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, " douginbeijing " wrote:

> Today yet another patient has stopped taking the herbs I

prescribed because they muscle tested negatively to them. The tests

were given by another acupuncturist.

> Perhaps muscle testing works, I don't know. I do feel confident

that my formulas are good.

> I find myself wanting to write to the National and State

Acupuncture Boards to get some kind of ruling about this. Is it

unethical practice? I am sure others have been in the same

situation. What are your thoughts? >>>

 

 

Doug:

 

It's certainly not within the scope of practice anywhere. But the

first problem is that the patient is going to another acupuncturist

to shop and compare opinions; they haven't placed their full

confidence in you yet. The other practitioner may rely on muscle

testing to compensate for not knowing CM very well (they probably

can't take pulses or read Chinese, either). Perhaps that's why they

didn't like your formula.

 

If you don't take charge of the case, what you do will always be

second-guested and compromised; then you'll become frustrated. Make

an effort to be the sole provider, or let the patient go. I gave up

one pregnant patient because another practitioner said that they

could change the karma of the fetus needling Kd4. It never occured

to her that since you can't know the karma of the fetus in the first

place, the claim is bogus and a silly exaggeration about the

function of the point (that it has a strong effect on stabilising

the emotions).

 

Besides, muscle testing is not very reliable. I have very rarely

used it or been impressed by someone doing it. Too many experts get

too many different answers during testing for the same things. But

if you accept it and want to retest the formula with muscle testing

yourself, you can. The other acupuncturist's negative or conflicting

attitude may have played a part.

 

 

Jim Ramholz

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All,

I have had the same experience numerous times. What I feel like doing is "firing" the patient, but so far I don't recall doing it. I think I should make an effort to get the patient to at least try my prescription for a few days and see what happens before they decide whether it is good for them or not. Maybe muscle test it again at that point. I too find that the skill level of muscle testers is all over the map. There are only a few people in the world I would trust to muscle test me for any substance I was considering taking, so I do think there can be validity in muscle testing, but IMO it is an extremely difficult skill to master. I am beginning to successfully incorporate some Touch for Health into some of my acupuncture musculoskeletal treatments, and it involves what is called muscle testing, but it is a true muscle strength test with a straightforward musculoskeletal treatment in turn incorporated with acupuncture theory, not a test of which formula or whatnot to take. To me, these are completely different birds. The former is a physiological strength test, the latter is questionable energetics at best.

 

I must admit that I have at times been puzzled why another practitioner would prescribe a particular formula to a particular patient, and I have said so to my patient, but I try to make it clear that I am not saying the other practitioner is wrong or that the patient should not take that formula: it just doesn't necessarily make sense to me. I may say the same thing about some medical prescriptions, but I am careful to be clear that I am not telling the patient not to take the medicine, just that I have reservations about it from my perspective. I admit that I am careful to suggest to the patient to discuss this with their doctor but not as careful to suggest discussing such with their other herbal/acupuncture practitioner. Unfortunately, I think this is a widespread type of disrespect that we as fellow practitioners promote among each other. How can we ever expect anyone else to respect us if we don't fully respect each other? I promise to be more careful about not stepping on others' toes in the future. Usually, though, the adverse muscle testing is done either by the patient on the spot or by their brother-in-law or somebody unconnected to the CM field. I don't think CM practitioners should legally be allowed to do herbal formula muscle testing, though I too hope we don't have to go so far as medical boards to resolve the issue. If someone in CM adversely tested one of my prescriptions I would definitely confront them about it personally.

Joseph Garner

 

>>> , "douginbeijing" wrote:

> Today yet another patient has stopped taking the herbs I

prescribed because they muscle tested negatively to them. The tests

were given by another acupuncturist.

> Perhaps muscle testing works, I don't know. I do feel confident

that my formulas are good.

> I find myself wanting to write to the National and State

Acupuncture Boards to get some kind of ruling about this. Is it

unethical practice? I am sure others have been in the same

situation. What are your thoughts? >>>

 

 

Doug:

 

It's certainly not within the scope of practice anywhere. But the

first problem is that the patient is going to another acupuncturist

to shop and compare opinions; they haven't placed their full

confidence in you yet. The other practitioner may rely on muscle

testing to compensate for not knowing CM very well (they probably

can't take pulses or read Chinese, either). Perhaps that's why they

didn't like your formula.

 

If you don't take charge of the case, what you do will always be

second-guested and compromised; then you'll become frustrated. Make

an effort to be the sole provider, or let the patient go. I gave up

one pregnant patient because another practitioner said that they

could change the karma of the fetus needling Kd4. It never occured

to her that since you can't know the karma of the fetus in the first

place, the claim is bogus and a silly exaggeration about the

function of the point (that it has a strong effect on stabilising

the emotions).

 

Besides, muscle testing is not very reliable. I have very rarely

used it or been impressed by someone doing it. Too many experts get

too many different answers during testing for the same things. But

if you accept it and want to retest the formula with muscle testing

yourself, you can. The other acupuncturist's negative or conflicting

attitude may have played a part.

 

 

Jim Ramholz<<<

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Dear Doug,

 

I have a couple colleagues who have recently had similar problems.

 

I believe that except under extreme cases, it is clearly unprofessional

to directly interfere between any practitioner and his/her patient and

advise them to stop treatment a prescribed treatment -- whether that

other practitioner is an herbalist, acupuncturist, biomed physician,

chiropractor...

 

The other acupuncturist should have referred the patient back to you,

sent any relevant documentation, and if they were so concerned should

have called you him/herself.

 

It is at best unprofessional to undermine a patient's treatment and in

my opinion it *is* unethical. I would contact the other acupuncturist

(after I took a good long walk ;>) and explain my concerns.

 

If they did this to an MD, the MD would likely have grounds to take

action against the acupuncturist. I wonder why the acupuncturist felt

they could treat members of their own profession differently?

 

I generally ask patients to call me 48 hrs after they begin their herbs,

just to check in. I find it helps with compliance and I get a bet read

of what's going on. I wonder if there's a proactive way to deal with

this type of non-compliance?

 

Good luck.

 

Della Lawhon, MAOM, LAc, Kelly Library

New England school of Acupuncture

40 Belmont St

Watertown, MA 02472

617-926-3969

dlawhon

www.nesa.edu/library.html

 

 

 

douginbeijing []

Wednesday, July 02, 2003 3:06 AM

 

muscle testing

 

Today yet another patient has stopped taking the herbs I prescribed

because they

muscle tested negatively to them. The tests were given by another

acupuncturist.

Perhaps muscle testing works, I don't know. I do feel confident that my

formulas are

good.

I find myself wanting to write to the National and State Acupuncture

Boards to get

some kind of ruling about this. Is it unethical practice? I am sure

others have been in

the same situation. What are your thoughts?

doug

 

 

 

Chinese Herbal Medicine, a voluntary organization of licensed

healthcare practitioners, matriculated students and postgraduate

academics specializing in Chinese Herbal Medicine, provides a variety of

professional services, including board approved online continuing

education.

 

 

 

 

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Della,

You couldn't have expressed it better. I agree 100%. I would

simply add that the combining of Chinese medicinals in prescriptions is

unalterably the result of a logical process, based on signs, symptoms,

pulse, tongue and palpation diagnosis leading to a pattern

differentiation. The prescription is simply the expression of the

pattern differentiation. There is nothing in Chinese medical

literature that I know that confirms a prescription choice by muscle

testing. Various kinesiological methods have their uses and abuses,

but choosing herbal prescriptions is not one of them.

 

I have been in this situation several times, Doug. There is no

excuse for it. It is a blight on our profession.

 

 

On Wednesday, July 2, 2003, at 07:36 AM, Della Lawhon wrote:

 

> Dear Doug,

>

> I have a couple colleagues who have recently had similar problems.

>

> I believe that except under extreme cases, it is clearly unprofessional

> to directly interfere between any practitioner and his/her patient and

> advise them to stop treatment a prescribed treatment -- whether that

> other practitioner is an herbalist, acupuncturist, biomed physician,

> chiropractor...

>

> The other acupuncturist should have referred the patient back to you,

> sent any relevant documentation, and if they were so concerned should

> have called you him/herself.

>

> It is at best unprofessional to undermine a patient's treatment and in

> my opinion it *is* unethical. I would contact the other acupuncturist

> (after I took a good long walk ;>) and explain my concerns.

>

> If they did this to an MD, the MD would likely have grounds to take

> action against the acupuncturist. I wonder why the acupuncturist felt

> they could treat members of their own profession differently?

>

> I generally ask patients to call me 48 hrs after they begin their

> herbs,

> just to check in. I find it helps with compliance and I get a bet read

> of what's going on. I wonder if there's a proactive way to deal with

> this type of non-compliance?

>

> Good luck.

>

> Della Lawhon, MAOM, LAc

> Director, Kelly Library

> New England school of Acupuncture

> 40 Belmont St

> Watertown, MA 02472

> 617-926-3969

> dlawhon

> www.nesa.edu/library.html

>

>

>

> douginbeijing []

> Wednesday, July 02, 2003 3:06 AM

>

> muscle testing

>

> Today yet another patient has stopped taking the herbs I prescribed

> because they

> muscle tested negatively to them. The tests were given by another

> acupuncturist.

> Perhaps muscle testing works, I don't know. I do feel confident that my

> formulas are

> good.

> I find myself wanting to write to the National and State

> Acupuncture

> Boards to get

> some kind of ruling about this. Is it unethical practice? I am sure

> others have been in

> the same situation. What are your thoughts?

> doug

>

>

>

> Chinese Herbal Medicine, a voluntary organization of licensed

> healthcare practitioners, matriculated students and postgraduate

> academics specializing in Chinese Herbal Medicine, provides a variety

> of

> professional services, including board approved online continuing

> education.

>

>

>

>

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This has also happened to me where herbal formulas were muscle tested and had

a negative result. However, in my situation, it is my patient or myself who

performs the muscle testing on my formulas. I am a " newbie " at muscle testing

(less than one year), so I do not rely on it much. Although, I do take this

opportunity to figure out why the person is reacting negatively. I had a

patient who was allergic to gan cao - which meant that he was allergic to all of

my

formulas. I also had another who was allergic to the binder in my powdered

herbs. So, if another acupuncturist is telling your patient that the formula is

not good for him/her, perhaps someone should ask why - see if they can narrow

it down to what is wrong. Perhaps the person performing the muscle testing

is a poor tester and is completely wrong, or the person is great at muscle

testing and the formula can be altered to improve it. I don't think that it is

right for a fellow acupuncturist to tell a patient to stop taking their herbs.

Although, if that practitioner can somehow offer advice as to how the formula

can be changed to make it better, isn't that what we are all after - better

results, healthier patients? Muscle testing is a powerful modality. I have

learned a lot about TCM using it.

 

My opinion is based on the fact that I am 26 years old and have been in

practice for only 2 years, so I find it wonderful when my patients (and my

muscle

testing) second guesses my treatments - always so much to learn. I am also in

a town where many of my patients head south for the winter where they see

other acupuncturists.

 

Thank you for this forum and allowing me to be a " fly on the wall " in

discussions amongst the best practitioners in the world! I have learned a lot

and am

continuing to learn from the members on this list. By the way, does anyone

have advice on " focal segmental glomerulosclerosis. " Patient is doing well with

acupuncture alone, but wondering if anyone has had herbal experience with

this. Thanks again.

 

LiMing Tseng, LicAc, MAcOM

Stowe Acupuncture

Stowe, VT

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Michael Tierra has a thoughtful discussion of the inherent problems

of muscle testing in his article " A Comparative evaluation of

diagnostic systems used in herbal medicine " Maybe it would be useful

to let patients read this and think about it deeper.

matt

 

 

 

 

, acugrpaz@a... wrote:

> All,

> I have had the same experience numerous times. What I feel like

doing is

> " firing " the patient, but so far I don't recall doing it. I think I

should make an

> effort to get the patient to at least try my prescription for a few

days and

> see what happens before they decide whether it is good for them or

not. Maybe

> muscle test it again at that point. I too find that the skill level

of muscle

> testers is all over the map. There are only a few people in the

world I would

> trust to muscle test me for any substance I was considering taking,

so I do

> think there can be validity in muscle testing, but IMO it is an

extremely

> difficult skill to master. I am beginning to successfully

incorporate some Touch for

> Health into some of my acupuncture musculoskeletal treatments, and

it

> involves what is called muscle testing, but it is a true muscle

strength test with a

> straightforward musculoskeletal treatment in turn incorporated with

> acupuncture theory, not a test of which formula or whatnot to take.

To me, these are

> completely different birds. The former is a physiological strength

test, the

> latter is questionable energetics at best.

>

> I must admit that I have at times been puzzled why another

practitioner would

> prescribe a particular formula to a particular patient, and I have

said so to

> my patient, but I try to make it clear that I am not saying the

other

> practitioner is wrong or that the patient should not take that

formula: it just

> doesn't necessarily make sense to me. I may say the same thing

about some medical

> prescriptions, but I am careful to be clear that I am not telling

the patient

> not to take the medicine, just that I have reservations about it

from my

> perspective. I admit that I am careful to suggest to the patient to

discuss this

> with their doctor but not as careful to suggest discussing such

with their other

> herbal/acupuncture practitioner. Unfortunately, I think this is a

widespread

> type of disrespect that we as fellow practitioners promote among

each other.

> How can we ever expect anyone else to respect us if we don't fully

respect each

> other? I promise to be more careful about not stepping on others'

toes in the

> future. Usually, though, the adverse muscle testing is done either

by the

> patient on the spot or by their brother-in-law or somebody

unconnected to the CM

> field. I don't think CM practitioners should legally be allowed to

do herbal

> formula muscle testing, though I too hope we don't have to go so

far as medical

> boards to resolve the issue. If someone in CM adversely tested one

of my

> prescriptions I would definitely confront them about it personally.

> Joseph Garner

>

> >>> , " douginbeijing " wrote:

> > Today yet another patient has stopped taking the herbs I

> prescribed because they muscle tested negatively to them. The tests

> were given by another acupuncturist.

> > Perhaps muscle testing works, I don't know. I do feel confident

> that my formulas are good.

> > I find myself wanting to write to the National and State

> Acupuncture Boards to get some kind of ruling about this. Is it

> unethical practice? I am sure others have been in the same

> situation. What are your thoughts? >>>

>

>

> Doug:

>

> It's certainly not within the scope of practice anywhere. But the

> first problem is that the patient is going to another acupuncturist

> to shop and compare opinions; they haven't placed their full

> confidence in you yet. The other practitioner may rely on muscle

> testing to compensate for not knowing CM very well (they probably

> can't take pulses or read Chinese, either). Perhaps that's why they

> didn't like your formula.

>

> If you don't take charge of the case, what you do will always be

> second-guested and compromised; then you'll become frustrated. Make

> an effort to be the sole provider, or let the patient go. I gave up

> one pregnant patient because another practitioner said that they

> could change the karma of the fetus needling Kd4. It never occured

> to her that since you can't know the karma of the fetus in the

first

> place, the claim is bogus and a silly exaggeration about the

> function of the point (that it has a strong effect on stabilising

> the emotions).

>

> Besides, muscle testing is not very reliable. I have very rarely

> used it or been impressed by someone doing it. Too many experts get

> too many different answers during testing for the same things. But

> if you accept it and want to retest the formula with muscle testing

> yourself, you can. The other acupuncturist's negative or

conflicting

> attitude may have played a part.

>

>

> Jim Ramholz<<<

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Web link?

 

 

On Wednesday, July 2, 2003, at 03:30 PM, facteau8 wrote:

 

> Michael Tierra has a thoughtful discussion of the inherent problems

> of muscle testing in his article " A Comparative evaluation of

> diagnostic systems used in herbal medicine " Maybe it would be useful

> to let patients read this and think about it deeper.

> matt

>

>

>

>

> , acugrpaz@a... wrote:

>> All,

>> I have had the same experience numerous times. What I feel like

> doing is

>> " firing " the patient, but so far I don't recall doing it. I think I

> should make an

>> effort to get the patient to at least try my prescription for a few

> days and

>> see what happens before they decide whether it is good for them or

> not. Maybe

>> muscle test it again at that point. I too find that the skill level

> of muscle

>> testers is all over the map. There are only a few people in the

> world I would

>> trust to muscle test me for any substance I was considering taking,

> so I do

>> think there can be validity in muscle testing, but IMO it is an

> extremely

>> difficult skill to master. I am beginning to successfully

> incorporate some Touch for

>> Health into some of my acupuncture musculoskeletal treatments, and

> it

>> involves what is called muscle testing, but it is a true muscle

> strength test with a

>> straightforward musculoskeletal treatment in turn incorporated with

>> acupuncture theory, not a test of which formula or whatnot to take.

> To me, these are

>> completely different birds. The former is a physiological strength

> test, the

>> latter is questionable energetics at best.

>>

>> I must admit that I have at times been puzzled why another

> practitioner would

>> prescribe a particular formula to a particular patient, and I have

> said so to

>> my patient, but I try to make it clear that I am not saying the

> other

>> practitioner is wrong or that the patient should not take that

> formula: it just

>> doesn't necessarily make sense to me. I may say the same thing

> about some medical

>> prescriptions, but I am careful to be clear that I am not telling

> the patient

>> not to take the medicine, just that I have reservations about it

> from my

>> perspective. I admit that I am careful to suggest to the patient to

> discuss this

>> with their doctor but not as careful to suggest discussing such

> with their other

>> herbal/acupuncture practitioner. Unfortunately, I think this is a

> widespread

>> type of disrespect that we as fellow practitioners promote among

> each other.

>> How can we ever expect anyone else to respect us if we don't fully

> respect each

>> other? I promise to be more careful about not stepping on others'

> toes in the

>> future. Usually, though, the adverse muscle testing is done either

> by the

>> patient on the spot or by their brother-in-law or somebody

> unconnected to the CM

>> field. I don't think CM practitioners should legally be allowed to

> do herbal

>> formula muscle testing, though I too hope we don't have to go so

> far as medical

>> boards to resolve the issue. If someone in CM adversely tested one

> of my

>> prescriptions I would definitely confront them about it personally.

>> Joseph Garner

>>

>>>>> , " douginbeijing " wrote:

>>> Today yet another patient has stopped taking the herbs I

>> prescribed because they muscle tested negatively to them. The tests

>> were given by another acupuncturist.

>>> Perhaps muscle testing works, I don't know. I do feel confident

>> that my formulas are good.

>>> I find myself wanting to write to the National and State

>> Acupuncture Boards to get some kind of ruling about this. Is it

>> unethical practice? I am sure others have been in the same

>> situation. What are your thoughts? >>>

>>

>>

>> Doug:

>>

>> It's certainly not within the scope of practice anywhere. But the

>> first problem is that the patient is going to another acupuncturist

>> to shop and compare opinions; they haven't placed their full

>> confidence in you yet. The other practitioner may rely on muscle

>> testing to compensate for not knowing CM very well (they probably

>> can't take pulses or read Chinese, either). Perhaps that's why they

>> didn't like your formula.

>>

>> If you don't take charge of the case, what you do will always be

>> second-guested and compromised; then you'll become frustrated. Make

>> an effort to be the sole provider, or let the patient go. I gave up

>> one pregnant patient because another practitioner said that they

>> could change the karma of the fetus needling Kd4. It never occured

>> to her that since you can't know the karma of the fetus in the

> first

>> place, the claim is bogus and a silly exaggeration about the

>> function of the point (that it has a strong effect on stabilising

>> the emotions).

>>

>> Besides, muscle testing is not very reliable. I have very rarely

>> used it or been impressed by someone doing it. Too many experts get

>> too many different answers during testing for the same things. But

>> if you accept it and want to retest the formula with muscle testing

>> yourself, you can. The other acupuncturist's negative or

> conflicting

>> attitude may have played a part.

>>

>>

>> Jim Ramholz<<<

>

>

>

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Probably this one:

http://Acupuncture.com/Diagnosis/CompDiag.htm

 

On Wednesday, July 2, 2003, at 03:36 PM, wrote:

 

> Web link?

>

>

> On Wednesday, July 2, 2003, at 03:30 PM, facteau8 wrote:

>

>> Michael Tierra has a thoughtful discussion of the inherent problems

>> of muscle testing in his article " A Comparative evaluation of

>> diagnostic systems used in herbal medicine " Maybe it would be useful

>> to let patients read this and think about it deeper.

>> matt

>>

>>

>>

>>

>> , acugrpaz@a... wrote:

>>> All,

>>> I have had the same experience numerous times. What I feel like

>> doing is

>>> " firing " the patient, but so far I don't recall doing it. I think I

>> should make an

>>> effort to get the patient to at least try my prescription for a few

>> days and

>>> see what happens before they decide whether it is good for them or

>> not. Maybe

>>> muscle test it again at that point. I too find that the skill level

>> of muscle

>>> testers is all over the map. There are only a few people in the

>> world I would

>>> trust to muscle test me for any substance I was considering taking,

>> so I do

>>> think there can be validity in muscle testing, but IMO it is an

>> extremely

>>> difficult skill to master. I am beginning to successfully

>> incorporate some Touch for

>>> Health into some of my acupuncture musculoskeletal treatments, and

>> it

>>> involves what is called muscle testing, but it is a true muscle

>> strength test with a

>>> straightforward musculoskeletal treatment in turn incorporated with

>>> acupuncture theory, not a test of which formula or whatnot to take.

>> To me, these are

>>> completely different birds. The former is a physiological strength

>> test, the

>>> latter is questionable energetics at best.

>>>

>>> I must admit that I have at times been puzzled why another

>> practitioner would

>>> prescribe a particular formula to a particular patient, and I have

>> said so to

>>> my patient, but I try to make it clear that I am not saying the

>> other

>>> practitioner is wrong or that the patient should not take that

>> formula: it just

>>> doesn't necessarily make sense to me. I may say the same thing

>> about some medical

>>> prescriptions, but I am careful to be clear that I am not telling

>> the patient

>>> not to take the medicine, just that I have reservations about it

>> from my

>>> perspective. I admit that I am careful to suggest to the patient to

>> discuss this

>>> with their doctor but not as careful to suggest discussing such

>> with their other

>>> herbal/acupuncture practitioner. Unfortunately, I think this is a

>> widespread

>>> type of disrespect that we as fellow practitioners promote among

>> each other.

>>> How can we ever expect anyone else to respect us if we don't fully

>> respect each

>>> other? I promise to be more careful about not stepping on others'

>> toes in the

>>> future. Usually, though, the adverse muscle testing is done either

>> by the

>>> patient on the spot or by their brother-in-law or somebody

>> unconnected to the CM

>>> field. I don't think CM practitioners should legally be allowed to

>> do herbal

>>> formula muscle testing, though I too hope we don't have to go so

>> far as medical

>>> boards to resolve the issue. If someone in CM adversely tested one

>> of my

>>> prescriptions I would definitely confront them about it personally.

>>> Joseph Garner

>>>

>>>>>> , " douginbeijing " wrote:

>>>> Today yet another patient has stopped taking the herbs I

>>> prescribed because they muscle tested negatively to them. The tests

>>> were given by another acupuncturist.

>>>> Perhaps muscle testing works, I don't know. I do feel confident

>>> that my formulas are good.

>>>> I find myself wanting to write to the National and State

>>> Acupuncture Boards to get some kind of ruling about this. Is it

>>> unethical practice? I am sure others have been in the same

>>> situation. What are your thoughts? >>>

>>>

>>>

>>> Doug:

>>>

>>> It's certainly not within the scope of practice anywhere. But the

>>> first problem is that the patient is going to another acupuncturist

>>> to shop and compare opinions; they haven't placed their full

>>> confidence in you yet. The other practitioner may rely on muscle

>>> testing to compensate for not knowing CM very well (they probably

>>> can't take pulses or read Chinese, either). Perhaps that's why they

>>> didn't like your formula.

>>>

>>> If you don't take charge of the case, what you do will always be

>>> second-guested and compromised; then you'll become frustrated. Make

>>> an effort to be the sole provider, or let the patient go. I gave up

>>> one pregnant patient because another practitioner said that they

>>> could change the karma of the fetus needling Kd4. It never occured

>>> to her that since you can't know the karma of the fetus in the

>> first

>>> place, the claim is bogus and a silly exaggeration about the

>>> function of the point (that it has a strong effect on stabilising

>>> the emotions).

>>>

>>> Besides, muscle testing is not very reliable. I have very rarely

>>> used it or been impressed by someone doing it. Too many experts get

>>> too many different answers during testing for the same things. But

>>> if you accept it and want to retest the formula with muscle testing

>>> yourself, you can. The other acupuncturist's negative or

>> conflicting

>>> attitude may have played a part.

>>>

>>>

>>> Jim Ramholz<<<

>>

>>

>>

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In , " douginbeijing " wrote:

> Today yet another patient has stopped taking the herbs I

prescribed because they muscle tested negatively to them. The tests

> were given by another acupuncturist.

> Perhaps muscle testing works, I don't know. I do feel confident

> that my formulas are good.

> I find myself wanting to write to the National and State

> Acupuncture Boards to get some kind of ruling about this.

> Is it

> unethical practice? I am sure others have been in the same

> situation. What are your thoughts? >>>

 

Doug - I think this is something that will plague us in our practices. There are

so many possible ways to deal with this and it is missing from the practice

management discussion in the schools.

 

I don't have an answer other than to commiserate with you in regards to the

ethical violations such activities imply. It speaks directly to our ability in

this field to generate competencies regarding professionalism and the

doctor-patient relationship.

 

Will

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Doug - If your patient dismissed you just by a muscle test from someone

else, you're lucky it happened sooner than later. This is a blessing in

disguise. I haven't had the myo testing problem happen to me yet,

usually it's some patient who's been too busy on the internet asking why

I gave him a 'PMS' formula.. ;-)

Geoff

 

> __________

>

> Message: 24

> Wed, 02 Jul 2003 20:22:37 -0400

> WMorris116

> Re: Re: Muscle Testing

>

> In , " douginbeijing " wrote:

> > Today yet another patient has stopped taking the herbs I

> prescribed because they muscle tested negatively to them. The tests

> > were given by another acupuncturist.

> > Perhaps muscle testing works, I don't know. I do feel confident

> > that my formulas are good.

> > I find myself wanting to write to the National and State

> > Acupuncture Boards to get some kind of ruling about this.

> > Is it

> > unethical practice? I am sure others have been in the same

> > situation. What are your thoughts? >>>

>

> Doug - I think this is something that will plague us in our

> practices. There are so many possible ways to deal with this

> and it is missing from the practice management discussion in

> the schools.

>

> I don't have an answer other than to commiserate with you in

> regards to the ethical violations such activities imply. It

> speaks directly to our ability in this field to generate

> competencies regarding professionalism and the doctor-patient

> relationship.

>

> Will

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, Li2398@a... wrote:

By the way, does anyone

> have advice on " focal segmental glomerulosclerosis. " Patient is

doing well with

> acupuncture alone, but wondering if anyone has had herbal

experience with

> this. Thanks again.

>

 

Well, the obvious answer is to treat the pattern. I treated a case

of this in which the patient was spilling protein despite large

amounts of prednisone, and the herbs did apparently help her through

the episode. The Rx in this case was Yi guan jian jia wei (modified

linking decoction), in granule form, but again I was just treating

the presenting pattern and in your case the prescription would likely

be completely different.

 

robert hayden lac ap msom etc etc

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The subject of allergies is open to speculation. I've found sometimes

that people get in their heads that they have an 'allergy' to

something, and avoid it, even though it isn't that specific substance

but reactivity caused by their internal condition (often spleen

vacuity). Yes, sometimes there may be a specific allergy, I've seen

problems with mold, hair and/or dust in raw herbs, but to gan cao or

herb binder will be relatively rare as to be suspect. One also has to

consider that the herbs interact with each other, so can we truly

single out one ingredient in a prescription as an allergen? Or is the

total prescription mismatched with the patient?

 

The criteria for herbal prescriptions remains pattern diagnosis, not

muscle testing. Kinesiology was not originally designed for

multi-ingredient herbal prescriptions, but for musculoskeletal

analysis. I've seen too many abuses in muscle testing herbs and

supplements over the last 25+ years to trust it. . . is the

kinesiologist testing the plastic bottle the supplement is in, or the

supplement itself? I've seen practitioners prescribe these supplements

and herbs without knowing the nature of the formula or product, or even

the patient's condition, just basing it on the muscle testing alone.

In my opinion, this is no longer medicine, but wishful thinking.

 

Chinese pattern differentiation and diagnosis is relatively foolproof

with a track record that can't be beat. Certainly not by speculative

assumptions that don't take into account the patient or the nature of

the substance being taken.

 

 

On Wednesday, July 2, 2003, at 04:05 PM, Li2398 wrote:

 

> I had a

> patient who was allergic to gan cao - which meant that he was allergic

> to all of my

> formulas. I also had another who was allergic to the binder in my

> powdered

> herbs. So, if another acupuncturist is telling your patient that the

> formula is

> not good for him/her, perhaps someone should ask why - see if they can

> narrow

> it down to what is wrong. Perhaps the person performing the muscle

> testing

> is a poor tester and is completely wrong, or the person is great at

> muscle

> testing and the formula can be altered to improve it.

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, " kampo36 " <kampo36>

wrote:

> , Li2398@a... wrote:

> By the way, does anyone

> > have advice on " focal segmental glomerulosclerosis. " Patient is

> doing well with

> > acupuncture alone, but wondering if anyone has had herbal

> experience with

> > this. Thanks again.

> >

>

> Well, the obvious answer is to treat the pattern.

> robert hayden lac ap msom etc etc

 

I disagree with this emphasis, for in kidney diseases, as in many

others unless one knows

the formulae and particularly the key herbs and their doses which

work for the disease, results are often less than can be possible in

this difficult area..

I have been interested in treating in this field for 18 years and

relying on pattern diagnosis was, in my case,at first a necessity

due to lack of experience and available literature but, later I had

much more reliable results using the approach of most of the modern

chinese sources of putting the disease first and making a few

additions and subtractions according to pattern. Often the

progression of a particular kidney disease can be staged according to

pattern but even here this is a rather fixed path where disease

specific herbs are crucial.

 

Simon

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In a message dated 7/2/2003 10:16:45 PM Pacific Daylight Time, zrosenbe writes:

 

 

Yes, sometimes there may be a specific allergy, I've seen problems with mold, hair and/or dust in raw herbs, but to gan cao or herb binder will be relatively rare as to be suspect. One also has to consider that the herbs interact with each other, so can we truly single out one ingredient in a prescription as an allergen? Or is the total prescription mismatched with the patient?

 

 

Mismatched prescriptions are probably more common. However, gluten sensitive patients often react to the various gluten based binders the Taiwanese manufacturers use. Another way to determine sensitivities for herbs is to pay attention to the plant families as they relate to clearly defined food allergies (by anaphylactic reaction, elimination-provocation, or ELIZA) and avoid them in the prescriptions.

 

Will

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Eti,

I couldn't agree with you more. Muscle testing, to me, is only about testing muscles for anatomical/physiological problems, and then only if you know what to do about it to help. I would never use it to determine an herbal prescription or a pattern diagnosis or any such thing. Musculoskeletal problem muscle testing is a logical system based on acupuncture channels, muscle mechanics, and lymphatic, circulatory and nervous system anatomy and physiology, not something woo-woo. I like to do things that I can justify to anyone for logical reasons. That way, if I ever do have to defend what I do, I can. I don't think any of us could ever justify herbal muscle testing in a court of law or before a medical board. At least I hope we never can. I too think, as Will said, that this issue should be addressed in practice management classes. I agree with you, Eti, that there is plenty in the deep well of CM, more than enough to keep us going for life, especially when it is mixed with WM knowledge of the body.

Joseph Garner

 

>>>The whole concept of muscle testing is quite abscure and very relative, and there is no doubt that one cannot possibly rely on it when practicing chinese medicine at all.  It seems to me to be a way for practitioners who are not sure of their diagnostic skills to find some sort of verification. 

Too often I recieve invitations to attend seminars in systems that someone developed and is toting to be the best thing since magic snakeoil...One really has to wonder why people can't just stick to drinking from the deep well of tried and true chinese medicine, which alone can provide a deep satistying experience of healing and wholeness.

Eti Domb<<<

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Kinesiology was not originally designed for multi-ingredient herbal prescriptions, but for musculoskeletal analysis.

>>>>All attempts at studying muscle testing in control studies have failed. And their have been several good studies. Lets not forget this.

Alon

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The whole concept of muscle testing is quite abscure and very relative, and there is no doubt that one cannot possibly rely on it when practicing chinese medicine at all. It seems to me to be a way for practitioners who are not sure of their diagnostic skills to find some sort of verification.

Too often I recieve invitations to attend seminars in systems that someone developed and is toting to be the best thing since magic snakeoil...One really has to wonder why people can't just stick to drinking from the deep well of tried and true chinese medicine, which alone can provide a deep satistying experience of healing and wholeness.

Eti Domb <zrosenbe wrote:

 

The subject of allergies is open to speculation. I've found sometimes that people get in their heads that they have an 'allergy' to something, and avoid it, even though it isn't that specific substance but reactivity caused by their internal condition (often spleen vacuity). Yes, sometimes there may be a specific allergy, I've seen problems with mold, hair and/or dust in raw herbs, but to gan cao or herb binder will be relatively rare as to be suspect. One also has to consider that the herbs interact with each other, so can we truly single out one ingredient in a prescription as an allergen? Or is the total prescription mismatched with the patient?The criteria for herbal prescriptions remains pattern diagnosis, not muscle testing. Kinesiology was not originally designed for

multi-ingredient herbal prescriptions, but for musculoskeletal analysis. I've seen too many abuses in muscle testing herbs and supplements over the last 25+ years to trust it. . . is the kinesiologist testing the plastic bottle the supplement is in, or the supplement itself? I've seen practitioners prescribe these supplements and herbs without knowing the nature of the formula or product, or even the patient's condition, just basing it on the muscle testing alone. In my opinion, this is no longer medicine, but wishful thinking.Chinese pattern differentiation and diagnosis is relatively foolproof with a track record that can't be beat. Certainly not by speculative assumptions that don't take into account the patient or the nature of the substance being taken.On Wednesday, July 2, 2003, at 04:05 PM, Li2398 wrote:> I had a> patient who was allergic to gan cao

- which meant that he was allergic > to all of my> formulas. I also had another who was allergic to the binder in my > powdered> herbs. So, if another acupuncturist is telling your patient that the > formula is> not good for him/her, perhaps someone should ask why - see if they can > narrow> it down to what is wrong. Perhaps the person performing the muscle > testing> is a poor tester and is completely wrong, or the person is great at > muscle> testing and the formula can be altered to improve it. Chinese Herbal Medicine, a voluntary organization of licensed healthcare practitioners, matriculated students and postgraduate academics specializing in Chinese Herbal Medicine, provides a variety of professional services, including board approved online continuing education.

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Good thoughts, Will. I cannot disagree. However, I find these

reactions to be rare. Still not an excuse to be aware of these

things.. . or, better yet, work to treat them. I don't use powders

that much , so you might see more of this factor in your practice.

 

 

On Thursday, July 3, 2003, at 08:04 AM, WMorris116 wrote:

 

> Mismatched prescriptions are probably more common. However, gluten

> sensitive patients often react to the various gluten based binders the

> Taiwanese manufacturers use. Another way to determine sensitivities

> for herbs is to pay attention to the plant families as they relate to

> clearly defined food allergies (by anaphylactic reaction,

> elimination-provocation, or ELIZA) and avoid them in the > prescriptions.

>

> Will

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One of the items that is most disturbing to me around muscle testing, is

how some of the programs such as NAIT are able to offer programs thru

AAOM or NCCAOM for CEU's. It is not clear to me why we support such

programs in our profession much less give CEU's.

 

Warren

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I think both approaches are valid, and sometimes I'll consider them

both at the same time. I like to first check the pulse and tongue,

before getting any biomedical diagnosis from the patient. It protects

me from bias, and allows me to see the process and the pattern before

dealing with specific pathology. It also helps to have the experience

of modern Chinese and Western physicians in dealing with specific

disease entities, but this conditions always have to be tailored and

individualized to specific patients.

 

 

On Wednesday, July 2, 2003, at 11:04 PM, Simon King wrote:

 

> I have been interested in treating in this field for 18 years and

> relying on pattern diagnosis was, in my case,at first a necessity

> due to lack of experience and available literature but, later I had

> much more reliable results using the approach of most of the modern

> chinese sources of putting the disease first and making a few

> additions and subtractions according to pattern. Often the

> progression of a particular kidney disease can be staged according to

> pattern but even here this is a rather fixed path where disease

> specific herbs are crucial.

>

> Simon

>

>

>

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The problem I have with muscle testing is that I don't feel that people generally are consious enough to be aware of their own subconsious bias, and thus incorporate that bias into what it is they are testing and getting the result they are excpecting. As a result, it is absurd to do a muscle test of another person's herbal prescription (some of these folks do it by "thinking" of the herbs or formula or holding a piece of paper, which is indeed fraudulent, not because it is impossible but because even fewer can do it then for the reason stated above) given one's inherent bias/ego regarding another's work.

 

The other thing that is wrong here is that the 2nd practitioner is telling the patient not to take the herbs and not calling the 1st practitioner to confer about the herbs they think might be developing a problem with that patient. This is not professional behavior and one can further speculate that they are also telling the patient not to take drugs from MD's, which will raise all of our malpractice rates.

Dvaid Molony

 

 

In a message dated 7/2/03 3:06:41 AM, writes:

 

 

Today yet another patient has stopped taking the herbs I prescribed because they

muscle tested negatively to them. The tests were given by another acupuncturist.

Perhaps muscle testing works, I don't know. I do feel confident that my formulas are

good.

    I find myself wanting to write to the National and State Acupuncture Boards to get

some kind of ruling about this. Is it unethical practice? I am sure others have been in

the same situation. What are your thoughts?

doug

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The problem I have with muscle testing is that I don't feel that people generally are consious enough to be aware of their own subconsious bias, and thus incorporate that bias into what it is they are testing and getting the result they are excpecting.

>>>>Before going that far, why has nobody been able to show in blind, that they can consistently use muscle testing to recognize allergies in people with known allergies? As well as be able to tell when a computer controlled resistance is so-called strong or weak

Alon

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I agree 100% with David. This is unfortunately very common in our

profession, I've heard several complaints and had several similar

situations over the year happen to me. This type of muscle testing

truly can be abused to cover up the lack of competency of a

practitioner if they are not knowledgeable of the substances in the

prescription or not have them at hand.

 

As far as your previous post on NAET, David, while I agree there may be

something of value there, my major concern is that it doesn't become

confused with Chinese (or Japanese, Korean) medicine as being one and

the same. If it was presented by a health professional as a separate,

autonomous technique, that would allay many of my own concerns.

 

 

On Thursday, July 10, 2003, at 06:12 PM, acuman1 wrote:

 

> The problem I have with muscle testing is that I don't feel that

> people generally are consious enough to be aware of their own

> subconsious bias, and thus incorporate that bias into what it is they

> are testing and getting the result they are excpecting. As a result,

> it is absurd to do a muscle test of another person's herbal

> prescription (some of these folks do it by " thinking " of the herbs or

> formula or holding a piece of paper, which is indeed fraudulent, not

> because it is impossible but because even fewer can do it then for the

> reason stated above) given one's inherent bias/ego regarding another's

> work.

>

> The other thing that is wrong here is that the 2nd practitioner is

> telling the patient not to take the herbs and not calling the 1st

> practitioner to confer about the herbs they think might be developing

> a problem with that patient. This is not professional behavior and one

> can further speculate that they are also telling the patient not to

> take drugs from MD's, which will raise all of our malpractice rates.

> Dvaid Molony

>

>

> In a message dated 7/2/03 3:06:41 AM, writes:

>

>

> Today yet another patient has stopped taking the herbs I prescribed

> because they

> muscle tested negatively to them. The tests were given by another

> acupuncturist.

> Perhaps muscle testing works, I don't know. I do feel confident that

> my formulas are

> good.

>     I find myself wanting to write to the National and State

> Acupuncture Boards to get

> some kind of ruling about this. Is it unethical practice? I am sure

> others have been in

> the same situation. What are your thoughts?

> doug

>

>

<image.tiff>

>

>

> Chinese Herbal Medicine, a voluntary organization of licensed

> healthcare practitioners, matriculated students and postgraduate

> academics specializing in Chinese Herbal Medicine, provides a variety

> of professional services, including board approved online continuing

> education.

>

>

>

>

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confused with Chinese (or Japanese, Korean) medicine as being one and the same.

>>>Zev what about O-ring test

alon

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O-ring testing is clearly identified with Japanese medicine, as a

modern technique used to confirm choice of acupoints. While possibly

prone to influences from the practitioner's prejudice, at least it has

been tested and used widely within the Japanese acupuncture community,

and used within the general realm of Japanese medical practice. There

is quite a bit of controversy even about this technique, however. NAET

is, in many ways, a system unto itself (by contrast).

 

 

On Thursday, July 10, 2003, at 08:29 PM, Alon Marcus wrote:

 

> confused with Chinese (or Japanese, Korean) medicine as being one and

> the same.

> >>>Zev what about O-ring test

> alon

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