Acupuncture
In-Person Herbology Class, NYC
I am humbled and excited to have been invited to teach my first live, in-person class next week for NYC Acupuncture School on the correspondence between particular pulse “qualities” at any of the six—that’s right 6—pulse positions along the radial artery of each wrist. That’s a grand total of twelve pulse positions if ever you’re wondering why I’m sitting there for so long with three fingers along your radius.
Directionality is everything in Chinese medicine, and specific herbal medicines and the formulas they command, induce physiological responses, which, put simply, have either excitatory or inhibitory, restorative or draining effects on the body.
When a certain herb (or supplement) is considered to stimulate immune function what it means is that it directs (immunological) molecules upwards, both vertically towards our sinuses and upwards to our dermatological surface. For about half the population, whose physiological pattern requires more upward movement, these medicinals should support their immune function. For the other half, including myself, who need more downward movement, this will do more harm than good. In holistic medicine we have the gift of pulse diagnosis to determine who is who and what is right.
The pulse for astragalus for example would be weak and/or “hollow” at the first and second positions on the right wrist. Why?
These positions correspond to the lungs and stomach—the respiratory and gastrointestinal microbiomes, respectively—and their inter-connection revolving around immune function. If the arteries here feel constricted and tight this indicates cold-natured inflammation in the region, which astragalus will do nothing for. If the arteries feel strong and congested this might indicate “hot-natured” inflammation, which astragalus will equally do nothing for—in fact in this case, would probably hamper immune optimization. Only a small, weakened artery in this position informs us that it is appropriate to use a medicine that will generate fluids in the gut and ship them outward to the exterior. This same mechanism applies to many people who experience spontaneous sweating, yellow or sticky sweat, or joint pains.
There are countless other examples like this in Chinese medicine’s pharmacopeia and diagnostic process that aid us towards being increasingly more specific and effective holistic clinicians. While it helps to still do our due diligence, asking the appropriate questions, inspecting each patient’s tongue and abdomen, my present understanding is no diagnostic tool is more reliable than the feeling of the radial artery.
When someone misses a shot in basketball trash talkers on the opposing team often say: “Ball don’t lie.” In Chinese medicine we say—well, I say: “Pulse don’t lie.”
Obviously, this event will be of greatest interest to students and practitioners, but anyone wishing to become a more educated patient around the workings of their body is welcome!
Treating Post-Partum Night Sweats with Chinese Medicine
Yayyy, you had a baby! Congratulations! But… now you don’t sleep, your body hurts in any multitude of ways, and another one that probably no one warned you about: When you do actually sleep at night, you’re occasionally woken up by not your baby’s tears, but your sweat. If only your husband could bleed, he’d at least be contributing somehow to the trifecta, am I right?
Why does this happen?
Simple. And most of you already know the answer: Hormones. The concept of “blood” and “vital fluids” in Chinese medicine encompasses hormones as well as neurotransmitters, the latter of which might also explain why Postpartum Depression or Anxiety is so rampant.
Subjective amounts of blood loss begin from the 1st week of pregnancy, when Mom’s vital fluids are being allocated no longer to herself, but to her fetus and placenta. So ladies, your blood is never yours again. Actually it can be, once you stop nursing, but then stress depletes the blood as well, which is apparently unavoidable in parenthood. Fortunately the best means to supplement beyond early bedtimes, are steak and red wine… and herbs.
Sweat loss is not insignificant. While it often offers our bodies a beneficial cooling effect, our perspiration contains within it vital nutrients, such as calcium, magnesium, potassium, amino acids, and anti-microbial peptides, some of which cannot be replaced by supermarket-grade electrolyte beverages.
It is a well-known fact that our body’s detoxification process happens through the liver and kidneys, not sweat glands, so any kooky yoga teachers who ever recommended hot yoga or HIIT training to “detoxify,” could more or less be brought up on malpractice. That is unless you don’t consider exercise the physiological modality it is proven to be.
In Classical Chinese medicine it is said that excessive sweating depletes our body’s “Yang,” which might be partially defined by things such as our amino acids and anti-microbial peptides. So let’s not lose our Yang, because losing Yang eventually leads to losing blood, which perpetuates the cycle!
Acupuncture would use points to calm the hypothalamus and stimulate the adrenals to produce hormones to slow the vicious cycle. Commonly used Chinese herbs might include Gypsum stone (if Mom is very thirsty for cold drinks), Rehmannia root (if there is also still any bleeding and Mom’s feeling emotionally disturbed), or Oyster Shell actually (if there is tightness at the ribs and/or chest, and Mom’s having trouble sleeping).
Please don’t self-prescribe. Consult a real herbalist.
Acupuncture Point for Cardiovascular Health
As someone who comes from a family with cardiovascular issues on both sides it is important for me to be attuned to heart health, not only as a practitioner, but also as a patient.
Unfortunately, as is the case with nearly every condition under the sun, in Chinese medicine there is no one size fits all prophylactic prescription, whether of needle or herb, to prevent cardiac issues. We must due our diligence, understand the full body pattern, and treat every part of it, lest the one neglected will eventually find its way to aggravate the one originally targeted.
Lisinopril is the hypertension medication I see most commonly prescribed, and one of its primary side effects is dizziness. While this is preferable to a heart crisis, it should be understood that this kind of dizziness is exemplary of inadequate blood reaching the head, which means inadequate neurotransmitters reaching the head, which over time may bring with it a whole host of more serious neurological complications.
One way to target support in hypertensive patient and/or those looking to wean off of their medications is to regularly bleed the point, “Lung 5,” or “Cubit Marsh,” located at the crease of the elbow, a bit lateral to the vein we’ve mostly come to know as the blood drawing point.
Why would this work?
First of all, in a lot of people it won’t. Lung 5 is known as the lungs “water point,” partially because its job is to unblock fluid retention in the chest to allow it to descend into the kidneys, then in turn be sent back upwards to calm and help control the heart. If fluid retention in the chest and/or lungs are not present—that is if that is not our etiology—then bleeding this point will likely offer little to no help. Further assessment is required to determine which points and vessels can and should. If fluid retention is present we will likely see dark or distended veins, or spider veins, or fluid amassment in the region of the point around the elbow.
Garlic, ginger, and onions might be advisable. As would Chinese herbs such as Pinella Root.
Another cause for a failure for the lungs to “descend” vital substances into the kidneys is just plain weakness. Call it old age or genetics—whatever floats your boat—but the lungs in this scenario are lacking “qi,” or ample functional gases, to enable them to do their job. In this case we’re more likely to use (“earth”) points such as “Lung 9,” “Great Abyss,” and/or “Heart 7,” “Spirit Gate,” and/or dermatomes on the upper back that correspond to these organ systems.
Lemon water and bitter greens might be advisable. As would Chinese herbs such as Peony Root, Astragalus, Cinnamon, or Schizandra Fruit.
As far as I know, the best ways to prevent heart disease are through regular exercise, stress reduction, and cooked, dark, leafy greens. Beyond that, if it’s in your gene pool and you note congestion at your elbow crease, by all means holler, and I promise to not bleed you out.
Spring Scholarship for Free Acupuncture!
It’s that time again! As the winter term comes to a close, a friendly reminder of my quarterly offer of free weekly acupuncture sessions to any one patient who cannot otherwise afford treatment. Please let me know if you, a friend, or family member would be a good candidate to allow me to give back.
As always, stipulations include a relative lack of resources (on the honor system), plus an ability to come on Fridays in the late morning or early afternoon when I have more office space available.
I have been fortunate enough to have a patient base that is generally kind, complimentary, and forgiving of my shortcomings, but I’d also like to take this opportunity to request any constructive criticism or feedback on either my space or treatments. Even if it is something seemingly menial, such as pillow comfort or temperature in the treatment room, if you’ve thought it somebody else probably has as well, and all parties would benefit from your honesty. As clinicians, I believe it is as important to accept such reporting as it is to remain true to our fundamental philosophy and approach.
Happy upcoming spring solstice! If you have trouble waking up in the morning, ’tis the season for acrid and spicier foods to encourage the seasonally organic upward movement of blood and neuro-chemicals. If you tend to wake up too early or feel generally over-stimulated ’tis the season for more sweet foods, such as steak and rice, to mitigate their surge. Refined sugar also works in the short-term, but obviously leaves inflammation in its wake, which leads to perpetually more aggravated surges, henceforth more dependency on sugar!
My favorite bit from James Clear this week:
“The modern world is optimized for convenience, not improvement.
The default path is usually the more convenient path. And I get it. Who wants their days to be a pain in the neck? I like sitting in air-conditioned rooms and watching my favorite shows too.
But the body and mind only grow when placed under a stimulus. If you want improvement, you have to choose something different than convenience.
It can be lovely to have a day where you do not push yourself, but it rarely works out well if you have a life where you do not push yourself.”
Alternative Acne Treatments
Acne has many faces. Why does it land on us? Our faces and backs, upper or lower back? Why for some of us is it itchy, while not for others? For some it is painful. Some women get flares on their cycle, or just after. Why?
The Jue Yin-Yang Ming mechanism is one of the most important connections in Chinese medicine. It dictates that our body must have enough healthy fluids and inhibitory substances in reserve, such as estrogen, dopamine, etc., to mitigate inflammatory heat from flaring upward in the body, whether vertically up (to the face and head) or simply upwards from the “organ layer” to the skin.
For those not prone to “heat pathologies” (approximately half the population) this “flare” will likely manifest in different ways—if it does so dermatologically the skin is less likely to be red and/or angry.
If you’re like myself the skin is likely to turn red. If there is itchiness it indicates damp fluid retention (often sebum oil) trapped on the surface—the itching being its attempt to vent (follicular hyper-keratinization)—and/or some central nervous system dysregulation, i.e. a potential stress component. The reason scratching ultimately makes things worse is because the manual aggression ends up pushing the fluid retention a tad bit deeper beneath the surface, no doubt to resurface soon thereafter. Although scratching to bleed is not advisable, it does generally provide longer-lasting relief via its ability to vent some of the pathogenic fluids within the blood. If there is pain at the site, there is probably some degree of local blood stagnation. This often coincides with the week leading up to one’s menses, whereas symptom flares on the heels of one’s menses points more to “Jue Yin” fluid and/or blood deficiency.
Dermatologists often recommend Spirinolactone, which works by stopping aldosterone from signaling the kidneys to reabsorb sodium. This might be a wonderful Band-Aid for some, but unfortunately over time can cause issues as sodium is an essential mineral for transporting nutrients across cell membranes, also for regulating blood pressure. This might explain why two of its most common side effects are dizziness and gastrointestinal issues.
In the treatment of acne it is first important to rule out itching—whether there are oily pathogens beneath the surface and/or an emotional component, that needs our attention. Most important is the Jue Yin-Yang Ming axis. How much heat must our acupuncture and herbal medicines stop from flaring to the person’s skin and how much blood and/or inhibitory substances must we generate to prevent further flares? Dosages or points might be modified on a weekly basis. Striking this prescriptive balance is the key to optimize clinical outcome.
As for self-care, it is advisable in almost all skin conditions to go off dairy for the lifecycle of a red blood cell, or 120 days. Dairy contains the hormone, IGF-1, which increases sebum production. Many people can resume in moderation afterwards. Red meat can go either way as it helps to generate blood and fluids, but can also generate bodily heat. Where one falls along the Jue Yin-Yang Ming imbalance will decide how much steak is advisable. As far as protein goes eggs, fish, and tofu are ideal, as they don’t generate as much heat in the body.
