s on the left side, you’re gonna need all these points on the left or on the right side. The same with the D point. Okay? And so they’re very useful and I hope you have great success for them and found yourself in charge and enchanted by this wonderful method and this wonderful human being.

Yeah, it sounds like it’s very practical and very easy to apply. And then so I’m gonna look forward to to trying out today. Unfortunately that’s all the time we have. Can you tell us some information about where we can find out more information about you? Do you have a website or social media?

So this is my website ww doma ac.com. So you can found a lot of information there. Also on healthy seminars, I have a online course, so you can go there. You can follow me on Facebook, YouTube, just print my name. And if you take my, I have a a Facebook page, which is actually just the pnima-ac ac and that you’ll get to my Facebook page as.

Excellent. Thank you so much for generously sharing your time with us and being so kind with your, sharing your knowledge and and I look forward to studying Yamamoto style with you in the near future. Hope so soon. So an honor to meet you in person pony, online person, . Yeah. Finally, after so many years, I’ve been following.

The the admiration is mutual. Thank you very much. Okay. Enjoy and what connects soon. Yeah. Thank you. Have a good evening.

MENOPAUSE – The Treatment of Hot Flashes in Women

And today I’ll talk on a very unique topic of menopause, on hot flashes, but in a very, I can say, different way, or I would like to highlight different points of how we treat and the potential of treatment of acupuncture.

Click here to download the transcript.

Hello everybody. I’m Dr. Yair Maimon, and I would like, first of all to thank the American Acupuncture Council for putting up this presentation. And today I’ll talk on a very unique topic on of menopause, on hot flashes, but in a very, I can say, different way, or I would like to highlight different points of how we treat and the potential of treatment of acupuncture.

For menopause and especially for hot blood, hot flashes. So let’s put up the slides first. Menopause. It’s to do with transformation. Al always, it’s a time of changes for women. It’s a transformation. And when we talk in Chinese medicine of transformation, it’s always something to do within any yang.

It’s always rooted in this constant transformation of matter into energy and energy into matter. Or we’ll talk about transformation of. And let’s look a little bit about the uniqueness of the way in Chinese medicine, the uru, the womb is understood. If you look at chapter 47 and chapter 33 the simple questions, you’ll see that the UREs is connected on one side with the bowel Ma, with UREs vessel to the heart, and on the other side with the bowel duress channel to the kidneys.

So immediately the UREs is between two very specific organs, the heart and the kidneys. And as the heart and the kidneys will present the water and. Or again, if we go deeper, we can say Matter and energy. And the UREs is a place of creation and of birth between fire and water, or between earth and heaven.

And fire and heart are connected to the she to the spirit, and the kidneys are connected to the jing and the meaning of these two phenomenas, the meeting of Ian Yang are creating. New life, a new possibility of life. So Duru in this way is perceived in a very deep way of connecting heaven, an earth of connecting the heart and the kidneys, and It’s very much related to the earth in Chinese medicine, but also to this two organs which are heart and kidney.

And it means also when we are utilizing acupuncture points, and especially later when we look at some research on hot flashes. So there’ll be some points related to the heart. Like heart seven, the low point of the heart, peric heart seven. And if you look at the kidneys blood at 23, that tonifies the kidney, Kidney three, which is the again, the source points, the un point of the kidney.

So we see all this un points of the. Perricone heart and kidneys and splint six, which is more related to the earth where all the in channels are crossing, and again, has a very closed link to the lower jaw and to dure. So this actually took this points. It’s very common pins, but they’re also been used in research, which I would like later to present, but.

This is another way to show the logic of Chinese medicine, of connecting the fire and the water, the heart and the kidney, and enhancing the, and reducing also side effects of menopausal changes. So menopause, it’s always this movement of transformation of in and young. And we know the cycling woman of every seven years of the cycle in around 49 is the menopause time.

By the way, the premenopause starts much earlier. So many symptoms can be much earlier than the menopause itself. In this lecture, I’m not going to talk on the, about the natural kind of menopausal symptoms and occurrence of symptoms, but more on menopausal symptoms and especially hot flashes which are occurring due to anti hormonal medicine.

Anti hormonal medicine is given. To women who had cancer, and especially cancer, which is sensitive. There is receptors on the cancer cells themselves, which are sensitive to estrogen. And then the treatment is anti-estrogen treatment, especially in different cancers, either gynecological cancer in very common breast.

So endocrine therapy in western medicine applies this anti hormonal medicine, and because the tumors that are hormone related, the, if there is more presence of hormones in the body, there is more tumor growth. So this is the very common, as a saying, breast cancer and in several gynecological cancer.

There’s two major ways of an of endocrine treatment. One is to block the receptors on the cells themself to estrogen. The other one is to stop the production of estrogen. This is a very common treatments like tamoxifen. If you see on the cells, there’s the receptors for estrogen. And the tamoxifen mimic or has affinity in binds to the surface of the cell and therefore the estrogen cannot bind to it and therefore start the growth of especially mutated cancer cells.

So this is the kind of competition idea. It binds to the receptors in the cells, so the oxen and the other one is aromatase inhibitors. The estrogens in order to become estrogen, they’re going through different pathway of changes. One of them is the aromats and when DITs is inhibit, then there’s no production of estrogen.

There’s different ways to block the production of estrogen. This is the very common one with aromatase inhibitor. The bottom line is very similar, is producing in women who are taking anti hormonal medicine. Many side effects of menopause due to this medicines. There’s many common side effects for women who are receiving endocrine therapy.

I, I s. Put here the most common one, like fatigue, hot flashes is a big one. Mood swing, insomnia, sometimes even disturbance in concentration and depression. And there is a whole list of symptoms of menopausal symptoms, which are reduced by the endocrine therapy. This medicines are taken for long time, five years, sometimes for 10.

And many women stop almost 30% are stopping. Sometimes the treatment, even though it can be very useful for them because of the side effects, but acupuncture, Has been shown and there is evidence that it’s extremely effective treatment to reduce side effects, especially hot flashes and joint pain.

In this presentation, I want to talk a little bit about the evidence that we have for acupuncture, reducing the hot flashes, but also enhancing general better wellbeing in this woman. One of the early studies, but still I think one of the very Inspiring studies was head to head study. Women breast cancer women are taking anti hormonal medicine.

Were divided into group two groups. One was receiving acupuncture and the other one was receiving venlafaxine, which is like s nri. It’s really, it’s a light antidepressant drug, but it has also the it reduces also hot flashes, so it’s commonly used also for hot flash. And they measured the outcome.

They gave a certain 12 weeks of treatment. Then the treatment stops both the. Hormonal. They, I had avela vaccine, so both the medicine and the acupuncture was stopped after 12 weeks. After three months, the women didn’t receive any other treatment, and then they looked at the outcome even one year later.

And the acupuncture group did extremely well and the. Obviously you’ll see the Venlo vaccine. As you stop the, as the women stop the medicine the effect was quite immediately reduced and hot flashes were back. You’re welcome to read the full study. I’m just giving some highlights.

So as the results, you can see that both group exhibits significant decrease in hot flashes, depressive symptoms, and other quality of life symptoms. But in the acupuncture group it was the same for the acupuncture in the Vela vaccine. But by two weeks after stopping the treatments, the Vela vaccine group had significant increase in hot flashes where the hot flashes in the acupuncture group remained very low.

So this is very important because we are showing the effect of acupuncture. As a, something that enhances the ability of the body to, to bring itself back to balance. So we are really talking about the quality of the healing qualities of acupuncture which is lacking when you treat sometimes symptomatically, like in this.

And also in the Vela vaccine, it’s also very commonly known as Vix had many adverse effects. There was those in dry mouse dizziness and anxiety with acupuncture group. The opposite. There was no negative effect, but actually there was some additional benefit, even increasing sex drive in some women. And most of them reported improvement in their energy, clarity of thoughts and sense of wellbeing.

So the acupuncture group, No side effects is opposite. Had other benefits comparing to the group that took the vela vaccine? So in conclusion to this research, the acupuncture appears to be equivalent drug to therapy in this patients. But it is safe, effective, it’s a durable for vaso matter.

Vasomotor is this hotline, flashes and secondary for long term is also. Long term use of estrogen and anti hermon estrogen use. The points that they used in this research were quite interesting. So the main points you can see, and I mentioned them before, was bladder 23, kidney three in spleen six. So strengthening the kidney and in enhanced also the all the in channels and the spleen.

And this is the point that. All of the practitioner news, and then there were secondary points that can be a according to TM diagnosis. So the practitioners had some kind of freedom to choose which points are the most beneficial for the patient so they could do a diagnosis, Chinese medicine diagnosis and be more.

Exact on what’s going on with the patient. So if it was more heat and young, they couldn’t do 14 or do 20 with The 14 especially can reduce a lot of heat and especially if the heat goes up to the upper parts of the body. If those cheat deficiency like fatigue, stomach 36, ran six, lung nine, and if there was more disturbances at night Dreams, sleep disturbances goldbar 20 and leave it.

Or more agitation. By the way, many menopausal symptoms are to do with more blood stagnation agitation and if it was more to address the she than per card seven and heart seven. And this is the points we discussed before, and it was for 12 weeks. So four weeks, it was twice a week, and then another eight weeks, once a week treatment.

So the total treatment was for 16 weeks. And I would like to present another research, a larger research with 190 women and they received 10 acupuncture treatment session. And again, both of this research was published in the Journal of Clinical Oncology. It’s a very reputable journal. So it’s in science, it’s not just what you publish, but where you publish it.

So publishing in such a journal has a lot of or additional weight to it. And especially if if you want to present a acupuncture evidence to oncologists or to the medical team, it’s good to quote high reputable journals such as the Journal of Clinical. So this also had a 10 acupuncture session.

So this group was doing as you will see, the choice of diagnosis and points was a bit more diverse than the first research. And this. Quite a few research on that topic I’m just presenting to, and they also followed up for three months and six months post-treatment visits. In both cases, we see its, and this uniqueness that it’s not just the treatment itself, but also when the treatment stops, we can still.

Even half a year and a year later, the effects of treatment. Cause many patients usually ask me, how long, do I need to come for acupuncture? Is it like a life thing? So I say, no. If you’ll come for a series of treatments, then the benefit. Should last long to me actually for many years. Because if the acupuncture was accurate in the diagnosis was good, it has an effect, which is a long term effect.

So again, here, the conclusion that acupuncture is effective integrity intervention which the quality of life and hot flashes for these women they use the much more elaborated. And actually, that’s what I love about this research. A real TCM diagnosis and Chinese medicine is a medicine we don’t just use points per condition, but we are trying to do a deeper diagnosis, understand better.

And different women will have hot flashes depending also on their The condition they came with. So if they came with more in deficiency, there’ll be more the hot flashes on and the quality of life impairment, your de deficiency. So there was a set of points, and here they actually looked at the percentage of the diagnosis.

16% of the women was diagnosed with kidney deficiency. I just highlighted the kidney points like 6, 3, 7, and 10 that they could choose. But obviously also you see here heart six, which is very good for heart and kidney in deficiency if it’s kidney in and young deficiency. Or kidney, liver in deficiency with some young rising then again will be different points.

So there’ll be still the kidney six, Percu seven as a kind. Major points to balance the kidney and percu of fire and water. But we’ll see here additional points like liver three and gold bladder 20 and maybe combination of liver three and large intestine four will to move the stagnation and enhance better levy and liver.

Two to reduce heat from the liver. So you see the point combination here is a different, Oh, sorry. Has a different dynamic including lung seven and kidney six, which is the opening the remi, the channel in front of the body, which is responsible for all the in. And then if it’s kidney and heart disharmony particularly, then you will see this group of points.

There’ll be more kidney points from kidney six to kidney two. Kidney two is one of the interesting points that can take back the heat into the kidneys and enhance the kidneys. So it’s not just reduces heat, but also enhances the kidney young. And additional point we’ll see per card six, hard six, the hard six that we discuss for the in of the heart.

And Percu six with each additional ability also to be the main point of the, in way my balancing all the in. In the body and enhancing the heart womb kind of balance. So also hormonally there will be much more enhancement in, in, in using this points. And additionally in this group, many other points that are to do with enhancing kidney and also relaxing points like on the du mind, CV 15, because the heart is so much involved.

And as you can see, there’s 10% in. Of patients in this group were 36%. So you see most of the patients were of kidney and liver in deficiency, so they were more coming from this group from Flame Studies, Flame of Chita. There were still, it’s very different diagnosis. You’ll see that we’ll have some other points like Stomach 40, splint 10.

So more looking at this dynamic of a phlegm and cheese stagnation additionally to kidney and hard points. And blood stuff is, interestingly enough, there was none in this group, but still in clinic in the when we look at the symptoms, sometimes the symptom. Is also very common and seen commonly.

When we I would like to say that one of my passions is to teach the treatments of cancer patients and especially to treat oncology, acupuncture. And we do a very extensive course at the TCM Academy, and the idea is to teach and give. Tools, but also the skills and the competencies to treat cancer patients and especially cancer patients who are having side effects.

And we combine the three pillars of Western medicine, Chinese medicine, and research and evidence base. Cause when we combine this three pillars, I think then there is a. Clearer understanding both of the sys, the symptom, the ability to communicate with the patients, and the also the medical team that is working with the patients.

And in cancer, it is extremely effective. Extremely effective, but extremely important to understand both the Western medicine and the Chinese medicine differentiation, which. Very relevant to cancer patients. So if you want to know more, you can check up at the TCM Academy website. And this is this extensive oncology acupuncture program which covers, There’s also in the website Ava free stuff, but covers also other ideas like pain, nausea, vomiting, fatigue, and other components which are has so much.

To treat cancer patient and to treat the side effects. So I hope you learned something about the treatment of hot flashes, evidence based behind it. And with this slide I want to wish you all the best of health and from Chantel. She thank you very much for listening and being with us, and again, I would like to thank the American Acupuncture Council for putting this up.

So all the best and thank you so much.

Treating Facial Wrinkles with Intradermal Needling

And today’s topic is going to be Treating Facial Wrinkles with Intradermal Needling. So let’s get started.

Click here to download the transcript.

Hi, my name is Dr. Shelly Goldstein. Welcome to the American Acupuncture Council. Thank you so much for having me here today. And today’s topic is going to be Treating Facial Wrinkles with Intradermal Needling. So let’s get started. We think of wrinkles on our face and we think of them as just wrinkles.

But in fact, there are many, types of wrinkles on the face, and they come from many different sources. We can get wrinkles from. Bone changes and over time, all of these changes occur on many different levels. So from the deepest level bone, as we age, bone resource, or starts to break down, bone is the underlying structure of our face.

And so when the bone starts to break down, so do the overlaying structures, including the skin or the surface, which is where the wrinkles. We can get wrinkles from muscle changes over time. We say muscles attenuate, which means they, they get stiff and stagnant and then they create different peaks and values increases in the face.

We can get wrinkles from fat changes. Over time, fat starts to break down and move primarily into the nasal labial fold, or that fold between the edge of the nose and the corner of the mouth and accentuates different types of wrinkling. And then of course, all of those wrinkles show up on the skin. So on top of the wrinkles that occur from the skin level.

Are those deeper wrinkles? So today we’re gonna focus on the wrinkles that we see that appear on the skin from skin changes. The skin is part of the Anta system. The anta system consists of that fat layer, the subcutaneous of the hypodermis. And then on top of that is, Dermal layer, which is the true health of the skin.

Skin cells start at the bottom of the dermis, make their way up to the epidermis, above the dermis, and then they float to the top and they come off. So the true health of the skin and the visible health of the skin reside in the epidermis and the dermal layer, and that is the layer that we’re going to talk about when we talk about intradermal needling.

Intradermal needling is one of many different types of needlings that occur when you go get an injection or a hypodermic shot if they go into the muscle. It’s called intramuscular need. If it’s at the slide slightly into the, that subcutaneous level that’s called subcutaneous needling, intravenous, lev needling goes right into the bloodstream, and then there is the intradermal needling, which goes between the.

Into the dermal layer. So we see on needling too deep is that it misses that middle dermis layer. If you needle too shallow, it stays too superficial at the epidermal level into, if it’s inserted properly, it goes into the dermis and you can actually see it creates a little swelling at the surface.

And that’s how you know if you are into the intradermal needling because you can actually see the surface of the skin popping. Why, intradermal needling into the dermal layer? What’s going on? Basically, and in a nutshell, we’re working in the connective tissue portion of the dermal layer. There are two types of connective tissue in the dermal layer of the tissue.

There’s the papillary layer. Which is that loose mesh work that we can see on the right, and this primarily provides the nutrients to the skin, and then there’s the rec particular level below, which is much thicker, and it provides the density of the tissue or density of that layer, the structure of that layer.

When we think about connective tissue, what are we talking about? The primary components that make up connective tissue are collagen. Collagen is the support system. It’s like the mattress that you lie on. It’s the firm structure that has enough balance in it to allow you to lie comfortably. But it also.

Has enough resilience and tension so that you have support. That’s collagen. It’s the mattress of the germal layer of the tissue and the mattress of connective tissue. In addition to connective tissue and collagen, we have elastic fibers. And as you can see in this slide, it’s a very thin vertical.

Structure and that’s gonna allow the snap or the ability for that dermal or the connective tissue to bounce back. So you lie on the mattress, it sinks in, you get up, it pops back up, and that’s due to the elastin fiber within the connect. Tissue and then also in the connective tissue. We have fibroblast cells.

And fibroblast cells are what stimulate the production of collagen, and then we, It’s all embedded in this aqueous solution of hyaluronic acid. And hyaluronic acid provides the moisture and the ability for cells to float around and receive the nutrients that they need to grow healthy. It’s also what keeps our skin nice and hydrated and moist.

Now as we age, what happens? We age, we start to lose the ability for the cells to mo migrate from the base of the germal layer up through the epidermis, and they lose their vitality. We start to lose the integrity of the collagen and the elastin in those layers. They begin to get disorganized or not line up properly.

We start to lose the VAs, the blood vessels that iva that area and nourish the, area as well. When all of this happens, we start to lose that plumpness, the plumpness of the. The connective tissue and the dermal layer itself. When it starts to, when we lose the integrity of that it starts to dry out, we start losing hyaluronic acid in within that area.

And then we start to see not only as it dries out, but that dermal layer in that epidermal layer start to thin and separate. Creates more dryness. And then as we lose that suppleness of disorganization of collagen, an elastin, we start to see pitting. And you can actually see in this image, you can see the surface of the skin starting to pit.

Sometimes we call that wrinkle. Sometimes we call it skin pitting. For our purposes, There are multiple types of wrinkles. There are fine lines are primarily due. They’re not wrinkles. They’re due to the loss of hyaluronic acid in the tissue or dehydration. And the key is to just drink more water.

We are apply more hyaluronic acid or hydration to the surface of your skin. For our purposes, we are going to look today at shallow wrinkles. Shallow wrinkles, you’ll see in a moment are very superficial wrinkles. When the collagen starts to move up and down, or the elastin starts to snap back we, lose the creases.

So the creases come when we’re activating our muscles or textures of the skin, and then they relax as they, as the shallow wrinkles become more sedentary, they move into deep wrinkle. And this is when we are actually start to see changes in the architecture and integrity of collagen in the skin tissue and, also lattin so it becomes more visible when the faces at Russ and then static wrinkles are are a different type of wrinkle.

They’re actually. Deep wrinkles that have been around for a while. And in this situation actually starts to create damage into the tissue via the loss of elasticity within an elastin within that skin tissue. And then again, this too is visible at when the faces rest. And then we have dynamic wrinkles.

And these have more to do with muscle as opposed to skin create, although they may. Static wrinkles and deep wrinkles and cello wrinkles. When you treat dynamic wrinkles, you actually have to treat the muscle as opposed to the skin. So here’s an example. Here’s shallow wrinkles are on the left. And as you can see in this image, the person on the left or the figure on the left is probably in her thirties.

The middle is probably in there, her fifties and sixties. And then the on the right is, older. Most shallow wrinkles occur earlier in. And as you can see, say particularly in this image starting at the nasal labial full dot full between the edge of the nose and the corner of the Mac, you start to see the creasing there.

You’ll start to see it in between the eyebrows, Ella creasing, and possibly across the forehead. As they move into deeper wrinkles, you can start to see the changes of the architectural changes in the face. You can start to see a deeper creasing between the eyebrows, the nasal labial, fo maybe around the mouth, starting to see a change in the mental crease, which is between.

The chin and the lower lips and the marionette lines, which are between the corner of the mouth and the jaw area. And then as they move into more static wrinkles, they create a number of changes in the architecture of the face. And you can see the visible difference here. In fact, it’s just a progression from left to right and most of it has to do with age and lifestyle.

And diet. What’s interesting about needling at different layers of the tissue, particularly at the epidermal level and the germal level, is the references to it that we’ve seen in the classics, notably the ling shoe over time. In the classics, they talk about numerous, there are numerous discussions about needling guidelines specific to the layers of the face, the skin, the flesh.

The channels around the muscles, and then at the layer of the bone. So there are constant references throughout time about different ways and the importance of kneeling at all of those different levels. Also in the Ling shoe, in chapter one, it says The skin, the flesh, the muscles, the tendons and the meridians occupy different places in the body and that different diseases respond to different methods of treatment.

In chapter seven, it talks about the illnesses. If illness is superficial and needling is deep, it will penetrate and injure the good flesh. If illness is deep and needling is superficial, results will not be obtained. So again, there’s the references to the changes, the importance of needling at different different layers, and then the results that can be obtained when properly kneeling into those different levels.

Intradermal needles is superficial needling, obviously, and it’s sim very similar to Japanese needling technique. We know in Japanese needling technique that the insertion is superficial, that the manipulation, if there is any manipulation occurs at the surface of the skin. We’re not needling for Dutch.

And the needle gauges. The needles themselves are different. They’re very thin, and the length varies, say between a very short needle and say a 30 millimeter, which is like an inch long. When we are needling for the purpose of intradermal needling, what’s going on? There are multiple theories as to why this works.

One that’s the most popular and actually the foundation of say Derma rolling or microneedling, is the fact that when you insert a needle into the surface of the skin, it actually creates a little wound. Wound healing results. When you put something in or you damage the surface of the skin fibroblasts, circle that area and immediately start to stimulate the production of collagen and elastin within that tissue to actually heal the wound from the inside.

This was what we called a wound healing cascade, and which case again? We insert the needle, it creates a micro damage into the surface of the skin or under the surface of the skin. Fibroblasts come in, they stimulate the production of collagen. Collagen starts to line up, as well as elastin into the dermal layer of the skin.

And you can actually see in this image, In the first image, you see where the damage was created, and then you start to see the abundance of fibroblasts building collagen and elastin at the dermal and epidermal layer to start to thicken and to heal this microtrauma. Another theory is in doing so, what we’re doing is actually enhancing not just the collagen, but also the elasticity as well.

So we’re building collagen, building elastin under the skin, stimulated by the trauma that was created by inserting a needle into the surface of the skin. And there’s also something else that’s going on, and that’s called Paso Electric. Collagen is the primary component in connective tissue, which we just learned, and it also is capable of transmitting electrical signals throughout the bottom.

So it has an electric energy, call it, she call it electro Paso. Call it whatever you want, but it creates a vibration or an electricity. that then signals throughout surrounding area. And it’s both mechanical. So inserting in the needle stimulates this Paso electricity. It creates both the mechanical and electrical properties that vibrate out into the surface and connect with other systems.

So when. Insert the needle as a form of an external influence. The electrical current in that tissue created by the collagen radiates out into neighboring structure. It’s a, it’s somewhat the foundation of acupuncture in our culture is creating some type of an energetic that then spreads, not just stays at the center where we’re need.

It begins to spread out throughout surrounding tissue. And in our world, the meridians that, that connected these points. So we need and put the needle in. Intradermal needling, it stimulates that wound healing cascade. It excites that collagen Paso electricity. And it also releases fascial tension, which is the tension that is created by holding that tissue in this stagnant place now for so long.

The slide in this presentation or in this PowerPoint is histological slide. So they take pieces of skin or where there are wrinkles, they put ’em on the slide and, they put them they put a little piece of glass on top of it and they slide it under a microscope and, then you actually get an, a larger image or a magnified image of what’s going on.

So here we see a wrinkle. And it looks like a little divot like this. This is another slide. The wrinkle is actually very, shallow. This would be considered a shallow wrinkle. This is very minor or more minimal wrinkle, moving into a deeper wrinkle. Here’s a deeper wrinkle. You can see it’s not just a, dip or, but more of a plummet, a little deep area.

So that’s a different kind of wrinkle. So as you can see, we’re going to see all different types of wrinkles, and we’re gonna needle them differently as well, depending upon the. The, wrinkle itself. So we can’t really look at a magnifying glass in our practice. We’re not gonna take a slide and put it under my magnifying glass.

So you have to start to train your eye to see what does a wrinkle look like? Is it very shallow? Does it look a little bit deeper? Does it look like it’s petted? And then we’re going to decide how to needle it, and we’re gonna decide which type of needles to. Most of the intradermal needles today are either the straight intradermal needles, the Japanese one, or the press tax.

And they’re good. They don’t give you a lot of flexibility if you, they’re very tiny. You have to use a pair of tweezers if you’re using an intradermal needle and just slide it in. And you get a very short distance of, being able of insertion the press tax. There’s only one way to needle it and it’s down.

So that is somewhat limiting. EUS is a new serum needle and I think it’s a really good needle, and it’s ones that I choose to use. They’re stainless steel needles. They’re triple polished. They’re similar to serum needles. They’re high. The, quality of them is great. They come in a bolt pack of four.

They’re really easy to use and they’re a little bit longer. Some, they range between they’re all about seven millimeters, but then the thickness of them is varies. Different sizes. So depending upon the type of needle you choose you can affect different types of wrinkles. All of them work. It’s just a matter of personal preference.

So I’m gonna show you these slides. So this is a shallow wrinkle, which means it’s going to show up and then disappear. So when the model lifts her eyebrows and cringes her forehead, then you’re gonna start to see them. And I’ve actually had her do this in this image. And so we’re gonna look at these needles.

It’s pretty good. It’s a little blurry, but basically she doesn’t have a lot of wrinkles. And the wrinkles that she does have moose. One way to find out whether it’s a shallow wrinkle list, actually, to have your patient lift their eyebrows, drop them further eyebrows, and see what stays, and see what goes away.

So in this situation, what I’m gonna do is I’m actually gonna spread. The tissue and needle very shallowly into the needle. So in this situation, when you’re spreading the needle it’s a very shallow insertion at the upper level of the dermal level. You open the wrinkle, slide the needle into the surface, and you can line them up because most of these are fairly long needles.

So this is a good technique to use if you’re doing, if you’re treating a very shallow. Let’s see. This is more of a deeper ecstatic wrinkle, and this is the nasal labial fold right here. It’s the different, it’s from the corner of the nose to the sock corner of the mouth. A lot of it has to do with tissue that has fat that has moved down, or gravity muscle attenuation.

Has some effect in it. But in this situation, you’re gonna actually treat the wrinkle itself. Now, it’s hard to spread this because it’s a deeper wrinkle and it’s static. You can see it, it will stay there whether the person is smiling or frowning or either or making any other muscle expression. So rather than trying to spread this, wrinkle, what you’re gonna do is you’re gonna actually grab.

Like this and pinch, and then slide the needle into the crease. So let’s take a look at this. So I’m pinching, it, and slide. Okay. I’ll show you. This is a closer version of it. This is a, and it’s a little bit blurry, but I think you get the image. You’re gonna pinch and slide. Okay. It takes little practice.

It’s almost as if you want to take that area, start further out, pinch it, and let’s do this one more time so that you can see it. You’re pinching, you’re starting f pretty far out. In order to pop it, pop the tissue up so that the only thing that you can actually see is the wrinkle. Perfect. Let’s keep going.

Okay. Now, we’re gonna talk about deep wrinkles for a moment. On top of the changes of the architecture that occur within the derma layer, when A wrinkle has been around for a long time, it starts to affect the tissue around it very similar to that of a. Scar tissue is composed of the same collagen protein as healthy skin tissue similar to this, but because of the trauma or because of the static nature of the wrinkle, the tissue around it starts to change.

So similar to a scar where during tissue healing, the collagen cells group together. Like this and bunch up. This is sometimes what a deep wrinkle looks like. We’re gonna look at one in a minute. The way to treat this is not to slide the needle in because that’s not gonna really break up the tissue is and not to pop it and go into.

Base, but actually to go into the wall of the tissue to start to break up the fibrous tissue that is starting to develop, to create this, that stagnant nature, that depth of, the wrinkle itself. So here we go. Take a look. This is, if you look at the, let’s look up here. This is what we’re gonna treat.

This where the red arrow is. But if you look at, and it’s right here on the large image. Now look at this wrinkle. This wrinkle starts at the, in the lip. It starts at the base of the bottom lip and actually projects all the way down, but right. This is the depth of the wrinkle. This is probably where it started, began to spread.

So here’s where the damage is. Here’s where potential scar damage is, what we’re calling scar damage, but it’s really not a scar. It’s basically tissue that has been in one position for a very, long time. So in order to affect this, we actually need to break this, tissue up and around it. So we’re gonna take.

And I’m gonna needle into the wall. You can either needle from the outside in or you can needle from the inside out, but the object is to actually get into the wall of that wrinkle as opposed to the base of the wrinkle itself.

So just as a recap, we have fine lines. Fine lines are basically due to creases in the skin surface caused by dehydration. And the way to treat it is to enhance water consumption or to apply it or both. We have shallow wrinkles, which have to do with creases that are just beginning, and they change so they’re not stagnant.

Over time, you spread the wrinkles and needle into the crease. We have deep wrinkles where the crease is caused by the beginning of. In a lack of integrity of collagen and elastin in the tissue itself, and they stma, they’re starting to show up and stay there, stay at the face, or stay visible when the face is at rest.

And then we have static wrinkles. And these result from a loss of elasticity, tissue damage, we see that build up or the change in the architecture of collagen elastin around those needle wrinkles. And the treatment is to, the intradermal, kneeling treatment is to needle into the crease of the wall. And then we have dynamic wrinkles, often known as ride tides.

And these develop from repeated facial movements, in which case we need to treat the muscle as well as the. So thank you for today’s presentation. If you have any other questions or want to know more about facial acupuncture or cosmetic facial acupuncture you can visit me@hamptonsacupuncture.com, my website.

You can email me@infohamptonsacupuncture.com or follow me on Instagram at Shellie underscore Goldstein. So thank you again everyone. Thank you, the American Acupuncture Council. It’s always a pleasure to be with you and next week stay tuned for Chen Yen she’s very exciting and a wonderful lecture. I’m sure you’ll enjoy her presentation as well.

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