Will We Get True Health Care Reform?

After more than a year of discussions and widespread contention, we appear on the cusp of health insurance reform. Our society may benefit from such reforms, or as others fear, they may undermine the virtues of our current health care system and damage our economy. Interesting and compelling as that debate may appear, it is really a side-show. The changes introduced by pending legislation remain a long way from actual health care reform. Health care relies on actual caring, yet for all the resources our society devotes to maintaining our diseases, we show remarkably little caring for our embodied spirits in the process. The symptoms and signs of disease are the embodied spirit’s attempt to communicate its distress.

Don’t Shoot the Messenger!

While individuals don’t like experiencing the symptoms of disease, they are useful for helping us understand what the embodied spirit needs, and sometimes they specifically express the embodied spirit’s attempt to correct its dysfunction. We honor the needs of our embodied spirits in sustaining life when we listen to those symptoms and signs, and use what we learn to make needed changes. Our contemporary ethos seeks control of the uncomfortable expressions of disease, rather than sorting out and disentangling its individual causes.

Each individually embodied spirit has intrinsic capabilities to maintain his or her life. We promote healing when we facilitate and support those intrinsic capabilities, rather than when we seek to control and minimize the embodied spirit’s expression of distress. Yet, when we can begin to stimulate (substantive) changes in the patient’s qi (vital process) that had been “stuck,” the symptoms generally go away because the embodied spirit doesn’t need to keep screaming for help when it’s key struggles are being addressed. Are we willing to listen to our embodied spirits and make choices based on what it needs? When we’re tired, are we willing to rest? And if we can’t rest well, do we sort out why not, or do we simply attempt to impose sleep through the use of drugs? Can we accurately:

  • perceive thirst and do we drink water to quench it?

We all need water — anything more is a delivery system for other nutrients; for many “beverages” that people drink, one needs to use substantial portions of their water content to process the nutrients within them alone, so where is the water needed to process fully the other things one eats?

  • distinguish between physical and emotional hunger, and nurture each appropriately?

What food choices do people make when they engage “emotional eating,” and what becomes of the “foods and drink” that one ingests at that time?

  • differentiate what foods actually nourish our lives, and eat those rather than products that may be easier or more convenient (in the short term)?

Where are the freshly cooked foods in many people’s diets? Where are the vegetables?

These are some of the embodied spirit’s most fundamental needs for promoting (preserving or restoring) good health. Are we willing to honor them, or are we slaves to the sometimes unreasonable desires of our personalities? In the end, we have the health care system that we have tacitly requested over the years, because as a society we’ve allowed both our food and health industries to fulfill their economic “needs,” rather than the physiological and spiritual needs of the individuals in our society.

Sometimes individuals need interventions beyond simply reforming their lifestyle habits. Yet, when we seek care for our diseases, do we recognize the need for changes in our lifestyle choices, or do we simply want therapies that allow us to continue living as we did in developing those diseases? I believe we can only conquer our health care challenges, when we are willing to take responsibility for supporting our lives, rather than using our lives to support our personalities.

Health is an opportunity that each individual can choose, when they’re willing to honor its demands, rather than a consumer good that can be purchased — regardless of the price one is willing to pay.

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Liberating Wei Qi Can Be Volatile!

The following was sent to my email, and Caryn gave permission to post it to this blog:

Steve – after we needled using the chiseling method spiked a fever and got body aches. My partner did a point on the San Jiao. I thought is was just me, but I needled a patient yesteday, ah shi at around SJ 12 and needled the ting well – she called this morning and had the same symptoms, sweat, severe pain, like the flu. What should I have done to protect her from that response, or is that normal and the wei qi is just adjusting? I hope this question makes sense. Caryn White PS – had to leave early Sunday because of fever and body aches, I just thought I was coming down with something.

This is an excellent question, because things don’t “just happen,” but occur for reasons. In this series, we are working to look more deeply into the movements and functions of qi, and this is an interesting somatic expression. However, I’d like to try to lead whoever follows this thread through the thinking process, rather than just giving an answer. Chiseling the ashi and jing-well points specifically activates wei qi to release/expel wind. Of course, wei qi is a post-natal expression of yang, and when yang is impeded from flowing smoothly through the embodied spirit, it generates (“pathological”) heat, as in fever. Is that enough to get you, Caryn, and others started? If not, I’ll expand on it.

BTW, there are two parts to the answer to this question: one would be exhibited in any channel, and one is specific to the shaoyang channels (each slightly differently). Think about the function of sanjiao; I’m trying to open this up to the group.

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Posted in Sinew Channels | Tagged | 13 Comments

It’s Great Having Acupuncture Students in the Series

… because students are SO studious, and want to be clear on the info. I think it was Sesame who showed me an illustration of the L.I. sinew channel that connected all the way to the upper thoracic spine. My comment at the time was that I use it all the way to the medial margin of the scapula, but was not really connecting it to the spine. A more complete answer is that it flows over the areas that either activate or restrict the yangming movement of the arm –  medial flexion over the chest with the arm extended. I’m now seeing that it can go further medial, but it does not connect directly to Dumai.

We plan and the Supreme Being Laughs

I realized shortly after the sinew release demo that I have to keep my hands on the demo model, just as I would with a patient. That’s what I get for using my hands to gesture when I present ideas. And, I’m not even Italian! Well, even my Jewish heritage has a fair amount of talking with one’s hands, so I guess I come by it honestly, so I’ll have to pay particular attention during clinical demos. It may work during the lecture, but definitely doesn’t while demonstrating those releases. Yet, it appeared that most of you were able to successfully use those sinew releases.

Some people (possibly including Desiree) will need channel divergence treatment rather than sinew treatments. Work with the sinews for now — both with the releases and needling approach we discussed, and see what you can do with them. That will prepare you well for the class on channel divergences in just less than three months!

I’m also glad Justin and Carrie encouraged me to do an actual demonstration of “chiseling” needle technique, rather than just explaining it and modeling the movement. I’d been a little concerned in the environment of the class it might be hard for demo models to feel the propagation of wei qi. So much for my thoughts… Practice that needling technique, and we’ll get into others in coming weekends. However, I must warn you. I’m not particularly focused on needling techniques — part of any technique is for the physical sensation in the patient, and part of their value is in focusing the practitioner’s intention. I’ll talk more about that during the second weekend.

I’m ready to discuss — to help you work with the sinews. Who wants to start?

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San Diego Channel Series Begins

Wow!

Thank you all for coming, and contributing to the start of what I hope will be a great series! Enjoy working with the ideas we discussed, and post questions and comments relative to the Sunday seminar — the first day on the primary channels — after this posting. I’ll respond to some of them online through this blog, and others I’ll address next time we meet. We still have another day on the primary channels. Can you believe it? I’m hoping to learn some more names, so we’ll be able to have more “connected” communications in this forum.

I’m particularly interested in hearing ideas on how you believe this series will work best for you. I have a lot of ideas to discuss during the second day on the primary channels, and can certainly make some room for responding to your questions. Have a good time experimenting with “pulse feedback,” and using that process to better understand how to read the specific struggles of the embodied spirit.

Grace: I’m sorry I wasn’t able to complete the communication with you after reading your pulse. Staying completely present with that during breaks is a little challenging, as I have other things on your mind. I do have some thoughts (which I won’t share in this forum — probably with just the class, but not on the internet), and you may end up as a workshop “demonstration model” for the second weekend.

Desiree: It’s entirely possible that you could be a demo case for the third weekend.

I’m open to discussing. Who wants to start?

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Posted in Primary Channels | Tagged , | 9 Comments

The Cost of Scientific Medicine

Many patients faced with serious illnesses seek the assurance that their practitioners are using proven healing methods. Many practitioners also seek the security that the therapies they use have been proven by scientific research. Yet, few ask the question:

What is this proof that so many seek, and what are its limitations?

In modern “scientific” medicine, the nearly ubiquitous standard of proof uses the methodology of “randomized, controlled and double-blind” experiments. While each of these features of medical research serves a clear and understandable role, they also limit researchers to studying substances and procedures that act on the mechanisms of life, rather than those that work with the individual blocks of the embodied spirit. Such remedies can’t cure disease; they can only manage and control it. Yet, in our modern society’s urgency for the security of proof, we’ve played this semantic game with our lives and convinced ourselves only experiments that conform to that methodology are “scientific.”

Classical Chinese medicine is actually MORE scientific than modern so-called “scientific” medicine. I make that bold assertion based on its willingness to investigate the true nature of life, rather than reducing it to a mechanistic model of the individual as a very complicated biochemical machine. Yet, few seem to recognize the severe limitations of the physical model of modern western medicine, perhaps because they’re distracted by its empirical form and the impressive technologies that serve it. Though medical researchers have developed:

  • sophisticated knowledge of the physical expression of disease, modern science frequently over-simplifies the issue of causation.
  • many pharmaceutical therapies that control the expression of disease, there are few that promote resolution.

The simple fact is that medical research seeks to serve the personality rather than the embodied spirit.

The efficacy of most therapies is measured by their ability to temporarily control symptoms and clinical signs. Little progress can be made by modern medical science toward reversing conditions that are considered progressive and degenerative, because that would require practitioners to discriminate  individual challenges and process. Helping patients reverse most chronic diseases requires that one treat the individual rather than the disease. In addition to the massive financial toll of modern scientific medicine, it has another greater cost. The true cost of scientific medicine is that it limits our efforts to:

controlling the expression of pathology, rather than individually probing its resolution.

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Drowning in a Sea of Information

Contemporary practitioners and students of Chinese medicine face an enormous educational challenge, which has shifted somewhat over the past few decades. When I began my studies of Chinese medicine nearly three decades ago, it was difficult to find adequate information in English. Now there is A LOT of information available, and a quickly increasing number of translations of historical texts into English. One could easily read constantly for many years and barely scratch the surface.

Yet, I’ve always thought that emphasis on information suppresses insight. I think the problem with Chinese medicine at this point isn’t a lack of information, even info about the true nature of the modern version, but the lack of insight about how to practice it. Yet, so few people seem to get that we are drowning in a sea of information that practitioners are TAUGHT to STAGNATE in their minds. Such is the nature of modern TCM, which provides fixed interpretations of symptoms and signs as the MANIFESTATIONS of a dysfunction and disease, rather than learning to sort out the dynamic process of how each individual develops and embodies their health challenges.

Classical Chinese Medicine is a thinking process, rather than just a great collection of information

I believe that learning Chinese medicine should be the quest to master the process of differentiating. Classifying the manifestations of distress into patterns is only the beginning of diagnosis. We do our best diagnostic work when we look into the manifest distress to see how/why it is develops and is being perpetuated or sustained. When the person’s condition is chronic or degenerative, we ask ourselves what factors have accumulated and why. Learning that degree of differentiation can inform the practitioner  how to stimulate each individual to facilitate healing, rather than simply how to effectively control the expression of distress.

The wealth of wisdom in Chinese medicine is based on the practitioners ability to understand the embodied spirit as a responsive being focused on surviving and protecting itself. We must learn to “sort out” symptoms — to differentiate pathogenic factors from the embodied spirit’s response, and learn to support that intrinsic response without suppressing it. We have SO MUCH to learn about Chinese medicine in modern America, and almost all of it is based on first unlearning how we think we understand the nature of the world and the quest to engage it to facilitate healing.

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Posted in The Philosopher's Stone | Leave a comment

Focus Health & Wellness Educational Symposium

While my domicile remains in Sonora, I haven’t been focused on the local community since closing the Healing Center of the Sierra several years ago. I’ve cut back my practice quite dramatically, so I could focus more intensively on my researches into classical Chinese medicine, and work on various writing projects. Some of those writings are archived on this site, others provide the foundation for seminars I’ve taught and am preparing. I’m working toward drafting a series of monographs; my current focus is the five systems of acupuncture channels, which provide the conceptual foundation for Neijing (Inner Classic) style acupuncture. Of course, it’s convenient that I’m also in the process of writing the handouts that I’ll provide for a four weekend seminar series that I’ll be teaching on the clinical application of those systems.

During the past couple years, a few friends suggested I join another in a long line of local groups aimed at gathering “like-minded people” to provide mutual support and focus attempts toward social change, either local and global. Often the groups I’ve gravitated toward have gathered around healing work or sustainability and green politics; in this case it seems to focus equally on both. Yet, I’m generally much more interested in my own philosophical and clinical investigations of Chinese medicine than I am in group process, so I continued in blissful ignorance of the progress of:

FoCuS — Foothill Collaborative for Sustainability

Yet, about a month ago Sheila Gradison asked me to participate in an Educational Symposium on March 19, 2010. I went to my first meeting about that event on Wed. (12/2), and found engaged and interesting people involved in various aspects of the “holistic health” field. We had a discussion about the topics each of us would like to address during that brief symposium, which touched on the topic of quantum physics (of all things!). I’m reminded that group process has its virtues, including stimulating clarification. After many years of reflecting on my work, that meeting stimulated me to write a few pages of comments on the foundations of Chinese medicine, which even leads many enthusiasts to invoke the results of experiments in quantum physics! My interest in this topic dates back to the beginning of my interest in Chinese medicine; I’m curious to see how others will connect with those ideas.

While quantum physics can be a valuable topic for holistic health practitioners who are attempting to engage (particularly “scientific”) members of the public, I believe it is ultimately a distraction. It can help pry open the minds of people set in their allegiance to mechanistic conceptual models of reality, but it also tends to invite people to enroll in it as the “right” conceptual model that explains how things work. People want so badly to feel in control of their world…

I believe the key point that most holistic health practitioners are trying to make in referring to quantum physics is that mechanistic “scientific” models do not provide the ultimate explanation of the world — that the world, especially the human world,  is much more complex and magical than most imagine. Some people believe quantum physics suggests that there is a consciousness expressed through the “physical” universe. Indeed, they’ve given one type of quark (subatomic particles) a suggestive name like “charm.” While such speculations may amuse us, why do we seek support for the idea that consciousness be included in our descriptions of individual human life from the outset?

Each individual is an embodied spirit. The first task of that embodied spirit is to survive in this world of constant polar interactions. The highest healing work facilitates that process, rather than controlling the expression of distress when there is something awry. We need to study that, and how to support it in disentangling from its blockages and stagnation. Natural medicine is far more (and less!) than the use of naturally occurring products. It is the process of facilitating an individual’s return to his or her own nature — to optimize it’s ability to live.

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Busy, Busy, Busy

I haven’t quit blogging. In fact, I have A LOT of ideas I want to explore in this venue. This past month has just been AMAZINGLY busy.I hope to return to blogging CCM at least a couple times per week, even though I have many other things on my platter. In addition to me ongoing practice treatment patients:

  1. I went to San Diego twice in November; the second was to teach a newly conceived one day seminar introducing the five sets of acupuncture channels. It was a big success, and I want to thank Justin Ehrlich and Carrie Denaro for their wonderful help in organizing and marketing the seminar, and the upcoming four weekend series on the channel systems in San Diego. I also want to thank all the practitioners and students of Chinese medicine who came out to listen to some of my ideas about Neijing (Inner Classic) style acupuncture, question both my ideas and their own experience and understanding, and evolve their thinking about Chinese medicine. My heart was warmed by your enthusiastic response to my work to restore the vitality to acupuncture, and look forward to seeing many of you in a couple months when we start the series.
  2. I’ve made initial contacts with a medical illustrator and a publisher about several book projects I’m in the process of developing in conjunction with the seminars I’m currently writing, and the ones I’ve already taught. Those early contacts have been very fruitful, and have taken a lot of time and focus.
  3. Cindy Micleu and I have finalized plans for a new full weekend version of my seminar introducing the Waike (External Medicine) Specialty of Chinese herbal medicine. It will be held next October in Seattle.
  4. Also finalized plans with Golden Flower Chinese Herbs for their sponsoring the four weekend series on the five systems of channels in the San Francisco Bay Area starting in Sept. 2010 and in Albuquerque early in 2011.
  5. I’ve gotten involve in a Health & Wellness Educational Symposium to be held March 19, 2010 in Murphys – near my home in Sonora. While I hadn’t been much involved with the local community since closing the Healing Center of the Sierra several years ago, I’ve been inspired by the planning meeting I attended.
  6. Oh, and by the way, I also got a new roof on my house. The noise…

So, please don’t draw any unwarranted conclusions from my absence from blogging for a few weeks. Thank you for sharing links with friends and associates who might be interested in the healing possibilities of CCM. The site continues to grow and evolve. There is now a list of classes and seminars scheduled around the country in the upper right corner of each page, and the blog is coming back to life…

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The Archeology of Disease

People develop progressive and degenerative diseases from stagnations that accumulate within the embodied spirit. We can tolerate those accumulations for some time, but eventually they impede or obstruct “normal” physiological process. Each embodied spirit is provided with an amazingly effective collection of “storage reservoirs” that allow them to adapt and adjust to pathogenic stagnations. (Technically, those reservoirs are called luo vessels, channel divergences, and several of the eight extraordinary vessels). They allow people to “move on” with life by storing pathogenic factors, when they are unable or unwilling to resolve them. However,

This process of storing unresolved pathogenic factors is a double-edged sword.

While storing unresolved pathogenic factors facilitates the individual’s personality in going on with life in the short-term, it also renders the diseases that eventually emerge more difficult to resolve. If we can resist the temptation to suspend the challenges and discomfort our unresolved pathogenic factors present, we can avoid burdening ourselves with such an immense project in the future, because

We can’t simply balance or control those diseases into resolution!

Instead, resolving most chronic progressive and degenerative diseases requires the willingness to dig through the layers of “unfinished business,” and unravel the entangled accumulations we’ve stored away. Healing is very much like Archeology, though in addition to digging through the layers (and documenting them), we are faced with the challenge of resolving the pathogenic factors stored in those layers. There are no “short-cuts” for the embodied spirit — if it hasn’t finished with some aspect of life process, it’s stored away to pile up. So, if we want to heal, we may as well get out our (metaphorical) shovels and start digging!

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Lessons from the River

My brief hiatus from blogging has come during a Colorado river trip through the Grand Canyon from Lees Ferry to Phantom Ranch. It was a GREAT trip, but alas I wasn’t well prepared with a backlog of posts to publish while I was out of contact! While I was hiking out of the wondrous canyon, it occurred to me that perhaps

the ancient Daoists may have been whitewater boatmen.

They were, after all, the first to counsel “going with the flow.” Indeed, the river teaches very clearly that trying to fight the flow brings only struggle and ultimately failure. Running the river also teaches us that if we pay very careful attention to choose when and where to exert our efforts, we can avoid getting hung up on the rocks. The boatmen all did a great job, allowing me to cogitate that insight within the safety of the boat. It is equally true concerning life (and the Dao), as it is relative to the river.

I’ve returned home for a few days of office hours, then I’m off to San Diego tomorrow for the Pacific Symposium — an annual meeting of practitioners of acupuncture and Chinese medicine. Look for me there, and ask about the one-day “Introduction to the Channels and Vessels” seminar we’re planning for San Diego on Nov. 22.

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Posted in Personal | 2 Comments
  • About Steven

    Steven Alpern, L.Ac., practices acupuncture and Chinese medicine as applied clinical philosophy. He is also a teacher, author and speaker. His efforts to discern the nature of individual health draw upon the classics of Chinese medicine and several historical traditions and specialties. Learn more...
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