Ross Rosen Lecture

The lecture I did last week on Chinese medicine, and in particular, on my upcoming book is now available at the following link.

Please let me know your thoughts.

Best of health,
Ross

Ross Rosen interview on Blog Talk Radio

Therapeutic Relationship

The ultimate aim of Chinese medicine is to treat the individual and the cause(s) of disease by distinguishing the individual from his or her illness. It seeks to understand and treat with respect for each patient as a cornerstone of therapy. This therapeutic relationship has myriad forms and like all of Chinese medicine is tailored to each person uniquely.

What distinguishes this from other systems of medicine is the relationship that is created and fostered between patient and practitioner which serves as the foundation for the initiation of the healing process. This is not a one-way street and requires cooperation by both parties.

First, the physician counsels the patient regarding the relationship between particular behavioral patterns (including diet, exercise, sex, etc.) and the illness in question, and then treatment assists and supports the body's own healing forces. A physician's job is to return physiology to normal. His effectiveness depends entirely on the accuracy of the diagnosis, on the wisdom of the counseling, on the patient's willingness to change, and on the correct choice of treatment modalities for the rebalancing of the body's physiology.

-Dr. Leon Hammer

Nobody denies that assuming responsibility for oneself is the ultimate in growth and development. The physician must identify the energy leaks, and the patient must seal them by changing his lifestyle. It is, however, only one step and cannot be taken until the organism and person are strong enough. This strengthening is a collaborative process and must often begin with help from an outside source. Chinese medicine provides this outside source in many ways.

-Dr. Leon Hammer

As health practitioners we are of value to the people who consult us only if we can offer them something significantly different from the usual response. Of course, we recognize and acknowledge the negative in all its destructiveness. However:

We are needed for our ability to recognize the positive quest for contact beneath the negative emotions and behavior.......

This is the beginning of a 'new experience' with someone who is reliably more concerned with finding, and responding to, the positive rather than the negative in them; with someone nourishing rather than condemning; with someone capable of putting, at least temporarily, another person's needs ahead of his or her own.

Only as we allow a 'new experience' and provide a new model can our contact with our patients be a truly healing, growing, therapeutic experience.

-Dr. Leon Hammer

Aspartame Documentary

Sweet Misery - A Poisoned World.avi

1 hr 29 min 41 sec - May 26, 2007
Average rating: (318 ratings)
Description: Excellent documentary showing how dangerous artificial sweetner Aspartame is. From its history, to its effects this video is enough to shock anyone into really looking at there food labels next time they shop. Aspartame is a toxic food that came into the world as an investment By Donald Rumsfeld, while ignoring the deadly effects the tests showed. Take a good look at this video, it could save lives.

The Seasons

When asked how many seasons we have or how long each season lasts, many would argue 4 and that they last 90 days each. In Tibetan and Chinese medicine, we say that there are 5 and that they each last 72 days. Where the difference comes from is aligning the 5 seasons with the 5 elements/phases of nature: Wood, Fire, Earth, Metal Water.

Wood is associated with spring; Fire with summer, Metal with autumn and Water with winter. Earth is seen as mediating and bridging each season together harmoniously. Thus, the 18 day period between summer and fall, between fall and winter, between winter and spring and between spring and summer is earth.

So, typically in the lunar calendar of Tibetan and Chinese medicine, when we are starting winter according the western calendar on December 21st, winter is actually half over. The shortest day of the year (the least light), marks mid-winter. As our bodies are a microcosm of our world, this becomes very important and instructive on the kinds of behaviors and lifestyle that we should be following. And, as clinicians, it is equally important that we advise our patients appropriately and that we do not misinterpret signs on the pulse and symptoms incorrectly.

Acupuncture Politics

Politics and powerful lobbyists have infiltrated the profession of acupuncture and Chinese medicine. Today marks a significant decline in the profession as chiropractors have finally managed to influence the New Jersey State legislature by passing through the assembly committee a bill that would allow them to practice acupuncture with a minimal few hundred hours of training. This exception has already been carved out for M.D.'s, unfortunately, and now, with this precedence, the chiropractic lobbyists have widened the loophole.

What is acupuncture without the theoretical framework of Chinese medicine? It's just sticking needles in people. And, unfortunately, an uneducated patient without understanding the distinctions in training, can undergo significant harm. The qualifications of the average acupuncturist is stated below. Compare that to the chiropractors and M.D. acupuncturists. Not to mention that many acupuncturists like myself, spend their entire careers training in this medicine....

Excerpted from an older post on Acupuncture vs. Medical Acupuncture

It is not uncommon for prospective patients to call my office and ask whether or not I am a "medical doctor." Typically, this question stems from the fact that some medical insurance companies will only reimburse if acupuncture is performed by an MD, and the lack of understanding of the training of Chinese medicine practitioners and that of the medical doctor.

Practitioners of Chinese medicine train for approximately 4 years in medical school, just like medical doctors. The difference is that we spend 75% to 80% of our time training in the theories and practice of Chinese medicine, including extensive clinical internships and externships. The remainder of our training is in western medicine and sciences. Cognizant of the fact that we live in a world dominated by western science, the practitioner of Chinese medicine must be knowledgeable of western medicine.

During our time in medical school, we spend over 3,000 hours studying acupuncture (channels, acupoints, clinical techniques and applications), Chinese medical theories, physiology and pathophysiology, herbal medicines (including herb combinations, synergies, and formulations), classical Chinese medicine, and treating patients under the guidance of supervising acupuncturists and herbalists. Not to mention that many practitioners, like myself, have extensive post-graduate training with senior practitioners and masters in the field.

So, what training do MDs or Chiropractors have in acupuncture? None. The one's who will advertise as "medical acupuncturists" have trained for approximately 200 hours, typically a weekend course and some "homework." This is the standard recommended by the World Health Organization (WHO) so that doctors know when to refer out to fully-trained acupuncturists. MDs, osteopaths, naturopaths and chiropractors only have this limited training. They are not practicing Chinese medicine, just using needles. Sticking needles in someone without knowledge of the underlying theories of Chinese medicine is not practicing acupuncture and is not recommended by this practitioner.

Acupuncture is strong medicine with the power to bring awareness of our imbalances to the body and mind and help correct them. Despite what you hear from an MD, its influence extends far beyond neural pathways and the release of endorphins. Improper training in and use of this sacred healing art is an affront to every skilled practitioner and to the majesty of Chinese medicine.

A strong foundation in the principles of Chinese medicine is prerequisite to being a good acupuncturist. But it is only the beginning. The simple act of inserting a needle requires significant cultivation on the part of the practitioner to feel for the arrival of Qi under the needle. According to Yanagiya Sorei and Shudo Denmei, two famous Japanese master acupuncturists, forcing an acupuncture needle into the skin of a patient is akin to rape. In 1980 Master Yanagiya stated:

Inserting needles and applying moxa, this is an art. Ours is a profession which requires a sense of adventure. Isn't it incredible how all manner of diseases can be cured with nothing more than a needle or a few pieces of moxa? Isn't it grand how needles and moxa can be used to create the effect of all manner of medicine?

Acupuncture is of the mind. This should be considered very carefully. One needle can be used to unlock the key to all manner of diseases. It is only natural, therefore, that one's technique needs to be perfected.

Which kind of acupuncturist will you go see?

Coca Cola and Chinese Medicine? I don't think so!

Big pockets are constantly trying to cash in on alternative medicine. This is another attempt. Check out the following link. Imagine how difficult it will be for this Center (owned by Coca Cola) to conclude from its research and tell the world how dangerous Coca Cola is to one's health. This is such an egregious conflict of interest and attempt to misappropriate and co-opt Chinese medicine. I suppose we'll start hearing soon how healthy aspartame and splenda are with the new Coca Cola funded research. There is a lot of truth to Sun Tzu's words: Keep your friends close, and your enemies even closer. I guess Coca Cola has been studying.....

Sleep Your Way Back to Health

Check out this article on just how important sleep is to the health of our children.

Can You Be Cured?

On Friday night, I hosted Lama Lobsang who lectured on Tibetan medicine. One of the more notable things I wanted to share from that talk was the following statement:

If you can get a disease, you can cure a disease. We just need to know the cause.

And while he did acknowledge certain "karmic diseases" that have no cure, most diseases were curable. He said that was the only logical way to understand the ability of someone to get sick. If one can get sick, one can get un-sick. Knowing the cause of the disease is the most difficult part. In fact, he stated that in many instances we will never know the real cause; that it is hidden, as in karmic diseases. But placing the emphasis on diagnosis is the real key to understanding the causes (or coming as close to the cause as one can), and then healing the person from that disease. He gave the analogy of knowing what country a person is from by looking at their face and features, but not being able to know the exact town or street address or the specific details. The more details you can uncover, the better your success at treating the disease.

That is where traditional diagnostics come into play, especially the pulse diagnosis and knowing one's psychology. The specificity of the details come into sharper focus.

Do We Really Know What Makes Us Healthy?

A very important article to read. You can access it here:
http://www.nytimes.com/2007/09/16/magazine/16epidemiology-t.html?ex=1190606400&en=6f2433873fafc89c&ei=5070&emc=eta1

The Art of Diagnosis

The art of diagnosis is disappearing and I take this as a very sad occurrence. One of the problems, perhaps, is that western medicine and scientists try so hard to ensure that there is no art to diagnosis; that it is a strict scientific discovery. In prior posts I have demonstrated how the art and the science must co-exist to arrive at a comprehensive and holistic diagnosis using our minds (theory) plus our senses (touch/palpation, listening, smelling, looking, etc.) and our experience and intuition.

Just yesterday, a New York Times Magazine article was brought to my attention. It was about diagnosing a young girl with periodic fevers and abdominal pain that would come and go every so often. The doctors were perplexed and it wasn't until she had a positive test that they had any real idea of what was going on. If only this was a rare occurrence, I would pay it no mind. But the following quote was made by one of the doctors. It struck me how sad it is that a doctor could make this statement; especially as it seemed to be stated out of a pride for the advancement of western diagnostic tests. What about the decline of medical diagnosis? The quote was:

"In medicine, we can only really know a disease once we have a test that can reliably identify it."

Environmental Toxins Killing 13 Million Children per Year

excerpted from organic consumers newsletter:
The World Health Organization (WHO) has released the most extensive research to date on the impacts of environmental toxins on children's health. The report indicates that over 30% of childhood diseases can be linked to exposure to environmental toxins. According to WHO researchers, 13 million deaths could be prevented annually by improving the environment. The vulnerability of children is increased in degraded and poor environments. The report states that due to environment-related diseases, one in five children in the poorest parts of the world will not live longer than their fifth birthday. The Organic Consumers Association's "Appetite for a Change" campaign is focused on implementing policies and practices that can one day provide a safe environment for our children.
Learn more: http://www.organicconsumers.org/afc.cfm

The Four Examinations, Part 2 (Tongue Diagnosis in Chinese Medicine)

TONGUE
The tongue is one of the major pillars of diagnosis, the other main one being the pulse. The tongue body proper is going to give you information more about the Yin organs, the blood organs in particular. How much is it feeding? The tongue coating is the result of digestion. So we’re looking at two overall things. We’re looking at a body and we’re looking at a fur coat. Now the body itself is going to have not only color, but a size and shape to it. And it might have cracks, and it might have red raised areas. And whether or not you can hold it out and it stays firms or moves around and quivers is going to mean something. And the tongue fur, it’s going to have a color and a thickness to it. And it’s going to have areas that it’s distributed in, and maybe some areas that it’s not.

When reviewing the tongue, the best light to look it is natural light. And foods also affect the tongue (change the color, etc.). Pepto Bismal does a nice job on a black tongue. Eggs make it yellow and orange juice also makes it yellow. Cigarettes do lots of things… stain it a little bit of brown.

The tongue is a muscle. It reflects the Yin organs. All channels are indirectly reflected in the tongue. SP connects w/ root of tongue and scatters over bottom; KI goes to root; HT connecting vessel goes to root; UB and SJ tendinomuscular channels go directly to tongue. Mostly it reflects the state of the Spleen and Heart. It shows the state of the Blood and it shows the state of Yin. The tongue coat shows the state of digestion. When you digest, the Stomach and Spleen digests, part of the Essence is said to go up to the tongue to become dirty dampness – it coats the tongue. Tongue coat shows the effect of the organs, especially the Stomach Qi. Now, when you’re dealing with a pathogenic invasion, the tongue coat tells you about the penetration of the pathogen. For instance, when you first get sick, the coat doesn’t change. As it (pathogen) progresses in, it (tongue coat) gets thicker; it might change color.

Eg. Somebody comes in with a Wind Cold attack. The cold penetrates in. Two days later, it’s now trapped heat. The tongue coat was nothing; now it’s thicker white. Then it becomes thicker and it’s going to turn yellow. Now the cold has changed to heat, they now have a fever of 104-105. They’re sick. Now the tongue is very red and the tongue coat is yellow. Three days later this person has burnt up all their Yin. The tongue coat falls off. Now they have a bright red tongue with cracks and it’s peeled. It’s absolutely glossy. Now it’s really deep in. They break out with delirium, macules and now they’re dead.

A normal tongue should be pale red (they say the color of fresh meat). So it should be red, but not bright red. It should be supple, soft and flexible, even shaped and it should have no cracks. And it should have an even, slightly moist, thin, white coat.


TONGUE MAP
The very tip of the tongue – that’s said to be the Heart. The area behind the tip, that’s associated with the Lung. The area in the middle is associated with the Stomach and Spleen. The rear of the tongue is associated with the Kidneys, but also with the whole Lower Jiao area, so it also includes the intestines, both small and large, the bladder and the uterus. Now the Liver and Gallbladder are on the sides. The right side is thought to be more associated with the Gallbladder and the left side is associated with the Liver, but most folks just say Liver and Gallbladder. So that’s the most common use. Another easier way is to say that the back of the tongue is the Lower Jiao, the middle of the tongue is the Middle Jiao and the front of the tongue is the Upper Jiao.

The tongue body shows the condition of Zang Fu organs, especially Zang, the Yin organs. Especially about blood. The overall color, that’s the state of the blood. The tongue is the only muscle that you can see and reflects what the muscles look like inside; that’s how much they’re nourished.

SPIRIT reflects good moisture/fluids, qi and blood
1. thriving: soft, flexible, moist
2. withered: dry, stiff, can’t protract, emaciated, dusky: no spirit

COLOR AND SHEEN
We look at the color first. It’s either going to be paler, redder or purplish or bluish.

Pale: A tongue can be slightly pale, but when you see a pale tongue, it almost looks white. It looks like it’s not being fed blood. Pale being Qi and Blood deficiency, Yang deficiency and Cold.
Difference between Qi insufficiency and Blood insufficiency is going to be in the moisture. If the tongue is insufficient in Qi or Yang, it’s going to be moist. If a tongue is insufficient in Blood, that’s going to be more of a dry tongue.

Repletion cold: fur is white slippery and thick, pale body
Vacuity cold: body pale and enlarged and tender, damp and scalloped

Red tongue. This is going to be either a full heat or empty heat.
Full/replete heat, the whole tongue is red.
Empty heat, the tip of the tongue is redder. The tip of the tongue is the Upper Burner (heat rises). Can be tender, with little or no fur.
If red in specific area, heat in that organ

Crimson, scarlet or deep red color – it just means there’s some extreme heat in the body. Usually they’ll have some febrile disease or you’re really insufficient in Yin. Can also be blood stasis. Heat in blood level.
Vacuity heat: little fur left/peeled
Blood stasis: crimson w/ stasis macules: usually skin disorders, too

Purple or dusky – usually the Qi or Blood is static. Now purple’s a mixture of two colors – blue and red. If it’s more blue-purple, it’s usually dealing with some cold. And if it’s a red-purple, it’s usually dealing with more heat stagnating.
Cold: cold in LV/KI and tends to be dampness
Qi and blood stagnation creating heat: stasis macules, a dry mouth (w/o desire to drink)
Purple: heat in blood
Swollen and large: alcohol toxins affecting HT
Purple or Blue-Green: less severe stasis, just certain areas, usually LV/GB first

Every once in a while there’s an orange color to a tongue (on the sides). Giovanni and Hammer say it’s liver blood insufficiency.

SIZE, SHAPE AND FORM
When you talk about size and shape, you’re talking about something that’s either too big or too small. Flabby or swollen usually has to do with either Qi or Yang is insufficient to hold it, or there’s excess Damp that’s making it too big. Sometimes there’s teethmarks on the side. That’s called scalloping. It’s usually worse in the morning.

Tough and Tender:
a. Tender: looks like beaten meat; indicates vacuity
b. Tough: appears hard and rough: indicates repletion

Swollen
Swollen w/ scallops: spleen qi defic w/ dampness
Swollen and pale: yang qi defic: replete yin
Swollen pale white tender and moist: SP/KI yang vacuity
Swollen and red: damp heat

Thin or narrow:
Thin and red: Yin insufficiency
Thin and pale: Qi insufficiency. Can also still be Yin/Blood Insufficiency as they often come together.

Prickles: if papillae stick up high
Usually reddish: heat

Fissures/Cracks: usually yin defic.
Crack down center, depending on length, can indicate severity of disease and progression
Crack in Center: SP/ST yin defic
Crack down center to tip: HT pathology

Scallops: SP qi vacuity often w/ dampness

Tongue Sores: usually LV/GB and HT
Protruding, tight, painful, red: heat toxins in HT
Ulcers, herpes-type: heat in LV usually (can be HT)
Less painful and not protruding or tight: yin defic heat

Sublingual Veins/Network Vessels: under tongue
If dark and distended: blood stagnation
How far does the vein go?

DEMARCATIONS
The demarcations that you look for are cracks or raised areas. The cracks, they might be congenital, otherwise they mean something has eaten up the fluids. If you find cracks that are horizontal, that almost always means Yin Insufficiency. If you find cracks on a pale tongue, it usually means that the Qi and the Blood is deficient. And if you find cracks on a red tongue, it usually means that there’s heat – either excess heat that’s burned up the tongue or there’s insufficiency of Yin, usually Stomach Yin. You’ll start finding that (vertical) central crack that usually gets deeper and deeper. That’s usually Stomach Yin burning up.

The eruptions, the red areas that get raised, the little prickles – they’re always replete heat. Most people have it in the back of the tongue and the other place you’ll find them is on the side.

MOTILITY/BEARING
How one moves the tongue. Now the tongue should be able to be flexible and it should be able to sit there for a little while without shaking or moving around like a snake.
Rigid, can’t stick out – Wind. Or it can be a problem with Phlegm heat or Heat, but really extreme though. Delirium.
Deviated, that actually pulls off to the side, shows that there’s some obstruction of Wind and Phlegm in the channels. Wind stroke.
Trembling: heat creating wind; Wind or Qi or Yin Insufficiency. When it’s Qi or Yin insufficiency it’s really mild. When it’s Wind… their tongue is wandering all over.
Dog tongue, the panting or lolling tongue: replete heat.
Limpness: floppy soft w/o strength, hard to turn from side to side or curl: usually in serious conditions
Limp and pale: serious qi and blood defic
Limp dry and red: heat burning yin
Stiffness: hard stiff and straight, not flexible, diffic to stick out or retract: lack of ST qi (critical)
Contracted: unable to extend out of mouth. Critical sign: wind-stroke or extreme heat burning yin
Protrusion and Worrying: licking lips constantly
Developmental problems, ie source qi defic
If adult and red: heat in HT and SP
If adult and purple: epidemic toxin affecting HT
If occurs suddenly in children: fright wind (childhood epilepsy)
Tongue Doubling: veins under tongue swollen and distended, looks like second tongue: due to fire heat surging up HT channel
Palsy: numb and doesn’t move flexibly: due to blood defic causing stirring of LV wind or wind-phlegm
Protracted: extends out, difficult to retract; long and hangs out
If numb: qi and blood defic
If deep red and drool: wind phlegm, phlegm fire


SUBLINGUAL VEINS
Tell us about circulation. When diseased, they are swollen, distended; one side or the other or both. They become bluish-purplish – tells us about blood stasis. The distention tells more of Qi stag; the purple/blue/black tells of blood stasis.

TONGUE COATING
This is the excess of the turbid Stomach qi. Good stomach qi produces a good tongue coat. It’s part of the healthy digestive process. Normal coat is thin white smooth and evenly distributed and slightly moist. Abnormal coat is generated by evil qi.

The coat can also tell of a pathogenic invasion and location. How deep the pathogen has penetrated.
Color:
white: cold, exterior conditions, dampness
body red, coat thin white moist: external wind heat
body normal, coat thin white moist: wind cold
thin white and dry fur: ext evil transforming into heat and damaging fluids (body usually red)
thick white glossy: damp turbidity or cold damp, usually w/ pale white body
thick white can mean heat in certain situations: if looks like snow powder and body is red can be damp heat internally or epidemic type disease or hidden heat
Yellow: heat, deeper the color means stronger the pathogen
Yellow thin: wind heat or wind cold transforming
Yellow thin and dry: heat damaging fluids
Yellow thin and moist: fluids still ok
Yellow thick and glossy: damp heat accum and stag in SP/ST
Yellow thick and dry: heat evil damaging fluids
Yellow thick w/ pale white enlarged body: SP/ST defic w/ water dampness
Yellow slimy: damp heat in SP/ST or phlegm or food accum
Yellow burnt w/ cracks and prickles: extreme heat consuming qi and yin
Yellow and white together: evil moving internal
Grey black: extreme heat (w/ crimson body) or cold (w/ pale body and moist/swollen)
White → yellow → grey (chronic) → black
Repletion Heat: black dry burnt w/ red body
(Yang) Deficiency Cold: thin black damp w/ pale white body and tender or pale purple

Moldy Sauce: mixed colors: yellow/red/black
Long term chronic damp heat complicated w/ summerheat

Peeling: where is it peeling?
If many sections: depletion of ST qi/yin

True fur has root (ST qi rooted). If fur can be scraped off → false fur (no ST qi)

Thickness/Texture:
Thin: can see thru coat: normal
Thick: can’t see tongue body: excess repletion. Thicker the coat: stronger the pathogen
Tofu: large clumps of fur, unrooted,
Loose: can be brushed off: severe dampness; stomach not transforming; repletion heat evaporating and transforming turbid dampness in SP/ST
Moldy: over entire tongue or in spots: improper rottening and ripening of ST
Pus-like: thick and sticky and looks like sores: internal abscess
Greasy: pathogen plus dampness
Slimy: greasy and dirty; smaller pellets/clumps which are sticky: damp turbidity
Peeled: no coat: either stomach yin defic (can’t make coating) or Kidney yin defic if no coat all over and red

Topography: see diagram above

Moisture: tells about state of body fluids; normal is moist w/ no pooling, supple
Too wet: yang qi not transforming or dampness
Dry: heat or body fluid dryness (blood)

Water makes tongue more moist
Olives, coffee, plums, turn fur black/yellow
Vitamins C, riboflavin, tea, cigarettes, stain yellow
Milk makes fur white
Antibioitics cause tongue to peel and/or thick tongue fur
Eggs stain fur orange
Candy will change fur color

Tongue Body reflects:
a. circumstances of right qi: change in color, form or bearing reflect right qi, viscera and bowels; ie. Thin=qi vacuity; pale=blood vacuity; deviated=wind/blood stasis
b. vacuity and repletion of zang fu
c. debility/exuberance of qi and blood

Tongue Fur reflects:
a. circumstances of evil qi: yellow=heat; white=normal or cold
b. depth of disease: tongue fur thicker if interior.
c. existence of ST qi

Do you have a pulse?

Often people check the pulse to see if someone is still alive. In Chinese medicine, this is no different. In our medicine, however, we are checking for life, or health, in every aspect of one's being. We look to each and every organ system in isolation (on its organic or parenchymal level) and in relation to every other system, i.e., how it participates or contributes to the overall energy, blood and dynamic of the organism.

In Chinese medicine, it is not enough to take a snapshot of an organ or area of the body in order to assess its health or lack of disease. As no organ acts in isolation, the information that this would provide would be insufficient to understand the person's well-being. For example, a patient with fibroids is recommended by her doctor to remove her uterus based solely on the presence of a mass in that organ. But this completely ignores that there is an etiology behind the formation of this mass and ignores the fact that this etiology will remain despite the surgical removal of an organ. Was it caused by Liver stagnation and poor blood circulation in the tissues; maybe a weakness of the Kidneys and hormonal system, or a sexual trauma effecting the Heart and circulation to the pelvis, etc.?

One can never understand health without understanding relationships and interrelationships. Pulse diagnosis is the single best tool to see these relationships in a real-time precise and objective manner. One can determine the mechanisms behind the fibroid and virtually every other symptom in the body. Is there excess in the Liver from stagnant blood invading into the Stomach and causing reflux and indigestion? Is that Liver excess moving into the Heart and causing anger and anxiety? Is their a rough vibration over the pulse reflecting a serious trauma? Is alveoli function impaired in the Lung causing shortness of breath and asthma, or is it from a weakness of the Kidneys not grasping the Lung qi? Are the headaches caused by excess in the Gall Bladder, weakness in the digestive organs, or a trauma to the head reflected by a vibration and pounding in the neuropsychological position? Is the person's adrenal exhaustion a result of genetics and poor constitution, or lifestyle, drug use, excessive sex, or an obsessive personality reflected in the hesitant pulse wave and a constant firing of the sympathetic nervous system?

Without taking into consideration all the organ systems and the myriad relationships, one can never decipher the subtle signs the body is trying desperately to convey. It truly is the hallmark of the superior diagnostician.

Breaking Bad Habits

This is a response I wrote to a comment from a post in June on the Effects of Lifestyle. As comments from older posts are not as accessible, I thought I'd re-post it here. It was essentially a question on how to motivate oneself to make change in one's life:

Your question is significant and, of course, hard to answer. I can only discuss what motivates me and how I approach this subject, understanding that there are many roads to travel.

My first step is to come to the conclusion that I am not as healthy as I'd like to be. If you believe that you are healthy and feel great and can't benefit from changing your habits, then it is hard to make the change.

Secondly, you need to be confident that what you have learned about healthy living and eating, etc. can make the improvements you are seeking.

You see, it's not about sacrifices. We are not looking to deprive ourselves. We are looking to nourish ourselves. The difference is huge. One needs a shift in perspective. People think, oh, the ice cream tastes good, it makes me feel good, etc. and not having it feels like deprivation. A different perspective would suggest, what is the long-term (or even short-term, not immediate) effect of what I am doing? Knowledge would tell us that the ice cream which is filled with refined sugar, chemicals, empty calories, etc. is restricting our circulation in the stomach and intestines, draining out our adrenals, creating a mucus lining in out gut that prevents assimilation of vitamins and nutrients necessary for our well-being, etc. When I think of it that way, I don't feel deprived. I feel empowered.

Understanding the tremendous difference between pleasure and happiness is crucial. Yeah, ice cream tastes good to many, but it also leads to suffering/illness/imbalance in the future. Is it worth it?

These are the kinds of questions to ask oneself to help motivate change. But, yes, you are right. Change isn't easy. It's really difficult. And the best way to do it is to make small changes daily and commit to the process for one's own sake.

I hope this helps. Maybe it's too vague? Let me know. I'd love to continue the discussion.

Ross

The Disease as Part of the Treatment

Often in medicine, the tendency is to view illness as antagonistic. But, like everything else, a simple shift in perspective can point one in a whole new direction. If one thinks of their illness as part of themselves rather than something separate, one can view their illness as a way of getting to know oneself better. The Type A personality who has a heart attack may have an opportunity to slow down and "smell the roses;" the father who suddenly loses his job gets to spend time with his children; the cancer patient who comes to terms with her mortality and can fully appreciate the time that she has left, are just a few examples. I have had patients who later became very thankful for their illnesses and the lessons that they learned from them.

Illnesses, symptoms, etc. are a chance for us to purify ourselves; purify our negative karma, change faulty beliefs, let go of pain, sorrow, anger, etc. that no longer serves us. We need to view our symptoms as something that is trying to teach us something. Our job is to figure it out. We can't squash it with pain medication, or antibiotics, or chemotherapy. We need to face it head-on. To be a warrior and fight through the suffering to get to the other side. Be on a quest for truth, simplicity and finding one's inner nature.

And above all, don't be afraid to change. If you see your imbalances as rooted in your thought patterns, your past actions and your behaviors, without changing one can never heal. Your symptoms are your opportunity to make the necessary changes and adjustments. Failure to adapt and change breeds illness. Awareness is the first step.

Rangnang Ogminling Bendirya Kunphen Ling

I wanted to inform everyone of the above-referenced monastery and medical school/clinic that Rinpoche has asked me to create on His behalf. I am in the process of forming a 501(c)(3) not-for-profit corporation in this name. This is a project that I am hoping will keep Rinpoche here in NJ for a good part of each year. He has expressed to me that He would like to spend the majority of His time here, and this monastery/school/clinic is the first step in ensuring this happens. Upon Rinpoche's request, the location of the monastery will be my home and office for the time being. When Rinpoche returns from Tibet in October, He will be bringing back all the silks and throne materials to make everything formal and official!

As with all ventures of this nature, help from as many interested parties is welcomed and necessary. The areas of help include:
1. Initial Fundraising: to set this monastery up properly and professionally we need to raise approximately $1,000 for the incorporation fees, filing of 501(c)(3) status, lawyer fees, articles of incorporation and bylaw drafting.
2. Website: I have begun putting up a temporary website. The address is http://rangnangogminling.blogspot.com . I am hoping for the assistance of those of you sangha members with web design experience to create a professional website for us. Anyone who can help with this please contact me as soon as possible.
3. On-going Fundraising: to keep the business running, there are a number of on-going fees, including: (a) website maintenance, hosting, design; (b) state and federal corporation and registration fees; (c) raising monies for the eventuality of a separate location (ownership, rental, etc.); (d) funding the workshops, lectures and other Buddhist teachings that will take place at the monastery, etc.
4. Executive Board: We will need to appoint/elect an executive board, so those of you who are interested in being an on-going part of this venture, please contact me.
I am very much determined to have this completed by the time Rinpoche returns from Tibet in October. Thus, time is of the essence!

To make a donation, or to help in any way, please contact me as soon as possible.

Thank you to everyone for their anticipated support. And PLEASE pass this information on to everyone that you know who may be interested in this project and all members of the sangha (as I do not have email addresses for most of them). We will need as much support as possible.

Recent Vaccine Study

For some reason, the debate regarding vaccines still goes on. I'll let you guess my opinions on this subject :-) As this subject is immense, as I have mentioned in the past, I choose not to post much on it due to time constraints to do it justice. However, my friend and colleague, Dr. Stickley links to a recent study on vaccines and the strong correlation with neurological diseases, ADHD and autism. You can check it out here.

State of Mind

There is no more important determinant of one's health than the state of mind. Of course, genetics, constitution, lifestyle habits, etc. have a large impact, but the power of our minds has the most pivotal of roles. In Chinese medicine we differentiate causes of disease into multiple categories: (1) internal: emotions and state of mind (including, anger, fear, grief, overthinking, etc.); (2) external: climactic factors (wind, cold, damp, heat/fire, etc.); and (3) miscellaneous (which is not meant to minimize its importance): habits, trauma, toxins, etc.

Of these three categories, the emotions make up the largest percentage of the etiology of disease. Controlling one's emotions, therefore, would seem to have a tremendous impact on our health and the prevention of disease (or treatment thereof). Listening yesterday (again) to a series of lectures that Taoist priest Jeffrey Yuen gave on cancer and Chinese medicine, I couldn't help but notice the correlation between what Jeffrey states and Dharmakirti's psychological law (see previous post). Essentially, Jeffrey was mentioning how the diagnosis of cancer is viewed as a death sentence by most of us and that it is, in fact, how one handles this diagnosis that has tremendous influence on whether or not someone will heal. So often, people get so overwhelmed by the fear of death that they are constantly focused on death. This reinforcement perpetuates negative states of mind and set a vicious cycle in which the disease grows stronger and the patient's health deteriorates (mentally and physically). Jeffrey even goes to say that cancer support groups are for the most part detrimental in that they give credence and power to this deadly disease. He advocates for support groups which foster hope and the desire to heal.

As always, our minds have the greatest power and potential to either bring us towards happiness and health or towards undesirable states of mind and illness. It all depends on how much attention we give positive thoughts and emotions or negative thoughts and states of mind. On a website I visited recently, I read the following tale:

One evening an old Martial Arts Master told his young students about a “Great Battle of life and death” that goes on inside all Human Beings.
The wise man said, "The battle is between "Two Dragons" … They are battling for dominance inside us all.
One is Dark, it represents Evil. It is anger, envy, jealousy, sorrow, regret, greed, arrogance, self-pity, guilt, resentment, inferiority, lies, false pride, superiority, and ego.
The other is Light, it represents Good. It is joy, love, peace, hope, humility, kindness, benevolence, empathy, generosity, truth, serenity, compassion and faith."
The students thought about it for a while and then asked the Master: "Which Dragon wins?"
The old wise man simply replied, "The one you feed."
Unknown Author

Battle of the Emotions

HH The Dalai Lama's book The Universe in a Single Atom: the convergence of science and spirituality has a wealth of interesting discussions on the nature of consciousness, the origin of the universe, and on scientific exploration in general into the truth of reality. A relevant passage to achieving happiness mentions Dharmakirti's "psychological law" which posits psychological states and emotions as a field of opposing forces in constant flux. One family of emotion may consist of hate, anger and hostility, while the other consists of love, compassion and empathy. The argument is that if any one side of this polarity gains strength, the other weakens. Thus, the goal is to practice and reinforce the desired states of mind, effectively weakening the undesirable and transforming one's thoughts and emotions. Just as turning on a light dispels darkness, cultivating love and compassion can eliminate hate and anger over time with dedicated practice and intention.