NCCAOM

• Introduction to the idea of Heart Shock and its importance
• Diagnoses of Heart Shock within Chinese medical paradigm
• Etiologies of Heart Shock
• Pulse configurations
• 11:30am – 12:30pm Lunch
• Acupuncture and Herbal treatments
• Lifestyle
• Case Studies and Q&A

Goals & Objectives

1. Understand the myriad Chinese medical diagnoses under the umbrella of Heart Shock;
2. Understand and identify the characteristic pulses and objective findings that Heart Shock patients present with;
3. Become familiar with acupuncture and herbal medicine strategies for treating Heart Shock;
4. Be able to advise Heart Shock patients with lifestyle modifications, exercise, diet, etc.

Introduction and Emotions section 1 (and how to treat) using specific acupuncture point combinations

• Heart Shén – including definition, analysis, discussion, Confucius and Mencius historical view, acupuncture point combinations/explanations.
• Emotions of anger, joy, mania, pensiveness and worry – including Zàng Fǔ patterns, Wǔ Xíng imbalances and acupuncture point combinations/explanations.
• Emotions of frustration and stress – including acupuncture point combinations/explanations.

Emotions section 2 (and how to treat) using specific acupuncture point combinations and men’s health and emotion regulation

• Manopause/Andropause, premature ejaculation, impotence and low libido (including women) – including Zàng Fǔ patternsand acupuncture point combinations/explanations.
• Mental health.

Women’s health and emotion regulation section 1

• Endometriosis and polycystic ovarian syndrome (PCOS) – including Zàng Fǔ patternsand acupuncture point combinations/explanations.
• Menstrual disorders of pre-menstrual tension or stress (PMT/PMS), amenorrhoea, dysmenorrhoea – including Zàng Fǔ patterns and acupuncture point combinations/explanations.

Women’s health and emotion regulation section 2

• Menopause, infertility (including men), labour induction and morning sickness– including Zàng Fǔ patternsand acupuncture point combinations/explanations.
• Mental health.

Case Studies

• Problem based learning using case studies to illustrate point combinations 

Topics include:

• Pregnancy and Pre-Labor
  • Breech, musculoskeletal pain
  • Oligo/Polyhydramnios (too little or too much fluid)
  • Preeclampsia/Hypertension/HELLP
  • IUGR (small for dates babies)
  • Intrahepatic Cholestasis (ICP) vs. PUPPPS
  • Intrapartum depression

• Labor Preparation and Postdates
  • Differential diagnosis and treatment (not just ‘all the contraindicated points)
  • Special approaches to preparing for early medical induction or VBAC
  • Home care packages of constitutionally and situationally appropriate acupressure, exercises and activities

• A few quick tips for birth
  • Tuina and acupressure approaches for family and friends’ births
  • Identifying and working with bony obstruction, slow dilatation, inadequate contractions, spirit/emotional challenges

• Postpartum:
  • C/S recovery, Symphysis Diastasis, tears, coccyx injury
  • Lactation, Constipation
  • Sleep/Energy, “Baby Blues” vs posptartum depression

• Treatment of nausea in clinical practice
• Treatment of hyperemesis in clinical practice
• Treatment of threatened miscarriage in clinical practice
• Treatment of Pre-labour rupture of membranes in clinical practice
• Red flag for nausea, hyperemesis and Pre-labour rupture of membranes
• Treatment of anxiety and depression in clinical practice
• Treatment with acupuncture in postpartum period

Goals and Objectives

1. Acupuncturists taking this class can expect to:
2. Understand key research terms to use when discussing research with medical colleagues to promote professional credibility
3. Understand how to use key research terms from the evidence base when advertising or promoting their pregnancy practice
4. Identify quality studies that they can share and discuss with medical colleagues and the public 
5. Understand how to write a case history from clinical practice for publication

• Why research – initial concepts
• Why becoming research literature has value and looking at the concepts of statistical and clinical significance
• Using the critical analysis checklist for an RCT
• Understanding different types of research: Quantitative, Qualitative and Mixed Methods research
• Considerations for reading a RCT paper
• Understanding terminology around pragmatic trials and the difference between effectiveness and efficacy
• Research in practice – findings from PhD research: The use of Acupuncture in threatened miscarriage – a mixed methods study
• Academic writing: Case histories
• Understanding Systematic Reviews