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Chinese herbal formulas 101 03/30/2009
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Welcome class, take a seat and get comfortable! Today, we're going to talk about Chinese herbal formulas. There are three forms of herbs that you can take, each has its benefits and drawbacks.

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Let's start with the simplest: Tea pills.
Teapills are little pills (about the size of BBs) that are pre-made in standard formulas. Because the herbs are already mixed and put together into these pills, there is no room for customizing the formula EXACTLY for each patient. Don't worry, though. Tea pills are often a pretty darn good match for many people, and most people won't experience any side effects from them. The best thing about tea pills is their convenience. You can take them with you, they're not messy and there's no preparation. There have been problems with tea pill formulas coming from China that include pharmaceuticals or heavy metals so make sure that the formula you are given is made in a Good Manufacturing Processes (GMP) Certified factory.

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The next step is the granular formula.
Granules are a substrate (a grain of some sort) that has been ground finely and had a Chinese herb decoction sprayed onto it. These granules can be single herbs or whole formulas. Because you can mix and match granules, you can customize the formula to each patient allowing for an exact match and no side effects. Granules are either dissolved in water and then swallowed, or some people prefer to place them on their tongue and "chase" the formula with water or their favorite juice. Granules are pretty convenient. You can bring them with you so that you can take them at the prescribed times. Granule formulas tend to have an "earthy" taste to them, with the exact flavor depending, of course, on the particular herbs used in the formula. A caution for those with food sensitivities: the substrate may be an allergenic grain (corn, wheat, rye, barley) so be sure to ask your practitioner if this is a concern.

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The final type of herbal formula is a decoction.
A decoction is kind of like a tea that's made by boiling the actual dried herbs yourself at home. When I cook my herbs, I often find myself saying "Double, double toil, and trouble..." (and cackling. But hey, I'm an herb nerd!) However, you won't find eye of newt or toe of frog here - you'll usually find sticks, twigs, leaves, flowers, seeds, roots and berries. The ingredients are boiled for usually around 30 minutes, the herbs are scooped out and the liquid is what is consumed. Herbal decoctions are by far the strongest preparation of Chinese herbs, but they can take some time since you'll need to boil up a new batch of herbs everyday for the duration of the treatment. If you're vegetarian or vegan, and would prefer to not have animal products used in your formula, make sure to inform your practitioner, because there are occasionally animal products used in extreme cases.

No matter the type of Chinese herbal formula, make sure to talk with your practitioner about what will work the best for you. Remember, if you don't take your herbal formula because you didn't have the time to make it, that's not only money wasted, but health wasted!
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Cupping 03/06/2009
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Cupping is probably the most recognized of the lesser-known Chinese medical techniques. If you watched swimming during the Olympics, you may have seen Chinese swimmer, Wang Qun, with her Cupping marks.

Your acupuncturist will light a cotton ball that has been soaked in rubbing alcohol on fire. Using a hemostat to hold the lit cotton ball, they will hold it in the cup for a moment, remove the cotton ball, then quickly place the cup onto your skin. The burning cotton ball burns the oxygen out of the cup which will create a vacuum when placed on the skin.

Like Gua Sha, Cupping is used to pull toxins through the skin out of the body. And like Plum Blossom, Cupping helps to release pathogens that are trapped within the body. This is a great technique for muscle tension and soreness, as well as colds, flu and skin rashes.

Because of the suction that is created, there is the possibility of bruising. These bruises are not painful. As with Gua Sha, please talk to your acupuncturist about whether the time is right to have Cupping done (be prepared for questions if you're going swimming or wearing a backless dress!)

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Plum Blossom 03/05/2009
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Plum Blossom is another lesser-known technique that can be used by an acupuncturist to treat such complaints as colds, influenza and skin rashes. In Chinese medical theory, each of these is caused by a pathogen that is trapped in the body, usually just beneath the skin. To get the pathogens out of the body so that a patient no longer has symptoms, a Plum Blossom (see picture at left) may be used to gently tap the skin, opening the pores, giving the pathogen an escape route.

Now, I know what you're thinking, "It looks like a medieval torture device! You're not using that thing on me!" but I assure you, there is very little force applied to the tapping, and most people describe it as just that - a tapping sensation. Though there are needles on the head of the Plum Blossom, very rarely is any bleeding experienced.

I have found that the Plum Blossom is very good at cutting short the length of a cold or the flu. I like to use it on the upper back where the pathogens that cause cold and flu like to lurk.

When Plum Blossom is used on skin rashes, while it won't necessarily cure the cause of the rash, but it can be very useful in relieving any itching, redness or swelling in the area. To treat a skin rash, you must, address the underling cause, but it's important for a patient to get some immediate relief as well!

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Gua Sha 03/04/2009
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What the heck is Gua Sha and HOW do you pronounce that??

Gua Sha (pronounced gwah SHAH) is a neat technique for ridding the body of toxins as well as relaxing muscles. Gua Sha translates to "scraping sand" in English. Gua Sha is extremely good at getting muscles that have been tight for a long time to relax. It can also be used for more recent injuries, under the right conditions.

According to Chinese medical theory, when our muscles get tight and crampy, the Qi does not flow properly through the area, so toxins will be trapped in the area. These toxins contribute further to the muscle tightness and cramping, continuing the cycle.

From a biomedical standpoint, these "toxins" are the natural byproducts of normal muscle action. When a muscle cramps, these byproducts are unable to be flushed from the area due to a decrease in blood flow.

If Gua Sha is the right technique for you, your acupuncturist will use some sort of a tool such as a coin or a Chinese soup spoon to quickly and repeatedly scrape your skin that has been lubricated with some sort of greasy ointment (usually a Vaseline-type product). Because your skin has been lubricated, the scraping isn't painful.

After several minutes of Gua Sha (the repeated sensation can be annoying to some people, so tell your acupuncturist if you need a little break occasionally), your skin will begin to get a "sandy" texture to it (hence the "sha" part of "Gua Sha"). This is the reaction of your pores opening to let the toxins out that have been locked away in your muscles. Many people will also get some bruising which is another indicator that the toxins are being released. These bruises aren't painful, merely colorful.

After a Gua Sha treatment, make sure to drink lots of water. The toxins that have been released from your muscles can bring on flu-like symptoms if they're not flushed from your system. Also make sure to keep the area covered, as your skin will be more sensitive than usual to temperature changes and the sun.

Make sure to take into consideration who may be seeing any bruising from the Gua Sha. Always tell your partner that you've had it done, so there won't be any surprises. And if you're going to be wearing a fancy evening gown, where the bruises might show (and you care if people think you've been in a bar brawl!), you can always put off a Gua Sha treatment until a later date!

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Acupressure is as effective as acupuncture 02/26/2009
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So you don't like the idea of being needled. That's cool, you won't hurt my (or any other acupuncturist's) feelings! There is always the option of having acupressure performed, rather than acupuncture.

One of the main questions that I get asked about acupressure is if it's as effective as acupuncture. The answer is yes. Acupuncture is merely one method of effecting someone's Qi. There are styles of "acupuncture" where the practitioner holds the needle next to your skin, but doesn't puncture it. There are practitioners who can treat patients from great distances - they don't even have to be in the same room let alone the same city!

One reason acupuncture seems more popular than acupressure is that it's easier. The metal of the needle works like a lightning rod, conducting the healing energy very easily through it. It takes a lot of control and power to be able to conduct the healing energy safely through yourself to your patient. Another reason people tend to prefer acupuncture over acupressure? The psychological effect that needling has. "If I'm being needled, it MUST be stronger than just pushing on my skin."

So, if you're not into the idea of being needled, feel free to talk to your acupuncturist about your preferences. Never is it NECESSARY to needle an acupoint. Acupressure works just as well.

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Wow! I didn't know acupuncture could treat that! 02/02/2009
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Today I've compiled a list of complaints that many people suffer from, but whenever I mention one of them, I hear, "Wow, I had no idea acupuncture could help with [fill in the blank]. I thought acupuncture only worked for pain!"

10.) Eczema - Though acupuncture and Chinese herbs can help with all types of skin conditions, eczema is one of the more common complaints, and one in which people don't tend to find complete relief through standard bio-medicine.

9.) Allergies - So many of us suffer from allergies. No matter what the allergy (pets, dust, mold, foods, chemicals), it's possible for acupuncture and Chinese herbs to remind your body that it doesn't need to over react to such common substances.

8.) Asthma - It's always important to have medications on hand for asthma, but using Chinese medicine may help you to need your rescue inhaler much less frequently.

7.) Depression - Acupuncture and Chinese herbs can help balance your system so that your energy can flow smoothly, allowing for your mood to be stabilized.

6.) Weight loss - Though no one thing is the key to weight loss, it is possible for Chinese medicine to help speed the process of weight loss. You'll still need to exercise and eat right (I know, I know, that's no fun!), but if you keep up the good habits, acupuncture can help you see your hard work sooner!

5.) Anxiety - Chinese medicine can help slow the mind and allow you to be able to relax, feel calmer and more at peace.

4.) Sleep Problems - Acupuncture and Chinese herbs can help all kinds of sleep problems. You'll fall asleep easier, you'll stay asleep, and you'll wake feeling rested without any of that foggy feeling or drowsiness often associated with sleep medications.

3.) Headaches - Acupuncture and Chinese herbs can help with many different types of headaches. If you suffer from muscle tension headaches, your acupuncturist can get your muscles to relax. If you suffer from hormonal headaches (often associated with a certain time in a woman's menstrual cycle), it's possible to help balance your hormones.

2.) Menstrual Complaints - Some common complaints include: a lack of a period, heavy periods, cramping, PMS, infertility or irregular menstruation. Chinese medicine can help with all of these complaints!

1.) Menopausal Symptoms - Menopausal symptoms can be extremely uncomfortable, but conventional treatments often come with risks (some bigger than others!) Chinese medicine can help your body adjust to this natural change and decrease your symptoms!


So, while acupuncture and herbs are GREAT for pain, remember, Chinese medicine has been used for thousands of years as a complete health care system!

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What to expect on your first acupuncture visit 01/27/2009
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You've never had acupuncture before and, frankly, the needles are a little intimidating. Do they hurt? Is it safe? What does it feel like? Let's answer some of these questions (and more!) so that there is less to fear!

When you first go to an acupuncturist, you'll discuss your health in great depth. Don't be afraid to share symptoms that seem "weird" or "unimportant;" you'd be surprised how often these symptoms fit into the picture just right and will help your acupuncturist get a more complete and accurate diagnosis for you!

After discussing your health, your acupuncturist will check your tongue. Yes, I said TONGUE! Remember, acupuncture existed LONG before modern scientific tests, so ancient acupuncturists had to rely on the body and its signs to make a diagnosis. Our tongues reflect the state of our bodies. For example, if someone is having sleep troubles, you will often find that the tip of their tongue is bright red. Try using this as a party trick sometime!

Next is reading your pulse. In Chinese medicine, we have 3 different pulses on each wrist where our Qi is represented. Your acupuncturist will check your pulse for general speed (like at your doctor's office), but they will also check it for quality - what it feels like as it travels through the blood vessel.

And finally, your acupuncturist will start inserting needles. Acupuncture needles are single-use only, which means they will only be used on you, then disposed of properly in a sharps container, just like at your doctor's office! Acupuncture needles are super small - they're only about the thickness of a single human hair. They're solid, unlike hypodermic needles used for vaccines, so there's very little pain when the needle is put in (only a mild pinch!). Once the needle is in place, it shouldn't be painful at all! Some people may feel a sense of heaviness or pressure where the needle is - this is the sensation of the Qi! Some people feel the Qi, some people don't, both are perfectly normal responses.

Acupuncture needles are usually left in place between 15-45 minutes depending on your diagnosis. During this time, many people like to meditate, relax or even fall asleep (my personal favorite is the latter!). Whatever you choose to do during this time, the important thing is to physically and mentally relax so that the medicine can do its work.

After you have rested with your needles in place, your acupuncturist will remove them. Some people may feel a little tired after an acupuncture treatment, some people may feel energized, some people won't feel any changes at all. All of these are normal responses. Talk with your acupuncturist about how quickly they might expect you to start seeing results. Some people see some changes after just one visit, some people may not see results for up to 8 visits. We're all different, and we're all in different stages of health or unhealth.

Congratulations, you've just finished your first acupuncture experience! Welcome to the beginning of your path to health!

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The path that led me to acupuncture 01/20/2009
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I was a non-believer. The active ingredient in acupuncture MUST have been the placebo effect. Don't get me wrong, there's nothing wrong with the placebo effect, the mind is our most powerful healer, but surely that was the only thing powering acupuncture.

Then I started having horrible eye "dryness." I could no longer wear contacts because they were so dryly uncomfortable. So I started wearing glasses again (which I wasn't particularly happy with) and this helped for a while, but within a couple months the dryness came back, even without the contacts. For those of you who do or have worn contacts, it was similar to the feeling you have when you have slept with your contacts in. They're dry, they're sticking to your eyeballs and you can't WAIT to get those suckers out!

The ophthalmologist checked the amount of tears that I was creating. I tear more than the average person, so that wasn't the problem. When he looked at my eyes more closely, he found little bumps on the surfaces of my eyes that happen with allergies. We tried every eye drop known to mankind. Prescription, over the counter, under the counter, around the counter, you name it, I tried it. Nothing was helping longer than 5 minutes! I couldn't stand to keep my eyes open because they would feel like they were drying out, and I couldn't stand to keep them closed because it felt like there was sand in my eyes. I was left squinting and rubbing my eyes constantly.

The only suggestion from the poor doctor who had tried everything he knew of to help me finally suggested I take Benadryl everyday for the allergies. While in theory this was a great idea, in practice, not so much. I was working 20 hours a week while going to college for my undergraduate degree. I couldn't stay awake through any of my classes!

In comes acupuncture. I was desperate! There was an acupuncturist who shared an office with my chiropractor, and at this point, I was willing to try ANYTHING, even if it was just placebo! Within 2 weeks I was finally able to stop squinting, but still wasn't completely comfortable. Within a month I was feeling 100% again! How's THAT for a placebo effect? For a while I still had to see her every month or two for a tune up, but I was completely better, and now I haven't had any symptoms for about 5 years.

During one of my acupuncture visits, we talked about school and my plans to become a veterinarian. When she said, "Don't forget acupuncture for animals!" it hit me hard. Duh! I needed to use acupuncture to help animals regain their health! I needed to learn this medicine that had helped me so much!

Along the way my plans have changed a little. I didn't attend veterinary school, I attended acupuncture school instead. Through school I learned to treat humans, through my vet I learned how to use this medicine on pets.

I'm a very lucky girl; I get to help the WHOLE family return to health!

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What is this acupuncture stuff and how does it work? 01/16/2009
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This is your standard-issue picture of the acupuncture meridians and acupuncture points. Many of us have seen this picture, or something like it, hanging around. The lines are the meridians and the Qi (or that stuff that means the difference between being alive and being not-alive) travels through them. The dots on the lines are the acupuncture points and we can access the Qi flowing through the meridians at these points. But still, how does it WORK?

I like to explain to people that meridians are like a freeway system and our Qi is like the cars on the freeway. When we're healthy and pain-free the cars are driving around fine, there's no traffic, no accidents and no road-rage. It's when accidents (a broken bone, a bruised elbow, an arthritic knee), the evening commute (an imbalance of Qi with too much in one meridian, and not enough in another), or road-rage (stress) occur that create symptoms in us.

For an accident example, you sprain your ankle playing basketball and it's doing all of the classic things that ankle sprains do: the area starts swelling (the Qi cars are getting backed up!), it is painful to the touch, let alone to walk on (the people stuck in the traffic jam are starting to get cranky!), and it's turning all KINDS of fun colors (the Qi cars aren't allowed past the accident). For treatment, an acupuncturist is going to play the role of the Department of Transportation. They are going to open the meridians and move blood (get the Qi cars involved moved to the side of the freeway to allow the cars to pass) and remove stagnation (get some of the Qi cars to exit the free way and take another route). All of these actions will allow for the swelling to come down and for the Qi to get to and from the area in a proper, organized fashion to promote healing.

For an evening commute example, you're exhausted constantly and really have a hard time getting yourself to do much of anything. You don't have quite enough Qi to spread around (there are too many cars on the road, instead of working or running the house - doing the things that help our society function), so you see a noticeable decrease in your ability to multi-task. Multi-tasking here includes the action of being alive, not just all of the things we say we're doing when we're multi-tasking such as exercising, painting the house, making dinner, keeping the kids entertained, etc. An imbalance is created because we need to use our Qi to stay alive and keep our bodies functioning, but there's not quite enough left over to do the fun stuff (or the not-so-fun-but-necessary stuff!). Treatment will be to increase your amount of Qi, while making sure that it is distributed properly. If our Qi levels aren't kept high and the distribution is uneven for very long, our bodies will start cutting back on its functions - this is when unhealth happens.

For a road-rage example, you're stressed out. Work has been too demanding; NO human can do what they're asking! You think and worry about it incessantly and it's even disturbing your sleep! Stress really messes with us, yeah? So what's going on energetically is that when we get stressed out, our energy flow becomes ragged instead of smooth (erratic driving), which then leads to getting irritated easily (that driver sure seems angry!) and our Qi going against its normal flow (the one committing the road-rage may even go so far as to follow someone off an exit that wasn't in their pre-planned route!) often leading to sleep disturbances, heart burn, appetite changes and such. Acupuncture will help calm us and promote the proper movement of Qi, allowing for health and happiness to return.

So in short, Qi is what makes us alive, the meridians are the pathways that Qi travels through to get to the different areas of our bodies to do it's work and acupuncture points are the access points to influence our Qi and its proper amounts, distribution and flow.

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