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Chinese Medicine

Go Beyond Skin Deep with TCM

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by Xiaomei Cai, L.Ac., Ph.D.

“The qi of the five zang organs manifests in the face. . .if we see green like jade, red like the crown of a rooster, yellow like the underside of a crab, white like the lard of a pig, or black like the feathers of a black chicken, these are the colors of life.”
– The Yellow Emperor’s Classic of Medicine

A practitioner of Traditional Chinese Medicine can tell a lot about your health from your face and your skin. In TCM, each of the organ systems corresponds to one of the sense organs; so the appearance and function of the eyes, nose, mouth, ears, and eyes can give the doctor information about what might be going on in the liver, heart, intestines, and other major organs. Conversely, problems in the liver, etc., will show on your face. The skin is considered the “opening” of the lungs; this is why problems with environmental toxins often display themselves through skin conditions such as eczema, rashes, psoriasis, hair loss, acne, dullness or roughness.

In other words, we know that health, and beauty, are not only “skin-deep.” The skin’s surface and the life of the facial features give us clues as to what is going on underneath. The skin reflects imbalances of the internal landscape of the body. Stress and strong emotions, hormone imbalances, inappropriate dietary habits and environmental influences all will be represented on the skin, our largest organ. We must treat the underlying conditions deep within the body first, then we will see the skin bloom with health. Any skin condition is like a red flag showing that there are some impurities or toxins building up inside. Normally, our bodies can self-clean; our liver and kidney filter all impurities out. But if there are too many toxins, or the body is under a lot of stress –eg., not enough sleep, or lacking in regular “tune-ups,” just as a car needs maintenance at regular intervals–, then the problems build up and break outs occur.

For example, conditions such as scaling psoriasis and rosacea are often caused by excess internal heat, especially that which we call Stomach Fire, so our acupuncture and herbal treatments will be designed to clear the heat, along with dietary changes, such as avoidance of alcohol, coffee, sugar, and red meat (all of which we recommend avoiding, anyway). Western medicine will often treat these conditions with cortisone, which may suppress the some of the symptoms for the duration of use, but it will not address the root cause. Long-term use of cortisone can have very detrimental effects on your overall health.

Hives – itchy, red patches that come and go – are considered by Western medicine to be caused by histamine reactions, and are almost always treated with antihistamines. In TCM, they are considered a “wind rash;” like wind, they can be cold or hot, and can move from one place to another quickly. This signals a weakness in the exterior immune barrier that your skin provides, and that you are extra susceptible to stress and/or allergens in your environment. Balancing the excess heat or cold in the body with acupuncture treatment, discovering where the irritants are coming from and altering your diet, hygiene regimens, etc. can alleviate the hives, and also strengthen your overall immunity.

Eczema, or dermatitis, can show up in many forms, but they are all due to imbalances in the body caused by toxic buildup from both external and internal sources. Again, stress and hormones play a role, as do the plethora of artificial toxins in our environment. The body’s own immune response to this constant bombardment of toxins can cause skin irritations. Our strategy might include building up deficient blood with more nutrients, clearing dampness, and prescribing cleansing herbs and foods.

Acne – pimples or lesions that break out on the skin’s surface – is not a superficial problem. It is always related to things that are going on internally, often with the digestive system. Improper diet or imbalances in hormones lead to inflammation that is “overflowing,” and, having nowhere else to go, erupts out of the body through the skin. Making appropriate modifications to your food program and balancing hormones will clear the acne for good, where topical solutions and birth control pills provide only temporary improvement.

If aging is your concern, we are able to choose specific points for an acupuncture facial, which tightens and tones the skin and boosts the production of collagen. This treatment will help smooth fine wrinkles, improve circulation, and hasten healing of any acne, rosacea, and other skin irritations. Acupuncture also releases endorphins, which make you feel more relaxed and positive. Most people find acupuncture treatment painless and relaxing. You can see a difference after just one or two treatments, but the benefits keep growing, as the results are cumulative.

Why choose acupuncture over modern dermatological procedures? If you are looking for treatment that is natural,with natural-looking results and no or minimal negative side effects, it is worth a try. If you come with a skin condition, we will conduct a full consultation to determine which organ system has an imbalance and offer acupuncture treatment to improve Qi flow, cupping to get rid of deep tissue toxins and activate the lymphatic system to clean the internal organs, herbal therapy to clear heat, and dietary suggestions to prevent the skin condition from coming back.

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TCM for Common Injuries: Ankle Sprain

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by Qineng Tan, L.Ac., PhD., O.M.D.
A sprained ankle is one of the most common injuries. It can happen to kids and adults of all ages. It can happen when you’re actively playing a sport, or just walking around in your own home.
A sprain can be one of three severity levels:
Grade I
A minor sprain can occur when you are just walking. The ankle turns in sharply, causing the muscles and ligaments to pull and tear slightly.
Grade II
A moderate sprain might happen when running, or because of a fall. In this case, the ankle is twisted further in, causing a partial tear of the ligament.
Grade III
A severe sprain happens because of significant impact—such as a fall at great speed or from a height, or a fall compounded by someone’s else weight, such as might happen while playing a sport like football, soccer or baseball. In this case, the ligament might be torn completely. In very severe cases, it may also cause some fracturing of the ankle and/or even dislocation.
The ankle is a wonder of design; it is a very stable joint that not only carries your body weight, but withstands a lot of pressure and impact when you run and jump. It is really made up of two joints; the true ankle joint is formed by the meeting of three bones–the tibia, fibia and talus—and works like a hinge to create the up and down movement of the ankle. The subtalar joint is formed by the talus and the calcaenus, and allows for the side-to-side motion of the ankle. Ligaments are the soft tissues that connect bones to bones, while tendons are the soft tissues that connect muscles to bones; both are made up of small fibers of collagen. Cartilage is the tough yet soft, slippery tissue that creates cushioning and slip between the bones. A sprained ankle can result in torn tissues in the muscles, tendons or ligaments, damage the cartilage, and in severe cases, may involve fractures in the bones.
The pathology of a sprain begins in the acute stage—the first 1-2 days–with internal bleeding at the injury site. Fluid builds up in the tissues of the joint, which leads to swelling. After a few days, the active bleeding stops and inflammation begins to exert pressure around the area, compressing the blood vessels and slowing down the flow of fresh blood. This results in blood stagnation.
When blood has built up in the joint and stopped moving freely, it has a negative effect on the healing process. Incomplete healing can mean that the ankle loses some of both its stability and flexibility. The tendons and ligaments can become fragile, which means the joint is now more susceptible to re-injury.
For immediate home care of a sprain, follow the Universal Rule of RICE. (see box below) Do not massage the area during the first week of recovery. After that, gentle self-massage between the knee and ankle, focusing on releasing tightness in the shin and calf, is best. Don’t walk or put any weight on the foot for 3-7 days, depending on the severity of the injury. When you are ready to being exercising the ankle, begin with gentle, non-weight-bearing movements.
A good exercise to try is the “A to Z Exercise”:
Lift the injured leg, or cross it over the other leg so the ankle and foot can move freely. Using the big toe as the point of your “pencil,” draw the letters of the alphabet in the air, using at first very small, circular movements of the ankle joint. Gradually, work up to making the letters larger.
After 2-3 weeks, you may be ready begin engaging in activities that increase the range of motion, yet still keep most of your weight off the ankle, doing exercises such as pedaling a bike, swimming, or walking through water.
Gradually, after 4-5 weeks, you will be able to resume walking on a flat surface.
It is good to see your acupuncturist as soon as possible after spraining an ankle. The treatment will focus on stopping the internal bleeding and reducing the swelling of the joint. Minimizing inflammation and maximizing the constant circulation of blood will speed healing and help to ensure that the injury does not become a chronic one.

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Wisdom Story – Wealth, Success & Health

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by  Qineng Tan, L.Ac., Ph.D.

 

One windy Winter day, a woman looked out her window and saw three elderly men sitting by the side of the road in front of her house. A generous lady, she went out and asked them, “Would you like to come in from the cold and have something to eat?”

The men smiled gratefully, but asked, “Is the rest of your family at home?” When the woman replied that they were not, but would be home a little later, the men said, “We will wait, then.”

Later, when the woman’s husband and child had returned, she went outside again and said, “Please, come in and have some dinner with us.”

But one of the men explained, ‘Only one of us can come in. This man is named “Wealth.” And that one is named “Success.” My name is “Health.” Go in, talk with your family, and decide which of us you would like to invite into your home.

When the woman told her husband and daughter about this, her husband said, “Let’s ask Wealth to come! That way, we won’t have to work anymore.” But the woman said, “Shouldn’t we ask Success to come? Surely that would be the best choice.” Then the couple’s young daughter spoke up, “Why don’t you ask Health to come in? That way none of us will ever get sick.”

So the woman went out again and asked Health to come in. When he got up and began walking towards the house, Success and Wealth followed him.

“But–I thought–” said the woman. Then Health explained, “Wherever I go, Success and Wealth will follow.”

Lesson: Health is our most precious commodity. When we start making room for healthy habits, we will be able to enjoy the success and wealth that comes our way.

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Wisdom Story from Dr. Tan – Bian Que and the King

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There once was a well-known Chinese physician who lived over 2300 years ago, named Bian Que. One day, the King called Bian Que to him and asked him: “I hear you have two brothers who are also physicians. Can you tell me–who is the best physician? Now, be honest!”

Bian Que answered, “My oldest brother is the best. My second brother is better than me. Actually, I am just average.”

The King was surprised. “But you are the one who is famous throughout China! Why do you say they are better than you?”

Bian Que said, “My oldest brother believes in a lot of prevention. He looks for the source of illness and treats problems before people even feel anything. So, his patients don’t even realize how much he has done for them, and they don’t talk about him much.

“My second brother treats people at the first sign of a disease. They are having some symptoms, so he treats them before they get any worse. Because of this, people notice that he has helped them, and he has become fairly well-known in our home town.

“But me? People come to see me as a last resort, when they are already very sick. I use the strongest herbs, the most powerful acupuncture treatments. I even perform surgeries! In fact, a lot of the time, I can’t do anything to help them because they are already too ill. But sometimes I am able to save someone’s life. That is the kind of thing people like to talk about, so I am the one who has become famous.”

So, the King understood his meaning: the best physician is the one who prevents his patients from becoming sick, not the one who tries to save them when they are already near death.

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New Year Traditions

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By Xiaomei Cai, L.Ac., Ph.D.

 

In China, the New Year celebration is the biggest holiday of the year. Everyone makes a great effort to reunite with family members and spend some time together.

In the days leading up to the New Year, the focus is on cleaning the house, decorating, and making feng shui adjustments that suit with the new energy arriving. The Monkey’s flower is the Chrysanthemum, so there will be profusions of these festive flowers in evidence everywhere.

The New Year’s Eve dinner is the feast of all feasts! Dish after dish arrives at the table. The sense of having more than enough is important – it represents the hope that there will be food aplenty for everyone throughout the year. Likewise, many of the individual dishes are symbolic. For example, the essential fish and dumplings mean “prosperous” (these are a play on words), while noodles and long beans are representative of “long life.”

Shou Sui means “after the New Year’s dinner,” and refers to the tradition of staying up at least until midnight to watch the fireworks – but many family members stay up all night, talking and catching up with relatives and friends they have may not have seen all year.

There are different ways of wishing people “Happy New Year,” depending on what region of China you are in. We are from Southern China, where our traditional greeting is “Gong Xi Fa Cai!”, which means “congratulations and prosperity.” Other greetings are:

  • Wan Shi Ru Yi: everything follows your will
  • Ji Xiang Ru Yi: harmony and everything follows your will
  • Sui Sui Ping An: harmony and safety year around

The themes of the New Year, as you can see, center around harmony, prosperity, safety and good health.

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