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Moxibustion


Moxibustion is a wonderful wintertime therapy as it disperses cold, eliminates damp and warms yang. It is one of the best methods for general health and well-being in the Chinese Medicine repertoire. Moxa used daily on the point ZuSanLi is said to prevent all illness and promote longevity. The sensation is generally one of warmth and relaxation, and very popular among patients of Chinese Medicine.

Moxibustion is a form of therapy that developed independently of acupuncture, and may actually pre-date it. There are areas in the northern, colder regions of China in which practitioners use moxibustion in lieu of acupuncture.

The moxa is made from the herb Ai Ye, or Mugwort, which is harvested and laid in the sun to dry. It is then crushed and passed through a sieve repeatedly until it maintains a fine, downy texture. In this form it is referred to as moxa punk and is formed into small cones.

The practitioner then places the cone on top of an acupuncture needle or directly onto the skin. The moxa is lit with a stick of incense and the warming and moving properties of the Ai Ye plant enter the point. A slice of ginger or garlic can also be placed between the moxa and the point, infusing the properties of these herbs into the body as well.

Moxa punk can also be made into rolls or small sticks which are placed in a metal tool called a Tiger Warmer. This tool is then moved along the course of a meridian, allowing the moxa to enter the body.

"When a disease cannot be treated by needling it should be treated with moxa." - Ling Shu


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Gua Sha Video


The acupuncturist featured in this video was a classmate of mine at Pacific College of Oriental Medicine. It is a little corny, since it was featured in a news segment, but it is very informative about the technique and benefits of the ancient Chinese Medicine treatment.

Gua Sha Video on Fox News


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Wind Cold Tea


Scallion and Ginger Tea

1 T sliced scallions (cong tou)

3-4 slices fresh ginger root (sheng jiang)

Brown sugar (hong tang) or honey to taste

Place scallions and ginger into pot and sprinkle with brown sugar. Cover with 1 cup water. Once boiling, reduce to a simmer for 10 minutes. Strain the liquid. Drink while warm.

Traditionally, this tea is taken at the first sign of a wind-cold pattern. It is used to promote sweating and resolve exterior symptoms such as headache, chills with an aversion to cold, body aches and sinus congestion with clear mucus. It is best to drink this formula after taking a hot bath, just before going to bed, so that you can cover yourself with blankets to induce sweating. Be sure to stay warm and away from cold drafts.


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Autumn Dietary Guidlines


Decrease raw fruits & vegetables, and avoid cold or iced food & drink.


Choose warm, nourishing foods that are higher in quality fat and protein to help

build blood and tonify yang energy.


Avoid excessively spicy foods and drink.

Employ slow cooking methods that use lower temperatures for long periods of time:

roasting, baking, stewing and braising 

help extract the deeper qi or energy from your food.


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Ten Ways to Good Health


Less Alcohol, More Tea

Less Meat, More Vegetables

Less Salt, More Vinegar

Less Sugar, More Fruit

Less Eating, More Chewing

Less Words, More Action

Less Greed, More Giving

Less Worry, More Sleep

Less Driving, More Walking

Less Anger, More Laughing






Video Showing an Acupuncture Session


I found this video today, and thought it would be nice to share. The video describes and depicts an entire session of acupuncture with some nice descriptions of how it works, and why certain techniques are used.

http://www.youtube.com/watch?v=wXgVz4ZqAxo


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What is so great about Fish Oil?


The main reason that fish and fish oils are so important is because they contain two fatty acids that do not occur naturally in any foods other than fish.

These fatty acids are called EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). Together with ALA (alpha linolenic acid), they are known as omega-3 fatty acids.

They are highest in oily fish such as mackerel, herring, sardine, tuna and salmon.

 The average intake of EPA/DHA in the US diet is only 11-20% of the recommended amount.

These two fatty acids from fish oil have been shown in hundreds of studies to be beneficial in a wide spectrum of human health including:

Heart Health

including all types of cardiovascular disease by reducing triglycerides (fat levels) in the blood, reducing VLDL (bad) cholesterol and raising HDL (good) cholesterol, Reducing inflammatory markers, which are now known to be very important in the progression of cardiovascular diseases, and by regulating (smoothing out) the rhythmic beat of the heart.

Arthritis, inflammation and allergy

including rheumatoid arthritis, Crohns disease, seasonal and food allergies, and eczema.

Child Development

both before and after birth. DHA and another fatty acid (arachidonic acid) are essential for the correct development of the fetal brain and mental ability. Neural development and eye function may be adversely affected by inadequate supply. 11% of the weight of the brain is the fatty acid DHA. Supplementing DHA in breast fed or formula fed infants has been shown to increase cognitive function including vocabulary and comprehension in 18 month olds.

Mental alertness, cognitive function and mood

due to the fact that EPA and DHA are the building blocks of neural cells. Those suffering from depression have significantly lower levels of DHA and other omega-3 fatty acids. Populations with higher consumption of fish have lower rates of depression than those with lower consumption. Studies have shown that Alzheimer’s disease in the elderly is more common in people with low blood levels of DHA.

So eat your wild caught fish!! Wild caught fish have a significantly lower levels of metals and other contaminants than farm raised fish. If wild fish is unavailable, or unappealing to you, take a fish oil supplement daily. Be sure you get your oil from a reputable source to ensure purity and high potency. High quality oils are tested for mercury, other heavy metals and PCBs. Consider a fish oil with the addition of the fat soluable vitamins A, D and E.

Since Copper River Salmon is in season right now, I highly recommend splurging and treating yourself to a delicious meal. I made this recipe last night from www.westcoastcooking.com and found it to be outstanding!!

Grilled Copper River Salmon with Rhubarb and Ginger Chutney


Very often, West Coast chefs forgo the usual dictums of tradition. Instead of relying on the arsenal of sauces developed over hundreds of years in France and codified a century ago by August Escoffier, we make up our own sauces as the seasons and our own caprice dictate. This can be silly and unfortunate at times, but it can also be revelatory. In one of my fits of regional loyalty, I decided to forgo lemons on my menu because lemons did not grow within a hundred miles of where I lived. To get a tangy counterpoint to rich salmon, I reached instead for the rhubarb growing in my own backyard.  Rhubarb, which is in season at the same time as the coveted Copper River kings has a refreshing astringent quality that compliments this rich seafood beautifully. It has become something of a tradition, at least in kitchens upon which I have had some influence to serve rhubarb with Copper River Salmon.



(Serves 4)
For the Rhubarb and Ginger Chutney:
2 stalks rhubarb, chopped, (about 2 cups)
1/2 cup crystallized ginger, chopped
1/4 cup sugar
1/4 cup raspberry vinegar
1 teaspoon salt
For the Salmon:
4 fillets of Copper River Salmon, or other king salmon, skin removed
2 teaspoons kosher salt
1 teaspoon freshly ground black pepper
2 tablespoons light olive oil or corn oil

1.) To make the chutney, stir the rhubarb, crystallized ginger, raspberry vinegar and salt in a non-reactive (stainless steel or enameled) saucepan over medium-high heat. Cook, stirring until sugar is dissolved and mixture is beginning to boil. Cover, reduce heat to low, and cook 6 to 8 minutes, or until rhubarb is very tender and beginning to disintegrate. Chutney may be served at once or kept, covered and refrigerated, for several days.
2.) To grill the salmon, wipe the grill with a cloth dipped in olive oil, or spray it with an oil mister. Position the grill 4 inches above a bed of the glowing coals and wipe it with an oily cloth.  Sprinkle the fillets with salt and pepper and rub with oil.  
3.) Place the fillets, skinned-side up onto the rack and allow them to broil for 5 minutes.  If the oil ignites, cool the flames with a little water splashed from a cup or streamed from a squirt gun.  With a long spatula, turn the fillets once and allow them to broil for 5 minutes more. Transfer to a warm platter or serving plates.

 

 


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The Sunshine Vitamin


Vitamin D is often referred to as the “Sunshine Vitamin” due to the fact that it is manufactured in the skin with UV rays from the sun. Here in the Pacific Northwest we see such a small amount of sunlight that most people are at least somewhat, if not extremely, deficient in vitamin D. Most milk is fortified with vitamin D, but many people do not drink milk, either due to a dairy sensitivity or possibly because their natural medicine practitioner told them they are too “damp” to tolerate much dairy. Vitamin D is easy to supplement, and is even manufactured in a simple one-a-day chewable.

What does a Vitamin D deficiency look like?

The most obvious sign of deficiency is Rickets, or a bowing of the legs. This level of deficiency is uncommon, but more common problems linked at least in part to vitamin D deficiency include:

Spinal curvature, osteomalacia or osteoporosis

Sciatic Pain

Muscle Spasms, tingling or weakness

Poor tooth structure or Periodontal Disease

Nearsightedness or cataracts

Hearing loss

Depression or Seasonal Affective Disorder

Chronic Pain

High Blood Pressure and Coronary Disease

Schizophrenia

Cancer

Autoimmune diseases such as Multiple Sclerosis

What are the sources of Vitamin D?

15 minutes of sunshine a day without the use of sunscreen

Animal products such as liver, butter, egg yolks, and fortified milk

Fish liver oils or oily fish such as salmon, mackerel, sardines, and herring

Veggies such as mushrooms and green leafies

Supplements


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Chrysanthemum Tea for Longevity


Chrysanthemum flowers, or Ju Hua in pin-yin, have a long history of use in Chinese Herbal Medicine as a beverage. The flowers are collected, dried, covered with boiling water, and then strained. The liquid is drunk as a light warm tea; alone or sometimes with sugar added.

The Taoists favored this tea the one to

promote longevity,

although to achieve this benefit the tea must be consumed daily over a long period of time.

There is a poem written by the eighteenth-century painter Zheng Ban-Qiao which reads:

Tasting chrysanthemum tea of old - this flower of longevity!

A man of eighty years picks and sips, assiduous;

Teaching his frosty beard to turn raven black.

Chinese Herbalists consider the Ju Hua flower to be one that disperses wind and heat, calms the Liver and clears the eyes. It is used for treating the common cold and for any disorders related to Liver heat or Liver wind, such as blurry vision, spots before the eyes, dizziness, and headaches.

 I find this beverage particularly useful for conditions in which there is a sudden onset of heat in the body, such as for hot flashes or excessive sweating. It is calming and cooling in the moment, and over time.


Chrysanthemum tea might be prescribed by your herbalist, but it is also a safe and tasty non-caffeinated drink for anyone to consume during the warm summer months.

The flowers can be bought in bulk and steeped in the traditional way, or a box of powdered chrysanthemum tea with sugar is sold in individual dosage packages.


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When a Baby is Breech


Near the end of pregnancy, when the due date begins to loom, most babies will position themselves head down and facing the mother’s back. This is the ideal position for labor and delivery. When a baby is in this position the head descends and puts pressure on the mother’s cervix which helps initiate labor and leads to effective, productive contractions during labor. This position is also ideal for the descent of the baby through the birth canal and out into the world.

While turning head down is the norm, not all babies move into this position on their own. Giving birth to a breech baby who is butt down or feet down is possible, but it carries a higher risk to the baby and mother and most care providers are not willing to do it.

There are two choices in Western medicine when it comes to breech babies. One is to attempt a manual version from the outside. The midwife or OB will use their hands on the outside of the mother’s abdomen to try and turn the baby into the ideal position. This is done with the aid of an ultrasound machine while the heart rate of both baby and mother are monitored closely. It is not without risk and not all practitioners are willing to perform this technique. Some women find it to be painful and opt out of trying it. The second choice, when manual version is not an option, or is undesired, is to schedule a cesarean section.

Chinese medicine offers another option.

There is a simple technique that can be quite successful if applied correctly and daily within a specific time period.

Moxibustion is applied to the point Zhiyin (BL-67) on both feet for 15 minutes every day.

A practitioner of Chinese Medicine can perform the technique once, showing the woman and a partner how it is done, and then the woman can have it done at home every day for up to 5 days. After 5 days, the pregnant woman should be checked to see if the baby has in fact turned. If not, another 5 days of moxa can be applied.

The ideal week of gestation for applying moxa is week 34, but anywhere between 30 and 38 can be done. If it is applied too early, the baby may turn back into the breech position, while attempting too late may not be successful if the baby doesn’t have enough amniotic fluid or room to make the move.

There have been several studies performed testing the efficacy of this technique. The success rates vary from 60% to 80% success, depending on the study. Most of these studies also conclude that the 34th week of pregnancy is the ideal time to perform moxibustion for turning breech babies.

I have personally seen this technique succeed and feel that it is usually worth trying when cesarean section is the only other option.






When our Children Suffer from Illness


Children bring us such joy. Watching them play, learn, and drink in life with such zeal is a benefit to our heart qi. It is so painful for us to see them sick. As a mother, I have found this to be true, and I have seen it in the parents of my pediatric patients.

Children Can Benefit from Chinese Medicine

When our children suffer, there is no reason we can't help them with acupuncture and herbs. Children's bodies change so fast, they respond quickly to treatment and require very little to step onto the road to recovery. With small children, needles are inserted and removed quickly. There is no need to retain needles for the usual 20-30 minutes, since the qi of children is so close to the surface and very accessible. In addition to this quick needling technique, medical massage, called Tui Na, and acupressure can be used, particularly when a child is afraid of the needles. I have found that parents tend to be more worried than their children about having needles inserted. Children are usually more curious than anything, but will pick up on the fear of their parents and then decide they do not want to be needled. When this happens, acupressure and massage techniques can still be very effective.

Herbal medicine is as safe for our children as it is for us. There are a few companies making Chinese Herbal formulas in liquid form specifically for children. These are easy to administer, either directly into the mouth with a quick squirt, or mixed in with drinks or soft foods such as yogurt or oatmeal. My own daughter takes hers directly into her mouth without complaint, but as the daughter of an herbalist, she has had many years to get used to the taste of chinese medicinals. With older children, the same herbal pills that we take ourselves can be given in smaller doses.*

Moxibustion is another technique that is very useful for children. Even newborns can benefit from a little moxa to warm the belly and aid in digestion.

What Pediatric Disorders Does Chinese Medicine Treat?

Children suffer from some of the same disorders that adults do. There are also some things to which children are more prone and below is a list of the most commonly seen things in the pediatric Chinese Medicine clinic.

Colds, Flus, Allergies

Ear Infections

Skin rashes, viral, eczema, or acne

Constipation, Diarrhea, Vomiting or Gas

Acid Reflux

Failure to Thrive, Low appetite

Insomnia, or Night Terrors

Irritability or Agitation, Anxiety

ADHD

Asthma

Headaches

Cough

Sinus Infections

Menstrual Irregularities

Depression

*Always seek the advice of a trained herbalist before administering herbs to children.






Allergy Season is Upon Us


People who suffer from allergies know that hayfever season has arrived. If your nose has gotten stuffy or runny, and your eyes are feeling itchy and watery, you are likely having an over-reaction to the pollen that is in the air. Allergies are a response by the body's immune system to antigens found in the environment. The body responds too well, causing all that congestion and itching. There are two main types of allergies, Seasonal and Perennial. Seasonal allergies, also called hayfever, tend to occur in Spring and early Summer, and are a reaction mainly to pollen and grasses. Perennial allergies occur all year and are typically a reaction to animal dander, house dust or dust mites, fungus, smoke or perfume. Both cause much suffering.

The Cause of Allergies

In Chinese Medicine, the reason for both types of allergies is a deficiency of the body's Wei Qi, also called Defensive Qi. This Qi is like a protective layer at the surface of the body that prevents things from getting into the body, whether it be bacteria, viruses, or allergens. In order to treat allergies with Chinese Medicine we must build up the body's own protective Qi as well as treat the symptoms that allergy sufferers know so well.

When to Treat Allergies

For Seasonal allergies, the best time to treat the underlying deficiency is at the end of the season of suffering, typically August, September and October. If you are suffering from a stuffy nose and watery eyes right now, see your acupuncturist to get temporary relief of those symptoms, and then even though you may be feeling free of symptoms, continue with treatment in the fall in order to prevent those allergies from returning next year. For Perennial allergies, treatment can take place at anytime.

Herbs to Treat Allergies

In addition to acupuncture, there are a number of Chinese Herbal formulas which allergy sufferers can rely on. Most likely, your practitioner will give you one formula for the symptoms you are experiencing now, and then change that formula to treat the root of the problem once those symptoms subside. If you have been experiencing allergies for many years, it can take more than one treatment season to be allergy free. Your practitioner may advise you to take that Wei Qi building formula for a few seasons in a row in order to be rid of allergies forever.

Sinus Rinsing for Relief from Nasal Congestion

The Neti Pot or a modern Sinus Rinse can also be helpful to clear nasal congestion. Used every day these tools open the nasal passages by clearing out bacteria and allergens, and calming inflamation of nasal tissues.  Using the Neti Pot takes practice but once mastered, allergy sufferers swear by it. It involves irrigating the nostrils with a salt water mixture using a small pot with a spout, not unlike a watering can. It has a long history of use in Asia, although modern plastic squirt bottles may be easier to use and can be bought for pennies at drug stores.


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What can acupuncture treat during pregnancy?


It is fairly well known that acupuncture can help women who are struggling to achieve pregnancy. Many of the women I have seen for fertility ask me what they can come in for once they are pregnant. What can acupuncture do for them? There is a long history of obstetrics in Chinese Medicine.

Commonly treated pregnancy symptoms:

Morning sickness

Headaches

Threatened miscarriage

Edema, or swelling

Leg Cramps

Insomnia

Fatigue

Colds and Flus

Diarrhea or Constipation

Urinary Tract Infections

Depression and Anxiety

Gestational Diabetes

Hypertension

Malposition of the fetus (breech)

Back Pain and Sciatica

Labor Induction

Why Seek Acupuncture Treatment for Pregnancy Related Symptoms?

Many of these issues are difficult to address with western medicine, since so many of the drugs and treatments for them are dangerous to the developing embryo or fetus. Acupuncture is a safe alternative to cold medicines, migraine medications, pain medications, and other western treatments.

Postpartum problems can also be addressed with acupuncture

Excessive bleeding

Urine retention

Depression and Anxiety

Dizziness

Fatigue

Uterine Prolapse

Back Pain, Hip Pain or Rib-side Pain

Headache

Edema, or swelling

Night Sweating

Diarrhea or Constipation

Insufficient Lactation

Mastitis, or breast infection

Achieving pregnancy is no reason to stop visiting your favorite acupuncturist. Not only can he or she help you manage the often difficult, and sometimes debilitating symptoms of pregnancy and the postpartum period, it is always good for a pregnant woman or a new mom to have an hour to herself in a meditative, nurturing environment.

A woman who is taken care of will better be able to take care of herself and her children. Every woman, and mothers in particular, deserve some time alone to come back to center and heal.


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Labor Induction


I've seen a lot of women lately who have gone post-term in their pregnancies and are looking to acupuncture for induction. I have to admit, it is one of my secret joys to treat. Although acupuncture is not a sure-thing for bringing on labor, it works most of the time and can help prevent western medical intervention, which many women do not want. The use of Pitocin has been clinically proven to increase the risk for other medical intervention in labor, including cesarean sections, and many women today would like to avoid those interventions. Trying acupuncture before Pitocin is always worth a try.

During pregnancy, the woman's body is primarly in a state of Yin. She is holding and containing the fetus which is a Yin function. In order for a woman to have contractions and give birth, it is necessary for her Yang to rise up to take action. Yin must transform into Yang.

Unless a pregnant woman is truly on the verge of going into labor, more than one session will typically be necessary. I find that three is the most common "magic" number of treatments. Ideally, these treatments will be spaced only days apart, three days in a row if possible. There is a specific handful of points which are used to induce contractions, but additional points to help balance an individual woman's consititution may be chosen.

Aggressive stimulation of several points, including Hegu (LI-4) and Neiguan (P-6) and Taichong (Liv-3) will be necessary. Many practitioners, including myself, rely on the use of the electrical stimulation machine attached to the needles on these points. This allows the practitioner to provide continual stimulation to these points, while having his or her hands free to manually stimulate some of the other points, such as Yanglingquan (GB-34), Zusanli (St-36), Zhiyin (BL-67) also used to turn a baby in the breech position earlier in the pregnancy, Jianjing (GB-21), and any of the Bladder points situated on the sacral area, particularly BLs-30-34.

I have seen women start having regular contractions during the acupuncture session, and I have had women receive all three treatments with no success. Of course, no acupuncture treatment is a guarantee of success, but considering the minimal risks involved, I feel that it is always a worthwhile course to try. 


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The Year of the Rat Begins


The year of the Rat begins on the first new moon after the winter solstice, on February 6th. The rat is the first of the twelve animals in the Chinese zodiac and is associated with new beginnings.

Plans and projects started in the year of the rat have a strong potential for long term success as long as they are practical and well thought out. Those who are motivated and energetic will do well. Small ideas can grow steadily over the long-term; it will be a good year for new beginnings, reinventions and starting over. If there is something you have always wanted to do, this is the year to begin!

Rats like to keep moving, take risks and favor mental activity. Because this will be an Earth Rat year, the earth element will lend a bit more calm and stability after the last two fire years. Rats are known to be clever, curious, witty, smart, frugal, shrewd, and industrious, with a certain charm and a great sense of humor. They are fond of having many children and enjoy the gathering of large families, which makes the year a good one for marriage, starting a family or having another child, even adopting a new pet.

Rats are not looked upon favorably in the western world but in the Chinese zodiac they are revered as the adaptable, opportunistic scavengers who have a talent for accumulating wealth. On the down side they are known to be gossipers, so tarnished images are something to watch out for this year.

The year of the rat is an auspicious year that can bring abundance, good fortune, and fun times socially. This year will be especially good for those born in the year of the Rat, Dragon and Monkey.

WISHING YOU AND YOURS ALL THE BEST IN

THE COMING YEAR!






A Little Bit About Arthritis


In Traditional Chinese Medicine (TCM), arthritis is called “Bi Syndrome” which is translated as “painful obstructive syndrome”. The theory of Bi Syndrome is that it initially occurs at a time when our defenses are low and we are exposed to “the three evil pathogenic factors” of wind, dampness, and cold. These factors are said to enter our bodies and obstruct the normal flow of Qi and blood, thus causing inflammation and pain.



Wind Bi is characterized by symptoms that move from one area of the body to another, affecting multiple joints. Sudden changes in weather and exposure to wind are likely to exacerbate the condition. 


Damp Bi symptoms include a feeling of heaviness, numbness, and swelling. Damp Bi will worsen with exposure to damp weather or living in a damp environment. 


Cold Bi manifests in a fixed, contracting type of pain and is also aggravated by exposure to cold. In the Northwest we are commonly exposed to wind, cold, and dampness, although our body type, dietary habits, and lifestyle can also be contributing factors in arthritis.



The treatment principle for arthritis with Chinese medicine is to invigorate the flow of Qi and blood, strengthen the body’s defenses, and to expel the wind, cold, and damp factors. How is this done? First, start with prevention. It is especially important when the season changes from summer to fall and from winter to spring to dress warmly, get plenty of rest and exercise, and keep a regular, balanced diet. For arthritis with fixed pain that is worse with exposure to cold, tea made of fresh or dried ginger, cinnamon bark and twig tea, and cayenne will help to warm the meridians and expel cold. For arthritis that is worse with exposure to damp weather, a diet low in fatty, greasy foods, sugar, dairy, and cold or frozen foods (including ice) will help. Include barley, soy, rice, and eat all meals warm or cooked. 

Acupuncture and Chinese herbal medicine have also been proven effective in increasing circulation, strengthening the immune system, and reducing inflammation and pain associated with arthritis.






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