Posted on 12:53, June 16th, 2011 by Kimberly Thompson, L.Ac.
I have recently come to the realization that almost everyone who comes in for treatment has some sort of neck and/or shoulder tension–whether they are complaining of pain or not. Also, patients who have a lot of stress and anxiety (and of course the neck and shoulder tension that goes with it) also have a lot of splits in their graph. I think all patients benefit from a little attention to the neck and shoulders now and again. Relieving tension helps the whole treatment to go better and it is a wonderful preventative technique to avoid musculoskeletal problems later.
AcuGraph gives an array of treatment strategies for any given case presentation, depending on which icon you click, in the upper left corner of your screen.
One of the things I love about AcuGraph is the fact that I can use the resources available in the system and/or customize the program according to my own treatment methods.
I have developed a treatment protocol that I use in my private practice that addresses balancing the graph AND treating muscle tension in the back, neck and shoulders. I call it the Tension/Balance Treatment.
Disclosure: My educational background is in TCM. Many instructors had differing opinions with regard to the need to “tonify” or “sedate” an acupuncture point. Some even taught that if you simply treat the point, the body will know what to do with the energy. Within AcuGraph, if you click on the icon for back shu treatment recommendations, it only gives suggestions for treating the excess and deficient channels, and splits are typically addressed by treating with Luo points or Divergent channel recommendations. This custom Tension/Balance Treatment was created by me, personally, with my experience that treating the Shu points will balance the meridians–regardless of whether it presents with a split, a deficiency or an excess.
I have created custom treatment recommendations into my AcuGraph system so that anytime an EXCESS, DEFICIENCY and/or a SPLIT comes up, the “custom protocol” automatically suggests treating the back Shu points. This way, if I choose to do my own custom Tension/Balance Treatment, I can just print out the custom treatment and walk into the treatment room with a list of everything I need to treat quickly and effectively.
Custom treatment protocols are really EASY to create:
I simply took the time to put a recommendation under every excess, deficiency, and split to treat the back Shu point. Because I don’t always remember exactly which vertebra each point is under, I also put a reminder about the location–so that this treatment could be done without looking anything up. This allows me to print off the custom treatment recommendation and everything is at my finger tips for QUICK and EFFECTIVE treatment.
This patient came in with a lot of tension and stress. I decided that she would benefit from my Tension/Balance Treatment. So, I simply clicked on the custom treatment recommendation and it spit out a list of back shu points to balance this graph. After I treated the Shu points on her back it was really easy to add in needles for her upper back and shoulder tension.
Points to add in:
There are a variety of points I might add in for the tension. Here are a few of my favorites:
SI 11: Pain in the shoulder blade, arm and elbow, fullness in the chest.
GB 21: Stiffness in the neck, shoulder and back, inability to move the arm.
BL58: Lumbar pain, headache, swelling and pain in the lower limbs.
BL 60: Headache, stiff neck, weakness of the shoulder and arm, lumbar pain.
SI 3/BL 62: Opens the Governing Vessel (spine).
I hope you enjoy experimenting with my Tension/Balance Treatment. Have you created any custom recommendations for your patients? If so, we would love to hear about them. Have a great week!
Kimberly Thompson, L.Ac.
Acupuncture Research Analyst
Miridia Technology Inc.