Thursday, August 13, 2009

Slow Movement Advancing the Medicine

In This Issue:
**Enjoying the Moment - how Acupuncture can help
**Call to Action - help pass HR646 to get Acupuncture covered by Medicare
**Acupuncture Research - why its a sticky wicket
---------------------
Carl Honore TED Talk - The Slow Movement.
Enjoying the Moment can Enrich Your Life and Acupuncture Can Help!


This TED Talk is an older one, posted 2007, but I included it today for a couple reasons. I've been talking in my recent newsletters about how important it is to live in harmony with the seasons from a Chinese Medicine perspective for health and vitality but what I've failed mention is why this is important. This talk by Carl sums it up for me - its about the speed and the incessant rush to work, live, achieve and succeed in our modern society. We eat packaged foods, live in temperature controlled homes (which I don't have anything against, mind you...) and work like crazy people causing a disconnect that has us rushing through life at breakneck speed. This isn't the only way to live and be successful and the Slow Movement, including the Slow Food Movement, is testament to that. Furthermore, I heard a statistic recently that multitasking actually decreases your efficiency by 40% as compared to focusing one thing at a time. I think 40% is pretty significant, and certainly the output and success of countries like Norway where people work much shorter weeks than we do in the US yet still seem to come out at a comparable economic level is testament to the success of focused and slow.

I believe acupuncture is in alignment with this slower saner pace of life. As the seasons change the balance of Yin and Yang shifts making different seasons require different eating, sleeping and exercise habits to stay well. This requires learning about how the seasons change energetically and how to move in accordance with them, including awareness of how your specific body feels, reacts and changes seasonally based on your constitution. Acupuncture and Chinese Medicine help give you that education and understanding. Furthermore, the experience of acupuncture is often one of slowing down. According to classic Chi
nese Medicine literature it takes 28 minutes for your energy to cycle once through all of the 12 main meridians (energetic channels) and 24 hours for your energy to peak in each individual meridian. During an acupuncture treatment, therefore, you usually rest on your own for approximately 20-30 minutes. It forces you to slow down during your day and take some time to breathe, relax and be. In this way, acupuncture can give you a chance to be in the moment and practice slowing down amidst a hectic life.

For more information on eating with the seasons in particular, I recommend reading this article - The Energetics of Foods for Health and Healing. It provides a great overview of seasonal energetic theory as well as some general recommendations for simple dietary changes to match the season.

CALL TO ACTION - Help pass HR646 and get Acupuncture covered by Medicare!

Today I am asking for your help. There is a bill on the floor right now called HR646, The Federal Acupuncture Coverage Act of 2009. If passed, it will make acupuncture a covered service under Medicare and under the Federal Employee Health Benefits Plan enabling an additional 54 million patients to access acupuncture and Chinese Medicine as a covered service. This landmark piece of legislation will change the place of Chinese Medicine in the US and bring acupuncture into the mainstream. It could truly change the face of medicine in our country - not to mention paving the way for more insurance companies to accept acupuncture as a valid reimbursable service. Please take action by writing a letter to Congress and/or calling your local congressman to help get this important bill passed.
To look up your local representatives and get a sample letter to send please click HERE. Furthermore Mayway, a Chinese Herb manufacturing company, is also matching donations to the American Association of Acupuncture and Oriental Medicine (AAAOM) to help us lobby for this bill during the months of August and September. If you feel inclined to donate, please click HERE and follow the prompts on the website. Thank you for considering and for doing whatever you feel like you can to help.

Acupuncture Research - why is it so hard?

Ah... the minefield of Acupuncture research. And it is a minefield, ladies and gentlemen, let me tell ya. Acupuncture research in the west started in the 70's and has been going (strong?) ever since and there is one central question that has stumped all researchers for the past 30 years - how does Acupuncture work? The answer - still unknown. From a Chinese perspective, i.e. and energetic "Qi" based perspective, the answer is obvious - it moves and balances Qi. Since Qi is
intangible and immeasurable according to Western science, however, the exact mechanism of action of Acupuncture is still considered to be "unknown."

This doesn't answer why acupuncture research is so hard, however, though it is an important key. Western medical research regards the double-blind placebo controlled trial as the most accurate and desirable test model. This testing structure creates a situation where both the patient and practitioner don't know whether a patient is getting an active or inactive substance - only the 3rd party moderator knows - so no one can be tipped off or mislead about their treatment or have any specific expected positive or negative outcome. Clearly, trying to do this with acupuncture is near to impossible (do you want someone putting needles in you who doesn't know they are doing it? Eek!) but researchers have tried to do their best by creating various "sham" acupuncture methods to act as control methods comparing active acupuncture treatment to inactive or "sham" acupuncture treatment. The conundrum is this - if we can't define from a Western perspective how acupuncture works, how can we guarantee that "sham" acupuncture doesn't do anything? Can you start to see why acupuncture research is so difficult to do?

Sham Acupuncture - contradiction in terms?
When it comes to sham or inactive acupuncture there are generally 2 main types. One is to use specific acupuncture points in a study and then for the "sham" control portion, to use toothpicks tapped through guide tubes to simulate acupuncture without actually puncturing anyone. To ensure that patients don't know which they are getting, a sheet or barrier is hung at neck level so the patients can't see what is happening to the body and all patients have to be newcomers - have to never have had acupuncture before. The problem with this method - anyone ever heard of acupressure? Who is to say that acupressure isn't just as effective as acupuncture when you are repeatedly stimulating the same points? Problem. The second common sham method is to use "non" acupuncture points. I.e. a panel of acupuncture experts agree on specific points for the study, and then agree on specific points that are off major energetic channels. Patients are generally allowed to see what is happening in these studies, but they have to be ignorant of point location to receive treatment. The problem here is that there are many different types of acupuncture with slightly different channel distributions and point locations, so if you follow the Traditional Chinese Medicine model only, sure, you may find "off channel" points, but who is to say they aren't "on channel" points in another system? Furthermore, there is a whole system of what is called "ah-shi" points or tender points in Traditional Chinese Acupuncture where you needle points off or on channel that are tender to the touch when treating specific syndromes. What if you hit an active ah-shi point on someone that gets you a response? Again - problem. The toothpick method is generally considered in most acupuncture circles to be a better sham method than the "off channel" point sham method, but neither are really ideal.

Ah.... sticky wicket. Ask Rebecca if you have questions.
See the minefield yet? These are just a couple of the myriad of challenge involved in acupuncture research and the result is that some acupuncture research is done well and some is not and it is important to look at acupuncture research with a critical eye. To encourage well done acupuncture research in 1996 a group of researchers and Acupuncturists came up with a list of guidelines called STRICTA that ensure the best study possible, and reading a study against these guidelines is a great way to get a sense of whether a study has been done as well as it can be or if it is seriously lacking. If you ever read a study or an acupuncture research headline you are curious about PLEASE ask me and I will be happy to review the study and tell you what I think - I have great education in research review and I will always be happy to review a study and give you an opinion about it.

Research of the future - comparative instead of reductive.
So... what do we do? What do we want to see in acupuncture research today? Considering that we probably aren't going to be able to prove the exact mechanism of action for acupuncture for a while, instead of getting hung up on it, we need the Western medical establishment to move on to the next step - i.e. engage in more comparative studies between Chinese Medicine and Western Medicine so that doctors and patients can make educated decisions about what course of treatment is going to be most effective and have the least side effects. We're getting there - some of the studies I talked about in my last newsletter moved in this direction comparing "standard treatment" i.e. Western pharmaceutical treatment to "alternative medicine treatment" i.e. acupuncture and massage. These types of studies can advance our understanding of the strengths and weaknesses of both areas of expertise and help us work collaboratively to provide the best care possible.

Thanks for tuning in!
Phew! Thank you for listening. I know research may not be the most compelling topic, but as acupuncture continues to step up closer and closer to the main stage I feel it is important to understand the strengths and weakness of the Western research model when it comes to acupuncture so that when you see something in the news media that sounds really great or really awful you can look at it with a critical eye and ask "is that really what is going on?" Furthermore, I want to be a resource for you to ask those questions of when they arise. There is much more to the research challenge, but this is some basic information that hopefully will make you feel more informed and empowered to understand.

Again, if you have a chance to write a letter or make a phone call to your local representative to advocate for HR646 please do - it will make a huge difference in the accessibility of this medicine and we need all the help we can get. Lastly, if you haven't been in for a tune up for while now is a great time to come in. Let me help you live in harmony with the seasons to achieve optimal health and wellness the Chinese Medicine way. Book online via my website, email me direct or call at (503)445-8888 ext. 1. Hope you enjoy the heat and have a great July!

~Rebecca

Friday, July 3, 2009

July 09 Newsletter: ACUPUNCTURE IN THE NEWS! PROVEN EFFECTIVE.

Acupuncture and Chinese Medicine represent a holistic method of health care
that has been around for over 3,000 years. From a western scientific
perspective, however, Acupuncture is not fully understood so here in the
West, many are still trying to validate and accept this ancient healing art.
In the past several months some very interesting studies and news stories
have been coming out showing the increased popularity and acceptance of
Acupuncture and also validating its effectiveness. Today I want to share
some of that news with you to celebrate Acupuncture's increased visibility
and share some valuable info along the way.

Child Acupressure at Seattle Children's Hospital
This story ran last month on King 5 News in Seattle. At Seattle
Children's Hospital, Acupuncture and Acupressure are commonly used as
adjunct therapies for a wide range of disorders, yet this story focused on
four and a half year old Riley who suffered from severe headaches and
stomach aches. After only two treatments his results were dramatic - all
smiles on the pain chart. His mom feels empowered that she has a natural
method to help him with his pain and Riley can now play and live his early
life pain free. In Chinese Medicine there is a subset of acupressure
treatment called Pediatric Tuina that is especially effective for
children under 6 but can be used on children up to age 12. After a few
treatments with a practitioner, parents can often learn the basics of this
technique to provide care at home as well. For more information and a video
of the news story, click HERE.

Acupuncture Effective Treatment for Headache
In 2001 a Cochrane Review published an article about Acupuncture for
migraines and at the beginning of this year, they updated the review looking
at more recent research reporting on tension headaches specifically. This
review focused on studies comparing basic care (pain killers) to basic care
+ Acupuncture and basic care + "sham" Acupuncture. The review showed that
patients receiving basic care plus Acupuncture reported an average 50%
reduction in the number of headache days experienced during the trial period
vs. 16% reduction for basic care alone. Basic care plus "sham" acupuncture
also performed better than basic care alone. Therefore, patients receiving
both the sham and real acupuncture treatments showed significant improvement
over basic care alone. A similar study was also completed in Germany at
the end of last year - the largest study of its kind - stating in the end
that "treatment with additional acupuncture resulted in a clinically
relevant and persistent benefit." For more information on the theory behind
Chinese Medicine treatment for headache and migraine, click HERE.

Acupuncture and Exercise Bring Relief for Women with Polycystic Ovarian
Syndrome (PCOS)
Another exciting study was released just this week by the American
Physiological Society
showing electro-acupuncture and exercise to create
measurable improvement in menstrual regularity and in decreasing sympathetic
nerve response (fight or flight) which plays a role in insulin resistance,
cardiovascular disease, infertility and obesity in women with PCOS. The
study was small, but significant as it represented the first study of its
kind comparing electro-acupuncture and exercise to control (no treatment)
for this disorder. PCOS is also increasingly common affecting approximately
10% of US women of reproductive age. Current basic western medical care
usually involves a combination of hormone therapy and anti-diabetic drugs
and the validation of Chinese Medicine + exercise as an effective
alternative is welcome news for many sufferers. In Traditional Chinese
Medicine, PCOS is most commonly treated with a combination of Acupuncture,
diet and herbal therapies. For more information about the Chinese Medicine
theory behind treating PCOS click HERE.

A Note about Acupuncture Research
As Western Acupuncture research continues to become more common, it is
important to note that there is good research and bad research, and also
that the media often takes research to strange places skewing the actual
findings of the studies. Next month I am going discuss these issues a
little more fully - including some of the basic methods of "sham"
Acupuncture and why they do and do not work. So please enjoy the
information above and stay tuned for an interesting discussion next month!

Lastly - Quick Tip for Eating Cool this Summer
In case you couldn't guess, Summer according to the Chinese Medicine theory
of the seasons, is the time of full Yang or Heat. During this full Yang
time, indigestion can easily occur so increasing the amount of cooling foods
- foods that energetically help you clear heat, reduce toxins and generate
body fluids - are recommended. In general, cooling foods are towards the
green end of the spectrum - cucumbers, broccoli, watercress. Seafood is
also cooling and most meats, red meat in particular, are warm in nature.
At the end of this message is a good starting list of fruits and vegetables to help your
body stay healthy and cool during the hot summer months. If you have a hard
time getting enough fruits and vegetables into you diet, especially organic
ones which are always recommended, consider a service like Spud! Organic
Produce Delivery. A quick trip to their website and you can have an
abundant, organic bin of fantastic local fruits and vegetables delivered to
your door at a price noticeably below purchasing organic produce at Whole
Foods or New Seasons. Furthermore, if you enter the code CR-1005173 you
can $25 off. I use it and can't imagine being without it anymore and I'm
really excited they've made this offer available for me to share with you.

That's the News
Thanks for tuning in and have a wonderful 4th of July. If you have
vacation planned I hope you have a wonderful time, and if you haven't been
in for a while now is a great time soak up some health and wellness along
with the sun. Book online anytime or call at (503)445-8888 ext. 1.
Also, don't forget that our new LMT - Jamaica Stevens - is still offering a
$40 one hour Swedish Massage new patient special to current All Ways Well
patients. You can book that online or call (503)445-8888 ext. 4 if you'd
like to check out Jamaica's services. If you book online please note "$40
special"
in the Notes section when you book and enjoy!


Best wishes for a happy healthy summer - Rebecca

Some Summer Foods to Keep Cool:
* Watermelon
* Apricot
* Cantaloupe
* Lemon
* Peach
* Orange
* Asparagus
* Sprouts
* Bamboo
* Bok choy
* Broccoli
* Chinese cabbage
* Corn
* Cucumber
* White mushroom
* Snow peas
* Spinach
* Summer squash
* Watercress
* Seaweed
* Mung means
* Cilantro
* Mint
* Dill

Friday, June 5, 2009

Live in Harmony with the Seasons

Live in Harmony with the Seasons

Five Phases (Seasons) in Chinese Medicine
Chinese Medicine is a medicine of the seasons, based in part on an understanding that all change in the universe and in your body happens in five distinct phases that correspond to the seasons - namely:
  • Wood (Spring)
  • Fire (Summer)
  • Earth (Late Summer)
  • Metal (Autumn)
  • Water (Winter)
Chinese medicine works by balancing the bodies Qi (energy), Yin and Yang in relation to the five phases to achieve optimal health. To help you be well and stay well by living in harmony with the seasons, here are some of my favorite wellness tips for Spring as well as a special offer from our newest Suite 103 Practitioner. Be Well and Enjoy!

Spring: Invite the Wood Element
Spring is dominated by the wood element in Chinese medicine which governs the Liver and the Gallbladder organs. The Liver and Gallbladder are related to growth, change, benevolence, creativity and deciding a course of action. In this spirit, Spring is a time for clearing out the old to make way for the new. A great way to do this is to focus on your diet, ensuring that your digestion is smooth and healthy. How do you do this?

First, try to include more greens in your diet. Green is the color of Spring and of the wood element, and green veggies are a great source of fiber, antioxidants and important vitamins and minerals. If you are having a hard time including greens in your diet - especially good organic veggies - consider a service like spud! Spud! is a local organic produce delivery service that will bring local fruits, veggies and more right to your door. I use it at home and not only does it help me ensure that I'm getting plenty of fresh and local foods, but it saves me valuable time shopping and reduces my carbon footprint. If you're interested in checking it out, use the code CR5-1005173 for a $25 discount.

Next, try drinking some milk thistle tea or taking milk thistle caps daily through the Spring months. Milk Thistle is an antioxidant that targets the liver, protecting it from incoming toxins as well as encouraging it to cleanse itself of damaging substances like alcohol, medications and environmental toxins

Lastly, if you haven't been in for a tune up for a while, now is a great time to check in. Since Chinese Medicine is a seasonal medicine, coming in with the change of seasons is always recommended as a minimum health maintenance program.

Office Updates

Welcome Jamaica Stevens, LMT - $40 new patient offer
Yes, we have a new massage therapist joining us on Saturdays who specializes in Swedish, Deep Tissue, Pregnancy Massage and Reiki and she is truly amazing. She's offering a special $40 first appointment offer to all current patients - a very generous offer for her outstanding service. Simply go online to our online scheduler and book a one hour massage with Jamaica to take advantage of this offer. Please note "$40 new patient special" in the notes section of your appointment. Slots are going fast, so I recommend booking soon if you are interested.

Rebecca Honored by Cambridge Who's Who
Nifty, huh? Rebecca has just been honored by Cambridge Who's Who Among Americal Entrepreneurs as an Outstanding Professional in the field of Acupuncture and Oriental Medicine. Spread the word! Press release can be seen by looking back one blog post.

Wednesday, June 3, 2009

Rebecca Honored by Cambridge Who's Who

Well, I've finally done it... gotten recognized! I've just been recognized by Cambridge Who's Who as an outstanding professional in my field which has me feeling honored, humbled and appreciative. To read more check out the link HERE.

Thank you so much to all my patients and colleagues who have believed in me as I've progressed along my journey as an Acupuncturist. I love what I do every day and I feels so blessed that it shows!

Thank you,
~Rebecca

Wednesday, May 20, 2009

Acupuncture in Pregnancy and Childbirth

Pregnancy is an amazing time in a woman's life. Many women report feeling healthier than they have ever felt before; however, the physical growth of the baby and changes in hormone levels can bring about pain, discomfort and a variety of health problems.

Acupuncture and Oriental medicine can provide a safe, effective alternative for many of the health complications that may arise before, during and after pregnancy. A growing number of women are choosing acupuncture to use throughout their pregnancy and as an optional treatment for an overdue or difficult labor.

Planning for a Healthy Baby


Healthy parents produce healthy babies. With acupuncture and Oriental medicine, parents can improve their health to create the most optimal environment for their unborn child. In addition to their ability to strengthen, support, and balance overall health and well-being, acupuncture and Oriental medicine are an effective treatment for regulating menstruation and hormone levels, reducing stress and addressing any pre-existing medical conditions or concerns that a woman may have.

Acupuncture during Pregnancy


Acupuncture and Oriental medicine can play a vital role in the comfort of a pregnant woman. There is strong evidence to support that acupuncture is highly effective at treating some of the most common problems experienced during pregnancy including morning sickness, heartburn, insomnia, water retention and sciatica.

Here is a list of some of the problems that an acupuncturist often treats during pregnancy:

* Nausea and Vomiting
* Heartburn
* Constipation
* Hemorrhoids
* Edema and Swelling
* Urinary Tract Infection
* Pelvic Pain
* Neck and Back Pain
* Sciatica
* Carpal Tunnel Syndrome
* Leg Cramps
* Fatigue and Exhaustion
* Insomnia
* Anxiety and Depression

Acupuncture for Childbirth


While there are acupuncture points that can provide natural pain relief during labor, acupuncture is more commonly used to induce labor. There are several points that stimulate contractions and influence cervical ripening. There is also an acupuncture point that has been found to turn a breech baby.

Acupuncture Postpartum


Many women feel depleted after the birth experience. Acupuncture and Oriental medicine can help the transition of those first few months after birth to ensure a quick recovery. Postpartum care focuses on the physical, emotional and psychological recovery of the mother from the effects of pregnancy and labor, as well as encouraging breast feeding.

Here are some of the postpartum disorders that can be treated with acupuncture:
* Fatigue
* Postpartum Depression
* Mastitis
* Insufficient or Excessive Lactation
* Post Operative Healing
* Night Sweats

If you would like to know more how acupuncture and Oriental medicine ease discomfort and facilitate pregnancy, please call for more information.

UB 67 for Turning Breech Babies


An acupuncture point on the small toe of the foot (Urinary Bladder 67) has been found to effectively revolve fetuses in breech presentation.

In an Italian study, 240 women at 33-35 weeks of gestation carrying a fetus in breech presentation were randomized to receive acupuncture plus moxibustion (an herb used to apply heat to an acupuncture point) or to be assigned to the observation group. At delivery, the proportion of babies that had turned from breech position to vertex (head-down) position was 53.6 % in the group treated with acupuncture while the proportion of babies that had turned from breech position to vertex position in the observation group was 36.7%.

Source: J Matern Fetal Neonatal Med. 2004 Apr;15(4):247-52

Safety of Acupuncture While Pregnant


Acupuncture is safe to use while you are pregnant; however, there are some points that can cause contractions and should NOT be needled during pregnancy or should be used with extreme caution.

Acupuncture Points to Avoid During Pregnancy:

* Large Intestine 4
* Spleen 6
* Gallbladder 21
* Points on the sacrum
* Point on the lower abdomen
* Point on the low back

There are also many herbal remedies that are contraindicated during pregnancy. Always err on the side of caution with all herbs and medications while you are expecting.

Common Acupuncture Points used During Pregnancy


Zhubin (K 9) – 'beautiful baby point'
Location: Above the medial malleolus (inner ankle bone), right below the calf muscle.
Function: Calms the mind, builds or tonifies blood.
Indication: Good for hypertension, fear, anxiety, nightmares, and mental disorders.

Zusanli (St 36)
Location: Four fingers below the knee cap, on the outer edge of the tibia.
Function: Strengthens overall constitution, builds blood and Qi, resolves edema, and harmonizes meridians that control digestive functions.
Indication: Great point for diarrhea, constipation, gastric pain and indigestion. Also helps with insomnia, edema (water retention), and increases energy level.

Neiguan (P6) – 'morning sickness and motion sickness point'
Location: Two fingers above the inner wrist.
Function: Calms the mind, harmonizes the stomach.
Indication: This is THE point for nausea and vomiting. It is also one of the most relaxing acupuncture points and is used for both insomnia and anxiety.



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Monday, May 4, 2009

Swine Flu? We'll be Well!


Ways to Stay Well and Beat the Flu
There's been a lot in the news lately about the Swine Flu and yes - the Swine Flu may be coming to our area but thanks to Chinese Medicine and some common sense, we have every reason to believe that we will be perfectly fine. The presentation of the Swine Flu looks much like any other flu - sore throat, fever, body aches - and despite all the attention this is getting in the news, there have actually been relatively few cases reported for a "pandemic" and only one death. In the great flu pandemic of 1918 over 500,000 Americans died, just to give you some perspective, and it looks like the Swine Flu is mostly under control in the US at this point. However, most susceptible are the very old and very young and those people that work with these populations and if that defines you, or you just want to take extra precautions to be safe here are some great tips and Chinese Medicine tools to help you stay well:
  • Wash your hands before eating or touching your face - and ideally you want to wash your hands under the faucet for 20 seconds. How do you know when you've been under the water long enough? Going through the ABC's is the child standard, but the bridge (funny voice part) from Bohemian Rhapsody by Queen is also approximately the right length. Sing away (preferably in your mind) while washing!
  • Take Jade Windscreen - this classic herbal formula is a Chinese immune tonic to bolster your defenses against colds, flus and allergies. Its a great addition to any preventative regime.
  • Try Isatis Root aka Ban Lan Gen - Isatis root is a Chinese herb known for its strong antiviral properties. It can be used preventatively if you are in a high risk environment (nurse, teacher, etc.) or can be taken at the onset of cold or flu to address the viral component of the pathogen. In China it is also used in anti cancer formulations.
  • Stock up on Yin Qiao San - Yin Qiao is one of my favorite herbal formulas which is specifically for sore-throat type colds at the initial onset of illness. A strong dose at the very beginning of a tickle in your throat is often enough to stave off whatever is going around the office.
  • Get plenty of rest and decrease stress! - Sleeplessness and high stress both decrease the bodies natural defenses. Try to be kind to yourself and get a good night's sleep and that too will go a long way to keeping you well.
So there are some tips to help you stay well and avoid the Swine Flu as well as whatever else might be lurking around your workplace. Simple tips, but they can go a long way to help. The herbal formulas mentioned are available in my office and now online in my new Virtual Dispensary as both capsules and as tinctures (an alcohol extract). Both are very effective though tinctures are often easier to carry around in your purse or coat pocket. If you have questions about anything mentioned, please don't hesitate to call or email me and I'll be happy to answer.

So rest up, be well and if you haven't been in for a while now is a great time for a tune up. My schedule has been getting pretty busy of late, so if you're thinking about coming in be sure to book sooner rather than later!


Wednesday, April 15, 2009

April Qi Mail Newsletter - Irritability and Mood

Treating Irritability and Moodiness with Acupuncture

Everyone suffers from irritability and moodiness from time to time, but if you find that a short temper and frustration are becoming a constant issue for you, then acupuncture may be able to help.

Often irritability and moodiness are the consequence of chronic stress in your life. Over time these emotions can progress into more serious emotional conditions such as anxiety and depression as well as other health conditions such as digestive problems, trouble sleeping and the tendency to get sick more frequently.

Liver Qi Stagnation and Emotions

Within Oriental medicine emotional disorders can be associated with a number of different patterns of disharmony; however, anger, irritability, and frustration are all signs that our qi is not flowing smoothly. The liver is responsible for the smooth flow of qi (life force) throughout the body and for smoothing our emotions. When the liver’s function of moving qi is disrupted, qi can become stuck. This is referred to as liver qi stagnation.

Liver qi stagnation is one of the most common patterns of disharmony seen in today’s patients. In addition to irritability and moodiness, signs and symptoms may include distending pain in the area below the ribs, stuffiness of the chest, sighing, abdominal distention, nausea, sour regurgitation, belching, diarrhea or constipation, feeling of a lump in the throat, irregular periods, painful periods and distention of the breasts prior to periods. Liver qi stagnation is commonly associated with PMS.

Acupuncture is excellent at relieving liver qi stagnation. Treatment for irritability and moodiness associated with liver qi stagnation focuses on moving qi and supporting the liver and spleen organ systems with acupuncture, lifestyle and dietary recommendations and perhaps an herbal formula.

If you are concerned that your emotions may be interfering with your health and wellness, please call to see how acupuncture can help.

Move Your Qi!

The liver is responsible for the smooth flowing of Qi (life force) throughout the body. When the liver functions smoothly, physical and emotional activity throughout the body also runs smoothly. So, for optimum health, move your Qi!

Stretch - The liver controls the tendons. According to Oriental medicine, the liver stores blood during periods of rest and then releases it to the tendons in times of activity, maintaining tendon health and flexibility. Incorporate a morning stretch into your routine. Try yoga or tai qi.

Eye Exercises - The liver opens into the eyes. Although all the organs have some connection to the health of the eyes, the liver is connected to proper eye function. Remember to take breaks when looking at a computer monitor for extended periods of time and do eye exercises.

Eat Green - Green is the color of the liver. Eating young plants - fresh, leafy greens, sprouts, and immature cereal grasses - can improve the liver’s overall functions and aid in the movement of qi.

Try Something Sour - Foods and drinks with sour tastes are thought to stimulate the liver's qi. Put lemon slices in your drinking water, use vinegar and olive oil for your salad dressing and garnish your sandwich with a slice of dill pickle.

Do More Outdoor Activities - Outside air helps liver qi flow. If you have been feeling irritable, find an outdoor activity to smooth out that liver qi stagnation. Try hiking or take up golf.

Enjoy Milk Thistle Tea - Milk thistle helps protect liver cells from incoming toxins and encourages the liver to cleanse itself of damaging substances, such as alcohol, medications, pesticides, environmental toxins, and even heavy metals such as mercury.

Get Acupuncture Treatments - Acupuncture and Oriental medicine can help improve the overall health of your liver as well as treat stress, anger and frustration, which are often associated with liver qi disharmony.

Periodic acupuncture treatments can serve to tonify the inner organ systems and can correct minor annoyances before they become serious problems.

The Four Gates Treatment for Moving Qi

A popular treatment for the stress, anger, and frustration associated with liver qi stagnation is known as the “Four Gates.” The four gates are the right and left side acupuncture points Liver 3 (Taichong) and Large Intestine 4 (Hegu).

Together these four acupuncture points enhance the circulation of qi and blood throughout the body and have a calming and analgesic effect. They are also used to alleviate pain.

Large Intestine 4 is located on the padded area of your hand between the thumb and index finger, between the first and second metacarpal bones. Massage this point with your thumb on both hands for approximately 30 seconds.

Liver 3 is located in a hollow on the top of your foot below the gap between your big toe and the next toe, between the 1st and 2nd metatarsal bones. To stimulate this point, place your right heel in the juncture between the bones that attach to the large and second toes and gently knead the point for approximately thirty seconds. Then switch sides to stimulate liver 3 on your other foot.

Signs and Symptoms of Liver Qi Stagnation

Here are some of the symptoms commonly associated with liver qi stagnation:

* Pain or discomfort anywhere along the sides of the body
* Depression
* Mood swings
* Sighing
* Hiccups
* Frustration
* Inappropriate anger
* Sensation of a lump in throat
* Difficulty swallowing
* Bitter taste in mouth
* Constipation or diarrhea
* Abdominal distention and discomfort
* Stomachache that improves after massage
* Stomachache that worsens with anger
* PMS with irritability or swollen breasts
* Irregular or painful periods
* Poor appetite
* Churning sensation in stomach
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