Posts Tagged ‘Chinese Medicine’

The Myth of Getting ‘Old’

Monday, January 16th, 2012

Having spent the last 15 years observing what makes one 80 year old ‘old’ and another ‘young’ and indeed witnessing the transformation of some ‘old’ ones into ‘young’ ones, I’ve been pretty humbled.  I never cease to be amazed by human potential. Through a gradual process of mental reflection, dietary and lifestyle changes and therapy, some have been able to turn their circumstances around by realising they had more control over how they felt than they realised and that they had succumbed to the popular myth about age.

Many of our patients are content merely with the removal of pain from their arthritic joints. Some, however, realise that they have become what they have through their choices and actions. They then make different choices and experience different outcomes as a result.

Of course, this doesn’t just apply to old people. These same processes occur in younger age. At the time of writing, I’m 43 and setting myself physical and mental goals that my contemporaries have clearly convinced themselves they can’t achieve. Of course, they can achieve them!They just need to engage in the lifestyle that supports their achievement. They’ve succumbed, like the majority, to societal norms and assumptions that say “you’re getting old now and so you’re going to be weaker, have poorer health and generally start going downhill”

Of course, age does play a significant role in our wellbeing. The older we get, the more time we have had to practice the habits that have determined our health in the first place. In turning things round, it might be a slower process because of this. You’ve been letting yourself go over a longer period of time. However, change you certainly can!

Our minds are far stronger than most of us are willing to admit. One just needs to watch a few episodes of Derren Brown to get an idea of this. Countless studies on the placebo affect also provide fascinating food for thought. Even ignoring the obvious dietary, exercise and lifestyle choices that are proven to affect our health, our minds can convince us into high or low levels of physical and mental performance or health states. So, its not enough to just regulate our diet, and lifestyle. We have to train our minds too. Good health is not a matter of luck, its crafted! I’m  reminded of what Gary Player is noted for having said: “It’s funny, the more I practice the luckier I seem to get”.

And that’s not even considering the amazing folk with significant, life-limiting circumstances who still remain positive.  Like Chris Moon, 49 at the time of writing, the ultra runner who had one leg and one arm blown off by a land mine, then ran the London marathon within a year of the incident!!! Check him out at:

http://www.ultralegends.com/chris-moon-bathurst-to-sydney-1997/

Geneticists estimate that our genes are responsible for about 15% of our health outcomes. The other 85% is down to our lifestyle. In other words, the choices we make in life have the largest effect on our health, by far.

So, check out your self-limiting beliefs, engage in some positive thinking training, and start releasing your latent potential now. Commit to a programme of regular exercise, whether it includes Tai Chi, running, squash or whatever. And guess what, once you’ve got over that initial inertia that inevitably exists when you’ve been inactive for so long, its really enjoyable and feels great! Go get some…you’re more than you think you are!

Personality Types, Chinese Style

Thursday, December 15th, 2011

What we do as human beings is to try to make sense of the world we inhabit. Perhaps the hardest bit of that world to make sense of is that part of it occupied by other people (although some of us also have a hard time trying to make sense of ourselves too!). People, after all, are complex things. One way in which we try to make sense of the people we come in into contact with is by comparing – for example, one person we meet may remind us of someone else we know, and this may help us to understand the new person. Taking this further, we start to categorise the personalities of the people we know. Over the years there have been many ways of doing this. For example, relatively recently the great Swiss psychologist Carl Jung developed a way of categorising people according to the relative strength of their faculties of thinking, intuiting, feeling and sensing; and furthermore according to whether they were predominantly introverted or extroverted. Thus I might be an introverted feeling type, whereas you might be an extroverted thinking type. An older system of categorisation was based on the four humours of classical medicine: phlegm, black bile, yellow bile and blood; according to which of the humours predominated, a person might be phlegmatic, choleric, melancholic or sanguine (words we still, on occasion, use today to describe people).

One of the advantages of such categorisation is that it begins to help make things like medical or spiritual advice more specific – a melancholic person may need a different kind of medical treatment to a choleric one, even if they have similar symptoms; an introverted thinking type may need to do a different kind of meditation practice to an extroverted sensation type.

In the classical Chinese tradition, one way of classifying people is in terms of the ‘Wu Xing’, the five Elements of Chinese thought: wood, fire, earth, metal and water. As in the western ‘humoural’ system, each person may be thought of as dominated or governed by a particular element; but each element is present in each person to some extent, in a one-off blend that makes that person the unique individual they are. This way of making sense of people is particularly useful for Traditional Chinese Medicine in helping us to decide what kind of treatment a person needs, even what kind of life they need to live to maximise their health and well being.

The Wood element represents solidity and pliability, as symbolised by a tree which bends a little in the wind so as to maintain its form. Furthermore, just as a tree grows upwards and outwards, Wood connotes expansion, and is particularly associated with the springtime and new growth. Fire, of course, stands for heat and combustion, and upward movement. Summer is the time of Fire. The Earth (as in mother Earth) represents nutrition and stability, and is sometimes represented as lying at the centre, with the other elements around it at the points of the compass; Earth is the centre. Metal is something that can be worked and moulded; it is dense and represents contraction as opposed to expansion. Autumn is the time of Metal, when nature begins to turn back inwards to prepare for winter. Finally, Water means fluidity and flow, and downward movement – water always flows down. Water is associated with winter.

Applying the Wu Xing to human personalities gives us five different types of people. Because Wood is associated with expansion, the Wood type likes action, movement and adventure, seeks challenges and enjoying pushing his or her limits. Wood types can easily be intolerant and impatient, and can become inflexible, not knowing when to yield a bit. This can be associated with physiological problems such as migraine, irritable bowel syndrome and hypertension – inflexibility on a mental level leading to tightness and tension on a more physical one. Of course, just because you are this type of person does not mean that you are bound to have these problems; it means that, if you don’t look after yourself, these are the likely consequences.

Someone whose governing element is Fire looks for excitement and intimacy; they are intuitive and passionate, and desire is often strong within them. If things go badly, they can become anxious, neurotic and agitated. Insomnia and palpitations can also follow, and Fire types may get into trouble with addictive substances which give them the excitement they crave, but at a heavy cost.

People ruled by Earth, the central element, want to be involved and needed. The link between Earth and the digestive system shows itself in Earth types’ desire to nourish and nurture. However, sometimes they forget that they too have needs and become the person who looks after everyone else (whether they want looking after or not!), but fails to look after themselves. Typically they suffer from digestive complaints, failing to nourish themselves properly, and may develop eating disorders or become overweight.

Those under the influence of Metal like things like definition, structure and discipline. They are often rational and self-controlled, but can lack spontaneity and become isolated. This isolation often shows in respiratory problems, as the breathing process is the most basic way in which we interact with our environment.

Water and metal are often confused, but Water types are typically articulate and clever, their minds running smoothly like water flowing over pebbles. They can develop problems in the genitourinary system, and suffer from chilliness, loss of libido, infertility – too much water putting out their fire.

To get more of a sense of these, consider the following classroom scenario. Wood probably sits towards the back of the class, and at his worse can be a bit of a bully. He likes to push boundaries a bit and needs fairly firm control by the teacher. If he gets frustrated, he can explode into anger, and he can be obstinate too. But he has plenty of outgoing energy which, if it is channelled well, can make him a high achiever. Fire is also a bit explosive at times, but if her enthusiasm is engaged she can be very creative. She has a circle of close friends who vie a bit for her attention, and some people think she is a bit full of herself. She needs good communication, including from the teacher. Earth is the person who looks after everyone else in the class; if someone is in trouble she will be there to offer her help. Part of this is because she wants to be liked, but also she is naturally caring. Sometimes she is put upon, especially by Wood, but often she is the peacemaker. Metal sits at the front of the class and does not get involved with all the goings on further back. He is conscientious in his school work, and always gets good marks (but not brilliant ones). The teacher may be in danger of not giving Metal enough attention, because whilst in some ways he is a model pupil, he needs some gentle encouragement to explore beyond his boundaries and engage with the other kids more. Water is one of the brightest of the kids; she can turn in really good work at times, and is thoughtful and questioning, in a way that makes her quietly popular with her class-mates. Sometimes she is the one who can articulate what is going on for the whole group. The teacher needs to meet Water’s intelligence and help nurture it, even when she is asking difficult questions.

 

The way that, in nature, the different elements interact with each other in a dynamic and harmonious balance, can provide a model for human harmony. Just as in the classroom above, in a work situation each element needs to find its own place and play its own role. For example, a Fire type may provide the inspiration, and a Water type will be good at articulating and clarifying that inspiration, whilst a Metal type will provide the structure and discipline to harness that inspiration. A Wood type may bring ambition and drive to the party, whilst an Earth type will make sure everyone is involved and looked after. Knowing what type you are, and what type your colleagues are, helps you understand each other and work together more effectively, and more enjoyably.

This same kind of synergy takes place within the individual between the main organ systems; indeed the organs can be viewed as a team working together. When they work well together, there is health, when that harmony is lost, there is illness. For example, there is an important relationship between Wood and Earth, which correspond within the individual to the Liver and the Spleen/Stomach. If the Liver starts to lose the pliability and flexibility that is essential for the Wood element, it starts to ‘invade’ the Earth element, causing disruption in the digestive system such as nausea, abdominal pain and loose stools or constipation (or both). This is also more likely to happen if the Earth element has been weakened, perhaps by poor digestive habits or a general lack of self-care. Similar important relationships exist between other organs; for example there needs to be a dynamic balance between Fire (the Heart) and Water (the Kidneys); too much Water douses the Fire. These ideas form part of the complex web that practitioners of Traditional Chinese Medicine use to understand why someone is not as well as they could be, and to get at the root of the problem, restoring the dynamic balance between the elements that is health

 

If you are, by now, wondering which of the elements is your element, you can try following this link to a click questionnaire which might throw some light on the question.

 

http://www.longevity-center.com/five_element.html

‘Fighting’ cancer or other life-thereatening diseases

Sunday, July 11th, 2010

I was just reading a Telegraph article today entitled “Socialising with others ‘can help fight cancer’”. The headline led me to ‘put pen to paper’.

From my clinical experience, one of the most prevalent causes of disease, whether it be a bad back or whether it be heart disease, is the unconscious refusal or inability to freely and honestly express ourselves as we truly are. The most common example of this is in the work we choose to engage in to earn a living.

The whole idea of recovering from a life-threatening disease, like cancer, being a ‘fight’, I find difficult to get my mind round. My appreciation of disease processes is clearly influenced by my style of medicine, Traditional Chinese Medicine (TCM) with its range of therapeutic techniques, such as acupuncture. TCM is holistic in its approach to healthcare. Holism states that body and mind are inextricably linked so what happens to one will have an inevitable knock-on effect on the function of the other. Holism understands that disease is not some random, chance occurrence that we have little or no control over. Even geneticists attribute only 25% of our state of health to our inheritance. My own personal experience of scrutinising my state of health, and intermittent fall from good health over the years, has yielded a clear connection between this and my thought processes. Scrutinising the health of thousands of others in my professional capacity, and studying research and the clinical experience of others far more experienced and talented than me, has corroborated my conclusions.

Gradually, modern medicine is starting to fully appreciate the huge influence our state of mind has on our health. This is really well summarised in Adrian Leader and    book “Why do People get Ill?” ), available from our online shop. Literally, we are what we think. It is becoming increasingly evident that our thought processes create our diseases, whether they involve physical or mental symptoms, or both. We can say that our heart condition has been brought on by working intensely under stressful circumstances for a prolonged period of time, but what thought processes have led us to work like this in the first place. For example, if during our upbringing, we have thought, for whatever reason, that we needed to ‘achieve’ in order to gain ‘acceptance’ or ‘love’ from our parents, then this might have trained the habit of ‘flogging’ ourselves in our work life.

Holistic healthcare is about helping each individual bring their unconscious motivations into conscious awareness whilst using tried and tested techniques to facilitate recovery from the current disease-state. We do this by stimulating the body’s own, already amazingly well-equipped self-preservation systems. When an individual understands their disease process as part of who they are, they see that there can be no ‘fight’ against cancer because the cancer is a part of them. There is no external ‘enemy’ to fight. They have literally created their circumstances by their thoughts words and deeds in their life to date. Therefore, the only long-term, sustainable solution is through new thoughts, words and deeds. So, in my mind, self-understanding is the key. As far as I can see, achieving self-understanding is a process, often long and arduous, which is why we are often well-advised to seek external help when experiencing a life-threatening disease state.

The word ‘fight’ often implies a struggle. Because of the negative connotations this idea holds, this is just likely to make the process of recovery that much more difficult. So, I believe that our best chance of survival is to embrace the symptoms we are suffering as messages sent from deep inside us as an aid to reaching fullness. This way we can utilise the healing power of love, love of our self and the people around us and of life. Being diagnosed with a life-threatening illness is probably one of the best wake-up calls we will ever get in helping us to express ourselves as we truly are. So let’s embrace it. Or, as the motif on one of the Tai Chi students in my class says: “make tea, not war!”

Mumbo Jumbo

Wednesday, June 2nd, 2010

Some people say that Chinese Medicine is mumbo jumbo – all this talk of Yin and Yang, Qi and so on. I think these people should be careful; it is not that these ideas were dreamt up by a couple of new age types who didn’t like their GP, they originated in a highly sophisticated culture where they were integral to disciplines as (apparently) diverse as martial arts, medicine, poetry, cooking and philosophy. Dismissing this whole culture, with its perceptive and subtle way of understanding the natural world, because it does not speak the language of Western science, might be a little presumptuous – especially perhaps when the pharmaceuticals Western medicine relies on so heavily start becoming too expensive as the world’s oil reserves run dry.

Two hundred years ago, people in the West believed Christianity was the one true faith, and that it was our responsibility to propagate it to the ignorant world – which was, of course, ridden with ‘mumbo jumbo’. Could it be that our faith in Western science and Western medicine, and the intolerance and even arrogance of those who dismiss any other form of understanding the natural world, is a harping back to this kind of evangelical intolerance?

Traditional Chinese Medicine and ME

Monday, May 24th, 2010

ME:  How External Causes Affect Our Health – The Traditional Chinese Medical Understanding

 When as Chinese medicine practitioners we meet patients with ME and its associated conditions, our first priority is to establish a diagnosis. For millennia the Chinese have understood that different diseases can have the same one cause, and that one cause can result in a variety of diseases.  To understand each patient’s particular illness, we analyse in detail the patient’s history and in doing so reflect on the current symptoms and, as importantly, the reason why the symptoms have occurred.

 In Chinese medicine, ME is often seen to be the result of an invasion of external forces which remain in the body long after the original illness has gone.  This is similar to the Western theory which links ME to viral illness.  Where do these external forces, referred to as retained pathogenic factors in Chinese medicine, come from?  And why do we retain them in our body? 

 Well, the main pathogenic factor is Wind, which is usually accompanied by another agent such as Heat or Cold.  We can physically feel these agents – a hot sunny day or a cold winter night alters the way we feel about pain for example.  Some pain is better for heat, some feels as if it needs to be cooled especially if there is any itching present.   Damp, another factor, is often accompanied by Heat, causing us to perspire more than usual.  We use these terms as a shorthand to describe a diagnosis which includes many symptoms such as sore throat, thirst, shivers/fever, obesity, pain relieved by warmth and so on.  We can also be aware of Wind – maybe on the beach or under air conditioning. When Wind enters the body we find pain that moves about, or a runny nose, or itching.  Damp is found both in the environment and in the food we eat – think how soggy a sausage roll can be!  We also produce Damp internally by worrying too much. 

 When you have a cold, it’s likely that your body’s “wei qi” – similar to the immune system – has been compromised in some way.  Perhaps you’ve been overworking, or taking on too much, or worrying too much.  Your body becomes weakened and susceptible to these pathogenic factors and so you become ill.  Generally we throw off these infections, but sometimes they become lodged in the body, or even appear to be expelled but the body has merely suppressed the agent.  This happens when we take suppressive drugs to combat disease – including cold remedies and antibiotics. 

 The seeds of weak wei qi are sown in the past.  Every illness has its own cause.  For example, in clinic we often see people who have overworked in every single area of their lives.  The majority of people with ME are women – and so many women have been working at full time jobs, running a home, caring for children and aging parents, that it should come as no surprise that eventually their body just has no energy to carry on. Alongside this is the pressure that both men and women are under to work more, play harder, achieve the next goal – and maybe we’re not all cut out to achieve success from a material perspective!

 Furthermore, in many cases an acute illness is regarded as an inconvenience and not a reason to slow down.  During an acute fever, as much rest as possible is required to ensure that the body recovers properly.  Many of those with ME reported that it began after a severe infection during which normal life continued apace.  There is no research to show that such patients habitually overworked, but anecdotal evidence indicates that this may be the case.  

 Another reason that these factors develop is the inappropriate use of antibiotics.  In Chinese medicine antibiotics kill bacteria but do not clear the underlying cause of the disease.  Antiobiotics are described as cold in nature, and using cold to alleviate heat can slow down our energy.- think about how we are affected by cold in winter when we leave a warm building – our tendency is to shrink into our clothes for warmth before we begin to shiver. As it slows, we develop heat and this can contribute to further infections. Antibiotics are particularly inappropriate for viral infections as they are ineffective.

 For children with ME, overwork, lack of sleep and poor nutrition contribute to the effects of retained pathogenic agents which may arise from childhood illnesses such as chronic earache, tonsillitis, catarrh, sinusitis and frequent mouth ulcers. 

 So, how do Chinese medical practitioners treat ME?  It can be hard to dislodge the pathogenic agents especially if the individual is a chronic sufferer from ME.  The practitioner aims to help the patient to understand how their  condition developed and can offer other forms of therapy alongside acupuncture – dietary and lifestyle advice, for example.  Our goal is to help you, as a patient, to deal with your condition in a more positive way. We can offer a helping hand and a listening ear whilst you are taking the road to recovery.

Scientists Discover Secret Behind Health Benefits of Mediterranean-Style Diet?

Thursday, April 22nd, 2010

I saw this post today in the Telegraph ”Scientists discover secret behind health benefits of Mediterranean-style diet – Telegraph http://goo.gl/OgNE

…and again I wonder how we can be so simplistic about the nature of health. There are a whole multitude of variables at play when comparing the health of populations. Diet is but one. For example, weather has a profound effect upon mood, which in turn affects our health. Also, good diet is more about what is appropriate for individual circumstances than any absolutes. For example, a good diet for a 6 foot, eighteen year old, 16 stone muscular builder performing heavy work outside in winter must surely be very different from what is a good diet for an 8 stone office clerk whose main physical activity is her whist drive on a Friday evening!

The Chinese have recognised for millennia that diet must be appropriate for the season and, by inference, for local climates. Hotter, dryer weather will dictate a different diet to remain healthy than colder, wetter weather.

So, a “Mediterranean-style” diet may be good for Mediterranean’s but may not so good for us Brits!

Healthcare for the New Millenium

Monday, March 8th, 2010

I was asked to provide comment for the Sunday Times Style Magazine about illnesses that modern medicine has a tough time trying to diagnose and treat. Of course, I draw mainly upon my own clinical experince in making such comment. However, it seems to me that there is a lesson to be learned here on how we manage anything in this country of ours, not just healthcare. Anyway, here was my submission (I wonder how different it looks when it is published?):

“Modern medicine is utterly impressive if you are critically ill, have a  broken leg or some very clearly defined medical problem. The challenge for modern, NHS medicine is where the sufferer’s condition less easily lends itself to simple categorisation into broad groups for generalised treatment, with drugs say. In my experience, healthcare problems such as Chronic Fatigue Syndrome, food intolerances and Irritable Bowel Syndrome, for example, seem to pose difficulties for the GP that Acupuncturists and Traditional Chinese Medical clinicians do not seem to experience. That is not to say that we have a quick-fix solution for patients. It is just that we have certain advantages over NHS methods. For example, we have the luxury of time, generally spending much longer with the patient than is possible in an NHS setting. Also, our diagnostic framework enables us to make a unique diagnosis for each individual followed by a very tailored treatment plan. In this way, the treatment is much more targeted and will involve a process of self-understanding for the patients in terms of development of the illness, its root cause in terms of what they have or have not done to precipitate it, and by deduction, a route out of the situation. It’s a healing process that they can have an active involvement in rather than being prescribed a ‘pill’ and returning to the mêlée of life that has probably caused the problem in the first place.

We have many patients that consult us with a range of disparate symptoms for which they have been prescribed a variety of medications. Each symptom has been treated as an entirely separate problem. However, when we re-diagnose from a Chinese Medical perspective, it becomes very obvious that all these symptoms are part of the same disease process that has been initiated by an unsatisfying job, abusive personal relationship or just a sedentary lifestyle.

Because the NHS is ‘medicine designed for the masses’, the diagnostic approach has become ‘for the masses’. In other words, all sufferers have to fit into a pre-defined medical category. Moreover, the result of this medical categorisation is a standardised approach for all sufferers. This is compounded by the sheer volume pressure that our NHS doctors are faced with. Our quick fix society has seen to it that the doctor’s work is never done. The general attitude to health seems to be “I’ll break myself, but you can fix me” shifting the whole responsibility of healing to the doctor.

There is a parallel here with the business world. Businesses that manage by fire-fighting at the very least fail to grow and at worst they just fail completely. A longer term, big picture strategic management approach to business often reaps rewards that far outweigh the initial investment in terms of time and other resources. I think that our public healthcare systems need to follow a similar approach. As a country, we have proved to ourselves that we cannot just listen to a symptoms and prescribe a symptomatic solution for the patient. If we do, even if this symptom disappears, others follow as the root problem within the life of the individual has not been addressed. A famous Chinese physician, Li Shi Zhen, said “all illness is rooted in life”. I think that public healthcare needs to embrace this philosophy pretty soon if it is to manage the huge demand that it is experiencing for healthcare in this country”

QI

Tuesday, August 4th, 2009

If you come for some treatment with a Chinese medical acupuncturist, he or she will probably talk to you, sooner or later, about your Qi. Qi, sometimes spelt ‘Chi’, is one of the key concepts of Traditional Chinese Medicine (TCM), a form of healthcare whose roots date back at least 2,500 years. To understand anything about TCM, you need to understand what Qi is, and also to begin to recognise it in your own experience. Whilst for any Chinese person (except perhaps one who has been so thoroughly westernized as to lose touch with their roots), Qi is an everyday reality, as it will be indeed for any westerner who has trained in disciplines such as T’ai Chi or Chi Kung, for many people in the west Qi is still a strange and foreign concept.

Qi is not only a key idea in Chinese Medicine, it is a key concept in traditional Chinese thought, and no understanding of Chinese philosophy, Chinese religion, or, indeed, what may be termed Chinese science, is possible without grasping something of the meaning of Qi. Chinese civilization is of course very ancient and very sophisticated, and the notion of Qi has been central to how the Chinese have understood the human condition for millennia. However, and this is perhaps illustrative of the traditional Chinese approach to life which is so different from the western approach, Qi is not easily defined or tied down.

Qi is sometimes translated as ‘energy’ or ‘vital energy’. Perhaps the key thing to understand about Qi is that, in a healthy person, it flows. It flows all around the body, on the surface and through the interior, in a network of channels or meridians. In fact all movement in the body, including the circulation of blood and other body fluids, is governed by Qi. Qi also warms and invigorates the body, and aspects of Qi are responsible for defending the body against external pathogens, in a way analogous, to some extent, to the western notion of the immune system. Qi includes both what we would call mind and matter; the subtlest thought is a movement of Qi, just as much as is the movement of food through the digestive system. Patients experience Qi as an unusual dull achy or tingling feeling around the needle, or propagating along the meridian from the needle; this feeling arises when the acupuncturist inserts the needle so as to contact the patient’s Qi.

When people started practicing acupuncture in the west, some people scoffed at the notion of Qi and the meridians, because, they thought, in western medicine there was nothing corresponding to them. The meridians do not correspond to blood vessels for example, or to nerves. However, more recently researchers have been investigating the matter further, partly because acupuncture is so obviously effective – no less a body that the World Health Organization1 lists a number of medical conditions for which it considers that research shows that acupuncture treatment is of proven effectiveness.

Some of the research into how acupuncture works from a western perspective2 shows that the meridians may correspond to lines of slightly decreased electrical resistance, which would suggest that Qi may, at least in part, be made up of micro currents of electricity. (Modern acupuncturists sometimes make use of this fact to locate acupuncture points using a simple device to measure variations in electrical resistance on the skin, although whether this is a more effective technique than the traditional palpatory skill of the acupuncturist is open to question.)

Other research projects suggest that the meridians may be related to connective tissue3, the fibrous support structure for body tissues and organs. The insertion of an acupuncture needle into a traditional acupuncture point may cause changes in local connective tissue which are both long lasting and capable of influencing distant parts of the body, since the connective tissue forms a continuous matrix throughout the body. Since nerve fibres are embedded in connective tissue, the needle may also have modulatory effects on nerve signals. The meridian system may also be explained in part by the notion of migratory tracks in interstitial fluid4, the fluid which surrounds the cells which make up the human body; cells such as mast cells (which have, amongst other functions, a key role in the immune system) and fibroblasts (which play a critical role in wound healing)

One can question, however, the necessity of explaining Qi in western scientific terms. Western science and western medicine are of course highly sophisticated bodies of knowledge, but it is perhaps a touch arrogant of us to consider that they are the be all and end all, the only way of looking at the world – after all, from the point of view of Chinese medicine, western medicine is a relatively new form of medicine. It looks at the person from a particular point of view, which gives it both strengths and weaknesses. Chinese medicine represents a different point of view, with different strengths and weaknesses. It will probably prove impossible to fully explain Chinese medicine in western terms, just as it would be impossible to fully explain western medicine in Chinese terms. The wisest course may well be to use whichever medicine is more helpful in the case in question. In modern China, in fact, this is what does happen: hospitals may be split between departments of TCM and of western medicine.

The scientific findings mentioned suggest that Qi is a relatively subtle and complex phenomenon, which is not to be explained by any one western idea but only by a combination of several (micro currents, connective tissue, interstitial fluid etc). Quite a few patients who come for acupuncture treatment are obviously ill, but western medical tests find nothing wrong with them – from a Chinese medical perspective, the problem lies at the level of Qi. At this level western medicine does not operate – western medicine is effective when the problem is more obvious. From this point of view TCM is effective at treating relatively subtle disharmonies which western medicine does not see, and also at preventing these disharmonies escalating and as it were condensing into more severe conditions.

1. WHO (2002): Acupuncture: Review and Analysis of Reports of Controlled Clinical Trials Available from URL http://apps.who.int/medicinedocs/en/d/Js4926e/5.html

2. Reichmanis M et al (1975) Electrical Correlates of Acupuncture Points IEEE Transactions on Biomedical Engineering

3. Langevin H et al (2002) Evidence of connective tissue involvement in acupuncture The FASEB Journal. 16:872-874

4. Fung P (2009) Probing the mystery of Chinese medicine meridian channels with special emphasis on the connective tissue interstitial fluid system, mechanotransduction, cells durotaxis and mast cell degranulation Chin Med 4:10