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THE SMALL INTESTINE ORGAN, MERIDIAN AND THE QUADRICEPS MUSCLE The Small Intestine Meridian

• In Traditional Chinese Medicine, the Small Intestine is paired with Heart in the Fire element.

• It's role is transformation.

• It uses Spleen energy to transform food from the Stomach and Kidney energy to transform fluids. You’ll learn more about this in the Energy Kinesiology Module.

• Excess cold and raw food can cause cold to accumulate in the Small Intestine.

• Excess hot and spicy foods can cause heat to accumulate.

• Greasy fried foods lead to excess Damp.

The Small Intestine Organ

• As an organ, it is divided into three parts - the duodenum, the jejunum, and the ileum.

The Duodenum

• The pyloric valve empties Stomach contents (chyme) into the duodenum.

• Just inside the duodenum, bile from the gallbladder and digestive enzymes from the pancreas are released into the intestine.

• Digestive enzymes break down proteins and bile breaks down fats and oils.

• Glands in the duodenum secrete bicarbonate into the intestine to neutralize acid from the stomach.

• Around 70% of protein coding gene expression (epigenetics) happens in the duodenum.

The Jejunum

• Most of the nutrient absorption happens in this section of the small intestine.

• Villi are small, finger-like threads that rise up off the wall of the jejunum (like a shag carpet); they filter nutrients and minerals from food and transport them to the blood stream to be distributed throughout the body.

• When the villi are damaged, nutrient absorption is greatly diminished.

• Iron supplements can damage the villi.

• The process of biochemical synthesis, combining molecules, begins in the small intestine as well.

• A person could eat a lot and still be malnourished and starving because of the inability to properly absorb nutrients in the small intestine.

The Ileum

• The ileum also has villi and it is here where B12 and bile acids are absorbed along with any remaining nutrients.

• The ileum drains into the large intestine at the junction of the Ileocecal Valve (ICV) and the Cecum.　

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Conditions of Impaired Small Intestine Function

• Obstruction

• Adhesions

• SIBO

• Parasites

• Bacterial & Viral infections

Symptoms

• Nausea

• Vomiting

• Loss of appetite

• Weight loss

Foods that are good for the Small Intestine

• Turnips

• Radish

• Parsnips

• Celery

• Celery root

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• Celiac Disease

• Crohn's Disease

• Carcinoma

• Cystic Fibrosis

• Pyloric stenosis

• Irritable Bowel Syndrome

• Duodenal ulcers

• Diverticulitis

• Hyperthyroidism

• Gastric Dumping Syndrome

• Diarrhea & Constipation

• Mid abdominal pain

• Cramping after eating

• Bloating and Distention

• Gas and Burping

• Inability to pass gas

• Dark or black, or tarry stools

• A burning in the upper belly 2-3 hours after eating

• Burdock

• Dandelion

• Spinach

• Collard greens

• Mustard greens

• Kale

• Broccoli

• Arugula

• Chicory

• Jerusalem artichoke

• Apple

• Raspberries

• Licorice

• Slippery Elm

• Mullein

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NL

Small Intestine

Small Intestine

Flexes the hip and extends the knee

Rectus Femoris – Anterior inferior iliac spine Vastus group – Anterior portion of the femur

Tibial tuberosity via the patella and patellar ligament

With the thigh flexed about 80° and the knee flexed about 80° so the foot is in front of the knee, push the thigh to bring the leg down as you push on the ankle

Front: Along the bottom of the rib margin Back: 1” to each side of the spine between T8 – T11

#10 the parietal eminence

• Difficulty climbing stairs

• Pain in the front of the knee

• Indigestion

Vitamin D and the B vitamins

Meridian

Organ

Action

Origin

Insertion

Muscle Test

NL

NV

Indications

Nutrition

QUADRICEPS - SMALL INTESTINE

NV

Insertion

Origin

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SMALL INTESTINE BACTERIAL OVERGROWTH - SIBO SIBO occurs when the bacteria in our gut get out of balance and overgrow.

It often occurs in those eating a diet high in sugar, alcohol and refined carbohydrates.

Certain strains of bacteria feed off of refined carbohydrates and break them down into short-chain fatty acids, creating gas and causing bloating.

Another strain of bacteria can break down bile salts before your body has a chance to use them, resulting in fat malabsorption or diarrhea.

A third type of bacteria can produce toxins that damage the lining of the small intestine. This prevents your body from absorbing nutrients and can lead to leaky gut.

The inability to absorb nutrients may lead to malnutrition, vitamin and mineral deficiencies, protein deficiencies and difficulty absorbing fats.

SIBO is often associated with other illnesses that affect the Small Intestine.

Surgery, bowel strictures and adhesions, diverticula and tumors are structural factors that can lead to intermittent bowel obstructions that lead to bacterial overgrowth.

From a damaged lining, bacteria can enter directly into the blood stream; this can lead to chronic fatigue, body pain and burden the liver.

Excess bacterial byproducts in the blood stream lead to neurologic and cognitive dysfunction.

Causes:

• Low Stomach HCl

• Toxic distress on the intestinal lining

• Diets high in caffeine, alcohol, sugar and carbohydrates

• Lack of intestinal motility where the contents move sluggishly, delaying emptying into the colon

• Bacterial overgrowth from colonic back flow or reflux through the ICV - Ileocecal Valve

• Motility problems can arise from neurologic disorders such as myotonic dystrophy and Parkinson's

• Certain medications such as immunosuppressants and proton pump inhibitors can also lead to SIBO

Symptoms

Associated Diseases and Conditions

• Crohn's disease

• Celiac disease

• Cirrhosis

• Achlorhydria (chronic stomach inflammation resulting in inability to produce stomach acid)

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• Irritable Bowel Syndrome (IBS)

• Pancreatic Inflammation / Diabetes

• Non-alcoholic Fatty Liver Disease

• Alcohol abuse

• Indigestion

• Diarrhea

• Weight loss

• Joint Pain

• Fatigue

• Abdominal pain

• Excess gas

• Nausea / Vomiting

• Anxiety

• Depression

• Food Sensitivities

• Rashes

• Eczema and Acne

• Rosacea

• Bloating

• Scleroderma

• Leukemia / Lymphoma

Muscle Testing to Determine if SIBO is a Present and Balancing Procedure

1. Test the Quadriceps and, if the person has SIBO, you will find one or both weak (a weak quad doesn’t necessarily mean they have SIBO).

2. If weak, retest and if it strengthens on the Nutrition mode, touching the thumb to the middle finger and, it indicates nutritional interventions are needed and possibly SIBO is involved.

3. State, “SIBO” and retest to see if it strengthens, which would indicate that SIBO is involved.

4. If you have a test kit with SIBO, place the entire kit on the person's body and retest the weak quad to see if it strengthens, indicating SIBO is present.

• The kit on the person’s body will also make a strong muscle go weak if the person has SIBO.

5. Retest the indicator muscle while holding the priority mode to see if there is a change to confirm it is a priority to correct and proceed with the balance if it is.

• If it is not a priority, it means other balancing is needed. After further balancing, recheck to see if it now becomes a priority.

6. Test the weak indicator muscle while stating, “Supplement Addition” and, if it goes strong, recheck after stating each one below to see which test strong. If you have the supplements present, test each with it on the person’s body. Several of these can be obtained from the Biotics company.

• Oregano Oil

• FC Cidal

• Saccharomyces Boulardii

7. Test for the amount their body wants to take of each supplement.

8. Put all of the supplements on the person’s body and check the sensitivity point - GB 20 to make sure they test strong. If they don’t, test each to see if the body is sensitive to any of them.

9. If the person is on any medication, they should check with their doctor to make sure there is no contraindications for the supplementation.

10. Test the finger modes for other things the body wants to achieve balance.

• Structural mode would include the NL’s for the quadricep muscle

• The nutritional mode can be diet addition, which could include plant based alkalizing foods, foods rich in omega 3 fatty acids, increasing water intake

• Diet deletion could include sugar and starchy carbs including wheat, alcohol, acid-forming foods including caffeine

• Emotional mode can indicate the need for the Emotional Stress Release technique

• Electrical mode can indicate meridian trace for Small Intestine and any other techniques from the Energy Kinesiology course

11. After doing what comes up in the modes, recheck anything that was weak, including the quadriceps to see that it is now strong.

12. Test to see if a home program is needed in addition to dietary changes and supplement addition, such as neurolymphatic points or any other thing that came up in the balance.

13. Test to see when another session is indicated for follow-up balancing. � of �5 13

• Dysbiocide

• Berberine HCl

• L-Glutamine

• Zinc

• Omega 3’s

• Slippery Elm

• HCl

• Bile Salts

• Pancreatic Enzymes

Medical Tests that can be done to diagnose SIBO - Testing is only around 65% - 70% accurate

• Blood tests that look for causes of anemia, electrolyte imbalance and vitamin deficiencies

• Breath tests looking for byproducts of digestion, especially those produced by bacteria

• Endoscopy looks at the upper portion of the small intestine and can take biopsies or tissue samples

• Stool tests do not diagnose SIBO

The 4 R's of Healing SIBO

1. Remove - Inflammatory foods, such as sugar, wheat and other acid forming foods

2. Replace - with foods to heal the digestive system, including digestive enzymes, HCl, bile salts

3. Reinoculate - with good bacteria and prebiotic foods such as beets, carrots, leeks, radishes, jicama, onions, garlic and Jerusalem artichoke

4. Repair - provide the nutrients necessary to help the gut repair itself such as those listed in step 6 of the procedure and antioxidants

Other suggestions:

• Change the diet - For Best Results Follow the SIBO diet for 3 - 4 months (most bacterial overgrowth is eliminated by week 4)

• Avoid overeating and eat smaller meals more frequently; this allows faster digestion

For 2 - 4 weeks totally avoid these foods:

• Fruits and fruit juices, honey, processed cereals, baked goods, high-fructose corn syrup, maple syrup, processed sugars

• Dairy and processed products with dairy and added lactose

• Wheat, garlic, onion, asparagus, leeks, artichokes, broccoli, cabbage

• Legumes, cabbage, Brussels sprouts, soy

• Sorbitol, isomalt, lactitol, maltitol, and xylitol, commonly found in sugar-free gum and mints

Eat these instead to heal the intestinal lining:

• Wild-caught tuna and salmon

• Grass-fed beef and lamb

• Free-range poultry and eggs

• Almond or coconut milk

• Leafy greens

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• Carrots

• Cucumbers

• Tomatoes

• Bananas

• Blueberries

• Grapes

• Cantaloupe

• Honeydew melons

• Pineapple

• Strawberries

• Quinoa

• Sprouted nut butters

Weeks 4 - 12 - Follow the GAPS Diet (Gut And Psychology Syndrome Diet) using guidelines from the Weston A Price Foundation

The GAPS diet helps heal the intestinal lining, repairing Leaky Gut and rebalancing bacterial growth

• Drink one cup of bone broth with each meal

• Use coconut oil or ghee for cooking

• Eat fruit in between meals, not with meals

• Introduce probiotic-rich foods slowly (cultured vegetables, kombucha, natto, etc.)

• Don’t eat store-bought yogurt; consume only raw dairy fermented 24 hours or longer

• Have 1 tablespoon fermented vegetable juice with each meal (Sauerkraut juice is readily available)

Lifestyle modifications

• Eat smaller meals more frequently

• Follow the Simple Plate - one food at a time to ease digestion

• Chew each bite thoroughly

• Drink plenty of purified water throughout the day

• Manage Stress - Yoga, Tai Chi, regular exercise, acupuncture, meditation and deep breathing

Kill worms and parasites - this we will cover in another class

Herbs that are helpful in killing worms, parasites and soothing inflammation include:

• Oregano oil

• Berberine extract

• Wormwood oil

For oils, use only food grade, add 1-2 drops to a small glass of water and drink prior to a meal to help reduce bloating, gas, inflammation and other digestive symptoms.

Antibiotics such as Rifaximin may be prescribed by a physician to control the symptoms, with a usual course of 1-2 weeks. SIBO has a tendency to relapse requiring more antibiotics in a cycle of 1-2 weeks on and 1-2 weeks off antibiotics.

• Physicians at John’s Hopkins and the University of Pittsburgh found that treatment for SIBO using herbal antimicrobial supplements was as effective as antibiotics.

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• Lemon balm oil

• Indian Barberry root extract

• Peppermint oil

• Tarragon oil

• Frankincense oil

• Clove oil

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Test Point: Left side, just inside the inguinal ligament, halfway between the pubes and the iliac crest.

Vitamin D400 - 800 IU

Foods Rich in Vitamin D: • Fatty fish • Liver • Oils • Butter • Egg yokes • Mushrooms

Herbs: • Alfalfa • Bee Pollen • Fenugreek

Health Benefits: • Strong bones

• Better calcium and phosphorus absorption

• Stronger immune system

• Normal growth of bones and teeth

• Brain health and cognitive function

• Nervous system

• Regulates insulin levels

• Supports Lung & Heart health

• Turns off some genes involved in cancer

Conditions associated with low Vitamin D: • Rickets • Psoriasis • Nearsightedness • Arthritis • Glucose intolerance

• Hypertension

• Multiple Sclerosis

• Pregnancy • Jaundice • Osteomalacia (softening of bones) • Nervousness • Cancer • Diabetes - type 1 and type 2 • Cardiovascular disease

• Crohn's disease

• Cystic fibrosis

• Celiac disease

Other Considerations: Vitamin D is called the “Sunshine Vitamin,” as it is acquired from sunlight when it is exposed to the skin.

• The amount of smog and volcanic ash in the air can blocking the sun's rays, along with using sunblock

• Melanin, pigment in the skin, block's the skin's response to make Vitamin D - melanin is found in darker skinned people

Associations: Muscle:

• Quadriceps page 140 TFH Book ............

Organs/Meridian: • Small Intestine

• Sardines • Tuna fish • Cod liver oil • Sunflower seeds • Unprocessed raw milk • Oysters & shrimp

• Red raspberry • Rose Hips • Papaya

Factors that affect your Vitamin D levels

• Our kidneys convert Vitamin D into its active form; so, people with decreased kidney function or decreased kidney function due to aging may be Vitamin D deficient

• Disease of bowel can affect the body's ability to absorb and utilize Vitamin D

• Eating foods rich in chlorophyll can increase your own ability to make Vitamin D

All cells use Vitamin D and is important in preventing many health problems

• According to Dr. Joesph Mercola, 85% of the people in the United States are Vitamin D deficient

• The generally accepted level is 20 mg/mL, less than this is considered deficient

• Vitamin D is a fat-soluble vitamin; so, the body needs fat to utilize it

• It is found naturally with fatty fish, fish oil, liver, and egg yolks

Signs & Symptoms of Vitamin D Deficiency

Supplements

• The RDA for Vitamin D is 600 IU (International Units) up to age 70

• 70 and older, 800 IU are recommended for bone health

• 4000 IU is considered the safe upper limit though more than this may be prescribed to correct a deficiency

Precautions

• Do not supplement with Vitamin D if your blood level of calcium or Vitamin D are high or you have any condition that inhibits the absorption of nutrients

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• Fatigue and tiredness

• Depression

• Slow wound healing

• Hair loss

• Nervous tension

• Infertility

• Bone pain

• Muscle weakness and pain

• Cognitive impairment

• Asthma and respiratory problems

• Frequent infections and sickness

• Defective teeth

SLIPPERY ELM

Slippery Elm comes from the inner bark of the Slippery Elm tree.

• Slippery Elm is a powerful antioxidant

• Its beneficial property is that is contains a soft fiber called mucilage which coats and soothes

• It also stimulates mucous membranes to secrete mucus creating a protective barrier and allowing healing

• A study performed by the University of Maryland Medical Center found that Slippery Elm causes reflux stimulation to the nerve endings in the GI tract leading to the mucous secretion

• It is often used for coughs, sore throat and cold symptoms

• But it is also very beneficial for the gut

• It soothes inflammation and protects ulcers

• It aids in healing the villi in the small intestine

• The soft fiber acts as a bulking agent that gently cleanses the intestines

• Used externally as a wash or salve, it can be applied to burns, wounds, gout, rheumatism, cold sores, abscesses, ulcers and other external skin conditions

• Slippery elm aids in rapid healing and was often used on battlefields during the American Revolution

• Phenolics in Slippery Elm contribute to relieving stress and anxiety

• Tannins in Slippery Elm are astringent, drawing out toxins

• Slippery Elm inner bark can be eaten as a porridge with a taste similar to oatmeal

• It is used in infant formulas and food to increase nutritive value

Health Benefits

• Cough

• Sore throat

• Bronchitis

• Colic

• Colitis & IBS

• Diverticulitis

• GI inflammation

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• Diarrhea

• Constipation

• Hemorrhoids

• Urinary tract infections

• Syphilis

• Herpes

• Expel tapeworms

• Ulcers

• Reduce blood pressure

• Increase blood flow

• Eye health

• External eye wash

• Detoxify the body

• Stress & Anxiety

• Skin wounds & Burns

• Gout

• Rheumatism

• Psoriasis

• Cold sores

• Toothaches

• Boils &Abscesses

Nutrition contained in Slippery Elm

• Soluble fiber

• Iron

• Potassium

• Calcium

• Magnesium

How to Use

• The dried inner bark can be found as a powder or pulp

• The powder is used in supplements as gel caps and tablets

• Lozenges are used for sore throats and cough

• Drinking a tea made from powder or pulp is also helpful for sore throat and cough

• Tincture is used as a digestive aid

• Tea: Pour 2 cups of boiling water over 2 tablespoons of powder or pulp and steep for 10 - 15 minutes

• Poultice: Mix pulp or powder with boiling water to make a paste and let cool before applying to the skin. Test an area of non-affected skin for possible irritation before applying to area to be treated.

Precautions

• Pregnant women should NOT take Slippery Elm as it may cause the fetus to abort. This has not been medically proven but it has been traditionally used for this.

• Generally, it is safe for most people.

• It may cause skin irritation when applied topically, especially for people with sensitive skin. Test a small area before applying to area to be treated.

• May cause allergic reactions in some.

• The protective mucus secretion may inhibit the absorption of medications.

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• Manganese

• Phosphorus

• Selenium

• Zinc

• Beta-carotene

• Vitamins B1, B2, B3

• Vitamins C

• Beta-sitosterol (plant sterol)

• Campestrol (plant sterol)

• Tannin

GLYCINE

Glycine is the smallest and simplest of the amino acids.

• It’s acupuncture point indicator is Ht 9

• The average adult consumes 3 - 5 gm daily

• It is the second most abundant amino acid found in human enzymes and proteins

• Glycine is manufactured in the liver from serine and threonine and tastes sweet

• Because of its sweet taste, one of its uses is as a sweetener and flavor enhancer

• It is mostly found in collagen, in the skin, connective tissue, muscle tissue and bone marrow

• It is involved in the manufacture of DNA, phospholipids, collagen and the release of energy

• It is the principle amino acid in sugar cane

Glycine’s Uses

• Glycine is essential in manufacturing different acids, including nucleic acids and bile acids

• It is also involved in the regulation and support of many essential biologic processes

• It supports the central nervous system, digestive system and immune system

• It functions primarily within the brain stem and spinal cord where it aids in transmitting nerve signals

• It works together with Taurine and GABA as an inhibitory neurotransmitter

• It breaks down fat by regulating the concentration of bile acids

• Glycine is required for the manufacture of heme, the key component in hemoglobin

• Hemoglobin holds oxygen in the blood and oxygen is required in the cell-making process

• Glycine regulates the conversion of glucose into energy

• Glycine is a building block of creatine which helps build muscle tissue

• Glycine can be methylated into dimethylglycine (DMG), which is essential in the manufacture of estrogenic (female) and androgenic (male) hormones

• Glycine also manufactures hormones responsible for a strong immune system and aids in stimulating the secretion of human growth hormone

• It may aid in preventing melanoma and some cancers and may inhibit the growth of new blood vessels that feed cancer cells

Signs of Glycine Deficiency

• Digestive disorders

• Fatigue and low energy

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Conditions that Glycine Benefits

• Hyperactivity - ADD & ADHD

• Schizophrenia

• Bipolar Disorder

• Epilepsy

• Stroke

Health Benefits

• Regulates mood

• Increases muscle mass

• Reduces joint pain

• Reduces inflammation

• Improves sleep quality

• Increases energy

• Makes bones stronger

Food Sources

• Fish

• Meat

• Bone broth

• Dairy

• Eggs

Supplementation

• Look for a quality brand and reputable company

• Consume food-based supplements whenever possible

Precautions

• None known though some people have experienced nausea, vomiting, stomach upset and drowsiness

• If taking clozapine (Clozaril) for schizophrenia DO NOT take Glycine

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• Type 2 Diabetes

• Arthritis

• Leaky gut

• Chronic fatigue

• Muscle wasting

• Sleep disorders

• Ulcers

• Cancer

• AIDS

• Benign prostatic hypertrophy

• Aids in nerve cell signaling

• Regulates blood glucose levels

• Improves flexibility and range of motion

• Improves oxygenation in the blood

• Rebuilds mucosal intestinal lining

• Improves cognitive function including memory

• Increases collagen in the skin to prevent wrinkles and sagging

• Cabbage

• Pumpkin

• Banana

• Kiwi

• Cucumber

• Soybeans

• Beans

• Spinach

• Kale

• Cauliflower