Chinese Medicine for Summer: Acupuncture for Sports Injuires & Herbal First Aid

Please join me for an interesting evening learning practical information about herbal first aid and acupuncture for sports injuries.

7p Malaprops - Tuesday June 12th 

 

• Receive practical information about herbal first aid and the use of acupuncture for sports injuries.
• Learn remedies you can do yourself to heal cuts, wounds, scars, burns, hives & rashes, including poison ivy.
• See an acupuncture demonstration for pain relief, including sprained ankles.
• Hear why acupuncturists recommend against using ice on injuries, after the first 24 hours.
• Ask your questions during an informal Q & A and discussion after the presentation.
•  Take home practical knowledge and handouts with directions

Enjoy this dynamic, informative & interesting evening.

I have a couple of inspirational clippings which live on my desk that i thought i might share. 

The first comes from Daniel Myrick, director of the Blair Witch Project, amongst others. the quotation comes from a 4/24/08 interview in the NY Times:

'Blair Witch' gave me some financial security at a time which I was having trouble coming up the money to pay the phone bill . . . being able to say no, to only make the work that you really love and have a good time doing it, is another way to be successful.

The second comes from Sherry Lansing's Success Rules for Graduates in the UCLA Alumni Magazine, fall/winter 2004 issue. At the time, Ms. Lansing was the chairperson of the Motion Picture Group of Paramount Pictures, a member of the UCLA Theater, Film & Television Dean's Advisory Board and a University of California Regent. 

The UCLA Alumni Magazine describes Lansing's rise:

Although Lansing's parents wanted her to marry and become an office assistant to her doctor boyfriend, she dreamed of being part of the movies."But at the at time, telling somebody that you wanted to be in the movie business was like telling somebody that your wanted to go to the moon, " she said.

 Undaunted, on the day of her graduation from Northwestern University, Lansing loaded up her car and headed to California. . . In 1980, at Twentieth Century Fox, she made history by becoming the first woman in the motion picture industry to hold the position of president of production.

These comments were part of a her keynote address to the UCLA Class of 2004, delivered 6/18/04. I have found these thoughtfully composed words a creed to live by:

1. Follow your dreams.
2. Be persistent.
3. Enjoy the process, and the results will come. 
4. Do the work. There really are no short cuts.
5. Accept responsibility, especially for failures.
6. Be yourself. Develop your own style.
7. Change is good. New risks and new challenges keep you alive.
8. Don't be afraid to fail. Fear of failure leads to mediocrity. If you play it safe you will make boring movies, boring plays and boring songs -- and, worse yet, you will live a boring life.
9. Don't forget to have a personal life. Relationships with family and friends are simply the most important things in life.
10. Don't forget the F word -- Fun. Try to have fun every day! Without fun, nothing else makes any sense. It's an important component of life, and humor and fun can get you through almost anything.

Both of these quotes are from a by-gone era, before the Great Recession, or the Lesser Depression, as Nobel prize winning economist Paul Krugman describes our current economy. So in some ways they seems naive and Pollyanna-ish in relationship to the present economic realities. Yet, an idealist at heart, I still yearn to live by these goals and trust that in doing so life's treasures will unfold before me.

 I want to add about Lansing's rule #10: my previous occupation was in the theater. I worked in LA and NYC on Broadway, film and television. My heart was always in the theatre: theatre is life. Something i noticed there that really left an impression, was the ability to find laughter in the gravest of circumstances. Theatre people work long hours: nights, weekends and holidays, in order to put on the show to entertain the masses. It gets stressful and fatiguing. Yet theatre people know how to diffuse all situations, tension, grief and anger, through laughter. They know how to laugh anything off. I found that a valuable lesson, learned in my early adulthood: the ability  to find the humor in any situation.                                       KB










Photo 1: tony_the_bald_eagle, flickr creative commons 2.0

Photo 2: Matthew Grapengieser, flickr creative commons 2.0

Chinese Medicine for Women's Health: A Talk at Malaprop's

7p Tuesday May 8th

Please join me for an interesting discussion of women's physiology and health, from a TCM (Traditional Chinese Medicine) perspective. Women’s bodies and reproductive systems are more complicated than men’s and so more health problems occur for us.

In my 10+ years practicing I have seen so many different gyn conditions respond beautifully to acupuncture and Chinese herbal therapy, including ovarian cysts, PSOS, menstrual irregularities, cramping, hot flashes, emotional problems, headaches and amenorrhea. Complicated conditions, such as endometriosis also responds to Chinese medicine, given time.

Did you know that it is the stressful western lifestyle - go, go, go, drink more coffee, keep going & multitask - that causes many gyn conditions, especially PMS and peri-menopause? In Asian countries and the developing world peri-menopausal syndrome doesn't exist.

Learn lifestyle recommendations to prevent PMS and menopausal symptoms.

Case Study: Trigeminal Neuralagia & Sinusitis

Chief Complaint: Female age 63 presented with trigeminal neuralgia facial pain, worse with chronic sinusitis. Onset 7y ago. Worse in winter due to sinusitis: inflammation presses on trigeminal nerve, triggering pain. Swelling of right eye, center of lower eyelid. Frequent associated headaches.

Other symptoms: Celiac disease, food allergies which seem to trigger facial pain. Pain begins 20 minutes after eating offending foods: wheat products or anything with mold. Perennial allergies: onset birth – breast milk: red eyes, sneezing, nasal and sinus congestion. Shortness of breath. Fatigue, bruises easily, heavy limbs, weak muscles. Hypothyroid, diagnosed 47y earlier. RLS: .5mg Clonozepem nightly.

Pain: Described as electric, stabbing, shocking sensation. Over a 5y period, progressed from mild pain to severe pain. Aggravated with pressure applied to the affected area. Headache dull ache, level 8-9 [1-10 scale]. Red/purple coloration on scalp associated with increased pain.

Location: Foot Yang Ming Stomach (ST) meridian of face, in a line from the center of the lower eyelid to the lateral corner of the mouth. Foot Tai Yang, Bladder meridian & Du meridian, Governor’s vessel from vertex of the head to front hairline. Headache: Foot Shao Yang Gallbladder (GB) meridian, along hairline at forehead, left.

Tongue/Pulse: P: Right – hidden, Left – Weak. Tongue: Dusky, puffy with teeth marks. Constraint petechiae and red sides with red tip.

Treatment: Dr. Tan’s Balance Methodacupuncture + custom granule herbal formula. Tx #1: 8 magic points for digestive and lung disorders + ahshi points along the Large Intestine, Pericardium and Heart (HT) meridians between the elbow and wrist crease to treat the GB & ST meridian pain.

Tao Hong Si Wu Tang (Peach Seed & Safflower + Four Substance Decoction) + Sudden Smile Powder (Shi Xiao San) to treat pain due to blood stagnation: stabbing pain and dusky tongue indications poor blood circulation in the affected meridians (Foot Yang meridians + Du channel).

Bu Zhong Yi Qi Tang (Augment the Center to Lift the Qi Decoction) to treat chronic sinusitis and weak Spleen: food allergies, weak, heavy limbs, bruise easily, fatigue, hypothyroid.

Dan Zhi Xiao Yao Wan (Augmented Rambling Powder): T: red edges and petechiae, Shao Yang headaches.

Jade Windscreen: Improve immune function: allergies.

Results: Marked decrease in pain after 1^st acupuncture treatment. Facial pain: 1x/5days, stabbing pain, level 2 [1-10 scale]. Several mild headaches. No ear pain. Decreased facial swelling.

Treatment: repeated acupuncture and herbal formula. Slight modification to herbal formula to address allergies.

Result: After 1 week - Occasional pain: pressure to face causes mild, stabbing pain, level 2. No headache. 1 mild occipital headache, possibly due to caffeine. RLS: 2 nights. No nasal/sinus congestion or shortness of breath, occasional sneezing.

Treatment: Repeated tx #1. Modified herbal formula to increased heat clearing (red tongue).

Result:  One week later: Decreased facial pain: 2 twinges of stabbing pain, level 1. Facial swelling, sensitivity to touch. No RLS. Occasional sneezing, + post nasal drip, no congestion.

Treatment: Repeated tx #1, no HT channel points (no GB pain). Refilled herbal rx with modifications to address post nasal drip due to chronic sinusitis, including andrographitis (chuan xin lian), and facial swelling. Continued weekly acupuncture treatments and herbal therapy, with modifications, based on presenting symptoms for 2 weeks. Then decreased to monthly treatments and continued herbal therapy.

Result: 3 months after initial treatment: In past 2 weeks, no pain, no headache, no sinusitis, pressure or rhinitis. Occasional RLS associated with strenuous activity. Energy normal.       KB

Allergy & Sinusitis Talk 7p March 13th Malaprops

• Are you perpetually tormented by itchy, watery eyes and runny nose during the spring & fall? 
•  
• Do you suffer from headaches and sinus pain? 
•  
• Is your breathing impaired from chronic sinus congestion? 
•  
• Are you tired of pills, shots and inhalers which may temporarily suppress symptoms but do not solve the problem? 
•  
• Would you like a different approach?

Consider Chinese medicine.

Kath Bartlett, Licensed Acupuncturist and Traditional Chinese Herbalist will discuss how acupuncture and Chinese herbs bring lasting sinus & allergy relief Tuesday, March 13^th, 7p at Malaprops.

• Discover how Chinese medicine relieves symptoms in the short-term while building immune function for a long-term solution.
• Learn how anti-bacterial herbs treat sinus infections causing post nasal drip and chronic congestion.
• See real patients receive instant pain relief during an acupuncture demonstration.

During this 45min talk, Bartlett will focus on environmental allergies – pollen, molds, pet dander – and chronic sinusitis. She will answer your questions about other types of allergens: foods and chemicals that cause G/I symptoms, hives and rashes during the Q&A and post-talk discussion about Chinese medicine.

Join Kath for an interesting, informative journey.


photo: Mcfarlandmo, flikr, creative commons 2.0

Remedies for Burns, Sunburns & Radiation

Here's a few ideas for burns, including those from radiation:

In my recent post on scar treatment, i discussed Ching Wan Hung burn ointment . It's wonderful for burns of any kind, including radiation. It contains many blood moving herbs with heat clearing properties, to keep the blood circulating in the area, and menthol to clear the heat. It also treats insect bites and hot, red rashes and hives. My patients love it for all of these uses. 

In A Handbook of Traditional Chinese Dermatology,Liang Jian-Hui recommends decoction 60g of licorice root and applying it topically to the area with cold compresses. In Dermatology in Traditional Chinese Medicine Xu Yihou suggests making licorice oil by soaking 10g of licorice root in 100ml of vegetable oil for 24h. then cook on a low heat until the herb turns dark yellow. remove the licorice and use the oil. TCM herbalists often use sesame oil for topical balms, pastes and salves. In my Flying Dragon Liniment for muscle and joint pain, i use a combination of organic sesame, olive, castor and peach seed oils.

For radiation burns some practitioners suggest calendula gel or ointment, or honey. Manuka honey is highly regarded for its anti-bacterial properties. Tai Lahan's, author of Integrating Conventional and Chinese Medicine in Cancer Care: A Clinical Guide uses Spring Wind Burn Creme, citing successful case studies of it's use in her book. Spring Wind Burn Creme is being clinically studied by hospitals to document it's effectiveness in treating radiation burns.

Xu Yihou suggests making aloe cream by first pounding 45g of aloe to extract the juice. Gradually add 10g of gum arabic until the solution becomes milky. Lastly stir in 4.5g of eucalyptus oil. The creme can be applied 2-3x/day.


For ulcerating legions, Xu suggests making egg yolk oil, by heating 10-15 hard boiled egg yolks in a pan over low heat with 1t vegetable oil until a black oil separates. Apply the oil 2-3x/day. 

A colleague, Carrie Denaro, LAc of Blue Lotus Center for Health in San Diego, created this essential oil blend for a patient with favorable results. She says "It greatly relieved the pain and healed the skin":

Blend of 50% emu oil and 50% coconut oil in a 2-ounce jar (+)
10 drops of Blue Tansy essential oil
10 drops German Chamomile essential oil
10 drops Helichrysum essential oil
10 drops Niaouli essential oil
15 drops Lavender essential oil

It will stay solid if the room temperature is fairly cool.  If not keep it in the fridge to keep it solid and it becomes a nice cool soothing balm.

I would add that tamanu oil could be substituted for the emu oil, to avoid using an animal substance.


Xu says mild cases of radiation burns have a favorable prognosis with treatment, but severe cases are difficult to cure.

For sunburns, in Dermatology in Traditional Chinese Medicine Xu Yihou suggests decocting up dandelion (pu gong ye), purslane (ma chi xian), licorice, and a Chinese chrysanthemum (ju hua, flos chrysanthmi indici) applying as a compress 3-5x daily for 15-30 minutes. Manual of Dermatology in Chinese Medicine suggests a similar formula: ju hua, purslane, wormwood (qing hao, herba artemisiae annuae) and a Chinese herb long kui (herba solani).                    


TCM herbalists use a combination of topicals and internal formulas to treat burns. for first degree (redness) and superficial second degree burns (blistering), external treatments may suffice, depending on the intensity of pain. for more severe burns, internal formulas will also be required.     KB

Case Study: Acute Back Pain Resolved in 2 Acupuncture Treatments

a gentleman (43y) came in to my office a couple of weeks ago complaining of acute lower back (lumbar) pain which radiated down the lateral side of the left leg (I/T band). he described stabbing pain, level 8 (1-10 scale). This had happened a year ago. After acupuncture the pain resolved until this recent episode.

I used balance method acupuncture points in his right hand. the pain reduced immediately upon insertion of the needles. While he rested with the needles in place, i made up a custom herbal formula to circulate blood. In TCM (Traditional Chinese Medicine) theory, stabbing pain is due to blood stagnation, or poor blood circulation in the area. In western medicine, the radiating pain indicates possible nerve impingement, likely caused by a disc protruding and pressing on the nerve root. He had not had any imaging of the area.

He returned 3 days later for follow up treatment. The pain had much improved. It was no longer a stabbing nature. Now he experienced mild stiffness in the morning with no radiating pain. I repeated the acupuncture treatment in the hand and changed the herbal formula. As the stabbing pain had resolved, i gave him a formula improve qi circulation in the area. The stiffness indicated the qi was not moving in the acupuncture channels of the lumbar region.

He presented the following week for acupuncture treatment with no pain. I gave him one more acupuncture treatment to consolidate the effects. I advised him to call me if the pain returned. He left my office a happy camper. KB

Cat Scratch Fever: Clinical Pearls for Wound & Scar Therapy

so I got into an altercation with my cat this week and wound up with some serious scratches on the eye area of my face. I was concerned about scarring, so i did some research and polled colleagues on their favorite remedies. The following is a compilation of the collective wisdom generously shared:

When the cat scratched my face (he landed on my head after falling) i had blood running down my face. my first imperative was to stop the bleeding. I keep a Chinese patent remedy, called Yun Nan Bai Yao in my medicine cabinet. It's an invaluable first aid to stop bleeding, and it works. Application method: apply the powder with gauze or cotton to the wound, and apply pressure. The herbs cause the blood to quickly coagulate. Add more as necessary until the bleeding stops. It won't take too long, unless it is a deep cut. The Vietcong famously carried Yun Nan Bai Yao with them in Vietnam to treat gunshot wounds because it does the job well. Once the bleeding has stopped you can bandage it up.

After i stopped the bleeding i thought i would leave it and let it rest. I had to go into the clinic, so i flew off a quick plea for help from colleagues and went on my way.

Later that evening i read through the wonderful advice offered. the first thing i learned is that conventional wisdom on wound healing has changed. You may remember the old school advice that says to leave the wounds open to the air to breath once the scab has formed, especially at night. Western medicine has changed is opinion on this, and have found that wounds heal faster if they are kept covered so that they remain moist and juicy. The scabs will produce scars.

Chris Macie writes:

From recent science, as well as tradition, keep open wounds covered, and juicy (as if internal, swimming in nourishment that repairs). Let the dressing plus the medium (be it Res-K or other TCM or traditional herbal, or modern bio-synthetic compounds) take the place of the scab!

The "science" -- couple of years ago, NY-Times Science section, Q&A dept: Question: better to leave wounds open to heal? (Or my Polish grandmother's advice: let wounds breath (open) at night). Answer: NO. Keep covered and in a healing, moist environment. Periodically cleaning and redressing, of course.

This makes sense from a TCM (Traditional Chinese Medicine) perspective. In TCM, we want to prevent stagnation. the scars are a result of Qi and Blood stagnation in the tissues. Keeping the wound moist allows for blood circulation, including the white blood cells and phagocytes to stop infections, and the various biochemicals and proteins needed to stimulate collagen and tissue regeneration. Scabs are dead blood due to blood stagnation. so it makes sense that although they provide a natural band aid to protect an open wound from infection, the stagnation would slow healing and promote the formation of scar tissue.

As the cat's claws were likely dirty, i cleaned the wounds with a mild soap and water solution, removing the scabs. Contrary to popular belief, and according to Medscape, studies do not demonstrate that hydrogen peroxide inhibits bacterial growth. So being as it stings like a #!?#@!, there is no longer a compelling reason to use it to disinfect wounds, though the bubbling action is helpful to loosen dirt and gravel.

An alumnae i interned with at PCOM (Pacific College of Oriental Medicine) Andrea Beth Damsky recalled receiving these directions from a hospital:

Keep the wound moist with Aquaphor or Vaseline. Do NOT use antibiotic ointments or creams such as neosporin because these increase the possibility of an allergic skin reaction. The purpose of the Aquaphor or Vaseline is to keep the wound moist and prevent scabbing, because moisture speeds healing of the skin and scabbing (contrary to popular wisdom) increases the likelihood of tearing the skin and creating scars. Keep the wound(s) covered. Remove the bandages daily, wash gently to remove any crusting or scabbing, reapply Aquaphor or Vaseline; repeat every day until the skin has healed.

I would add, avoid much exposure to sun or wind until your skin has healed, and any exercises that would stretch the skin of your face.

I imagine you are resistant to bandage your face... perhaps it would work just as well to apply the Aquaphor/Vaseline several times daily in lieu of using a bandage?

You could use vitamin E or other oils once the skin has healed over.

Regarding nursing care, Denise Moran of Center for Rejuvenation Acupuncture, with 20 years experience working for plastic surgeons and dealing with wound healing, advises:

If you live in a sunny area and are out in the sun more than 5-10 minutes, you want to be sure the wounds are covered as the sun exposure could permanently pigment the scars. The bad news is that all wounds heal with a scar, the GOOD news is that the face is very vascular and the thinnest skin on our body and heals better than anywhere else.

I don't like to use vasoline because its a petroleum product. Several practitioners suggested Ching Wan Hung burn ointment to prevent scarring. I keep this item in the medicine cabinet, beside the Yun Nan Bai Yao and my Flying Dragon Liniment. Its wonderful for kitchen burns. It contains many blood moving herbs with heat clearing properties, which in Chinese herbal medicine prevent and treat infections, and menthol to clear the heat. It treats insect bites and hot, red rashes and hives. My patients love it for these uses. The blood moving herbs explains it's ability to prevent scarring.

I also keep calendula ointment in my herbal first aid kit. i settled on using the burn ointment as the scratches were red (indicating heat, and possible infection) and to prevent scarring, my main concern on my face. In absence of Ching Wan Hung or infection, i would suggest using calendula ointment, rather than Vaseline. It should not cause any skin irritation, rather it treats that. it is readily available in the natural food stores. Check the ingredients to be sure its a clean ointment. I would avoid Boirion as it uses petroleum ointment.

The following morning i began researching the next step, scar prevention. Several colleagues suggested Resinall-K, a Health Concerns herbal tincture to improve wound healing and prevent scarring. Chris Macie gave a convincing testimonial:

It's an incarnation of a somewhat common hit-medicine for martial injuries; though some forms may be considered proprietary / esoteric. Contains Dragon's Blood, RuXiang (frankincense) & MoYao (Myrrh), YanHuSuo, etc., in suspension with alcohol and glycerin.

[It also contains san qi, the chief blood mover in yu nan bai yao, er cha, safflower and bing pian (borneol) resin.]

When used to continuously coat, even in a sense of immerse, a surface wound, it appears to promote near-seamless epithelial healing. (similar principle as touted in new Western bandage technology recently)

I keep a lot of it in stock; routinely prescribe to patients who have cats.

Couple of years ago I closed a car door completely on distal phalanx of my index finger -- cut to the bone (palmar side). Kept it packed in Res-K for a month or so. Took a total of about 6-months, but now 100% restored flesh & function; very faint scar.

Health Concerns lists the therapeutic actions of Resinall-K as preventing infections, promoting tissue regeneration, stopping bleeding and activating blood circulation. Therapeutic applications include pain and swelling of traumatic injury. When you look at the number of heavy-hitting blood moving herbs in the formula, it makes sense that it will prevent scarring by keeping the area moist, and keeping the blood moving. the alcohol base of the tincture enhances blood circulation. This is why hit liniments for martial arts are alcohol based.

I found a bottle of propolis in my first aid kit which treats infections. The scratches were a bright red at this point, indicating heat and toxins. so i applied the burn ointment and the propolis and bandaged up the scratches.

At the end of the day i picked up the Resinall-K. the propolis seem to clear any infectious process, as red coloration to the scratches had markedly diminished and there was no yellow exodus. I cleaned and reapplied the burn ointment and the Rensinall-K and re-bandaged. Every few hours i opened the dressing and reapplied the burn ointment and Resinall-K.

By the next morning, the redness had cleared, and the scratches were healing nicely. They look rather shallow, so i am less concerned, but still do not wish to have scars around my eye and on my cheek. once the scratches close up and it no longer seems necessary to bandage to keep them moist, i will move on to phase two: scar prevention.

Several colleagues suggested essential oils to prevent scarring. i looked at a couple of formulas, and came up with my own combination, partly based on cost, as purchasing a number of essential oils can add up.

Tamanu oil treats scars and infections, due to its antibiotic, anti-inflammatory properties, so its a keen choice to use as a carrier oil. other options suggested included castor oil, sesame, sweet almond oil, olive and grapeseed (for phytoestrogens) oils. I will probably used a castor/sesame oil combination, as i have these on hand. In my Flying Dragon Liniment for muscle and joint pain, i use organic castor, sesame, peach seed and olive oils.

Mary Elizabeth Wakefield, who has been teaching facial rejuvenation acupuncture for over a decade suggests this essential oil blend to treat keloid scars:

In a 4 oz blue bottle, put 3-4 drops each of: lavender oil, helichrysm oil and rose oil. Fill the rest of the way with a carrier oil (choose from apricot seed oil, grape seed oil or emu oil- which is known for treating scars on its own) Apply twice daily.

as a vegan i cannot recommend emu oil, as it is harvested from these Australian birds, but i did google it and it does have many healing properties.

Helichrysm was suggested by many of my colleagues, so i knew i wanted to use it. One practitioner suggested a blend of bay laurel, clary sage and helichrysum. When i began ordering i noticed the clary sage is about 25% higher in cost than the other oils, so i ordered lavender for its reputation to treat scars and infections, rose for its attributes for the skin, helichrysum as many practitioners suggested it for scarring and bay laurel. as the Snow Lotus helichrysum and rose i ordered are a 10% solution, they must be dosed 10x the # of drops one would normally use.

After 72 hours, the cuts were looking less red and were beginning to close. At this point i felt comfortable going out in public with out the bandage, just applying the burn ointment to keep the area moist, keep the blood circulating and prevent scabbing, which could cause scarring. while at home and overnight i kept the area bandaged up with the burn ointment and Resinall-K which was quickening the healing process. At 96 hours the superficial scratches were beginning to fade, and a couple of small scratches had already disappeared.

By 120 hours the wounds had closed and the scratches were beginning to fade. Therefore (and thankfully, i would add) the bandage was now unnecessary. It is still important to keep the blood circulating to prevent the blood stagnation which causes scarring. The Resinall-K is a dark red and rather messy. in addition to the menthol, the burn ointment has many blood moving herbs. so for practical considerations, i used the Resinall-K at home and the burn ointment in public.

By day 7 the scratches were now a pink coloration. One of the more prominent scratches had markedly faded, 50%. The Resinall-K seemed no longer necessary, so i began the essential oils. I began with the helichrysum neat, as it is in a 10% solution. It has a lite, pleasant citrus-y aroma. After 2 days with the helichrysum, two of the 3 prominent scratches had reduced to 15% visibility. There is now one long and prominent scratch which has faded to a pale pink coloration. I am now considering mixing up the remaining essential oils i ordered - rose, lavender and bay laurel - to help move along the healing of the more visible scratch.

As the sores begin to heal, acupuncturists needle the healing cuts to prevent scarring. Scar therapy also treats older scars. The general technique is to do something we call 'surround the dragon' where we needle the perimeter of the wound or scar. some practitioners needle perpendicular and under the scar tissue to break up the collagen formation, others needle parallel to the scar. Moxa is used to speed the healing. Many practitioners i talked to recommended laser therapy.

Bill Morse describes his experience:

. . .also use non-scarring moxa to excite the tissues and promote regeneration. With the local needles

The scar will often change character as the first sign of therapy. This may be variable. Hard scars become soft and sometimes hard for a bit then soften. Small scars will enlarge, soften and then reduce. There are many patterns. I like to think that there is "retracing" going on - that is, a reversal of the scars history. Many times patients will begin to recall the incident sequence which verifies this theory. Often there is no apparent connection.

Expect results or changes quickly, however thinning to a line may take several months, especially at thin skin areas like the face. Keloid scars are the most difficult to work with and require extensive internally applied herbs and may contra- indicate the use of moxa. Any scar wider that 1/8 inch will require special care and additional time.

I have seen 4 inch bed sores reabsorb completely with needle application only in a matter of days to weeks, but most deep scars require more time.

Denise Moran adds:

scars tend to start to get a little thicker at 3 months so don't be alarmed if that happens. By a year they have come close to healing, but you could still see some improvement. Keep using your oils and needling and any thickening should be at a minimum or non-existent. I treated my dad for 5 days after he had his kidney removed and at 5 months, it was hard to find the scar. So I'd probably start doing face points within about 72-96 (to avoid stirring up bleeding) hours of the injury, but not in the wound.

KB

Case Study: Acupuncture for Peripheral Neuropathy

Case Study:

Successful Acupuncture Treatment for Peripheral Neuropathy

As a Sequela of Chemo-Therapy

I have been treating this patient weekly with acupuncture following a total hysterectomy due to endometrial cancer. After the first month of treatment the patient (let’s refer to her as Gwen) began a 6 cycle course of chemo-therapy, administered at 3 week intervals. Gwen responded well to acupuncture, and the side effects of chemo were minimal: fatigue, headache, diarrhea, sensation of heat in the chest and throat.

After the forth chemo treatment Gwen began reporting that the tips of her fingers and toes felt slightly numb. Peripheral neuropathy is a known side effect of chemo-therapy. As the symptoms were mild, and other side effects of the chemo therapy were more prevalent, especially fatigue, I continued addressing the other symptoms and did not begin treating the neuropathy at this point.

After chemo treatment #6 Gwen began to notice the neuropathy in the balls of her feet and then traveling up into the ankles. Gwen’s healthcare practitioners told her the chemo-induced neuropathy is due to disintegration of the myelin nerve sheaths, and is often irreversible. Obviously Gwen did not like this prognosis and asked me if the neuropathy could be addressed with acupuncture.

I was concentrating on the fatigue, low hemoglobin and platelet counts, but added in a few points to the treatment to address the neuropathy. This was acupuncture treatment #20.

The following week Gwen began preparations for radiation treatment one month later. However, the neuropathy was her chief concern.

I do a style of acupuncture called Balance Method ™. With this style we do not needle the affected area directly. To treat the feet, we place the acupuncture needles in the hands. I used what we call a ‘shotgun’ approach, needling the upper limbs from the elbows to the fingers. I used the three yang meridians on the right and the three yin meridians on the left. One week later Gwen noted that the neuropathy “is more concentrated in the feet and ankle area, both dorsal and ventral, not as much in lower leg now”.

I repeated the acupuncture treatment, but this time only needling from the wrists to the fingers. The following day Gwen noted, “Numbness still in two feet, but seems a little better, mainly in toes and just in foot, not ankle or lower leg. Notice a buzzing in left foot, almost like electricity.”

I repeated the last treatment and added Zheng Gu Shui, a Chinese patent, alcohol based liniment that has herbs which improves blood circulation. I applied the liniment to the affected area, wrapped her feet in a towel and placed a TDP heat lamp over the bundle. I have continued the Zheng Gu Shui wrap on all subsequent treatments. I also began needling the sensory line on the scalp, which targets neurological issues. During the treatment Gwen reported increased sensation in the feet. The following day Gwen noted, “Feet feel better after acupuncture. . . Feel more neuropathy in foot but now not so much in leg.”

I repeated the treatment the following week. The next day Gwen reported, “Neuropathy seems slightly better. More in foot with very little in ankle.” Again I repeated the treatment one week later. Several days after the treatment Gwen notes, “Neuropathy is mainly in the feet, top and bottom”.

At this point Gwen began a series of five semi-weekly radiation treatments. I continued the weekly acupuncture treatments addressing the neuropathy. Several days after the acupuncture treatment Gwen notes “ Maybe feel more on bottom of the feet”. At this point I added e-stim (electrical stimulation - a battery pack is connected to wires with alligator clips that attach to the needles to add additional stimulation) to the scalp needles. Gwen reported an electric vibration sensation two days after treatment. She requested that I discontinue the e-stim with the acupuncture treatment.

After this last treatment (#10 for the neuropathy), Gwen finished the course of five radiation treatments with little to no side effects. Several days after neuropathy treatment #10 Gwen noted “neuropathy in feet from toes to middle of the foot”. Later that week Gwen notes “Feet feel a bit stiffer in toes and in the bottom of the foot”. After neuropathy treatment #11 the affected area had further reduced to the ball of the foot to the toes, top and bottom (plantar and dorsum). After treatment #12 Gwen noted, “Neuropathy is mainly manifested in feet, felt underneath ball of foot (metatarsal area) and toes.”

After two additional treatments Gwen reported the affected area was in the toes, and that they felt tight and stiff. At this point I added an internal, granulated herbal formula to strengthen the body from the aftermath of seven months of surgery, chemo and radiation treatment, address chronic rhinitis and the neuropathy. Gwen tolerated the herbal formula without any side effects.

Neuropathy treatment #15: Gwen reports decreased paresthesia: she feels a prickly sensation with pressure on the ball of the foot, bilaterally. She describes her symptoms mainly as tightness in the toes, second and third toes and plantar surface of the feet are primarily affected. Accordingly I changed the acupuncture in the hands. I needled the palmar aspect only, distal to the transverse palmar creases and in the fingers to the second metacarpal, to ‘mirror’ the balls of the feet and toes. As the treatment is uncomfortable I have not needled the tips of the fingers, distal to the second metacarpal joint.

This patient’s treatment is in progress. This is her status after one course of acupuncture treatment for neuropathy. KB

Pearls from the Pema Chodrum Retreat: Living Beautifully with Uncertainty & Change

I attended a Pema Chodrum retreat this weekend entitled "Living Beautifully with Uncertainty and Change". Ane Pema, if you don't know, is a celebrity Buddhist nun and inspirational speaker who has written many popular books about adapting to and handling the troubles life brings. During the weekend retreat she offered many pearls to help one adapt to the curve balls life throws at us.

Ane Pema began the weekend Friday night with a metaphor about the river of life. She explained that our tendency is to seek the safety of the shoreline. However our mistake is in our grasping to hang on to the perceived security there. Life, she continued, takes place in the flow of the river, and we can't be afraid to jump in. She could not guarantee that in the river we wouldn't get banged up a bit, repelling on boulders and trying to keep our heads up in the rapids. but the river is where life happens, and where growth occurs. Clinging to the shoreline inevitably causes suffering and pain. We most certainly will get bruised and our hands and arms will get weak in our attempts to hang on to the branches to keep from becoming swallowed up by the flow of the river. On the shoreline we are stagnant. In the river, we move forward wherever life takes us.

I found this metaphor liberating, contemplating that we need to let go of the fear that keeps us clinging to the shoreline of familiarity and a false sense of security and that we must allow ourselves to jump in and flow down the river of life. That we cannot escape the suffering of the river by clinging to the shore. That the clinging to the shoreline is painful and though riding the river will also involve suffering, we must accept that and embrace the flow of the river.

Saturday morning Ane Pema opened with an exercise. She asked us to to remember an interaction that involved difficult feelings and pain. Not an incident that was a 10, but something smaller, a 2-3 (on a 1-10 scale). And to think about the incident and to feel the negative emotions that arose during the uncomfortable situation. Next to ask oneself who is in control here? Are the emotions in control of oneself, or am I in control of the emotions? And to remember this when difficult situations arise triggering negative emotions: who is in control? not to allow the emotions to control us, especially not to allow the negative emotions that often rapidly arise to cause us to do or say something unskillful that would cause pain for ourselves or others.

As we got in touch with the negative emotions and the pain the situation caused us, we ask the emotion to stay while we feel the intensity of the pain and ask ourselves "do i want others to experience this pain?" "do i want to do or say something that would cause this type of pain to arise in others?". its a compassion practice. in answering the questions, we remember in the future to pull back when triggered by negative emotions. "who is in control here"? so that we don't react and unwisely do or say something that will escalate the situation and bring more pain and suffering to oneself and others.

Its a high spiritual task, that requires putting the matter in which we deal with a situation ahead of the principal or substance at stake during times of conflict.

Hearty food for spiritual contemplation.

After lunch Ane Pema began by talking about charnal ground meditation. Tibetan Buddhists have something called a sky burial practice. Because of the permafrost in the Tibetan mountains, the ground is too hard to bury bodies, and there is not enough fuel to cremate the bodies of all of the dead. So the Tibetan Buddhists began a rite of sky burial. Apologies in advance for the graphic description of the practice here. The Tibetans put the bodies on a high mountain peak for the vultures to take away. But because you wouldn't want the vultures to drop grandmas leg bone in farmer Jone's field, the monks first cut up the bodies into small pieces. The sky burial site is called the charnal ground.

As you can imagine, the charnal ground is not a pleasant place to hang out and during warmer weather is rather unappealing to the nose.

The monks developed a meditation practice called Chu practice, where they go to the charnal grounds to meditate on the strong emotions that arise while being there: aversion, fear and so forth. They watch the emotions arise to examine the emotions: where and how do they arise? how do they feel? are they solid? and do they dissipate? they do this Chu practice to learn how to deal with arisal of negative emotions.

Ane Pema emphasized that you have to go to the charnal grounds and sit amongst the cut up bodies to do this practice. you can't do it by imagining the charnal ground, or going to a serene cemetery with the neatly mowed grass and tombstones with bouquets of flowers lined up in orderly rows. you must do it in the gruesome surroundings on the charnal grounds to fully feel the emotions that arise in that place.

So Ane Pema suggest to let life and the fear that arises during uncertainty be a charnal ground practice. When the fear arises, sit with it, examine it, and watch it as it grows and subsides. Ane Pema pointed out that the emotions cannot exist without a story to feed them. Take away the story and the emotions dissolve. We feed anger with our story of righteous indignation and morality plays of right and wrong. We feed hurt with stories of victimhood or neglect, rejection and so on. We feed anxiety with stories of loss, lack (of security), and helplessness. Take away the story and the emotion dissipates. To take away the story, one must discipline one's mind through meditation not to keep thinking the repetitive thoughts, to stop obsessive thinking.

And one must let go of the shoreline and not be afraid to jump into the river. To do this, one must accept that in the river suffering is inevitable and we do get hurt. But grasping and clinging to the shoreline is not an effective method to avoid life's suffering. Grasping, clinging and attachment to the security of the shore only produces more suffering. Living in the river is a charnal ground practice. the pay off is liberation. KB


Photo by kevin 1040 Flickr Creative Commons 2.0

Savory Chickpea Stew

In an earlier post with a recipe for Red Cabbage Salad I referenced the macrobiotic chef I interned with who made delicious meals for the students at my acupuncture college, Pacific College of Oriental Medicine. I was able to wrangle a few recipes from Nancy for some of my favorite dishes. This Chickpea Stew can also be made as a soup, omitting the squash and the seitan. Its a hearty, one-dish meal, for autumn and winter.

In Chinese dietary therapy, we recommend eating differently during each season. In the spring and summer one eats lighter foods and above ground crops. In the autumn the yin begins to rise. Yin energy represents darkness, cold, quiescence, feminine, earth, sweet, substance and blood. During the autumn season the cool yin begins to assert itself from the warm yang energy of summer. In the yin seasons of autumn and winter we want to nourish yin dietarily, by emphasizing root crops, growing in the earth. 

Sweet squashes harvested in the autumn nourish yin. Warm, hearty stews, especially made with root vegetables are particularly beneficial to consume in the cool, yin seasons of autumn  and winter.


This Savory Chickpea Stew nourishes the earth element, pertaining to the Spleen and Stomach due to its sweet flavor and golden color. You will relish the subtle blend of flavors. In Chinese medicine we talk about the five phases and organ systems. Each has a season, color, flavor, organ, emotion and sound associated with it. This stew will benefit those with digestive conditions due to weakness or deficiency. Speak to your acupuncturist to find out if you have an excess of deficient problem. 

Deficiency is characterized by weakness and fatigue. Those with Spleen Qi Deficiency will commonly experience bloating, gas, belching, fatigue, especially after meals, over-thinking, worrying, racing thoughts, cloudy or foggy-headedness. Thinking is a function of the Spleen system in Chinese medicine. Those with weak Spleens tend to worry, and conversely excessive worrying weakens the Spleen.

Savory Chickpea Stew

3C Chickpeas, soaked overnight and drained

1 strips kombu

9 bay leaves (yea, that's correct, nine)

3 yellow onions, diced

olive oil

celtic sea salt

3 10" pieces burdock root, brushed & cut in rounds

6 cloves garlic, minced

3/8C white miso

3 lemons: zest

1 medium-large winter squash, cubed (butternut, acorn, kombucha, carnival)

12 oz seitan, cubed (wheat gluten product)

filtered water & 1 quart vegetable stock

minced parsley for garnish
cider vinegar

Heat olive oil in bottom of large pressure cooker. Saute onions and garlic with salt until translucent. Add burdock and squash and saute until veggies sweat. Add seitan and saute until slightly golden. Add chickpeas, kombu, bay leaf and cover with 1 1/2 " water/stock combination. Bring to high pressure and cook 30 minutes. Turn off heat and natural release pressure.

Pull out half the beans and mash or puree. Stir mashed beans into stew to give a hearty consistency. Add 3/4C soup to the miso and blend, then add back to stew. Stir in lemon zest. Add cider vinegar to taste to pop flavors. Garnish with minced parsley.

yield: 4 quarts

What is seitan? 

Seitan is a wheat gluten product found in the refrigerator section of the natural food store, near the tofu and tempeh. its fairly high in protein for a vegetable source: 6 oz contains approximately 20g.

Photo: Avlxyz, flickr Creative Commons 2.0

Acupuncture and Chinese Medicine for Patients with Blood Cancers

I am giving a talk about acupuncture and Chinese medicine for patients with lymphomas and blood cancers on Monday, September 12 at 5p at the Wellness Resource Center, 50 Doctor's Drive, West Annex, Asheville, 28801.

This will be for a family support group for patients with blood cancers and their caregivers, offered through Mission Hospitals Cancer Services and The Leukemia & Lymphoma Society. 
 

 "This group is for people living with Leukemia, Lymphoma, Multiple Myeloma, Myelodysplastic Syndrome, or Primary Amyloidosis and also their caregivers who

live in the Asheville area and surrounding counties of western North Carolina." 

Group Facilitators:

  Leslie Verner, RN, BSN, OCN, CCRP - Cancer Outreach Coordinator

                                               Jere Howell, MS -Clinical Psychologist

      Date:  Monday, Sept 12, 2011       (Meets the 2^nd Monday of every month)

       Time:  4:00 – 6:00 PM

       Upcoming Dates:  Oct 10,  Nov 14,  Dec  12

§         To register and get directions to the easy access location and parking, please contact Leslie Verner, RN, at 828-213-4656 or 800-443-2233.

 

 

 Please come and tell those with blood cancers or lymphomas you love about it.                                    KB

Developing a Loving Kindness Practice

A few months ago I finished a book I had been reading by His Holiness the Dalai Lama: How to Expand Love.  Since reading the book a year ago, I have been working on developing a personal or loving-kindness practice. My goal is to being to feel loving-kindness towards all living beings. A lofty goal to achieve, I have taken the first step at the beginning.

A loving-kindness meditation I was recently taught begins with thinking of a loved one and feeling the loving-kindness one feels towards that being: wishing this being love, peace, happiness, security and freedom from suffering, pain, and harm. The idea is to experience the depth and feeling of loving-kindness. Next one moves to a teacher or master, someone one respects, and again feeling the loving-kindness one feels for this person, wishing this person love, peace, happiness, security and that s/he will be free from suffering, pain, and harm. Again experiencing the depth and feeling of loving-kindness one feels for this respected person.


Next one moves to oneself, wishing this feeling of loving-kindness for oneself. That I will enjoy love, peace, happiness, security and be free from suffering, pain, and harm. Experience the feelings of loving-kindness, the wish of peace, happiness and security and desire to be free of pain, suffering and harm.


Lastly, one expands these feelings outward. If one is meditating in a group, wishing that everyone in the room will enjoy happiness and and the causes of happiness, be free from suffering and the causes of suffering. Alternatively one can work outward in the four directions, wishing peace and happiness for everyone in front of oneself, then in back, then to the sides: to the right, to the left.


Then one continues to cycle through the four phases, noticing what comes up during the practice. Initially I noticed a deep desire for peace and happiness, and freedom from pain and suffering. I saw that all living beings share this same longing, and that I wish all other beings freedom from pain and suffering, out of the same desire that I wished it for myself.

After one practices the meditation for some time, one will be ready to begin expanding it ever outward, first to neutrals: the supermarket cashier, the call center person, the bank teller and so on. People you interact with but don't have feelings for: either of love or anger.

Then one begins the harder work: wishing those towards whom one harbors feelings of anger or resentment peace, happiness and freedom of pain and suffering. Next one works with those one has deeper feelings of anger and mistrust, those one might consider enemies. This group is difficult, but worthwhile to master. 


His Holiness the Dalai Lama explains the steps of this practice in his book, How to Expand Love. It is an interesting practice of self-exploration, to be sure. Of course the ultimate goal is to take the practice off the cushion and into one's daily life. One could practice emanating feelings of loving-kindness outward in the four directions while sitting in traffic or at the grocery store line.


Recently while practicing I realized that all beings suffer, just like I, many suffer 1,000 times more. I try to remember this especially when interacting with those with whom there is a history of anger, resentment and mistrust. Just like me these people suffer. Remembering that those who have been a source of hurt or harm are also suffering helps one develop compassion towards those with whom relationships are difficult. I believe this is one of the steps towards forgiveness. I have found remembering this takes some of the edge off the sharpness of the negative emotions one feels.


I recently noticed myself harboring and fueling negative thoughts towards a party who has hurt me deeply. I saw that this destructive path was only causing further suffering for myself. The solution I found is to not allow the mind to go down this rabbit hole of misery. When I caught my mind going down the path of negativity, I stopped it and reminded myself that this path does not lead to enlightenment. It only leads to the hell realm, and I was only causing myself pain by traveling down it. To provide a healthier alternative for my active mind, I did the loving-kindness meditation. When found my mind wandering down the familiar path, I again reminded myself that this path only leads to more suffering. 


One morning when practicing the loving-kindness meditation I realized that the warm, peace of loving-kindness is where I would like to reside. That this oasis from the misery of the negative emotions: anger, resentment and ill will is where I wish to dwell. This desire increases my motivation to continue the loving-kindness practice. It is simply a more pleasant place to be. The payoff of harboring negative emotions is misery for oneself. Though fueling these emotions can sometimes be seductive, the place that path leads is pain and suffering. Practicing loving-kindness is the way to peace and happiness, for all sentient beings.                                        KB


Photo: acaben, flickr Creative Commons 2.0