tag:blogger.com,1999:blog-52639208555403804862024-03-05T06:20:24.231-05:00Anatomy of the Sinew ChannelsDiscussing topics related to sports medicine, orthopedic conditions, and pain with emphasis on treatment via acupuncture. Also offering tips and strategies to stay healthy and fit.Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.comBlogger79125tag:blogger.com,1999:blog-5263920855540380486.post-31748694286317257622024-02-01T20:32:00.001-05:002024-02-01T20:38:56.712-05:00Jingjin and Rotation: The Pericardium and Liver Channels<div class="separator" style="clear: both; text-align: center;"><iframe allowfullscreen="" class="BLOG_video_class" height="332" src="https://www.youtube.com/embed/UEiozDV2PW4" width="481" youtube-src-id="UEiozDV2PW4"></iframe></div><h1 style="text-align: left;">The Channel-Sinews (Jingjin) of the Pericardium and Liver Channels rotate the pelvis, ribcage and shoulder girdle</h1>
<p></p><table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiH6ZJXwJTbHt86prK-k9h60JF5sotxXE57AzVOA3UOopfvEp9cB7JGk_fyNs-CY7J28yyy4Cf8Ha-NyqZe4l4-p-Ri-b0eb6xWe6RA_jhXlwN7nIuAxtr2WUbcO6OI17Zs6ApXfMoo7V1pbmaeZBJblqeK390tV4wv8hYxALBDknr_c2AnzjBEMbNtmYTm/s1035/Pericardium%20jingjin%20torso.png" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="Pericardium Jingjin" border="0" data-original-height="1035" data-original-width="780" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiH6ZJXwJTbHt86prK-k9h60JF5sotxXE57AzVOA3UOopfvEp9cB7JGk_fyNs-CY7J28yyy4Cf8Ha-NyqZe4l4-p-Ri-b0eb6xWe6RA_jhXlwN7nIuAxtr2WUbcO6OI17Zs6ApXfMoo7V1pbmaeZBJblqeK390tV4wv8hYxALBDknr_c2AnzjBEMbNtmYTm/w301-h400/Pericardium%20jingjin%20torso.png" title="Pericardium Jingjin" width="301" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">Pericardium Jingjin Torso</td></tr></tbody></table>Take a look at the channel-sinews of the two jueyin channels. In Chinese medicine, the jueyin channels are the pericardium channel and the liver channel. Both of these channels wrap around the body and perform rotation. Let's first look at the pericardium jingjin. It involves the serratus anterior, but it also continues to wrap around the torso to link with the rhomboids and connects with the contralateral side to connect with the splenii muscles of the neck. This interpretation of the channel is influenced by the spiral line described by Thomas Myers, author of <a href="https://www.anatomytrains.com/" target="_blank">Anatomy Trains</a>.<p></p><div>The serratus anterior is part of many channel-sinews. It exerts its influence as part of the pericardium channel when it protracts one shoulder girdle while the other shoulder girdle is retracting, in other words when the shoulder girdle rotates.</div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh6ChfkZ6Gi3EL90htj2H7hHpae6aLBViL9nAU2lEomp-P9ubsatItvUhIPJ_imIpD4U0KmXvPaHUOaDsPVyGUIc4HgRQb2Rnw66bJbra1Hhcj_NGfK_Mq5vOW7bdfkdRMDfvAaspxlIVvoisINWrQFb8jKVrNlfoZeQN-2SKBzYFIL5UD1Es6YvbIqcyoY/s1268/Pericardium%20jingjin%20arm.png" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1268" data-original-width="771" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh6ChfkZ6Gi3EL90htj2H7hHpae6aLBViL9nAU2lEomp-P9ubsatItvUhIPJ_imIpD4U0KmXvPaHUOaDsPVyGUIc4HgRQb2Rnw66bJbra1Hhcj_NGfK_Mq5vOW7bdfkdRMDfvAaspxlIVvoisINWrQFb8jKVrNlfoZeQN-2SKBzYFIL5UD1Es6YvbIqcyoY/s320/Pericardium%20jingjin%20arm.png" width="195" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">Pericardium Jingjin Arm</td></tr></tbody></table></div><div><br /></div><div><br /></div><div>When looking at the upper extremities, the pericardium jingjin includes the pronators of the forearm (pronator teres and pronator quadratus) and also the adductor of the arm, the coracobrachialis. Collectively, these muscles can all work together to pronate the forearm, adjust the position of the humerus and protract the scapula; all motions employed when pushing in activities like martial arts training or any activity which would require pushing with force. </div><div><br /></div><div>What happens when rotation goes beyond just the upper extremities and shoulder girdle. In this case, the pericardium jingjin links with the liver jingjin which includes the external oblique and crosses over to the opposite side adductors (particularly adductor longus, brevis, pectineus, and gracilis). This entire jueyin network would be active when there is rotation in the shoulder girdle, ribcage, and pelvis; all regions involved with the third exercise in the video in the top of the post. .</div><br /><p></p><table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj3_fQbiEDNhYinu1EtvJgAdkwqb6uDM3skwtnG8hEyYAhoP-Ei6E_VxNOjH4THiqnN9Dn5Dp57g962VcGdBhWXONpeG6PZlv2Ds0Wt8PZxG49t-FBnFnKS3iKmgeUZO5itPMCogRbf5kbYVKOI2duefUHYLs3IE0JKnuMj7qIayaogSiMQ6JIss4RBH9v-/s1032/Pericardium%20and%20Liver%20jingjin%20torso.png" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="Pericardium and Liver Jingjin" border="0" data-original-height="1032" data-original-width="630" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj3_fQbiEDNhYinu1EtvJgAdkwqb6uDM3skwtnG8hEyYAhoP-Ei6E_VxNOjH4THiqnN9Dn5Dp57g962VcGdBhWXONpeG6PZlv2Ds0Wt8PZxG49t-FBnFnKS3iKmgeUZO5itPMCogRbf5kbYVKOI2duefUHYLs3IE0JKnuMj7qIayaogSiMQ6JIss4RBH9v-/w195-h320/Pericardium%20and%20Liver%20jingjin%20torso.png" width="195" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">Pericardium and Liver Jingjin</td></tr></tbody></table>Beyond mobilizing the pelvis, ribcage and shoulder girdle, it is also the case that these rotational patterns move and massage the liver and pericardium organs to increase circulation and health. <br /><p></p><div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div></div>
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-46837627335658859282023-06-21T08:16:00.010-04:002023-10-11T10:20:49.500-04:00Liver Sinew Channel Illustrations and Anatomy<h1 style="text-align: left;"><span itemprop="headline" style="font-weight: normal;">Illustrations of the Liver Sinew Channel</span></h1>
<p>It's said that a picture is worth a thousand words. As an educator and anatomist, I find this is especially true. I have often found that very complex anatomical relationships can be understood much more easily by a very good illustration or image. Cadaver dissection is probably the best way to appreciate these relationships, but here are several images that are most certainly better than 'a thousand words and can help until you can get to a dissection. </p><div><i>Note: we are working on scheduling a 3 day cadaver lab on the East Coast with <a href="https://www.sportsmedicineacupuncture.com/" target="_blank">Sports Medicine Acupuncture</a> and I will be doing a 1 day in Miami in September 2023 with Michael Corradino. Also note that I will be speaking on the QL and the LIV jingjin at the upcoming <a href="https://www.fsoma.org/2023con" target="_blank">FSOMA conference</a> in August 2023</i></div><div><i><br /></i></div><div>Now on to the anatomy!</div><div><div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLXKHMfAdrvkAO83qFH0AKN7idTZhejwoarO8rmNzDVyanbu50mLwMAsxXnDacMF_ZzkfuzeEOLkAuuWQiJZr-Ke46PpMetiNtO2tZkoHLwU97QxVHRK7P1TZy1k96HP0l0zIOUdGoXUx1exZF-tURf34uMicKHyVRRx1lUxssT7Ww5n2fT3X46jpJ8Ak/s1920/Liver%20Jingjin%20Holism%20Prints.png" style="margin-left: 1em; margin-right: 1em;"><img alt="Image from Holism Prints" border="0" data-original-height="1920" data-original-width="1080" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLXKHMfAdrvkAO83qFH0AKN7idTZhejwoarO8rmNzDVyanbu50mLwMAsxXnDacMF_ZzkfuzeEOLkAuuWQiJZr-Ke46PpMetiNtO2tZkoHLwU97QxVHRK7P1TZy1k96HP0l0zIOUdGoXUx1exZF-tURf34uMicKHyVRRx1lUxssT7Ww5n2fT3X46jpJ8Ak/w180-h320/Liver%20Jingjin%20Holism%20Prints.png" width="180" /></a></div><div class="separator" style="clear: both; text-align: center;"><span style="text-align: left;">Classically, the Liver sinew channel terminates at the groin. Above is a wonderful illustration from Jennifer Black at <a href="https://www.holismprints.com/" target="_blank">Holism Prints</a> which shows the classical view described in Ch 13 of the Lingshu. Below is my anatomical interpretation of this portion of the channel at the groin which involves the anterior adductors (adductor longus, brevis, pectineus, gracilis). All attach to the pelvis on it's inferior surface. This matches the classical view, but does this sinew channel end there?</span><br /><div class="separator" style="clear: both;"><br /></div><div class="separator" style="clear: both;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiJtO_AGhumMbmYt7_2H0WowwkUh03qTX8laOMXGx4WlNe0Mii6GN9-Qle9Qo7Ir6HcEB9ZBVV1DO3eHohdmd2zEsykBuYKEyik0GissQ36ydGfKVVOhcx0HsfGNykDhAn9qeuZvnFTkUfnGtyvaBorbNOWL7QOq3naG0Pgnlep1PxbiXTpGXGwlz69asM/s1160/LIV%20adductors%20black%20background.jpg" style="margin-left: 1em; margin-right: 1em;"><img alt="Image depicting anatomy of the LIV jingjin" border="0" data-original-height="1160" data-original-width="725" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiJtO_AGhumMbmYt7_2H0WowwkUh03qTX8laOMXGx4WlNe0Mii6GN9-Qle9Qo7Ir6HcEB9ZBVV1DO3eHohdmd2zEsykBuYKEyik0GissQ36ydGfKVVOhcx0HsfGNykDhAn9qeuZvnFTkUfnGtyvaBorbNOWL7QOq3naG0Pgnlep1PxbiXTpGXGwlz69asM/w200-h320/LIV%20adductors%20black%20background.jpg" width="200" /></a></div><div class="separator" style="clear: both;"><br /></div></div></div><div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhtog_jrjY11EChtmgXn88Z8BfHyHeQJ4wF73ppFVfUOwTtXy1UISMz3XV9YhTD9Itdaz7_Qlijm0OrzILAcUM-Vv6g66kNBNZAw7hi27WmjY-J0R2hVNeIyQ9XiHiJyIn2s0jwpa5_pxAQ44kJeD8qUXMLj05lFy9hqXUqusfc3Xm5aWy9ahzGRMrihpI/s1332/Toldt%20medial%20thigh.jpg" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img alt="Image Toldt's Atlas of Human Anatomy" border="0" data-original-height="1332" data-original-width="711" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhtog_jrjY11EChtmgXn88Z8BfHyHeQJ4wF73ppFVfUOwTtXy1UISMz3XV9YhTD9Itdaz7_Qlijm0OrzILAcUM-Vv6g66kNBNZAw7hi27WmjY-J0R2hVNeIyQ9XiHiJyIn2s0jwpa5_pxAQ44kJeD8qUXMLj05lFy9hqXUqusfc3Xm5aWy9ahzGRMrihpI/w171-h320/Toldt%20medial%20thigh.jpg" width="171" /></a></div><br />To the left is an image from Toldt's Atlas of Human Anatomy. The patella is facing to the left in this illustration. The perspective is anteromedial which gives a great view of the region of the Liver sinew channel. I produced the labels of the adductor attachments in the intermuscular septum, sometimes referred to as the subsartorial canal (it is deep to the sartorius muscle) and also it is known as Hunter's canal. I teach some manual techniques to open this space and also needle from it angled either anterior into trigger points of the quadriceps or posterior into the adductors. There are blood vessels and nerves running in this space and I feel this canal is where the Liver primary channel runs.</div><div><br /></div><div>I love this image since is depicts how this myofascial plane continues beyond the groin and into the anterior portion of the pelvis. This entire atlas is amazing!<br /><br /><br /></div><div><br /></div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjByjQdpDRu3uBSf62hzhE7l4JG1cCkd6SS2g8imtmFkelXrYTsWgmQNiAKda8c94LZZm0a18VurhGK0BTYo5K_IG6z-MEg9vm21XWqzA7DLDU9DxwlIYc9eVLRPlNwNrkPqM3U8sEir_w/s1600/diaphragm+psoas+QL.jpg" style="clear: right; display: inline; float: right; margin-bottom: 1em; margin-left: 1em; text-align: center;"><br /></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjByjQdpDRu3uBSf62hzhE7l4JG1cCkd6SS2g8imtmFkelXrYTsWgmQNiAKda8c94LZZm0a18VurhGK0BTYo5K_IG6z-MEg9vm21XWqzA7DLDU9DxwlIYc9eVLRPlNwNrkPqM3U8sEir_w/s1600/diaphragm+psoas+QL.jpg" style="clear: right; display: inline; float: right; margin-bottom: 1em; margin-left: 1em; text-align: center;"><br /></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjByjQdpDRu3uBSf62hzhE7l4JG1cCkd6SS2g8imtmFkelXrYTsWgmQNiAKda8c94LZZm0a18VurhGK0BTYo5K_IG6z-MEg9vm21XWqzA7DLDU9DxwlIYc9eVLRPlNwNrkPqM3U8sEir_w/s1600/diaphragm+psoas+QL.jpg" style="clear: right; display: inline; float: right; margin-bottom: 1em; margin-left: 1em; text-align: center;"><br /></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjByjQdpDRu3uBSf62hzhE7l4JG1cCkd6SS2g8imtmFkelXrYTsWgmQNiAKda8c94LZZm0a18VurhGK0BTYo5K_IG6z-MEg9vm21XWqzA7DLDU9DxwlIYc9eVLRPlNwNrkPqM3U8sEir_w/s1600/diaphragm+psoas+QL.jpg" style="clear: right; display: inline; float: right; margin-bottom: 1em; margin-left: 1em; text-align: center;"><br /></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjByjQdpDRu3uBSf62hzhE7l4JG1cCkd6SS2g8imtmFkelXrYTsWgmQNiAKda8c94LZZm0a18VurhGK0BTYo5K_IG6z-MEg9vm21XWqzA7DLDU9DxwlIYc9eVLRPlNwNrkPqM3U8sEir_w/s1600/diaphragm+psoas+QL.jpg" style="clear: right; display: inline; float: right; margin-bottom: 1em; margin-left: 1em; text-align: center;"><br /></a><div>Toldt's Atlas is from the early 1900s. Let's go back a bit further to 18th century to view an image from Bernhard Siegfried Albinus, a German anatomist, who guided engraver Jan Wandelaar to make a series of fantastic engravings portraying different layers of the body. Here is the deepest layer which beautifully depicts the liver sinew channel all the way up through the anterior pelvis and into the spinal column to the diaphragm!<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIqmgVcN_jEzfm84lEY38coSusH50PNugqFmOQtIf7WbIGpTUEc_dK9_nXv9vO2lN1sQB6Jpw-gwijNMfB12YMo9L-58nbjsafQ1p213QB5SrzZ9Z3Wy91crBxYkZO93tLIgLgVV-v5dYXCVAhD1GKXqrPCL35lxhT_s0_ruBiF6bH4k8uNqPC4JUi0Uk/s1377/Albinus%20deepest%20layer.jpg" style="margin-left: 1em; margin-right: 1em; text-align: center;"><img alt="Albinus Anatomy" border="0" data-original-height="1011" data-original-width="1377" height="470" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIqmgVcN_jEzfm84lEY38coSusH50PNugqFmOQtIf7WbIGpTUEc_dK9_nXv9vO2lN1sQB6Jpw-gwijNMfB12YMo9L-58nbjsafQ1p213QB5SrzZ9Z3Wy91crBxYkZO93tLIgLgVV-v5dYXCVAhD1GKXqrPCL35lxhT_s0_ruBiF6bH4k8uNqPC4JUi0Uk/w640-h470/Albinus%20deepest%20layer.jpg" width="640" /></a></div><br /><div><br /></div><div>Check out my video that covers this sinew channel from the toes all the way to the diaphragm. Make sure to like the video and let me know if you have any thoughts, questions or considerations in the comment section.</div><div><br /></div></div></div><div class="separator" style="clear: both; text-align: center;"><iframe allowfullscreen="" class="BLOG_video_class" height="410" src="https://www.youtube.com/embed/K-Op5Cch0Kg" width="481" youtube-src-id="K-Op5Cch0Kg"></iframe></div><br /><div><br /></div>
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-36729758318836822362023-06-19T22:36:00.012-04:002023-10-11T10:21:00.338-04:00Movement Organized by the Channel Sinews<h1 style="text-align: left;"><span style="font-weight: 400;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhEOqj_qvy-JW74NCCwf13NO9PBNyDVZBrcGhjMJg2nDXwmsYmS7xIEwdBWZdCTBecrgBC3-3Ia7WUaGulX01-rbx7y0KZETbarUPessckzzcYu0urP2xvxxKxQWNFC2KefHfIoZ_NbTxs6LgRCYkF_6wmEVtJJxSRP3dbQmYBU3LXbFu9to0irE-yhPeg/s1080/Movements%20and%20the%20Channels%201080x1080.png" style="margin-left: 1em; margin-right: 1em;"><img alt="Channels and Movement Organization" border="0" data-original-height="1080" data-original-width="1080" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhEOqj_qvy-JW74NCCwf13NO9PBNyDVZBrcGhjMJg2nDXwmsYmS7xIEwdBWZdCTBecrgBC3-3Ia7WUaGulX01-rbx7y0KZETbarUPessckzzcYu0urP2xvxxKxQWNFC2KefHfIoZ_NbTxs6LgRCYkF_6wmEVtJJxSRP3dbQmYBU3LXbFu9to0irE-yhPeg/w400-h400/Movements%20and%20the%20Channels%201080x1080.png" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div>The Channels Organize Movement</span></h1>
<p>If you are an acupuncturist, then you learned a portion of the above image. You learned this as the circadian cycle where energy is at is peak during a 24 hour time period. You also learned various channel correspondences. For instance, the following are internally-externally related channels: LU-LI, ST-SP, HT-SI, KID-UB, P-SJ, LIV-GB. And, finally, you learned the following six divisions: Taiyang (UB-SI), Shaoyang (GB-SJ), Yangming (ST-LI), Taiyin (SP-LU), Shaoyin (KID, HT), Jueyin (LIV-P). You already know that the channels in each of the 3 grouping above share many relationships. </p><p>What you have not been taught, at least in a Chinese Medical Curriculum, is that movement is integrated around these 3 groupings. To fully understand this, you need to dive into the sinew channels (jingjin) and this is exactly what I have been exploring for the last 20+ years. This started with my interested in movement (taiji, qigong, bodyweight calisthenics), developed with my interest in fascial systems such as Anatomy Trains, and continued with exploration on approximately 100 cadaver dissections. This has led to the development of a comprehensive sinew channel model that is taught in the<a href="https://www.sportsmedicineacupuncture.com/smac-program/" target="_blank"> Sports Medicine Acupuncture Certification</a> program where I am a faculty member.</p><p>This past Spring 2023, I presented on channels and movement at the first annual <a href="https://www.sportsmedicineacupuncture.com/psoas-education/" target="_blank">Pacific Sports and Orthopedic Acupuncture Symposium (PSOAS).</a> The info below is a summary of this presentation and work I am continuing to develop.</p><h1><span style="font-weight: 400;">The Channel Sinew Groupings & Functional Movement Patterns</span></h1><div>While you can explore what an individual sinew channel does in terms of movement, there is greater benefit in understanding that functional movement patterns are organized by the groupings above. Most movements, especially full body movements are too complex to analyze with a single channel. Take, for instance, something relatively simple such as a pull up. This movement engages many muscles of the back and involves the UB sinew channel. But the external shoulder rotators are also engaged which would be part of the SI sinew channel. And, if your form is good, there is engagement of core structures such as the transverse abdominis, part of the KID sinew channel. This relatively straightforward movement primarily involves expansive movements that lift and propel the body forward. These movements lift the body up (literally, in the image below), but also lift you into an upright posture, and they also stabilize the spine. They are controlled by the Taiyang and Shaoyin channel sinews.</div><p> </p><table cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhFJEAJWaqkQw75xnS2Nn6eCTrBo-5-UNVkQX031WhPyfCP083MF11cH0s7DYS2pkZH3TBqDZiSAtaTI10krQmDMAPaOgEwQPqpotHOnO3yjF7AfbWCA3zOShvvF5MwGMTMlxu_eeD0WqlAihg39ie8hVYESUIppKXL8_pmoGj77iV2AUN9dsL3oZWrzf4/s854/pexels-ruslan-khmelevsky-4608157%20(2).jpg" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="Expansive movements of the Taiyang-Shaoyin channel sinews" border="0" data-original-height="854" data-original-width="640" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhFJEAJWaqkQw75xnS2Nn6eCTrBo-5-UNVkQX031WhPyfCP083MF11cH0s7DYS2pkZH3TBqDZiSAtaTI10krQmDMAPaOgEwQPqpotHOnO3yjF7AfbWCA3zOShvvF5MwGMTMlxu_eeD0WqlAihg39ie8hVYESUIppKXL8_pmoGj77iV2AUN9dsL3oZWrzf4/w240-h320/pexels-ruslan-khmelevsky-4608157%20(2).jpg" width="240" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;"><span face="PlusJakartaSans, -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Oxygen, Cantarell, "Helvetica Neue", Ubuntu, sans-serif" style="font-size: 14px; text-align: start; white-space: pre;">Photo by Ruslan Khmelevsky:
https://www.pexels.com/photo/muscular-sportsman-doing-pull-up-exercise-in-gym-4608157/</span></td></tr></tbody></table><br /><p></p><p>Other movement patterns guided by the Yangming-Shaoyin channels compress and hollow the body. They protract the scapulae, depress the chest, and flex the torso and hip. Hollow body holds, L-sits, a front kick, and many other movements fall into this category. These movements balance the expansive ones described above and there are many exercises that move back and forth between these two groupings. For instance, rowers would move back and forth between these phases; going into a compression so that they have more range as they engage the back, expand and propel forward as they pull the paddle through the water. You have to compress and load the spring before you expand, especially if you want to do it explosively. The spinal wave from White Crane qigong is another example of this ebb and flow and you can watch my video by <a href="https://www.youtube.com/watch?v=7XuTClpFa3U">clicking here</a>. </p><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiVVJs-ZHlRd_SfsPuWGMXaW_t_uC5F4P9KzqApeMm42BLdzFDzLGA0h4BBXU3R01JV3leB6QSaGtsjlZ4RB0fNCBe4liy2aH8ko0NHKuXX77Yagi3r6vGOV4nxg8jdc3D8kfxjOpOzzHEn0rXYoljqYjMrBkN7coMjBT9lz4pYVKzkdLNJhBIunhz_LIo/s640/pexels-andrea-piacquadio-3763702.jpg" style="margin-left: auto; margin-right: auto;"><img alt="Compressive movements of the Yangming-Taiyin channels" border="0" data-original-height="427" data-original-width="640" height="214" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiVVJs-ZHlRd_SfsPuWGMXaW_t_uC5F4P9KzqApeMm42BLdzFDzLGA0h4BBXU3R01JV3leB6QSaGtsjlZ4RB0fNCBe4liy2aH8ko0NHKuXX77Yagi3r6vGOV4nxg8jdc3D8kfxjOpOzzHEn0rXYoljqYjMrBkN7coMjBT9lz4pYVKzkdLNJhBIunhz_LIo/w320-h214/pexels-andrea-piacquadio-3763702.jpg" width="320" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;"><span face="PlusJakartaSans, -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Oxygen, Cantarell, "Helvetica Neue", Ubuntu, sans-serif" style="font-size: 14px; text-align: start; white-space: pre;">Photo by Andrea Piacquadio:
https://www.pexels.com/photo/photo-of-male-gymnast-practicing-on-gymnastic-rings-3763702/</span></td></tr></tbody></table><br />The final grouping involves the Shaoyang and Jueyin channels which execute two very related movement patterns; sidebending and rotation. This involves trunk and neck sidebending, but also abduction and adduction of the limbs, along with rotational movements. A very simple example is in a video below where I am swinging on monkey bars. This exercise illustrates both rotation, but you will also see sidebending if you watch the video; all engagements of the Shaoyang and Jueyin channels. <i>Note: I mention the Gallbladder sinew channel in this video, but all of the channels in this category are involved. I was simplifying since it is hard to describe these types of concepts in a video without being distracting.</i><div><br /></div><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhkd7dJyTvATpGiUHj0HoA_j_DmyHs2GDCdPh6DaHvv8KjA1DLemnDwGOghTvaEVP_U4UmgPys6SXLBnSDaFIV-OxDhj0cCSLhkNN5scLlVN5yd8nVzeGwIbJLgVho8-9iE03BoQKA1ieQc2XvPcfOZdPOuyO9K4yPz2bGw2GzJdgmtUwBEdHgsGrqW5N4/s960/pexels-los-muertos-crew-10039561.jpg" style="margin-left: auto; margin-right: auto;"><img alt="Rotational and Sidebending movements of the Shaoyang-Jueyin channels" border="0" data-original-height="960" data-original-width="640" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhkd7dJyTvATpGiUHj0HoA_j_DmyHs2GDCdPh6DaHvv8KjA1DLemnDwGOghTvaEVP_U4UmgPys6SXLBnSDaFIV-OxDhj0cCSLhkNN5scLlVN5yd8nVzeGwIbJLgVho8-9iE03BoQKA1ieQc2XvPcfOZdPOuyO9K4yPz2bGw2GzJdgmtUwBEdHgsGrqW5N4/w213-h320/pexels-los-muertos-crew-10039561.jpg" width="213" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;"><span face="PlusJakartaSans, -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Oxygen, Cantarell, "Helvetica Neue", Ubuntu, sans-serif" style="font-size: 14px; text-align: start; white-space: pre;">Photo by Los Muertos Crew:
https://www.pexels.com/photo/woman-doing-sports-at-sports-hall-10039561/</span></td></tr></tbody></table><br /><div>Check out my <a href="https://www.youtube.com/channel/UC0qtfnsYA_WBBf8rwDpQslw">Youtube channel</a> where I will be exploring many of these concepts. If you do visit, especially if you find the information useful, please subscribe, like the videos, and comment on the videos. All of this helps build my channel and allows me to put the time into producing more content. Besides this, I appreciate the comments since it helps be continue to organize this information and we can all learn together!</div><div><br /></div><div class="separator" style="clear: both; text-align: center;"><iframe allowfullscreen="" class="BLOG_video_class" height="355" src="https://www.youtube.com/embed/J4YgTQlidQY" width="480" youtube-src-id="J4YgTQlidQY"></iframe></div><br /><div><br /><p><br /></p>
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</div></div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-37389107550812163932023-06-05T12:24:00.006-04:002023-10-11T10:21:08.319-04:00The Lateral Raphe: An Important Structure of the Low Back<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi_f1HICaI-O8ucknrXJJS7XuyQuCme4kaHN8obb_pVTOgpk-h185wRwRa67gOjtXxonDJypuyWzGnrHcPjYgPFYtetWQJ8Ecy6kyfocJI95u66Fp3nH_CFSawNEdShrvmHsrwG5HOSIOgleVksgCbkFPb9WKCXrTFnXqJ_8fKDgaX0t2-qg8zIGu3o/s1080/12.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1080" data-original-width="1080" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi_f1HICaI-O8ucknrXJJS7XuyQuCme4kaHN8obb_pVTOgpk-h185wRwRa67gOjtXxonDJypuyWzGnrHcPjYgPFYtetWQJ8Ecy6kyfocJI95u66Fp3nH_CFSawNEdShrvmHsrwG5HOSIOgleVksgCbkFPb9WKCXrTFnXqJ_8fKDgaX0t2-qg8zIGu3o/s320/12.png" width="320" /></a></div><h1>The Lateral Raphe, Quadratus Lumborum and the 2023 FSOMA conference</h1><h1><p style="font-size: medium; font-weight: 400;">I will be presenting about the lateral raphe and the quadratus lumborum at the 2023 Florida State Oriental Medical Association )FSOMA) annual conference on Aug. 27. Details are <a href="https://www.fsoma.org/2023con" target="_blank">available here.</a> This post and the video below will give a preview of a portion of this presentation. I hope to see you there!</p></h1><h1 style="text-align: left;">The Lateral Raphe and Low Back Health</h1>
<p>Many manual therapists use high velocity low amplitude (HVLA) adjustments (such as a chiropractic or osteopathic adjustment) to move the body frame and reposition joints. I follow more of the structural integration model where I use the fascia as a lever to move and mobilize the body's skeletal framework. The lateral raphe of the low back is one of these important levers that can influence so much of the low back that it is important to understand the anatomy and use this understanding to better mobilize and move the body.</p><p></p><table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgomjBd3gwGZAY5cis4wdQ2mN_FLnXpGyjAIAGAN2sC3H_mHRmnOLzOvtUIeDWVZpmdj8FdVHANUenYqp7Yth2onQ5fv3zOQG83JIIc7eLtofW_gynu15oN-A8T8_OYMVYecYs8CI5ZxfF2sGqqRDbgMdoIIA7PkOwhk5P0U9R14ivZCffHHOT1TWiY1w/s700/book041_sec3_fig183_plain.jpg" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="Netter Anatomy Illustration" border="0" data-original-height="700" data-original-width="461" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgomjBd3gwGZAY5cis4wdQ2mN_FLnXpGyjAIAGAN2sC3H_mHRmnOLzOvtUIeDWVZpmdj8FdVHANUenYqp7Yth2onQ5fv3zOQG83JIIc7eLtofW_gynu15oN-A8T8_OYMVYecYs8CI5ZxfF2sGqqRDbgMdoIIA7PkOwhk5P0U9R14ivZCffHHOT1TWiY1w/w132-h200/book041_sec3_fig183_plain.jpg" title="Thoracolumbar Fascia" width="132" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">Netter Image <br />showing TLF</td></tr></tbody></table><br />The lateral raphe is part of the larger thoracolumbar fascia (TLF). The TLF is the diamond shape aponeurosis (wide, flat tendon) seen in musculature illustration of the back. These illustrations don't do it justice since this isn't simply a single layer structure, but is, instead, a multilayer fascial structure with attachments to so many prominent structures of the low back.<p></p><p></p><table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi5iyglRsfG737quZrXIDYAxHOXXQt66PjK_Eb7_xI5MKKrgTNtIJFxlfVBV6vUpF2tkQIdUlDW41gImwYUv6kFZcbyg5BhkqroXLB3oug-shXYvYF1XNPAMnhBWJcbbpI0-_2FkfO2SCuj4LVDczFNiIKG1E1-wWADXGNl83aMVHZTdHcn95NcgtLDCA/s439/grundy%20abdominal%20layers.png" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="John Hull Grundy Illustration" border="0" data-original-height="439" data-original-width="348" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi5iyglRsfG737quZrXIDYAxHOXXQt66PjK_Eb7_xI5MKKrgTNtIJFxlfVBV6vUpF2tkQIdUlDW41gImwYUv6kFZcbyg5BhkqroXLB3oug-shXYvYF1XNPAMnhBWJcbbpI0-_2FkfO2SCuj4LVDczFNiIKG1E1-wWADXGNl83aMVHZTdHcn95NcgtLDCA/w254-h320/grundy%20abdominal%20layers.png" title="Thoracolumbar Fascia" width="254" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">From Human Structure and Shape<br />by John Hull Grundy</td></tr></tbody></table><br />The fascia from the abdominal muscles, primarily the internal obliques and transverse abdominis continue to wrap around to the back to join with the TLF. Specifically, these fascial layers converge into a seem at the lateral edge of the iliocostalis lumborum and the quadratus lumborum. This seem then separates again into two layers with one layer traveling superficial to the erector spinae to connect with the spinous processes of the lumbar vertebrae, while the second layer travels deep to the erector spinae and between the erectors and the quadratus lumborum (so, superficial to the QL) to connect with the transverse processes of the lumbar vertebrae. This seem is the lateral raphe. It has connections to the abdominals all the way to the rectus abdominis; it has connections to the erector spinae and QL, and it has connections to bony landmarks of the lumbar spine and even the deep lumbar multifidi muscles. <p></p><p><br /></p><p>This fascial seem helps integrate and balance pushes and pulls produced by all of these structures while providing a stable support for the muscles to pull on. You want the lateral raphe to be supple and strong so that it can be a structure that supports the spine while allowing the various muscles that attach to it to communicate mechanically with each other. This mechanic communication is how the myofascial knows where they are in space compared to their functional partners. </p><p>Here is a video featuring palpation and giving a brief demo of techniques to affect the lateral raphe and influence low back health. </p><div class="separator" style="clear: both; text-align: center;"><iframe allowfullscreen="" class="BLOG_video_class" height="336" src="https://www.youtube.com/embed/nQDl-aDTAyw" width="481" youtube-src-id="nQDl-aDTAyw"></iframe></div><br /><h1>The Lateral Raphe and its Sinew Channel Relationships</h1><p>The lateral raphe is a meeting point in the fascial system. This plays out also when looking at its channel relationships, particularly looking at the sinew channels/ The following jingjin meet at the lateral raphe:</p><p></p><ul style="text-align: left;"><li>Urinary Bladder jingjin - via pull from the erector spinae</li><li>Stomach jingjin - following the lateral branch that travels up the vastus lateralis and into the gluteus medius and minimus fascia to the TLF and LR</li><li>Liver jingjin - via the pull from the quadratus lumborum</li><li>Kidney jingjin - via the pull from the lumbar multifidi</li></ul><div>We will explore this more at the FSOMA conference and look at both local treatment and distal points to influence this important structure/</div><p></p>
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-29216148123637520402022-12-21T12:59:00.016-05:002023-10-11T10:21:20.105-04:00Gallbladder Sinew Channel, Side bending and Rotation<h1><span itemprop="headline" style="font-weight: normal;">Joint mechanics of the spine and pelvis: Coupling Side Bending and Rotation.</span></h1>
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In clinical practice, we see things like an elevated ilium quite frequently. With the elevated ilium, there is almost always some aspect of pelvic torsion. This word can mean different things, but what I mean is that one ilium will be significantly different than the other in terms of anterior and posterior tilts. One side will be significantly more anteriorly tilted or posterior tilted than the other. There will also frequently be rotations in the pelvis and spine.
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Why is this? It really has to do with the mechanics of the spine, sacrum and innominate bones. In movements such as walking and running, the body features a combination of side bending and rotation. As the hip flexes and the leading leg reaches out, that innominate bone will roll into a posterior tilt and it will move anterior. Conversely, the opposite innominate will go into an anterior tilt and shift posterior as it follows the back leg in extension. The sacrum will be part of this complex movement and will 'nod' as it rotates and side bends. This nodding is called nutation and counter-nutation and I will not go into detail here other than noting that that the side bending and rotation are coupled in this movement.
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<div>
The vertebral joints also couple side bending and rotation. For the lumbar and thoracic spine, these movements are coupled in opposite directions. This means that if a vertebra such as T9 right side bends it will also left rotate. This happens at the individual joint level, but you can see the general global spinal pattern in this video where I am demonstrating an exercise called Windmills.
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<div itemprop="description" content="Windmills are a simple, yet effective mobilization exercise for the shoulder girdle, spine and pelvis. I frequently use this exercise as a warm-up exercise for taiji and qigong training and bodyweight calisthenics, but it can also be used as a solo exercise. To make the exercise more demanding, it can be done with weighted clubs and I will do another video for this.
The exercise employs rotation and sidebending which highlights the muscles and fascia of the shaoyang channels (the Gallbladder sinew channel and the Shaoyang sinew channel). Therefore, this would be a great warm up for bodyweight calisthenics that train these channels such as monkey bar swings and human flag."></div>
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<span itemprop="headline" style="font-weight: normal;">The Gallbladder Sinew Channel performs Side Bending and Rotation.</span>
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<span itemprop="headline" style="font-weight: normal;">There are many channels that are involved with these movements. Even the individual muscles of the transversospinalis group (multifidi, rotatores) contribute to the these coupled movement. The attach from inferior transverse processes and reach up to superior spinous processes, pulling the vertebra they insert on into a side bend to that side and a rotation to the opposite side.</span>
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The Gallbladder sinew channel supports this and one of its primary actions is to side bend and rotate the torso. Or it stabilizes to prevent excessive side bending and rotation. Either way, it is intimately involved in this movement pattern. Let's look at some key muscles of this channel.
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Consider the abdominal obliques. These muscle both side bend the torso, but also rotate the torso. Another example would be the serratus anterior. This muscle abducts the scapula (this is a type of rotation as it rotates around the ribcage) and it also upwardly rotates the scapula (a side bending movement which medially tilts the scapula). We could continue with other examples such as the piriformis, gluteus maximus, gluteus minimus and gluteus medius; and see that all of these muscles have some action that contributes to rotation and side bending. Sometimes these muscles perform side bending and rotation. Other times they stabilize and prevent side bending and rotation. But, their attachments dictate these movements. Here is another video which highlights a training progression to train the stabilization role of this channel. In these exercises, the starting position is side bending and the channel is then engaged to bring the torso back into alignment against gravity. Again, you will see the coupled movement of side bending and rotation.
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<div itemprop="description" content="The Gallbladder channel traverses the lateral portion of the body, and the muscles and fascia of this channel (the jingjin) helps stabilize the sides of the body and is also active in rotation. This video highlights training for the stabilization role. This series starts by fully stretching the channel and then engaging from this lengthened position. The first movement uses a mobility tool from stick mobility. This is an excellent tool, but you can also use a PVC pipe with chair stoppers on either end.
I will be putting together an online class for acupuncturists highlighting training for the Gallbladder jingjin to increase stability and mobilize rotation. This will include beginning to more advanced exercises that will be great for practitioners and their patients."></div>
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-23727525291375966642022-12-11T19:56:00.023-05:002023-10-11T10:21:40.696-04:00Reflections from Cadaver Lab: Week 2 Day 5<h1><span itemprop="headline" style="font-weight: normal;">Reflecting on my fifth day of week two teaching the 2022 Cadaver Lab.</span></h1>
<p>On the fifth day of lab, we have the donors turned back into a prone position to complete the dissection of the posterior portion of the body. This is actually the first half of the day. For the second half, students are able to finalize any project that they are working with and start exploration to study anything. This week involved exposing the cranial cavity and brain, cutting the vertebral arch to expose the spinal cord and cauda equina, exploring the ligaments of the hip and knee, and dissecting deep into the medial thigh to get to the very deepest layer here. Here are some reflections:</p>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgWK4cpYQARcshegZUqXmLt0UHHRobOQKbastfI_6citOPMaH3qUvD01trt0ODfRaVAG5G1v4Zq2ZIfjInLIP5QePjlzRZ5GiXJUiAjmTA3WOzhKXNbQBeHkBtXA2XfpzDkOieQ7RN1KvF7Ez3aQOwSRdHh8Idqo4PVITI3SGjRUL6yN5_UhTWdQhm5/s700/MOA332%20kidney%20divergent%20channel%20websize.png" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="700" data-original-width="192" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgWK4cpYQARcshegZUqXmLt0UHHRobOQKbastfI_6citOPMaH3qUvD01trt0ODfRaVAG5G1v4Zq2ZIfjInLIP5QePjlzRZ5GiXJUiAjmTA3WOzhKXNbQBeHkBtXA2XfpzDkOieQ7RN1KvF7Ez3aQOwSRdHh8Idqo4PVITI3SGjRUL6yN5_UhTWdQhm5/s320/MOA332%20kidney%20divergent%20channel%20websize.png" width="88" /></a>
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<ol>
<li>I am teaching, so am back and forth between tables constantly to help advise, help with the dissection, and help identify structures. In some ways this slows down for me during the second half of the day. My colleague that I teach with frequently opens the cranial cavity and highlights structures of the brain. As one would expect, this generates a lot of enthusiasm, and I am usually working to complete a project while he is doing this. This year, I reflected back the muscles of the hip down to the level of the ligaments. This provided a very nice model for these ligaments. I was also able to reflect back to the deepest layer of the groin and expose the obturator externus and also get a very good model of the obturator nerve which could then be followed from the abdominal cavity medial to the psoas and into the medial thigh. This nerve has something to do with the Kidney divergent channel. I feel this is the case because I think that the du mai has something to do with the nerves which exit from the lumbar plexus and wrap around the abdomen to innervate the lower portion of the abdominal muscles such as the internal and external obliques and the transverse abdominis. Specifically, the ilioinguinal, iliohypogastric and subcostal nerve follow the trajectory and describe function of this vessel. I wrote a post about this recently, and you can <a href="https://www.sinewchannels.com/2022/11/the-dai-mai-and-lumbar-plexus.html">find this here</a>.
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The Kidney divergent channel is said to intersect with the dai mai at L2, which is exactly what the obturator nerve does. This is why I feel it is part of the Kidney divergent channel, at least the lower half of this secondary channel.
</li>
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<li>The lumbar plexus is houses between the anterior and posterior layers of the psoas major. We discuss this on an online recorded class <a href="https://netofknowledge.com/Link/Course/54632ff9-a689-4a79-9766-29b511969cff" target="_blank">available here</a>. I was able to reflect back this anterior layer of the psoas and reveal the lumbar plexus nerves. On this specimen, the psoas was different than I have seen. It had two main grouping of fascicles and almost looked like two separate muscles. This muscle has an interesting fascicle arrangement all of the time, but this was different. I had two distinct branches that then blended with the iliacus muscle. The best I could tell was that the anterior and posterior layer were more distinct from each other than usual, but I was not able to return and figure this out because I got called to other areas for assistance.
</li>
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<li>Being able to move and palpate a specimen while seeing the structures helps inform what you feel. For instance, mobilizing the hips with just the ligaments holding the hips helps you feel what just the ligaments feel like in this movement. Or doing a varus and valgus stress test with the ligaments exposed helps refine this test. And doing Lachman;s test while watching a torn ACL move gives so much information.
</li>
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-68910863346701311162022-12-08T20:43:00.011-05:002023-10-11T10:21:49.044-04:00Reflections from the Cadaver Lab: Week 2 Day 4<h1><span itemprop="headline" style="font-weight: normal;">Reflecting on my fourth day of week two teaching the 2022 Cadaver Lab.</span></h1>
<p>Each year I teach this cadaver lab, I plan on posting some reflections at the end of each day. I did pretty well this year, posting for days 1-4 of the first week. And then I got off track. This is for two reasons. 1) Dissection lab is very tiring both mentally, but also physically. One is standing the entire day and working over a table, accounting for the physical aspect, but it is also mentally tiring due to the sustained concentration. This is especially true when you are teaching. 2) There is really so much to highlight that at the end of the day it almost makes it too difficult to remember what I was planning to post when I get home. This is made worse by point number one.</p>
<p>Day 4 is the same as last week. It is the day that evisceration occurs and the organs are studied. It is not only this, however. The dissection continues into deeper layers of the anterior neck and extremities so that you can follow myoneurovascular structures from the neck and into both the thoracic cavity but also the upper extremities and you can follow myoneurovascular from the abdominal cavity into the lower extremities. Day 4 is really the culmination of the week up to this point.</p>
<p>Here are some reflections:</p>
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQARyE0DiKCZD1kdRDozLuV5VdKwaHGclFq0MTfBY_cU2Y_Bc1TaO0m-h1QHxnFNzk5IOHL-ye9fkljEBmHRDum1ihOly4BT8u8CYJZoorSNFUEp081UUnUmr61ALaQYOhqDX4sX6Hm_kUXGYhU6LukYs83KZMsqytWy0Dck1i9eF4CMFJIvfP2rEI/s600/book041_sec7_fig421.jpg" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="600" data-original-width="469" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQARyE0DiKCZD1kdRDozLuV5VdKwaHGclFq0MTfBY_cU2Y_Bc1TaO0m-h1QHxnFNzk5IOHL-ye9fkljEBmHRDum1ihOly4BT8u8CYJZoorSNFUEp081UUnUmr61ALaQYOhqDX4sX6Hm_kUXGYhU6LukYs83KZMsqytWy0Dck1i9eF4CMFJIvfP2rEI/s320/book041_sec7_fig421.jpg" width="250" /></a>
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<ol>
<li>There are many things I teach to acupuncturists regarding the channel sinews (<i>jingjin</i>) and their myofascial connections. Reflection of the biceps brachii is a great example of this. With the biceps reflected, you get a great view of the coracobrachialis and the brachialis. The brachialis has two myofascial connections. On the lateral side of the humerus, it has a clear myofascial connection to the deltoids, especially the anterior fibers. Following this path highlights the a deep branch of the Lung sinew channel. However, the brachialis also has a clear myofascial connection to the coracobrachialis which highlights the Pericardium sinew channel. This connection is great in anatomy texts, but much more obvious on a fresh tissue dissection when you can put tension into these myofascial planes. Visually it is apparent, but the tactile portion helps solidify the understanding when considering how injury can affect this plane.</li><br />
<li>The IT band is really a fascinating structure when you do dissection. It is really almost abstract because, to view this structure, you have to remove the fascia lata (the deep fascia of the thigh) while retaining the IT band. This means you cut an artificial line on the anterior and posterior border and remove the fascia lata off up to this line you created. There is a guideline regarding where you make this line and that is the TFL muscle. The ITB does have some variability in tension from specimen to specimen, but nothing like what you feel when you palpate patient's lateral thighs. There is far more variation with patients. So, all of these tight IT bands really has more to do with the baseline tension in the TFL and/or the underlying vastus lateralis. I think the vastus lateralis is the more likely thing practitioners are palpating. When reflecting the IT band, you follow under the TFL to the ASIS to reflect both together. You have to find the fascial plane between the TFL and the underlying gluteus medius when doing this. It is hard to differentiate. Which is also the case when you palpate and needle these structures on patients. I think many times, clinicians are sensing the gluteus medius and advancing the needle to this muscle when they think they are treating the TFL.</li><br />
<li>The plantar foot is organized in layers which can be followed in dissection. The superficial layer has the plantar fascia which has a very clear connection to the underlying flexor digitorum brevis, but it also has a clear connection to the adductor hallucis. This is the layer of the Kidney sinew channel. The next layer involves has the flexor digitorum longus, quadratus plantae, and lumbricals. This is the layer of the Liver sinew channel. The final layer includes the tibialis posterior, flexor hallucis and adductor hallucis. This is the layer of the Spleen sinew channel. These layers are well depicted in Netter and other anatomy atlases because the plantar foot is so clearly organized this way in dissection. The channels would follow would also be associated with this order.</li><br />
<li>I saw a pretty odd anomaly of the psoas major. I will look a bit closer and try to describe tomorrow.</li>
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Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-81166249012338032742022-12-01T21:37:00.011-05:002023-10-11T10:21:58.378-04:00Reflections from the Cadaver Lab: Week 1 Day 4<h1 style="text-align: left;"><span itemprop="headline" style="font-weight: normal;">Reflecting on my fourth day teaching this year's Cadaver Lab.</span></h1>
<p>Day four of lab is really the point where you start to get into the channels. This happens a bit on day two and three also, but four is much more obvious. We are going more into the neurovascular and myofascial structures, but you are also evicerating. This current class is for Physician Assistant students, so I don't discuss the channels much, but they are always in my mind and here are some anatomical thoughts on the channels that I was observing today.</p>
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhKQyDxqTJyrIOp5i1JtyLjxuOGTcWTuqgvq6dnxd2n6U-qrKfK42ZPWeoXWzMJVEjfUjjkZgfh2jLnvkXcdxY6ehEo6uUvkMNHICVLke-z2U6IEvuMCZwpqSEBfiSX6g7n8mObVReHYnuIAE2x__KK1rjD3W1630w9XLgYvWkniUJTYex3VTLP6vds/s600/book041_sec5_fig270.jpg" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="600" data-original-width="472" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhKQyDxqTJyrIOp5i1JtyLjxuOGTcWTuqgvq6dnxd2n6U-qrKfK42ZPWeoXWzMJVEjfUjjkZgfh2jLnvkXcdxY6ehEo6uUvkMNHICVLke-z2U6IEvuMCZwpqSEBfiSX6g7n8mObVReHYnuIAE2x__KK1rjD3W1630w9XLgYvWkniUJTYex3VTLP6vds/s320/book041_sec5_fig270.jpg" width="252" /></a></div>
<ol>
<li><p> The greater omentum gives us a view of the Lung channel. Look at the image of this channel in Deadman (or, really any good illustration) and also follow the description and you will see that this channel originates in the region of the stomach and then descends and connects with the large intestine. This is exactly what the greater omentum does. It hangs off of the greater curvature of the stomach and drapes over the abdominal organs. If you lift the bottom of this structure upwards to look at the under surface, you see that this anchors the transverse colon. There is a really interesting physiological thing that connects this structure to the Lungs (capital L meaning that I am discussing the TCM view of the Lung). The greater omentum can move and cover assist when there is infection on the abdominal cavity. It has been described as the abdominal policeman since is has an immune system cells and it surveils the region, mobilizes and covers areas of infection and walls it of with immunologically active tissue. Sounds a bit like <i>wei qi</i> to me!</p></li>
<li><p> On the topic of the Lung channel, I was able to get a really great view of the Lung sinew channel. I was demonstrating dissection of the anterior forearm muscles and preparing for reflection of the superficial muscles such as the palmaris longus, flexor capri radialis, and ulnaris. The arm was up overhead to expose the anterior forearm. Removing crosslinks from the ulnar surface of the FCR keeps the lacertus fibrosis (bicipital aponeurosis) intact and you can see such an obvious fascial plane between FCR and the biceps brachii. I pointed out the myofascial plane which interested the students, but I think my acupuncture colleagues would have appreciated it much more.</p></li>
<li><p> Another channel I observe when working with a student was the Liver channel and a branch of the Stomach sinew channel. I was helping the student reflect back the quadricep group from the innominate and femur, but keeping them intact as a group and keeping the patellar ligament intact. This requires going medial/under the IT band to remove the vastus lateralis from the linea aspera and other femoral attachments. And it requires going lateral to the medial intermuscular septum of the thigh (the septum between the vastus medialis and adductors) to remove the vastus medialis from the linea aspera and other femoral attachments. Then it requires lifting all of the quadriceps off the femur. When entering into the medial intermuscular septum, you are in the Liver channel. As you follow this space proximal, you end up between the vastus medialis on one side and the distal iliopsoas on the other. You are also in very close proximity to the neurovascular structures in the femoral triangle.</p>
<p>When you do this on the lateral side, you are cutting the vastus lateralis away from bone. This is a muscle of the Stomach sinew channel. At its most proximal, you need to cut this muscle away from fibrous attachments to the glutes. This is the lateral branch of the stomach sinew channel which is said to connect with the shaoyang channels. It then runs up the gluteus medius and minimus fascia to connect with the lateral raphe, a structure in the thoraculumbar fascia that is the lateral border of the quadratus lumborum and iliocostalis lumborum.</p></li>
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-40668013746857534442022-11-30T20:33:00.008-05:002023-10-11T10:22:09.117-04:00Reflections from the Cadaver Lab: Week 1 Day 3<h1 style="text-align: left;"><span itemprop="headline" style="font-weight: normal;">Reflecting on my third day teaching this year's Cadaver Lab.</span></h1>
<p>Things really get moving on day three. The specimens are turned back to supine and we are now differentiating structures so that we can view the musculature and expose neurovascular structures such as those in the femoral triangle, anterior neck, axillary region and down into the extremities. Here are some thoughts from today.</p>
<ol>
<li><p>Possibly the biggest roadblock people doing dissection for the first time (really, the first several times) is that, after successfully reflecting the skin and subcutaneous layer, they stop at the hands, feet, pubic area and groin, and the face. This is because these areas are more difficult to dissect and they have a complex anatomy. The problem is that, as you progress deeper, you can't follow the structures fully. For instance, if you don't reflect the skin and adipose at the groin region, you can follow the adductors to their attachments which makes it more difficult to differentiate them. Or, if you don't reflect the skin and subcutaneous tissue on the hands, you can't follow the wrist and finger flexors in the arms to their attachments, This then makes it harder to differentiate the structures which becomes more and more difficult the deep you go.</p>
<p>This problem becomes apparent on day three. It is always a problem, but I have to say that the class did pretty well with this. I prepared them for the problem with a simple example. I had several shirts on and a hoody. I first took the hoody off, but kept the hood on my head and the sleeve on my right arm. In other words, I didn't completely take it off. Then I proceeded to take of the next shirt. Obviously, since the hoody wasn't removed fully, I couldn't take off the second shirt all the way. Each successive shirt become more problematic.</p>
<p>I feel a similar problem can occur when working with patients. There can be a tendency to use a needle to release tension in a deep structure. But sometimes we need to unwind tension in the outer, overlying areas to allow the deep structure more room to release.</p></li>
<li><p>When differentiating structures, you start to use the scalpel to introduce more movement in the natural planes of movement. This means that you are cutting fascial crosslink between muscles along the natural sliding surfaces. One thing you immediately see is that the muscle becomes loose and floppy which causes it to sag and loose the relationship with other structures. Freeing the crosslinks between the sartorius and underlying quadriceps, for instance, cause it to sag and allows you to move it to see underneath. Seeing this over and over has changed how I work. While we don't want our patients structures to loose integrity and the need these crosslinks between muscles, I do find that I work much more in these fascial spaces, especially with manual work. Encouraging movement in these fascial spaces can have a significant impact on the movement potential of the muscles connected by these crosslinks.</p></li>
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-49510880114033619902022-11-29T21:00:00.009-05:002023-10-11T10:22:16.443-04:00Reflections from the Cadaver Lab: Week 1 Day 2<h1 style="text-align: left;"><span itemprop="headline" style="font-weight: normal;">Reflecting on my second day teaching this year's Cadaver Lab.</span></h1>
<p>For description of this series and reflections from Day 1, <a href="https://www.sinewchannels.com/2022/11/reflections-from-cadaver-lab-112823.html">Click here</a>.</p>
<p>On day two, we flip the donors into a prone position and reflect down to the layer of the deep fascia. For this particular five-day lab, the PA students spend the first half of the day on surface landmarks and suturing. So we only have a half day in the lab doing dissection. Here are some reflections from this day.</p>
<ol>
<li><p>I got to practice suturing on the cadaver. This is something that is in the scope for PAs and the dissection lab is a good place from them to start the transition from suture kits to eventually a live person. Obviously, suturing uses a specialized needle. It seems like acupuncturists should be able to do this under our scope. I think as more acupuncturists work in hospitals, this would be a good skill to have and would put them more in demand.</p></li>
<li><p>When I show students how to uncover the medial plantar fascia, I describe using the scalpel to cut from the posterior calcaneus and have the blade skim the plantar surface of the calcaneus. The blade then continues directly over the plantar fascia as it removes the skin and adipose. You can use a similar method with palpation of the plantar fascia. You can palpate from the medial side of the foot and feel where the plantar surface of the calcaneus is. As you move more distal past the calcaneus, you would then be just inferior to the depth of the plantar fascia. This gives the depth of where to palpate for plantar fasciitis. However, I often find pain much deeper than this and feel that many times our patients presenting with plantar fasciitis, often are coming in with pain at the quadratus plantae muscle.</p></li>
<li><p>The scalpel and the dissection process directly relate to palpation skills. This is not just due to being able to see the structures we work with in dissection, but how you use the blade to uncover layers. One obvious aspect is that, when removing tissue over a muscle, it is best to sweep the blade perpendicular to the muscle fibers. If you sweep the blade parallel to the fibers, it is much more likely that the blade can find the grove between muscle fascicles and go too deep. You can try an experiment yourself that demonstrates this. Sweep your fingers pads of one hand perpendicular across the fingers of your other and notice how the finger pads glide over the fingers. Then do the same in a parallel direction and notice how the pads find the space between fingers and can easily go deep. This is one reason why it is so much easier to feel a muscle when you palpate across the fiber direction. However, when using a blade, you can direct the pressure too deep and start to cut into a muscle or you can come out too superficial and loose the fascial plane. The same can be said with palpation, You have to find the depth and then keep a consistent pressure or you will go too deep or retreat back too superficial and loose the structure you are palpating.</p>
<p>There is something else that the blade teaches you that expands on this idea of depth. I am going to use an example from day one. When you are reflecting the subcutaneous tissue of the thigh and following from the anterior thigh to the medial thigh, the blade follows the contours of the thigh over the quadriceps. However, you have to anticipate the sartorius muscle or the blade can easily follow this contour and go under the sartorius and cut into it. When you start to see the sartorius, you need to direct the pressure more superficial and over it. This is the same for palpation and I find practitioners struggle with palpating this muscle for the same reason. As you follow the contour of the thigh going in a medial direct, you need to anticipate this muscle and not push your fingers under and deep to it.</p></li>
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-43636231722622229232022-11-28T20:57:00.008-05:002023-10-11T10:22:24.369-04:00Reflections from the Cadaver Lab: Week 1 Day 1<h1 style="text-align: left;"><span itemprop="headline" style="font-weight: normal;">Reflecting on my first day teaching this year's Cadaver Lab.</span></h1>
<p>The first two weeks of every December, I teach two back-to-back five-day dissection labs with the Physician Assistant program at the University of Tampa. When I teach this class each December, I attempt to share some thoughts at the end of each day, but this does not always happen. Dissection takes concentration, and when you are in a teaching role for 24 students, you are tired at the end of the day. This year I will follow through and will keep it simple to make sure I stay on task.</p>
<p>Day one involves some identification of surface anatomy and some time with use of instruments, so it is a shorter day of dissection. We start with reflection of the skin on the anterior portion of the body. At some point, we proceed to a slightly deeper level and reflect the superficial fascia and reach the level of the deep fascia or fascia profunda. Below are some thoughts for the day:</p>
<ol>
<li><p>When looking at surface anatomy and noting surgical scars, many students become curious and potentially excited about seeing surgical procedures, especially joint replacements. This is perfectly understandable, especially for healthcare providers. However, I am always struck by how much more complicated and sophisticated the human body is compared to manufactured hip or shoulder. These devices have become much more sophisticated over the years, but they are nothing near the original. Even in a pathological joint, the evidence of the intelligence of the body is on display in the attempt to adapt to injury. I think that the real thing is so complex it can be a bit overwhelming, and when we are new to dissection, we can potentially miss so much that we can't fully appreciate it. You need to see many, many dissections to start to understand the tissue. Having said this, I find it very interesting to see replacements and the effects of other surgical procedures. But, I am more interested in seeing how the body has adapted to this new device or procedure.</p></li>
<li><p>At any level of dissection, you are studying movement. I don't need to state the obvious that the donors do not have an intact nervous system, so what can one learn about movement from this process? The answer lies in the fascial sliding surface in the body. Muscles, nerves, blood vessels, lymph vessels, organs, and really all of the body surfaces are connected to one another through fascial crosslinks. When you are introducing your scalpel into these fascial spaces between structures, you are assessing the movement potential between these sliding surfaces and how easily they move in relationship to one another. On day one, when you are removing the skin, you see a difference immediately between different donor bodies. However, there are regions where the skin is much more adhered across the board. The knee, for instance, is like this, especially the medial knee. The adipose is much thinner, and the skin is much more tightly bound to the underlying tissues. While we have ligaments to support the knee and the muscles also play a role, the skin seems to have a supportive role, much like a knee brace.</p></li>
<li><p>The adipose varies quite a lot in color, ranging from almost a whitish-pale color to yellow to bright orange. Generally, the paler color is on donors who have much more fluid in the tissue space, whereas the dark orange tends to be on leaner bodies with dryer tissue. For the next two weeks, I am teaching Physician Assistant students, and I have a far easier time discussing these color variations with practitioners of Chinese medicine since we have a system to understand things such as Yin deficiency with deficient heat and Yang deficiency with water overflowing.</p></li>
<li><p>The platysma is such a cool muscle!</p></li>
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-20281134462750182692022-11-25T22:04:00.016-05:002023-10-11T10:22:36.722-04:00The Dai Mai and the Lumbar Plexus<div class="separator" style="clear: both; text-align: left;"><span style="text-align: left;"><div style="text-align: left;"><span style="text-align: center;">What is it about the </span><i style="text-align: center;">dai mai</i><span style="text-align: center;"> that would make a gallbladder channel point (GB 41</span><span style="text-align: center;"> </span><i style="text-align: center;">zulinqi</i><span style="text-align: center;">)</span><i style="text-align: center;"> </i><span style="text-align: center;">have such an influence on it? Or, stated another way, what is it anatomically that connects these? I feel there is a relationship when you look at the neuromyofascial anatomy. </span></div><div style="text-align: left;"><span style="text-align: center;"><br /></span></div><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgOs3uXW2KBQyv639HW6avWNyurngYMpX5A2pzQ4STE5cqn1oDnhjMp3tzbwOMEfYcUQ5nAmnKh-3HvUopKnHjFrobWyIUql93DLtRoFzmjlSsiGfWoUC5UOGAi2IfEhai65y5-pYyNpaPGQyCIWMRASDkzfRLK2r4d6MPG6Xwnffu9WYMYAyLrgeKc/s700/MOA020%20girdliing%20vessel%20websize.png" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="700" data-original-width="214" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgOs3uXW2KBQyv639HW6avWNyurngYMpX5A2pzQ4STE5cqn1oDnhjMp3tzbwOMEfYcUQ5nAmnKh-3HvUopKnHjFrobWyIUql93DLtRoFzmjlSsiGfWoUC5UOGAi2IfEhai65y5-pYyNpaPGQyCIWMRASDkzfRLK2r4d6MPG6Xwnffu9WYMYAyLrgeKc/w61-h200/MOA020%20girdliing%20vessel%20websize.png" width="61" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;"><div class="separator" style="clear: both; text-align: left;"><span>Dai Mai: <i>Channel Images from A Manual of Acupuncture, by Peter Deadman</i></span></div></td></tr></tbody></table><div style="text-align: left;"></div></span></div><div class="separator" style="clear: both; text-align: left;"><span style="text-align: left;"><table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjwjiNMfZDj2_Iu24EFG632e2Uk7RiV9o2icQUL9X8vNsz23kQqW6kII3kMgLOrjhwi7iGESvEsPi7nCI0twvbrOf7pJRK2DIrtMg3cSZrcfei-bH0sjnpmBT7SmUJjXlN7S-aZLEJOiSpNHiDBp_PBXSTT14gaDHtoGz--gDVGuWLN8OBYD2EuhJnz/s700/KID%20luo%20websize.png" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" data-original-height="700" data-original-width="556" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjwjiNMfZDj2_Iu24EFG632e2Uk7RiV9o2icQUL9X8vNsz23kQqW6kII3kMgLOrjhwi7iGESvEsPi7nCI0twvbrOf7pJRK2DIrtMg3cSZrcfei-bH0sjnpmBT7SmUJjXlN7S-aZLEJOiSpNHiDBp_PBXSTT14gaDHtoGz--gDVGuWLN8OBYD2EuhJnz/w159-h200/KID%20luo%20websize.png" width="159" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">KID Luo</td></tr></tbody></table><br />I hear many people say that the transverse abdominis (TrA) is the</span><span style="text-align: left;"> </span><i style="text-align: left;">dai mai</i><span style="text-align: left;"> I think this is not too far off, but it is not technically correct. Interestingly, the TrA is one of the girdling structures of the core and is, in my opinion, a muscle associated with the kidney channel. For ease. I teach that it is part of the kidney sinew channel but actually the kidney luo-connecting channel describes this anatomy the best. The luo channel follows the primary channel in the abdomen. The depth is not described, but it is likely at the depth of the TrA which is the deepest abdominal muscle. The channel then follows as the TrA connects to the diaphragm. which takes it all the way to the central tendon of the diaphragm. The central tendon is a point just below the pericardium, as the pericardium attaches here from above.</span></div><p>The TrA also wraps around and connects with the lateral raphe. This fascial layer then separates into layers of the thoracolumbar fascia and connects with the lumbar multifidi. This is posterior to the spinal column and accessible at the <i>huatuojiaji</i> points. The TrA works with the lumbar multifidi to decompress and stabilize the spine. </p><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiOWQapnKw1EFajPD1VeDULx2TB8OG46ouu3fB4ytnr1E77hBgiIj9zLNQZTj9Pvu5YzZ_tU5TFAV2clHPecwJM3b29JS-l1-0S1_vKPNOAS4zOQcd0B1CbKLe2xIK_TwhfQtB3Yp6q4Y3iEfe8BDppH_HHlYnmgyUH3cD5YJXLtJ7vTQxA4z0T-JYD/s581/hammer1_stnd__1_2_7034.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="581" data-original-width="500" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiOWQapnKw1EFajPD1VeDULx2TB8OG46ouu3fB4ytnr1E77hBgiIj9zLNQZTj9Pvu5YzZ_tU5TFAV2clHPecwJM3b29JS-l1-0S1_vKPNOAS4zOQcd0B1CbKLe2xIK_TwhfQtB3Yp6q4Y3iEfe8BDppH_HHlYnmgyUH3cD5YJXLtJ7vTQxA4z0T-JYD/w344-h400/hammer1_stnd__1_2_7034.jpg" width="344" /></a></div><br /><p>If I have convinced you that the kidney channel relates to the TrA, now we have three things that need to be connected. 1) the <i>dai mai</i>, 2) GB 41, and 3) the kidney channel. Fortunately, there is a really notable link to all of these and this is the lumbar plexus.</p><p>The lumbar plexus runs from L1-L4 and has contributions from T12 via the subcostal nerve. The subcostal, iliohypogastric, and ilioinguinal nerves all exit the lumbar plexus, wrap around the abdominal wall, pierce and innervate the lower portions of the abdominals such as the TrA, and obliques. and then become cutaneous. To me, these nerves are a better representation of the <i>dai mai. </i></p><p></p><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEipQvWymvXy2J8PNPBhOcgF_VwlG0VdSMYPzjzLkNIDV5letPjOrMr2ziSIgSQg960oiBB49YIg1QZuvNo3lsjZ1kag4KFsy-b4ppH3oSs3Z9Vh33DrHESYg7Cix3_E-UallkrV3ow-XoD0b-eEU_AjFq4nF0l8oz6kXFmf6ADZQ16NcdE12DaWhG5l/s480/nerves%20of%20abdominal%20wall.jpg" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="480" data-original-width="400" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEipQvWymvXy2J8PNPBhOcgF_VwlG0VdSMYPzjzLkNIDV5letPjOrMr2ziSIgSQg960oiBB49YIg1QZuvNo3lsjZ1kag4KFsy-b4ppH3oSs3Z9Vh33DrHESYg7Cix3_E-UallkrV3ow-XoD0b-eEU_AjFq4nF0l8oz6kXFmf6ADZQ16NcdE12DaWhG5l/w334-h400/nerves%20of%20abdominal%20wall.jpg" width="334" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;"></td></tr></tbody></table><div class="separator" style="clear: both; text-align: center;"><br /></div><table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhshI7m0rHeMTBx99PkHhUWxJ_kEuzCjY5bFsOFUcj-DBm9DyYsSPnAkgdNtybG5AXX7v1CN-473ZofhQo6CPPfJugTPVzYuP8HN5UT3J4MBGCy80OKKi1zPpzQeYSvM-S1aFwnINPQWeeGJvMWWMf9IQMNKD8aq2asRGXeWH5IBzEb5dyTBHp8jBfY/s700/MOA332%20kidney%20divergent%20channel%20websize.png" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" data-original-height="700" data-original-width="192" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhshI7m0rHeMTBx99PkHhUWxJ_kEuzCjY5bFsOFUcj-DBm9DyYsSPnAkgdNtybG5AXX7v1CN-473ZofhQo6CPPfJugTPVzYuP8HN5UT3J4MBGCy80OKKi1zPpzQeYSvM-S1aFwnINPQWeeGJvMWWMf9IQMNKD8aq2asRGXeWH5IBzEb5dyTBHp8jBfY/w55-h200/MOA332%20kidney%20divergent%20channel%20websize.png" width="55" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">KID Divergent</td></tr></tbody></table><br />Another link of the <i>dai mai </i>and lumbar plexus can be observed. The kidney divergent channel is said to intersect with the <i>dai mai</i> at L2. This channel traverses from the KID 10 region and travels cranially. The pathway, at least, the lower half, follows another nerve of the lumbar plexus which does come from L2. This is the obturator nerve. So, if the kidney divergent channel does have something to do with the obturator nerve (which I think it does) and the <i>dai mai </i>does have something to do with other nerves from the lumbar plexus (which, again, I think it does), then they literally do connect and intersect at L2. <p></p><p>The final link is that the gallbladder sinew channel is a myofascial plane that runs up the lateral side of the body. It includes the obliques, which are muscles that are innervated from the nerves listed in the lumbar plexus. I think that it is a very plausible that acupuncture to the distal portion of this myofascial plane at GB 41 would communicate mechanical information in the channel, affecting the tone and tension in the obliques, thereby stimulating the nerve coming from the lumbar plexus and innervating these muscles at points such as GB 26 (the motor entry point of the internal obliques) and GB 27 (possibly also a motor entry point of the abdominals). </p><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg9qlrZ__9G1HuX0MlH0GGW2cHp_HLB3X2k70S-earRiuxsf63_8b4Ns8T4gq38INyplo4RBlqMEEOiqImJzyDcHE7lRfhYi7izxjaMAyK4vWXKYBkMgBZLFyOO94aayI_5rEwvPj6xHXGwJrcw0IFT7p5lY_pKht0kJxXwiFbOrc7UIutgdJKhetcI/s900/GB%20Jingjin%20torso%20and%20hip.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="642" data-original-width="900" height="228" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg9qlrZ__9G1HuX0MlH0GGW2cHp_HLB3X2k70S-earRiuxsf63_8b4Ns8T4gq38INyplo4RBlqMEEOiqImJzyDcHE7lRfhYi7izxjaMAyK4vWXKYBkMgBZLFyOO94aayI_5rEwvPj6xHXGwJrcw0IFT7p5lY_pKht0kJxXwiFbOrc7UIutgdJKhetcI/s320/GB%20Jingjin%20torso%20and%20hip.png" width="320" /></a></div>I have taught this material at two conferences in 2022. The first was at the Neuroscience Acupuncture Conference and the recording is available through the <a href=" https://neuropuncture.thrivecart.com/nac-2022-blau/" target="_blank">Neuroscience Acupuncture Conference website.</a><p></p><p>I also taught a version of this class at the Pacific Symposium, but it was not recorded. </p><p>Finally, the video below looks at activating and strengthening the gallbladder sinew channel, including the obliques. This is to improve the stabilization role of this channel, and balance the left and the right sides and, also the lateral and medial portions of the body. I will be recording another series for this channel soon that has more to do with the rotational role of this channel. While one series will focus more on stabilization and the other on rotation, They each have elements of both stabilization and rotation, You will see some rotation as I get my body into position to activate the channel. When you look at the biomechanics of the pelvic and spinal joints, you see how integrated these to movements are and this helps understand the role of the gallbladder sinew channel for both stabilization and rotation. This starts to highlight the <i>dai mai</i> and its coordinating role for these movements. </p><p><i>Note: Please support my channel by liking the video, subscribing to the channel, and commenting!</i></p><br />
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<div itemprop="description" content="The Gallbladder channel traverses the lateral portion of the body, and the muscles and fascia of this channel (the jingjin) helps stabilize the sides of the body and is also active in rotation. This video highlights training for the stabilization role. This series starts by fully stretching the channel and then engaging from this lengthened position. The first movement uses a mobility tool from stick mobility. This is an excellent tool, but you can also use a PVC pipe with chair stoppers on either end.
I will be putting together an online class for acupuncturists highlighting training for the Gallbladder jingjin to increase stability and mobilize rotation. This will include beginning to more advanced exercises that will be great for practitioners and their patients."></div>
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-55721476263867492942022-11-05T12:11:00.016-04:002023-10-11T10:22:46.594-04:00Scapular Training for the UB and the GB Jingjin<p>Scapular training is an essential component of bodyweight calisthenics training and qigong training. Not only do you want proper scapular stabilization when you are hanging or reaching overhead, but the scapulae need to have controlled movement to increase power with things like pulling exercises. The scapular movement also needs to coordinate with other muscles for efficient whole body movement. Let's look at this coordinated movement in relationship to the the Urinary Bladder and the Gallbladder channel sinews (<i>jingjin</i>).</p><div class="separator" style="clear: both; text-align: center;"></div><p></p><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhiUzSmnyzHtpifm-V61P6W1bOQW3vvw1XQloGWJDqC54dAdqebvvTDzFhdK2vFfpDXVMGwg_Jr6ka1SMsGBP1gBRBba_l_38pgfzgmR1cZpZg7zU--0wgCyoyCPmFtYDmVX1BzjIas_rRDmDXly7ECNntr5HZ1SDhzJgbUOUzDAqLKQCTy-O7GQios/s665/UB%20jingjin%20branches.png" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="600" data-original-width="665" height="181" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhiUzSmnyzHtpifm-V61P6W1bOQW3vvw1XQloGWJDqC54dAdqebvvTDzFhdK2vFfpDXVMGwg_Jr6ka1SMsGBP1gBRBba_l_38pgfzgmR1cZpZg7zU--0wgCyoyCPmFtYDmVX1BzjIas_rRDmDXly7ECNntr5HZ1SDhzJgbUOUzDAqLKQCTy-O7GQios/w200-h181/UB%20jingjin%20branches.png" width="200" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">UB Jingjin: Superficial Branch. <br />Deep Branch includes<br />spinal erectors.</td></tr></tbody></table>A simple pull up serves as an example of the movement pattern of the UB <i>jingjin</i>. The lower trapezius and the latissimus dorsi both depress the scapulae and this motion occurs with other muscles of the back such as the erector spinae. If you are bringing the chest to the bar, this is especially apparent. Another example would be taiji when in mountain climbers stance. The chest would be up and there is a coordinated activation of the Urinary Bladder jingjin which activates the scapular depressors, spinal erectors and gluteus maximus.<p></p><p><br /></p><p><br /></p><p><br /></p><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right; margin-left: 1em; text-align: right;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhwVJt2oNkdS5QaEuaYvm30AWW7nMKzw6RgJvw67ToXJ6n1VmHWR90ZPSbWVjgfTlvo33idpypBJQkF4JqQpdbTuPOeRfh-EfA3ydQsc-sivAvpPNka4rtnUMzQakIApTMJZvSIQ3w3BisTVlN-tgtKQ3qt1yeavuy1i4QEvJuHAsZD1Q2NJOVRclJv/s800/GB%20jingjin%20torso%20hip%20watermark.png" style="margin-left: auto; margin-right: auto; text-align: center;"><img border="0" data-original-height="800" data-original-width="519" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhwVJt2oNkdS5QaEuaYvm30AWW7nMKzw6RgJvw67ToXJ6n1VmHWR90ZPSbWVjgfTlvo33idpypBJQkF4JqQpdbTuPOeRfh-EfA3ydQsc-sivAvpPNka4rtnUMzQakIApTMJZvSIQ3w3BisTVlN-tgtKQ3qt1yeavuy1i4QEvJuHAsZD1Q2NJOVRclJv/w129-h200/GB%20jingjin%20torso%20hip%20watermark.png" width="129" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">GB Jingjin<br /></td></tr></tbody></table>Other pulling exercises would highlight the movement pattern of the GB <i>jingjin</i>. The same scapular muscles would be activated, but they would coordinate this activity along with the obliques and the hip abductors. The human flag would be a great example (see video below for an example). Also movements that would involve rotation such as swinging from monkey bars would require pulling motions engaging the scapular depressors along with trunk rotation activating the obliques. <p></p><div class="separator" style="clear: both; text-align: center;"><br /></div>
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<div itemprop="description" content="The shaoyang channels include the paired Gallbladder and Sanjiao channels. The jingjin (channel sinews) of these acupuncture channels include the lateral tissues of the body such as the latissimus dorsi, obliques, gluteus mediius and minimus (all part of the Gallbladder jingjin) and the arm channel portion (Sanjiao channel) includes the upper trapezius, middle deltoids, lateral intermuscular septum and finger extensors. Some of these muscles are shared in other channels, but there Shaoyang function coordinate for sidebending as seen in the Human Flag progression.
Using stick mobility is a great way to work on the mobility portion of this movement. Obviously, it does not require the same degree of strength as the full Human Flag, but it is a great way to increase flexibility and build strength. You can also do it on a non-flexible rigid pole fixed into the ground, but the added instability of the stick mobility is a nice feature."></div>
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<p>So these same muscles can be part of a global movement pattern of different channels. And injury of these muscles could be associated with different channels. Local treatment may involve motor entry points (MEP) and/or myofascial trigger points (MTrP) of these same muscles, but how you link this local treatment can change depending on the channel involvement. Check out the video I did to explore this dynamic.</p><br />
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<div itemprop="description" content="Scapular movement is complex and involves many muscles and many channels in Chinese medicine. Pulling, which would involve depression of the scapulae would be under the influence of both the Urinary Bladder sinew channel and the Gallbladder sinew channel. The primary muscles involved would be the lower trapezius and the latissimus dorsi.
When scapular depression occurs bilaterally, it coordinates with the erector spinae and gluteus maximus along the back as part of a movement pattern of the Urinary Bladder sinew channel.
When scapular depression occurs unilaterally, it coordinates with muscles along the side such as the obliques and the gluteus medius and minimus. This would be part of a movement pattern of the Gallbladder sinew channel.
Strengthening these muscles of scapular depression is important for health of the shoulder girdle. Training them along with their respective channels help improve coordination, control and health of the entire channel."></div>
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-45864606253501546922022-11-02T23:26:00.012-04:002023-10-11T10:22:56.743-04:00Mobility of the Lower Ribcage<p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg51tz1ZLmUA80YZaFmB2Rngjmx28oH5Q_mrVv5zljIuBLL6OJ9Oqs6ewUmOToXANDMGJkkouu2UkLKXVkPcrscPt-uIzFY58OHc_kkHS7tLMxD3dV7UyVHPEO3A1NoLNGg4Xitebe2exAcqM9QmLs0IUP1_4Avyqy9w3NO6aM8oV5r9jQAygi6lTjg/s1404/ribcage%20diagram.png" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="1404" data-original-width="1261" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg51tz1ZLmUA80YZaFmB2Rngjmx28oH5Q_mrVv5zljIuBLL6OJ9Oqs6ewUmOToXANDMGJkkouu2UkLKXVkPcrscPt-uIzFY58OHc_kkHS7tLMxD3dV7UyVHPEO3A1NoLNGg4Xitebe2exAcqM9QmLs0IUP1_4Avyqy9w3NO6aM8oV5r9jQAygi6lTjg/s320/ribcage%20diagram.png" width="287" /></a></div><br />The lower ribcage has a lot of movement potential, especially when compared to the rest of the ribcage. Part of the movement potential of this region is determined by the anatomy. The lowest two ribs, called the floating ribs, articulate with the lowest two thoracic vertebrae. This is the only place they articulate with bone. Ribs 8-10, called false ribs, articulate with the thoracic vertebrae and then indirectly connect to the sternum through a large bit of cartilage. The remaining ribs, referred to as true ribs, attach directly to the thoracic spine and the sternum. The direct connection to the sternum limits the movement of these ribs (1-7), but since ribs 8-12 do not have this direct attachment, they allow more rotation, compression, and expansion.<p></p><div>There are attachments of the respiratory diaphragm and the internal organs to the lower ribcage. Specifically, the liver, intestines, spleen, and stomach have strong attachments to the lower ribcage. Good movement in this region helps massage the internal organs and take the diaphragm through a good range of motion. This keeps these structures healthy and supple.<p></p><p></p><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgiPFqKsAgCSGILmtizO2OH21FEHXF318VlbnFJ-ySS_Ab-uw8kZtoZoavywwSVD2eef46rC6ZifXVB6d4-dUvenZwTqYfkUQL5wBI2CCtYQj7IRV_c5lkNWT4n5uggCPgV00GhcjGpLpzvPA9kTmpMkBM4kAopB3LXd57SJuPjOmH7YFedfXX9lTuI/s831/woman%20running%20blogsize.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="831" data-original-width="500" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgiPFqKsAgCSGILmtizO2OH21FEHXF318VlbnFJ-ySS_Ab-uw8kZtoZoavywwSVD2eef46rC6ZifXVB6d4-dUvenZwTqYfkUQL5wBI2CCtYQj7IRV_c5lkNWT4n5uggCPgV00GhcjGpLpzvPA9kTmpMkBM4kAopB3LXd57SJuPjOmH7YFedfXX9lTuI/s320/woman%20running%20blogsize.jpg" width="193" /></a></div><br />Much of the movement of this region is driven by the Liver and Gallbladder sinew channels, especially the rotational movements of the ribcage in relationship to the pelvis. The obliques are the driving force of this rotation. The internal obliques are most associated with the Gallbladder sinew channel. The Liver sinew channel involves the medial line of the body, but includes the external oblique which fascially connects with the contralateral adductor longus. Trunk and pelvic rotations are very tied to these channel sinews and imbalances are treated through these channel sinews.</div><div><br /></div><div>Another movement of this region involves the ability of the left and right sides to flare (move away from each other) and to hold stability preventing excessive rib flare. This is largely controlled by the transverse abdominis and has more to do with the Kidney sinew channel. When the Kidney sinew channel does not properly support this region, the ribs excessively flare and the ribcage tilts posterior.<p>Check out the following videos for a simple qigong exercise to improve the mobility of this region, while massage the internal organs, mobilizing the diaphragm, and strengthening the core. This qigong pattern is derived from an internal martial art called liuhebafa and the movement is called 'Stop Cart and Ask Directions'. It is the first movement of this series.</p>
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<iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="" class="BLOG_video_class" frameborder="0" height="405" src="https://www.youtube.com/embed/HgmJK9E654Q" title="YouTube video player" width="720" youtube-src-id="HgmJK9E654Q">
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<div itemprop="description" content="Stop Cart and Ask Directions is the first move of the liuhebafa (lok hup ba fa) form; one of the primary Chinese internal martial arts. In this movement, the core activation and lower ribcage mobilization is established which is a foundation of the entire form and a major focus that I highlight in my own practice and teaching. This first movement can be isolated and repeated as a qigong pattern to emphasize these principles.
If done correctly, this movement engages the ‘core’, primarily the obliques and the transverse abdominis. This core engagement moves the lower ribcage and mobilizes the diaphragm and internal organs, specifically the organs which attach directly to the diaphragm. These would be the liver, spleen, stomach and intestines. The organs attach to each other via ligamentous structures and have their own range of motion. Movements as demonstrated in this video take these organs through a full range of motion, giving them a sort of internal massage to optimize their health. Practicing this movement is an excellent way to improve digestion and breathing, all while increasing flexibility of the spine and ribcage."></div>
<div itemprop="uploadDate" content="2022-10-30"></div>
<div itemprop="duration" content="PT5M19S"></div>
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<div itemprop="name" content="Abdominal Core Activation / Lower Ribcage Mobilization"></div>
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<div itemprop="name" content="Jingjin Movement Training"></div>
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<div itemprop="description" content="This is a step by step demonstration of a qigong pattern from Liuhebafa, an internal martial art similar to taiji. The focus is mobilizing the lower ribcage and activating the abdominals, especially the obliques and the transverse abdominis. See the link above for discussion of this exercise."></div>
<div itemprop="uploadDate" content="2022-11-02"></div>
<div itemprop="duration" content="PT1M32S"></div>
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-64850521149316192572021-12-14T20:55:00.005-05:002023-10-11T10:23:06.342-04:00Anatomy, Dissection, and the Chong Mai<p> <br />I just finished leading two 5-day dissection classes for the
University of Tampa Physician Assistant program. While I was teaching
‘standard’ Western anatomy and guiding the student teams through the full body
dissection, the Chinese medical channel system was never too far from my mind.
I did occasionally share some of this information to the PA students, but it is
obviously not the anatomy that they are studying, and I was sparing with this
information. Below is one aspect I shared, and something that I got an even
better appreciation of: the anatomy associated with the <i>chong mai,</i> or
penetrating vessel.</p><p class="MsoNormal"><o:p></o:p></p>
<p class="MsoNormal"></p><table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEgks52NGiPpvyAQkXDV16IvZIKB3uiSaz6CaH8s0y1uqzJQu0Cjna4q5fv79XxNJ8Boag3kB8D5oNHKGtDjW2Lmanz2V71otzlFyTMKpS7K29al5qZbJd7QskW6fphyOuUW8pfNlpwMXBHmRrwSEwy7Eju0SJJKNiFj55Z0bQWo1POCRowAPNGyPp8Ecg=s600" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" data-original-height="542" data-original-width="600" height="289" src="https://blogger.googleusercontent.com/img/a/AVvXsEgks52NGiPpvyAQkXDV16IvZIKB3uiSaz6CaH8s0y1uqzJQu0Cjna4q5fv79XxNJ8Boag3kB8D5oNHKGtDjW2Lmanz2V71otzlFyTMKpS7K29al5qZbJd7QskW6fphyOuUW8pfNlpwMXBHmRrwSEwy7Eju0SJJKNiFj55Z0bQWo1POCRowAPNGyPp8Ecg=s320" width="320" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">Inferior epigastric artery and vein connecting <br />into iliac artery and vein.</td></tr></tbody></table>One of the tables (there were teams of 5 people working on
each donor) produced a very similar view to this image on the left. This is created
by slowly resecting the obliques, then cutting the rectus abdominis from the
pubic bone and resecting it superior. Underneath the rectus abdominis are these
vascular structures which are the epigastric artery and vein. There is some
complicated anatomy associated with the fascial layers inferior to the
umbilicus (look up the arcuate line if you want more information), but suffice
it to say that these vascular structures run deep to the rectus abdominis, and
that the fascial plane that they run in dives a bit deeper as these blood
vessels connect with the iliac artery and vein.<o:p></o:p><p></p>
<p class="MsoNormal"></p><table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEgTzGJJA3zukaRAwBCkkPZD0UktSD0-Lgf5Sk58nFACsP1WZJ8IFJxkSWMFCs2mjZOllaqlKtbAi2gRXOa3bWaCfwEy7oofrhZJjhKvDh3m3mRE4H_ehD8kY0CSg3rm4GbLWluxm56OiTKOslt4e3JVBr2fDYi8SWyspid1m5MLmDnEzhVAUbBiFQwbPQ=s600" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" data-original-height="600" data-original-width="480" height="320" src="https://blogger.googleusercontent.com/img/a/AVvXsEgTzGJJA3zukaRAwBCkkPZD0UktSD0-Lgf5Sk58nFACsP1WZJ8IFJxkSWMFCs2mjZOllaqlKtbAi2gRXOa3bWaCfwEy7oofrhZJjhKvDh3m3mRE4H_ehD8kY0CSg3rm4GbLWluxm56OiTKOslt4e3JVBr2fDYi8SWyspid1m5MLmDnEzhVAUbBiFQwbPQ=s320" width="256" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">Epigastric artery and vein running<br />deep to the rectus abdominis</td></tr></tbody></table><p></p><p class="MsoNormal">This fascial plane is what I associate with the Spleen sinew
channel; it is the fascial plane that runs deep to the rectus abdominis,
connects with the anterior diaphragm and then follows the diaphragm around to
the crura (attachments on the lumbar spine) of the diaphragm. However,
this fascial plane also houses these epigastric arteries and veins. These
vascular structures change names as they reach the thoracic cavity, becoming
the internal thoracic artery and vein (also called the internal mammary artery and vein), and running along the deep surface of the
sternum and anterior ribcage. During dissection, we cut a window through the
sternum and ribcage to access the thoracic cavity; when we remove this window
and look at the undersurface, these vascular structures are apparent.</p><p class="MsoNormal"><o:p></o:p></p>
<p class="MsoNormal"></p><table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left;"><tbody><tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEivOe8FnyD6Ab3ytnrsOhXCX0d9gnR4OdLhAMzeqyfEBeJNGmgfd6iljw0vLa1HXjyn80WiVMZGaK1_b1UxsW0Ro3VQ2AZ-bmnL--McN5Ux7KKOmytyRwtSTg1jeNqA45Oh36La_G4Lw9cq5b2QRM9wzYU6shLGMxTTAmuphEvvbfWk4rIldCecffXqZw=s600" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" data-original-height="600" data-original-width="476" height="320" src="https://blogger.googleusercontent.com/img/a/AVvXsEivOe8FnyD6Ab3ytnrsOhXCX0d9gnR4OdLhAMzeqyfEBeJNGmgfd6iljw0vLa1HXjyn80WiVMZGaK1_b1UxsW0Ro3VQ2AZ-bmnL--McN5Ux7KKOmytyRwtSTg1jeNqA45Oh36La_G4Lw9cq5b2QRM9wzYU6shLGMxTTAmuphEvvbfWk4rIldCecffXqZw=s320" width="254" /></a></td></tr><tr><td class="tr-caption" style="text-align: center;">Internal thoracic artery and vein <br />running just posterior to the <br />anterior ribcage<br /></td></tr></tbody></table><br />Traveling superior, these arteries and veins join with the subclavian artery and brachiocephalic vein. It is not necessary for this discussion to get too detailed about this anatomy, but there is a relationship between these vessels coming from the thoracic cavity and similar vessels in the neck which supply the neck and face.<p></p><p class="MsoNormal">Collectively, these vessels supply the skin, muscles, and bone on the anterior region of the body, umbilical region, diaphragm, pleura, pericardium, thymus, and important structures of the neck.</p><p class="MsoNormal"><o:p></o:p></p>
<p class="MsoNormal">Finally, in the thoracic cavity, these blood vessels branch
into the intercostal arteries and veins; they drain into the thoracic aorta and
a venous structure called the azygos vein, all in the posterior portion of the
thoracic cavity and consistent with the posterior branch of the <i>chong mai</i>.
Clinically, these vessels act as a collateral circulation for blood movement
from and to the heart. If there is obstruction in the aorta, blood will take
this collateral circulation route. If the blood is abundant, these vessels can be filled, so they act as a bit of a reservoir.<o:p></o:p></p>
<p class="MsoNormal">Go back and review the <i>chong mai</i> with this anatomy in mind and you will see it in an entirely different light. These structures
are in the myofascial plane of the Spleen sinew channel, regulated by a Spleen channel point, SP 4,
and they clinically match the description and topography of the <i>chong mai</i>.</p>
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-50054404291231516862021-05-25T21:36:00.008-04:002023-10-11T10:23:16.181-04:00Pelvic Rotation in Taiji and Qigong<p>This month we will be focusing on rotation, specifically how this movement involves the innominate bones and the sacrum. I frequently find that, when demonstrating rotation, students often think of the pelvic structure as a block that rotates as a unit. However, the pelvis is quite dynamic and there can be much movement between the two innominate bones which allows sacral rotation to occur. This is seen also with walking or running. The back leg in gait pulls the innominate bone on that side into an anterior tilt, while the forward leg pulls the other innominate bone into a posterior tilt. The entire pelvis is 'twisted' or moves into torsion. </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghYw2O8fyioE5PVgLvWxSidcgIno1NtoAX3lni-RG4bU2Tcw9Wb7Pa1KJsNYp-ic7XYy3uNKwkK9Wk5oIlTY9_d0arvQcxZNbiE-FdTNAnLd08aAFeDr-OSIWU_C46JAr9wYxsm4khobnt/s938/walking+posterior+view+blog.png" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="938" data-original-width="600" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghYw2O8fyioE5PVgLvWxSidcgIno1NtoAX3lni-RG4bU2Tcw9Wb7Pa1KJsNYp-ic7XYy3uNKwkK9Wk5oIlTY9_d0arvQcxZNbiE-FdTNAnLd08aAFeDr-OSIWU_C46JAr9wYxsm4khobnt/s320/walking+posterior+view+blog.png" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both;">When the practitioner is in a horse stance or in a neutral stance hip width apart and performs pelvic rotation, this same dynamic occurs, or at least the potential is there for it to occur. This movement will create a rotation all of the way from the feet and potentially upward throughout the body to the head, a movement that takes the joints through their full range of motion in the transverse plane.</div><div class="separator" style="clear: both;"><br /></div><div class="separator" style="clear: both;">We will be exploring this rotation in the Eight Pieces of Brocade, Taiji, Taiji Ball, and even the Core classes this month. Check out the schedule below.</div><div class="separator" style="clear: both;"><br /></div><p></p><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 16pt;">May Taiji and Qigong Schedule<o:p></o:p></span></b></p><div class="separator" style="clear: both;"><table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: white; border-collapse: collapse; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184; width: 701px;"><tbody><tr><td style="background: rgb(217, 226, 243); border: 1pt solid windowtext; padding: 0in 5.4pt; width: 104.15pt;" valign="top" width="139"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Monday</span></b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p></td><td style="background: rgb(217, 226, 243); border-left: none; border: 1pt solid windowtext; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Tue</span></b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p></td><td style="background: rgb(217, 226, 243); border-left: none; border: 1pt solid windowtext; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt; width: 104.05pt;" valign="top" width="139"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Wednesday</span></b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p></td><td style="background: rgb(217, 226, 243); border-left: none; border: 1pt solid windowtext; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt; width: 36.55pt;" valign="top" width="49"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Thur</span></b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p></td><td style="background: rgb(217, 226, 243); border-left: none; border: 1pt solid windowtext; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt; width: 104pt;" valign="top" width="139"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Friday</span></b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p></td><td style="background: rgb(217, 226, 243); border-left: none; border: 1pt solid windowtext; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt; width: 104pt;" valign="top" width="139"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Saturday</span></b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p></td><td style="background: rgb(217, 226, 243); border-left: none; border: 1pt solid windowtext; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Sun</span></b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p></td></tr><tr><td style="border-top: none; border: 1pt solid windowtext; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt; width: 104.15pt;" valign="top" width="139"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Eight Pieces of Brocade</span><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">9:30-10:15am est</span></b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 104.05pt;" valign="top" width="139"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Eight Pieces of Brocade</span><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">9:30-10:15am est</span></b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 36.55pt;" valign="top" width="49"></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 104pt;" valign="top" width="139"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Core (No Floor)<o:p></o:p></span></p><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Strengthening for<o:p></o:p></span></p><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Qigong</span><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><br /></span><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">9:00-9:30am est</span></b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 104pt;" valign="top" width="139"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Taiji Ball</span><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">10:00-10:30 am est</span></b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"></td></tr><tr><td style="border-top: none; border: 1pt solid windowtext; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt; width: 104.15pt;" valign="top" width="139"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Core (Floor) Strengthening for Qigong</span><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">10:30-11:15 am est</span></b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 104.05pt;" valign="top" width="139"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Five Animal Sports </span><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">10:30-11:15am est</span></b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 36.55pt;" valign="top" width="49"></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 104pt;" valign="top" width="139"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Eight Pieces of Brocade</span><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">9:30-10:15am est</span></b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 104pt;" valign="top" width="139"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Five Animal Sports Practice</span><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">10:30-11:30 am est</span></b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></p></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"></td></tr><tr><td style="border-top: none; border: 1pt solid windowtext; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt; width: 104.15pt;" valign="top" width="139"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Taiji (Tai Chi)<o:p></o:p></span></p><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">6:00-6:45pm est</span></b><b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></b></p></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"> </span></p></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 104.05pt;" valign="top" width="139"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">Taiji (Tai Chi)<o:p></o:p></span></p><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><b><span face=""Trebuchet MS", sans-serif" style="font-size: 11.5pt;">6:00-6:45pm est</span></b><b><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"><o:p></o:p></span></b></p></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 36.55pt;" valign="top" width="49"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"> </span></p></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 104pt;" valign="top" width="139"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"> </span></p></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 104pt;" valign="top" width="139"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"> </span></p></td><td style="border-bottom: 1pt solid windowtext; border-left: none; border-right: 1pt solid windowtext; border-top: none; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"><p class="MsoNormal" style="line-height: normal; margin-bottom: 0in;"><span style="font-family: "Open Sans", serif; font-size: 11.5pt;"> </span></p></td></tr></tbody></table><p class="MsoNormal"><o:p> </o:p></p><p class="MsoNormal"><o:p> </o:p></p><div><o:p><br /></o:p></div></div>
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-10305116044184909602020-08-05T17:42:00.009-04:002023-10-11T10:23:28.626-04:00Medical Qigong August ScheduleAt the very bottom of this post is a video I recently produced highlighting scapular movement and its involvement with the expansion and contraction in qigong and taiji training. Scroll to the bottom and check it out. It also features some commentary on the Lung and Large Intestine Channel Sinews.<div><br /></div><div><table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: white; border-collapse: collapse; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184; width: 701px;">
<tbody><tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: #D9E2F3; border: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 104.15pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Monday</span></b><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
</td>
<td style="background: #D9E2F3; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Tue</span></b><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
</td>
<td style="background: #D9E2F3; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 104.05pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Wednesday</span></b><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
</td>
<td style="background: #D9E2F3; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 36.55pt;" valign="top" width="49">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Thur</span></b><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
</td>
<td style="background: #D9E2F3; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 104.0pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Friday</span></b><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
</td>
<td style="background: #D9E2F3; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 104.0pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Saturday</span></b><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
</td>
<td style="background: #D9E2F3; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Sun</span></b><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 104.15pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Eight Pieces of Brocade</span><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">9:30-10:15am est</span></b><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.05pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Eight Pieces of Brocade</span><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">9:30-10:15am est</span></b><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.55pt;" valign="top" width="49"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.0pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Mobility Training for Qigong</span><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><br />
</span><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">9:00-9:30am est</span><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.0pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Taiji Ball</span><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">10:00-10:30 am est</span></b><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49"></td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 104.15pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Core Strengthening for Qigong</span><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">10:30-11:15 am est</span></b><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.05pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Five Animal Sports </span><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">10:30-11:15am est</span></b><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.55pt;" valign="top" width="49"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.0pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Eight Pieces of Brocade</span><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">9:30-10:15am est</span></b><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.0pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Five Animal Sports Practice</span><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">10:30-11:30 am est</span></b><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49"></td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 104.15pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Medical Qigong for Acupuncturists</span><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">1:00-2:00pm est</span></b><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.05pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Medical Qigong for Acupuncturists</span><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">11:30-12:30pm est</span></b><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.55pt;" valign="top" width="49"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.0pt;" valign="top" width="139"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.0pt;" valign="top" width="139"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49"></td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 104.15pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Low Back & Hip </span><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2:00-3:00pm est</span></b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p> </o:p></span></p>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.05pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Neck & Shoulder</span><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">2:00-3:00pm est</span></b><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.55pt;" valign="top" width="49">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p> </o:p></span></p>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.0pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p> </o:p></span></p>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.0pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p> </o:p></span></p>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p> </o:p></span></p>
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<tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 104.15pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p> </o:p></span></p>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p> </o:p></span></p>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.05pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Taiji (Tai Chi) Foundations<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Trebuchet MS",sans-serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">6:00-6:45pm est</span><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></p>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.55pt;" valign="top" width="49">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p> </o:p></span></p>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.0pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p> </o:p></span></p>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.0pt;" valign="top" width="139">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p> </o:p></span></p>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49">
<p class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;"><span style="color: black; font-family: "Open Sans",serif; font-size: 11.5pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p> </o:p></span></p>
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</tbody></table><div class="MsoNormal" style="background-color: white; font-family: "Open Sans"; font-size: 15px;"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: "trebuchet ms", sans-serif; font-size: 11.5pt; line-height: 16.4067px;">Classes may be added for June. Check back and refresh the page to see updated schedule</span><o:p></o:p></div><div class="MsoNormal" style="background-color: white; font-family: "Open Sans"; font-size: 15px;"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: red; font-family: "trebuchet ms", sans-serif; font-size: 11.5pt; line-height: 16.4067px;">Class Fee $10/class or $50/month unlimited classes</span></div><div class="MsoNormal" style="background-color: white; font-family: "Open Sans"; font-size: 15px;"><span style="color: red; font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">Medical Qigong for Acupuncturists $30 per class (includes unlimited classes)</span></div><div class="MsoNormal" style="background-color: white; font-family: "Open Sans"; font-size: 15px;"><span style="color: red; font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;"><br /></span></div><div align="center" class="MsoNormal" style="background: white; font-family: "Open Sans"; font-size: 15px; text-align: center;"><b><u><span style="font-family: "open sans", serif; font-size: 18pt; line-height: 25.68px;">Class Descriptions</span></u></b><span style="font-family: "open sans", serif; font-size: 11.5pt; line-height: 16.4067px;"><o:p></o:p></span></div><div class="MsoNormal" style="background-color: white; font-family: "Open Sans"; font-size: 15px; line-height: normal; margin-bottom: 0in;"><br /></div><div class="MsoNormal" style="background: white; font-family: "Open Sans"; font-size: 15px; line-height: normal; margin-bottom: 12pt;"><b><span style="color: #1d2129; font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">Eight Pieces of Brocade:</span></b><span style="color: #1d2129; font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;"> This sequence includes 8 moves, each working on a specific organ system. This form is easy to do (but there can be a lot of nuance), does not require difficult stepping or shifting of weight and can even be done seated. This form is very accessible, but has much to offer for all. It can be very meditative and calming, as there is some repetition and less difficulty in terms of learning the moves.</span><span style="font-family: "open sans", serif; font-size: 11.5pt;"><o:p></o:p></span></div><div class="MsoNormal" style="background: white; font-family: "Open Sans"; font-size: 15px; line-height: normal; margin-bottom: 0in;"><b><span style="color: #1d2129; font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">Five Animal Sports:</span></b><span style="color: #1d2129; font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;"> This sequence includes 5 moves that are part of each "Animal" (25 moves total). Chinese physiology has many correspondences, and each Animal represents and organ that is being worked on. This form is a bit more difficult, but can still be modified for individual health challenges. It does involve stepping and shifting, but it can be modified to be seated if necessary. This form is very dynamic and a lot of fun!<br /><br /><o:p></o:p></span></div><div class="MsoNormal" style="background: white; font-family: "Open Sans"; font-size: 15px; line-height: normal; margin-bottom: 0in;"><span style="color: #1d2129; font-family: "trebuchet ms", sans-serif; font-size: 15.3333px;"><b>Taiji (Tai Chi) Foundations:</b> This class will highlight many foundational principles of taiji and will introduce part 1 (the first 22 movements) of the sequence. It is open to beginners and to those with previous experience in taiji.</span></div><div class="MsoNormal" style="background: white; font-family: "Open Sans"; font-size: 15px; line-height: normal; margin-bottom: 0in;"><br /></div><div class="MsoNormal" style="background: white; font-family: "Open Sans"; font-size: 15px; line-height: normal; margin-bottom: 0in;"><b><span style="color: #1d2129; font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">Core Strengthening for Qigong:</span></b><span style="color: #1d2129; font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;"> Effective qigong practice requires physical strength, especially in key regions. This class will focus on core strengthening, the neck and shoulder muscles, the arches of the feet, and the legs, hip and gluteal muscles — all regions that can become weak and lead to poor posture, a compressed spine and poor circulation in the internal organs.</span><span style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">Recommended: Some exercises will be done lying down or seated, an exercise mat and folding chair (or other chair or stool) is suggested.<o:p></o:p></span><br /><br /><div class="MsoNormal" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; line-height: normal; margin-bottom: 0in;"><span style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;"><b>Mobility Training for Qigong and Taiji:</b> Mobility training encourages both strength and flexibility and trains the muscles to be active and strong in their entire range of motion. This class will focus on mobility of key regions of the body important for qigong and taiji practice, notably the hip, ankle, and shoulder girdle. Spinal mobility will also be addressed, but this is prominent in other classes where we practice the spinal wave (Eight Pieces of Brocade, Five Animal Sports, Taiji Ball).</span><br /><span style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">Recommended: Some exercises will be done on the floor and others standing. Standing exercises will require balance. A mat for floor exercises and a stable base to hold on to (such as a wall, desk, counter, etc.) for standing exercises is suggested.</span></div><span style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;"></span><br /><div class="MsoNormal" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; line-height: normal; margin-bottom: 0in;"><br /></div></div><div class="MsoNormal" style="background: white; font-family: "Open Sans"; font-size: 15px; line-height: normal; margin-bottom: 0in;"><b><span style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">Taiji Ball:</span></b><span style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;"> Involves various Qigong patterns using one larger or two individual handheld balls to improve the connection of the spine to the arm movement. These patterns can then be applied to taiji, five animal sports, eight pieces of brocade, and other forms.</span><span style="font-family: "open sans", serif; font-size: 11.5pt;"><br /></span><span style="color: #1d2129; font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;"><br /><b>Medical Qigong for Acupuncturists: </b>This class will<b> </b></span><span style="color: #1d2129; font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">allow an opportunity to explore concepts much more in depth regarding how the movements massage/mobilize certain acupuncture points and regions, engage the channel sinews (<i>jingjin</i>), and massage/mobilize the internal organs (<i>zangfu</i>). The class will feature multiple qigong sets such as the eight pieces of brocade and five animal sports. There will be opportunity to improve your own health and learn effective strategies for working with patients.</span><span style="font-family: "open sans", serif; font-size: 11.5pt;"><o:p></o:p></span></div><div class="MsoNormal" style="background: white; font-family: "Open Sans"; font-size: 15px; line-height: normal; margin-bottom: 0in;"><span style="font-family: "open sans", serif; font-size: 11.5pt;"><br /></span><b><span style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">Low Back & Hip:</span></b><span style="font-family: "open sans", serif; font-size: 11.5pt;"> </span><span style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">This class focuses on low back and hip health and is excellent for those with low back and hip conditions. The class features various qigong and corrective exercises which increase flexibility, strengthen important structures for low back and hip stability, balance the pelvic alignment, and strengthen the core. <i>This class is good for both prevention and for general conditions, but for more severe pain, the telemedicine sessions might be indicated.</i></span><span style="font-family: "open sans", serif; font-size: 11.5pt;"><br /></span><span style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">Recommended: Loose fitting clothing, mat, folding chair (or other chair or stool)</span><span style="font-family: "open sans", serif; font-size: 11.5pt;"><br /></span><b><span style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">Shoulder & Neck: </span></b><span style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">This class focuses on the shoulder and neck region and is excellent for those with neck and shoulder conditions, headaches, and jaw tension. The class features various qigong and corrective exercises which increase flexibility, strengthen important structures for neck and shoulder stability, balance the neck, shoulder and head alignment, and strengthen the core. <i>This class is good for both prevention and for general conditions, but for more severe pain, the telemedicine sessions might be indicated.</i></span><span style="font-family: "open sans", serif; font-size: 11.5pt;"><br /></span><span style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">Recommended: Loose fitting clothing, mat, folding chair (or other chair or stool)</span><span style="font-family: "open sans", serif; font-size: 11.5pt;"><br /></span><span style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;"><br /><b>Knee, Ankle & Foot:</b> This class focuses on the knee, ankle and foot region and is excellent for those with conditions of these regions. The class features various qigong and corrective exercises which increase flexibility, strengthen important structures for knee, ankle and foot stability, and balance the pelvis, knee and foot alignment. <i>This class is good for both prevention and for general conditions, but for more severe pain, the telemedicine sessions might be indicated.</i></span><span style="font-family: "open sans", serif; font-size: 11.5pt;"><br /></span><span style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">Recommended: Loose fitting clothing, mat, folding chair (or other chair or stool)<br /><br /></span></div></div><div class="MsoNormal" style="background: white; font-family: "Open Sans"; font-size: 15px; line-height: normal; margin-bottom: 0in;"><div class="separator" style="clear: both; text-align: center;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/tB9xpiAficw" width="320" youtube-src-id="tB9xpiAficw"></iframe></div><span style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;"><br /></span></div>
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-27436143398337954702020-07-02T11:34:00.004-04:002023-10-11T10:23:39.137-04:00Medical Qigong Schedule for July<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: 12pt;">
<b><u><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 18pt;">Class Schedule for July</span></u></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: white; border-collapse: collapse; mso-padding-alt: 0in 0in 0in 0in; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 701px;"><tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;"><td style="background: rgb(217, 226, 243); border: 1pt solid; padding: 0in 5.4pt; width: 104.15pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Monday</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td><td style="background: rgb(217, 226, 243); border: 1pt solid; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Tue</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td><td style="background: rgb(217, 226, 243); border: 1pt solid; padding: 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Wednesday</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td><td style="background: rgb(217, 226, 243); border: 1pt solid; padding: 0in 5.4pt; width: 36.55pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Thur</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td><td style="background: rgb(217, 226, 243); border: 1pt solid; padding: 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Friday</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td><td style="background: rgb(217, 226, 243); border: 1pt solid; padding: 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Saturday</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td><td style="background: rgb(217, 226, 243); border: 1pt solid; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Sun</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td></tr>
<tr style="mso-yfti-irow: 1;"><td style="border: 1pt solid; padding: 0in 5.4pt; width: 104.15pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Eight Pieces of Brocade</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">9:30-10:15am est</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"></td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Eight Pieces of Brocade</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">9:30-10:15am est</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 36.55pt;" valign="top" width="49"></td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif;">Mobility Training for Qigong</span><br />
<span style="font-family: "trebuchet ms" , sans-serif;">9:00-9:30am est</span></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Taiji Ball</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">10:00-10:30 am est</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"></td></tr>
<tr style="mso-yfti-irow: 2;"><td style="border: 1pt solid; padding: 0in 5.4pt; width: 104.15pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Core Strengthening for Qigong</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">10:30-11:15 am est</span></b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<br /></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Five Animal Sports </span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">10:30-11:15am est</span></b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 12pt;"><o:p></o:p></span></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 36.55pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<br /></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Eight Pieces of Brocade</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">9:30-10:15am est</span></b></div>
</div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Five Animal Sports Practice</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">10:30-11:30 am est</span></b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<br /></div>
</td></tr>
<tr style="mso-yfti-irow: 3;"><td style="border: 1pt solid; padding: 0in 5.4pt; width: 104.15pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Medical Qigong for Acupuncturists<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">1:00-2:00pm est</span></b></div>
</div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<br /></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Medical Qigong for Acupuncturists<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">11:30-12:30pm est<o:p></o:p></span></b></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 36.55pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<br /></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<br /></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<br /></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<br /></div>
</td></tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;"><td style="border: 1pt solid; padding: 0in 5.4pt; width: 104.15pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Low Back & Hip </span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">2:00-3:00pm est</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"></td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Neck & Shoulder</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">2:00-3:00pm est</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 36.55pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<br /></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<br /></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
<br /></div>
</td><td style="border-bottom: 1pt solid; border-left: none; border-right: 1pt solid; border-top: none; padding: 0in 5.4pt; width: 36.5pt;" valign="top" width="49"></td></tr>
</tbody></table>
<div class="MsoNormal">
<span style="background: white; color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt; line-height: 16.4067px;">Classes may be added for June. Check back and refresh the page to see updated schedule</span><o:p></o:p></div>
<div class="MsoNormal">
<span style="background: white; color: red; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt; line-height: 16.4067px;">Class Fee $10/class or $50/month unlimited classes</span></div>
<div class="MsoNormal">
<span style="color: red; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Medical Qigong for Acupuncturists $30 per class (includes unlimited classes)</span></div>
<div class="MsoNormal">
<span style="color: red; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><br /></span></div>
<div align="center" class="MsoNormal" style="background: white; text-align: center;">
<b><u><span style="color: black; font-family: "open sans" , serif; font-size: 18pt; line-height: 25.68px;">Class Descriptions</span></u></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt; line-height: 16.4067px;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0in;">
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<b><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Eight Pieces of Brocade:</span></b><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"> This sequence includes 8 moves, each working on a specific organ system. This form is easy to do (but there can be a lot of nuance), does not require difficult stepping or shifting of weight and can even be done seated. This form is very accessible, but has much to offer for all. It can be very meditative and calming, as there is some repetition and less difficulty in terms of learning the moves.</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<b><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Five Animal Sports:</span></b><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"> This sequence includes 5 moves that are part of each "Animal" (25 moves total). Chinese physiology has many correspondences, and each Animal represents and organ that is being worked on. This form is a bit more difficult, but can still be modified for individual health challenges. It does involve stepping and shifting, but it can be modified to be seated if necessary. This form is very dynamic and a lot of fun!<o:p></o:p></span></div>
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<b><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Core Strengthening for Qigong:</span></b><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"> Effective qigong practice requires physical strength, especially in key regions. This class will focus on core strengthening, the neck and shoulder muscles, the arches of the feet, and the legs, hip and gluteal muscles — all regions that can become weak and lead to poor posture, a compressed spine and poor circulation in the internal organs.</span><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Recommended: Some exercises will be done lying down or seated, an exercise mat and folding chair (or other chair or stool) is suggested.<o:p></o:p></span><br />
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<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><b>Mobility Training for Qigong and Taiji:</b> Mobility training encourages both strength and flexibility and trains the muscles to be active and strong in their entire range of motion. This class will focus on mobility of key regions of the body important for qigong and taiji practice, notably the hip, ankle, and shoulder girdle. Spinal mobility will also be addressed, but this is prominent in other classes where we practice the spinal wave (Eight Pieces of Brocade, Five Animal Sports, Taiji Ball).</span><br />
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Recommended: Some exercises will be done on the floor and others standing. Standing exercises will require balance. A mat for floor exercises and a stable base to hold on to (such as a wall, desk, counter, etc.) for standing exercises is suggested.</span></div>
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<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Taiji Ball:</span></b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"> Involves various Qigong patterns using one larger or two individual handheld balls to improve the connection of the spine to the arm movement. These patterns can then be applied to taiji, five animal sports, eight pieces of brocade, and other forms.</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><br /></span><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><br /><b>Medical Qigong for Acupuncturists: </b>This class will<b> </b></span><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">allow an opportunity to explore concepts much more in depth regarding how the movements massage/mobilize certain acupuncture points and regions, engage the channel sinews (<i>jingjin</i>), and massage/mobilize the internal organs (<i>zangfu</i>). The class will feature multiple qigong sets such as the eight pieces of brocade and five animal sports. There will be opportunity to improve your own health and learn effective strategies for working with patients.</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><br /></span><b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Low Back & Hip:</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"> </span><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">This class focuses on low back and hip health and is excellent for those with low back and hip conditions. The class features various qigong and corrective exercises which increase flexibility, strengthen important structures for low back and hip stability, balance the pelvic alignment, and strengthen the core. <i>This class is good for both prevention and for general conditions, but for more severe pain, the telemedicine sessions might be indicated.</i></span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><br /></span><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Recommended: Loose fitting clothing, mat, folding chair (or other chair or stool)</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><br /></span><b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Shoulder & Neck: </span></b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">This class focuses on the shoulder and neck region and is excellent for those with neck and shoulder conditions, headaches, and jaw tension. The class features various qigong and corrective exercises which increase flexibility, strengthen important structures for neck and shoulder stability, balance the neck, shoulder and head alignment, and strengthen the core. <i>This class is good for both prevention and for general conditions, but for more severe pain, the telemedicine sessions might be indicated.</i></span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><br /></span><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Recommended: Loose fitting clothing, mat, folding chair (or other chair or stool)</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><br /></span><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><br /><b>Knee, Ankle & Foot:</b> This class focuses on the knee, ankle and foot region and is excellent for those with conditions of these regions. The class features various qigong and corrective exercises which increase flexibility, strengthen important structures for knee, ankle and foot stability, and balance the pelvis, knee and foot alignment. <i>This class is good for both prevention and for general conditions, but for more severe pain, the telemedicine sessions might be indicated.</i></span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><br /></span><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Recommended: Loose fitting clothing, mat, folding chair (or other chair or stool)</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-5399202323187749252020-06-24T20:40:00.004-04:002023-10-11T10:23:48.417-04:00Self-Myofascial Release of the SCM<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiDtXq6UnfUyrC4llYMDRtNxlvhJv8nUD1i220gizGFQOMSzYpK8Fn2A6HS-oQxxOmtWbP-x7F8E5rFTjAiv8EybLI2s77fuyfg3UvWXBcZEsu62VNeES_YZV7iOhjaWC5IFQ0PYUjcPgY/s1600/SCM.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="558" data-original-width="570" height="313" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiDtXq6UnfUyrC4llYMDRtNxlvhJv8nUD1i220gizGFQOMSzYpK8Fn2A6HS-oQxxOmtWbP-x7F8E5rFTjAiv8EybLI2s77fuyfg3UvWXBcZEsu62VNeES_YZV7iOhjaWC5IFQ0PYUjcPgY/s320/SCM.png" width="320" /></a></div>
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The SCM is an interesting muscle for many reasons. It can be a frequent contributor to muscle tension headaches, which is the primary reason I would include direct needling to this muscle. However, there are many other conditions that would lead me to include this muscle in treatment, such as positional vertigo, ear pain or ear stuffiness, and atypical facial pain.<br />
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I authored a post that that appears on the S<a href="https://www.sportsmedicineacupuncture.com/sternocleidomastoid-muscle-and-its-channel-relationships/" target="_blank">ports Medicine Acupuncture (SMA) blog</a> for July, 2020. This post features more specific information about the SCM muscle, along with information regarding its channel correspondences which will help the acupuncturists when putting together a comprehensive point prescription. Also, there is a video with demonstration of <a href="https://www.youtube.com/watch?v=j2npy7Dq1Do&t=19s" target="_blank">needling for the SCM muscle</a>.<br />
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Below is a video that features a self-myofascial release technique for the SCM muscle. This is a pin a stretch technique which can be taught to patients following treatment. This muscle, when locked-short, frequently responds well to further intervention and it can be helpful for patients to perform the technique between treatments. Make sure that you are comfortable with this technique yourself. The pressure is not excessive and you are medial to the carotid artery, so this should not be a problem if the technique is performed correctly. However, you would want to make sure that patients know where the fingers are placed and that they stay on the muscle during the movement.<br />
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-4351366328767535372020-06-14T23:22:00.006-04:002023-10-11T10:23:58.399-04:00Medical Qigong Schedule for JuneI will be uploading some more posts soon and will find another place to post my class schedule. If you have found your way to my blog, scroll down for content regarding the sinew channels. In addition to acupuncture and manual therapy, qigong and other movement systems are the primary way I work with the sinew channels, and this is why I have my class schedule up on my blog.<br />
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<b><u><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 18.0pt;">Class Schedule for June</span></u></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Monday</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Tue</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Wednesday</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Thur</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Friday</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Saturday</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Sun</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Eight Pieces of Brocade</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">9:30-10:15am est</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Eight Pieces of Brocade</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">9:30-10:15am est</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Eight Pieces of Brocade</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">9:30-10:15am est</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Taiji Ball</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">10:00-10:30 am est</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Core Strengthening for Qigong</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
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<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">10:30-11:15 am est</span></b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Five Animal Sports </span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">10:30-11:15am est</span></b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 12.0pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.55pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Five Animal Sports Practice</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">10:30-11:30 am est</span></b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 104.15pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Medical Qigong for Acupuncturists<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">12:00-1:00pm est<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.55pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 104.15pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Low Back & Hip </span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">2:00-3:00pm est</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Neck & Shoulder</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">2:00-3:00pm est</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.55pt;" valign="top" width="49"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 104.1pt;" valign="top" width="139"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 36.5pt;" valign="top" width="49"></td>
</tr>
</tbody></table>
<div class="MsoNormal">
<span style="background: white; color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt; line-height: 107%;">Classes may be added for June.
Check back and refresh the page to see updated schedule</span><o:p></o:p></div>
<div class="MsoNormal">
<span style="background: white; color: red; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt; line-height: 107%;">Class Fee $20/class or
$50/month unlimited classes</span></div>
<div class="MsoNormal">
<span style="color: red; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Medical Qigong for Acupuncturists $30 per class
(includes unlimited classes)</span></div>
<div class="MsoNormal">
<span style="color: red; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><br /></span></div>
<div align="center" class="MsoNormal" style="background: white; text-align: center;">
<b><u><span style="color: black; font-family: "open sans" , serif; font-size: 18.0pt; line-height: 107%;">Class Descriptions</span></u></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: 12.0pt;">
<b><span style="background: white; color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Eight Pieces of Brocade:</span></b><span style="background: white; color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"> This sequence includes 8 moves, each working on a
specific organ system. This form is easy to do (but there can be a lot of
nuance), does not require difficult stepping or shifting of weight and can even
be done seated. This form is very accessible, but has much to offer for all. It
can be very meditative and calming, as there is some repetition and less
difficulty in terms of learning the moves.</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="background: white; color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Five Animal Sports:</span></b><span style="background: white; color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"> This sequence includes 5 moves that are part of each
"Animal" (25 moves total). Chinese physiology has many
correspondences, and each Animal represents and organ that is being worked on.
This form is a bit more difficult, but can still be modified for individual
health challenges. It does involve stepping and shifting, but it can be
modified to be seated if necessary. This form is very dynamic and a lot of fun!<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="background: white; color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Core Strengthening for Qigong:</span></b><span style="background: white; color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"> Effective qigong practice requires physical strength,
especially in key regions. This class will focus on core strengthening, the
neck and shoulder muscles, the arches of the feet, and the legs, hip and
gluteal muscles — all regions that can become weak and lead to poor posture, a
compressed spine and poor circulation in the internal organs.<br />
</span><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Recommended: Some exercises will be done lying down or seated, an
exercise mat and folding chair (or other chair or stool) is suggested. <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Taiji Ball:</span></b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"> Involves various Qigong patterns using one
larger or two individual handheld balls to improve the connection of the spine
to the arm movement. These patterns can then be applied to taiji, five animal
sports, eight pieces of brocade, and other forms.</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><br />
</span><span style="background: white; color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><br />
<b>Medical Qigong for Acupuncturists: </b>This class will<b> </b></span><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">allow
an opportunity to explore concepts much more in depth regarding how the
movements massage/mobilize certain acupuncture points and regions, engage the
channel sinews (<i>jingjin</i>), and massage/mobilize the internal organs (<i>zangfu</i>). The
class will feature multiple qigong sets such as the eight pieces of brocade and
five animal sports. There will be opportunity to improve your own health and
learn effective strategies for working with patients.</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><br />
</span><b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Low Back & Hip:</span></b><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"> </span><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">This
class focuses on low back and hip health and is excellent for those with low
back and hip conditions. The class features various qigong and corrective
exercises which increase flexibility, strengthen important structures for low
back and hip stability, balance the pelvic alignment, and strengthen the
core. <i>This class is good for both prevention and for general
conditions, but for more severe pain, the telemedicine sessions might be
indicated.</i></span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><br />
</span><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Recommended: Loose fitting clothing, mat, folding chair (or other
chair or stool)</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><br />
<br />
</span><b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Shoulder & Neck: </span></b><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">This class focuses on the
shoulder and neck region and is excellent for those with neck and shoulder
conditions, headaches, and jaw tension. The class features various qigong and
corrective exercises which increase flexibility, strengthen important
structures for neck and shoulder stability, balance the neck, shoulder and head
alignment, and strengthen the core. <i>This class is good for both
prevention and for general conditions, but for more severe pain, the telemedicine
sessions might be indicated.</i></span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><br />
</span><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Recommended: Loose fitting clothing, mat, folding chair (or other
chair or stool)</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><br />
</span><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><br />
<b>Knee, Ankle & Foot:</b> This class focuses on the knee, ankle and
foot region and is excellent for those with conditions of these regions. The class
features various qigong and corrective exercises which increase flexibility,
strengthen important structures for knee, ankle and foot stability, and balance
the pelvis, knee and foot alignment. <i>This class is good for both
prevention and for general conditions, but for more severe pain, the
telemedicine sessions might be indicated.</i></span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><br />
</span><span style="color: black; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Recommended: Loose fitting clothing, mat, folding chair (or other
chair or stool)</span><span style="color: black; font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<br />
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-6736539117346393202020-05-05T17:42:00.006-04:002023-10-11T10:24:11.892-04:00Medical Qigong - May Schedule<div 12.0pt="" class="MsoNormal" line-height:="" margin-bottom:="" normal="">
<div class="separator" style="clear: both; text-align: center;">
</div>
<a href="mailto:brian@ideal-balance.net" style="font-family: "trebuchet ms", sans-serif; font-size: large;">Email</a><span style="font-family: "trebuchet ms" , sans-serif; font-size: medium;"> brian@ideal-balance.net for the Zoom Meeting ID and password</span><br />
<span style="font-family: "trebuchet ms" , sans-serif; font-size: medium;">See below for class schedule and class descriptions</span><br />
<br />
<div 12.0pt="" class="MsoNormal" line-height:="" margin-bottom:="" normal="">
<b><u><span style="font-family: "trebuchet ms" , sans-serif; font-size: 18pt;">Class Schedule for May</span></u></b></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: white; border-collapse: collapse; mso-padding-alt: 0in 0in 0in 0in; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 701px;">
<tbody>
<tr>
<td style="background: #D9E2F3; border: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Monday</span></b><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="background: #D9E2F3; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 34.0pt;" valign="top" width="45"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Tue</span></b><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="background: #D9E2F3; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Wednesday</span></b><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="background: #D9E2F3; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Thursday</span></b><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="background: #D9E2F3; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Friday</span></b><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="background: #D9E2F3; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Saturday</span></b><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="background: #D9E2F3; border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 34.0pt;" valign="top" width="45"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Sun</span></b><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Eight Pieces of Brocade </span><span style="color: red; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><b>(F)</b></span><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">9:30-10:15am est</span></b><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 34.0pt;" valign="top" width="45"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Eight Pieces of Brocade </span><span style="color: red; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><b>(F)</b></span><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">9:30-10:15am est</span></b><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Five Animal Sports </span><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="color: red; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><b>(SG)</b> </span><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><b>9:30-10:30am est</b></span><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Eight Pieces of Brocade </span><span style="color: red; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><b>(F)</b></span><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">9:30-10:15am est</span></b><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Five Animal Sports Practice </span><span style="color: red; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><b>(F)</b></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">10:30-11:30 am est</span></b><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 34.0pt;" valign="top" width="45"></td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 34.0pt;" valign="top" width="45"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif; font-size: 12pt;">Medical Qigong for Acupuncturists</span><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif; font-size: 12.0pt;"><b style="color: red;">(MQA) </b>$30</span><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 12pt;">12:00-1:00 pm est</span></b><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 34.0pt;" valign="top" width="45"></td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Low Back & Hip </span><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="color: red; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><b>(SG)</b> </span><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">$20</span><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">2:00-3:00pm est</span></b><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 34.0pt;" valign="top" width="45"></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Neck & Shoulder </span><span style="color: red; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><b>(SG)</b></span><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"> $20</span><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">2:00-3:00pm est</span></b><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 98.65pt;" valign="top" width="132"><div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0in 5.4pt 0in 5.4pt; width: 34.0pt;" valign="top" width="45"></td>
</tr>
</tbody></table>
<div class="MsoNormal">
<span style="background: white; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt; line-height: 107%;">Classes may be added for May.
Check back and refresh the page to see updated schedule</span><o:p></o:p></div>
<div class="MsoNormal">
<span style="background: white; color: red; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt; line-height: 107%;"><br /></span>
<span style="background: white; color: red; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt; line-height: 107%;"><b>F</b></span><span style="background: white; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt; line-height: 107%;"> – Free; classes are follow-along. Group
instruction is given, but not individual, due to group size and class
structure. Donations are welcome but not required. Participants can use the Paypal donation link below (paypal account needed) or send an email and we can invoice you via Square. </span><br />
<span style="background: white; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt; line-height: 107%;"><br /></span>
<span style="font-size: 11.5pt; line-height: 107%;"><input alt="Donate with PayPal button" border="0" name="submit" src="https://www.paypalobjects.com/en_US/i/btn/btn_donate_LG.gif" title="PayPal - The safer, easier way to pay online!" type="image" /><span style="font-size: small;"> </span><img alt="" border="0" height="1" src="https://www.paypal.com/en_US/i/scr/pixel.gif" style="font-size: medium;" width="1" /><span style="font-family: "trebuchet ms" , sans-serif;"><br /></span>
</span><span style="background: white; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt; line-height: 107%;"><br />
<span style="color: red; font-size: 11.5pt; line-height: 107%;"></span><span style="color: red;"><b>SG</b></span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 11.5pt; line-height: 107%;"> – Small Group; limited to 5 participants.
Sign up beforehand by email to brian@ideal-balance.net; an email address is necessary to register. Instructor
can see participants and will give individual instruction. Classes include
qigong and other corrective exercises to improve strength, flexibility and
function and overall health and wellness. Classes are $20 (invoiced via Square; do not use
the donation link).</span></span><span style="font-family: "open sans" , serif; font-size: 11.5pt; line-height: 107%;"><br />
</span><span style="background: white; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt; line-height: 107%;"><br />
<span style="color: red; font-size: 11.5pt; line-height: 107%;"></span><span style="color: red;"><b>MQA</b></span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 11.5pt; line-height: 107%;"> – Medical Qigong (for Acupuncturists);
limited to 5 participants. Sign up beforehand by email or phone; an email
address is necessary. Instructor can see participants and will give individual
instruction. Class will include active qigong instruction and integrated
discussion of acupuncture points, channel sinews (<i>jingjin</i>) and <i>zangfu</i> and
how these relate to the movements. Classes are $30</span> (invoiced; do not use the donation
link).</span><span style="font-family: "open sans" , serif; font-size: 11.5pt; line-height: 107%;"><br />
</span><span style="background: white; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt; line-height: 107%;"><br />
<span style="color: red; font-size: 11.5pt; line-height: 107%;"></span><span style="color: red;"><b>T</b></span> <span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-size: 11.5pt; line-height: 107%;">– Telemedicine (by
appointment). Private one-on-one session. A telemedicine appointment is
private and HIPAA-compliant and a detailed history and assessment is performed. A detailed
treatment is given which can include self acupressure and massage (sometimes
with tools such as a foam roll or therapy balls), specific corrective exercises
prescriptions, core stabilization exercises, herbal medical prescriptions. Call
or email to request an appointment.</span><o:p></o:p></span></div>
<span style="background: white; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt; line-height: 107%;"><br clear="all" style="page-break-before: always;" />
</span>
<br />
<div align="center" class="MsoNormal" style="background: white; text-align: center;">
<b><u><span style="font-family: "open sans" , serif; font-size: 18pt; line-height: 107%;">Class Descriptions</span></u></b><span style="font-family: "open sans" , serif; font-size: 11.5pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: 12.0pt;">
<b><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Eight Pieces of Brocade:</span></b><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"> This sequence includes 8 moves, done individually, each working on a
specific organ system. This form is </span><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 15.3333px;">very accessible and </span><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">easy to learn, does not require difficult stepping or shifting of weight and can even
be done seated. </span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Five Animal Sports:</span></b><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"> This sequence includes 5 moves that are part of each
"Animal" (25 moves total). Each Animal represents an organ that is being worked on from the point of view of </span><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 15.3333px;">Chinese physiology</span><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">.
This form is a bit more challenging and does involve stepping and shifting, but can be
modified to meet individual needs and can be done seated if necessary. This form is very dynamic and a lot of fun!</span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<b><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Strengthening for Qigong:</span></b><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"> Effective qigong practice requires physical strength,
especially in key areas. This class will focus on </span><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 15.3333px;">strengthening </span><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">the core, the neck
and shoulder muscles, the arches of the feet, and the legs, hip and gluteal
muscles — all areas that can become weak and lead to poor posture, a
compressed spine and poor circulation in the internal organs.</span><br />
<span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Recommended: an
exercise mat and folding chair (or other chair or stool) is suggested, as s</span><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><span style="font-family: "trebuchet ms" , sans-serif;">ome exercises will be done seated or lying down.</span><br />
</span><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><br /><b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Low Back & Hip:</span></b><span style="font-family: "open sans" , serif; font-size: 11.5pt;"> </span><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">This
class is excellent for managing low
back and hip conditions and features diverse qigong and corrective
exercises to increase flexibility, </span>balance pelvic alignment, and <span style="font-size: 11.5pt;">strengthen the core and important structures for low
back and hip stability. </span></span></div>
<div class="MsoNormal" style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<i style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">This class is good for both prevention and for general
conditions, but for more severe pain, the telemedicine sessions might be
indicated.</i><br />
<span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Recommended: Loose fitting clothing, mat, folding chair (or other
chair or stool)</span><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><br />
<br />
</span><b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Shoulder & Neck: </span></b><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">This class is excellent for managing neck and shoulder
pain, headaches, and jaw tension. It features diverse qigong and
corrective exercises to increase flexibility, </span><span style="font-family: "trebuchet ms" , sans-serif; font-size: 15.3333px;">re-align the neck, shoulder and head,</span><span style="font-family: "trebuchet ms" , sans-serif; font-size: 15.3333px;"> and </span><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">strengthen the core and important
structures for neck and shoulder stability. </span><br />
<i style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">This class is good for both
prevention and for general conditions, but for more severe pain, the telemedicine
sessions might be indicated.</i><br />
<span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Recommended: Loose fitting clothing, mat, folding chair (or other
chair or stool)</span><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><br />
</span><span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><br />
<b>Knee, Ankle & Foot:</b> This class excellent for managing knee, foot or ankle pain. It features diverse qigong and corrective exercises to increase flexibility, properly align the foot/knee/pelvis structure, and increase strength for stability in standing and walking. </span><br />
<span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><i>T</i></span><i style="font-family: "trebuchet ms", sans-serif; font-size: 11.5pt;">his class is good for both
prevention and for general conditions, but for more severe pain, the
telemedicine sessions might be indicated.</i><br />
<span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">Recommended: Loose fitting clothing, mat, folding chair (or other
chair or stool)</span><span style="font-family: "open sans" , serif; font-size: 11.5pt;"><o:p></o:p></span><br />
<span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><br /></span>
<span style="font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;"><b>Medical Qigong for Acupuncturists: </b>This class for healthcare professionals will<b> </b></span><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif; font-size: 11.5pt;">explore from an in-depth clinical perspective how the movements massage/mobilize certain acupuncture points and regions, engage the channel sinews (<i>jingjin</i>), and massage/mobilize the internal organs (<i>zangfu</i>). Students will work with multiple qigong sets such as the Eight Pieces of Brocade and Five Animal Sports, to improve their own health and understanding, and to learn effective strategies for working with patients.</span></span></div>
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Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-52455244331491082022020-04-08T21:43:00.005-04:002023-10-11T10:24:32.054-04:00Integrative Medical Qigong Online Classes During Social Distancing<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgIHO_KfsCuhOqMEZTB3XHDkd4mrmkprSlf00iU7zYDkb7cf8A0CS5r1XV0clz3bA0uKJEfQ0uTNW-5Y6ENQco3ksY94apIBWujKerJkNoBCAN4WXy7HIsE15I2LyEtWJBY0eXsl-JD098/s1600/Siloutte+8POB.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1068" data-original-width="1105" height="308" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgIHO_KfsCuhOqMEZTB3XHDkd4mrmkprSlf00iU7zYDkb7cf8A0CS5r1XV0clz3bA0uKJEfQ0uTNW-5Y6ENQco3ksY94apIBWujKerJkNoBCAN4WXy7HIsE15I2LyEtWJBY0eXsl-JD098/s320/Siloutte+8POB.png" width="320" /></a></div>
<span style="font-family: "trebuchet ms" , sans-serif;">Below is a schedule for online medical <i>qigong</i> classes. Medical <i>qigong</i> uses movements that promote circulation of qi to prevent illness and help support the body for better healing potential when people are ill. The movements massage the internal organs and promote good circulation. The approach I teach uses traditional concepts, but integrates Western exercise and health concepts which address muscle imbalances, strengthen the core, and mobilize joints. These movements look to the channel sinews as the link between the Western and Eastern concepts. I will write more in future blog posts about this and highlight various movements and how they relate to the channel sinews and the organs.</span><br />
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<a href="mailto:brian@ideal-balance.net" style="font-family: "trebuchet ms", sans-serif; font-size: large;"><br /></a>
<a href="mailto:brian@ideal-balance.net" style="font-family: "trebuchet ms", sans-serif; font-size: large;">Email</a><span style="font-family: "trebuchet ms" , sans-serif; font-size: medium;"> brian@ideal-balance.net for the Zoom Meeting ID and password</span><br />
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<span style="font-family: "trebuchet ms" , sans-serif; font-size: large;"><b><u>Class Schedule for April</u></b></span><br />
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<b><span style="font-family: "trebuchet ms" , sans-serif;">Monday<o:p></o:p></span></b></div>
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<b><span style="font-family: "trebuchet ms" , sans-serif;">Tuesday<o:p></o:p></span></b></div>
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<b><span style="font-family: "trebuchet ms" , sans-serif;">Wednesday<o:p></o:p></span></b></div>
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<b><span style="font-family: "trebuchet ms" , sans-serif;">Thursday<o:p></o:p></span></b></div>
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<b><span style="font-family: "trebuchet ms" , sans-serif;">Friday<o:p></o:p></span></b></div>
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<b><span style="font-family: "trebuchet ms" , sans-serif;">Saturday<o:p></o:p></span></b></div>
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<b><span style="font-family: "trebuchet ms" , sans-serif;">Sunday<o:p></o:p></span></b></div>
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<span style="font-family: "trebuchet ms" , sans-serif;">Eight Pieces of Brocade <span style="color: red;">(F)</span><o:p></o:p></span></div>
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<b><span style="font-family: "trebuchet ms" , sans-serif;">9:30-10:15am est<o:p></o:p></span></b></div>
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<span style="font-family: "trebuchet ms" , sans-serif;">Eight Pieces of Brocade <span style="color: red;">(F)</span><o:p></o:p></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;"><b>9:30-10:15am est</b><o:p></o:p></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;">Five Animal Sports </span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;"><span style="color: red;">(SG) </span>$20 <b>9:30-10:15am est</b><o:p></o:p></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;">Eight Pieces of Brocade <span style="color: red;">(F)</span><o:p></o:p></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;"><b>9:30-10:15am est</b><o:p></o:p></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;">Five Animal Sports Practice <span style="color: red;">(F)</span><o:p></o:p></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;"><b>10:30-11:30am est</b><o:p></o:p></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;">Opening the Breathing <span style="color: red;">(F)</span><o:p></o:p></span></div>
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<b><span style="font-family: "trebuchet ms" , sans-serif;">10:30-11:15 am est<o:p></o:p></span></b></div>
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<span style="font-size: 12pt;"><span style="font-family: "trebuchet ms" , sans-serif;">Medical Qigong for Acupuncturists</span></span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;"> </span><span style="font-family: "trebuchet ms" , sans-serif;"><span style="color: red; font-size: 12pt;">(MQA)</span><span style="font-size: 12pt;"><o:p></o:p></span></span></div>
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<b><span style="font-size: 12pt; line-height: 107%;">10:30-11:30 am est</span></b></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;"><span style="font-size: 12pt;">Medical Qigong</span><span style="font-size: 12pt;"> for Acupuncturists</span></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;"><span style="color: red; font-size: 12pt;">(MQA)</span><span style="font-size: 12pt;"><o:p></o:p></span></span></div>
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<b><span style="font-size: 12pt; line-height: 107%;">10:30-11:30 am est</span></b></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;">Low Back & Hip </span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;"><span style="color: red;">(SG) </span>$20<o:p></o:p></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;"><b>2:00-3:00pm est</b><o:p></o:p></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;">Knee, Ankle and Foot <span style="color: red;">(SG)</span> $20<o:p></o:p></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;"><b>2:00-3:00pm est</b><o:p></o:p></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;">Neck & Shoulder <span style="color: red;">(SG)</span> $20<o:p></o:p></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;"><b>2:00-3:00pm est</b><o:p></o:p></span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;">Classes may be added for April. Check back and refresh the page to see updated schedule</span><br />
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<span style="font-family: "trebuchet ms" , sans-serif;"><span style="color: red;">F</span> – Free; classes are follow-along. Group instruction is given, but not individual, due to group size and class structure. Donations are welcome, and participants can follow the donation link at the bottom of the page. </span><br />
<span style="font-family: "trebuchet ms" , sans-serif;"><br /></span><span style="font-family: "trebuchet ms" , sans-serif;"><span style="color: red;">SG</span> – Small Group; limited to 5 participants. Sign up beforehand by email or phone; an email address is necessary. Instructor can see participants and will give individual instruction. Classes include qigong and other corrective exercises to improve strength, flexibility and function and overall health and wellness. Classes are $20 (invoiced; do not use the donation link).</span><br />
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<span style="font-family: "trebuchet ms" , sans-serif;"><span style="color: red;">MQA</span> – Medical Qigong (for Acupuncturists); limited to 5 participants. Sign up beforehand by email or phone; an email address is necessary. Instructor can see participants and will give individual instruction. Classes will include active qigong instruction and integrated discussion of acupuncture points, the channel sinews (<i>jingjin</i>) and <i>zangfu</i> and how these relate to the movements. Classes are $30</span><span style="font-family: "trebuchet ms" , sans-serif;"> </span><span style="font-family: "trebuchet ms" , sans-serif;">(invoiced; do not use the donation link).</span><br />
<span style="font-family: "trebuchet ms" , sans-serif;"><br /></span><span style="font-family: "trebuchet ms" , sans-serif;"><span style="color: red;">T </span>– Telemedicine (by appointment). Private one on one sessions. This telemedicine appointment is private and a detailed history and assessment is performed. A detailed treatment is given which can include self acupressure and massage (sometimes with tools such as a foam roll or therapy balls), specific corrective exercises prescriptions, core stabilization exercises, herbal medical prescriptions. Call or email to request an appointment.</span><br />
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<b><span style="font-size: large;"><u>Class Descriptions</u></span></b></div>
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<span style="font-family: "trebuchet ms" , sans-serif;"><span style="background-color: white; color: #1d2129;"><b>Eight Pieces of Brocade:</b> This sequence includes 8 moves, each working on a specific organ system. This form is easy to do (but there can be a lot of nuance), does not require difficult stepping or shifting of weight and can even be done seated. This form is very accessible, but has much to offer for all. It can be very meditative and calming, as there is some repetition and less difficulty in terms of learning the moves.</span><br style="background-color: white; color: #1d2129;" /><span style="background-color: white; color: #1d2129;"><br /></span></span></div>
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<span style="background-color: white; color: #1d2129;"><span style="font-family: "trebuchet ms" , sans-serif;"><b>Five Animal Sports:</b> This sequence includes 5 moves that are part of each "Animal" (25 moves total). Chinese physiology has many correspondences, and each Animal represents and organ that is being worked on. This form is a bit more difficult, but can still be modified for individual health challenges. It does involve stepping and shifting, but it can be modified to be seated if necessary. This form is very dynamic and a lot of fun!</span></span><br />
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<span style="background-color: white; color: #1d2129;"><span style="font-family: "trebuchet ms" , sans-serif;"><b>Medical Qigong for Acupuncturists: This class will </b></span></span><span style="color: #1d2129; font-family: "trebuchet ms" , sans-serif;">allow an opportunity to explore concepts much more in depth regarding how the movements massage/mobilize certain acupuncture points and regions, engage the channel sinews (<i>jingjin</i>), and massage/mobilize the internal organs (<i>zangfu</i>). The class will feature multiple qigong sets such as the eight pieces of brocade.</span></div>
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<b><span style="font-family: "trebuchet ms" , sans-serif;">Low Back & Hip:</span></b> <span style="font-family: "trebuchet ms" , sans-serif;">This class focuses on low back and hip health and is excellent for those with low back and hip conditions. The class features various qigong and corrective exercises which increase flexibility, strengthen important structures for low back and hip stability, balance the pelvic alignment, and strengthen the core. <i>This class is good for both prevention and for general conditions, but for more severe pain, the telemedicine sessions might be indicated.</i></span><br />
<span style="font-family: "trebuchet ms" , sans-serif;">Recommended: Loose fitting clothing, mat, folding chair (or other chair or stool)</span><br />
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<span style="font-family: "trebuchet ms" , sans-serif;"><b>Shoulder & Neck: </b>This class focuses on the shoulder and neck region and is excellent for those with neck and shoulder conditions, headaches, and jaw tension. The class features various qigong and corrective exercises which increase flexibility, strengthen important structures for neck and shoulder stability, balance the neck, shoulder and head alignment, and strengthen the core. <i>This class is good for both prevention and for general conditions, but for more severe pain, the telemedicine sessions might be indicated.</i></span><br />
<span style="font-family: "trebuchet ms" , sans-serif;">Recommended: Loose fitting clothing, mat, folding chair (or other chair or stool)</span><br />
<span style="font-family: "trebuchet ms" , sans-serif;"><br /></span><span style="font-family: "trebuchet ms" , sans-serif;"><b>Knee, Ankle & Foot:</b> This class focuses on the knee, ankle and foot region and is excellent for those with conditions of these regions. The class features various qigong and corrective exercises which increase flexibility, strengthen important structures for knee, ankle and foot stability, and balance the pelvis, knee and foot alignment. <i>This class is good for both prevention and for general conditions, but for more severe pain, the telemedicine sessions might be indicated.</i></span><br />
<span style="font-family: "trebuchet ms" , sans-serif;">Recommended: Loose fitting clothing, mat, folding chair (or other chair or stool)</span></div>
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<span style="font-family: "trebuchet ms" , sans-serif;"><b><br /></b></span><span style="font-family: "trebuchet ms" , sans-serif;"><b>Opening the Breathing.</b> This class supports the other classes by focusing on proper use of the chest and shoulder girdle muscles, so that the chest can remain open during practice and breathing can be regulated.</span><br />
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For those that have found this post from recent webinars or other sources that I have recently done with Matt Callison regarding a low back telemedicine case study, that post and the accompanying video can be found at the <a href="https://www.sportsmedicineacupuncture.com/telemedicine-guide-a-low-back-pain-case-study/" target="_blank">Sports Medicine Acupuncture Blog</a></form>
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Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-87935617628723199702019-06-07T21:41:00.005-04:002023-10-11T10:24:41.334-04:00Treatment of the Kidney Sinew Channel for Injuries Associated with the Urinary Bladder Sinew Channel<br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlRjXwUw-11uQEWvBWGan86Rx4NvEXlwr9WXGR09RwIsc0NBgdYqGgqKRrXQyc_NLc3It91RczjxMpmJY6V9JYDM-AWnYLgZWZYRO2vGlsL0F2LadAqJNKERyHjakb0W6s4oLTL7HCmO4/s1600/MFR+posterior+septum+of+thigh.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="569" data-original-width="1000" height="364" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlRjXwUw-11uQEWvBWGan86Rx4NvEXlwr9WXGR09RwIsc0NBgdYqGgqKRrXQyc_NLc3It91RczjxMpmJY6V9JYDM-AWnYLgZWZYRO2vGlsL0F2LadAqJNKERyHjakb0W6s4oLTL7HCmO4/s640/MFR+posterior+septum+of+thigh.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Fig. 1: This myofascial release technique on the posterior intermuscular septum of the thigh (the fascial septum between the adductor magnus and the medial hamstings) is taught in the Assessment and Treatment of the Channel Sinews class in Sports Medicine Acupuncture Certification. It is a technique that could be used to treat the Kidney channel as discussed in this post.</td></tr>
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I authored this month's SMA (Sports Medicine Acupuncture<span style="font-family: "calibri" , sans-serif; font-size: 11pt;">®</span>) blog post, which is on assessment and treatment of the channel sinews for posterior and medial knee pain. It focuses common injuries associated with the Urinary Bladder and Kidney channel sinews (<i>jingjin</i>), including upper gastrocnemius strain, hamstring tenosynovitis (both of these are associated with the UB <i>jingjin</i>), and MCL injury (associated with the KID <i>jingjin</i>). <a href="https://www.sportsmedicineacupuncture.com/posterior-and-medial-knee-pain/" target="_blank">Check it out</a>.</div>
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At the end of the post, I discuss how treatment of the channel associated with the injury does not always yield lasting results. Obviously, acupuncturists know this. We have many channel relationships that help guide our clinical decision making. Sometimes we treat the channel that is associated with an injury; sometimes we treat the internal-external pair; sometimes we treat based on six divisions; sometimes we use midday-midnight correspondences; and sometimes our decision-making can be even more complex. The channel system is very interdependent and it is not always as simple as treatment including local, adjacent, and distal points where all of these are on the same channel.</div>
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In the SMA blog post, I gave an example of treatment of upper gastrocnemius strain and/or hamstring tenosynovitis (UB <i>jingjin</i>) when there is a loss of integrity of specific ligaments associated with the KID <i>jingjin</i>. In these cases, the gastrocnemius and hamstrings will need to make up for the loss of stability in the knee due to the loss of integrity of the ligaments. To get lasting results in this case, one must address the Kidney channel. There are many ways that one can accomplish this and I don't want to get into treatment in this post. Regardless of whether you are using acupuncture, regenerative injection techniques, manual therapy, or other tools, communicating with the Kidney channel will keep the UB structures from having to overwork as they attempt to stabilize the knee.</div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpB93mSYGYNJ5GWnbCM7GtekrZlCTcpXu3dVKrJ_yb0fOXwbYaH5AmBep1BpTm0KcHCKsBsz8_Aeje2e_zjrOfuOWROYV0IzYKFlZyaFSX4IbRjZ8XBUp-fv3_-ouzCXIxf7pdFNDi_5o/s1600/UB+and+KID+jingjin+foot+to+pelvis.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="720" data-original-width="1280" height="358" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpB93mSYGYNJ5GWnbCM7GtekrZlCTcpXu3dVKrJ_yb0fOXwbYaH5AmBep1BpTm0KcHCKsBsz8_Aeje2e_zjrOfuOWROYV0IzYKFlZyaFSX4IbRjZ8XBUp-fv3_-ouzCXIxf7pdFNDi_5o/s640/UB+and+KID+jingjin+foot+to+pelvis.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Fig. 2</td></tr>
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There is another example that didn't get explored in the SMA blog post for space reasons. It has to do with the relationship of the UB and the KID <i>jingjin </i>and their associated myofascial structures, the hamstrings and the adductor magnus. The hamstrings are associated with the UB <i>jingjin </i>and the KID <i>jingjin</i>. The two superficial hamstrings (the biceps femoris long head and the semitendinosus) are part of the UB jingjin while the semimembranosus is part of the KID <i>jingjin </i>(Fig. 2). </div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaUNLWV3f5s5Fo-z2OoHN5DcsTTSPq1RCfixzTEAqHI5774_pqpzsvFpai9r8Uv8xCg21pXIDmWISq2HL873JeAKv6kSE9ji-NYs3VrwouwWuC0wCHwaNYCiDGbAIVl121DRjK9ym7nU4/s1600/KID+jingjin+4th+hamstring.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" data-original-height="548" data-original-width="800" height="219" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaUNLWV3f5s5Fo-z2OoHN5DcsTTSPq1RCfixzTEAqHI5774_pqpzsvFpai9r8Uv8xCg21pXIDmWISq2HL873JeAKv6kSE9ji-NYs3VrwouwWuC0wCHwaNYCiDGbAIVl121DRjK9ym7nU4/s320/KID+jingjin+4th+hamstring.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Fig. 3: The semimembranosus <span style="font-size: 12.8px;">removed on the right <br />to reveal the '4th hamstring'.</span></td></tr>
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There is also a '4th hamstring' which is comprised of the biceps femoris short head and the adductor magnus (Fig. 3). The adductor magnus is not technically a hamstring, but the middle fibers are fascially connected with the biceps femoris short head and this pair can be considered as a 4th hamstring. This '4th hamstring' is discussed both by Tom Myers in his book <i style="font-variant-caps: inherit; font-variant-ligatures: inherit; font-weight: inherit;">Anatomy Trains: Myofascial Meridians for Manual and Movement Therapists</i>, and by <span style="font-variant-caps: inherit; font-variant-ligatures: inherit; font-weight: inherit;">Janet Travell in her book </span><i style="font-variant-caps: inherit; font-variant-ligatures: inherit; font-weight: inherit;">Myofascial Pain and Dysfunction: The Trigger Point Manual</i>.</div>
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To recap, there are two pairs of hamstrings; a superficial pair (biceps femoris long head and semitendinosus; both associated with the UB <i>jingjin</i>), and a deep pair (semimembranosus and biceps short head/adductor magnus; both associated with the KID <i>jingjin</i>). The video below explores the anatomy of these two channels in the foot, ankle, leg and thigh.</div>
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Back to the topic of this post; how one channel can influence another and how an injury associated with one channel might require treatment to a related channel. The hamstrings get their blood supply from <a href="https://www.anatomynext.com/perforating-arteries/" target="_blank">perforating arteries</a> which branch off of the deep femoral artery (femoral artery profunda), which itself is a branch off of the femoral artery. The name 'perforating arteries' implies that they perforate something, which they do. They perforate the adductor magnus on their way to the hamstrings (Fig. 4). If the adductor magnus is short and tight, this could definitely restrict blood flow to the hamstrings. If you have a patient that comes in with chronic hamstring problems, maybe it is worth assessing and treating the adductor magnus. You will be assessing and treating the KID <i>jingjin </i>to help with any work you do with the UB <i>jingjin</i>. The image at the top of this post shows a myofascial release technique which frees obstructions in the posterior intermuscular septum of the thigh (between the adductor magnus and the medial hamstrings)</div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhxuS53PTAH6AaIg4jDe8TQN0mm2GVW4kmmC5FA_77k-Niu_wiuMF7W90nkz520RLu8lLSS_Xq4lHNvNK5oTWiv3qKSZVcQ5sQPLIyb0G4YAw-AbouOaGnNSGVL6ChRc8g6v0CR7CLVoik/s1600/Gray544.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1000" data-original-width="461" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhxuS53PTAH6AaIg4jDe8TQN0mm2GVW4kmmC5FA_77k-Niu_wiuMF7W90nkz520RLu8lLSS_Xq4lHNvNK5oTWiv3qKSZVcQ5sQPLIyb0G4YAw-AbouOaGnNSGVL6ChRc8g6v0CR7CLVoik/s400/Gray544.png" width="183" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Fig 4: Gray's Anatomy illustration showing perforating arteries perforating the adductor magnus on their way to the hamstrings. Hamstrings are not shown in this illustration so that the arteries can be seen.</td></tr>
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Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-75883433102645256172019-05-06T11:31:00.009-04:002023-10-11T10:24:51.011-04:00Futu (ST 32) and the Extrapoint Xinfutu for Low Back Pain<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjo7UGCKGB1KNF7f2Gs4T6GFybDLhTARXEfa8jNtKSPmCJbiCOtVl3c2e_kVZUKI6YFkAQkfUxFhxuK4uRXhSvb9PgTLtxPpSPY8O1lVS1qWNWGQpa49tg9KFWpsOFGZ3ekfxtoakyzWfU/s1600/ST+Jingjin+thigh+and+torso.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="565" data-original-width="653" height="345" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjo7UGCKGB1KNF7f2Gs4T6GFybDLhTARXEfa8jNtKSPmCJbiCOtVl3c2e_kVZUKI6YFkAQkfUxFhxuK4uRXhSvb9PgTLtxPpSPY8O1lVS1qWNWGQpa49tg9KFWpsOFGZ3ekfxtoakyzWfU/s400/ST+Jingjin+thigh+and+torso.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Fig 1: ST Jingjin Thigh and Torso <br />
Anterior View (L image) and Posterior View (R image)<br />
image modified from image created with zygote body,<br />
<span style="font-size: 12.8px;">information </span><span style="font-size: 12.8px;">© Brian Lau</span></td></tr>
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At the end of last year, I was a guest on the excellent <i>Qiological </i>podcast hosted by Michael Max. We discussed the channel sinews and how they relate to structure and function. The podcast is below, or you can <a href="https://qiological.com/sinew-structure-function/" target="_blank">check it out here</a>.<br />
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On the notes page of this podcast is a nice clinical tip regarding a branch of the Stomach channel sinews which links to the low back. Many practitioners have noticed this branch when looking at illustrations of the channel sinews in books such as Peter Deadman's <i>A Manual of Acupuncture</i>. Furthermore, many practitioners have noticed indications of Stomach channel points which have indications for low back pain. Specifically, ST 31 - ST 34 have indications for lumbar pain.<br />
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ST 31 happens to be the motor point for the rectus femoris, the only quadriceps muscle that attaches to the innominate bone (it attaches to the AIIS). Shortness in this muscle will pull excessively on the innominate bone and contribute to an anterior tilt of the pelvis and excessive lordosis of the spine. This is an obvious biomechanical explanation for why this specific point would help with lumbar pain, as reducing tension in the rectus femoris would affect pelvic and lumbar mechanics. This would be especially helpful for patients with pain in the lumbar facet joints (facet syndrome), as these joints would be jammed together when the patient has an anterior pelvic tilt.<br />
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The points ST 34 - ST 32, however, require a different explanation for their impact on the low back. These points would not be on the rectus femoris; they would have a greater influence on the vastus lateralis muscle. This muscle does not attach to the innominate bone, so tension in this muscle would not directly affect pelvic and lumbar mechanics. Understanding how this muscle affects the lumbar region requires a different explanation. The explanation will require an review of the Stomach channel sinews. Fortunately, it will provide some relevant diagnostic information that you can use in clinic.<br />
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The Stomach channel sinews mostly follow the Stomach primary channel. However, there is a branch that connects to the lumbar spine. Here is a quote from Chapter 13 of the Lingshu, translated by the Vietnamese scholar Nguyen Van Nghi: "The Zu Yangming (St) Jing Jin begins at the extremity of the third toe, inserts in the ankle joint, climbs obliquely along the fibula and inserts in the lateral surface of the knee, goes vertically to the hip joint where Huantiao (GB 30) is located, runs along the false ribs, and ends at the spinal column." The remainder of the ST channel sinews is then described to complete the entry for the Stomach. This follows the primary channel.<br />
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What anatomy could this be describing? A few highlights are helpful. First, this branch is more lateral than the remainder of the Stomach channel sinews on the thigh (the portion which follows the primary channel), and it goes to the hip joint (where GB 30 is located). If you look at the vastus lateralis muscle, you will notice that it goes very lateral; it actually attaches to the posterior portion of the femur at the linea aspera. This attachment comes very close to the femoral attachment of the gluteus maximus on the gluteal tuberosity. The fascia of each of these muscles merges and creates a fascial continuity. If you press on GB 30, you are pressing on the gluteus maximus, so this connects the Stomach channel sinews to GB 30 as described above.<br />
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The gluteus maximus then has a fascial continuity with the thoracolumbar fascia (TLF), a thick aponeurotic structure in the lumbar region which attaches to the lumbar spine. The TFL is a bit complex and multilayered. The gluteus maximus blends with the superficial layer of the TLF. There are 3 layers of the TLF. A layer wraps over the erector spinae muscles (this is the layer that the gluteus maximus blends in with), another layer wraps deep to the erector spinae, and a third layer wraps deep to the quadratus lumborum.<br />
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<tr><td class="tr-caption" style="text-align: center;">Fig 2: Image of the TLF and the lateral raphe, from<br />
an <a href="https://www.dynamicchiropractic.com/mpacms/dc/article.php?id=56893" target="_blank">excellent article</a> written by Warren Hammer, DC</td></tr>
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In Sports Medicine Acupuncture<span style="font-family: "calibri" , sans-serif; font-size: 11pt;">®</span>, we palpate the TLF a number of ways. One way is to palpate the lateral raphe, which is a region where the multiple fascial layers meet before separating into the 3 layers described above (Figs. 1 and 2). You can think of it as a fascial seam or meeting point. This fascial seam is a meeting place of forces coming from several directions. It can be palpated most easily at the level of L3 with the fingers following the lateral border of the iliocostalis and following the edge of the muscle with the fingers pointed slightly medial towards the navel. Just past this muscle, you will run into the fascial wall of the lateral raphe. Medial to this, the fascial layers will differentiate into the 3 layers describes.<br />
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For patients with significant tension at both the lateral raphe and at the vastus lateralis, palpate the lateral raphe and ask the patient to report the pain with palpation on a scale of 1-10. You can then needle one of the Stomach channel points such as ST 32 (<i>futu</i>) to see if it reduces tension in the TLF and reduces pain. However, you might consider using the motor point of the vastus lateralis instead; this is located at the extrapoint <i>xinfutu </i>which is found 1-2 <i>cun </i>lateral to ST 32. This point will have a stronger effect on the vastus lateralis muscle.<br />
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Locate <i>xinfutu</i>, the MP of the vastus lateralis, needle this to the depth of 0.5-1 <i>cun</i>, obtain <i>deqi</i>, and return to palpate the lateral raphe. Frequently, the patient will report a reduction of pain by 50% or greater.<br />
<br />
This is easiest to do with the patient supine, and palpation of the lateral raphe will require you to reach under the patient. But it will give you immediate feedback that you have reduced tension on the TLF from at least one vector, that of the Stomach channel sinews following up the vastus lateralis and gluteus maximus to the TLF. Other forces can also tension the TLF, such as the abdominals, the latissimus dorsi and the muscles of the lumbar spine. These need to be looked at separately and can be left to another discussion. The takeaway for now is to consider reducing tension in the vastus lateralis for patients with low back pain if their lateral quadriceps are very rigid. This will add to your clinical effectiveness when treating low back pain.
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com0tag:blogger.com,1999:blog-5263920855540380486.post-16595172055231939452018-11-18T14:48:00.005-05:002023-10-11T10:25:02.608-04:00Sports Medicine Acupuncture® Fall 2018<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right; margin-left: 1em; text-align: right;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgdkVfIIaAd84Cp_p-SxuzX1p7VT8ntDmcVp2aIAGo1yCfxmTlNXSTcIcrqJLOHF31n53xQBKg1g9WH5y5CQtuDYQ10zVNri3hJ5exUxA_vEktUQYnJ4Zchn63Ajv_rwboYHgz1TKOe-Io/s1600/FCU+MMT+Watermark.jpg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" data-original-height="667" data-original-width="1000" height="212" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgdkVfIIaAd84Cp_p-SxuzX1p7VT8ntDmcVp2aIAGo1yCfxmTlNXSTcIcrqJLOHF31n53xQBKg1g9WH5y5CQtuDYQ10zVNri3hJ5exUxA_vEktUQYnJ4Zchn63Ajv_rwboYHgz1TKOe-Io/s320/FCU+MMT+Watermark.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Flexor carpi ulnaris manual muscle test,<br />
a useful test for medial epicondylitis.</td></tr>
</tbody></table>
I have had a very busy Fall, and have not been able to post here lately. However, I did just finish a blog post for the Sports Medicine Acupuncture<span style="color: #222222; font-family: "segoe ui"; font-size: 12pt;">®</span> blog. The link is below; the post includes a video of a recent Sports Medicine Acupuncture dissection highlighting the Heart sinew channel. Check it out! The title is <a href="https://www.sportsmedicineacupuncture.com/medial_epicondylitis/" target="_blank">Medial Epicondylitis and the Heart Channel Sinews.</a><br />
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September kicked off Module 2 of the Sports Medicine Acupuncture Certification (SMAC) in San Diego, CA. Updates and upgrades are an ongoing feature of the SMAC program, and in this Module we debuted a new class: "Assessment and Treatment of the Channel Sinews (Jingjin): Low Back, Hip and Groin." I will share some info from this class in an upcoming blog post and the upcoming classes for the Lower Extremities (Module 3) and Head, Neck & Upper Extremities (Module 4).<br />
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiNIWAJcjvKXTriihNjnDXiTiBIPlRoCQYIOQuGtCmDX4ltMvF7siFlWaBCToFGHP82NmFoBA_TAxDFEGpIB-6x3M-aSPXg9JKBUjOk0cYNG5co0ABImN7PTAY-sVHne58Gh-SoBoQGPmw/s1600/Flordia+SMAC+class+participants.png" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" data-original-height="541" data-original-width="960" height="223" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiNIWAJcjvKXTriihNjnDXiTiBIPlRoCQYIOQuGtCmDX4ltMvF7siFlWaBCToFGHP82NmFoBA_TAxDFEGpIB-6x3M-aSPXg9JKBUjOk0cYNG5co0ABImN7PTAY-sVHne58Gh-SoBoQGPmw/s400/Flordia+SMAC+class+participants.png" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">A picture I took with four practitioners who live near me in Tampa, FL. It is alwasy great to meet new people in SMAC, but is especially an honor to work with practitioners who I am already friends with!</td></tr>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgmDdH5B04Pts6u2A2TvVhKhG5J6G5gnFq9qwQswjGXaO94M5uzGpSETNKazYOOMyh-aqJue5m9WzUzJ3D67CUT0amUYK6fnazz8c0FLH0VrYbW_lDiazdI-Ymh20tr2Nx7bgluqeLJvIE/s1600/SMA+dissection+fall+2018.png" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="505" data-original-width="950" height="212" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgmDdH5B04Pts6u2A2TvVhKhG5J6G5gnFq9qwQswjGXaO94M5uzGpSETNKazYOOMyh-aqJue5m9WzUzJ3D67CUT0amUYK6fnazz8c0FLH0VrYbW_lDiazdI-Ymh20tr2Nx7bgluqeLJvIE/s400/SMA+dissection+fall+2018.png" width="400" /></a></div>
After the September SMAC class, Sports Medicine Acupuncture<span style="color: #222222; font-family: "segoe ui"; font-size: 12pt;">®</span> hosted a 5-day dissection class in Boulder, CO at the <a href="http://lofae.com/" target="_blank">Laboratories of Anatomical Enlightenment</a>. In this 5-day class, participants, including myself, worked in teams of 6, each with their own cadaver specimen. As in all Sports Medicine Acupuncture dissections, these specimens are non-chemically treated cadavers, which offers a superior experience for holistic practice as it keeps the fascia intact and you get a much better view of the real tissue quality. All acupuncturists should take the opportunity to do dissection such as this; there really is no substitute for it. I will share some specific experiences from this event soon, and we will be hosting another program, probably a 4-day, sometime in the Spring. Check the <a href="https://www.sportsmedicineacupuncture.com/" target="_blank">SMA page</a> for updates.<br />
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After the Boulder dissection class, it was back to San Diego for the completion of SMAC Module 2: Low Back, Hip and Groin. The two remaining classes were Assessment and Treatment of Low Back, Hip and Groin injuries, and Postural Assessment and Corrective Exercises (PACE).That wraps it up for Module 2, and we will start back up with Module 3 in the new year.<br />
<br />
In the first week of November, I attended a 5-day taiji and qigong workshop at the new International center of the <a href="https://www.taoisttaichi.org/" target="_blank">Taoist Tai Chi Society</a>. I won't go into detail about this workshop here, but I will say that my taiji and qigong practice (which I started in 1998) was the first experience I had with the channel sinews. In my practice, we discuss certain 'tendon changing and marrow-washing' exercises. These 'tendons' may run all the way up the body. Obviously, these are not what Western anatomists refer to as tendons, but are, instead, myofascial planes of tissue that fit the template of how I discuss the channel sinews. This practice was the foundation which led to my ongoing exploration of the channel sinews.<br />
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Finally, on November 14th, I was privileged to be a guest on the terrific podcast, "<a href="https://qiological.com/" target="_blank">Qiological</a>", hosted by Michael Max. This was a panel discussion on myofascial trigger points, orthopedic acupuncture, and dry needling; but also on channel theory, language, and continual learning. The panel included Michael Max, my friends and colleagues Josh Lerner and Fernando Bernall, and myself. This was a fascinating discussion and I am looking forward to its release on Qiological. It will likely be released early for subscribers. I recommend subscribing, not just to listen early, but as a great way to support the efforts that build and grow our profession; this podcast and its growing community are part of those<a href="https://qiological.com/qiologican-community/" target="_blank"> fantastic resources</a>!
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</div>Dr. Brian Lau, AP, DOM, C. SMAhttp://www.blogger.com/profile/09263668049814183896noreply@blogger.com1