I believe in keeping an open mind, but not so far that my brain falls out. From an Integrative Medicine consultation note.
IMPRESSION:
The patient is a toddler boy with a complicated medical history with multiple diagnoses and followed by multiple subspecialists.
RECOMMENDATIONS:
1. Essential oils- some of Mom's questions today were specifically around essential oils. I suggested that she discontinue the Thieves, which contains clove, which in addition to cinnamon is not recommended for this age group. Small amounts of the other essential oils diluted to 0.5-1%, small amounts and used in rotation should be safe. She could try making the association of a new essential oil, such as Ylang-Ylang diluted to 1% (1 drop in 5 mL of carrier placed behind his ears around the time of transition), to make a positive association. In addition, she could diffuse citrus oils between 9 and 11 a.m., which is the immune or Spleen time in traditional Chinese medicine. This plan should not be overwhelming to his vulnerable nervous system.
2. Shoni-shin was demonstrated today, which mom can perform at home for meridian support. Specific acupoints to support Yin: Kidney and Spleen were demonstrated, as well as how to perform meridian therapy in conjunction with brushing technique.
3. I did mention to mom that there is a Piezo pen, as well as moxa-specific acupoints that will help with her own treatment to bring down her Yang energy and support her Yin (specifically, congential Kidney deficiency), and she will go over this with her acupuncturist.
4. I did discuss the possible addition of "Speak Smooth"- the ingredients were printed out and appear below, and mom will discuss that with his subspecialists to ensure safety. It does contain small amounts of vitamin K, but has been found to be quite helpful in children with symptoms "on the spectrum". The issue would be whether there are restrictions based on MTHFR diagnosis.
5. I suggested to mom that I would be pleased to see the patient again in the next 4-6 weeks as would be helpful to the patient and family.
Progress report: Today, he underwent Shoni-shin (non-needle) Japanese tonifying treatment to bring the energy down from the head. Focus in KI-1, ST-36, HT-3, SP-6, Ren-4,6,12, back Shu points
ReplyDelete1) increase Speak Smooth to 6 ml per day starting tomorrow.
2) If concerns about episodes of sweating and color change, demonstrated DU-26, P-6, and TH-5 acupoints which may be pressed or rubbed for 30-60 seconds as needed.
3) RTC: 6-8 weeks, on a Monday,earlier pm; co-treat with Music Therapy.
Once again, Shonishin non-needle Japanese tonifying treatment. Barley will be added to the diet in a very small amount, mixed with pear juice.
ReplyDeleteHis vocabulary has expanded remarkably. He continues on Speak Smooth 6 mL per day,
ReplyDeleteSpeak smooth ingredients: Oil blend (fish oil [anchovy, mackerel and/or sardine], borage oil), water, xylitol, glycerine, gum arabic, natural orange flavor, d-alpha, gamma and natural mixed tocopherols, citric acid, xanthan gum, guar gum, beta carotene, sorbic acide, ascorbyl palmitate, phytonadione, menaquinone.
The NourishLife Speak Smooth Supplement combines highly concentrated omega-3 fatty acids with two forms of vitamin 3, two forms of vitamin K, and GLA to address the needs of children who have special nutritional requirements. The included types of vitamin E keep the EPA and DHA omega-3s in a useful form, and the vitamin K is there to counteract the theoretical blood-thinning effects of omega-3 and vitamin E. http://www.rehabmart.com/product/nourishlife-speak-smooth-omega-3-supplement-14265.html
He has has significant recent improvement in both his global skills, speech and comprehension. Today he had Shonishin non-needle Japanese tonifying treatment; focus on bringing energy to K1, pulling down Yang, clearing wind. Increase Speak Smooth to 7 mL per day in 2 weeks.
ReplyDeleteKl-1 acu-magnets for "Yang" episodes of facial erythema, sweating and fatigue. May leave on for 15 min, if falls asleep, remove upon awakening. He should not walk on these; may be choking hazard. Use his non-allergenic tape to apply; may be reused.
ReplyDeleteB. longum and others are now being considered "psychobiotics" with possible effects on mood, but there are early studies...For fatigue and temperature instability, try the acu-magnets bilaterally on the sympathetic (P-6) and parasympathetic (TH-5) acupoints and notice any changes.
ReplyDeleteShoni-shin: Yang locus, calming points and mid back HT-3, Kl-1
ReplyDeleteThe post and the preceding comments all relate to a particular patient. What follows relates to another patient.
ReplyDeleteI introduced the practices and principles of osteopathic manipulation therapy (OMT), which emphasizes improving flow of neurovascular and lymphatic fluids by balancing any structural abnormalities with the end-goal of promoting flow of fluids that will further allow the body's innate ability to heal itself. Based on the above findings and her interested in pursuing this option, I provided the following techniques at today's visit:
1. A counterstrain technique was utilized to treat the left psoas tender point with subsequent decrease hypertonicity and a modest decrease in tenderness. Of note, this technique was taught to her mother as a simple means of utilizing this technique in the home environment, noting that the psoas muscle is oftentimes responsible for lower back pain.
2. Lumbar paraspinal myofascial release was utilized followed by muscle energy technique to treat the left on right sacral torsion with subsequent decreased tenderness over the left sacral sulcus with improved sacral motion.
3. Suboccipital myofascial release was introduced.
4. Muscle energy technique was utilized to treat the thoracic outlet with subsequent decreased tenderness over the right articular pillar of T1 with improved sidebending motion.
5. Muscle energy technique was utilized to treat the atlantoaxial joint with subsequent balance in rotation.
6. Craniosacral therapy was briefly introduced to improve venous flow.
7. I also recommended clinical use of topical essential oils, particularly peppermint, wintergreen, or Roman chamomile applied directly to the affected joints, mixing approximately one to two drops of the oil of their choice with 1 teaspoon of carrier oil such as coconut oil. I recommended application morning and evening, and more frequently if so desired, particularly focusing on her
left hip and lower back pain.
8. Additionally a referral for medical acupuncture, was made based on her interest. We briefly discussed the concept behind acupuncture and adjusting the flow of chi through her body, which may be either increased or decreased in order to treat a variety of symptoms.
Back to the original patient: Shoni-shin/tuning fork: Yang locus, calming points, lower legs, head and mid back. LR-3; GB-20, DU-20: KI-1.
ReplyDeleteHe was wearing a bamboo mask because mother reported he has had cold symptoms the last few days...
ReplyDeleteFor general support, mother has been alternating topical applications of lavender, heliachrysum and ylang ylang essential oils through the week, diluting them in fractionated coconut oil...
Shonishin treatment on arms, legs, back (UB channel, upper back), neck and scalp. Tapping on Du 12 using fingers. Gentle tuina on lowback, at level of L1-L5. Pressure on bottoms of feet and Kl1.
TCM diagnosis: KI essence deficiency
ReplyDeleteBranch-Spleen deficiency
Shoni-shin was performed today with tonfication and downward movement of Yang.: rake kakaburi and matasuhin, hand friction on Ming Men were used. Scraping of LU-1, LR, focus on Kl-1.
ReplyDelete[I can hear the kakaburi singing in the kakaburi tree.]
Implement magnetic mattress when it arrives. Consider discontinuing theanine at that time and observing response. If needed, could use 1 spray of Bach Rescue Rememdy but introduce when not in extremis.
ReplyDeleteDiscontinue lemon and lime essential oils and continue grapefruit and orange by diffusion only.