Robert Dichiera

After a thorough examination to rule out the cervical and thoracic spine, what you have left is sharp, localized qi stagnation of the soft tissues causing the “rhomboid pain.” If it’s not the C or T spine causing the problem, then what could be causing this tissue issue? It can be a bunch of different reasons such as dehydration, electrolyte imbalance, poor posture, muscle imbalances, trauma, deconditioning, overuse, etc.

The patterns expressed under the umbrella of a GERD diagnosis typically include various combinations of liver qi stagnation (potentially with depressive heat), spleen qi deficiency, rebellious stomach qi, stomach fire, food stagnation, and stomach yin deficiency. In long-term cases of GERD, it is not uncommon for three to four patterns to overlap at the same time.

As licensed acupuncturists with the ability to evaluate, diagnose and treat using a variety of modalities, including herbal medicine, we are entrusted with a high level of clinical responsibility. Yet in an age of professional forums, online groups and social media communities, there is a growing trend of practitioners asking for case-specific treatment advice instead of referring the patient in question to a trusted colleague.