acupuncture

The long, frustrating road to healing chronic disease

“Am I ever going to feel better?”

If you’ve struggled with a long-term illness, you may have asked yourself this question.

Maybe you’ve suffered with chronic pain, or a challenging digestive disorder, or a recurrent skin problem or some other ailment for so long, you’ve forgotten what it feels like to be well. To be ‘normal.’ Maybe somebody has told you your condition is permanent. Perhaps you’ve been given a diagnosis and told it will be with you for life. Maybe you’ve even stopped asking yourself the question if you can be well again.

There is a lot I could say about Chinese Medicine’s perspective on chronic illness. I could tell stories of miraculous cures I’ve heard from my teachers and mentors, or discuss my own successes as an acupuncturist and herbalist in treating complex diseases.

I could even talk about my own experiences as a patient, suffering from disorders that were never supposed to get better, but which did with regular treatment. But I’m not going to do any of that here.

Instead, I would like to let the tradition of this medicine speak for itself.

I am going to quote a passage from one of the world’s oldest medical texts1, a work that has guided the practice of Chinese Medicine for over two thousand years.

Here is what it says on the subject of chronic illness:

“Now, when any of the five major organ systems has an illness, it’s as if one was pierced by a thorn, or soiled by dirt, as if there were a knot, or something closed. A thorn may have pierced one for long, and yet it can be pulled out. A stain may have existed for long, ad yet it can be cleansed. A knot may have been tied for long, and yet it can be untied. A closure may have lasted for long, and yet it can be opened. If someone says an illness with a long duration cannot be removed, then that is an erroneous statement.

“Now, those who are experts in the use of acupuncture needles, when they remove an illness, that is as if they pulled out a thorn, as if they cleansed a stain, as if they untied a knot, as if they opened a closure. The illness may have lasted for long, and still it can be brought to an end. Those who state that it cannot be cured, they simply have not acquired the necessary skill.” 2

If you’re feeling hopeless about your health problems, I want you to take a minute and read those paragraphs again. Really let them sink in.

If you are suffering from a chronic illness, I want you to save that passage, and take it out and read it whenever you feel like things will never get better. Health is a journey, and sometimes, it is a long and winding one. The terrain can be rough. It may seem you are moving backwards. There may be moments when you feel lost. But progress is always possible.

As a practitioner of Chinese Medicine, I am here to walk that journey with you, every step of the way. I am completely committed to restoring your well-being, and I invite you to commit to the possibility of your own recovery yourself.



1 This text is called the Ling Shu (靈樞). It’s the second half of a medical treatise called the Huang Di Nei Jing (黃帝內經 ), or the Yellow Emperor’s Classic of Internal Medicine.

2  This is a paraphrased version of Paul Unschuld’s translation of the Ling Shu. The original text in Classical Chinese is:

今夫五藏之有疾也,譬猶刺也,猶污也,猶結也,猶閉也。刺雖久猶可拔也,污雖久猶可雪也,結雖久猶可解也,閉雖久猶可決也。或言久疾之不可取者,非其說也. 夫善用鍼者,取其疾也,猶拔刺也,猶雪污也,猶解結也,猶決閉也。疾雖久,猶可畢也。言不可治者,未得其術也。

The treatment of chronic pain with classical Chinese medicine

If you’re dealing with chronic pain, you‘re not alone.

Over 25 million Americans experience pain on a daily basis, and over 23 million report suffering from severe pain, according to the latest data from the National Institutes of Health.

Pain is not well managed in many cases by conventional biomedicine, which has led to a national opioid crisis among other problems.

Dealing with constant pain is tiring on its own, but throw in the challenge of trying to navigate a healthcare system that seems stacked against you, and a society that demands you justify the validity of your symptoms, and the experience becomes downright demoralizing. Let me assure you though that Chinese Medicine will never ask you to prove the credibility of your experience of pain.

treating arthritis pain with acupuncture

Our first task as practitioners is to listen to you, because it is precisely your own lived experience that will ultimately guide us to proper diagnosis and treatment. Your body has its own innate intelligence, and while pain can be overwhelming, it is also meaningful. All symptoms are messages, and when we experience pain we are experiencing the body trying to communicate something vital to us about the state of our health.

This is easy enough to understand in acute pain (which Chinese Medicine is also very successful in treating): there is damage to body structures and tissues, which makes the nervous system produce the sensation of pain. Pain is also associated with acute inflammation, part of the healing response to injuries. So we can understand pain as an alarm system for the body, warning us of danger or damage. In doing so it, our body is trying to get us to adopt behaviors that will avoid further damage and facilitate healing. If I sprain my ankle, pain should prevent me from using it, which will both prevent additional trauma and allow the injury to heal.

But in chronic pain, the relationship between tissue damage and the sensation of pain is less clear.

Pain can persist long after an initial injury when we would expect the body to have finished healing. And by itself, structural issues and tissue damage often aren’t enough to explain chronic pain. For example, recent studies of medical imaging reveal that many people who have no symptoms of back pain still have degenerative changes in their spine that show up on MRI or CT scans. This implies that structural changes and tissue damage are not in themselves sufficient to cause pain (if they were, nearly everybody over the age of forty would have debilitating back pain). So what causes chronic pain?

From the perspective of Chinese Medicine, health is a dynamic balance between the organ systems within your body, your mental and emotional life (which are intimately tied to the activity of your physiology), and the synchronization of your activity and bodily rhythms with the cycles of the natural world.

In other words, pain is an experience that emerges from complex feedback loops within our bodies and the way our bodies interact with our environment.

When the relationships between these different aspects of your life are in harmony, Chinese Medicine describes this as a state of flow. When these relationships become imbalanced, Chinese Medicine describes this as a state of blockage or obstruction. It’s a common Chinese Medicine saying that where there is obstruction, there is pain. If you suffer from chronic pain, then you understand  that this isn’t just a poetic way of speaking. Pain blocks your ability to take part in the activities you enjoy. It obstructs your freedom to move through life on your own terms.

Pain can put your life on hold.

But no matter how long you’ve felt trapped by pain, we have confidence in the body’s inherent self-healing ability. In particular, acupuncture provides us with sophisticated ways of determining where these blockages are occurring within the body, and to provide the proper stimulus for your body to overcome them, restoring a state of harmonious flow. In more biomedical language, we would describe the same process as restoring homeostasis by regulating the nervous system, optimizing the circulatory system, and modulating the immune system.

Regular acupuncture treatment results in lasting changes, and when combined with the full spectrum of Chinese Medicine, profound transformation is possible.

It’s also important to realize that symptoms of pain cannot be considered in isolation from the full context of your life. If pain is an alarm system, then trying to override it (for example, with medications or surgery) is akin to taking the batteries out of a fire alarm without trying to determine why the alarm is going off. As challenging as it can be, we must view chronic pain as an invitation to examine our lives, and ask if some part of our activity is at odds with our own well-being.

In the case of chronic pain, this is not an obviously dangerous activity, like touching a hot stove, and more likely to involve the activities that make up the rhythm of life – our habits of work and sleep, of movement and rest, our diet and even our patterns of thought and emotion. Pain is an attempt by our body to redirect our awareness toward these areas of our life, so we can make appropriate changes in support of health.

Chinese Medicine is not just a set of techniques, but a comprehensive system for attaining and maintaining health, rooted in an ecological perspective. In addition to guiding the healing process within your body, it can also offer advice and suggestions for how to synchronize our activity with the larger activity of nature. Healing from chronic pain with Chinese Medicine then is a twofold process.

With acupuncture, herbal medicine and our other tools, we can help shift how your body processes pain. And in the same way we restore flow within your body, we aim also to restore the way you flow through your life. I look forward to being your partner in that process!

Digestive health in Chinese medicine – attending to the soil

digestive tract chinese medicine digestion portland

When you have serious digestive problems, it can disrupt your whole life!

 

  • Maybe health problems have forced you to rearrange your daily routine and schedule to suit the symptoms.
  • Perhaps you dread social events centered on eating and food, because you can only tolerate certain foods, making things socially challenging.
  • Most of us hear the message that diet is the ultimate foundation of digestive health. There is always some new diet promising relief – you’ve likely tried them all. You might have gotten some relief from cutting out certain foods, but you feel like this hasn’t really solved your problem.
  • Despite your efforts, you find that you still have a very restricted list of foods. On the other hand, your friends seem to thrive on diets including all kinds of foods you’d never be able to touch!
  • Perhaps you are taking a laundry list of supplements and probiotics, but it’s not clear how much of an effect these are having.
  • Maybe you have an official medical diagnosis and you were told you will have to struggle with these issues for the rest of your life

If you recognize yourself in any of these descriptions, then you know well how damaging chronic digestive problems can be to the enjoyment and flow of everyday life. Having to manage all of this is exhausting, and doesn’t give you time for much else. Fortunately, there are solutions beyond just tinkering with your diet and adding another supplement.

For thousands of years, Chinese Medicine has understood the importance of the digestive system to human health. Chinese medical theory refers to the digestive organs as “the center” around which the rest of your body’s systems operate. As Chinese Medicine practitioners, we understand that when your center is strong, the rest of you is strong. When the center suffers, so does everything else. And we have time-tested methods of improving your digestive system, methods that go immediately to the source of your health issues.

Allow me to explain how our approach to digestive problems is different

shovel in soil chinese medicine digestion

Chinese Medicine likens the digestive system’s role within the body to the Earth or Soil in the natural world. Just as soil can take in fluid and seeds and transform them into verdant plant life, the digestive system can receive and transform food and drink into energy and nourishment for the body.

Let’s run with this metaphor of the digestive system as soil.

Consider planting some special heirloom seeds. You get the perfect seed, plant it, tend to the seeds carefully – a lot of work! Consider then discovering that the quality of the soil itself is poor, or has been overwhelmed by a series of droughts or floods, or was damaged through misuse of chemical fertilizers and aggressive farming techniques. Then, it doesn’t matter how potent our seeds are, or even how much we water them. They won’t be able to take root!

If we want to grow anything, we need to address the quality of the soil.

Making clearer the metaphor, planting seeds, tending and watering to them represent following a balanced whole foods diet. Taking probiotics when needed and learning more about practices like mindful eating can also relate to this tending principle. We can relate the idea of chemical fertilizers to the impacts of antibiotics or other stressors on gut microflora. We can understand the droughts and floods as the effects of other organ systems on the digestion, such as the nervous system.

What you eat does play a critical role in digestive health, but the digestive system itself needs to be functioning well enough for what you consume to be properly received. You can eat an extremely clean and healthy diet, but if you aren’t processing nutrients efficiently, this isn’t going to make much of a difference.

This is where Chinese Medicine comes in!

Regular acupuncture treatment and herbal medicine are treating your terrain, improving the quality of your soil. Another way of putting this is that optimizing your body’s ability to better assimilate what it takes in, making your gut a more inviting place for beneficial microflora, and helping to make sure that your digestive organs are working in harmony with the rest of your body by regulating the nervous system, the endocrine system and the immune system.

And while, yes, you should avoid triggers to your digestive system, we also want to make it so that if your body does encounter the occasional stressor, it can respond more gracefully – without setting off a cascade of uncomfortable or debilitating reactions.

Ultimately when it comes to digestion, my goal is to help to help you get back to enjoying food and everything else that life has to offer.

Why you should come to your acupuncture appointment, especially if you feel sick

Fall – it’s a splendid time. The leaves express the most outrageous color palate; the rain highlights and magnifies our experience of the colors. A stark contrast from summer, fall insists that we put on layers and protect ourselves from the change in the forecast.

Some of us just do not want to listen. We insist on wearing sandals or flip-flops; we stare reluctantly at our socks until the bitter end. Putting away our “summer gear” means that the inordinately beautiful summer months in the Pacific Northwest are over.

Others play by the rules; we bundle up immediately! Despite our practices, sometimes we are simply caught in the wrong place at the wrong time. Amidst all its glory, fall is a time in which the variability of environmental stimuli impacts the terrain of our body – a time when we all catch colds! We do not call it “flu season” for nothing, folks!

Fall is a great time to come see your acupuncturist — whether you’re not feeling well, or if you are and want to stay that way.

Before I went to school to become an acupuncturist and Chinese medicine practitioner, I managed an acupuncture clinic. Come fall, people would inevitably call the clinic and say, “I am far too sick to make it into my acupuncture appointment today! I am sorry but I need to cancel!” I always loved these calls, because it gave me the opportunity to talk to the patient about just how important their visit was that day.

I was 99.9% sure they would leave the clinic feeling far better than when they walked in.

I often said, “You can take it up with me personally, if you don’t feel better on the way out.”

I am motivated to write this blog post in the attempt to set the record straight on just how important it is for that patient to make their appointment.

Coming in for treatment when you are sick is one of the best times to get acupuncture! Here’s why.

High Resolution -4One of the most established herbal canons in Chinese medicine is titled the Treatise on Cold Damage, or the Shang Han Lun (傷寒論). One of my dear teacher’s once told me, “there are as many opinions about Chinese medicine as there are people who think about it.” That said, I will spare you specifics of this very well known herbal cannon, here. I will, however, boldly state that the Shang Han Lun is truly the premiere authority on the discussion of the each and every body’s response to external stimuli. What I mean to say is: practitioners of Chinese medicine know what to do when you’re not feeling well!

Not convinced? Let me give you some more details on colds. NOT every cold looks the same! You may know someone (yourself, or someone else) who gets colds in the same place each time. Does the cold go to the throat, or to the lungs? Does your neck hurt? Do you have body aches, fever, or both? Do you feel foggy in the head? Do you have trouble thinking? Do you notice changes in your bowel patterns? What about feeling restless? The author of this text described almost every symptom you can manifest and then clearly told us (the practitioners) what to do! Those of us who study this text, thank him regularly – I assure you.

Not only is acupuncture phenomenal for getting rid of colds, it is also remarkable at staving them off.

In fact, we can often feel a cold coming on a patient’s pulse (taken at the radial artery) long before it arrives! The point is, we will take care of your cold. We want to take care of your cold. Let us!

Fall is a great time to come see your acupuncturist — whether you’re not feeling well, or if you are and want to stay that way. We look forward to seeing you around the clinic. We wish you the best during this auspicious fall season.

Ready to fend off the flu and cold season with Chinese Medicine? Check out the schedule to make your appointment.

10 things to expect at your acupuncture appointment

High Resolution -7For most people, going to see a Chinese medicine (CM) practitioner is a new experience. Because of this there is often a degree of trepidation as the day of the appointment approaches. What will happen? What should you expect?

Before I attempt to answer some of the most common questions, a caveat. Each acupuncturist is different just as every patient is different. The interaction between practitioner and patient has a lot to do with the way the appointment proceeds and whether it turns out to be a mutually agreeable experience or not. However, there are some basic elements that really should be present in every case. Hopefully, my brief explanation of these will be helpful to you as you pursue Chinese medicine treatment.

Prior to the appointment

1. A pleasant experience in setting up your appointment and getting your questions answered.

You should be able to expect an effortless appointment set-up process, possibly the mailing of pre-appointment paperwork and related informational materials and a kind reception with plenty of willingness to answer questions. You may even be referred to a website for more information and for downloading paperwork – that’s a sign of someone who’s been doing their business homework!

You should also feel free to ask questions of your practitioner to help alleviate concerns or prepare the practitioner for any special needs you may have. This may be done by phone, email, or if you live in the neighborhood, by a quick stop by the office. Of course CM practitioners are busy people, like most of us, but the needs of the patient are always primary in our minds.

During the appointment

2. A lengthly interview process including questions that you may have never been asked before!

Although every practitioner has a slightly different interviewing process based on their training and personality, there are standard questions that most every practitioner will ask. She will begin with learning more about your chief complaint and possibly more detail about your health history. If you are on medication or under the supervision of other physicians, she will likely ask you questions about this. Then she may begin to ask you questions that may appear to be irrelevant to your chief complaint.

These questions may address your sleeping patterns, digestive and urinary function, level and location of pain in your body, emotional health and basic level of stress.  You may be asked about your thirst, hunger, typical daily diet, and seemingly strange questions like whether your body temperature tends to fluctuate or if you have any funny tastes in your mouth. Most practitioners will also ask about sexual function and, if you have or have had menses, about their quality.

Rest assured that these questions are not meant to make you feel uncomfortable! Many conditions that manifest in a non-digestive/urinary/menstrual way (such as skin conditions) may have a basis in your basic digestive function or other apparently unrelated system. Answering these questions honestly will increase the accuracy of diagnosis and help your practitioner to craft an excellent treatment. Believe me, it won’t be anything your practitioner hasn’t heard. She is used to it. 🙂

3. Diagnostic modalities you may not have heard of before including a very detailed taking of the pulse, looking at your tongue, and other palpation techniques including abdominal palpation.

The cornerstone of most Chinese medicine practitioners’ diagnosis is the pulse. This, combined with the other diagnostic modalities and the patient questioning, fine tunes the decision about what acupuncture points and Chinese herbal formulas to use. The process is simple. Generally, the pulse is taken while you are sitting, but some acupuncturists prefer the patient to lie on the treatment table for pulse taking. Pulses on both sides are felt, often for several minutes. Your practitioner is feeling for rate, rhythm, strength and other qualities – not just counting beats per minute. Just relax and follow the practitioner’s lead.

Another very important diagnostic technique is the observation of the tongue. In CM, the tongue is thought to be a “microcosm” of the entire body. This means that the entire body is reflected onto the tongue in such a way that observing the quality of the tongue in particular areas tells the practitioner something about the corresponding area of the body. They will look at the color of the tongue body, the quality and color of the “fur” on the tongue as well as the general shape and any deviations in form. It can be a little embarrassing to show your tongue to someone you don’t know – but it is important and the practitioner will appreciate your cooperation.

As a quick note – it is important not to scrape or brush your tongue on the day of your treatment. Additionally, eating highly colored foods or drinking highly colored drinks (like orange soft drinks or coffee) can impede diagnosis.

4. The treatment itself including a variety of modalities that will be best for your particular situation.

Treatment will consist of the use of needles or pressure (with hand or other implement) to access the Qi of the channels, usually at specific points along the body. It may also involve the use of moxibustion (the burning of a medicinal herb either directly on the body or indirectly from an inch or so away), cupping (glass cups placed on the skin with a negative pressure, producing suction) or other techniques specific to the practitioner’s training. Many practitioners combine various bodywork/massage methods into their treatments as well.

You may feel discomfort during the insertion of the needles – this is normal. The discomfort should not be severe, and should not feel like shooting pins and needles. Your practitioner will be very attuned to your experience, and if you ever want a needle removed, you need only ask. You should breathe gently through the treatment and follow your practitioner’s instructions as to any visualizations that will help the treatment efficacy.

5. A variety of reactions during treatment

People have a variety of reactions to acupuncture treatment. Particularly in the first treatment, or after a particularly stressful or otherwise difficult time in your life – the emotional reaction can be very intense. You may feel like crying, laughing hysterically or expressing yourself in another way. So long as you stay as still as possible (so as not to bend the needles – this can be uncomfortable) please feel free to let your emotions flow out of you. This is part of the treatment. You may also have strange or uncomfortable thoughts, see shapes/colors as if in a semi-dreaming state, or go into a true dreaming state by falling asleep!

All of these reactions are just fine and you shouldn’t stop them unless they cause you an unreasonable amount of discomfort. Your practitioner may help you through these reactions, but most often they will simply leave you to process what is coming up. If you feel that you need help – just ask your practitioner. He will be happy to help you.

6. Possible restimulation of the needles and eventual removal of the needles (if used).

Sometimes the practitioner will come back to restimulate the needle, producing more sensation and more Qi movement. They may use specialized techniques during this time to further encourage your body’s Qi to help in your healing process. The final removal of the needles is usually painless. A little bit of blood at the needle site is not unexpected, but you are equally likely to see none. There will usually be no mark from the needle, and if there is any mark at all, it should disappear within a few hours.

Rarely, there may be a little bruising at the site of a needle. Contact your practitioner if you have any concerns at all.

7. Discussion of the treatment, delivery of herbal formula or other recommended supplements.

After your treatment, the practitioner will probably discuss your future treatment options with you as well as providing you with any recommended supplements or herbal formulas. It is very important that you understand what your practitioner is explaining to you – if you have ANY questions at all, inform her immediately. This is particularly the case if you are being asked to use bulk/crude herbs, boiled at home and drunk over a period of time. There are many important things you should pay attention to, such as: how to boil the herbs (with how much water, in what kind of container), how to drink the herbs (when? what temperature? with food or without?) and how to store the herbs (at room temperature or in the refrigerator?).

Your supplements and herbal formula are an extremely important part of your treatment and they MUST NOT be neglected. IMG_3414If you find the herbs too distasteful, contact your practitioner and ask him about other possibilities. But remember, though the herbs may not always taste the best they are very powerful and will help you immensely in your healing journey.

8. Scheduling of follow-up, possible contact mid-stream if the appointment is far away.

If your practitioner does not talk to you about your treatment plan, solicit the information. Find out when you should come back and if there is anything you should do in the meantime. In some areas, “group acupuncture” may be available, which can be a helpful way to keep the treatment progressing between your more intensive appointments.

Your practitioner may also want to see you briefly if your next appointment is several weeks away in order to take your pulse and observe your tounge and possibly make modifications to your herbal formula.

After the treatment

9. Ongoing shifts and changes in your experience in the time after treatment

People sometimes report feeling a bit spacey after an acupuncture treatment, and for this reason you should give yourself time to relax before driving or jumping straight into work or other duties. The work of acupuncture and related treatment usually continues for several days after the treatment as your body realigns around this “new information.” If you are concerned about your reactions, feel absolutely free to contact your practitioner. In the unlikely situation that the reaction is unanticipated by your practitioner or causing you much distress your practitioner may ask you to come back to the office so she can rectify the situation.

This actually did happen to me once. I received a particularly intense treatment that was meant to “shake up” my body’s energy in the hopes that some long standing negative patterns would release. I was fully informed of the purpose of the treatment and its possible uncomfortable aftereffects. I consented, but found that the resulting emotional and physical sensations were too intense. I called my practitioner and she was more than happy to see me briefly – take my pulse and tongue readings – and retreat me. I felt much better afterwards and actually the original intent of the treatment did occur – freeing me to begin some very important work that has had lasting effects to this day.

10. Availability of your practitioner for questions whenever you have them.

As with the time before your treatment, you should feel free to contact your practitioner with any questions you have between appointments. We are here to help you! If you have questions about your herbal formula, your symptoms or general experience, or anything else related to your treatment – call or email and your practitioner should get back to you as soon as he can.

I hope this has helped you feel more at ease with coming in for your first Chinese medicine appointment. If you have further questions – please don’t hesitate to ask!