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Tag: medicine

  • Researchers explore epigenetic influences of chronic pain

    Researchers explore epigenetic influences of chronic pain

    Chronic pain is one of the most prevalent, disabling and expensive public health crises in the United States. It affects more than 100 million Americans, with annual costs estimated at $635 billion, says a 2014 report from the American Pain Society.

    Despite the enormous societal impact of chronic pain, present treatment options are limited to nonsteroidal anti-inflammatory drugs (NSAIDS), opioids, anticonvulsants and antidepressants, which provide pain relief to only about half of patients. Furthering the problem, prescription opioid overdoses have quadrupled since 1999. There were more than 45,000 painkiller-related deaths in 2014 alone, according to the Centers for Disease Control and Prevention.

    Now, researchers at Drexel University College of Medicine are aiming to identify new molecular mechanisms involved in pain. Their latest study, published this month in Epigenetics & Chromatin, shows how one protein – acting as a master controller – can regulate the expression of a large number of genes that modulate pain.

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  • Changes needed to increase access to colorectal cancer screening

    Changes needed to increase access to colorectal cancer screening

    Colorectal cancer is the second highest cause of cancer death in the United States, expected to claim the lives of an estimated 49,190 people in 2016. The Affordable Care Act (ACA) aimed to increase access to CRC screening by not holding patients responsible for all costs of the procedure, yet current Medicare insurance beneficiaries lacking supplemental insurance may not be able to afford colon cancer screening and treatment. This policy disproportionally puts low-income Americans at risk and adds unnecessary strains on overall health care costs, according to a commentary in the May issue of the journal Gastroenterology.

    “Study after study shows that screening saves lives,” said Chyke A. Doubeni, MD, MPH, chair and the Presidential Associate Professor of Family Medicine and Community Health at the Perelman School of Medicine at the University of Pennsylvania, and lead author of the commentary. “Yet many of those in the group most affected by this deadly disease are unable to afford the screening they critically need. We must renew efforts to ensure equitable access to and use of disease prevention, detection, and treatment services for colorectal cancer.”

    For CRC screening, a full colonoscopy is necessary, where the doctor inspects the rectum and entire colon through a flexible lighted tube, and can remove any abnormal growth. The entire colon has to be cleansed before the colonoscopy, for which the patient is usually sedated

    There are currently an estimated 55.5 million Medicare beneficiaries in the U.S. A 2010 Kaiser Family Foundation survey found that 14 percent lacked supplemental coverage. Until recently, colon cancer screening has been viewed as a one-time activity, while in practice, screening is a series of clinical activities to identify and test patients and perform diagnostic confirmation when necessary. This series of tests and steps include a diagnostic workup, which can include a biopsy to obtain a tissue sample or polypectomy, in which polyps are removed to prevent them from becoming cancerous.

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  • A New Perspective on Medicine

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    Society evalu resorts to pharmaceuticals as a means of alleviating pain, treating infection and illness, yet many of these synthetic drugs have long lists of side-effects. What the world doesn't know is the potency of natural remedies. Thus, medical coverage is not universal, and this precipitates the need for holistic treatments. Near Eastern medicine has largely been dismissed in favor of pharmaceuticals, in the process discarding millennia of medical knowledge. What can be cured with crushed clovers is now replaced with ibuprofen. This is one of the biggest flaws in our "universal" health care system. I developed a medical journal over last year spring break, and I have been expanding it ever since, adding holistic remedies used in place of synthetic drugs to treat a variety of ailments. Not only would this restore almost-forgotten medical knowledge, but it would also encourage a peaceful relationship between Muslims and other Near Eastern communities during a time when such peaceful relationships are vital.

    How long are we to remain ignorant of these things? Yes, perhaps medications and OTC drugs are much more efficient and work faster, but what happens to our appreciation for medical literature and the equivalent of a millennium of medical knowledge? Are they to be discarded? Thrown away?

    This is something that we, as a society, have to work toward, one step at a time.

    Recently, I put this to use. A few days ago, on January 6th, 2018 at about 9pm, my father indicated he was experiencing some discomfort in his right eye. Curious, I took a high resolution photo of the eye in question, in a slightly supine position. I analyzed the picture and discovered an irregular growth / inflammation in the right, upper eyelid. I do recall studying and reading about various eye infections and irregular growths in a few of my classes in school, such as conjunctivitis ("pink eye"), myasthenia gravis, and blepharitis. I came to conclude that the symptoms that my father was experiencing were characteristic of what is commonly called "stye". In stye, the eyelid is usually slightly red, almost looking like it was trying to develop into a minor for of blepharitis. I asked myself and my dad, "Perhaps this stye was the cause of lack of sleep? I asked this because a few blood vessels in his right eye were slightly bulging." No ", he replied. I read and researched about stye online. Just before my mom got up to go to the pharmacy to get him a few OTC's, I read that stye could be cured through ONE SIMPLE TECHNIQUE: HEAT.

    I told my father to apply heat (best option) so that the inflammation in the idea and whatever bacteria in there can dissociate (if that's the right word). He held a soaked, hot towel ABOVE his right eye (notice: he did not necessarily have to TOUCH his eye with the towel). He held it for 6-8 minutes and repeated this until the pain subsided. The next day, he performed the same procedure. After just two days routinely practicing the same procedure (WITHOUT MEDICATION), my father's eyelid returned back to its normal color and shape.

    So there you have it.

    Certain things CAN be cured by simply holistic, natural remedies. We like to think that doctors, physicians, pharmacists, etc. are "in charge" of Medicine. Not necessarily. Medicine can start at home, with us. One step at a time.

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    Source by Masood Shawyan Jan

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  • Concierge Medicine – Is it For You?

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    The last time you called your doctor’s office, how long did you have to wait for a reply? How long do you usually have to wait to get an appointment or wait for a prescription to be called in? When you get to the office, how long do you spend in the waiting room and how much time does the doctor spend with you?

    Did you get all your questions answered? How many seconds do you have in the beginning of your appointment to explain your symptoms before you are interrupted? Do the nurses and doctors seem to be more interested in their computers or their charts than they are to you?

    If your experiences are like most people, your answers to these questions are not very flattering to the medical profession and to the health care system in general. Most doctors don’t really want their practices to be like this, but they don’t have much choice. They have to have a high volume of patients in order to make ends meet financially. The high volume makes the clinic a very busy place and most patients don’t feel like they get much attention.

    In 1996 in Seattle, a doctor named Howard Moran thought there should be a better way to do this. He pioneered the concept of having a lower volume practice with highly attentive medical care provided as a service for patients in return for a retainer fee, much like many attorneys or accountants use. This fee may be in addition to, or in lieu of, the regular office fees that are billed to insurance companies. This concept allows the practice to remain financially solvent while providing better, more attentive medical service to its low volume of patients (usually keeping the patient count down to about one tenth of the number in a typical traditional primary care practice).

    Unfortunately, health insurance companies currently don’t pay for this type of service, so that means the patients have to pay this out of pocket, but if the service is good, it may be worth it. Patients who join these practices are encouraged to keep their usual insurance which they will need for visits to other specialists, laboratory testing, radiological testing and/or hospital services if needed.

    Many concierge practices offer same or next day appointments, no long waits for appointments or prescription refills, direct access to your personal physician day or night, house calls if necessary, continuing care if hospitalized, complete physical examinations, audiometry screening, cardiovascular and cancer risk screening, more attention to preventive care, unrushed appointments, all questions answered, family meetings if needed, coordination of care with specialists, provision of personal health records on CDs or flash drives, etc., etc.

    Depending on the type and number of services that are provided, the flat retainer fee can vary widely from one area to the next ranging from $100 to $20,000/ year, most probably averaging around $1500-3000/year. There were only a few hundred of these physicians a few years ago, but there are over 5000 of them now all over the country. Many of them, but not all, are listed at the main website for the American Academy of Private Physicians – http://www.aapp.org/. Patients may be able to find a concierge physician in their area on this site.

    There has been some controversy surrounding some of these practices because some authorities feel the growth of concierge medicine will lead to a 2-tiered medical system in this country – one for the wealthy and one for the not-so-wealthy. Also, with the current shortage of primary care physicians (PCPs), with increasing numbers of concierge practices, the number of PCPs available for traditional offices will be even smaller, and access to care for patients served by those practices will suffer. On the other hand, more medical students may become interested in primary care if opportunities in concierge medicine are available to them when they finish their residencies.

    Some of these practices have come under fire from insurance companies who say that concierge physicians are basically providing an insurance plan for their patients without having an insurance license to do so. The practices must therefore be legally and financially structured in such a way that avoids this criticism.

    Overall, the concept of concierge medicine provides a good alternative to the currently unsatisfying traditional model of medical practice. The fee may seem high to some, but in most instances, it probably isn’t much higher than the cost of the local cable or telephone bill, or about the same as what a family would spend eating out at a restaurant once a week. 

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    Source by Greg Warth, M.D.

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  • Shamanic or Reiki Healing

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    Shamanic or Reiki Treatment

    Both shamanism and Reiki are methods of healing. Shamanism has been around for at least 40,000 years and had a presence in most world cultures. The origin of the word shaman and shamanism has its own levels of disagreement. Reiki came on the scene in the 1920s.

    Like shamanism, Reiki has its share of inconsistent origin stories. According to William Rand, Mikao Usui, while at a retreat, received Reiki. The word reiki is a Japanese word for universal energy. He used it on his family, friends and passed it on to others. Because of his own background as a student of qigong, medicine, psychology, religion, and the art of divination, he added those skills to his practice. He passed the learning and techniques to others, particularly to former naval officer and medical doctor, Chujiro Hayashi. He made some modifications to accommodate his own style. He trained Mrs. Takata who then introduced the form of Reiki healing called Usui to the West.

    Does the fact that one predates the other make it a superior approach to healing? Personal experience dicates an unequivocal no!

    A comparison will help. Both call upon the universe for healing energy and both use supplication in their efforts to connect with universal energy. Both function as conduits for healing energy. Shamanism viewed many of mankind’s ills to be caused by the loss of spirit/soul; (Life energy) while the Reiki healer recognizes energy drain and incorrect energy flow.

    The shaman uses an altered state of consciousness to travel to another realm where he or she seeks a solution to a patient’s health or emotional issues. A Reiki Master does not travel or journey as it is sometimes called. The Reiki Master uses sacred or secret symbols, each containing its specific healing purpose. The shaman uses sacred objects to surround a patient; whereas, the Reiki may draw the sacred symbols on the patient using a finger to do so.

    A Reiki Master will use incense as does the shamanic healer. Generally, this is used for cleansing the area around a patient. Soft music is the choice of sound for the Reiki Master; a monotonous drum beat serves the shaman’s purpose of driving out evil spirits, altering the state of consciousness of the patient, or changing the direction of the energy flow.

    The Reiki Master uses his or her hands to change the energy flow of a patient. The hands are allowed to choose the place where the physical issue is located. With patient permission, the Reiki healer will physically touch the patient. During a Reiki healing session, the healer remains quiet; whereas, a shamanic healer may be chanting, have a flute played, and depending on the location, may dance around the patient.

    Thanks to Michael Harner, many of the world’s best shamanic practices have been transferred to Western culture. We now have shamanic practitioners. They are different from a traditional shaman in that they are trained for the specific purpose of healing; a traditional shaman has other duties to perform.

    If you are inclined to use an alternative healing approach, be sure you check the credentials of the practitioner, ask for references, and remember, you are the one who decides.

    Norman W. Wilson, PhD

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    Source by Norman W. Wilson, Ph.D

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  • Caribbean Medical School: Fastest Way to Be a Doctor?

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    Caribbean medical schools have long been the butt of jokes but their graduates are the ones having the last laugh. There are thousands of licensed physicians from Caribbean schools practicing all across the country. Over 25% of all doctors in the US are from international schools. Do you know where your primary care physician went to medical school? This is the field where Caribbean graduates are expected to dominate with a large percentage of graduates training in Internal and Family Medicine. They are expected to fill a nationwide shortage that is currently occupied by Physicians Assistants and Nurse Practitioners.

    Picture this. A 17 year old high school graduate enrolls in a pre-medical program at a Caribbean university. Schools will automatically accept students to their medical programs as long as they maintain a certain GPA in the pre-program. This means there is no need to take the MCAT so you can save yourself the headaches from preparing for that. The program is completed in 2 years and the student enrolls in the first year of the medical degree program at 19 years old.

    Numerous Caribbean schools offer an accelerated curriculum that divide the year into trimesters. Students attend school year round and are able to complete their M.D. in less than 36 months. Not to mention you only spend 18 months studying on the island. The clinical years are spent training alongside American medical student at hospitals in the US. St. George’s medical school has hospital affiliations that match any US school. Our fictional student graduates with his Doctorate in Medicine at the ripe age of 22 (going on 23).

    Our new graduate is eligible to practice in any state in the country as long as he attended one of the “Big 4” Caribbean medical schools (St. George’s University, Saba University, Ross University and American University of the Caribbean). Internal Medicine residencies last 3 years so we have a residency trained physician ready for board exams, licenses and employment at a mere 25 years old. Not quite Doogie Howser but it’s impressive to say the least.

    This accelerated path also benefits those seeking a new career or chasing their dream of being a doctor. Time is of the essence and wasting summers off in the traditional semester system is not time well spent. Caribbean medical schools are littered with nurses, pharmacists, dentists, chiropractors and many other health care practitioners. Many schools offer several different entrance times during the year giving flexibility for students who want to begin their medical education immediately.

    There is risk involved in attending a medical school overseas but there have been thousands who have blazed the trail before you and set the precedent. Caribbean medical schools produce capable physicians and fill an integral need in the health care system of the US.

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    Source by Greg Andrew Park

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  • Concierge Medicine + TeleMedicine = Way To Go!

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    More and more doctors are considering adding telemedicine and concierge medicine business models to increase revenue streams and improve patient services. Many are finding that educating patients about the benefits of telemedicine as a cost-effective, hassle-free care delivery model is the best approach to increasing adoption rates.

    Armed with smartphones, patients can schedule a same day appointment for both minor and major conditions. Doctors find telemedicine provides opportunities to consult with peers and specialists in the cloud to make faster, more accurate decisions – sometimes life saving decisions, such as identifying signs of a stroke or imminent heart attacks during virtual patient encounters.

    Why TeleMedicine?

    Telemedicine allows patients access to faster appointments, often immediately or on the same day as the first request. Physicians can spend quality one-on-one time with patients and personalize health care without traveling to an office or clinic.

    Doctors can now offer problem-focused visits for everything from a follow up for prescription renewals to highly complicated situations where a patient has multiple medical conditions and many providers. Virtual collaboration makes it more convenient to discuss potential drug contraindication with all providers using a secured digital platform.

    Patients can reach their trusted physician from anywhere, anytime, even when they are traveling for business or vacation. There is no need to see another doctor if either is out of town. And, non-emergency issues – colds, dermatitis, ear pain, etc – can often be handled with a short virtual visit instead of waiting for an office visit.

    Technology empowers physicians to monitor at-risk patients while giving patients more tools to control blood pressure, glucose levels and other health metrics from the comfort of their homes.

    Telemedicine plus concierge medicine provide a dual solution. Patients can speak to and see a trusted doctor every time they have a problem. While virtual visits don't allow doctors to actually listen to the heart or lungs or take a throat swab, it is possible to make a well-informed decision about when to request the patient come in for a visit. Concierge medicine ensures patients have access to a trusted group of provider when an in-person visit is the best answer. The combination is convenient, affordable and provides continuity of care necessary to build patient confidence.

    In 2016, more than 15 million Americans participated in remote health care services. The American Telemedicine Association says the numbers are growing. Telemedicine encounters is the wave of the future, and the future is now.

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    Source by Ash Metha

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  • Can You Treat Trichotillomania With Holistic Medicine?

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    Trichotillomania is an impulse control or brain disease similar to OCD or addiction where the person pulls out their own hair. The hair can be located anywhere. Trichotillamania may be caused by trauma, rape, physical violence, torture, child abuse, and very severe emotional abuse. It may be minor and easily managed or severe. This disease can overwhelm the person. It is very important for the person with this disease to eliminate or minimize exposure to any severely negative people in their life that are abusive or exploitative. It is an emotional disorder that usually needs several therapies in order to be managed successfully. There are many alternative therapies which are untried for this illness, but these may successful due to the large emotional component of the illness. Trichotillomania seems similar to addiction, OCD, and a bad habit. Quieting the mind should be one of the goals of any therapy. Alternative therapies that quiet the mind include Yoga, scalp acupuncture, auricular acupuncture, Emotional Freedom Technique(EFT), botanical extracts, Transcranial Magnetic Stimulation (TMS),and orthomolecular medicine.

    This person must be evaluated by a medical professional. A full physical and diagnostic testing of hormones and neurotransmitters must occur. This patient must be evaluated for AIDS and a brain tumor. There are several diseases that are severe enough to result in very irregular symptoms. It is extremely important to be very aggressive in treating this disease. Amino acids therapy for this may be useful and could include 5-HTP, theanine, GABA, and phenylalanine. Chinese herbal patent formulas may be considered along with Chinese liquid herbal extracts. Scalp acupuncture may be very successful in treating this type of illness. It should be done with larger needles for this type of disease. Scalp acupuncture treatments last about thirty minutes to one hour. It may take nine treatments in order to see results. Laser therapy using a cold medical grade laser may work well on this patient. You may need several sessions of cold medical grade laser therapy before you see a significant change.

    It is important for this person to sleep well and eat a well balanced diet without nitrates, amines, and food dyes. This person should avoid genetically modified foods, food additives, MSG, tumeric, and drink plenty of pure water to stay fully hydrated. The diet should allow Swiss method decaffeinated coffee or organic coffee and tea. This person should consider trying the Rotation Diet where each food may be eaten once during a four-day period. It is also a good idea to identify and reduce exposure to all allergens. You may want to consider some form of allergy treatment. Convention allergy treatments with shots is one alternative. NAET is a non-painful alternative that incorporates chiropractic and acupuncture with a special diet to treat allergens. This person needs consider a form of regular exercise like the walking, gym, biking, Bikram yoga, hiking, and dancing.

    ©Dr R Stone, MD-India

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    Source by R Stone

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  • A Cardiologist Could Save Your Life

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    Everyone has to see a doctor at some point in their lives. Unfortunately there is not one doctor that can diagnose or treat every problem. If you are having any issues or concerns with chest pains, high blood pressure, shortness of breath or issues with your blood vessels your doctor will most likely refer you to a specialist that deals specifically with these types of issues. This specialist is known as a cardiologist and they deal with preventing, diagnosing and treating diseases of the heart and blood vessels.

    When you are referred to a cardiologist you can be sure that you are seeing a doctor who is highly trained in a very specific area. These doctors have an extensive educational background which includes four years of medical school and three years of training in general internal medicine. Following that they will spend another three years or more in specialized training. In order for these doctors to become certified they must have completed a minimum of ten years clinical and educational training and then pass a two-day exam that is administered by the American Board of Internal Medicine.

    There are a variety of reasons that your doctor might refer you to a cardiologist. If there is any suspicion that you might have a significant heart or related condition you are a good candidate for a referral. Some patients that have heart murmurs or any signs of change in their ECG will also be good candidates for a referral. These doctors will be involved in the treatment of any heart attack, heart rhythm disturbances or heart failure. They are also very involved in helping patients who are affected by heart disease return to a normal life and they counsel patients about the risks as well as the prevention of heart disease.

    Every patient has a different experience with a cardiologist. All patients will be required to undergo an initial consultation where the doctor will review their medical history and perform a physical examination. This examination may be a little more in-depth than what patients are used to and may include such things as having their blood pressure, weight, heart, lungs and blood vessels checked. Depending on the patient’s symptoms and the doctor’s findings on the examination a diagnosis may be made at that point. In some cases additional testing such as an ECG, x-ray or blood test may be required in order to make a definitive diagnosis. Pending the results and diagnosis the doctor may recommend medication or some lifestyle changes.

    For some people the thought of going to a doctor is scary at any age. The thought of being referred to a specialist may be even more frightening for some people. It is important to remember that your doctor would not make a referral to a specialist unless they truly thought it was necessary. It is always better to be cautious and if there are any concerns about issues pertaining to the heart you definitely want to be in the hands of an experienced cardiologist.

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    Source by Aloysius Aucoin

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  • Traditional Chinese Medicine: Acupuncture Points and Charts

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    What Are the Acupuncture Points?

    The English translation of ‘acupuncture points’ is not very accurate. Acupuncture is one of the many healing methods used in traditional Chinese Medicine. It inserts fine needles into the sensitive points on the body to stimulate Jingluos (meridians) to cure diseases. These sensitive points are called ‘Shuxue’ or ‘Xuewei’ in Chinese Medicine, meaning ‘the transmitting points’. However, this name has been so widely used, there is no point to change it now for our discussion.

    Acupuncture points are the responsive points or sensitive points on the meridians and other parts of the body. They are the special locations where energy is transmitted between the inner structures and the surface of the body. These spots can reflect disease or unhealthy conditions by giving forth painful sensations when touched or pressed. These points are (but not limited to) where the therapists apply treatments. When the body is deficient of positive energy, negative or harmful energy will be able to invade the body through these spots, causing illness. Stimulating the related points can boost and mobilize the positive energy, balance Yin/Yang energy and cure the disease. There are three types of points:

    1. 14-main-meridian points

    2. Extraordinary points

    3.’Yes’ points.

    The 14-main-meridian points are the spots on the 12 main meridians plus the spots on the governor and conception vessels. Each spot has a unique name and a fixed location. They are the main acupuncture points. The extraordinary points are the points that have names and fixed locations. These locations are not on a particular meridian. ‘Yes’ points are also called pain points, but they don’t have names or fixed locations. They are the sensitive points related to the diseases. The ‘yes ‘name came from a story. When treating a patient, the doctor pressed a spot unintentionally, and the patient uttered ‘oh yes’.

    There are approximately 360 acupuncture points in total on the human body. With so many tiny points to remember, one can easily be intimidated. As a matter of fact, for self -healing and caring purposes, we don’t have to memorize all these points. We only need to remember roughly 20 most used and effective points. If you need to use more points, just look for them using the meridian and acupuncture point charts. Each point has a unique and meaningful name, which gives some key information about this particular point, such as main function, usage, location, or other. In English, the English spelling of the Chinese names are directly used. For people who don’t understand Chinese, it is hard to comprehend the significance of each name and, therefore hard to remember all the foreign sounding names.The format of the international symbols for acupuncture points is fairly easy. Since most of the points belong to one specific meridian (Jing), it only makes sense that their symbols are associated with those meridians. You can take two abbreviation letters of that meridian’s name and number all the points along the way, from the starting point to the end point. For example: the name of the Xue-hai point means ‘the sea of blood’ in Chinese and can be used for blood-related issues. Its English symbol is SP10, because it belongs to the spleen meridian and is the 10thpoint from the start.

    How to Find an Acupuncture Point?

    When considering an acupuncture point as a tiny point, it might be really difficult to find it. However, if you think of it as a small precise area, it becomes quite easy. To locate a subject on a 2D plane, you need 2 coordinates. To locate an sensitive point, we use a reference point and a distance. The reference point is a known location on the body, such as ‘the tip of the nose’, ‘the highest point of the ankle bone’ etc. The distance is measured by your own hand. The unit is ‘cun’. The width of your thumb at the mid joint is one ‘cun’, the width of middle three fingers at the mid joints is two ‘cun’, the width of the four fingers (without the thumb) at mid joints is three ‘cun’. How do you know if you have found the right point? When you press on it, if you feel kind of sore and sense a little pain (acute pain means you are not well somewhere), then you are on the right spot. Every main meridian has a primary point. That is the point where the primary energy of this meridian originates. Stimulating this point is one of the most effective ways to boost the positive energy found in this meridian.

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    Source by Wendy Q Wang

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