AT 220- Asian Bodywork III (2 credits) Prerequisites: AT 210 Co-requisites: Trimester: Summer Time/Day: Friday Morning Instructor: Timur Lokshin Office Hours: Email: TLokshin@gmail.com Course Description This course is an expansion of the foundation laid in Fundamentals of Holistic Health, Fundamental Theory/Channels and Points, and Asian Bodywork I & II where students were introduced to the principles of East Asian Medicine. In this course, the student will learn a more advanced and solid foundation for their practice and their development as practitioners of Asian Bodywork continues. The course will give more detail on the diagnostic principles and how they lead to Pattern Identification and treatment. At the end of this course the student will be able to conduct a more advanced assessment of the patient from an East Asian medical perspective and thereby be able to treat the patient more effectively. Class discussion will also include general nutritional and lifestyle recommendations, specific protocols, and specific case studies as they relate to the more in-depth assessments and various pathologies reviewed. Course Objectives To provide the student practitioner with: 1. An understanding of the fundamental principles of Asian Bodywork as a holistic health care system with practical techniques for assessment and treatment. 2. The continued development of the basic knowledge, hand techniques and skills necessary to treat patients suffering with some common pathological conditions 3. The skills and understanding necessary to prepare the practitioner clinical experience. Standards for Completion A passing grade for this course is based on: quizzes 4 written • (60 %) midterm** written • ( %) final** written • (20 %) attendance/attitude • (10 %) Practical ( %) Practical (10 %) *There is a minimum requirement of four (4) quizzes per trimester, and may be changed only at the instructors discretion. Logs/attitude/attendance/completion /headrest requirement Summer 2015 -1- (AT 220) Asian Bodywork III Official Grading Scale: Grade A (93-100) A(90-92) B+ (87-89) B (83-86) B(80-82) C+ (77-79) C (73-76) C(70-72) F (0-69) W Withdrawal* WF Withdraw/Failing** GPA 4.0 3.67 3.33 3.0 2.67 2.33 2.0 1.67 0.00 0.00 * If withdrawn before 8th week and is not included in calculating GPA 0.00 ** WF is received if withdrawn after 8th week Note: Lowest passing grade for this course is a CStudents receiving an F as a final grade must retake the course. Required Texts and materials: Maciocia, Giovanni. The Foundations of Chinese Medicine: A Comprehensive Text for Acupuncturists and Herbalists 2nd Ed. New York, NY, Churchill Livingstone, 2005. Mercati, Maria. The Handbook of Chinese Massage: Tui Na Techniques to Awaken Body and Mind. Rochester, VT. Healing Arts Press, 1997. One patient Gown Practical Examinations It is recommended that a student who is failing by the mid-term seek tutorial aid by contacting the Director of Student Services. When a student is absent for a practical examination, he or she is responsible for making it up within one week. The student must communicate with the instructor, either directly or through the administration office, in order to arrange the make-up time. Summer 2015 -2- (AT 220) Asian Bodywork III Criteria For Evaluating Practical Examinations The individual instructor(s) for each technique class will assess student's practical skills. Aside from a written examination the student must also demonstrate the specific skills and techniques that reflect their understanding in a professional manner. Each student will be assessed individually by their instructors who will be examining a student's technique in light of the student's overall performance in class throughout the semester. Ratings are assigned on an individual basis and take into account any progress a student has made throughout the semester. While the knowledge and skills that each student is expected to demonstrate are listed in the specific objectives for each course, following are the general categories, guidelines and basis for grading of practical examinations. 1. Hygiene Each student is expected to be physically clean and attired in a freshly laundered and pressed uniform that meets with school specifications. Students' hands must be immaculately clean with nails cut short to prevent injury to the patient. All students are expected to wash their hands with soap and water before and after all treatments and to disinfect the table after each patient. 2. Professionalism Students are expected to demonstrate a professional attitude towards the patient. This means that each patient's complaint is taken seriously. Students are expected to not make jokes, chew gum, gossip or engage in any other behavior that denigrates the profession of a massage therapist. Willingness to take correction is also a major criterion in evaluating a student's attitude. 3. Attention to the Patient While questioning the patient as to their medical history, the student's full attention is concentrated on the patient. This includes eye contact with the patient, awareness of the patient's physical and emotional boundaries, their breathing, the sound of their voice, etc. The student is to make sure the patient is comfortable on the table and that the appropriate attire, position and support, etc. is taken. Students will be evaluated on whether the appropriate liniments are used when necessary. 4. Posture and distribution of body weight Students will be evaluated on their body mechanics that include their awareness, alignment and correction of their posture throughout the treatment. 5. Skills in Technique This category includes palpation skills, consistency of movement and smooth transition from one stroke or manipulation to the next. Fluidity and rhythm will be evaluated. It includes the correct execution of particular movements. In Asian Bodywork this means the correct order of the treatment and the application of the appropriate hand techniques. Accurate tracing of the channels is also required. 6. Advanced Skills In the Asian Bodywork classes all of the above requirements are expected but at advanced levels of skill. Additional techniques will be graded such as specific treatment patterns for common pathological conditions and accuracy of point location, sensitivity, appropriate depth, pressure and direction of points. (AT 220) Asian Bodywork III Summer 2015 -3- Logs The student must record and complete 4 treatment logs using techniques learned in Asian Bodywork III During the first week of class, students must write a log on themselves, giving their past history. The student clinician will add any present complaints as the semester continues and will complete the log according to the treatment administered in class. Steps will be taken in class to address the issue of confidentiality. Logs are to be submitted on "Patient Log Sheets" supplied by the New York College. The logging of each treatment will include the patient's name, age, sex, height, weight, occupation, pathology treated, pulse and tongue diagnosis, patient complaints, dietary habits, muscle and muscle groups focused on, energetic manipulations, subjective experience and findings, results of treatment, comments, difficulties, questions and recommendations. Each of these areas has special significance and will be reviewed in class. All logs will be reviewed and commented upon, where and when necessary, by the technique instructor or assistants and then returned, allowing for on-going communication, direction, and correction. Satisfactory Attendance - more than two (3) absences is an automatic failure. Three (3) latenesses equal one (1) absence. Demonstration of Proper Attitude 1. Participation in class 2. Willingness to accept correction 3. Adherence to dress code 4. Hygiene Learning Objectives Upon completion of this course the student will be able to: 1. Explain the causes of disease according to East Asian Medicine. 2. Explain the functions, pathologies and mutual relationships between Qi and Blood. 3. Be able to identify patterns according to Pathogenic Factors. 4. Use traditional diagnostic models (pulse, tongue, questioning) to formulate a treatment plan. 5. Perform treatments for stiff neck, shoulder pain, low back pain, sciatica, headaches, stress, insomnia, and anxiety; with proper point selection and technique. 6. Be able to tie the theory learned in all previous classes related to East Asian Medicine and Asian Bodywork and provide a correct assessment and effective treatment according to its principles. Summer 2015 -4- (AT 220) Asian Bodywork III Class Curriculum Class I Review course objectives, requirements and handouts Discussion/Review of Pulse Theory Discussion/Review of Tongue Diagnosis Discussion/Review 10 Questions (Asking) Review Tui Na Strokes and Rice Bag Practice Homework: o Find points for painful obstruction syndrome in the upper limbs (shoulder, elbow, and wrist) o Readings: The Foundations of Chinese Medicine Pages 681-701 Class II 6 pathogenic influences and Bi (Painful Obstruction) Syndrome Motor Points, Confluent Points, Command Points, A Shi Points Points of upper extremity (shoulder, elbow and wrist conditions) Demonstrate the use of liniment, Arnica Gel and Biofreeze Homework: Find points for painful obstruction syndrome in the lower limbs (hip, knee, and ankle) Class III 6 pathogenic influences and Bi (Painful Obstruction) Syndrome Review Points of lower extremity (hip, knee and ankle conditions) Demonstrate the use of Prossage, Po Sum On Oil and Tiger Balm Homework: o Find points for painful obstruction syndrome of the neck o Readings: The Foundations of Chinese Medicine Pages 543-562 Class IV Examination 1: Material from weeks 1-3 Conditions of the neck Respiratory conditions Pattern differentiation and common treatment protocols for the Lung: Wind Cold and Wind Heat invasions, Lung Qi Deficiency, Lung Yin Deficiency, Lung Heat, Phlegm In the Lung (Cold-phlegm/Phlegm-heat) Class V Conditions of the neck: chi and blood stagnation Respiratory conditions (cont) Continue wind, cold, and heat invasion Introduction of Kwan Loong oil Introduction of the Neti Pot Summer 2015 -5- (AT 220) Asian Bodywork III Class Curriculum Class VI Conditions of the neck Respiratory conditions (cont) Continue wind, cold, and heat invasion Homework: o Find points to treat indigestion (CV, ST, SP, LV) o Readings: The Foundations of Chinese Medicine Pages 567-584 (SP) Class VII Examination 2: Material from weeks 4-6 Digestive conditions Stomach and Spleen deficiency Liver invading st/sp Heat (excess and deficiency) Homework o Readings: The Foundations of Chinese Medicine Pages 615-635 (ST) Class VIII Digestive conditions (cont) Food stagnation Homework: o Readings: The Foundations of Chinese Medicine Pages 647-658 (LI) Class IX Digestive conditions (cont) Treatment for constipation and diarrhea Homework o Find points for low back pain and sciatica (BL and KI) o Readings: The Foundations of Chinese Medicine Pages 587-610 (KI) Class X Examination 3: Material from weeks 7-9 Low Back Treatment & Sciatica Cold Damp Bi Syndrome of the Lower Back, Qi and Blood Stagnation, Kidney Deficiency, Damp Cold invading the back channels, Damp Heat invading the back channels. Class XI Low Back Treatment & Sciatica (cont) Cold Damp Bi Syndrome of the Lower Back, Qi and Blood Stagnation, Kidney Deficiency, Damp Cold invading the back channels, Damp Heat invading the back channels. Homework: Summer 2015 -6- o Readings: The Foundations of Chinese Medicine Pages 502-538 (LV) (AT 220) Asian Bodywork III Class Curriculum Class XII Premenstrual Syndrome Liver Qi Stagnation, Phlegm Fire, Liver Blood Deficiency, Liver and Kidney Yin Deficiency, Liver and Kidney Yang Deficiency. Class XIII Premenstrual Syndrome (cont) Liver Qi Stagnation, Phlegm Fire, Liver Blood Deficiency, Liver and Kidney Yin Deficiency, Liver and Kidney Yang Deficiency. Class XIV Examination 4: Material from weeks 10-13 Board Preparation: Review 5 elements, creation cycle, control cycle, major correspondences, beginning and ending of channels, and nutrient cycle. Class XV Final Examination - Practical Summer 2015 -7-