Approximately
thirteen-hundred years ago Sun Si Miao said “Those who are ignorant about food
cannot survive.” If only the tradition of dietary education was commemorated by
the world at large like the Hajj pilgrimage is with Muslims. Apparently, even Muslim
pilgrims performing Hajj have food allergies. Imagine my surprise when I read a
research article that said TCM benefitted pilgrims with food allergies. I had
to read to the end of the article to realize TCM actually meant “Toafa
Corporation Meals” whatever those maybe. Perhaps not as effective as
Acupuncture or Chinese herbal medicine treatments, but they did the trick. This article got me to thinking, for the sake
of argument, what if a group of acupuncturists were permitted to treat some
food allergy sufferers amongst the 2 million Muslims who participate in
Hajj? What points would they throw their
support behind? What herbs would they suggest taking as a preventative measure?
I do not intend to stir up controversy about a current affairs issue, but I do
hope to open up this theoretical can of worms. Let’s put aside any
misperceptions we have about Muslims and launch headlong into the maelstrom
that is Hajj to see how we could help.
I enlisted
the help of Lorena Monda, MS, DOM, who has practiced Oriental Medicine since
1984 to help with the 2 million-strong. She has co-wrote a book called Clinical
Guide to Commonly Used Chinese Herbal Formulas with the co-owner of her Chinese
herbs business, Golden Flowers Chinese Herbs, founded in 1990. In it, they encourage
using three formulas to treat food allergies: The Burpleurum and Tang Kuei,
Ease Digestion, and Pulsatilla Intestinal Formulas. The formula, also known as “Free and Easy
Wanderer,” works to “nourish Liver blood and Yin, spread Liver Qi, strengthen
the Spleen, and harmonize the Liver and Spleen” (7). The ingredients include
Chai Hu (16.1%), Dang Gui (16.1%), Bai Shao (16.1%), Bai Zhu (16.1%), and Fu
Ling (16.1%), Zhi Gan Cao (8.1%), Gan Jiang (8.1%), and Bo He (3.3%).
The second formula Monda and Scott recommend, East Digestion Formula, disperses Wind and Damp, resolves Spleen Damp, regulates the Stomach and Resolves Phlegm using Herbs Fu Ling (15.1%), Yi Yi Ren (9.7%), Cang Zhu (7.8%), Ge Gen (7.3%), Hou Po (7.3%), Huo Xiang (7.3%), Shen Qu (7.3%), Chuan Mu Xiang (6.8%), Bai Zhi (6.8%), Lai Fu Zi (5.9%), Gu Ya (5.9%), Ju Hong (3.5%), Bo He (3.5%), Tian Ma (2.9%), and Ju Hua (2.9%) (23).
The third and final Monda/Scott recommendation, Pulsatilla Intestinal Formula, clears Heat, resolves toxin, dispels Damp, and promotes tissue growth using Fu Ling (17%), Bai Tou Weng (15%), Huang Bai (14%), Cang Zhu (14%), Bai Shao (12%), Huang Lian (12%), Chuan Mu Xiang (8%), and Gan Cao (8%) (67).
First course of action I would take involves the revolutionary test Nambudripad's Allergy Elimination Technique (NAET) that combines acupuncture and kinesiology to target food allergies and "reprogram the central nervous system to accept a substance that the body would otherwise reject. The kinesiology portion of the test involves a person holding a sample of an offending food
while acupuncture points of the affected organs are stimulated. If performed correctly, exposure to the substance will no longer trigger symptoms (Krohn, Taylor & Larson 57).
while acupuncture points of the affected organs are stimulated. If performed correctly, exposure to the substance will no longer trigger symptoms (Krohn, Taylor & Larson 57).
FAHF-1, which contains 11 herbs that combine Wu Wei Wan and Ling Zhi, reduces mast cell degranulation as well as histamine release. In addition, it blocked all Peanut-induced anaphylactic symptoms. Lastly, it reduced Peanut-specific serum IgE levels in a murine model of Peanut Allergy and significantly reduced lymphocyte proliferation. The refined formula, FAHF-2, which had all of the herbs in FAHF-1 save for Fu Zi and Xi Xin, completely blocked anaphylaxis symptoms in mice for up to 5 weeks following treatment. Studies have show favorable results would be likely with human subjects. So what does all this science mean?
7/20/2013
My impressions of Community-based acupuncture ala David Gaglione is that it's perfectly feasible to be treating 6 to 7 persons at one time. Difficulty I would imagine for myself would be the segway between patients - that dividing line from one patient to the next. His tone of voice, his nonverbal cues and verbal cues were something I had never seen before. More than anything what stands out in his method is achieving the reassurance of the patient to go forward with the treatment, especially in achieving de qi. Though it's not David's fault, Community-based does not lend itself to observations ala Eastern. Based on my observations, as I told my mother today, qi collects like water in a whirly-pool and stagnates there. David finds the qi and moves it. Or gets it moving rather. One woman said she was "buzzing" from the effects of her treatment, this was a woman who is a massage therapist. Is it true that massage therapists are self-conscious about their profession? They always make that impression on me.
Some points I believed he used were BL 67, LR points, again, where the qi had pooled. LI4 was used I believe for the massage therapist. Some ST and SP points. I'll find out more when David gets me his intake forms to me.
I was zonked this evening and fought to stay awake, such was the effect of the acupuncture. My body needed the convalescent time I suppose. I neglected to write to my classmates about David's great, I want to say, stewardship, but I feel it is more wise to let them find out for themselves which Off-Site observation sites they would like to do.
Thus far I have learned that there are a lot of points, much too much to learn, or have "cold" at this point. My knowledge of human bioscience and anatomy and physiology is substandard and not being supplemented. What I really need is a performance evaluation on myself. Review is definitely needed and scholarship must be learned regarding pulses ala Five Element-style. I am confident about my self-evaluation and will continue to self-evaluate rather than remain fearful and judgmental of myself.
WEEK OF JULY 12TH, 2013:
Analyzing Intake #2 based first on tongue: Thin and White would indicate:
Wind, cold, or dampness in the exterior. Don't know what to make of the frothy and scalloped on sides, except to say that frothy might indicate "Coat puddled with moisture/wet/glossy" in which case, this may indicate:
Excess fluids or stagnation of fluids or Damp-phlegm, cold-damp, or deficient Yang, dampness, or damp.
Slippery Pulse: Sign of excess Damp or Phlegm or excess blood volume.
Tight Pulse: Excess cold and stagnation and/or pain due to chill.
Weak Pulse indicate deficiencies of qi and blood
"Abdominal bloating, irregular bowels, chest distention, on diet of cold, raw foods. Issues with stress, insomnia, poor appetite. Abdominal bloating, irregular bowels, chest distention, on diet of cold, raw foods. Issues with stress, insomnia, poor appetite."
Possible points to use:
Extras: Anmian for Insomnia, Jianqian (Jianneiling) for expelling dampness and cold, Sishencong for insomnia, Weiguanxiashu or Yishu for abdominal pain, pain in the chest and hypochondriac region
Regular Pts: LU 9 for expelling phlegm (and transf.)
ST 25 for strengthening function of moving and transforming the digestive
ST 32 for warming the channels and dissipating cold (Hidden "Tiger" Crouching Rabbit)
ST 35 for dissipating cold
ST 36 pretty self-explanatory
KI 6 for insomnia
KI 21 for abdominal pain and distension
GB 41 for distending pain in breast
LR 13 for relief of food retention
REN 12 & 13 for ST and insomnia
Intake # 1 When Norman says eczema on the left nipple I immediately think of PC1 and some points like ST17 GB 21 & 22, and the Kidney point at that level. I think Heat b/c of rapid pulse. Possibly Heat excess or yin deficiency heat. According to Student Manual, Weak Pulse indicates deficiencies of Qi and blood and show little force against the fingers.
Slippery pulses on the right and left, slippery in general indicates a sign of excess dampness or phlegm or excess blood volume. Pregnancy pulse. b/c advanced age we can almost rule out the probability of pregnancy. Full pulses in general indicate accumulations of heat (full or long pulses) or dampness, phlegm or blood (slippery pulse). In this case, it suggests a person suffering from excess type disorders.
Inner elbows and palms suggests several organs: SI, HT, PC
Tongue's Thin Yellow coat generally indicates Damp Heat syndrome: So we're looking for points that get rid of Damp Heat, particularly stressing the organs that indicate an imbalance - SI, HT, PC. Dark veins indicate Heat and blood stasis. Pale scalloped sides indicate that the tongue is Pale and slightly dry indicating Blood deficiency. Whether or not it is blood deficiency associated with LR/GB I don't know.
Constant stimulation no matter how pleasurable (stress) has caused excessive Joy - 's why she's experiencing insomnia. Joy's associated with the Heart. So we're dealing with an imbalanced HT on the excessive side.
According to Food Allergies and Food Intolerance: This patient may benefit from Chinese herbs - eczema patients have benefited from them. Also consider the role food plays in their eczema.
Below are the points I would use:
Extra pt. Baichongwo (1 cun above SP10)
SP 10
PC 4, 6, 3
KI 3
SI 11, 8, 3
HT 6
ST36
UB40 for skin problems
Palpate your elbows, wrists, knees and ankles to locate sites of ligament/tendon attachment. See which acupuncture points or meridians are in the vicinity. Ligaments bind bone to bone, tendons bind muscle to bone.
Muscles provide tension on bones (levers) to
perform movements.
Skeletal muscles are voluntary. are made of
striated tissue, work in antagonistic pairs Flexion typically shortens a
muscle, extension lengthens the muscle.
Below is the
fax the acupuncturist wanted me to send (he wanted to see the form we have to
submit to school).
Those of you who would like to be added to the six appointments, feel free to call Dr. Wang (he is inEast Brunswick ). His
phone number is 732 257-1602.
Those of you who would like to be added to the six appointments, feel free to call Dr. Wang (he is in
The address is 77 Milltown Road , East
Brunswick , NJ 08816
See you this
Saturday.
Alla
TO: 
Lisheng Wang, L. Ac.
Lisheng Wang, L. Ac.
Fax: (215) 612-0878
(732) -257-1702
FROM: Alla Fromm
FAX: (908) 284-0915
Tel: (908) 255-3484
Re: Appointments on October 28, 2012 and November 11, 2012
Dear Dr. Wang:
Thank you very much for speaking with
me yesterday regarding several appointments scheduled for October 28, 2012 and
November 11, 2012.
As we discussed yesterday, several of my
classmates and I need to comply with our acupuncture school’s requirements to
have several treatments and observations at a licensed acupuncturist’s office.
We have scheduled 6 appointments on
October 28, 2012, and 6 appointments on November 11, 2012. These appointments
are to start at 10:00 AM.
The price we discussed is $ 70.00 per
treatment for the first visit (on October 28, 2012), and $ 60.00 for the second
visit.
Per your request, I have attached our
form for observations. Please let me know if anything further is needed. Again,
thank you very much for your courtesies and an opportunity to observe your
work. Your office was highly recommended to me by one of your patients, Lu Li
Fang, and we look forward to treatments and observations.
Kind regards,
Alla Fromm
Recall "couch-sneeze ettiquette.", use of tissues
and hand washing
About 30 mins: CHF (congestive heart failure) is very
common. There are 2 major types: right-side and left-side. CHF =
"blue-bloater".
CHF usually has a gradual onset, and will
present w/ fatigue and dyspnea (difficulty breathing),SOB (shortness of
breath), and some sort of edema. Pitting edema (the impressions of your fingers
remain after releasing the ankles) in the lower body typifies a right-sided
failure, pulmonary edema is more serious, and characterizes left-sided
failure.
Watch the videos straight through -- they are
somewhat repetitive, however you will remember the general mechanisms of the
disease.
This set is a bunch of videos about cholesterol and atheroma
(plaque formation.) There is controvery as to what actually initiates arterial
inflammation.
Perhaps it is initiated by repeated insulin
spikes combined w/ chronic hyperglycemia from high carbohydrate diets, and
histimine from pro-inflammatory foods (red meats, preserved foods, MSG,
etc)
prokaryote,
eukaryote, homeostasis, negative feedback, cell membrane general
characteristics, selective permeability, active transport versus facilitated
transport, osmosis, diffusion, concentration gradient, types of ribosomes,
translation v. transcription, chromosome, mitochondria, lysosome,
4
macromolecule classifications: carbohydrate, lipid, protein, nucleic acids, DNA
bases: ATGC, RNA bases: AUCG, codon triplets, glycolysis: 6 carbon glucose
cleavage in 2 3-carbon molecules to make ATP, CO2 and water; aerobic (oxidative
phosphorylation occurs on mitochondria membrane) versus anaerobic fermentation
via lactic acid cycle occurs in cytoplasm); chemical bonds: ionic, covalent,
hydrogen; characteristics of water which make it biological solvent; atomic
structure;
cell most
basic living component of organism; what is a tissue; 4 types of connective
tissue; what is matrix of bone, blood; what type of tissue is at the articular
ends of long bones; functional unit of bone, functional unit of muscle; what is
squamous epithelium -- where is it found;
skin is the
largest organ in the body; what is the acid mantle? what "waterproofs the
skin"; what cell gives pigment to the hair, eyes and skin? what is
stratified epithelium, where found, columnar epithelium, where found; what are
goblet cells,
what is
compact bone, trabecular bone, what is an epiphysis, diaphysis, epiphyseal
plate, what is a fossa, tubercle, names of bones of hip girdle: ilium, ischium,
pubis, what makes up the axial and appendicular skeleton, distinguish joints
affected by rheumatoid arthritis from osteoarthritis, what causes gout, what is
osteopenia versus osteomalacia versus osteoporosis' what causes rickets
(vitamin D deficiency); what regulates bone deposition and reabsorption
(hormones) what roles do parathyroid hormone and calcitonin play in bone
metabolism; where is hemopoietic tissue found in bone, what is difference
between tendons and ligaments; what is a sesamoid bone; what bones articulate
at knee joint; where is the angle of Louis, what 3 structures that make up the
sternum; arm bones (humerus, radius, ulna) what is olecranon, how is shoulder
girdle attached to skeleton (one articulation at jugular notch a.k.a. clavicular
notch and tendons) muscles of rotator cuff (supraspinatus, infraspinatus, teses
and subscapularis) supraspinatus most prone to injury in the rotator cuff
group.
What injury
most often is the cause of "broken hip" (usual scenario:
osteoporosis, there may be a pre-existing hairline fracture in neck of greater
trochanter of femur, older woman, fall -- occurs typically because of poor
lighting and an uneven surface on the ground or stairs) Falls account for high
incidence of mortality and morbidity in older people.
what is
costochondritis; what internal organ (heart) is located between the levels of
T-2 and T-7 (thoracic vertebrae); what tissue is affected by Marfan's syndrome
(know 3 characteristics commonly seen in Marfan's syndrome); what is plasma
(matrix of blood contains water and albumin); what is hematocrit (formed
elements in blood)
what are
blood cells called (erythrocytes); immature RBC (reticulocyte), what is anemia,
leukemia (what part of bone has problem -- marrow); what is an antigen, what is
an antibody; what is a macrophage, how do WBCs attack bacteria (phagocytosis,
granzymes), what is inflammation versus infection? what is systole, diastole,
normal BP, pre-HTN, HTN (hypertension); what are risk factors for
cardio-vascular disease? how much blood in adult circulation (4-5L) input must
equal output, otherwise is a sign of pathology; what is varicose vein -- what
happens w/ the valve? what is the PMI (point of maximal impulse--apex of heart
where can auscultate mitral valve); what is the normal range of pulse rate
(60-100/minute) which veins empty into the right atrium from systemic
circulation (superior and inferior vena cava)
3 types of
muscle: smooth, striated, cardiac; what are actin and myosin? how do muscles
contract (all-or-nothing: action potential innervates tissue causes
depolarization) muscle contraction "shortens" the muscle as actin and
myosin ratchet past each other; what causes rigor mortis? what type of muscle
is found in the uterus (smooth)
what is SA
node? whch blood vessel contains the most oxygenated blood in the body
(pulmonary vein -- NOT artery); where does gas exchange occur (alveoli, occurs
by diffusion); what disease is associated w/"blue bloater" (CHF)
well this is
a pretty good idea (do NOT share)
1.
CHF (distinguish edema in L or R side ht failure);
2.
normal BP, pre-hypertension,
3.
what gradient permits ATP synthesis in electron transport chain
in mitochondria (think pH activity)
4.
atrial fibrillation can resemble anxiety,
5.
"intermittent claudication" presents w/ cramping,
possible cyanosis because of poor venous return. where might this most likely
occur in the body? What do veins do?
6.
prefixes "tachy" and "brady" w/ reference to
ht rate,
7.
catalysts are not degraded in a reaction, just speed up the
reaction
8.
high temp, poison, acid can denature a protein (make it
coagulate),
9.
type of junction in cardiac muscle, how does impulse travel cell
to cell
10.
which cells give rise to macrophages
11.
Difference between proximal and distal
12.
location of the forearm extensors versus flexors
13.
osteoporosis affects what part of bone
14.
osteomalacia is "soft bone" usually associated w/
childhood vitamin D deficiency. What condition is associated w/ bowed legs?
15.
the diaphragm divides which 2 body cavities
16.
what is the "buffy coat" in blood -- what cells are in
it?
17.
what cell is associated w/ blood clotting
18.
matrix of bone, blood
There are MANY problems which affect the lungs. I've
included videos about asthma, bronchitis, COPD, pneumonia,TB, and ARDS. These
health concerns are important to understand in a general way. You will probably
want to keep a stash of flashcards of diseases/disorders for future reference.
Understanding immune reactions takes a long
time and is not in the realm of this course. However, acupuncturists benefit
GREATLY from an understanding of the immune response cascade.
Hypersensitivity reactions are delineated into
4 basic classes: Types I-IV. Type I, for example, is associated w/ allergy
and is mediated by IgE.
Note important features of hypersensivity:
mast cells, macrophages, neutrophils, complement, prostaglandins, histamine
(hist- (tissue)/ -amine (protein). Know the meaning of allergy, antigen,
antibody, Ag-Ab complex (antigen is bound to antibody), antigen presenting cell
(APC), major histocompatibility complex (MHC). MHC is the cell surface markings
that code for host (self) tissue; antigens denote foreign proteins on the
surface of cells which will initiate an immune "attack" response.
You may wish to take a page of paper prior to
watching the videos, write down basic definitions of terms, and sketch out a
chart w/ each of the 4 hypersensitivity classes, for example: Type 1
hypersensitivity: IgE, presentation: allergy (definition of allergy) s/s
associated, usual treatment, etc
Proteins actin-myosin cross-bridge and muscle contraction.
The first video seems to have been made by a
student -- he mispronounces "sarcolemma" as sarclioma, or somethin
Michael Galeotafiore
Health and Exercise Science -
The College of New Jersey
Eastern School of Acupuncture
Arbonne Essentials Sales
Representative
732-330-8289
Just a quick note about Autonomic Nervous Imbalance as it applies to myself. During the course of writing my Project II paper about the Yin Yang Theory entitled "Of the Bright and Dark Side," I displayed some of the symptoms of this due to the fact that I was "burning the candle at both ends" trying to overcaffeinate to stay up and finish my paper, that in combination with prescription (OTM's as they are called when bought at the pharmacy), I displayed some symptoms of an imbalance which came to a head in the days leading up to the due date and not long after the paper was turned in. I developed an incredibly tight SCM and earlier the weekend before tweaked the SCM playing a game with Mason, Max, and their father. Exacerbated by inconsistent sleep patterns, it came to be incredibly tight.
Lo and behold when Jeremy mentioned this very issue as it pertains to Japanese Kiiko-style acupuncture. I suppose constantly preparing for flight or flight is not a good way to consistently carry yourself. In Kiiko's book, if you suspect someone of having an autonomic nervous system imbalance, first check the SCM in terms of "size, tension and pressure pain." Interesting that I became the very symptoms I was writing about. Commonly manifests as a tighter SCM on right side.
What Jeremy said about Autonomic Nerve Imbalance:
'Rx: Check SCM both sides + Immune (for Lyme)
Tx: If fast pulse (>80) = Tx Contralateral TW5, GB41
If slow pulse = Tx Contralateral TW9, GB40
*Avoid HJ points if pulse is over 80 BPMs (REN 4 & Tachycardia point is a good alternative to HJ pts)
When: Vagus nerve causing ANS imbalance or
http://www.acupuncturetoday.com/mpacms/at/article.php?id=30254
http://www.cdapress.com/news/healthy_community/article_6b8f55a9-6d59-5e54-90af-41d733a2c42a.html
http://books.google.com/books?id=WCZJygrB_AIC&pg=PA252&dq=Acupuncture+%2B+treats+%2B+food+%2B+allergies&hl=en&sa=X&ei=nRzsUcn8PNG24AOXt4CICQ&ved=0CEUQ6wEwAg#v=onepage&q=Acupuncture%20%2B%20treats%20%2B%20food%20%2B%20allergies&f=false
Just a quick note about Autonomic Nervous Imbalance as it applies to myself. During the course of writing my Project II paper about the Yin Yang Theory entitled "Of the Bright and Dark Side," I displayed some of the symptoms of this due to the fact that I was "burning the candle at both ends" trying to overcaffeinate to stay up and finish my paper, that in combination with prescription (OTM's as they are called when bought at the pharmacy), I displayed some symptoms of an imbalance which came to a head in the days leading up to the due date and not long after the paper was turned in. I developed an incredibly tight SCM and earlier the weekend before tweaked the SCM playing a game with Mason, Max, and their father. Exacerbated by inconsistent sleep patterns, it came to be incredibly tight.
Lo and behold when Jeremy mentioned this very issue as it pertains to Japanese Kiiko-style acupuncture. I suppose constantly preparing for flight or flight is not a good way to consistently carry yourself. In Kiiko's book, if you suspect someone of having an autonomic nervous system imbalance, first check the SCM in terms of "size, tension and pressure pain." Interesting that I became the very symptoms I was writing about. Commonly manifests as a tighter SCM on right side.
What Jeremy said about Autonomic Nerve Imbalance:
'Rx: Check SCM both sides + Immune (for Lyme)
Tx: If fast pulse (>80) = Tx Contralateral TW5, GB41
If slow pulse = Tx Contralateral TW9, GB40
*Avoid HJ points if pulse is over 80 BPMs (REN 4 & Tachycardia point is a good alternative to HJ pts)
When: Vagus nerve causing ANS imbalance or
- rapid HT/slow HT rate
- ST Acid High/low ST Acid
- Constipation/Diarrhea
- Ticks, tremors, Parkinson's
- Spasmotic UB - Incontinence
- Low Amnt. of GB bile/ High amount of GB bile
- Too Little/Too Much breast feeding
- Hiccup (w/ ST 11)'
Acupuncture Links:
http://www.nvhosp.org/nv.nsf/View/Acupuncture
https://www.google.com/offers/ppo/SELF/RQN5V0FYJ88LKRX1?gl=US
http://www.jcm.co.uk/latest-issue/
http://hawthornevalleyfarm.org/
http://www.yinyanghouse.com/
http://www.nycommunityacupuncture.com/our-acupuncturists--testimonials.html
http://www.gfcherbs.com/seminars/integrative.phphttps://www.google.com/offers/ppo/SELF/RQN5V0FYJ88LKRX1?gl=US
http://www.jcm.co.uk/latest-issue/
http://hawthornevalleyfarm.org/
http://www.yinyanghouse.com/
http://www.nycommunityacupuncture.com/our-acupuncturists--testimonials.html
http://www.acupuncturetoday.com/mpacms/at/article.php?id=30254
http://www.cdapress.com/news/healthy_community/article_6b8f55a9-6d59-5e54-90af-41d733a2c42a.html
http://books.google.com/books?id=WCZJygrB_AIC&pg=PA252&dq=Acupuncture+%2B+treats+%2B+food+%2B+allergies&hl=en&sa=X&ei=nRzsUcn8PNG24AOXt4CICQ&ved=0CEUQ6wEwAg#v=onepage&q=Acupuncture%20%2B%20treats%20%2B%20food%20%2B%20allergies&f=false
