Pain Management
What do Gout, Varicose Veins, & Neuropathy Have in Common?
What do neuropathy, gout, and varicose veins have in common? In western medicine not much, aside from being awful inconveniences, ranging from sources of extreme pain to discomfort and/or a significant cosmetic preoccupation.
For neuropathy you go to the neurologist, for gout to the rheumatologist, and for varicose veins you might see your primary care, who will likely refer you to a vein specialist. The neurologist may or may not inquire about venous circulation, and it is very unlikely the rheumatologist will ask about numbness or tingling in your feet.
But from a Chinese medical perspective, all of these conditions fall under the heading of impaired circulation in the lower extremities, caused by either weakness, inflammation, or both, leading to a misdistribution of bodily fluids, which exacerbates the former, which exacerbates the latter, and so on.
They are different in specifics only as a result of individual genetic proclivities—in fundamental mechanism they are the same. Someone with a colder bodily constitution—prone more to hypothyroid or hypotension, will be more susceptible to varicosities, whereas people with warmer body types—prone more to hyperthyroid or hypertension, will be more susceptible to gouty arthritis. The former are well advised to eat plenty of lamb and red meat, while the latter might consider being mostly vegetarian.
Neuropathies can go either way in the way of temperature, as they are more telling of issues with fluid metabolism. We find that neuropathy patients are either unusually thirsty, unusually not thirsty, or they urinate excessively or not enough. In either case, their body is clearly weakened to some degree, and it is imperative they get to sleep by 11pm, so nerves can properly regenerate.
While inadequate urination obviously leads to fluid retention which can clog neurological pathways and impair circulation, excessive urination can dry vessels of their healthy synovial fluids, causing us to feel parts of our body we previously took for granted as being unaware of.
Holistic medicine should modulate the organ function that is causing the improper excretion of fluids in addition to treating local blockages causing pain or discomfort. Easier said than done of course, as such conditions generally took many years to form, plus might be aggravated by present challenges, such as diet, stress, or medications being used to treat other conditions. However, through a course of treatment of acupuncture, herbal medicines, and dietary modifications, one should see improvement over a proper course of treatment, 120 days.
Please be discerning in your choice of clinician. If you see someone—whether east or west—who is failing to assess or treat beyond the immediate site of pain or discomfort, I would highly recommend getting a second opinion.
When is Stress Actually to Blame?
I feel like in the 20th century no one was talking about stress as an etiology for disease. Possibly I am guilty of generational egocentricity, having barely reached the drinking age by 2000. Thankfully, I had very few young friends discussing ailments and how they came about.
Still, I think it is more referenced, even over-diagnosed nowadays, especially by western doctors any time they cannot explain a symptom or its etiology, shrugging shoulders and throwing their arms up, citing the most probable suspect. “Might just be stress,” they say, which for its listener might feel an implication that their complaint is a fabrication of the mind, if not something that can only be resolved or improved once everything in life is good, or they achieve spiritual enlightenment, neither of which are in the cards for most of us this go around.
While I’m all for patients having agency over their own health, things happen that are out of our control—an accident, post-viral symptoms, genetic predispositions, or just life—when it helps to have a knowledgeable clinician to provide valuable insight and hopefully effective treatment.
In Chinese Medicine stress is said to have a drying effect on the body. This is why when people “stress eat” they crave “damp-causing foods,” such as cheese, bread, and sugar.
Unfortunately, such foods do not generate healthy fluids, nor is stress-induced dryness the kind that will drain pathogenic dampness. Instead, the drying effect of stress refers to the depletion of mucosal organ fluids, beneficial stomach fluids (anyone get acid reflux or diarrhea when over-stressed?), and/or those that lubricate our orifices, gyri and sulci of the brain. Although hydration is advisable, drinking water cannot replace these fluids.
In early stages or mild cases, the best way I know to restore such fluids is through rest, sleep, and the consumption of eggs, bone broths, or red meats. For the rest of us herbal medicine is necessary. Herbs such as ginseng or licorice for the gut, puerariae root for the head and neck, ophiopogonis for the intestines, atractylodes for the intestines, trichosanthis for the orifices, or rehmanniae for the brain and blood. Always consult a (real) herbalist before taking.
Although extensive periods of stress are never helpful, it is important clinically, to thoughtfully discern between when stress is, and when it is not the primary cause of a particular symptom. Almost everyone in modern society has at least moderate degrees of stress, yet everyone is walking around in enormously different stages of health or discomfort.
From our perspective, when stress directly brings up a symptom, it informs us that dryness is probably at its root of imbalance. The body couldn’t tolerate any further depletion of fluids. Then, and only then, is when stress is to blame—not to mention the fact that most disease is multi-factorial. Systemic dryness is likely only part of the picture, which is why many people “do all the right things”—exercise, meditation, good sleep hygiene—but still experience symptoms. Because it is almost never “just stress.”
