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Thursday, March 11

If it made any difference ........
by
Metta
on Thu 11 Mar 2010 08:45 PM GMT
If it made any difference ……
Casual observers would be forgiven for thinking that there’s some sort of concerted effort being expended to discredit Complementary Therapies in the UK. Hardly a news bulleting goes by when there’s some mention of malpractice on the prescribing of Chinese Herbs, that Homeopathy has no scientific basis, that Acupuncture doesn’t help with improving the chances of IVF, and so on; then there’s the move to effectively ban Chinese Herbs and other supplements from next year via the Codex Alimentarius, and we’ve recently been told that the Blood Transfusion Service will no longer accept BAcC certificates because TCM acupuncturists are not ‘medical practitioners’. More pertinent to the college is that University support for complementary courses, possibly using the recession as an excuse, is also being targeted.
So, with all of this going on around us, it’d be easy to become disheartened. However, I take the opposite view.
There’s always been an element of the ‘establishment’ thinking of us as those ‘quirky’ people down the road who pander to the minority of the population who benefit from placebos. “They can’t do any harm”. However, even in my short time in the profession, I have seen a groundswell of support from the general population who are fed up with taking chemicals as the first-line cure for everything, who are fearful of medical institutions and of surgeons who launch straight into surgery, of NHS establishments who seem more concerned with their league tables than person-centred treatment, of not getting acupuncture for lower back pain through the NHS as suggested by NICE, and so on. And what is the outcome of this? Well, the ‘establishment’ is worried.
If we’re being attacked, then it’s because either the interests or the profits of the NHS, pharmaceutical companies, private IVF clinics and the like are under threat from the increasing awareness by the populace that we do provide a viable complement (and sometimes an alternative) to that which is being offered by the State. This is good – but, the problem is that the bodies mentioned above have vast reserves of money and can thus influence lobbyists, the media, trial results from financially pressed medical scientists and so on. We do not have these reserves – all we have is the growing common sense attitude of the public. But is that enough?
We’re coming up to an election. I was reminded recently of the old saying that
“if voting made any difference, they wouldn’t let us do it”
As a general comment on the relationship between the individual and the State, that’s a perfectly reasonable statement. I’ve blogged before about the number of CCTVs we have, how you can now get arrested under anti-terrorist legislation for taking photos of the Houses of Parliament, how the state/police/media/advertisers etc, all keep us in ‘our place’ through fear, doubt and uncertainty etc.
Our problem, in what we do as acupuncturists, is that
“if (they thought that) TCM made any difference, they wouldn’t let us do it”
With the madness of ever-increasing Health & Safety regulations and the Government’s apparent reluctance to allow us to be statutorily regulated, combined with this concerted assault of the medical establishment/drug industry, what chance do you think we have of continuing to be allowed to stick needles in the public?
So I’m encouraged that the groundswell of public opinion is rattling them, but I’m fearful that the ‘establishment’ has the clout to do whatever will be of benefit to them, and when (through marches, demonstrations, petitions etc) did they ever listen to the public? The next five years will be interesting.
Metta
Sunday, February 21

Yin in Yang, Yang in Yin
by
Metta
on Sun 21 Feb 2010 10:14 AM GMT
Yang in Yin, Yin inYang, YanginYin,Yin in Yang ………….
We all know that there is Yin within Yang and Yang within Yin and that transformation from one to the other happens spontaneously, passing through the undifferentiated state of Wuji.
But let us just consider a moment when Yin and Yang are differentiated, when there is a predominant Yang element or a predominant Yin element. Take the firing of a weapon – traditionally, as emphasised in T’ai Chi, the bow (rounded, blunt, potential energy, static, slow) is Yin whereas the arrow (straight, sharp, kinetic energy, moving, fast) is Yang; in a modern context, this could relate to the gun being Yin whereas the bullet is the Yang; when going forward the hand is Yang compared to the Yin of the arm, and so on.
So the delivery mechanism is predominantly Yin and the delivered package is predominantly Yang. How does that transpose into you performing acupuncture? Well, in the above theory, you are Yin and the needle is Yang; but if there is Yin in Yang and vice versa, then perhaps your intention is Yang (originating from the Yin of Wu Wei) and the patient’s response is …. what?. In this latter case, the needle action by you is a Yang action on your part, but it becomes the delivery mechanism (Yin) for the client and, therefore, the reaction that it causes in them is Yang. Maybe …… maybe not.
Fascinating isn’t it?
Waysun Liao, in his interpretation of the T’ai Chi Classics, considers that “experientially, you can only feel another person’s Jing and not his Qi; but you can only feel your own Qi and not your Jing” – essentially this means that you can feel your own Yang and the other person’s Yin. So is this the essence of communication between you and the recipient during a treatment? Hmmm…
But what happens if this all becomes the wrong way round? Let’s say that your intention is too Yin, you become too Yang and the needling is too Yin. Or that the recipient is too Yang resulting in a very Yin reaction in them? I’m sure that those who have been in the position of having dealt with numerous clients recognise the dangers of performing treatment when either they or their clients have been in these states.
So what’s the advice? Again referring to the T’ai Chi Classics, “Insubstantial (Yin) and Substantial (Yang) should be clearly differentiated.” There is no doubt, in my mind, that this is a fundamental piece of wisdom of which we all constantly need to remind ourselves. Look at yourself, your client, and your environment – determine what is Yin and what is Yang – and remember what The Neijing tells us “the most important thing for healing is the relationship of the practitioner, the spirits, and the patient”
Metta
Monday, February 15

Plan, Check, Act, Do
by
Metta
on Mon 15 Feb 2010 10:27 AM GMT
Plan, Check , Act , Do
After the last unpleasantness an American, Dr W Edwards Deming, went to Japan and helped to resurrect their manufacturing capability. Backed by the USA, this was apparently a great success the results of which can still be seen in our society today.
Deming’s model, developed from Francis Bacon’s Novum Organum (1620) and based on Western Scientific method, comprises a cycle of 4 events namely ‘Plan, Do, Check and Act’. Essentially this was:
Plan - Determine goals and targets and the methods of reaching those goals.
Do - Engage in education and training and implement the work
Check - Check the effects of this implementation
Act - Take appropriate action after the Check
This was the Western model, based on ‘big bang’ development ideas of the US and Europe. But the Eastern culture of Japan was superimposed on it and subtly changed the order of the events; it is this amendment that arguably created its success.
……………
If you make something and then check at the end of the process whether it was right, as is suggested by the Deming cycle, it can be very costly; it was this system that we in the West adopted and which gave us Quality Control. However, by ‘checking’ before ‘acting’, as is the Eastern model (continuous improvement, or ‘Taizen’ in Japanese), then the process becomes much more effective and less costly; this was the basis of Statistical Process Control.
But this concept is not new in the east; Sun Tsu (c. 500BC) said:
“The victorious troops seek confrontation in combat only after they have already triumphed; whereas the vanquished troops seek to win only once battle commences”
In other words, you occupy the ground before you move into it. This is seen in T’ai Chi, and in particular the ‘Tai Chi walking’. Additionally, the T’ai Chi Classics give us the four Cardinal Directions in the order of p’eng, lu, ji, an or ward-off, roll-back, press, push. This can equate to:
ward-off - (expanding/opening) - Plan
press - (following forward) - Act
push - (pressing/pushing) - Do
So where are we going with this line of argument?
Well, I am suggesting that the Daoist viewpoint, namely the ‘plan, check, act, do’ sequence is generally far more effective that the Western scientific model of ‘plan, do, check, act’ (indeed, and not wishing to blow my own trumpet, in a previous life I introduced a large IT system according to this principle which was subsequently featured on the Microsoft web site as being an exemplary implementation!).
And what’s this got to do with you becoming an acupuncturist?
Follow the Western process, which after all you have been immersed in all your life (most probably), then you would take a client’s history, determine the patterns and then decide which points to needle – ie. the Plan. So far so good. But our culture would then suggest we would then implement that plan (ie. the ‘do’), then we would see the reaction we get from the patient (the ‘check’) and amend our process accordingly (the ‘act’).
From a Daoist viewpoint, we would start in exactly the same way (the ‘plan’). However, at this point we would think more closely about the possible reactions of the patient (the ‘check’) and amend our approach (the ‘act’) before implementing the treatment (the ‘do’). This is an incremental approach which stands a far better chance of getting it right first time. Certainly this is a much better approach when using herbs (as once taken they cannot be removed) and, by extension, for acupuncture as well.
……………….
Perhaps it’s just that I believe that implementing medical system, developed on Daoist principles, it is more fitting to use a Daoist process than mixing and matching cultural approaches. You may disagree which, also, is fine.
Metta
Saturday, January 30

Transforming and Transporting
by
Metta
on Sat 30 Jan 2010 01:10 PM GMT
Transforming and Transporting
Maybe it is fitting that the role of the organ most responsible for our post-natal Qi, the Spleen, should be to ‘transform and transport’
I recently gave a talk on the subject of Qi to an interested and informed audience. Now, I realise that the existence of Qi is disputed by many in our culture, and that even some senior Acupuncture Instructors query it but, having practiced Taiji and Acupuncture for a number of years, I’m happy in my mind that there is something more outwith my own little mortal existence.
So back to ‘transform and transport’. Let’s look at what some learned folk have to say on Qi. Firstly the 11th century sage Zhang Dai :
“The Universe is a body of Qi –when Qi integrates it forms matter and manifests as myriad of things – when matter disintegrates it returns to its nebulous state of Qi.”
He also mentioned that Qi and matter are constantly and endlessly acting and interacting with one another
Cheng Yi Shan, who summarizes ancient Chinese thinking on Qi opines:
All things, including all the landforms, oceans and living things on earth, the earth itself and all heavenly bodies... are the products of changing states of Qi. The current universe is a state in the endless progression of changing Qi. This changing Qi has its definite principles, order and laws. The cause of this changing Qi is its intrinsic nature of opposing yet complementary yin-yang.
So received wisdom, from many sources, tells us that Qi is the medium of the Universe, and that it is constantly changing back and forth into matter (something modern Quantum physicists would agree with).
Now let’s turn our attention to how things move. Generally speaking, energy is thought to travel by means of a wave – for instance a whipped rope sends a loop running down it’s length but the rope effectively stays in the same place; a wave on the sea can travel many miles but the medium, the water, effectively stays where it is; water hammer travels at the speed of sound but the water in your pipes doesn’t move. So we can see that energy can move through a medium even thought the medium, itself, stays where it is – effectively a catalytic process.
So this concept of a wave could be likened to a line of people, standing between A and B, who want to get a ball from one end to the other; the person at one end could walk with it to the other or, more efficiently, pass it along the line just as a wave would pass energy (ie. without the medium itself, namely the people, moving). You only have to watch newscasts where we often see cargo being offloaded from a plane in some third world drought area, or earth being moved to shore up dams etc to see that passing the commodity along a line is much more efficient than picking it up and walking with it.
Let us assume, then, that Zhang Dai is correct and that Qi is the matrix of the Universe – the medium of which it is composed. If we use the above analogy of a wave, now let us consider something moving through this medium of Qi (it may be an object, an emotion, a prayer – anything) but, for the sake of an example, could be my hand. As with the person carried the ball along the line, it could be assumed that I’m moving a solid hand from A to B; however if, as in the ball being passed along the line, the Qi were to stay still but transform to ceaselessly create and un-create a hand, then to the outside observer the hand would move but, in reality, only the manifestation of the Qi would be changing.
Roshi Yasutani, in the ‘Wheel of Death’, offers another analogy for this by thinking of a news bulletin being written across a matrix signs:
The letters are apparently moving, but as we know, each letter is in fact formed separately by the rapid flashing on and off of lights and there is no movement of the letters.
Add to that the concept that it is your spirit that governs your manifestation of Qi into matter (or not), then we can see that the Taiji assertion that “Qi moves 10 times faster than the body, and intention moves 10 times faster than Qi” – thus by moving using only the mind (ie. your intention), you move 100 times faster than if you just relied on muscle power alone.
So when we read in the classics that “When the intent (Yi) arrives, the Qi arrives", then it all makes sense.
Whatcha think of that then? And do you think you could apply that to your acupuncture?
Metta
Monday, January 4

Conventional, Complementary and Alternative
by
Metta
on Mon 04 Jan 2010 05:30 PM GMT
‘Conventional’, ‘Complementary’ and ‘Alternative’
In my practice I find that local marketing is by far the best - I've tried the internet, Yell etc, and not had a lot of success. So I give local talks and, as well as advertising in them on a regular basis, I occasionally put an article into local Parish magazines. I thought I'd put the latest offering into this blog especially as it was written to coincide with a clinic move (free advertising!). If you wish to use it in your local area, then feel free to do so.
................................
Medicine is of fundamental importance to us all yet we often don’t understand what options are available to us or, indeed, the terminology used in describing them.
In the UK, ‘Conventional’ medicine describes what we receive through our doctors’ surgeries and the NHS etc, and generally referred to as Western Medicine (WM) and are mostly paid for through our taxes. ‘Complementary’ therapies, such as Chinese Medicine (CM), are those which present a different view to how we work and add value to the health services available – these generally fall into the ‘private’ healthcare system and have to be paid for privately. ‘Alternative’ means, as its name suggests, a therapy used instead of WM.
Conventional and Complementary therapies generally are based on different understanding as to how human-beings function, but “how can there be different ways of looking how we work?” I hear you ask.
The Chinese believe, as do the majority of ancient medical systems, that it is the life-force (what the Chinese call ‘Qi’, pronounced ‘chee’) in us that determines the state of our health and not just the physical/chemical processes that are emphasized in WM. As CM is not based on the Western medical scientific model (which does not recognise the existence of Qi) it’s not surprising, therefore, that it isn’t considered to have been rigorously proven in the West – one could argue, however, that absence of evidence is not evidence of absence! But CM has been around for thousands of years and has successfully treated many billions of people; proof if proof were needed of its value. Indeed, and as you’d expect, traditionally in China it is CM that is the ‘conventional’ treatment with WM being the ‘complementary’ - so the terms ‘conventional’ and ‘complementary’ are relative only to the culture in which you’re using them.
So, as with other holistic therapies, CM considers the whole person and the interaction between the spirit, the mind, the body, the emotions, the energy and so on – clearly it is the sum and interaction of all of these that go to make up the ‘wellness’ of a person; indeed, William Osier, a Canadian physician who was famous for advocating warmer relationships between patient and physician, stated: "It is much more important to know what sort of a patient has a disease than what sort of a disease a patient has."
Continuing in this same way of thinking, many cultures take much more care of themselves whilst they are in good health (in China it is reported that people pay the doctors when they are well and don’t pay them if they fall ill – an interesting notion); conversely, in our Western culture, we tend to wait until we malfunction (become ill) before we consult a doctor; we seem largely to have forgotten our own old saying of ‘an ounce of prevention is worth a pound of cure’.
Chinese Medicine is therefore a mix of health improvement (through exercise such as T’ai Chi, consuming appropriate foods and herbs, meditating, behaving in tune with the seasons, etc) and disease curing. In order to fight a bacterial infection, would you prefer to boost your immune system whilst you are well, or take an antibiotic when you’ve become ill? – I know which I’d prefer.
But the Chinese have taken the concept of integrating these various forms of medicine much more to heart than have we – I often think back to a TV investigative documentary, some years ago, which showed open-heart surgery (WM) on a Chinese woman, who stayed awake during the operation and whose only anaesthetic was three acupuncture needles (CM); she was in no pain and, after the operation, was up and about very quickly. The point was made, by the medical scientist reporting on it, that because a ‘conventional’ anaesthetic (ie. a ‘general’) had not been used, the cost of the operation was only 1/3 of what it would have been in the West. Maybe, in the future, the NHS could use this approach to improve patient care and save money by being more willing to embrace ‘complementary’ therapy and include it in its medicine chest.
So you do have an ‘alternative’ option and that is by considering ‘complementary’ therapies (both preventative and curative) to help you manage your health and when, in particular, WM medicine is not really helping. Your local Complementary Clinic, ‘********' has just moved to ******** and the practitioners there are only too happy to talk with you about how their particular therapies may be of help to you.
Metta
Friday, December 11

So this is Christmas ........
by
Metta
on Fri 11 Dec 2009 08:32 PM GMT
So this is Christmas ….
Here we are again, the annual wing-ding. And I wish you all a well-earned rest before it all kicks off again in the New Year.
It’s the time of stuffing ourselves full of inappropriate Yang at the most Yin time of year, of immersing ourselves in a sea of Dampness, of meeting with those we wouldn’t otherwise see all year round and crashing out in front of the tele.
And it is this latter issue that we sometimes just let wash over us. Dr Aric Sigman in his book ‘Remotely Controlled’ (which everyone, especially those with young children, should read) says:
The amount of television our society consumes serves as an inadvertent frame of reference. For many it is the main frame of reference. The screen is often the window through which we observe the world and make comparisons, absorb values and make judgements. The outside world has become an abstraction filtered by television, just as the weather has become an abstraction filtered through air-conditioning. It's time we replaced the filter.
And it is the TV channel’s version of events that is the problem. Many years ago I worked in a job in London where news came to us from around the Globe totally untarnished and unvarnished; later, I’d read about it in a newspaper or see it on TV and I was constantly aghast at the manipulation of facts to make it a good story. I learnt then that nothing in the news can be taken at face value – it was at this point that I stopped buying newspapers.
And on the TV the half-hour news bulletin, as just one example, is so dumbed down that any one item might be repeated up to 5 times or more as if we had the attention span of a goldfish; for instance:
1. Welcome to the ten o’clock news, on a day of a rail crash in Yorkshire
(Some bongs here to start the news proper)
2. Our lead story is of the rail crash in Northern England when a train from Scotland was derailed – over to our reporter, Telus Another, at the scene – Telus, what can you tell us?
3. Thank you, Hugh – yes, I here at the scene where a south-bound train derailed this morning but no-one was hurt. I have here with me the driver, Fred Bloggs. So, Mr Bloggs, what happened?
4. Well, ahhh, I’m not sure what happened but I was on the 8.15 & passing this spot when I think I hit something on the line and the was derailed immediately after.
5. Thanks Mr Bloggs and now back to the studio, Hugh
6. Thanks Telus, reporting there from the site of today’s derailment in Yorkshire.
(rest of the news)
7. And that concludes the news on a day which saw a train crash …..
and so on ….
The internet is just another screen through which media hype can get magnified. The recent panic that was spread between TCM acupuncturists concerning Regulation, and the decisions concerning the future of herbs, was a case in point. The BAcC is our governing body and it is they who should have been contacted before the rumours started.
So as we go into a season of being bombarded with so-called ‘news’ and ‘entertainment’, I really do suggest that we are more selective as to what we watch and what we believe – and moreso for our children’s sake; we should know better.
On that note, have a lovely break and I’ll return with more grumps in the New Year.
Rock on
Metta
Thursday, December 10

Perhaps we should stop eating sweets
by
Metta
on Thu 10 Dec 2009 09:24 PM GMT
Perhaps we should stop eating sweets
A recent occurrence on ‘belonging’ to something made me think; specifically it happened at a Clinic where I rent a room for my acupuncture. Without going into the details, I disagreed with a proposal that was approved by the majority of other practitioners. What to do?
As you might have expected, this led me into thinking about us as individuals ‘belonging’ to wider groups – these are issues you’ll have to confront as you enter the world of complementary therapy. For instance, you may have to give this some thought if you rent a room from a GP’s surgery, or support arguably suspect WM techniques such as IVF, Cancer treatment and the like. To what degree do you compromise your own standards to ‘belong’ to a group and enjoy its benefits, or take the arguably opposite view of ‘to thine own self be true’?
Groucho Marx opined: "I refuse to join any club that would have me as a member." You could argue that the BAcC’s drive for Statutory Regulation could fall into this camp – I’m not sure that being part of the ‘big boy’s club’ is necessarily a good thing if the restrictions it brings with it negate the very principles that underpin our discipline. Discuss ……….
But I suppose that belonging to a society, club etc obliges me to go with the majority, limiting my own personal freedom and giving power to whosoever leads that club. Living in the UK makes me a member of the UK Government’s club; and what a responsibility that puts upon us! The leaders of this particular club can impose conditions on me such as taxes, laws of the land etc, and can act in my name even though I violently disagree with them such as going to war in a Muslim country or borrowing £178 billion. Short of leaving the country, MY country, I have no choice but to comply.
But it is this issue of choice that is fascinating - it the instruments of Government, which we cannot ignore because of retribution from the law, that are the most strident in demanding that we meet their requirements; for instance, IR demands are much more virulent than those from private companies. And law-making (especially the plethora of legislation created under the current administration) is reaching the point of stupidity – take the ‘No Smoking’ law which, in addition to it being legislated, demands that we put a notice declaring it on every building – murder is illegal, but we don’t put a notice on every building saying ‘Murder prohibited here”. It’s almost that our leaders are paranoid that we won’t follow their directives.
And now you can get stopped, searched and arrested for photographing the Houses of Parliament – such a Police state is reminiscent of the Eastern Bloc countries under the old Soviet Union or modern day North Korea etc. Would someone tell me the logic of this?
It is interesting to hear what the Tao te Ching Chapter 17 says on Government (and Chapter 18 if you want guidance on how to vote in the next election):
The highest form of government is what people hardly realise is there.
Next is that of the Sage who is seen, loved and respected.
Next down is the dictatorship that thrives on oppression and terror.
And the last is that of those who lie and end up despised and rejected.
Where do you think we are at the moment?
…………………………
So “what’s that got to do with the price of tripe?” as one of my Tai Chi students asked me recently. Well, does this apply to us as acupuncturists - to what degree do we ‘belong’ to a culture or how close do we adhere to our own values? Can we recommend courses of action to our clients whilst, at the same time, not observe them ourselves? Shantanad Saraswati in his “The Man who wanted to meet God – myths and stories that explain the inexplicable” tells the story:
There was a certain holy man who was visited by an elderly lady and a small boy who was addicted to eating sweets. She wanted the influence of the holy man to remove this bad habit. When the holy man heard about this he asked the old woman to come back in a fortnight. After a fortnight when the old woman returned, this holy man simply said to the boy that eating sweets was not a very good habit, it would result in some sort of disease later on: "So, my good boy, you should give them up." The old woman said, "If that's all you had to say, you needn't have bothered me to come back after a fortnight."
The holy man said he could not have done this the other day because he himself was in the habit of eating sweets and had no authority to ask anyone else to give them up. So he had to give up eating sweets for a full fortnight and control his own desire, because if he did not control it he could have no authority, and even if he had said the same thing to the boy it would have had no effect.
In fact just these few words did the trick.
You will already know of Ghandi’s assertion that: “you must be what you want the world to be”. So do we avoid Damp foods, nurture our Yin over the Xmas time, avoid emotions that create Liver Qi Stagnation, keep our lower backs warm, maintain personal fitness and so on? Or do we take Douglas Bader’s assertion that ‘Rules are for the guidance of wise men and the observance of fools’ and apply the ‘do as I say not do as I do’ option?
I would suggest we don’t abuse the power you have over our clients by recommending something we don’t do ourselves. Our way, therefore, possibly is to guide rather than force - ideally we should apply Wu Wei and allow things to happen naturally, to nurture the ‘tendency’ of change, or at least do just enough and no more (as Einstein suggested) and generally avoid becoming ‘holier than thou’.
And I’m as guilty as anyone – it’s just that I have to be reminded, now and again, that we don’t have all the answers and that we should practice more tolerance – with ourselves as well as with others.
Metta
Friday, November 27

When the solution is part of the problem
by
Metta
on Fri 27 Nov 2009 09:03 PM GMT
When the Solution is Part of the Problem
By now, if you have read any of the previous blog entries, you will realise that I’m a firm believer in the Yin Yang concept of circularity – namely that everything, eventually, turns from one extreme to the other and each has the seeds of the other within it. But in this concept there is another aspect to which I’ve haven’t alluded before.
For those of you born in post-wartime years and grew up during the Cold War, you will most probably have realised that when Fascism goes to the extreme it meets with extreme Communism coming the other way; when religious extremism goes too far it defeats the very religion from which it arose. Inventors of the machine gun and, more lately, nuclear weapons believed that their inventions were so terrible that they’d stop wars for all time. And so on.
I think the reference was to the process of nature when T S Eliot opined:
What we call the beginning is often the end
And to make an end is to make a beginning.
The end is where we start from ...
But humans have a tendency to take things to the extreme - we’ve all seen many instances when human intervention in a problem only serves to make it worse; when a solution is so ill-thought-out that it becomes part of the problem. And so the cycle starts again …….
This recently came home, during the Remembrance Day events, when attention was focussed on Afghanistan. Notwithstanding the rights and wrongs of the war, history has shown that a foreign invading army (and one that is predominantly from a Christian culture) is unlikely to succeed in that part of the world. It can be compared to a splinter that worries away at the host which, in turn, worries away at it – a Yang response often only pushes the problem deeper (witness the frequent benefits of Yin cupping over Yang massage). So the aggressive impulsive reaction is seldom the solution to a problem and, generally, only serves to defeat the solution that it sought in the first place.
Nearer to home we see the vast proliferation of CCTV cameras on our streets and shopping malls (possibly more than any other country in Europe). This initiative was (possibly) aimed at reducing crime and, although crime figures may have fallen, people’s fear of crime has risen because of the number of cameras looking at them.
Still on our streets, over-reflective roadside hazard warning signs, overly-aggressive speed humps etc actually endanger road safety.
Social and welfare benefits have had a similar effect; by providing a ‘free’ NHS then people have become more reliant upon it, thus causing it to expand in size, expense and influence beyond all reasonable measure, feeding the appetite of those who ‘enjoy being ill’.
In our clinics we see how drugs, which are aimed at specific diseases, cause side effects that often far outweigh the original problem.
and so on and on and on ……..
However, as we sit in a glow if self-righteousness do we, as therapists, ever recognise this trait in ourselves? Do we ever stop and think “Is this treatment/ diagnosis/interaction/intervention, or whatever, only making the client’s problem worse?” Quantum mechanics has shown us that the observer affects the observed – so clearly, our whole experience affects the treatment outcome. At this point I recommend you read and inwardly digest ‘The Therapeutic Relationship in Complementary Health Care’ by Mitchell & Cormack.
With this in mind, I want to return to the circularity point – in my previous existence I was involved for a time with a ‘hack’ of the old journalistic school. He had, at some point been an editor of (I believe) a national tabloid. I don’t know how we got onto it, but he gave me a piece of advice that has proved to be invaluable in the years since. He told me that if he had a script to review or edit, he would go home, sink a pint of Gin, and then read it applying the ‘SFW’ rule. Naive, as I was, I asked, “what is the SFW rule?”
“So F*@”>$% What?” he replied; at this point I apologise to the more sensitive reader but the profanity does give it appropriate emphasis. Apparently, he would apply the SFW rule to each sentence he read and, if it didn’t answer the SFW question, it got deleted. It is amazing how this one rule can simplify your life.
For example, only this morning, I heard that the Government was to make the Banks tell us how many of their employees earned over £1m per year, but they weren’t required to name them. Instantly, I applied the SFW rule and dropped the story out of my consciousness (except to write it here as an example). In doing so I helped to reduce the meaningless clutter that fills my head on a daily basis.
I have since realised that the SFW concept takes journalism to the extreme, only to meet up with the Taoist extreme of Wu Wei coming the other way - the ridiculous to the sublime - and so the circularity principle is proven when two seemingly opposite disciplines meet at their respective extremes.
So I urge you to apply the SFW rule to your lives, but also to your dealing with clients. By all means utilise the models you know or have been taught, such as TA, 8 principles, 5 elements etc, but don’t get so far up your own conclusion that you forget the common sense approach of dealing with vulnerable people trying to lead normal lives. Applying SFW to both what you do and say, as well as what the client presents you with, may just help.
Indeed, your response to the above may be “SFW”. If so, well done.
Metta
Wednesday, November 11

At the 11th hour ...
by
Metta
on Wed 11 Nov 2009 10:48 AM GMT
At the 11th hour ...
At the 11th hour on the 11th day of the 11th month, I can do no more than reproduce Yehuda Amichai’s poem ‘The Diameter of the Bomb’:
The diameter of the bomb was thirty centimeters and the diameter of its effective range about seven meters, with four dead and eleven wounded. And around these, in a larger circle of pain and time, two hospitals are scattered and one graveyard. But the young woman who was buried in the city she came from, at a distance of more than a hundred kilometers, enlarges the circle considerably, and the solitary man mourning her death at the distant shores of a country far across the sea includes the entire world in the circle. And I won’t even mention the crying of orphans that reaches up to the throne of God and beyond, making a circle with no end and no God.
Metta
Tuesday, November 10

Time to set sail...
by
administrator
on Tue 10 Nov 2009 11:26 AM GMT
By Phillip Haxby Thompson
I have been trained as an acupuncturist for just over 3 years now, and having worked in private practice and taught at the Northern College of Acupuncture, I finally decided to make the leap into doing some completely different, very scary, but extremely exciting.
I first got into complementary medicine by when I was travelling in Thailand back in 2003. I did a three-week Thai massage course in Chiang Mai and thought I could practice some form of complementary medicine when I returned home. When I got back from my travels, I went to a local therapy fair, heard about acupuncture, and that was it! Three weeks later I started on the course and I’ve never looked back since.
The one thing that I’ve always wanted to do is to go travelling again, but due to the expense it hasn’t been possible. When my situation altered in the spring of 2009, I decided it was time for a real change and looked into working onboard a cruise liner. I had often seen the adverts in the back of The Acupuncturist asking for recruits to join Steiner, but I had a tip off from a friend-of-a-friend about a UK based company down in Southampton called the Onboard Spa Company.
I went for my interview in August, a full day of presentations, practical skill tests and interviews with a mixed group of massage therapists, hairdressers, beauty therapists and me- the lone acupuncturist. I loved it though, it was a very enjoyable day, and of course the presentation in the morning gears you up for what you’ll be letting yourself in for...
The first contract is for 8 months and you normally get posted out to work on one liner, though you may get to work on several in your first contract. The company contracts out to several P&O liners, Fred Olsen, Ocean Village, the Queen Victoria, and several other smaller ships, though acupuncturists only work on the medium to large ships. The same ship will go on various cruises throughout the year: The Caribbean; the Mediterranean; the Baltic; a 3 month round the world trip, etc. Norway, Bruges, Morocco, Italy, Tunisia, Jamaica, Barbados, India, Japan, Fiji, Hawaii... It was all sounding pretty good! Time off is always when you’re at port so you get to explore your surroundings. I was beginning to enjoy the prospect of swimming with dolphins in the Caribbean on my day off, popping into a Venetian bar for a cappuccino on my lunch break, or going for a Turkish bath in Istanbul.
You have to retain your professional membership status, but having been in contact with the BAcC, you only have to be an overseas member, which costs £100 per annum. Thank you very much. You don’t pay tax, you don’t pay for insurance, you don’t pay for food, you pay a minimal fee for accommodation (£14 per week) and drinks are around the 50p-£1 region. That sounds a little dangerous if you ask me!
However, it’s not all plain sailing (excuse the pun). The hours are long: 12 hours a day for 5 ½ days per week. During this time you’re not expected to be giving treatments constantly (thank goodness!) but be available to treat patients, hold seminars and do leaflet drops around the ship, etc. Payment is on a commission basis (around 7-8%, but up to 17.5% if you get a contract on the Queen Victoria- fingers crossed!), so the more clients you treat, the more you get paid, so nothing changes there then! However, you do get a weekly retainer fee of £100 if you work as an acupuncturist. The other down side is you have to share a cabin. Let’s hope I get someone nice. Taking everything into consideration, it was sounding like hard work, but lots of fun, and of course a great opportunity to see the world.
After the interview day I was offered a job, which I accepted, and then proceeded to complete my pre-requisites before I could join the 6 week training course in Southampton. Let no-one be fooled, if you want to work on a cruise ship, you should really want to work on a cruise ship! Over the last two months I have had to apply for a Seaman’s Discharge Book (no jokes please), an American work visa, get a yellow fever vaccination, go on a personal survival at sea course, a crowd management course, a personal safety and social responsibility course, apply for a personal CRB check, buy my uniform (black trousers, white shirt, black tie, white coat, black shoes), buy formal evening wear, tie up all my financial dealings, and I still have to do a course in elementary first aid and fire awareness! I’ve had to travel to London, to Hull, to Southampton and back again. Then with the cost of the training course in Southampton, and living expenses whilst I’m there, it all adds up to a pretty penny. I’d say don’t let this put you off, but to be honest it’s almost put me off a few times!
Having said that, I’m still keen to go and I’m hoping to start the training course within the next couple of months. After completing the final stages of my pre-requisites I’ll be given a start date to go down to Southampton, and then... the world! [Insert evil laugh here]
Let’s not beat around the bush, this is definitely not an opportunity for the faint-hearted. It is hard work, getting everything together is pretty stressful and time-consuming, and there are a lot of compromises you have to make in your life in the run-up to going and whilst you’re away. But, having said that, to be given the opportunity to practice the job that I love, see the world and earn some money? Well... how can I say no to that?
Monday, November 2

The inmates have taken over the asylum
by
Metta
on Mon 02 Nov 2009 01:55 PM GMT
The Inmates have taken over the Asylum
“What is to be done for prosperity today,
and what is to be done for justice tomorrow
- this is easily said.
What is to be done for justice today,
and what is to be done for prosperity tomorrow
- this is hardly known”
Lessons of the Masters of Huainan (2nd century BCE)
I realise that the media spin everything in order to get sales and exposure for themselves (for instance, by simplifying then exaggerating), but a number of stories have come to light recently which makes me wonder if it’s me or whether the world is slowly going mad.
- We are told that the Earth’s population will have increased by 50% by the time we get to 2050; this, in a world that is grossly overpopulated already. Then, in the next breath, we are told that genetically modified (GM) foods will need to be introduced to accommodate this explosion in the number of mouths.
- The next item is that of Swine flu which, similar to the recent scare on cervical cancer, necessitates mass vaccination; a process which, by by-passing the body’s natural defence mechanism, damages the long-term integrity of our immune system. Dr Stephen Gascoigne (pg 62 of The Clinical Medicine Guide) opines on vaccination:
“It is clearly not the best way to minimise a person’s susceptibility since other levels (… other than the creation of antibodies …) need to be addressed at the same time. We only develop an infectious disease, and indeed any disease, if we are susceptible”
- Lastly, we have been told that enormous strides (forgive the pun) have been made in the development of materials and technology for the replacement of knees and hips; the need for these is more than often a lifestyle issue (see previous blog on ‘death comes through the legs’). Tom Bisio, in his “A tooth from the Tiger’s mouth”, tells us:
Modern medicine has a tendency to view as normal dysfunctions that stem from an unhealthy lifestyle. If the average fifty year-old has some arthritis in his knees, this is considered normal. He is told to take anti-inflammatories or painkillers and he goes back to jogging. By masking the pain in this way, further damage is often done. If the knee is too bothersome, a knee replacement is always an option. Viewing average health as "normal" combined with the intensive specialization of the modern physician has led modern medicine to a philosophical approach akin to that of a high-Ievel mechanic. Parts wear out and are jury-rigged or replaced. Each patient is not so much an individual as an identical model that will undergo exactly the same procedure for the same problem.
Now, is there a theme here? Could it be that we are allowing harm to come to ourselves and then rushing to pick up the pieces – ‘breakdown maintenance’ as it’s called in engineering. Would you let your car engine seize through lack of oil and servicing before trying to fix it? No, of course not; so why do we do it to our own bodies or our society?
Surely the solution to the food problem is to reduce the world’s population to one that the Earth can sustain (and maybe taking the Gaia hypothesis more seriously). Maybe damaging vaccination programmes could be avoided by improvements in lifestyles. And, although I realise that replacement joints are a God-send to many people, surely these could largely be avoided by preventative techniques such as in diet and exercise. I realise that this view is not very PC, but these news items are symptomatic of the mentality of fixing the problem once it has occurred rather than preventing it in the first place.
The ancient wisdom of the Tao te Ching tells us that it’s ten times easier to prevent a problem than fix it, and Sun Tsu was a great believer in ‘occupying the ground before moving into it’ – so we are taught here that a little thought, before rushing headlong into a lemming-type rush (in technology advances, medical science etc) might just save us a lot of pain and misery downstream.
And, lastly, the other side of this ‘leaving it too late’ coin is the ‘starting it too early’ aspect – ie. the medical world’s preoccupation that ‘normal’ things are, somehow, illnesses (see Gascoigne, pg 343, on Women’s health as an example of society’s ‘underlying agenda that there is something inherently dysfunctional about female physiology’). A recent programme, entitled ‘Medicalisation of Normality’, gave this:
Health journalist John Naish asks if we are turning normal human behaviour and normal stages in human development into medical conditions. It is estimated that 10 per cent of British people take anti-depressants and 10 per cent of American children take Ritalin to control their behaviour. It seems that a new mental illness is invented every week, covering every potential quirk in the human condition, such as Restless Leg Syndrome, Social Anxiety Disorder, Female Sexual Dysfunction and Celebrity Worship Syndrome.
And you wonder if the inmates have taken over the asylum?
“Insanity and sanity wound each other;
greed and nature hurt each other.
They cannot coexist; when one governs, the other wastes away.
Therefore, sages reduce desire and follow nature”
Metta
Wednesday, October 21

Death comes through the legs .....
by
Metta
on Wed 21 Oct 2009 04:27 PM BST
Death comes through the legs ….
Old age comes to us all – if we’re lucky. Certainly it comes to us in our clinics in the shape of many of our clients.
I was given to thinking about this thanks to a number of items on the news:
The first was that state pension age is going up to 70. There’re so many things that can be said about this piece of news, but I self-censor at this point. Suffice it to say that it reflects so much that isn’t right in our society.
The second was that drinking coffee helps ward off dementia – if that’s the case then why is it that when I make a cup of coffee, I can never remember where I’ve left it?
And lastly, the simply comical. Apparently, someone has come up with an idea for Alzheimer’s sufferers. It consists of an arm-chair with a build in tape message that can be played when activated by a pressure sensor in the seat. So the patient is seated there in the care home and, for whatever reason, decides to get up – the pressure sensor then activates the tape (pre-recorded with the voice of a loved one) that tells them to sit down again and wait for a nurse. Now these are people with little grasp on reality in the first place without burdening them with the concept of a talking chair. I sometimes wonder …..
So, as I get older, I start to think more about my own mortality; Benjamin Franklin said that in this world nothing is certain but death and taxes – I do so agree with him.
But it is the old Chinese adage that ‘death comes through the legs’ that keeps coming to mind. Clearly, this is allegorical and not meant to be taken literally; the T’ai Chi Classics say we should ‘walk like a cat’ but, unlike the literal interpretation applied to this by children I was teaching as they dropped to all-fours, it means we should move as carefully and mindfully as a cat.
So ‘death comes through the legs’ can have many meanings. The most immediate that comes to mind is that we should continue to exercise as we get older. But legs also provide our connection with the Earth. We come from the Earth and return to it, with it providing our nourishment in between; so it seems reasonable that the Earth influences our cycle of life and death. I believe, therefore, that much greater emphasis should be placed on keeping our legs active especially as we get older and, not surprisingly, Ta’i Chi has been shown time and again to be wonderful for this.
Thus if we lose our ‘get up and go’, and metaphorically allow our legs to atrophy, then we shall experience systematic decay – and none moreso than in later years.
Metta
PS. My grandmother stared walking 5 miles a day when she was 60 - she’s 85 now and we haven’t a clue where she is. Boom boom!
Wednesday, October 14

The Autumn of our Years
by
Metta
on Wed 14 Oct 2009 10:39 AM BST
The Autumn of our Years
Here we are again in Autumn - John Keats’ ‘season of mists and mellow fruitfulness’. But the world is different from when he wrote that nearly 200 years ago; the seasons haven’t effectively changed but we, and our environment, have.
In the West, we tend to lump the Chinese ‘Late Summer’ in with ‘Autumn’ and consider it all as the bit between Summer and Winter. In 5-element terms this is Earth and Metal, which respectively equate to Spleen/Stomach and Lungs/Large Intestine in our TCM world. And if we look at these two organs systems we find that they are closely linked in generating our post-natal Qi (the original being in the Kidneys). Also, with their dislike respectively for Dampness and Dryness, it’s not surprising that we consider them together.
Thus as a season which has such a profound effect on Qi, we can see it is vital in the nourishment of all organs and its protection of the body from climatic changes. And don’t think that because we live in centrally heated houses, travelling about in warm transport, and so on, that the seasons don’t affect us; millions of years of evolution have made sure that we’re at one with the seasonal changes, just as is a barometer, regardless of the fact that we don’t spend much time out in the weather.
I see it in my clinic daily – Dampness, although endemic in our society, really kicks in at this time of year, as does Wind Cold/Heat invasion of the Lungs (and don’t just blame the latter on kids going back to school!).
Earth and Metal have particular qualities; Tong Chung-Shu, a philosopher who lived in the second century BCE described the Earth element’s role:
Earth occupies the centre, and is called the heavenly fructifier. It is the assistor of Heaven. Its power is abundant and good, and cannot be assigned to the affairs of a single season only. Therefore among the five elements, and four seasons, earth embraces all.
So Earth ‘pulls together’ all the other times of year – it is a time to take stock, to position your plans (equivalent to nature’s seeds) correctly so they will be nourished through the Winter; a time for pause, reflection and a breathing space in which to consider your next move. Now is the time to distinguish between the external and the internal, between the body and the mind, between the transient and the eternal, between the ego and the centre. Have we wrapped ourselves with the peripherals of life, only to discard them like used clothes, or have we created seeds the fruits of which will endure forever?
Metal is associated with substance, strength, and structure. Using this structure we can give our plans meaning and strength; yet we must be careful not to be too rigid in this – metal needs also to be flexible.
But returning to clinical practice, I am amazed how we, as a culture, swim through a sea of Damp. We eat Damp foods often hurriedly, we don’t exercise our Lower Burner, we worry incessantly (not to mention frustrations causing the Liver to invade the Spleen), we don’t wear appropriate clothing, and so it goes on. Dr Nick Read, in his book ‘Sick and Tired’ talks of modern day illnesses that medical science really doesn’t have an answer for:
Literally millions of people are racked by back pains, tormented by abdominal gripes, alarmed by ringing in the ears, tortured by headaches, exhausted with sleep deprivation, frustrated with constipation, debilitated with nausea or faintness or anorexia, overwhelmed by the burden of obesity, terrified by shortness of breath or palpitations or just too sick and too tired to cope. And while, for many people, such everyday illnesses constitute an inconvenience that does not seriously disrupt their lives, they should not be dismissed as trivial. Medically unexplained illnesses can undermine people's comfort, mobility, happiness and sheer quality of life as much and sometimes more than life-threatening conditions, such as diabetes or renal failure.
Although I’m sure you could list many pathologies that would account for the above, as I read this I kept thinking ‘DAMP’. We have a lot to do if we are make any headway against this quiet pandemic; and this is the time of year when we can strengthen our own (and others’) personal resources to combat it.
One of the biggest issues concerning this at the moment is the worry and anxiety that people feel, stoked by the politicians and the media, over our economic future. This over-thinking compromises our Spleen function and is a prime generator of Dampness, and the often concomitant attitude of not ’letting-go’ damages our Lungs. Older people, many of whom relied on interest linked-linked pensions and interest from their savings for income, have seen their future threatened by recent economic events and it is they in general who are most prone to Damp and Phlegm related pathologies and Qi deficiencies. How interesting it is to see how society’s changes have a direct effect on people’s health – and how sad.
If only we could put our worry aside – a recent Sunday Times report (13 Sep 09) reported that a drug that will wipe out troubling memories has just been developed; but a chemically induced fug doesn’t really seem to be the answer for any of life’s problems. Maybe a little mind-training to be in the ‘present’, such as with T’ai Chi, would help; Jane Hope and Borin Van Loon in ‘Buddha for Beginners’ put it very nicely:
We are pre-occupied with the past, which has already happened, and we are pre-occupied about the future, which does not yet exist. We worry about what will happen and we think about various things that make us feel anxious, frustrated, passionate, angry, resentful, afraid. While we are so preoccupied, our awareness of the here-and-now slips by and we hardly notice its passing. We eat without tasting, we look without seeing and live without ever perceiving what is real.
Here it may be interesting to see how a couple of aspects of the above relate to a wider context. Take the concept of ‘stuckness’ in body and mind, for instance, which results from a Spleen imbalance; and then link it to the ‘connectedness’ felt from well-balanced Lungs. If you are ‘stuck’ to something, then you are ‘attached’ to it. So to follow the mantra in T’ai Chi and Buddhist circles, etc, to ‘connect, not attach’ (both physically and mentally), then you will nourish both your Spleen and Lungs and greatly benefit the creation and maintenance of your Qi.
So, in conclusion, this time of year is considered by the Daoists to be the most ‘present’ of the seasons in all of the physical, mental and spiritual terms. It pulls all the other aspects of the year together and provides a balance that provides an awareness of, and an appropriateness to, life. This living in the ‘now’, as manifest by the myriad importance of our breath, provides a connectedness for us both with the outside world and within ourselves. In a balanced state, changes are not resisted and movement is unrestricted; when unbalanced blockages and accumulations in both the body and the mind/emotions will result.
Daverick Leggett in his ‘Recipes for Self-Healing’ expresses his thoughts as to how to nourish yourself appropriately during this time of year:
The Spleen loves touch. To receive bodywork, to cuddle friends and family, to touch oneself lovingly: all these are ways to strengthen the Spleen. The Spleen loves to stretch. Other ways include learning how to fall, crawl and roll around on the ground. This playful approach reconnects with the earth. In the touch-deprived, over-sedentary and ungrounded lifestyle typical of modern culture, the Spleen has a hard time. Of all the organs, the Spleen is the most commonly deficient. Just as it is helpful to stretch and exercise the body, so it is helpful to train the mind. Learning study skills supports the Spleen's function of sifting and sorting information. Clearing out mental clutter, simplifying involvement with the paperwork of modern life, finding ways of working with the perpetually encroaching chaos: these are all ways of supporting the Spleen.
The Lung is nourished by breathing. The best way to amplify Lung energy is to take plenty of fresh air, develop the physical capacity of the lungs through exercise such as swimming, and to consciously bring awareness into the breath. The skin, as part of the Lung system, can be nourished by brushing. Rubbing with a good cotton towel or scrubbing the skin with a brush will maintain the skin's health and support the immune system. Finally, the Lung's role as boundary-keeper may be metaphorically extended to the boundaries we keep in our own home. Well-maintained fences, sensible security, clean windows and a well-kept exterior are domestic expressions of Lung energy.
So, therefore, it seems that any exercise that involves touching, rubbing and heavy breathing would be good for you at this time of year; but draw the curtains over your clean windows first!. Enjoy
Metta
Sunday, September 27

Is life a Venn diagram?
by
Metta
on Sun 27 Sep 2009 02:12 PM BST
Is Life a Venn Diagram?
I’m assuming you know what a Venn diagram is. Essentially it is typically three circles which all overlap each other and is often used to denote the relative strength/size and degree of interaction of a number of components within a whole system. Wikepedia gives the example:
Venn diagrams normally consist of overlapping circles. For instance, in a two-set Venn diagram, one circle may represent the group of all wooden objects, while another circle may represent the set of all tables. The overlapping area (intersection) would then represent the set of all wooden tables.
So it was some time ago I had cause to examine my life and the dynamics of its various components; I came to the conclusion that I could do this with a Venn diagram of three overlapping circles, representing the following:
- ‘Turning the handle’ - this is essentially all the things that go in to make the daily grind, such as going to work, washing the dishes, etc
- ‘Relationships’ – clearly this was where I interacted with other people – wife, children, parents, colleagues, friends and acquaintances etc
- ‘Me’ – my own personal space – my thing (meditation etc).
Now, my view was that a balanced lifestyle meant that each of these circles should be the same size – ie. that I should ascribe to them equal importance. And if one of them were to enlarge, then I should attempt to bring it back down so that they were all the same size – and hence lead a balanced existence. That was the theory ………
At the time, I was working very hard at my (stressful) job and both my relationships and personal space were suffering; and this had been going on for some considerable time. So I undertook to reduce the ‘turning the handle’ circle (by not working the hours, logging onto work email from home etc), and spend more time with the family. But this then made me realise the crucial law of Venn diagrams:
The longer you leave the priorities out of balance
(maybe one circle being larger than the other two)
the less elastic the walls become
and the harder it is to redress the balance
I had gotten used to working the hours etc and found it extremely hard to change them – and (I pompously thought) the organisation I worked for would suffer if I didn’t bust a gut – then I was reminded of really how invaluable I was to the organisation by the old saying “put your hand in a bucket of water and, on removing it, look at the hole that it left”. So I reduced the hours and, strangely enough, not only did no-one notice, but also my productivity actually went up! I spent more time with my family and even had extra time to spend on MY pursuits. So it worked.
This is not dissimilar to the constraints that any Project Manager will tell you that they have, namely:
The theory goes that at least one of these has to be variable and hence unpredictable. Take your family holiday as an example – one (or two) of the above HAS to give; be honest, I’m sure you’ll agree.
A not very good example is the Scottish Parliament building – it was 10 times over-budget, 3 years late and, if you’ve ever visited it, the quality is …. well ….. In this case, all three were variable and all three failed to come up to the mark. So these too could be represented in a Venn diagram, as three interlocking or overlapping circles. If one of them increases in size, then the others have to be compromised.
Perhaps appropriately at the start of another academic year, you may like to have a look at your own Venn diagram and that of your clients – unbalanced priorities, held as such for a considerable time, can often be the cause of illness – there doesn’t always have to be a pathogen.
So no, life is not a Venn diagram, but using a model like this, that suits you, often helps to put things into perspective - and if that isn’t an interpretation of ‘balance’, then what is?
Metta
Tuesday, September 1

Position, Direction and Proportion
by
Metta
on Tue 01 Sep 2009 09:14 PM BST
And In Which Direction
Do you Think You're Headed?
Here we are. In the Summer ‘break’ from your studies, and an ideal time to take stock. You may be between academic years, recently graduated, or even, on reading this, thinking of joining the course. Whatever, do you ever stop and wonder in what direction you’re headed?
Well, here’s some musings ……
Generally speaking, as an acupuncturist, you need to know a number of things when you stick in a needle. Broadly, these are:
- Location of the point
- Direction of flow of the channel
- How to manipulate the needle (even, tonify, reduce etc)
In vector mechanics, there is a similar concept that to know the state of a force, at any given time, you need to know:
- Where it starts from
- Where it’s going
- It’s strength
(often denoted by an arrow originating from the start point, with a direction and an arrow length which denotes its strength; for overall system balance all other forces, when added to the end of this arrow, need to end up at the start point - ie. a ‘closed system’ or a balanced set of forces – a metaphor for life!)
‘All very interesting’, I hear you say,
but what that got to do with the price of bread?
In Taiji, my teacher tells us that there need to be 3 basic and key qualities to define your "posture":
- Position
- Direction
- Proportion
Do you see any common threads here? And isn’t this all about life, as we live it? In other words, get these three things right and you live life in an ‘appropriate’ manner. Let’s think about this in more detail:
· Position (are you too far forward or back; are you stable, or ‘rooted’ before moving etc)
· Direction ("where are you going?" - eg. as, for instance the martial sense, a push should be down the centreline, and not out to the side as applied – otherwise you just spin round like a top)
· Proportion (hitting the note - not sharp or flat. But if you reach the note, then you must move from it otherwise you become vain and you resisting natural change). This is the most meditative of the 3 qualities
But there is another dimension to this, I would suggest. And I was reminded of this recently, sat atop Malham Cove with a long drop below me - a bird flew past me, over the edge of the cliff, and didn’t fall to the ground (as I would surely have done if I’d moved much further in the same direction); one moment it was only feet above the ground, the next it was hundreds of feet above the ground. And apart from maybe a correction due to a change in updraft, it didn’t change its ‘position’.
The point here is that this vector way of thinking is all very well, but we live in a wider environment. The effectiveness of sticking a needle in relies upon many other external factors other than your intention, and possibly not even the ones that seem obvious (some would say that the metal of the needle is superfluous and that Qi can be generated by thought and intention alone).
The bird that passed me was dependent, at that point, on the medium of air; only when it landed did its dependency change to that of the ground. If I go canoeing, it may be above 18 inches or 18 fathoms of water; apart from some boundary drag or not, it doesn’t make a difference – until I capsize – then my position becomes largely dependant on the height of the seabed.
So we are dependant upon the nature of the environment we’re in (as a fish is dependent on water) and when that nature changes we likely find ourselves to be unstable. By looking at your environment, therefore, you can see past the mechanical aspects of the day-to-day functions – for instance, the likely development of the economic climate over the next few years should inform the position, direction and proportion of anything that you do now.
But as current or prospective students, perhaps ‘Direction’ is something you should concentrate on – remember it isn’t necessarily linear, it can be in all directions at one; the Sun giving off its rays, ripples from a stone dropped in a stream or the Taoist meditative practice of breathing into the Tan Tien are examples of this. So the ‘direction’ you choose can be anything – but it’s not a bad idea for you to have a clear view of what it is so that you have at least an inkling of whether you’ve ended up where you hoped you would. Those of us who have been in practice for a number of years would maybe argue that our direction has changed markedly since the heady years of being at the NCoA.
I leave you with a saying I once heard:
It is not the position you stand
but the direction in which you look
or you could take the Zen route and leave it up to Karma but that, in itself, is a direction:
“He knows not where he’s going
for the ocean will decide.
It’s not the destination,
but the glory of the ride”
One of my more elderly clients commented recently that she would prefer to “be diagnosed by Western medicine and treated by Eastern Medicine”. Clearly she had her direction sorted out!
Metta
Wednesday, August 26

Mindfulness
by
Metta
on Wed 26 Aug 2009 11:07 AM BST
Mindfulness
As it says in the Tao te Ching (I paraphrase):
“we all know it to be true but, somehow,
we don’t really believe it”
Namely, that our thoughts reach out beyond us in time and space. But not only do we, as observers, change the observed, but also we are simply products of our own minds. The Buddha had it that:
“It is your mind that creates this world”
In other words, as we emerge from the womb and the mind takes over from the Spirit (the Universal Mind), the conscious takes over from the subconscious, the Zong takes over from the Yuan, the Taiji takes over from the Wuji etc, we create a world with all the preconceptions, expectations and learnt behaviours that comfort us – and we believe it to be real.
But the mind is continuously tapping into the Spirit, the conscious into the subconscious, the Zong into the Yuan and Taiji into the Wuji. So just as any thought we have can affect our own health through the subconscious automatic functioning of our bodies and emotions, likewise any thought we have becomes a part of the Universal Mind affecting others; some say the Universal Mind is independent of time and space and hence the present can affect the past or the future (always assuming that they are different). Prayer and distance healing have been proven to be effective – so how else could they be so?
Many stress the power of positive thinking; Ghandi advised, “be the world you want it to be”; Ford said “whether you think you can or can’t, you’re most probably right”; the Barefoot Doctor raves about affirmations (see his ‘Manifesto’) etc. Essentially, they are all saying that there is an infinite potential to make your world (and that of others) what you want them to be.
Your thoughts affect the Universe in all dimensions.
So you have a difficult patient, and they’ve booked in to see you. What do you think? What do you say to your colleagues? What is the impression you are making on the Universe, and hence onto your patient? Simply thinking negative thoughts will have a detrimental effect on how you treat them – be they thoughts you think before or after the treatment – destructive thoughts may even make them ill (or even you). Your thoughts go ahead of you in all directions - interesting, huh?
So think good thoughts and good things will come to you and to those with whom you come into contact. This is not some abstract musing, but fundamental to the world in which we live. Take it or leave it.
“we all know it to be true but, somehow,
we don’t really believe it”
Metta
Monday, August 3

The Recurrent Laryngeal Nerve
by
Metta
on Mon 03 Aug 2009 05:29 PM BST
The Recurrent Laryngeal Nerve
I recently tuned into Channel 4’s “Inside Nature’s Giants” because I was interested in how different species work, albeit the discussion and dissection of the Animal (as it happened it was a giraffe) was very much along western medical science lines. As a bonus, I was also interested because Richard Dawkins featured prominently and he’s always good for a laugh – and he didn’t disappoint!
Coming out of this programme was a wonderful piece of scientific argument – it goes something like this:
“Animals have certain bits, the result of millions of years’ of evolution, for which man can’t find a reason or purpose. Ergo, nature has made a mistake”.
How arrogant is it that man, in his wisdom, believes that he knows better than the whole evolutionary cycle?
In particular, the programme highlighted the recurrent laryngeal nerve – what one commentator described as an ‘evolutionary enigma’; like you, most probably, I’d never heard of this until the programme but the discussion of it was mindblowing. This nerve essentially connects the brainstem to the larynx (voice box), thus controlling muscles that make sound, as well as assisting breathing and swallowing. But, in both man and giraffes as it turns out, instead of going straight there it actually goes from the brain down to the thorax, wraps itself around the blood vessels of the heart and rises again to the throat. Dawkins calls this an “historical legacy” and “not an intelligent design”. Because it doesn’t go straight from the brain to the larynx, a matter of a couple of inches, it is therefore “not sensible” and that “evolution has no foresight”. It was described as a “ridiculous detour” and that “no engineer would have made such a mistake” (all the above quotes are straight from the programme).
Thus man (in the shape of Dawkins) deduces that these “imperfections” are therefore “useless” and are purely “accidents of history”.
Instead of taking this deductive view (by inferring particular instances from a general law – that the laryngeal nerve is simply there to activate the muscles of the larynx), should we not approach it inductively (by inferring a general law from particular instances – that at least man and giraffe have it running recurrently)? Thus maybe there is a good reason for nature to have routed the nerve as it has done, a reason we have yet to work out? This means we accept that something can exist even though ‘science’ is unable to explain it – a heresy to scientists, but common sense to the less arrogant.
So is the voicebox linked to the Heart? We know that in time of great alarm or apprehensiveness, one can ‘have one's heart - in one's mouth’ but from a TCM viewpoint, we know that the Heart ‘opens into the tongue’. Both "the tongue is the sprout of the Heart " and "the tongue is the mirror of the Heart" are common expressions when referring to this function. Disharmonies of the Heart may lead to disturbances such as a lack of speech or stuttering and incoherent speech. So is it unreasonable that the laryngeal nerve should pass by the heart on its way to the voicebox? No, it’s perfectly reasonable and not a ‘ridiculous detour’ as the scientists would have it.
And isn’t a wonderful paradox that the very mechanism by which Richard Dawkins can speak with such emotion and eloquence is the one that he labels ‘useless’ – maybe in his case it is!
Metta
Monday, July 27

Life
by
Metta
on Mon 27 Jul 2009 05:41 PM BST
Life
As a keen canoeist of wild water in the past, I can fully appreciate that the Tao, the T’ai Chi and hence all life can be likened to water. The T’ai Chi is ‘like a great river rolling on unceasingly’ (T’ai Chi Classics), ‘returning’ as is the only motion in the Tao (Tao te Ching Chap 40).
So it is not surprising that the Zen master, Shunryu Suzuki (‘Zen Mind, Beginner’s Mind’) likens life to a waterfall that temporarily interrupts the smooth flow of our ongoing being. In a waterfall, he opines, “water comes down like a curtain thrown from the top of the mountain”. He continues, “It takes time, you know, a long time, for the water finally to reach the bottom of the waterfall. And it seems to me that our human life may be like this. We have many difficult experiences in our life. But at the same time, I thought, the water was not originally separated, but was one whole river.”
Richard Reoch’s take on this (‘Dying Well’) is that “… before birth and after death we are like the water of the flowing river. It is only after birth that we experience this sense of separateness, of difficulty and all our feelings. Not realizing that we are still one with the river, we have great fear. But at the bottom of the waterfall, at the end of its journey, the turbulent water returns to its original oneness with the river and continues its inexorable movement to the sea.”
So we can see that our life is like a waterfall; some of our journeys last longer than others each with its own turbulence and difficulty. But the consolation is that we all return to the unceasing river of the Tao.
For the last word we return to Suzuki:
NIRVANA, THE WATERFALL
"Our life and death are the same thing.
When we realize this fact,
we have no fear of death anymore,
nor actual difficulty in our life."
Metta
Saturday, July 11

Tao helps those who help themselves
by
Metta
on Sat 11 Jul 2009 08:31 PM BST
Tao helps those who help themselves
Continuing the theme from my previous blog entry, prevention of illness can a very practical activity. There is a plethora of literature and personal trainers etc out there who claim to give you the best regime for maintaining good health. If we listened to all of them, we’d most probably be dead by now.
A most respected teacher of mine asks people “…. and at what stage did you decide to become ill?” Think about it – through act or omission, we bring illness upon ourselves. So, in your practice …….
Who owns the Illness?
Who, therefore is responsible for it?
Your patient, that’s whom.
So I give my clients homework – things they can do to help themselves. I thought I’d share these with you (however, this does not address those clients who believe that a ‘cure’ is in the pill given to them by the doctor, nor does it address those clients who don’t actually want to get better – both these groups aren’t interested in helping themselves).
Qigong
Again, there’s a plethora of Qigong exercise out there, teachers of which say “if you do this for 3 hrs every day, you’ll live to be 100”, or something equally as impractical. The simplest I’ve found for holistic balancing is traditionally known as ‘grounding the Qi’, but I refer to it colloquially as the ‘Caffetiere’.
Simply stand with hands above the head, palms down with fingers pointing at each other. Now bring the hands down imagining that between them is a fine mesh that goes down through your body – on the first pass, the mesh gathers up all the physical aches and pains (like the coffee grounds in the caffetiere) and you take them all the way down to the feet and out into the Earth (the Earth doesn’t mind – after all it is your Mother!). Go to the start again and repeat the process, this time gathering all the emotional junk and doing the same with it by putting it into the ground. Repeat this process a total of nine times clearing down more imbalances each time. If you get good at it, you can do one pass with each breath out. Do this qigong once in the morning on rising and once at night before retiring (each accompanied by a glass of body-temperature water). It works wonders.
Food and eating
Daverick Leggett has written excellent books on what we should eat in a TCM world; namely ‘Recipes for Self-healing’ and ‘Helping Ourselves’. I draw heavily on the latter when treating particular patterns and give them a copy of the relevant page (not forgetting, of course, to give Daverick the credit).
But many problems can be laid at the door of how to eat. So my clients invariably get the ‘SP Qi Xu plus Damp’ handout on the basis that most of us have some of it to a greater or lesser extent. In particular, the ‘how to eat’ lessons are particularly useful in this frantic life:
§ Enjoy your food, avoid eating when upset or worried or doing business
§ Eat to satisfy hunger, not to prevent it
§ Eat lots of variety
§ Eat regular meals, try and avoid eating late at night
§ Eat slowly, chew well (your stomach has no teeth!)
§ Eat a hearty breakfast
o Breakfast like a King
o Lunch like a Lord
o Supper like a Pauper
§ Your spleen likes a warm environment, so warm foods and soups (cooked foods} are easier to digest than raw.
Ear Seeds
I draw maps of ears and give clients Vaccaria seed strips and tell them where the Antihistamine and Shenmen points are. Brilliant! The Antihistamine point is good for hay fever, the results of insect bites and, according to one of my clients who lives in a particularly midge-ridden area, it also reduces the number of bites she gets.
Shenmen is clearly for stress
And it provides a little light entertainment to see all these people going round with their fingers in their ears as they press the seeds for relief.
Posture
How many people do we see who have back issues that can be down to poor posture? In Ta’i Chi one of the first lessons is to straighten the neck, tuck the coccyx under and opening the shoulder blades. This has the effect of opening the energy gates at DU14, DU4 and DU11 respectively. This allows Qi to flow up the spine and nourish the brain, as well as benefiting the effect of gravity on the spine.
Clearly if we held out an arm all day, we would be exhausted by the end – all for no useful purpose. Likewise, if our posture is wrong we exert a tremendous amount of energy into maintaining a posture that isn’t necessary.
So if your clients say they’re tired – have a look at their posture. Or, even better, have them take a look!
Attitude
A positive attitude can help enormously. We’re not counsellors but there’s no harm in dispensing a little common sense as you would to a friend. So as well as the ‘normal’, balanced attitude, where emotional extremes affects the health of the client, is there anything we can bring from the Taoist philosophy that might help?
Of course there is - WuWei, the act of ‘not doing’, of allowing nature and the Universe take its course. Just as we’ve seen that a bad posture consumes Qi for no useful purpose, so does swimming against the stream (pushing water uphill or whatever) in an emotional or spiritual sense. So if an imbalanced attitude is contributing to their issue, then make them aware of it in an appropriate manner.
Acupressure
GB31 for sciatica, P6 for stomach issues, SJ3 for tinnitus, LI4 for pain, ST36 for energy, SP6 for period pain and so on ….. we all know the points that we can use ourselves (although I did try DU20 upwards before my final exam at NCoA but to no great effect!)
So, where appropriate, I show the clients the ones they can use for themselves. A cotton bud or blunt end of the pen serves, but I prefer Phil McQueens’ suggestion that you get a round ended chopstick, but with an edge on it so that as you press and twist, it picks up the skin and turns it. Works a treat.
Equally, other techniques that exert pressure or influence (heat, magnetism etc) can be just as effective. Let them work it out for themselves.
Cups, moxa sticks, plasters and books
You may recall my story of a local farmer who stung up a heat lamp (used for helping early lambs) in his kitchen to help his back ache as he lay underneath it. Well, there are physical devices which you can pass on/loan/rent out/sell etc. Cups with rubber suction balls are a big hit, especially with those clients who have soft tissue stagnation.
And other devices which require a more detailed knowledge, and a more in-depth briefing as to their usage, are moxa sticks and Jin Si Gao Herbal Plasters – very useful for the client to manage themselves, but you must know how they will be used.
Beware the loaning of books – they rarely come back. That said, I always have a copy of Angela Hicks’ ‘Acupuncture Handbook’ in the clinic waiting area; it’s surprising the number of clients who go away and order one for themselves.
Meditation
Listening to the body/mind balance is essential for self-help. Being able to differentiate between the Yin and Yang (as directed by the Tai chi Classics) can lead to a degree of self-awareness that then can be used to regulate our actions. Awareness of excess and deficiency, for instance, is something we all know we should do, of which we are all aware, and of which few of us take any notice.
Maybe ‘everything in moderation’ or ‘go only to 70%’ and such are pieces of advice the benefits of which not only our clients would benefit.
Client understanding
Clearly, the use of TCM jargon can be confusing – watch the colour drain from someone’s face if you say “your kidneys are severely depleted” or some such inappropriate expression. However, they are very interested in recovery – witness the number of time you’re asked “and how many treatments will I need?”
So I have drawn a sloping Sine wave graph (if you don’t know what a sine wave is, then go to Google Images) that represents Improvement against Time – neither axis has numbers on it. But what it does depict is that everything is cyclical and improvement is not a linear process. Indeed, improvement will most likely be followed by a slippage back – hopefully not as far as from where they started – only to be followed by another improvement, and so on.
In doing this they take on another part of the self-healing, namely the monitoring process.
Age aspects
‘Death comes through the legs’ is reputedly an ancient Chinese saying. Like T’ai Chi’s ‘Walk like a cat”, it’s meant to be allegorical. It means that as we age we stop moving as much – this leads to conditions that restrict movement, so we don’t move as much – and so on. Lack of activity as we age can lead into a declining spiral; so it’s very important for older folks to keep up the exercise
One very useful exercise for the elderly, that they can do anywhere, is the ‘T’ai Chi walk’. It strengthens leg muscles and engenders confidence – one of my clients, a lady in her mid-70s with Parkinson’s, went from walking with two sticks to no sticks and a much less shuffling gait in nine months by doing this. Simply pick up the back foot and let it hover for a second or two an inch above the ground, move it through and let it hover, then place it down till it rests on the floor with no weight in it, then move your weight onto it. Repeat the process – often.
Other very good leg-strengthening exercises exist – go and have a chat with your local friendly physio.
Similarly, Yin deficiency in women becomes more pronounced in middle years, so encouraging younger women to eat appropriately or maybe take Yin and Xue tonics would help in later years (Floradix is good for the red stuff).
And remember, in life we have three components of time, health and money – only two of which you have at any one time. In our youth we have time and health, but no money. In our middle years, we have money and health but no time. And in later years we have time and money, but failing health. Or to put it another way:
Man in his youth
uses his health
to gain his wealth
In old age
he uses his wealth
to regain his health
So there you have it – my toolbox for the clients to help themselves. You may not agree with it but, hey, it works for me – AND for them!
Metta
Thursday, June 18

Is Prevention Actually Better?
by
Metta
on Thu 18 Jun 2009 09:14 PM BST
Is Prevention actually better?
Recent stories in the media, such as the tendency to get Swine Flu and the prevalence of men to contract cancer, strengthen the age-old adage that improvement in general health and the avoidance of damaging lifestyles, are the best way to stay healthy.
Yet we live in a health culture of ‘breakdown’ maintenance – we wait until something goes wrong and then we try to get it fixed. In Engineering, there are alternatives to this form of maintenance, such as ‘Prevention’ (as in changing the oil in a car after so many miles), ‘Routine’ (such as the weekly tyre-pressure check) and ‘On-condition’ (such as changing tyres when the tread gets too low); ‘Breakdown’ is reserved for the non-critical functions, such as topping-up the washer bottles when it runs dry.
Different systems require a different approach depending on their nature. Likewise, we can look at the systems in the human being and work out a similar optimum maintenance plan. Do we? No! And so we wait until we break down and then seek help – physical and mental breakdowns can range from minor to disastrous.
So let’s have a look at this – and I make no apologies for quoting those who know far more about this than I ever will.
Prevention
Prevention and Cure are the Yin and Yang (or the other way round) of what we aspire to do. The Neijing Suwen tells us that:
"In the old days the sages treated disease by preventing illness before it began, just as a good government or emperor was able to take the necessary steps to avert war. Treating an illness after it has begun is like suppressing revolt after it has broken out. If someone digs a well when thirsty, or forges weapons after becoming engaged in battle, one cannot help but ask: Are not these actions too late?"
and
"Xu xie, a weak pathogen, comes from nature. It is often a result of disharmony of weather patterns. Zheng xie, a strong pathogen, is the result of the patient being attacked while tired, weak, and with open pores. The strong pathogen tends to manifest mildly .…. the superior doctor begins the treatment. He or she knows how to carefully “watch the door and the window in order to catch the thief”
So we must observe nature as well as overall health of our clients (and ourselves!). Returning to the Engineering analogy, we also have the ‘bath-tub’ curve, or wear-in and wear-out phases, during the life of a system; the new system (eg. a child) has a few teething issues, but generally has a lot of potential energy with which to bounce back from any problems. Conversely, the old system (people in later years) not only exhibit wear-out symptoms from which they don’t have many reserves to assist recovery, but also this progressive reduction in reserves (think Zheng Qi and Yuan Qi) allows dormant weaknesses to surface – so a sore back now may be as a result of a 40 year-old rugby injury the symptoms of which have been suppressed since it happened. Hence the accumulation of symptoms and apparent retention of pathogens that we see in the elderly.
There is a commonly-held view that illness ‘comes out’ of the subject rather than ‘comes in’ from outside. This is a very useful tool to view our clients. But it does beg the question as to whether we can prevent illness by not only strengthening the core ‘wellness’ of the subject but also, by selectively applying treatment modalities that help particular type of people or those in particular occupations – would regular needling of Shangbaxie on a farmer delay the onset of pain and swelling of the finger joints? Hmmm…
But in this economic climate, could you convince him that it was money well spent? Unlikely. I guess it comes down to KYC – know your client.
Propensity
I recommend a good read to you – ‘The Biology of Belief’ by Bruce Lipton. He is a cell biologist who believes that:
“It is single cell’s “awareness” of the environment, not its genes, that sets into motion the mechanisms of life” (Ed - and, by extension, us)
Thus:
Because we are not powerless biochemical machines, popping a pill every time we are mentally or physically out of tune is not the answer. Drugs and surgery are powerful tools, when they are not overused, but the notion of simple drug fixes is fundamentally flawed. Every time a drug is introduced into the body to correct function A, it inevitably throws off function B, C or D. It is not gene-directed hormones and neurotransmitters that control our bodies and our minds; our beliefs control our bodies, our minds and thus our lives.
Ironically, in recent decades, we have been taught to wage war against micro-organisms with everything from anti-bacterial soap to antibiotics. But that simplistic message ignores the fact that many bacteria are essential to our health. The classic example of how humans get help from micro-organisms is the bacteria in our digestive system, which are essential to our survival. The bacteria in our stomach and intestinal tract help digest food and also enable the absorption of life-sustaining vitamins. This microbe-human cooperation is the reason, that the rampant use of antibiotics is detrimental to our survival. Antibiotics are indiscriminate killers; they kill bacteria that are required for our survival as efficiently as they kill harmful bacteria.
Genes are not destiny! Environmental influences, including nutrition, stress and emotions, can modify those genes, without changing their basic blueprint. And those modifications, epigeneticists have discovered, can be passed on to future generations as surely as DNA blueprints are passed on via the Double Helix.
Where do we come in?
‘Prevention’ is our strength in TCM – ‘Cure’, in the mindset of the great majority of the population, remains in the bailiwick of Western Medicine although much of that is in the suppression of symptoms by chemical and surgery. But times are a changin’.
In playing to our strengths, we have to emphasize that our health is very largely in our hands (it has been shown that only 5% of cancer and cardiovascular patients can attribute their disease to heredity – Willett, Science 296, 2002). TCM stimulates the core systems to maintain or re-establish balance and, in doing so, promotes the best prevention of illness that exists. However, helping clients to understand that their beliefs control their bodies, their minds and thus their lives is also a part of this.
It is thus very rewarding to see that moves are afoot within the profession. As an example, I would refer you to a paper in ‘Complementary Therapies in Medicine’ (2008) 16, 101-106, by Hugh MacPherson and Kate Thomas, in which they conclude that:
Within acupuncture care, self-help advice is not seen as an 'add-on' but rather as an integral and interactive component of a theory-based complex intervention. Studies designed to evaluate the overall effectiveness of traditional acupuncture should accommodate the full range of therapeutic components, strategies and related patient-centred treatment processes.
In acupuncture trials, non-needling components, such as self-help advice, when drawn directly from the diagnosis and integral to the process of care, should not be misclassified as incidental, non-specific, or placebo if we are to accurately assess the value of treatment as delivered.
So for those of you graduating this year, the advice to ‘treat the person, not the illness’ is not an empty cliché; it is very real. And their attitude towards wellness, largely influenced by you, can make all the difference.
Metta
Saturday, June 6

Not a Cat's Chance ...
by
Metta
on Sat 06 Jun 2009 10:26 AM BST
Not a Cat’s Chance …
I was much heartened to hear the recent news that NICE had recommended that the use of complementary therapies, but especially acupuncture, should be the preferred approach for treating lower back pain (2.5 million workdays lost per year at a cost to the NHS of over a £1billion per year) and that doctors should not only refer patients for it, but also defer from other currently-used treatments that have shown to have no clinical benefit. NICE’s quite specific advice was to “Consider offering a course of acupuncture needling comprising up to a maximum of 10 sessions over a period of up to 12 weeks”; equally interesting was that NICE also advised against the use of laser therapy, interferential therapy, therapeutic ultrasound, transcutaneous electrical nerve simulation (TENS), lumbar supports, traction and injections of therapeutic substances into the back for non-specific low back pain.
So I sat glued to the phone waiting for my local NHS practitioner-based commissioning group to call; after all, I have written to them a number of times on this very subject over the last few years but, regretfully, never even received a reply to my letters. The phone didn’t ring.
But, of course, I jest.
Do we really think that the ‘establishment’ in the NHS will suddenly switch and embrace us with open arms? – not a chance! A University College medical scientist was interviewed on TV and expressed what will be the overwhelming view – “complementary therapies are OK, but they come with a lot of mumbo-jumbo”; and the usual criticism of trials not being ‘randomised and blinded’ are rolled out, that acupuncture was no more effective than ‘theatrical placebos’, and so on.
So what will happen? The Times reported that the “…chairman of the Royal College of GPs, said that there was a shortage of qualified physiotherapists who could offer prompt treatment”. There you have it. Although (as far as I am aware) the trials that led to this evidence were largely based on TCM (see previous articles in the BMJ such as that which can be accessed via http://bmj.bmjjournals.com/cgi/content/abstract/bmj.38744.672616.AEv1?hr), suddenly the application within the NHS becomes something more akin to the acupuncture that BMAS offers. Diagnosis and treatment will be based on musculo-skeletal principles with little or no involvement of TCM energetic principles – downstream analysis of results will inevitably, therefore, show that that acupuncture was not that effective and the NHS ‘establishment’ will crow that that was obvious from the start. And ‘acupuncture’ as a therapy will be discredited.
Hey ho! It’s our lot – and we should get used to it.
The lesson here? Well, I’ve always been impressed by the lines from Cat Stevens’ “Sitting”:
Life is like a maze of doors and they all open from the side you're on
Just keep pushing hard boy, try as you may
You're going to wind up where you started from
The ‘push’ will not come from us, be we registered or otherwise – medical entrenchment and pharmaceutical interests will win out, at least in my lifetime. However, just as we’ve seen in recent political activity, the population will provide the ‘bottom-up’ impetus for change – so my view is that we provide the best we can for our clients and let the power of the people win the argument. How often have we heard their voices raised against hospital-acquired infections, horrendous side-effects to drugs, flippant and insensitive handling of their cases, AND questioning why they should pay extra money, over the £11bn they already annually contribute to the NHS, to have access to a therapy that actually works for them?
I don’t advocate revolution, just an acceptance by ‘the system’ that there are many (valid) ways to skin a cat – a 'mumbo-jumbo' procedure, by the way, which is not included in the syllabus of your course!
Metta
Wednesday, May 20

Qu-chi acupressure band
by
administrator
on Wed 20 May 2009 12:29 PM BST
Innovative NCA Graduate Andrew Broch has invented and developed the “Qu-chi acupressure band” to alleviate the symptoms of Hay fever. We thought that it was such a good idea that we asked Andrew to send us one to try out. Our registrar Julia and her daughter are both sufferers and Phoebe is trying the band out at the moment. Early signs are that it is helping Phoebe ( who is taking her A levels) and we will keep you posted. To find out more take a look at Andrews web site http://Qu-chi.com
Monday, May 18

A Worthwhile Homily
by
Metta
on Mon 18 May 2009 04:02 PM BST
A Worthwhile Homily
As a youth I was continually referred to Kipling’s ‘IF’, prominently displayed on the kitchen wall, as a recipe on how to lead my life. Since then, I have resisted homilies of this nature (defined as ‘a tedious moralising discourse’) except for a worthwhile few, such as Desiderata and the Nun’s Prayer, as being too twee to contribute a lot to my life.
However, I came across one the other day that I’d like to share with you:
To help you care for yourself
o Be gentle with yourself – you are a very special person
o Remind yourself that you are an enabler, not a magician
o Remember that we cannot change anyone else - we can only change how we relate to them
o If you never say ‘No’ – what is tour ‘Yes’ worth?
o Change you routine often and your tasks when you can – schedule ‘withdraw’ periods – you need your own time and space
o Avoid ‘shop talk’ during breaks and when socialising
o You too will need support, assurance and redirection at times - try to find someone you feel safe talking to
o At the end of the day, focus on something good that hashappened
o Learn to recognise the difference between complaining that relieves, and complaining that reinforces negative stress
o Give support, encouragement and praise – and learn to accept it in return
o Remember that in the light of all the pain we see, we are bound to feel helpless at times. Admit it, without shame. Caring and being there are sometimes more important than doing nothing.
I rather like it – I hope that you do too
………………………….
I also came across, whilst trying to reduce the amount of Junk I seem to accumulate, a reminder to myself I’d written when I first went into self-employment and which, subsequently, I refreshed as my experience grew. I offer this to you now, especially to those who will be launching themselves into a difficult market this summer:
o Before you start, evaluate the worst cost of failure in terms of money, career, physical, emotional etc. Can you cope with it?
o Know your subject and be enthusiastic about it
o Everything takes twice as long and costs twice as much as you would expect
o Is there a ‘market’ for what you’re selling (don’t guess – find out and be honest with yourself) – namely people who will come to you because they want what you’re offering. If you have to be a ‘missionary’, then you will end up in that position!
o Have full and total family support
o People, even friends, do not always do what they say they will – employees frequently don’t (depending on what are their personal incentives)
o Don’t go into business with friends – unless you are very careful, they won’t remain so. Write everything down in an agreement – it is vital to have full understandings between you at the beginning.
o Understand the time that it will take to make any business work, let alone private medicine in a recession.
Again, I hope that helps
Metta
Sunday, May 3

Process, Output and Outcome
by
Metta
on Sun 03 May 2009 12:25 PM BST
Process, Output and Outcome
Exam time
You don’t need me to put in my pennyworth about how to prepare for exams – but when has that ever stopped me in the past?
I’ve written in past entries of the Taoist view of Change – namely that it needs both tendency and circumstance to make it happen AND, thereafter, stay happened. However, maybe we should look at the equivalence in our culture (almost a continuation of the ‘open’ and ‘closed systems view I took in the last blog entry).
Different professions have a different view of Change and the definition of success. For instance, the more bureaucratic the organisation (and I’ve worked in a few of them), the more that the ‘process’ becomes important – take the recent case of where a baby died through the deficiency of Social Services, yet the defence put forward was that procedures were followed. Achieving NHS targets regardless of patient comfort falls into this category. Concentration camp guards thought it was OK because they were following orders……….
At the other extreme, where people work for themselves (and are, arguably, more self-focussed) then the ‘outcome’ is more important – the ‘bottom line’ must be achieved almost at any cost; possibly the current economic trouble is evidence of this.
However, it is the bit in the middle that provides the greatest entertainment and, possibly, concern – where ‘output’ is what is required and where the ‘process’ and ‘outcome’ really aren’t that important; like when people feel they have to say something - ANYTHING! I was reminded of this recently on the evening before the clocks went forward – there was a BBC News item on how clear the moon would be on that night, and how we could all see the craters etc, and the presenter then switched to the weather forecaster and said “Matt, how clear will the skies look, after all we’ll have an hour less to see it tonight?”
It’s when this output becomes disjointed from the process/outcome that it often goes to worms. Lao Tsu was reported to think nine times about what he was going to say before he said it. This could lead to slow conversations, but there’s a message in there for all of us.
Walking up a hill in the Dales, I was reminded (whilst battling against a stiff wing and steep gradient) that this was very much like studying for exams. The ‘process’ was hard and required the “put one foot in front of the other” type thinking (despite various winds trying to push me off course). The ‘output’ was that I stood on the top of Ingleborough, but the ‘outcome’ was the terrific sense of elation that resulted from feelings of achievement, exertion and wonderment from the view, but mainly from the indescribable sensation of having risen above it all. I trust you will feel the same after the exams – best wishes for them.
If it wasn’t so sad ….…it’d be funny.
Still on the theme of ‘process’, ‘output’ and ‘outcome’, what happens when the ‘process’ is flawed, when conclusions are based on non-sequiturs or circular arguments? Then the ‘output’ and ‘outcome’ become, by definition, invalid – what if your understanding is based on the physical only, on narrowly-defined scientifically verified data, where the non-rational is confused with the irrational?
It was in this frame of mind that I bemused lately by what we’re fed nowadays. Yet again, we’re presented on our screens with another dumbed-down pseudo-scientific documentary, presented by yet another female ‘professor’, which follows the journalistic maxim of “first simplify, then exaggerate.”
This time it was on the subject of what should be included in a believable pharmacy; needless to say, as it was a medical doctor who was presenting the programme, only branded pharmaceuticals were admitted – herbs, homeopathic remedies etc were all rejected as having no reputable value. But the quote from the documentary which really amused me was from Dr Dylan Evans, University College, Cork who, in concluding that homeopathy worked simply by placebo effect, said “But all placebos can do is boost our own natural healing mechanisms”. Is it me, or isn’t all healing the result of natural mechanisms? – drugs don’t heal, they simply alter the physical balance in order for nature to do its bit. And we do the same, but within the wider holistic balance.
And this obsession we have in the West, that only the physical world has relevance in medicine. In the 5th century BC, Plato said “The cure or the part should not be attempted without treatment of the whole. No attempt should be made to cure the body without the soul and, if the head and the body are to be healthy, you must begin by curing the mind….. for this is the great error of our day in the treatment of the human body, that the physicians first separate the soul from the body ….”
I was forcibly reminded, on watching this ‘documentary’ of a recent comment, made by an eminent astronomer, to the effect that “scientists are very good at answering the questions they ask”, but these questions take no account of ‘meaning, value, purpose’ etc – the very things that give quality to the totality of the Universe. If you only ask the questions to which you have an answer then, by definition, you miss all the rest; it’s like a circular argument –
“Q. How do you know that God exists”
“A. Because the Bible says so”
“Q. What give the Bible this authority”
“A. It is the word of God”
If you ask a scientist what is a CD, he might answer “A Compact Disc is made from a 1.2 mm thick disc of almost pure polycarbonate plastic and weighs approximately 16 grams. A thin layer of aluminium or, more rarely, gold is applied to the surface to make it reflective, and is protected by a film of lacquer. The lacquer is normally spin coated directly on top of the reflective layer. On top of that surface, the label print is applied (thanks to wiki.answers.com)”. To me a CD is something that enables me to appreciate the beauty of Beethoven Concerto.
And in The Voyage of the Dawn Treader, C. S. Lewis has Eustace say: "In our world a star is a huge ball of flaming gas." Ramandu answered: "Even in your world, my son, that is not what a star is but only what it is made of."
So I try to look closely at the ‘process, ‘output’ and ‘outcome’ of the things we are asked to accept. Too often we are led into thinking that the ‘process’ is the ‘output’ (often through government|), or the ‘output’ (from, say, a pharmaceutical company) in itself provides the ‘outcome’. I would advise everyone to think hard about this and look for themselves to find the incomplete or circular arguments, non-sequiturs and the like, and be discriminating in what they feed us.
Metta
Wednesday, April 22

QED
by
Metta
on Wed 22 Apr 2009 02:46 PM BST
QED
Two items have come to my recent attention that bear upon themes I’ve touched on so many times.
The first …..
is an alert by the Human Fertilisation and Embryology Authority (HFEA), the government's watchdog on fertility issues, which follows a US study indicating test-tube babies are at a 30% greater risk of suffering from conditions such as cleft palates and defects with heart valves and the digestive system than children conceived naturally.
Haven’t we been bangin’ on about the downstream costs of meddling with natural evolution. We’ve seen it in other areas such as GM foods, insecticides, food additives, HRT, antibiotics and the side-effects of many drugs and so on. Only when the damage has been done do we get an ‘ooops!’ from the scientific/medical/pharmaceutical community – and is anyone held responsible, are lessons learnt? – NO! Were we ever asked whether we wanted these things?
I find it astounding that the very premise by which Science purports to work is not complied with by that community - Simon Lovestone, Professor of Old Age Psychiatry at the Institute of Psychiatry, King’s College London and Director of the NIHR Biomedical Research Centre for Mental Health at the South London and Maudsley NHS Trust and the Institute of Psychiatry, said in Terry Pratchett’s ‘Living with Alzheimer’s’, (BBC2) Feb 09, “I’m enough of a doctor to be delighted if people feel better, however they get there. But, ultimately, I’m a scientist and what I want is treatments that have been proven to work, treatments that are based in science that have a logical basis, are designed to work and are then tested and are shown to work”. Yet these latest findings show the obvious fact that something cannot be got for nothing – ergo, they DO NOT work!
So here we are, as I mentioned in my previous blog, where our society works on the principle of “It's easier to apologise afterwards than to gain permission beforehand”; the deductive (by inferring particular instances from a general law), rather than the basis of our inductive practice in TCM (by inferring a general law from particular instances – such as the interaction of opposites).
The weight of this sad time we must obey; Speak what we feel, not what we ought to say.
(King Lear)
And it is sad ….. but do we speak out what we feel? Let us just hope, as Barry LePatner put it, “Good judgment comes from experience, and experience comes from bad judgment”. But, somehow, I doubt it.
The second …..
is a poll of 2,000 adults for the Mental Health Foundation which found 77% of them found the world more frightening than in 1999. The charity described a "culture of fear" in which the media and politicians fuelled a sense of unease. The report said "worst-case-scenario language" sometimes used by politicians, pressure groups, businesses and public bodies around issues such as knife-crime, MRSA, bird-flu and terrorism can have a detrimental effect on people's wellbeing. These apparently increasing levels of fear needed to be addressed, the foundation argued, as those who suffer from anxiety were much more likely to experience other problems such as heart disease, gastrointestinal troubles, asthma and allergies. As well as a mental heath promotion strategy, the charity wants the government to stop "unnecessarily using the language of fear".
Dame Stella Rimington, lately head of MI5, recently said "It would be better that the Government recognised that there are risks, rather than frightening people in order to be able to pass laws which restrict civil liberties, precisely one of the objects of terrorism: that we live in fear and under a police state." And I recently complained to Advertising Standards concerning an advert on Classic FM which played the sound on children playing, only for a sonorous voice-over to ask “Did you hear that? That’s the sound of a bomb not going off” – a totally unnecessary scare tactic.
All to keep us off balance and so easier to control. And as with the first item, do we speak out? No, we don’t
We see this day-in and day-out, the results of stress causing physical illness – the very conditions with which the Western Medical community is inadequate in deal. The cynic may say it’s good for our business (TCM) but, again, at what cost to our current and future society?
Just two instances where I think that we, the Great Unwashed, are being manipulated. But maybe it’s just my natural grumpiness – what do you think?
Metta
Saturday, April 11

Should we, just because we can?
by
Metta
on Sat 11 Apr 2009 12:19 PM BST
Should we, just because we can?
Perhaps it’s apt that I am writing this at Easter, a time in the Christian culture when the body was sacrificed for the spirit, the mammon for the ethereal.
Two events have occurred lately that have caused me to stop and reflect. Seemingly unrelated, I began reading Rachel Carson’s ‘Silent Spring’, and I attended a Sandra Hill seminar at CTA on the ‘Eight Extraordinary Meridians’.
‘Silent Spring’ is a classic environmental discourse in which Carson concluded that DDT and other pesticides had irrevocably harmed birds and animals and have contaminated the entire world food supply. This was considered to be heretical, when she wrote it nearly 50 years ago, in a world which held the viewpoint then, as now, that we as a culture (and possibly as a species) have a right to do something without fully considering the consequences. The Chinese, who consider the course of events to be cyclical take a slightly different view – I make no apology for repeating the story of the late Chinese prime minister, Chou-En Lai, upon being asked whether the French Revolution had been a good thing in world history, was reported to have said: “It is still too early to tell”. Banksy immortalised this concept in the immortal line:
“It's easier to apologise afterwards
than to gain permission beforehand”
The seminar on the ‘Eight Extraordinary Meridians’ demonstrated to me, once again, the beautiful model that TCM has devised for our creation and development – a model that has been developed from millennia of observation, intuition and reflection – wisdom, in other words. A model, not dependent upon Science, that nonetheless one that works beautifully. We see in the first cell division of a foetus the ‘one becoming the two’ and so on; the Chong Mai being created on this first cell division, the Dai Mai on the second, with the Ren and the Du following, until all the ‘Extras’ are in place to guide the development of the foetus. Then, at the moment of birth, the twelve ZangFu meridians take over the day-to-day running of us thereafter.
So how have these two events in my life come together?
Let’s go back a step ……..
` [
Take these two diagrams above.
o The first is a simple diagram of a system: an input is provided, a process occurs and an output is achieved – you eat, the food is digested, you have energy to work – an idea comes into my head, I order it in a logical fashion, I write it down as a blog etc. However, there has to be a feedback that governs this process so as the consequences don’t get out of control (literally called a ‘Governor’ in old steam engines – an automatic regulator controlling the speed of the engine). So, ‘feeling full’ is our feedback to stop us eating more than is good for us - unfortunately, as evidenced by the ‘obesity epidemic’, it can overridden by salt, fat, alcohol etc. Having a feedback loop gives us a ‘closed system’, whereas if there is no feedback, or the feedback is ineffectual, then we have an ‘open system’.
- The second diagram is the Taiji – a ‘closed system’ with which we are all familiar. It couldn’t be more closed! – as soon as Yang reaches its zenith, it converts back to Yin and so on. Perfectly balanced and perpetual – just as our evolution has been (until the last few centuries) for billions of years.
So it is this concept of ‘Feedback’ that is my issue of the day. We see it in all sorts of systems where the feedback is inadequate to properly control the process – we have considered where the ‘full’ feeling has created an obesity problem, where millennium bridges have collapsed because a wind has created ever-greater perturbations, where genocide happens because dictatorial regimes are not controlled, and so on. But we are allowing this to happen to the very fabric of our lives.
Rachel Carson saw this happening with DDT and other toxic chemicals, where they were introduced into the environment because the powerful chemical interests were more concerned with making a profit. At about the same time, in a parallel event in the pharmaceutical industry, 10,000 children in Africa and Europe were born with severe malformities, including phocomelia, because their mothers had taken thalidomide during pregnancy. These are examples of ‘Open Systems’ where the short-term considerations took priority over the long-term consequences – AND IT STILL GOES ON!!!
This leads us to the question:
Should we, just because we can?
As we celebrate the 150th anniversary of the ‘Origin of Species’, in which Charles Darwin established evolutionary descent with modification (what I have referred to as ‘feedback’ above) as the dominant scientific explanation of diversification in nature, it is staggering that we read that the new US President, Barack Obama, is reversing policy and allowing stem cell research. This opens the door to even more tampering with the very delicate building blocks of evolution, and our ultimate demise. Maybe Rachel Carson saw it clearly when she wrote “The more clearly we can focus our attention on the wonders and realities of the Universe about us, the less taste we shall have for destruction”.
So how do we as acupuncturists view this: from the cosmetic niceties of facial rejuvenation to the thorny question of Assisted Reproduction, we have to ask ourselves what precisely is our role – do we support the natural evolution of the Jing Luo or do we override nature’s feedback system and play God? Perhaps it has been opportune that results from trials on IVF children have shown, only in the last few months, that there is a 30% greater risk of suffering from conditions such as cleft palates, defects with heart valves and the digestive system than children conceived naturally. The UK’s Human Fertilisation and Embryology Authority (HFEA), the government's watchdog on fertility issues, will be updating its guidance in the light of this US research (but why does this have to happen AFTER the event, when it is so obvious that it’s going to happen beforehand?).
So just like the environmental excesses that we are exposed to, and in which we haven’t had a say (GM crops, chemical spraying, animal antibiotics etc), maybe the medical science/pharmaceutical industry aliance is introducing too quickly to our bodies (eg. HRT, IVF/IUI and so many other ‘wonder drugs’) unproven changes that, subsequently, are shown to weaken the gene pool. So yes, we do live in a world where:
“It's easier to apologise afterwards
than to gain permission beforehand”
Enjoy your Easter and, remember, even Jesus didn’t have the temerity to play God!
Metta
Monday, March 23

What's in a name?
by
Metta
on Mon 23 Mar 2009 11:49 AM GMT
What’s in a name?
I live and work in a location that’s very popular for seasonal visitors – a tourist spot. The other day, one of my clients referred somewhat disparagingly to the ‘Clods’, which I assumed to be a reference to some local ne'er-do-wells. As the conversation developed, it was clear that this was not the case, so I asked what he meant by CLOD – “Coach Load of Old Dears”, he replied. So immediately, I begin to classify many people, who I’ve never met, into the category of CLOD – with all the associated meanings and prejudices.
It set me thinking about the concept of naming things. Do we happily sit there and pronounce “I think you have a Kidney deficiency” to our clients without fully explaining what we mean – only to have them thinking “My God, it’s dialysis next for me!”
Clearly we have to name things but, in doing so, we often leave behind the full meaning of the thing in question. And names change with time: I had a gay childhood …….. I remember listening to a speaker, some years ago when I was working in the public sector, explaining that some words could not be used in case they offended people. We’re all used to over-PCness, but this was a cracker – it led me to believe that I couldn’t open my mouth without saying something that would be taken the wrong way.
The Tao te Ching reminds us that the Tao cannot be named – “The names that can be named are not the unvarying names” – and the moment we put a name on it, it no longer is what it was because it has become constrained by that name - similar to Schrödinger's cat whose status can be anything until the box is opened. So Lao Tsu was effectively saying that by naming something it can no longer be an ‘uncarved block’.
I was reminded of this earlier this week when on Radio 4’s Thought for the Day, the Rev. Dr Giles Fraser had this to say “To say that God is a burning bush or hidden in a cloud, or even to say that God's name cannot be read out or written, is a very ancient way of refusing the reduction of God to the purely functional or quantifiable. In a way, these are important warnings that the human grid is not always up to fully describing the things that we most value. Similarly, one would want to resist those who think of love as nothing more than chemicals in the brain or beauty as nothing more than the firing of certain synapses.” And the Bible would just be simply a collection of paper with ink on it, or a CD of a Beethoven symphony would be simply vinyl with a coating of Polycarbonate.
The ancient Chinese philosophers even had a ‘School of Names’ and, on being asked what he would do first if he were to rule a state, Confucius replied: “The one thing needed first is the rectification of names” (Analects XIII,3.). So we practice in a discipline where names are very important – as students you need to introduce yourself into the names of the acupuncture points and why they’ve been called what they are. It’s not by accident. And if you want some light reading on this subject in Taiji, I recommend ‘How to Grasp the Bird’s Tail’ by Jane Schorre.
We come across ‘dustbin words’ in our practice – ‘fibromyalgia’, ‘nephritis’, etc - which simply describe a loose collection of symptoms; they do little but frighten the patient and give the speaker a sense of power by implying supposed knowledge. In this sense, it would be better if they were never spoken at all. In our practice of Eastern Medicine we must be careful not to fall into the same trap.
So I leave you with the final thought by Fung yu-Lan in his ;’Short History of Chinese Philosophy’, that “expressed in Western logic, a name is the predicate of a proposition, and an actuality is the subject of it”; but it means so much more in Chinese philosophy and arts, of which acupuncture is one. Worth thinking about …..
Metta
Monday, March 9

Better out than in?
by
Metta
on Mon 09 Mar 2009 02:32 PM GMT
Better out than in?
Of late, I’ve been seeing an increase in the number of clients exhibiting ME type symptoms. This is perhaps not surprising in a society where people are overworked, emotionally stressed and not wanting (or able) to say ‘no’ (Stephen Gascoigne’s view of likely contributory causes).
What is this ME, post viral or chronic fatigue syndrome? Giovanni Maciocia, in his ‘The Practice of Chinese Medicine’ (pg 631) describes a condition where:
“Exterior Wind-Heat (or Wind-Cold) can sometimes lodge itself in an energetic niche which is in between the Interior and Exterior (called Half-Exterior Half-Interior in Chinese).….. The Lesser Yang is the hinge between Greater Yang which opens onto the Exterior and Bright Yang which opens onto the Interior. The pathogenic factor, can remain lodged in between the Exterior and Interior for a long time, months or even years. This happens when the person's body condition is particularly weak at the time of invasion of the exterior pathogenic factor”
This Lesser Yang, or ShaoYang, condition typically bounces between the ‘outside’ and the ‘inside’ of the sufferer, with them experiencing unpredictable and alternating external symptoms (in the channels) and internal symptoms (in the ZangFu). All this while, their general wellness is out of balance – their Zheng Qi is being depleted – leading to a spiralling down from the already weakened constitution.
As more recent students of TCM than I, I’m sure all of this is old-hat to you. But I’m seeing more full-blown conditions of this nature and many more clients possibly heading that way, judging by the chronic underlying symptoms. And it’s largely culture-driven (leaving aside the obvious exacerbation by the over-prescribing of antibiotics).
So where’s this line of thought heading? Well, it’s not a great step to see that this is a barometer of the society we find ourselves in today. Do we not see so many people with poor temperature control, fullness of the hypochondriac region, poor appetite, irritability, dry throat, nausea, bitter taste, blurred vision etc. So many people carry around imbalances that are exhausting them.
But it goes wider than just the individual’s TCM aspects. Think of society as an organism: there are elements of chronic fatigue in this as well. Cultural pathogens that are neither in or out, bouncing between the two and giving alternating symptoms. RUBBISH, I hear you say.
“The budget should be balanced, the treasury should be refilled, public debt should be reduced, the arrogance of officialdom should be tempered and controlled, the assistance to foreign lands should be curtailed lest we become bankrupt, people must again learn to work instead of living on public assistance”.
Cicero uttered these words 2064 years ago – and symptoms don’t repeat themselves? Which leads us into the current banking crisis from which we’re all suffering. First we regulate the banking system, then we remove it, then (when it all goes pear-shaped again) there is talk of greater regulation - taking them in moving them out. … and so it goes on. All very ShaoYangy. All the time forgetting that Banking itself is the pathogen with grotesque evidence of its excesses and deficiencies. Need I go on?
And this is repeated in all aspects of this ‘civilised’ society of our – government, media, religion, law, education and so on. All the while the ‘body’ (made up of you and me), is being depleted and held off-balance, and exhausting us as a community – a ‘broken’ society some might say.
The more you own, the more it owns you …..
But there is route out of this. Just as an ME sufferer needs to be an active participant in his/her recovery – where their attitude is crucial – so we in the wider society can improve our lot by adopting the right attitude. We need to rise above the doom-merchants and opportunists of this world (Robert Peston, Gordon Brown, Fred Goodwin all come to mind) and make the best out of our own little worlds.
The current constraints being imposed upon us in the Depression don’t sit well in the Spring when growth, the ‘spreading and flowing’, would normally be the natural order of things – which leads to society’s Qi stagnating. But more of that next time …..
Metta
Friday, February 20

Drift, Dribble and Droop
by
Metta
on Fri 20 Feb 2009 11:55 AM GMT
Drift, Dribble and Droop
It sounds like something from Trumpton, the name of a boys band, a firm of solicitors or, indeed, a set of instructions for giving a sample; the original title was ‘Drift, Leak and Creep’ but this is catchier, don’t you think? Call it what you will, these are things that we, as humans, do – and, believe me, it gets worse with age!
Drift - Once, when I was undergoing a course in reading a compass, I was told that we all drift – downhill, with the wind, and to the left if you’re right-handed. We naturally tend to go with the flow, take the easier route, even if it means we’re thrown off our original course.
Leak - I was reminded by a priest, some time ago, that the reason we attend church is because we ‘leak’ during the week. So, being reminded of where we should be, requires constant ‘topping-up’. Wait till you’ve finished your course and see how much you ‘leak’ then!
Creep - And lastly, we ‘creep’ – or ‘droop’ if gravity has anything to do with it! Everything creeps – a phenomenon more widely known in engineering where metal structures are constantly under stress; progressively, the metal will ‘give’ in the direction of the stress. Likewise all things are subject to gravity (the prevailing and ubiquitous force), and thus creep; another example is where panes of glass progressively thicken at the bottom. Creep means everything ends up settling, like silt all spread out, in its comfort zone.
So it inevitable that we drift, leak and creep. So what, you ask? Well, consider what are the principle actions of Qi – it is a medium, after all, on which all your studies depend:
• Movement
• Protection
• Transformation
• Retention
• Warming
• Lifting
‘Movement, retention and lifting’ are the principle candidates to combat the ‘Drift, leak and creep’. So I guess Qi is what’s needed to help us in this unfortunate human trait.
Can we see anything in nature that doesn’t drift, leak and creep – of course, it’s all around us at this time of year. Trees and plants are starting their annual cycle of growth, with with Qi and sap rising, now that the replenishment of the Winter months is over. Have you ever wondered why a tree grows upwards, AGAINST the force of the Earth’s Yin Qi (or ‘gravity’ if you prefer)? Because it’s role, just like us, is to form the Taiji between Heaven and Earth. And does a tree drift, leak or creep – hardly, it’s got more sense! And so should we.
So let’s emulate the plants and trees, ‘stiffen the sinews, summon up the blood, and (for the grumpies amongst us) disguise fair nature with hard-favoured rage’.
Metta
Saturday, February 7

Consider the humble Sine Wave
by
Metta
on Sat 07 Feb 2009 10:03 AM GMT
Consider the humble Sine Wave
I can see the reaction:
“WHAT has this to do with TCM, acupuncture or, indeed, my life?”
Let me explain. I’m assuming that you, the reader, buys into the concept that change is cyclical, and that the turning of the Taiji (or Yin/Yang symbol if you prefer) represents this – Yin turning to Yang and back again, endlessly. Assume then, that Change is represented by the Taiji as a wheel rolling along the ground – the path of the axle will represent a straight line (a datum) and any point on the circumference of the wheel (or, indeed, any other part of the wheel) will describe a Sine wave about this straight line as the wheel travels along.
So, in a Taoist paradigm, a Sine wave represents the inevitable movement (or locum) of change in a perfectly balanced environment
It maybe goes without saying that this is how change occurs in a natural environment. We can see this clearly in the cyclical nature of the day – where, for instance, light is above the line and dark below – so light goes to dark and back again at an intensity that is represented by the Sine wave (not allowing for clouds etc). The change of the seasons, tides coming in and going out, and so on, for all natural functions.
Personal Change
And so it is with us:
A young man rose one day and everything went wrong – the alarm didn’t ring, he cut himself shaving, he missed the bus and was late for work, and so on throughout the day. “Never mind” his father said when this was related to him “things will change”.
The next day was the reverse – the sun shone, his boss gave him a raise, met a nice girl etc. On telling his father, he again got the reply “things will change”.
But we always want to be on the ‘top’ of the Sine wave – to be healthy, to be wealthy, to always have a job, to be constantly happy and so on. But it is inevitable that this can’t be so, and yet we feel disappointed when things happen at the other extreme – we are made redundant, a relationship breaks up, we are unwell etc. (this is very much a conditioning of the Western ‘linear’ view of change).
So can we do anything about it? Yes.
I recall a Canadian Air Force fitness programme called 5BX; some of the more senior members of the readership may remember it. The principle behind this was that if our fitness datum was average, we would feel good some of the time (when we were, say, above the datum) and not for other times of the day (such as when running for a train, climbing steep stairs etc). However, if you could move the datum down, by improving your background fitness, then you would feel better for more of the time, and worse for less.
And this applies to our mental as well as to our physical fitness - our expectations and awareness. So in these difficult times, look at what you’re expecting to happen and see if there’s a change in that that you could effect to improve your lot. Also, raise your awareness to other opportunities – if your practice has declined (and most colleagues have reported a 50%+ drop in the past 6 months), then all you’ve done is exchange money for time – can you use that time to advantage? It’s all Qi - it’s just a matter of how it is manifested.
And Change can be effortless
“Yea, sure” I hear you say “but it takes energy to make change happen”. Well, possibly not as much as we sometimes think.
We know from our learnings and experience that intention moves the Qi and the Qi moves the substantial; at factors of 10 if you believe the ancients – so intention moves 100 times that of the body - useful in the martial arts! So the intention is a very powerful force (I’ve referred to affirmations and Cosmic shopping lists in previous blog entries). But, as an academic exercise, let’s see how nature does it – for which we’ll use the element of water (what else?)
Keeping the water analogy, I was once a canoeist. When I first started they put me in a wet suit and off I went. It was Summer and I nearly succumbed to heat-stroke. I put 90% into moving the wetsuit and only 10% into moving the canoe. A good example of: “the more safety equipment you carry, the greater the risk of having to use it”, as Eric Langmuir put it in his book on Mountaineering - possibly a lesson there in the modern view which advocates that children should be brought up in a totally risk-free world.……
But I digress …….
The lesson I learnt was that the less restriction that was being applied (by myself or others), the more I could achieve, the less heat I generated and most likely I was safer in the doing of it - a new meaning of the current 'Quantitative Easing'.
Staying with water, consider how wave energy works. We see waves coming in off the sea sometimes with considerable force but, with the exception of a Tsunami, the water per se doesn’t move with the energy. The water molecules effectively only move up and down (well, small circles actually if you want to be picky) each water molecule passing on the package of wave energy to it’s neighbour, and so on. So the (substantial) water doesn’t move, but the (insubstantial) energy does.
You can see many examples of this in water-hammer, how an electric motor works, the ‘connection’ wave that passes down shunting railway carriages etc. Equally when the (relatively) substantial Qi is free to move, then the Shen energy is allowed to flow – and you feel better/happier/contented etc.
The point …..
….. of all this is that change will happen by either letting it happen (the wu wei principle), or being aware of the physical conditions moving the Qi, and thence on to moving our Shen – ie. using nature to mould our expectation and awareness, particularly during these difficult times.
Try it – you may be surprised.
Metta
PS. Apropos nothing to do with the above, and on the ‘be careful what you say’ theme, I innocently commented to a lady patient recently “you’re not as Hot as you used to be”. Luckily, she saw the funny side of it!
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