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Digestion

Happy Winter Solstice–Water Element

Cabin in the woods

We are now in the midst of Winter.  The season is cold, dark, and quiet.  Winter is for us, as for all of nature, a time on internal work: meditation, containment, concentration, and storing our energy.  We use this season for rest, and for the replenishing of our reserves, gathering strength for the year ahead.  Like the seed that cannot sprout until it has gathered sufficient strength, our ideas and plans cannot manifest if our energy is dispersed or drained.

In Chinese medicine, the element associated with Winter is Water.  Let us talk a little about water and its associations.  Water can take on many different qualities in nature.  It can take the form of a stagnant pond, or powerful rapids.  It can be a smooth flowing stream, or water raging out of control.  The water element can show up like this in all of us.  When our water energy is balanced, we are a calm lake or stream.  Our energy is moving, neither stagnant or overflowing.  When we are out of balance, we may become a flooding river, or when immobilized with fear, a frozen creek.

The organs associated with winter are the kidney and bladder.  In Chinese medicine, when we talk about organs, we are talking about the energetic aspects of the organ in an individual, not about Western anatomy and physiology.  The kidney, in Chinese medicine, are the root of the life force energy or Qi.  The kidneys create the fire and warmth to sustain bodily functions and to provide energy to the other organs.  The bladder controls the expenditure of energy.  You can look at the kidney as being the the bank account, and the bladder as the ATM machine.  The acupuncture points along these pathways of energy can be used to fill the reserves and awaken that place within us where our real strength, courage and wisdom lie.

Abundant reserves within us give us the courage and strength of will.  When we lack these reserves, we may feel fearful.  In Chinese medicine, the emotion of fear is associated with the element of water and the season of winter.  The emotion of a distressed water element is fear of not having enough of what it takes to meet the challenges that lie ahead, fear of being unable to complete what we have envisioned, or fear of not being prepared for what we might have to face.  It is as if we do not have enough stored away to survive the winter.

How does an imbalanced water element show up in an individual?  In Chinese medicine, the individual is viewed on levels of the body, mind, and spirit.  Dis-ease often manifests on more than one level.  On a physical level, one may feel fatigued, lacking energy (the energetic bank account or ATM depleted).  Water also lubricates the body.  We are, after all, 85% water!  With lack of lubrication comes stiffness.  Do your bones or joints hurt more in winter?  Are you more anxious?  Thoughts, ideas, muscles and joints move easier when they are lubricated.

In terms of the mind and spirit, do you feel like you want to do things but you simply cannot?  That you seem to be stuck on the sofa with your mind saying “I should do this, or I should do that”, but you simply cannot get up enough energy to get it going?  Or maybe you seem to be going all the time—frantically moving from one thing to another –always running about but never truly getting much accomplished.

Within the energy of water lies our will, our ability to keep on keeping on.  So what can you do?  My number one advice is to remember to take time to relax completely for at least 30 minutes during the day.  This means to kick back, listen to music perhaps, but definitely relax your body and mind.

Acupuncture is not just for pain.  It addresses the underlying condition and is used to balance the whole person.  You cannot separate the body and the mind—balance one and you balance the other.  Emotional blocks can be moved and physical symptoms can be cleared as a person is brought back into healthy balance.  Just some of the areas that acupuncture addresses; the digestive, reproductive, immune and respiratory symptoms, anxiety, depression, that annoying “stuck” feeling and, of course, physical discomfort.

To maintain the fire of the kidney, a winter diet ideally would be warming and substantial with more whole grains, less fruit, and lots of steamed or baked vegetables, especially root vegetables.  Soup is a great addition to the diet during winter as it is easy on the digestive system and keeps our inner fire warm.  Warming herbs and spices like ginger, chili peppers and cinnamon are wonderful additions to your diet this time of year.

Exercise such as Tai Chi and Qi Gong are very good for inner balance, as they build strength, improve immune function and cultivate Qi (energy) through breathing, meditation and slow movements.  If you have lower back pain, you may find that rest, warm foods, and activities that support that support your inner balance may supplement your water energy and diminish your symptoms.  Remember, the kidneys and bladder are governed by water.  Give them all the help you can by drinking more water.

Finally, if you receive acupuncture, winter is a great time for a tune up.  If you do not receive acupuncture, winter is a great time to start building your reserves.

Digestive Disorders and Acupuncture

Qi Mail™
The Acupuncture Newsletter
September, 2022
Jean Donati Acupuncture, LLC
604 E. Joppa Rd
Towson, MD 21286
410-984-3700
/www.East2WestMedicine.com

Strengthen Your Digestive Health

More than 95 million Americans suffer from digestive disorders ranging from constipation, diarrhea, and irritable bowel syndrome to more serious conditions such as acid reflux (GERD), ulcerative colitis, and Crohn’s disease. In fact, more than 35 million physician office visits a year are due to gastrointestinal complaints. Reports confirm that acupuncture and Chinese medicine can offer relief from even the most complex digestive problems.

Diagnosis and Treatment of Digestive Disorders

Evidence that Chinese medicine has been used for digestive disorders can be found in early medical literature dating back to 3 AD, where specific acupuncture points and herbal formulas for borborygmus (rumbling or gurgling in the intestines), abdominal pain, and diarrhea with pain are discussed.

According to Chinese medical theory, most digestive disorders are due to disharmony in the spleen and stomach. The spleen plays a central part in the health and vitality of the body, taking a lead role in the assimilation of nutrients and maintenance of physical strength. It turns digested food from the stomach into usable nutrients and Qi (energy). Many schools of thought have been formed around this organ; the premise being that the proper functioning of the “middle” is the key to all aspects of vitality.

By taking into account a person’s constitution and varied symptoms, a treatment plan is designed specifically for the individual to bring their “middle” back into harmony and optimize the proper functioning of the digestive system. A variety of techniques can be used during treatment including acupuncture, lifestyle/dietary recommendations, and energetic exercises to restore digestive health.

Is your digestive system functioning as well as it could? Acupuncture is effective at treating a wide array of digestive disorders. Call today for more information or to schedule an appointment.

 

Ulcerative Colitis Relief

Ulcerative colitis is part of a category of diseases called inflammatory bowel disease (IBD), and it presents with inflammation in the lining of the large intestine, specifically the colon and sometimes the rectum. The lining becomes inflamed due to small wounds or ulcers, which then produce mucus and pus.

The condition occurs when the body mistakenly identifies food or other substances as foreign invaders. White blood cells are called up as part of an immune response, which proceeds to cause inflammation and damage in the large intestine. Flare-ups may be triggered by stress, infections, and certain anti-inflammatory drugs such as aspirin or ibuprofen. However, the exact cause of ulcerative colitis is not known, but medical researchers suspect a link between a person’s genetics, the general state of the immune system, and environmental factors.

Most people start showing symptoms in their 30s since the disease advances slowly over time, and men and women are equally as likely to be affected. Children are also at risk and, in general, the younger a child is the more likely the symptoms and complications will be severe. Growth and mental development may be a problem in this case.

The inflammation and ulceration associated with ulcerative colitis can cause pain and different problems, including frequent, watery diarrhea, persistent diarrhea with pain and bloody stool, urgent bowel movements, incomplete evacuation of the bowels despite a feeling of urgency, abdominal cramping, loss of appetite, weight loss, body fluid depletion, fatigue, fever or urgent diarrhea that wakes you up in the middle of the night.

The symptoms and how long they can occur vary widely for each patient. Many sufferers report only mild or moderate symptoms, while others experience life-threatening complications such as severe dehydration and major bleeding from the colon.

Acupuncture and Chinese medicine are equipped to handle the symptoms of ulcerative colitis as demonstrated by a meta-analysis of different scientific studies conducted since the 1990s. A team of researchers conducted a wide-scale analysis of 43 randomized, controlled trials investigating the efficacy of acupuncture and moxibustion for the treatment of irritable bowel disease. Of those 43 trials, 42 specifically analyzed and addressed ulcerative colitis.

Researchers then focused on 10 scientific studies that compared the use of acupuncture and moxibustion to the use of oral sulphasalazine for symptom relief. Sulphasalazine is a doctor-prescribed pharmaceutical drug that is commonly used in the treatment of ulcerative colitis and rheumatoid arthritis. After analyzing the studies, researchers concluded that “acupuncture and moxibustion demonstrated better overall efficacy than oral sulphasalazine in treating inflammatory bowel disease.” This meta-analysis was performed by a team at the Shanghai University of Traditional Chinese Medicine in Shanghai, China. The study was published in the 2013 issue of Evidence-based Complementary and Alternative Medicine, a peer-reviewed medical journal covering alternative medicine.

 

Acid Reflux? Try Acupuncture!

For some people, eating a heavy, spicy, or fatty meal can produce unmistakable signs of acid reflux. Symptoms can vary from burning pain in the chest to a sour taste in the mouth as stomach acid and/or regurgitated food flows upward through the esophagus into the oral cavity. Although some may refer to these symptoms collectively as heartburn, the process is the same no matter what it is called. Additionally, they may experience difficult or painful swallowing, sore throat, a dry, rough voice, or feeling of a lump in the throat that cannot be cleared away.

It is estimated that more than 20 percent of the general population is affected by acid reflux. While other groups are impacted, at least half of all asthmatic children experience symptoms, and pregnant women tend to suffer more than the average population, with half reporting severe symptoms during their second and third trimesters.

While it’s true for some people that symptoms can be mild or pass quickly, others go on to experience more severe ones. Sometimes symptoms of acid reflux can mimic the symptoms of a heart attack. This includes severe chest pain and a crushing sensation in the chest. Also of concern is the presence of black, tarry stools or black material in vomit. These are signs of bleeding in the stomach, a serious medical concern.

Acupuncturists may recognize the symptoms of acid reflux as relating to the stomach organ. Two examples of diagnoses would be rebellious stomach Qi and food accumulation in the stomach. Qi is vital energy necessary for all life to exist. Both of these diagnoses call for an acupuncture treatment that will redirect energy downwards, as should naturally happen just after eating or drinking. Rebellious stomach Qi is a perfect description of some of the symptoms of acid reflux.

The stomach, according to the philosophy of acupuncture and Chinese medicine, is needed to ripen and rot food. After this process of fermentation occurs, only then may the nutrients be extracted during the next phase of digestion. Without strong stomach Qi, issues regarding malnutrition may arise. This is why acupuncture practitioners will need to evaluate patients with acid reflux and address any nutritional deficiencies that may be present. Diet is very important in helping to calm symptoms.

 

Crohn’s Disease Symptom Relief

Crohn’s disease is a medical condition that can cause chronic inflammation anywhere in the gastrointestinal tract. Often, but not always, the inflamed tissue is specifically found in the ileum (the end of the small intestine) and the beginning of the colon. Inflammation can spread into the deeper layers of the tract and frequently has what is known as a “cobblestone appearance.” This refers to the fact that some patches of diseased tissue are found next to patches of healthy tissue.

Although all age groups are equally at risk, people 15-35 years old are most commonly affected. Crohn’s is a difficult condition to cure, so the main focus of treatment is to help manage symptoms with medication and dietary changes and, in some cases, surgery to repair or remove affected areas of the gastrointestinal tract. Because the disease is chronic, the individual may experience periods of flare-ups and aggravating symptoms, while at other times the person will have periods with no apparent symptoms at all.

Symptoms vary from patient to patient, and may include persistent, recurrent diarrhea, bleeding, urgent need to evacuate the bowels, constipation or feeling of incomplete evacuation, abdominal cramping, abdominal pain, loss of appetite, weight loss, fatigue, mental and physical developmental delays (in certain cases occurring among children), fever, night sweats, or irregular menstrual cycles.

It is important to receive an early diagnosis as untreated Crohn’s disease can eventually cause life-threatening symptoms such as fissures and fistulas. Fissures can cause excessive bleeding and pain. Fistulas happen when inflammation erodes tissue, causing the formation of a tunnel starting from the intestines, going to the urinary bladder, vagina, or even the skin.

A study called “Acupuncture Helps Crohn’s Disease Patients” was published in the journal World of Gastroenterology, and it had some very promising results. It concluded that “acupuncture provided significant therapeutic benefits in patients with active Crohn’s disease, beyond the placebo effect, and is, therefore, an effective and safe treatment.” Even more encouraging, researchers also discovered that both lab scores and quality of life scores improved. This means that acupuncture and Chinese medicine are adept at handling the physical and emotional symptoms that often accompany the disease.

For the study, the acupuncture points selected for treatment focused on reducing inflammation in the intestinal tract. Each participant received three treatments per week for a total of 12 weeks. Additionally, moxibustion (moxa) was also used on four acupuncture points on the stomach. Moxa is a traditional technique that uses the smoke from the herb mugwort to penetrate the skin. In this way, it stimulates the body’s immune system. Often, the warm smoke provides a pleasant, comforting experience for the patient.

Diet is very important and the right choices can help reduce some symptoms. In general, acupuncture and Chinese medicine suggest refraining from eating raw and cold foods.

Lets get to the root of your digestive issues.  Call to schedule an indivualized appointment today!  410-984-3700

In This Issue

  • Strengthen Your Digestive Health
  • Ulcerative Colitis Relief
  • Acid Reflux? Try Acupuncture!
  • Crohn’s Disease Symptom Relief
  • Ginger for Intestinal Upset
  • Acupressure for Nausea

Ginger for Intestinal Upset

Ginger has been found to increase the secretion of gastric juice. In fact, ginger can be used for most digestive upsets that involve nausea, vomiting, cramping, abdominal pain, indigestion or diarrhea. This means that food is digested more quickly, creating an unfriendly environment for bacteria that could wreak havoc with your stomach and intestines.

In a study published in the October 2007 issue of the American Chemical Society’s Journal of Agricultural and Food Chemistry, researchers in Taiwan looked at the role of ginger extract in blocking the toxin that causes 210 million cases of diarrhea worldwide. The toxin is produced by enterotoxigenic E. coli, which accounts for 380,000 worldwide deaths annually. The study found that zingerone, a compound in ginger, was the likely compound responsible for blocking the toxin.

Whether your digestive problem is due to eating contaminated food, stomach flu, pregnancy, or motion sickness, ginger is one of the most effective agents around!

Acupressure for Nausea

Nausea can range from mild queasiness to serious distress. It is an indicator that something else is wrong.

Depending on the severity and duration of vomiting, some level of dehydration may occur. In severe cases, this may become a medical emergency. Small sips of warm water may help the patient stay hydrated or, if this is not tolerable, sucking on ice chips may help.

Acupuncture and Chinese medicine offer some simple acupressure techniques you can perform at home to help alleviate nausea.

The first exercise involves the acupuncture point called Pericardium 6 (P6), or Inner Gate. To locate this point, place your hand with the palm facing up. Starting from the middle of the wrist crease, place three fingers down below your wrist. Your index finger should be in the middle of two tendons.

Press Inner Gate lightly with the pad of your thumb. You can slowly increase pressure and go deeper into the point. Continue this exercise for up to five minutes if you are using heavy pressure.

Some people experience more relief from nausea when they continuously press with gentle to moderate pressure. If this is the case for you, it is safe to apply acupressure for longer periods of time.

If nausea still persists after applying acupressure at Inner Gate, you can activate its partner point, called Outer Gate or San Jiao 5 (SJ5). It is found on the opposite side of the forearm from Inner Gate.

With your thumb on Inner Gate and your middle finger on Outer Gate, complete the circuit by squeezing the points together using moderate pressure. Hold for a few seconds and then release. This can be done for up to five minutes.

The next acupressure exercise covers a larger area. To find it, first put your hands on your hips at the level of your waistline. Next, adjust your fingers so they are all below your ribs, with your pinky resting around the level of your belly button. Your fingers should be lined up with the nipples.

Press into the abdomen using circular motions. This technique can be quite soothing and is best when performed sitting down, for two to three minutes.

Easing Transitions with the Earth Element

Easing Transitions with the Earth Element

We all are very familiar with Spring, Summer, Fall and Winter but why does Chinese Medicine include a fifth season and where does it fit on the calendar?

According to TCM theory, the fifth season is actually that important time between the seasons, where we ‘return to center’ so we can ‘pivot’.  About 2-3 weeks before the beginning of each season is a time of transition.

Each season correlates with an elemental energy. Spring belongs to the wood element, Summer to fire, Fall to metal and Winter to water. The transitional time between the seasons rightfully belongs to the earth element as this is the time when the seasonally dominant energy returns to the earth to be transformed into the next seasonal energy.

The Earth Element is generated and managed in the body by the spleen and stomach. These organs are in the business of metamorphosis. As digestive organs (according to TCM), they transport and transform the food we eat into nutrition to build our blood and nourish our cells. The spleen governs the muscles, and is important in the free movement of the body. The associated orifice is the mouth and spleen Qi manifests in the lips. The Spleen is also known for housing the intellect (yi) and is involved with the thinking aspect of spirit. The color of the earth element is yellow, and the taste is sweet.

The Chinese Lunar Calendar sets the start of the seasons earlier than our Gregorian calendar, so if we are following the seasons according to Chinese Medicine We are currently in Late Summer, and this is the time to pay special attention to the energy of transition.

The benefit of nourishing our earth element during this time is to gain balance and stability for periods of change. The earth element represents our wide center stance from which we can safely assess the next move (picture the slow smooth movements of tai chi). The importance of core stability rings true whether we are talking about physical activity or more subtle energy dynamics.

1) Diet:

Avoid damp cold food such as ice cream as it can put a burden on the spleen that prefers warm, dry conditions. Eat breakfast between 7-9am which is stomach time according to the Qi clock. From 9-11am is spleen time. Some gentle activity is ok but as the spleen converts food to Qi, try to take it easy so you do not disrupt digestion. Avoid processed sugar while enjoying the natural balance of sweetness from the earth with foods like apples, carrots, dates, and sweet potatoes.

2) Release Worry-Patterns:

The spleen houses the intellect and is responsible for thought but can be weighed down by overthinking. This will slow its ability to transform our food. We can all think of times when worry led to unpleasant digestive experiences.
So, find ways to shift patterns of over-thinking and worry.
(Cue the serenity prayer…)

3) Yellow: 

Stimulate earth energy with its color and brighten up someone’s day by wearing more yellow. Notice the yellow colors in nature, stop and absorb their frequency. And eat yellow foods: bananas, yellow peppers, lemons etc.

4) Earthing: 

You know what to do. Connect direct! Get those bare feet on the ground (pesticide-free please).

Now get some Vitamin-E on those earthy lips and pucker up: you’ll be ready to give Fall a sweet kiss hello.

Welcome to Earth Element in 5 Element Acupuncture.

There are 5 elements or Seasons of energy in Acupuncture.  Each is associated with time, color, sound, odor, foods and other associations.  These 5 Elements are s follows.

Earth (Late Summer) Holding energy, nourishing, supporting

Metal (Autumn) Descending movement, letting go, loss

Water (Winter) Stillness, persistence movement, power, regenerating

Wood (Spring) Uprising movement, birth, growth

Summer (Fire) Dancing energy, playfulness, blossoming

 

Late Summer & The Earth Element

Late Summer is a nurturing time of the year. We have a surplus of fruits and vegetables, gifts from the growth and busyness of the Spring and Summer seasons.

In Late Summer, the activities of Summer start to slow down while harvest time kicks into gear. The plants and trees offer their bounty of fruit and vegetables. Food is available for all animals before fall approaches and preparation for winter begins. Late summer reminds us that Mother Earth gives us all that we need without asking anything in return.

So how does this the energetic movement of Earth and Late Summer show up in us? 

Emotionally, the Earth Element shows up as the emotions of sympathy, empathy, and compassion. Our ability to give and receive caring feelings and mothering energy.

Physically, the Earth Element shows up as our Digestive System.  The Stomach, Spleen, and Pancreas are the organs that break down, digest, and helps to transport nourishment to the body.

Spiritually, the Earth Element gives us the ability to feel an inner nourishment through stability, security, and abundance. When we overflow with this energy, we are able to share our bounty with others.

When the Earth Element is in balance we have the gifts of nurturing, thoughtfulness, nourishment, taste, sympathy, and stability to give to others.

When the Earth Element is out of balance, we may feel obsessive worry or sympathy, self-centered or insecure, not be able to give or receive help or care from others. We can feel a lack of abundance, what we have is not enough. Physically, muscle pain, digestive problems, ulcers, or headaches can occur. Issues with the relationship with food and body image can arise as well.

If your Earth Element Qi is feeling stuck here are 4 practices that can help:

  1. GIVE…Lend a helping hand to a neighbor in need; give a random gift to someone in your life; volunteer your time at a homeless shelter or food kitchen; Give out hugs; Literally, feed your partner or friend.
  2. GRATITUDE…Keep a daily gratitude journal; Give thanks to the Earth and her creatures for providing nourishment; When you say “Thank You” look the person in the eye and mean it from your heart.
  3. RECEIVE…Consciously accept the thank you, gifts, and offerings of others; Be aware of the processes of taking in food, chewing and digesting.
  4. ACUPUNCTURE… If you have been receiving seasonal acupuncture treatments, between now and October is the perfect time to come in for your Late Summer session. It can help bring Nourishment to your body, mind, and soul! If you are new to acupuncture, massage, nutrition, or energy medicine, now is the perfect time to start acupuncture treatments! Give Jean Donati Acupuncture a Call at 410-984-3700.

Acupuncture Treatment of Pain

When Are you going to treat my pain???

Over the past few days, I have had several patients ask me …”I am coming in for neck pain or back pain or shoulder pain…where are you going to put the needles”?  Or if I have been seeing the patient I am asked “when are you going to treat my pain… why don’t you just put the needles where my pain is?”

In Traditional Chinese Medicine, the flow of energy or Qi, moves in specific pathways called meridians.  There are 14 major pathways, and these pathways interact with each other.  Initially, when I first see a patient, I like to make sure that the overall energy is clear, so I do a few “clearing treatments” before I focus on shifting any energy in a specific pathway.

Your energy is like a garden.   I want flowers or crops to grow, so I need to make sure the ground is ready for planting.  This means removing any unnecessary weeds, or rocks or debris.  This is what the clearing treatments do.  They make the energy channels clear and ready for shifts in energy.  The clearing treatments are generally on the front, or back of the body and can consist of 2-4 treatments if necessary.  This is to ensure that the energy is moving in the proper direction, not being contaminated.  It is like removing a kink form a hose so you can let the water flow.

There is another important thing to note.  Say you come in for wrist pain, there are 6 pathways that encompass the wrist area.  These include the heart, small intestine, triple heater, pericardium, lung and large intestine pathways of energy.  They all start at the fingertips and go up the wrist, to the forearm.  Some of these pathways diverge to the chest, face and back.  So, needles may not be placed in the wrist for wrist pain if there is a blockage of energy along a pathway is say the small intestine at the level of the scapula or shoulder blade.

Traditional Chinese medicine takes all of this into account.  So, when I am asked “When are you going to treat my pain?”  My answer is… I already am…I started with the first session.   Sometimes clearing the general energy blocks (which can include internal and external factors such as emotions, heat, cold, wind, damp, excess or deficiency, side to side energy pathway balance) can make a profound change in the symptoms you came in with and others you were not aware of such as sleep, mood, digestion and concentration.

 

My treatment protocol consists of the following…

Clear general energy blocks -Internal Dragons, External Dragons, Aggressive Energy, Alkabane (side to side balance).  1-4 treatments if needed.

Clear local pathway energy blocks form one pathway to another (Entry/exit blocks) if needed

Treat meridian root cause with local and distal points at each treatment after the clearing treatments

Ashi points or painful points not specifically on an energy pathway.

Treat Constitutionally.

As a team, we are teaching your energy how to stay open and clear, but sometimes life gets in the way, and blockages can reoccur.  Each part of this protocol may need to be done, or just one part, or perhaps several at the same time to shift the energy when it needs to shift.  Each treatment builds on the one before, so it is important to have regular and frequent treatments early in your treatment course.  As your symptom resolves, the length of time between treatments can be increased as long as you remain symptom free.  Once we get to this point, I generally like to have my patients come back monthly for a tune up so that we can continue to keep their energy clear and keep them symptom free.

 

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