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Restoration & BalanceTM Chinese Medicine’s Gift to

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Presentation on theme: "Restoration & BalanceTM Chinese Medicine’s Gift to"— Presentation transcript:

1 Restoration & BalanceTM Chinese Medicine’s Gift to
Survivors of Trauma Alaine D. Duncan Licensed Acupuncturist Somatic Experiencing Practitioner (c) Alaine Duncan, 2014

2 Restoration & BalanceTM
Assessing Acupuncturist, Acupuncture and PTSD Study, WRAMC in 2006. Acupuncturist, War Related Illness and Injury Study Center since 2007. Clinical Director, Restore & Renew Wellness Clinic, WRAMC Designed clinical intervention for a VA Merit Grant Research on PTSD-Related Insomnia, DC WRIISC, 2010. Lead Acupuncturist, Designed Intervention for TBI & Chronic Headaches Research Study, WRAMC, WRNMMC, FBCH. (c) Alaine Duncan, 2014

3 Central Nervous System
Neocortex/Forebrain Rational - Consciousness, memory, presence, complex thought Limbic Area/Midbrain Relational – Feelings/ emotions, governs social engagement, attachment dynamics Brainstem/Reptilian Brain Instinctual – breathing, circulation, digestion, sexual arousal, fight/flight/freeze. Understands sensation-based language (c) Alaine Duncan, 2014

4 Thinking, language, higher brain functions, consciousness
Neocortex/Frontal Words and Concepts Thinking, language, higher brain functions, consciousness The Upper Jiao (c) Alaine Duncan, 2014

5 Limbic or Mid-Brain Emotions
Gutsy, juicy, emotional, rapport, social brain The Middle Jiao (c) Alaine Duncan, 2014

6 Reptilian/Brain Stem Sensations
Instinctual center - fight/flight/ freeze; breathing, circulation, digestion, reproduction - things below conscious control. The Lower Jiao (c) Alaine Duncan, 2014

7 Vibrational Medicine for Vibrational Illness
Acupuncture’s greatest contribution to the world of healing is its understanding of qi – life force, or vital energy. Understanding Qi and its regulation can be a major resource for understanding the dysregulation caused by traumatic stress. (c) Alaine Duncan, 2014

8 Restoration & BalanceTM
YANG/Sympathetic Arousal Daytime, summer Awake and alert Inhale Exhale Nighttime, winter Rest and digest YIN/Parasympathetic Restoration Balance is a constantly changing state. It exists in a dynamic and fluid interplay between our more substantial, dense yin aspect and our more insubstantial, active yang aspect. (c) Alaine Duncan, 2014

9 Vibrational Medicine For Vibrational Illness
Sympathetic Activation - Stuck “On” Daytime, summer inhale Awake and alert Rest and digest exhale Nighttime, winter Parasympathetic Collapse - Stuck “Off” Disrupted, depleted, stuck, disorganized Qi (c) Alaine Duncan, 2014

10 Manifestations Of Disorganized Qi
Low tone or high tone in tissues and mental processes Difficulty in processing or interpreting physical sensations Phobias and hyper- or hypo-arousal with touch, sensations, smells Compromised capacity for relationship Engages in re-enactment behaviors Gets triggered by remotely similar circumstances Wrecks havoc with sleep, immune, metabolic, cardiac, and endocrine systems. (c) Alaine Duncan, 2014

11 The Threat Response Animals in the wild instinctively discharge
very high levels of traumatic activation. Why don’t humans? (c) Alaine Duncan, 2014

12 Restoration & BalanceTM
The Five Phases of Chinese Medicine interface seamlessly with the five steps of the Self Protective Response. The correspondences of the Five Phases can deepen and bring nuance to your service to trauma survivors. (c) Alaine Duncan, 2014

13 The Threat Response Stop, Notice
Lung – sensate function, the “animal soul”. Skin as boundary organ wakes up with “goose bumps” Hair on back of neck stands on end. “Something is amiss” in Colon. Message sent to Liver to look, orient to possible threat. Sympathetic activation. Increased focus and alertness. Afferent firing in the enteric brain – “something is amiss”. (c) Alaine Duncan, 2014

14 Startle – Signaling Threat
May Happen Simultaneously With Arrest Response Kidney – fear/ terror signals threat response Control cycle alerts pericardium. Relationship attempted. Pericardium alerts heart. Whole body goes into full alarm. High level of sympathetic arousal. Amygdala alerted – wakes up HPA axis. Adrenal secretion of cortisol. Mobilization of all systems to respond. (c) Alaine Duncan, 2014

15 Mobilization Response Initiates Threat Determined to be High
Kidney yang/kidney essence give rise to mobilization in Liver. Liver alerts joints, tendons and ligaments to prepare for fight or flight. Very high level of sympathetic arousal. Rapid conversion of glycogen stored in the liver into glucose in the blood stream. (c) Alaine Duncan, 2014

16 The Whole Body Is Engaged
Increased Tone In Sympathetic Nervous System Meridian Accelerates heartbeat Heart/Lung Dilates pupils Liver Dilates bronchii Lung Inhibits peristalsis and secretion of bile Spleen/Stomach Accelerates conversion of glycogen to glucose Spleen/ Stomach Secretes adrenalin and noradrenalin Kidney Inhibits bladder contraction Bladder (c) Alaine Duncan, 2014

17 The Autonomic Nervous System

18 Every Element Is Involved In The Stress Response
Sympathetic Nervous System Element Involved Parasympathetic Nervous System Accelerates heartbeat Fire Metal Slows heartbeat Dilates pupils Wood Relaxes pupils Dilates bronchii Constricts bronchi Inhibits peristalsis and secretion of bile Earth Stimulates peristalsis and secretion of bile Accelerates conversion of glycogen to glucose Accumulates damp and phlegm Secretes adrenalin and noradrenalin Water Inhibits secretion of adrenalin, slows metabolism Inhibits bladder contraction Contracts bladder c) Alaine Duncan, 2011

19 Threat Does Not Materialize
Completion 1 Threat Does Not Materialize Heart returns to resting state. Peace in the kingdom of the body. Balance restored between yin and yang. PNS Tone Increases Heartbeat slows Bronchii soften Pupils relax Bile secretion, peristalsis return Adrenalin secretion slows Metabolism slows Bladder constricts (c) Alaine Duncan, 2014

20 Completion 2 Successful Defense Mobilization response completes
Liver cools, restores yin. Benevolence returns. Freeze response melts, restores kidney yang. Balance in kidney/heart axis restored. Heart returns to peaceful state Increased Tone In Parasympathetic NS Heartbeat slows Bronchii soften, relax Pupils relax Bile secretion, peristalsis returns Adrenalin secretion slows Metabolism slows Bladder constricts (c) Alaine Duncan, 2014

21 Exploratory Orienting Returns
Yin and Yang flow in dynamic and co-regulating tension. Spleen/Stomach digest, harvest and embody lessons of the experience. Lung/Colon let go of what needs to be let go of. Take in inspiration and holds big scope. SNS and PNS flow in dynamic and co-regulating tension. Metabolic, immune, cardiac and all body systems return to normal. Open, curiosity, relaxed alertness. Sense organs awake and available; not “activated”. (c) Alaine Duncan, 2014

22 Too Much Too Fast Every aspect of our body, mind, and spirit is affected: Our organs, tissues and cells. Our thinking, cognition and focus. Our fundamental experience of God. (c) Alaine Duncan, 2014

23 The Incomplete Threat Response
The flight/fight response mobilized but didn’t complete. They remain “stuck” in what was a successful survival approach – but now the danger has passed. Their instinctive survival responses are unreliable. There is a cascade of physical and psychological symptoms. (c) Alaine Duncan, 2014

24 Incomplete Threat Response
Freeze – collapse of Kidney yin. Sends message to heart that death is imminent. Consumes Kidney essence resulting in a shorter life expectancy. High tone in PNS Pain minimized. Metabolism slowed. Highly charged brace response remains under an appearance of collapse. Life threatening impact on metabolic, immune, endocrine, cardiac function. (c) Alaine Duncan, 2014

25 The Threat Response When the nervous system is not restored to balance, symptoms can develop weeks, months, years later. Our traumatic disorganization, dormant for years, can reappear with aging, illness, vulnerability or a triggering memory. Onset of symptoms is usually 6-18 months after the event and can be years later. (c) Alaine Duncan, 2014

26 The Threat Response Insomnia/Hypersomnia Irritable Bowel Syndrome
Memory lapses Cognition problems Migraine headaches Stomachaches Anxiety Depression Terror Rage Pain Patterns Metabolic disturbance Auto-immune disturbance Endocrine disturbance Cardiac symptoms Weight gain in the middle (c) Alaine Duncan, 2014

27 It’s Not Wrong Fight Flight Freeze
Our response to trauma is not about our values, courage, or choice. It is an instinctive, highly adaptive and successful negotiation for survival. Fight Flight Freeze (c) Alaine Duncan, 2014

28 5 Types of Traumatic Stress
Water/Kidney Type Fear or the lack of fear predominates. Eyes can’t sit still; scan constantly in anxious and fearful attention. Can’t sink deeply and often won’t sleep out of fear of what may come in the night. Manifests as hyper-vigilant alertness or collapsed and frozen, agoraphobic at extreme. (c) Alaine Duncan, 2015

29 5 Types of Traumatic Stress
The Liver/Gall Bladder type Anger or a collapsed lack of capacity for assertion predominates Will look for obstacles rather than see openings -- or will be frozen, imploded, suppressed, and hopeless. There is a mountain of rage whether visible or invisible. (c) Alaine Duncan, 2015

30 5 Types of Traumatic Stress
The Heart type Sadness predominates: flat eyes, flat emotions; slow memory and cognition, socially inhibited, anxious. Heightened sexual expression, without intimacy, connection, engagement. (c) Alaine Duncan, 2015

31 5 Types of Traumatic Stress
The Spleen/Stomach Type Digestion shutdown; can’t receive or hold onto anything, can’t digest, integrate experiences. May manifest with irritable bowel syndrome or GERD. Undigested, their trauma story goes around and around; “victim” identity. (c) Alaine Duncan, 2015

32 5 Types of Traumatic Stress
The Lung/Colon type Grief is predominate emotion. It is hard to inhale, to receive life — or to exhale and let go. “How can a loving God allow bad things happen to good people? Shallow breathing, deeply soulful survival guilt. (c) Alaine Duncan, 2015

33 Restoration & BalanceTM
Our Job: The Gumball Principle (c) Alaine Duncan, 2014

34 Contact Information Alaine D. Duncan Licensed Acupuncturist Somatic Experiencing Practitioner (c) Alaine Duncan, 2014

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