Wednesday, January 11, 2012

Finally, A Real Treatment!

Working no-fault insurance in New York, if you're an acupuncturist, is a really thankless job sometimes. Mostly, the job at these clinics isn't so much centered on efficacy of treatment as it is on raw speed. That's because in New York, the insurance doesn't pay as much as it used to. As a result, clinics go for sheer volume, and get the acupuncturist to see as many clients as he/she can. I don't make the rules, I only play by them.
Sometimes, however, you can get the opportunity to sneak a real treatment in. This morning, I saw a man who had come in before anyone else had arrived. His neck was practically locked into looking forward, and his right arm is so badly injured, he virtually has no range of motion.
Tongue and pulse weren't as important in this case, as he mostly had very severe qi and blood stagnation due to trauma, but he did report that he felt cold, mostly. However, treatment focused on freeing qi and blood, and relieving his muscles.
Following the protocols in Callison's book, I mostly needled for the motor points of the trapezius (GB 21) and the splenius muscles (SI 16) on his right side. After, I needled a lot of GB points as he lay supine, including GB 41, 34, 23, and GB 8 threaded toward 9.
After treatment, the patient was able to move rotate his head a considerable degree more, but still not fully. He was advised to come in again early the next day so that treatment could continue in the same vane.

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