- Mapping the Terrain Understanding the connection between the surface of the body and its deep functions is the heart and soul of this course. Students learn how to treat the entire body while always keeping their intention on the source of greatest imbalance. At this level of proficiency, students will begin to see through the layers of complexity of the meridian system and perceive the simplicity of the healing act. The Meridian Extension system of Shizuto Masunaga, unique to Zen Shiatsu and its descendent styles, is studied in detail. His complete meridian map links every meridian to a graceful full-body stretch and also makes many meaningful psycho-spiritual connections that are of clinical importance to bodyworkers. We learn how this system compares and contrasts to the traditional Chinese system, to allow us to communicate effectively with acupuncturists and herbalists. Jeanne Phenany, Instructor Zen Shiatsu Chicago 825A Chicago Ave Evanston, IL 60202 847-864-1130 / 773-610-0083 www.zenshiatsuchicago.org Learning Objectives Describe and treat the trajectories of the Masunaga Meridian Extensions. Explain the differences between the classical and Zen Shiatsu meridian systems. Write a case studies integrating all diagnostic methods studied in Beginning Zen Shiatsu through Zen Shiatsu III. Name 3 unique contributions made by Masunaga to the field of shiatsu. Identify common Organ Network TCM pathologies and identify points used to treat each. Identify the locations and names and two functions of the source points, connecting points, and twelve general points. Zen Shiatsu IV - Masunaga Extensions and the Six Channels 1
Required Texts Zen Shiatsu. Shizuto Masunaga. Japan Publications. 1977. Shiatsu, The Complete Guide. Jarmey / Mojay. Shiatsu Theory and Practice. Beresford-Cooke. Elsevier. Recommended Text Atlas of Shiatsu: The Meridians of Zen Shiatsu. Wilfried Rappennecker. Elsevier. 2008. Course Outline Class 1 Lung / Large Intestine Class 2 Stomach / Spleen Class 3 Heart / Small Intestine Class 4 Bladder / Kidney Class 5 Heart Constrictor / Triple Heater Class 6 Gall Bladder / Liver Class 7 Lower Body Review Case Studies Due Class 8 Upper Body Review Class 9 Seated Position and Review Class 10 Written and Practical Exams Methods of Evaluation At the conclusion of this class, there will be a written and practical exam. Both must be passed with a 70% or higher grade to receive course credit. If failed, exams may be retaken within four weeks of the conclusion of class. There is no fee to retake the written exam. The practical exam may be retaken for a $50 fee. Handouts Online Replacement copies of all handouts may be found online at: http://www.zenshiatsuchicago.org/students/handouts/ Grade Breakdown Attendance - 25% Written Exam - 25% Practical Exam - 25% Case Studies - 25% Zen Shiatsu IV - Masunaga Extensions and the Six Channels 2
Case Study Guidelines Due for Zen Shiatsu 4 : Documentation of 15 treatments total, administered to 3-5 different individuals (frequently done as 5 treatments each to 3 people) Another set of 15 treatments must be documented for Advanced Zen Shiatsu. PLEASE PRINT CASE STUDIES IN DOUBLE-SPACED PRINT SO THAT INSTRUCTORS CAN MAKE NOTES EASILY Overview Each completed case study should consist of the following information: 1) Initial Assessment 2) A description of each treatment, documented in SOAP format 3) Conclusions Your client should fill out a Feedback Form which must be attached to the case study. Please also type out their written comments and attach those separately. Each component of the case study will now be described in detail: Heading Please head your case study with the following information: Your name Date of treatment Your instructor s name Receiver s Initials, Occupation, Age and Sex Initial Assessment (approx. 100-300 words) In this paragraph, please give a recount of your intake interview. Learn your client s health history, living situation, occupation, life stresses. Document your client s statements relative to their own health issues and well-being of their mind and spirit. Record your own observations of noteworthy aspects of behavior, structural/postural/movement idiosyncrasies, five-phase associations. Zen Shiatsu IV - Masunaga Extensions and the Six Channels 3
Treatment (approx. 100-300 words per treatment, to be documented in SOAP format per the following guidelines) Subjective (Patient's Report): Mon Shin (OLD CHARTS) Mnemonic Onset: acute = full/, gradual = empty. Also, any injuries or other associations with onset? Location: be specific about meridian and acupoints involved, if any. Duration CHaracter (sharp, dull, etc) sharp = jitsu, dull = kyo Alleviating/Aggravating factors Radiation: helps to better identify the meridian involved Temporal pattern (every morning, all day, etc): consult meridian clock. Also, symptoms worsening in the evening are indicative of blood/yin deficiency. Symptoms associated: helps to connect internal functioning with pain patterns and vice versa Make sure that you document your Mon Shin information. If pain is a complaint, be sure to record the specifics of which meridian line and acupoints their pain is located on. Include all pertinent details from the OLDCHARTS detail list. This section should also include the goal for healthy function for the treatment. Record both the complaint, as in client would like to let go of low back pain and the healthy goal, as in when the pain is gone he would like to feel motivated, with follow-through. In sessions beyond the first, the Subjective section should include the client s report of progress in the direction of their healthy goal since last time, as in: when asked about his previous goal to feel more motivated, the client said he did feel more motivated and less fatigued. Objective (Practitioner's Report) : Bo Shin, Bun Shin, Setsu Shin Vital signs * Findings from physical examinations, such as posture, bruising, and abnormalities Results from laboratory tests Measurements, such as age and weight of the patient. Also, all practitioner s-point-of-view observations, Bo Shin, Bun Shin, Setsu Shin If you determine that a diagnostic area, meridian or point is kyo or jitsu, be sure to specify how you came to that conclusion. Can you feel a kyo or jitsu quality? Could you visually see a kyo or jitsu area? Is the range of motion of the meridian limited? Does the client give you verbal feedback that helps you assess the area? Does their breathing change when a given point is held? Make sure that any assessments of kyo or jitsu that you document are supported by some sort of evidence. Be sure to include the hara resonant pair in your Objective section. Zen Shiatsu IV - Masunaga Extensions and the Six Channels 4
Assessment Quick summary including interpretation of hara resonant pair, any TCM patterns identified. Attempt to identify how the assessment corresponds to both their complaints and their goals for healthy function. Plan 1. Treatment administered, and any notes about the efficacy 2. Any homework or other suggestions 3. Both the meridians from the resonant pair should be addressed within the treatment, as well as an explanation of any other meridians you worked and why. Indicate what you did. Which meridians did you treat and how did you treat them? Did it help and did you notice any change? Also write down any recommendations and homework you gave to the client. Consult the Sample Case Study for examples of acceptable documentation. Conclusions (approx. 100-300 words) Describe your client s feedback and reaction to the series of treatments. Describe your treatment plan if you were to work on this client in the future. By the end of the session, did you learn any information that you would incorporate into future sessions? Would you give this receiver any movement/lifestyle recommendations to assist their progress? Feedback Form Your client should fill out a Feedback Form at the end of the session. This form is used by you and the school to give you valuable feedback about your client s experience, so please encourage them to be specific and critical. Please re-type your receiver s comments on a separate sheet of paper and attach the typewritten comments and original feedback form to your case study. The completed Case Study will consist of the following three pages: 1. Your written work 2. The original Feedback Form 3. The typed comments from the Feedback Form Zen Shiatsu IV - Masunaga Extensions and the Six Channels 5