Posts Tagged ‘illness’

Illness and Responsibility

Saturday, November 5th, 2011

Why do we get ill? No doubt the answer is often complex, and it is a mistake to think there is just one single cause when very often it is a combination of factors. In Traditional Chinese Medicine these factors include inherited imbalances, poor dietary choices, climatic factors, lifestyle issues and, not least, emotional difficulties. Most of these things we can influence, for better or for worse. This then raises what may be a controversial question. If we are ill, is it our fault? On the one hand, if we tend to answer yes to this question – maybe we eat badly, or avoid exercise, or keep ourselves trapped in a long-standing state of anger or anxiety – this can lead to guilt and even self-loathing, which will only make matters worse. On the other hand, if we bristle with resentment at the very suggestion that our suffering may, in part, be our own doing, we can settle down into the role of the helpless victim.

Thus, especially if we have a serious and chronic illness such as ME or cancer, we need to work out our emotional response to the question, “Why me?” This response needs to avoid the extremes of, on the one hand, beating ourselves up about it all and, on the other, of taking up the role of helpless and resentful victim. In fact this is an issue which every human being has to face, as every one of us reaps the consequences of how we have lived, and few of us have lived like an angel or a sage. Most of us have made mistakes, and have to live with the consequences of those mistakes, whether those consequences manifest as illness or in some other way.

So what should our attitude be to the past? Perhaps we need to acknowledge it, and, in the context of illness, acknowledge the ways in which we may have contributed to our getting ill. However, we may instead say that we have not the faintest idea why we are ill. This is especially so when our health system is so technical and specialised. How can we, a mere layman, understand why we have the illness we have? Something is going wrong, and we do not understand it, and do not understand why it is happening. This may tend to put is in the victim camp.

On the other hand, perhaps we can free ourselves from the shackles of technical medicine, and use our intuition. The more self-awareness we have, the more likely our intuition, or even our common sense, will tell us why we are the way we are. If I go around all the time in a constant state of fear, with my shoulders hunched up, is it not possible that I may end up with a headache or an arthritic neck? If I am always angry and frustrated, is it not possible that my blood pressure gets too high? If I always gobble down my food whilst doing something else, not chewing it properly, is it not possible that I will get some kind of digestive problem, like a stomach ulcer or acid reflux? In some ways the illness we get may be giving us some kind of feedback as to how we have lived our life to date, and if we endeavour to be receptive to that feedback, we may learn something crucial about ourselves.

Traditional Chinese Medicine is often very helpful in helping us to understand why we are ill in the way we are. For instance, it makes useful connections between different emotional states and the way they affect the individual. For example, it says that anger makes Qi rise. (Qi cannot be easily translated, but means something like ‘vital energy’) This means that anger often causes symptoms in the upper body, especially the head and neck – think migraines, headaches, tinnitus etc. Of course everyone gets angry from time to time, but problems arise when we become habitually angry, or when we repress or deny our anger. Prolonged sadness, on the other hand, depletes the Qi, and may especially affect the lungs, leading to shortness of breath, fatigue, a weak voice, even asthma.

Of course these kind of ideas need not to be applied too literally, but they give us a clue, give us a framework to ponder on the connections between our emotional lives and our illnesses. Perhaps they can stimulate us to become more sensitive to the way that emotions manifest in our body – if we are really aware, we can begin to feel how, for instance, excessive worrying is tying our Qi in knots.

If this kind of process leads us to acknowledge that our illness may in part be due to how we have lived, then , knowing that we cannot change the past, we can come back to the present, where we do have a choice. That choice may not include the option of freeing ourselves totally from the consequences of our past actions, but it does include the choice to live in such a way as can at least mitigate the effects of the illness, at least to some extent.

Solitude, destiny and mobile phones

Wednesday, February 9th, 2011

Apparently one of the consequences of the revolution in communication technology may be that we are losing the ability to be alone. I notice this on trains; whereas maybe 20 years ago a solitary traveller might sit gazing idly out of the window, now he or she is more likely to be on the phone to someone (and, it has to be said, exchanging what is usually extremely banal bits of information). And even if they are not on the phone, they know that someone or other is just a push-button away.
One of my Buddhist teachers used to recommend annual solitary retreats for his disciples (and you can be sure he did not mean with the phone turned on!). One of the reasons for this was that in such solitude one can begin to find out who one really is, what one really thinks and feels, separate from what other people expect and want from one. Sometimes these expectations and wants are no small matter. In traditional Chinese medical-come-philosophical language, who one really is is expressed as one’s ‘destiny’, which is not blind fate but the deeper current of one’s being carrying one towards a more authentic experience of oneself, becoming who one really and truly is, fulfilment.
Sitting idly gazing out of a train window isn’t quite an intense experience as the self-imposed hermithood of the solitary retreat, but perhaps it can serve the same kind of purpose, albeit in a more modest way. It gives a chance for those thoughts, ideas and dreams about our life, which are perhaps held down by the ‘thousand-and-one things’, the endless detail of living, to bubble up. Maybe it gives us a chance to reconnect with our destiny. The only part of Robert Pirsig’s once famous book ‘Zen and the Art of Motorcycle Maintenance’ I remember, is the bit about how the author, when trying to solve some tricky mechanical problem with his motorbike, would put his tools down, brew some coffee, and just sit there for a bit…. and, hey presto, the solution would come to him. Nowadays his phone would ring. The English Romantic poet Samuel Taylor Coleridge was famously disturbed from writing out his poem ‘Kubla Khan’, which had come to him in a dream, by a knock on the door. When he went back to finish the poem, the rest of it had gone. He was pretty unlucky in this, but nowadays he would be lucky if he had a chance to write out the first line.
The thing is, if we don’t have these spaces in our day, in our lives, time to do nothing and undisturbed by ringing phones and so forth, if we don’t have time sometimes to say or hear nothing, maybe we lose touch not just with our ability to fix our motorbike or even to write our poem, but with our destiny. And this is no small loss. In traditional Chinese medicine, if we are not able to follow our destiny, we get ill. The more cut off from it, the more we are living a life we don’t really want to live, the more ill we get. You can’t really be true to your deeper self if it can’t get a word in edgeways. Health tip: turn your phone off now and again, unplug your PC, and turn off the telly. Gaze out of a window. If it is uncomfortable to be so deprived of input, stay with it – it won’t kill you. Possibly the opposite in the long run.

‘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!”

NHS or “NIS” – a matter of perspective

Wednesday, July 7th, 2010


I received a leaflet through the post this week, the cover looking like the above. Now, I’m not one to shun something free (once an accountant, always an accountant!) but the image and wording on the front cover just reminded me of how I feel a change of perspective in healthcare is desperately needed in this country.

Look at the cover! Whilst it calls itself “The National Health Service”, what it actually is is a National Illness Service. Rather than encouraging the constant striving towards better health and vitality by wise lifestyle choices, the NHS proposes that we constantly run in fear of disease; that disease is some random act of chance that is unavoidable and ‘in your genes’.

Even geneticists agree that less than a quarter of the factors responsible for our state of health are genetic in origin.

So, maybe we should spend less on pharmaceutical drugs, as a nation, and more on education, sporting and exercise facilities and other opportunities for improving the nations health. Certainly, the current approach seems not to be working for the NHS. So, let’s try something new…or didn’t the ancient Chinese already understand this?

Cultivating Peace, Creativity and Freeflow in our Lives

Friday, June 18th, 2010

I spotted this quote from Susan Polis Schutz today. I guess its another one of those pieces, like “If” by Rudyard Kipling, that reminds us what life might be like if we set our minds to it.

“We need to feel more to understand others. We need to love more to be loved back. We need to cry more to cleanse ourselves. We need to laugh more to enjoy ourselves. We need to see more other than our own little fantasies. We need to hear more and listen to the needs of others. We need to give more and take less. We need to share more and own less. We need to look more and realize that we are not so different from one another. We need to create a world where all can peacefully live the life they choose.”

Susan Polis Schutz

If we can train ourselves to live our lives in this way, we can be pretty sure that our Qi will flow as smoothly as it can do. And, as the ancient Chinese said, if the Qi flows freely, there is no disease. How we do that is up to each of us…but it starts with the decision!

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”