Five element acupuncture: how to feel better in yourself

Our journeys through life are rarely smooth – we lose our way or lose touch with who we are. We may become unsettled, dissatisfied or unhappy and sometimes we also develop bodily pain or other symptoms. In this situation, I recommend acupuncture that is based on the aspect of Chinese medicine that is called the Five Elements. Five Element acupuncture not only attends to general health problems but also aims to help you find yourself again.

I base all my treatments on Five Element theory although when there are pressing physical symptoms I integrate it with other aspects of Traditional Chinese Medicine (TCM). The five elements are Fire, Earth, Metal, Water and Wood. Each of us has a particular affinity to one of these elements. Acupuncture focused on this element has the potential to strengthen you not only in mind and body, but also to strengthen your sense of self.

The seasons and changes in the natural world are important in Five Element theory, and the element associated with winter is Water. Water is also linked to the Qi meridians and organs of Kidney and Bladder, the emotion of fear, and the qualities of will-power and wisdom. People whose make-up, or constitution, is aligned with the Water element will experience strengths and weaknesses that relate to these associations. By building up these strengths and finding a way to live their life that develops them further, people can ‘come into their own’ and thrive in their own unique individual way.

One of my ‘Water’ patients originally came to me for help with night-time incontinence. Western medicine could not provide any explanation for this, but had provided her with an effective nasal spray which she had to use every night. I used acupuncture, and the herb Moxa, to strengthen her Water element and her kidney and bladder meridians. I also helped her to build up her own Qi and blood by eating regular meals and keeping warm. After several months of treatment she now only uses her spray occasionally. In addition, I treated her Water element at the level of what the Chinese call ‘the spirit’. This has a meaning similar to our saying of being ‘in good spirits’. Gradually she started to tell me that she felt stronger in herself, had a clearer vision of her future and was more able to move her life forwards. She initiated relationship counselling with her husband and moved from casual work to a new job with a proper job contract.

It often takes me a number of treatments before I can unravel which is the key element for the person I am treating. The person’s response to treatment is the deciding factor. When they improve across a range of health problems, look and sound stronger, and note that they feel better in themselves then I know that acupuncture is focusing on the right element and is including mind, body and spirit.

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Dry eyes, Yin and Acupuncture

Dry, sore, ‘gritty’ eyes can really get people down. It is one of those things that sounds minor but is a constant irritation, especially for reading and computer work and in bed at night. The optician or doctor may diagnose it as ‘dry eyes’ and offer you lubricant eye-drops. These are helpful but you need to apply them frequently. So what is the cause of dry eyes?

In Chinese medicine, dry eyes are usually caused by a low level of Yin energy. The Yin aspect of Qi is the moist, cool, calm type of energy. In good health, it is in balance with our Yang – the hot, fast, excitable aspects of energy. When the moist Yin is at a low level our bodies get too dry, such as dry eyes, mouth and skin. Yin energy is weakened by continuous work without a break, especially mental work and pressure, and by emotional strain. Which part of our body is the most affected by dryness depends on our individual constitution and by other imbalances in the body.

Dryness that affects the eyes is often linked to low Yin in the Liver meridian. This meridian is a flow of Qi that starts at the feet and travels up through the liver to the chest and throat. It is sais to ‘open into the eyes’ and is connected to many eye conditions. Dry eyes may be linked to other signs of liver meridian imbalance, such as headaches, migraines, dizziness, tendon problems or period problems.  Chinese medicine always includes emotional aspects of health and it is the emotions of anger, frustration and irritability that are linked to the liver meridian. Consequently dry eyes may become worse, or become red and itchy, when stress is causing anger or resentment. It is important to know that a weakness in the liver meridian does not mean there is any problem with the liver as understood by Western medicine – the word liver means different things in these two systems of medicine.

Acupuncture can help people with dry eyes by strengthening Qi, especially the Yin aspect of the liver meridian. This will be a gradual process and require a number of treatments, but the good news is that you are likely to feel better in other ways too. Recently a patient who I am treating for other aspects of low Yin, told me how much more comfortable her eyes were and that her optician had remarked that they were much less dry. She is also enjoying improvement in her dry mouth and skin and her general energy levels.

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Understanding the causes of our ill health

When we are unwell, most of us want to know why. Why me? Why now? Very often there are a number of factors that have come together to cause the health problem. Usually, these include both physical and emotional reasons. Understanding these causes can sometimes help us to recover quicker or prevent further trouble.

Chinese medicine always looks for a range of causes. Firstly, it looks both for the immediate cause and for any underlying weakness or imbalance that allows the body to ‘go down’ with it. Take infections, for example. The immediate cause of a bad chest infection is usually a particular virus or bacterium that has invaded the body. However, some people never seem to get more than a mild cold, whereas others get frequent and more severe infections. Acupuncture based on Chinese medicine would look for and treat the underlying weakness, as well as treating the infection itself. This may be a constitutional weakness of the lungs, or may be due to the lung system being damaged by smoking, working out in the cold and damp, or getting affected by other imbalances in the body.  Sometimes, this understanding leads to important self-help, such as wearing better outdoor clothes or adjusting what we eat.

Secondly, Chinese medicine does not put physical and emotional upsets into separate categories and is very open to taking both into account. Recently, one of my patients developed a severe red, itchy, swollen rash on her face and neck. She is quite sensitive to drugs and this came on after starting a course of anti-inflammatory tablets, so the rash was treated as an allergic reaction. Her doctor prescribed first anti-histamine and then steroid tablets. Everyone was surprised how severe it was. In Chinese medicine, drug reactions are often linked to the Liver meridian (not quite the same as the Western idea of liver) and the emotion that is linked to this meridian system is anger. This patient was not normally angry but told me that her workplace stress and overwork had recently been making her feel very irritated and resentful. Talking about it, led to her realising that she had considerable pent up anger at the situation she and her colleagues were being put in. Anger usually causes heat in the body (‘hot under the collar’, ‘hot-tempered’) and liver problems are also often associated with itching. So all these causes, the drug reaction and the emotional upset, had come together to produce the reaction in her skin. This made a lot of sense to her and she thought that maybe it was some sort of safety valve that ‘let it all out’.  By clearing heat and itching and moving the stuck Qi (energy) acupuncture was able to treat both the physical and emotional aspects. In fact, the anger dissipated very quickly, the enforced time off work gave her some much needed rest, and the rash slowly started to settle down. She is now determined to try harder to resist the pressure to overwork and to be aware of any build-up of resentment.

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Digestion and rebellious Qi

Indigestion, heartburn, acid reflux – whatever you call it, this is a distressing and sometimes very painful condition. Maybe you get pain and discomfort after eating a meal, or you may wake in the night with a frightening pain in the chest. Indigestion mixture helps, but the problem always returns. These symptoms are very common and they are usually quick to respond to acupuncture treatment.

In terms of Chinese medicine, acid reflux is understood as ‘rebellious Qi’! That means that instead of Qi (and acid) going downwards in the digestive system, a weakness in the stomach allows the Qi to rebel upwards. This takes acid up into the oesophagus, which is what causes the pain. To be healthy, our Qi needs to flow smoothly around the different systems, or meridians, and be in balance between them. The meridians most closely connected with digestion, the Spleen and Stomach meridians, can become weakened by overwork, too much stress or unhealthy eating habits. Some people are more prone than others to this – they have a constitutional weakness in this area. Acupuncture works by strengthening the system and directing the stomach Qi downwards. I combine acupuncture treatment with discussions about the possible triggers that may be important to you as an individual. Thinking this through together can lead to you making some simple changes in your eating habits. Then acupuncture is not needed so often.

I like to work alongside Western medicine. If indigestion or reflux starts suddenly in middle or older age, you may need some tests to rule out a more serious cause such as early cancer. Most commonly these tests come back as normal and the problem is simply one of poor functioning. Western doctors can then prescribe tablets to reduce the amount of acid that the stomach produces. These can be very effective, but many people do not like taking tablets long-term and are concerned about side effects, or interactions with other medication. Even when acupuncture treatment is helpful, you may still find the tablets useful on occasions.

So next time you reach for those indigestion tablets, remember that it is your rebellious Qi giving problems – that should raise a smile at least!

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Boosting our immune system with Moxa

In the season of coughs and colds and nasty virus infections, we can use the herb moxa to keep us well. I say ‘we’ because I use moxa alongside acupuncture in the clinic, but also give it to my patients to use at home. Moxa is a herb, a type of Mugwort, that has been used for thousands of years within Chinese medicine to strengthen energy, or Qi, and blood and help the body to heal. The leaves are dried and processed, a bit like tobacco, and made into loose moxa or moxa sticks. When moxa is burnt near the skin it nourishes and strengthens the tissues beneath. When it is used on acupuncture points, it benefits the whole body. Modern research has shown that it strengthens our immune system and other aspects of our blood.

At this time of year, I use lots of Moxa in the clinic. For example, I burn tiny cones of Moxa on the skin at the site of an acupuncture point just below the knee – don’t worry, I don’t let them actually burn the skin! You feel a pleasant heat and the smoke has a relaxing aromatic smell. The Chinese name for this acupuncture point is Zusanli, translated as ‘Leg three miles’, because it increases energy so much that you can to walk another three miles! It is exceptionally good at boosting our immune system so that you can fight off any infections that come your way. This is particularly important for people who get recurrent chest infections. Used as part of acupuncture treatment, moxa is excellent for warming the body core and increasing our Yang energy.

moxa stick

Using a moxa stick

I often teach people how to use moxa on themselves at home. In these circumstances we use a moxa stick, which is a bit like cigar. For boosting your immune system, I teach you how to find ‘leg three miles’ acupuncture point , how to light the moxa stick and how to use it to warm and activate the point by holding it above the skin. I give people moxa sticks to use at home for other conditions as well. I have one patient who uses it to settle inflammation in their Achilles tendon, one who uses it over a wound that won’t heal, and another who finds it reduces the irritation of seborrheic warts. There are many ways moxa can help you keep healthy but if it is not used correctly moxa can also make things worse. So always get advice from a Chinese medicine or acupuncture practitioner before using it.

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