If you don't pray, put them together anyway. In the
age of anything goes, I've taken to the lazy practice of praying
silently in my head while lying in bed at night. I don't know where
my hands are exactly, but they sure aren't folded nicely in front
of my chest like the iconic prayer image of the olden days.
Who cares? Why bother pressing your hands together and holding
them in that fairly awkward position that drove me nuts as a
Catholic school kid? I'll be the first to admit that I let my
fingers fall and intertwine into the sloppy prayer paws pose as
soon as the priest looked the other direction.
Now I realize I was screwing myself out of some real benefits.
Sure, God was probably disappointed in my faulty direction
following, but I'm not focusing on the spiritual deficit here. I'm
focusing on the physical and even the psychological benefits I --
and many other lazy prayers -- had been missing out on all my young
This whole conversation hinges on one
important point -- an acupuncture point -- called Pericardium 6, or
"PC6" as we call it, because again we're all too lazy to stick to
the formalities in life. What does PC6 have to do with prayer paws
(as my kids call them)? This now famous spot, two inches proximal
to the inner wrist crease, has been dubbed the most researched
acupoints of the modern day. You know those "anti-nausea"
motion-sickness type bracelet bands, with the ball that presses
into the inner wrist? That thing's stimulating good ole PC6.
Why is PC6 such a beneficial acupoint? Our trusty
guide to acupuncture points and meridians and their energetic
functions is a beefy, rust-colored book usually referred to by its
author's last name, "Deadman." What does Deadman say about PC6? Oh,
nothing too exciting. Just that it treats all diseases of the
chest, particularly the heart, but also benefits the lungs, too. It
can be used for heart surgery analgesia. What? Yes! No anesthesia
necessary...just squeeze PC6 for me while I go under the knife!
In TCM terms, PC6 "unbinds the chest and regulates
qi," "regulates the heart and calms the spirit," "harmonizes the
stomach to relieve nausea," and "clears heat." It's indicated in
conditions such as heart pain, palpitations, cough, asthma,
insomnia, anxiety, abdominal masses, fevers, malaria, irregular
menstruation, and swellings in the armpits. Nothing important
there, right? Not! PC6 does just about everything you could want an
acupoint to do.
During a recent advanced seminar class with Dr. Robin Fan, we
discussed the benefit of stretching the Kidney meridian in cases of
heel pain. Suddenly, all I could picture was the traditional prayer
pose--hands out front, pressed gently together, stretching and
stimulating the bulk of the Pericardium meridian!
It makes sense. What is the function of prayer if
not to calm the mind and spirit? It's not just Catholics and other
Christians who have always used this prayer pose, either. As my
mind wandered -- sorry, Dr. Fan -- around the globe, I saw the
Chinese practicing qi gong poses, the Indians practicing
yoga poses, etc. Every tradition I could think of involved some use
of this position.
In anthropology, when we see similar customs or values amongst a
variety of cultural groups around the world, we call those core
elements "cultural universals." In other words, everybody's doing
it. Why? The answer is one that, despite my need to create an
evidence-based practice, I've always secretly promulgated;
sometimes, you don't need to sit around waiting for a formal
research study to prove a truth. It's lovely that western medicine
has put together some studies that do show the efficacy of PC6 in
some conditions, but I'm not waiting for them to prove the rest.
I'm going with Deadman and the ancient world traditions on this
Pray on, prayers!
With at least two distinct "appreciation" events in the next two
weeks, Acupuncture and oriental medicine seems to be powering its
way into the integrative healthcare arena. Currently at NUHS, an
acupuncture awareness campaign is giving AOM students, faculty,
clinicians, and interns of all kinds of an excuse to sport an
unmistakably fashionable bow tie. That's right, in addition to the
pristine business professional wear and white coats, always part of
our clinic attire, you can also catch us pinning on a snazzy white
and black yin-yang bow tie from now through November 1st. It goes
If gawking at odd bow ties isn't enough to grab your attention
and get you thinking more about acupuncture and oriental medicine,
then how about some free treatment? That's right. From October 27th
to November 1st, all new patients to the NUHS AOM Clinic can
receive a free treatment. This is a great opportunity for anyone
who's been considering giving acupuncture a try, but hasn't been
willing to shell out the usual $25. Just make sure to schedule
ahead of time -- free generally means "busy" around the clinic!
Why do we need to raise awareness about acupuncture (and all of
oriental medicine)? In a 2014 National Health Interview Survey
report, researchers revealed that 14 million Americans have tried
acupuncture. That sounds like a lot, but it's really not. That's
only 6% of Americans! What's holding back the other 94% of the
American population? My guess is needle phobia. Who wants to be
poked and pricked? Not even I like needles, and I use them every
Neporent, Liz "A Close-Up Look at Acupuncture for
ABCNews.go.com. ABC News. April 22 2014. Web. April 25
Thankfully, needlephobes like myself are not holding back the
growth of acupuncture in the United States today. Lately we've been
finding needles everywhere. The military is hiring acupuncturists,
veterans' clinics are treating PTSD, and pain management and cancer
treatment centers are flooded with requests for acupuncture
services. Even research studies, in English, showing the efficacy
and safety of acupuncture are appearing at a rapid clip. It seems
like the west is doing a good job proving the east already knew
what it was doing. Acupuncture can treat just about everything.
Ladies and gentlemen, the people have spoken. They want to be
To find out more about these awareness events at NUHS, and to
keep up with the happenings of our program on campus, check out the
NUHS AOM Club Facebook page.
If you've never heard that one before, then you've
probably never tried to figure out a skin issue. Every time I've
ever consulted with any kind of doctor about anything skin-related
on anyone, the first comment is always "Derm is hard." Why are skin
problems such a mystery? Sure, dermatologists have figured out how
to treat most of them, but even they, in my experience, are not
much concerned with how the skin eruption got there in the first
place or why a rash keeps recurring.
If you have a child, then odds are high that you've run into
some skin issues. Kids are just hotbeds for tons and tons of
rashes, eruptions, vesicles, warts -- you name it. As a parent,
rather than as a student, I've become familiar with eczema and
molluscum. Is it flat or raised? Broken edges or a perfect circle?
Red or flesh colored? These are all things that we parents become
practical experts in, but only by default. It only takes about 10
trips to the pediatrician to have someone take a look at a pink or
red spot on a toddler's leg to start concluding "eczema" at every
Finally I came to realize that "eczema" was kind of
a catchall, non-specific diagnosis. It was an easy name to drop,
and an easy thing to slather with a steroid cream. Do you think I
like to put steroid creams on my babies? No, no, I do not. Don't
theylowerthe immune system's function? Plus, kids' kidneys and
livers have enough toxins to filter these days from their
pesticide-rich foods in plastic containers. Pass!
I don't want to use steroid creams, and of course I don't want
my kids (and your kids) to walk around full of rashes and vesicles
all of the time, either. But, there's a third thing that I'm just
much more concerned with. WHY is the skin issue happening? What
does a superficial reaction tell us about the inner workings (or
dysfunctions) of the body? Chinese medicine has a lot to add in
this realm, thank goodness.
A couple of weeks ago I mentioned the
internal-external relation between the TCM conception of the Lung
and the skin. In this model, the Lung controls the skin, giving us
a hint that what shows up on our skin could be due to an imbalance
in the Lung. For example, some Chinese references to "eczema" are
translated as "skin asthma."
Generally, TCM traces most skin issues back to one of two issues
-- heat or dampness. If that sounds too simple, that's because it
is. It could be heat in the Lung, heat combined with wind, or heat
combined with wind and dampness. The possibilities could be nearly
endless. Luckily, both acupuncture and herbal medicines have a
great track record for expelling these external pathogens and
balancing the body. We help your body help itself.
What causes the internally generated heat or
dampness? Or, what allows the body to be susceptible to the
external invasion of heat or dampness? Again, possibilities are
seemingly endless. Dietary and other lifestyle factors top the
list, but constitutional predispositions (genetics) are also
important in TCM's understanding of the whole person. It could be
too much dairy (dampness), too much stress (constrained Liver
heat), or a deficient Lung (protective qi).
An article in Acupuncture Today gives an in-depth look at
one fairly common condition, psoriasis, and how acupuncture and
herbal formulas have shown significant improvement. It also
outlines some of those pesky, and sometimes life-threatening, side
effects of western medicine's treatment plans for this and other
skin conditions. Think you have your skin condition managed? Great!
Still struggling to get it resolved? See what the AOM clinic has to
If it was good enough for the Christ Child, then
it's good enough for me. That's my motto. I've been using a (gasp)
commercially prepared skin care product for the past month or so,
and these are two of the main ingredients -- frankincense and myrrh
Once again I've found myself playing the "overlapping medical
paradigm" game. You know the one -- you realize you're eating a
vegetable that also happens to appear in a Materia Medica
(giant book of medicinal herbs). Suddenly you second-guess yourself
at every meal. "Should I add sautéed onions to my steak," "Does a
cooked onion still hold the same medicinal properties as a raw
one?" Who eats raw onions anyway? "Is the live peppermint growing
in my backyard the same as the dried peppermint in my tea bags, the
essential oil of peppermint in my cabinet, or the bo he (Mentha
piperita) listed in my TCM Materia Medica?"
Now I'm having this same sense of wonderment about
my facial products. As I'm rolling on and rubbing in this blend of
ancient oils that smells distinctly like a special day in a
Catholic church, I'm pondering the reach of these powerful
substances. It's no secret that frankincense can run $100 per
bottle of essential oil, and myrrh comes in around $70.This is good
stuff, people. But why? What properties do they carry that have
made them, along with the missing "gold" in my formulation, so
heavily sought after for millennia? Myrrh was not only presented to
the baby Jesus but also used to anoint his body after death.
Egyptian pharaohs were also doused in the stuff.
Myrrh on the left, frankincense on the right
Myrhh (mo yao) has been a documented herb in TCM since
the Kaibao Era circa 975 AD. Frankincense (ru xiang) has been on
the books since 500 AD. How are they used in Chinese medicine? Both
come from small shrub-like trees in the Arabian Peninsula and
Northeast Africa, and both are used in resin form to invigorate
blood, treating a variety of "stasis" issues, from traumas to
tumors. Specific entries might look like this:
Myrrh: neutral, bitter, downward draining; enters
the Liver meridian; moves blood, dispels stasis, disperses phlegm
Frankincense: warm, acrid, aromatic; enters the Heart and Lung
meridians; moves blood, relaxes sinews, freecourses qi, and removes
obstruction from the channels.
Together, they have complementary properties of healing weeping
sores and engendering new flesh. Well, there we have it. Now I see
why this blend (which also includes lavender, Hawaiian sandalwood,
helichrysum, and rose oils) would be used as a facial formula of
the anti-aging variety. Hey, I'm 31. I might as well be
Qi Li Sanis the name of the formula utilizing the highly
effective complementary herbsmo yao(myrrh) and ru xiang
(frankincense). Technically they are resins, but we call every
substance in our Materia Medica an "herb." This
traditional formula combines our frankincense and myrrh with
dragon's blood (spoiler alert: not really the blood of a dragon),
catechu (another resin), carthamus (flower), cinnabar (ooh, an
illegal one!), musk (illegal plus you'd smell like a deer), and
borneol (one more resin for good measure).
Ayurvedic medicine, native to India, also uses
frankincense and myrrh, now sometimes in nutraceutical forms like
guggulsterones and bowsellic acids, respectively, for high
cholesterol and joint pain.
So, what am I putting on my face? Sure, an essential oil is not
exactly the same as a resin or a neutraceutical, or a Chinese
decoction for that matter, but that's not what matters. What's
important here is another step in the direction towards integrated
medicine. Maybe western and eastern are both right this time. As
one of my favorite patients helped me realize recently, you'll kill
yourself trying to figure out which is the one right
answer. There isn't one. Open your eyes, open your ears,
and open your heart to acknowledge the truth in each tradition.
No, not your lunchmeat. Today I want to
talk about your "lung meat." This is how my children and I refer to
their lungs. Got a cough? Well let's massage some eucalyptus oil on
your lung meats. They understand that I don't have to reach my arm
down the throat to physically touch the lungs themselves. My 7- and
4-year-old children are already hip to the Traditional Chinese
Medicine (TCM) concept of the internal and external functional
system known simply as the "Lung."
My children are wise. Maybe they -- like most children -- are
simply intuitive creatures. They haven't yet been shoved inside the
box, led to believe that there is only one right answer, or that
they must operate fully and submissively within the parameters
drawn by the institution. Wow, I really sound like an old-school
hippie on that one.
I had to take graduate-level TCM courses
to grasp the concept of the Lung as an entire system of
physiological interplay involving both internal organs and external
pathogens. Sometimes in TCM, "organs" line up perfectly with their
western paradigm counterparts. The Large Intestine is largely the
same thing in TCM and in the western understanding. A medical
doctor and an acupuncturist would agree that the Large Intestine
functions to absorb some nutrients from food, reabsorb some fluid,
and pass along the remaining waste in the form of stool. See?
Everyone's getting along.
Unfortunately, some western organs do not line up exactly with
their corresponding TCM "zang fu." Some translations are more
abstract, although still meaningful. Take the Heart for example.
While westerners know that your consciousness (mind/thoughts)
originates in the brain, we can stretch ourselves to accept the TCM
function of the Heart as the storage place for the Shen
The Lung falls
somewhere in between. TCM describes the Lung as a delicate white
umbrella in the upper jiao (we'll call that the "chest" for today),
misting the entire body with the perfect amount of moisture. Not
too much fluid, mind you, or you'll have a phlegmy cough. Not too
little either, or you'll have a dry cough.
In TCM, the Lung is responsible for so many processes and
conditions in the body. Again, some will be more easily accessible
to the logic of a western brain, such as how the Lung rules
respiration, opens to the nose, and governs the voice. We can
probably stretch again to accept the function of the Lung in TCM as
working with the Heart to control the blood vessels -- if you have
any idea about how the heart circulates the blood through the lungs
to oxygenate it before distributing it through the body. As you
feared, though, some of the Lung functions in TCM are unclear to
the western mind. Did you know that the Lung regulates qi (energy)
of the body? It regulates the water passages, controls the skin,
sweat glands, and body hair, and controls "descending and
dispersing" throughout the body.
What? That final function describes the
way that the Lung should work to descend qi in your body. You
shouldn't cough; if you are coughing, then that is explained as
"rebellious Lung qi" that needs to be more adequately descended.
When you catch a cold, TCM explains that this happened because your
Lung qi may have been wimpy. The Lung is the first line of defense
from our body to its surrounding exterior environment, and we need
strong Lung function to beat down any bad guys who try to sneak
As Dr. Zhu illustrated in a recent Advanced Seminar class, it's
easier to push an intruder back outside when he's just stepped
through your door. Sure, you can fight him down in your dining
room, but by then he's already broken your furniture and dumped out
your drawers in his path. What a great example. Dr. Zhu is
brilliant, but we already knew that.
Guess what? It's time to protect your
Lung meat. Right now -- today. In TCM, the Lung is the organ
connected to the season of fall/autumn. While some interpret this
to mean that the Lung is the strongest at this time of year, many
of us experience the opposite -- excessive or frequent Lung
pathologies -- wind-cold invasions and wind-heat invasions (the
common cold and flu). These pathogens are attacking through our
(often deficient) wei qi (protective energy layer), which again is
regulated by the Lung. If the Lung is weak, then the wei qi is
weak; thus, more colds for you.
What can you do to tonify your Lung? You can visit your favorite
clinician or intern to assess your wei qi and see how much
tonification you might need. Acupuncture is often appropriate, as
may be cupping, gua sha, tui na, or moxa. Even food therapy (a
branch of TCM) could be applied here. Pears are very moisturizing
and specifically target the Lung and Stomach meridian (think: colds
For some people, a Lung
excess pattern could exist. Instead of basic tonification, a
sedation technique might be the appropriate method. Who wants more
hot yellow phlegm in the lung meat? Not me. This is why
self-diagnosis and treatment can be dangerous. Not every head cold
is a wind-cold invasion. Many are wind-heat
invasions. While ginger or garlic might be great to release the
exterior wind-coldinvasion, it will probably exacerbate a
wind-heat condition, where peppermint would likely be the
What's the lesson here today? Care for your lung meat. Don't
smoke. Do drink water. These are the basics according to western
medicine, and TCM agrees. However, if you'd like to do more -- the
TCM way -- then see what an AOM intern has to say.
• So What Is Chinese Medicine?
• Jabbing Nerves with Needles
• Mission in Nicaragua
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