Fatigue

When Are you going to treat my pain??? 6/14/22

Over the past few days, I have had several patients ask me …”I am coming in for neck pain or back pain or shoulder pain…where are you going to put the needles”?  Or if I have been seeing the patient I am asked “when are you going to treat my pain… why don’t you just put the needles where my pain is?”

In Traditional Chinese Medicine, the flow of energy or Qi, moves in specific pathways called meridians.  There are 14 major pathways, and these pathways interact with each other.  Initially, when I first see a patient, I like to make sure that the overall energy is clear, so I do a few “clearing treatments” before I focus on shifting any energy in a specific pathway.

Your energy is like a garden.   I want flowers or crops to grow, so I need to make sure the ground is ready for planting.  This means removing any unnecessary weeds, or rocks or debris.  This is what the clearing treatments do.  They make the energy channels clear and ready for shifts in energy.  The clearing treatments are generally on the front, or back of the body and can consist of 2-4 treatments if necessary.  This is to ensure that the energy is moving in the proper direction, not being contaminated.  It is like removing a kink form a hose so you can let the water flow.

There is another important thing to note.  Say you come in for wrist pain, there are 6 pathways that encompass the wrist area.  These include the heart, small intestine, triple heater, pericardium, lung and large intestine pathways of energy.  They all start at the fingertips and go up the wrist, to the forearm.  Some of these pathways diverge to the chest, face and back.  So, needles may not be placed in the wrist for wrist pain if there is a blockage of energy along a pathway is say the small intestine at the level of the scapula or shoulder blade.

Traditional Chinese medicine takes all of this into account.  So, when I am asked “When are you going to treat my pain?”  My answer is… I already am…I started with the first session.   Sometimes clearing the general energy blocks (which can include internal and external factors such as emotions, heat, cold, wind, damp, excess or deficiency, side to side energy pathway balance) can make a profound change in the symptoms you came in with and others you were not aware of such as sleep, mood, digestion and concentration.

My treatment protocol consists of the following…

Clear general energy blocks -Internal Dragons, External Dragons, Aggressive Energy, Alkabane (side to side balance).  1-4 treatments if needed.

Clear local pathway energy blocks form one pathway to another (Entry/exit blocks) if needed

Treat meridian root cause with local and distal points at each treatment after the clearing treatments

Ashi points or painful points not specifically on an energy pathway.

Treat Constitutionally.

As a team, we are teaching your energy how to stay open and clear, but sometimes life gets in the way, and blockages can reoccur.  Each part of this protocol may need to be done, or just one part, or perhaps several at the same time to shift the energy when it needs to shift.  Each treatment builds on the one before, so it is important to have regular and frequent treatments early in your treatment course.  As your symptom resolves, the length of time between treatments can be increased as long as you remain symptom free.  Once we get to this point, I generally like to have my patients come back monthly for a tune up so that we can continue to keep their energy clear and keep them symptom free.

Author: Jean Donati PA-C, M.Ac, L.Ac. 

Jean Donati is a Nationally Certified Physician Assistant, Licensed Acupuncturist and owner of Jean Donati Acupuncture.  She specializes in Traditional Five Element Acupuncture, and Facial Rejuvenation for physical, mental and emotional concerns.