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Upright Posture: More Than Just Standing Up Straight

1/6/2025

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“She has got to stand up for herself,” “He won’t take this lying down,” “Does that sit well with you?” – These are some of the common English phrases used in everyday speech. Without even thinking about it, we reference our physical posture, which our physical bodies manifest, in descriptions of actions and situations we experience in our lives. No matter how much we may want to deny it, our physical body shapes us and the reality around us. Even the word that we use to describe that we can comprehend what another person or situation is trying to convey to us, the verb “to understand” or “verstehen” in English and German respectively, is a physical posture reference.

Our physical bodies shape our reality and our experience of the world. We often forget this and in fact, take a very important detail for granted: we as human beings are the only species of mammals who can stand and walk upright for long periods of time. This is called Bipedalism. Often I observe my cat stands on her 4 legs, which is Quadrupedalism, rubbing on my lower leg. I never realize how tall she could be if she stood up on 2 legs until she does for those short moments and I am astounded that she almost reaches my hip; she expands from about 30 centimeters to 80 centimeters, which is more than double her quadrupedal height. This makes me understand the advantage humans have over other animals; that we Homo sapiens appear bigger to other animals, giving us a kind of watchtower-sight of things as well as appearing bigger, therefore, providing a size advantage over other animals, such as to my cat. I get proof of this whenever I play-rough with her on the ground, she gets overly enthusiastic and tries to attack me, but if I stand up to my full height, she retreats and acknowledges my dominance. In this case, size does matter. Standing and walking on 2 legs do have advantages.

Our human bodies took about 6 million years to become bipedal, as seen in the current fossil records found all over the world. Standing on 2 legs changed our anatomy and therefore changed our posture. In addition to lying, we can stand as well as sit upright. In fact, being upright is the ideal posture for balance as well as energy-optimal alignment for our bodies; if we do not have an upright posture, the muscles and connective tissues of our back, shoulders, hips, chest and abdomen cannot completely perform contraction and relaxation, thereby creating tension and pain in the body. But this is only the physical aspect of life in the human body. The moment we slump in the spine, not only do we have compression of organs, connective tissues and muscles, which then adjust the blood circulation of the whole body, our senses, such as our sight, perceive a different view of our external environment, the nervous system begins to be affected, triggering a whole host of events; thereby creating a change in our emotional mood. Our external view of the world, along with the physiological changes, affect our internal one. If you don’t believe this happens in your body, just try it for yourself for a 30-minute period but not longer, to prevent lasting negative effects to your being.

Not only is this change personal, the people around us judge us by our posture all the time, even if they deny it. The moment we walk into a room, judgements are already made just by how we are perceived by our posture. Upright posture conveys confidence, assurance and professionalism. If we were going to a job interview, this would be a positive advantage, if the potential employers were looking for someone competent. These first impressions set the stage for the rest of the interview and interactions. We only have to look up the word “upright” in a Thesaurus in order to understand how perceptions of our physical uprightness are not just physical: “decent,” “honest,” “honorable,” or “conscientious.” People read these moral attributes from our upright posture, even though we in society constantly declare that we are objective and unemotional.

Chinese Medicine designates the Jing Jin, Sinew/ Tendino-Muscular Channels as foundations of upright posture. These channels flow as suggested by their English translation, in the areas of the tendons, muscles, as well as ligaments and fasciae; these include externally on the area of the skin, as well as internally in and around the internal organs. Jing Jin are defined as conduits of Wei Qi, Protective Qi. By this, we can deduce that the Chinese attribute upright posture to the protection of the body. As such, exercise practices such as Qi Gong and Tai Ji Quan are an essential part of Chinese Medicine in maintaining health. I will discuss Jing Jin in future blogposts.

Do you remember as a kid how the adults around you would nag you about your posture? – “Sit up straight,” or “Don’t slouch.”  I hate to say it but they were right; if we had listened then and made adjustments to our bodies, we are probably reaping the benefits of their wisdom. If however we didn’t, it’s never too late. It takes a little more time and awareness as an adult but it’s still possible to make adjustments. It's all about practice, keep at it!
 
 

 
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Wèi Qì: Protective Qi

20/4/2025

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One of the fundamental basis of Chinese Medicine is Qì 氣. Qì (Pin Yin romanization, which is pronounced chee), has been described as “vital energy,” “vital force” or even “universal energy.” It’s sometimes spelled as Chi (Wade-Giles romanization), or Ki (Japanese spelling and pronunciation). In Chinese Medicine there are many different types of Qì, just to name a few: Yuán Qì (Original Qi), Zhēn Qì (True Qi), Yíng Qì (Nutritive Qi) and Wèi Qì (Defensive/ Protective Qi). Many blogposts ago, I wrote about Qì and what its Chinese character means, and many blogposts before that I wrote a little about Wèi Qì as well as how it is key to understanding allergies, such as Hay Fever.

But Wèi Qì is so much more complex than just allergies and immune system. The Chinese character for Wèi  衛  has a few parts: the first radical on the left 彳 chì means “step” and added together with the component on the right it becomes 行 xíng, meaning “to walk.” The middle character component, I recently learnt from a continuing education class, refers to “a guard” or “a man with leather armor.” All together they create “a guard who walks back and forth to protect.” Therefore, Wèi Qì refers to Qi that is always in motion to protect and defend when needed.

As a student in Chinese medical school, we learnt that people who caught colds and flus easily have a Wei Qi deficiency and that the Wei Qi is very connected to the Lung and Spleen Qi. So we would treat the appropriate Acupuncture points and give the famous herbal formula, Yù Píng Fēng Săn (Jade Wind Screen Powder). With the proper diagnosis and appropriate use of this formula, patients often got better within a month or so. One of my strategies during the COVID-19 pandemic was and still is to strengthen the Wei Qi. It can also manifest as bladder symptoms like chronic urinary tract infection UTI, which have often manifested in female patients, being exposed to cold external conditions. But through my practice and observation of different patients over the years, I have come to realize that Wei Qi deficiency is much more than catching colds or viruses easily, chronic UTIs and allergies. I started to realize that some patients would come in reporting how they felt “exposed” emotionally and physically, like they felt unprotected when they went out into the world. They would feel like they were being invaded by others energetically. I started to link this to Wei Qi deficiency and to treat them as such, often times it has worked. Also, by learning to set healthy boundaries in their lives, which is also a manifestation of Wei Qi, in my opinion, this has served to help them feel more secure within their beings.

As a student with my teachers in Tai Ji Quan/ Qi Gong/ Shao Lin Quan we learned to do some techniques of energetic practice they would call Iron Shirt Qi Gong. It is a martial arts method in which, as the name implies, one creates a layer like an iron shirt around the body, to protect against hits and attacks from opponents as well as to strengthen one’s body part to create an iron-hard effect with a punch or a hit. This reminded me of a movie which I watched in university in the 1990s, Iron and Silk, a true story of how Mark Salzman goes to China to teach English and learns Wu Shu, among other things. His master, Pan Qing Fu, is known as Iron Fist. Master Pan spent hours over decades punching a steel block; as such, his fists were as hard as iron. Though he has acted in films, this man’s skill was real, unlike a lot of Hollywood films (there is even one with this name but is not the real deal). This I believe is Wei Qi condensed into the fist. Iron Shirt Qi Gong could be used for martial purposes but I believe it is applicable to everyday life, not for assault but for protection. This, I have come to understand, is Wei Qi being activated with energetic practice.

The cultivation of Wei Qi has to come from many different aspects, not just physically but mentally as well as emotionally and energetically. It is something we need to work with our Bodyminds and not just on a material level. If there is anything that I am sure of, it is that many of the health issues of our time have a lot to do with our Wei Qi deficiency as individuals and as a society. It has been one of my aims to understand Wei Qi better. Even after years of study and practice of Chinese Medicine, I am finding even more depth to the subject. I am still on my journey of exploration into Wei Qi.




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Free and Easy Wanderer

5/1/2025

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This morning, like many other mornings over the past years, I took my herbal medicine. One of these is called “Xiāo Yáo Sǎn - Free and Easy Wanderer Powder.” I am reminded of the first time I became aware of the English translation of this formula’s name almost 25 years ago. I was in clinical training at the American College of TCM in San Francisco and I was instructed by my clinical supervisor to obtain this formula in pill form for one of our patients at the clinic. I entered our herbal pharmacy to look for the bottle of pills. I found it on a shelf and looked at the bottle; on it I saw an image of an older Chinese man in traditional garb with his walking stick and small pack, looking out from high into the horizon that spreads over mountains, rivers, waterfalls and trees. Both Chinese in Pin Yin and English names were printed on the bottle, so I was able to distinguish the formula, which I was taught to memorize in Pin Yin. But what stood out for me is the English name and image of the Wandering Daoist; since then it has been embedded into my consciousness.

Not too long ago, I finally got around to attaining the classical Daoist text of Zhuang Zi (365-290BCE), one of the famous scholars/ masters of Daoism. As I looked through the book, I came across the title of the first chapter - “Free and Easy Wanderer.” I found out that this is no coincidence. The Chinese medical experts, who compiled the Tai Ping Hui Min He Ji Ju Fang (Imperial Grace Formulary of the Tai Ping Era), in the Song Dynasty period (960-1279 CE) were themselves scholars of Daoism. They named this formula “Free and Easy Wanderer” for precisely the effect that it should invoke in the individual with her/his use of this herbal combination.

In our modern-day Western society, Xiāo Yáo Sǎn is one of the most prescribed formulas. In my clinical training in the USA, almost every second patient was receiving this formula in her/his treatment. These days, I still prescribe Free-and-Easy-Wanderer Powder regularly to my patients, as well as take it regularly myself. Why? This is due to its function to move Liver Qi Stagnation and prevent Qi congestion, harmonize Liver (Wood) and Spleen (Earth), as well as tonify Blood. Life in our modern-day world appears to make us feel tight and blocked, as shown in the muscles and joints of our bodies; unable to access our “free nature,” our minds too become stuck. Many of us feel restricted, stuck in a “box” too small for our bodyminds with constraints of time and space, leading to us feeling stressed: get out of the door on time so you get your tram or else you’ll be late for work, which would then make your superior angry with you and may dock your salary or worse fire you, then you wouldn’t be able to buy your basics like food or to pay your bills and rent…the list of things could go on and on, if we let it. But pay attention to what has happened to our jaws, necks and shoulders; they contracted together and tighter as the list went on, manifestation of our Liver Qi congesting. Over a longer period of time of reduced circulation, this would lead to a depletion of Qi and Blood, affecting our Spleen’s ability to digest food and make Blood which is needed to nourish our bodies. Another common modern usage of Xiāo Yáo Sǎn is for Pre-Menstrual Syndrome PMS. This is once again a case of being “forced” into a container too small, too restrictive and undernourished, that the body begins to rebel by causing mental irritation, mood-swings, physical tension and pain.

Xiāo Yáo Sǎn - the formula of over a thousand years, helps with all these and more, but it is not and should not be the sole remedy. What we need is Free and Easy Wanderer mentality, find the Wandering Daoist within ourselves. “Unbox” our bodies and minds! Go out into Nature, breathe, move, walk, dance, sing - release and unbind our Qi and our lives regularly from the constraints of the human world. Let it flow free and easy!
 
 

 
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The Wisdom of Autumn

20/11/2024

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Autumn is a season I did not know as a child; in Malaysia, we have only 2 seasons – dry season and rainy season. As I got to the USA for my studies, I began to experience Autumn but again, where I went to university first, in Reno, Nevada, is a high-desert, where only few trees grow. I heard the Americans describe “Fall” for Autumn, but I didn’t really get the full experience of it until I got to Switzerland, where there are many trees that fall leaves. The moment of Autumn when the first cold hits the skin after a warm Summer, the light diminishes in the mornings and evenings, and the colors of the trees change as well as the trees become bare of leaves. I used to dislike this season, it felt like a “hard” time was coming; of feeling constantly cold, getting sick, looking outside and seeing nothing but grey, dark skies with no or little sunlight, like a premonition for death. But this has changed over the years of living here and understanding the 5 Elements. Maybe my views on death have changed too.

Many of us in Chinese Medicine become observers of Nature, at some point. This comes from our Daoist foundation of seeking harmony with our environment and the belief that we humans, are not separate but a part of Nature. I have become a fervent observer of Trees and Plants; I often find that they have so many lessons to teach me. Right now, I am gazing out of the window at our Japanese Maple tree, which has gone from dark green, to bright red and today, after the winds of last night, almost bald, leafless over a span of a month. One of our Chinese Medical scholars, Deanna Slate Stennett describes,

“I believe that all aspects of our planet, and most likely of the entire Universe, are linked in such a way that what happens in the autumnal trees simultaneously happens in other forms of life. In the trees, though, the process is easy to see: to make ready for the chill of Winter, the trees choose what is valuable and worth storing, versus what must be let go. They pull their vital essence to the safety of the roots, depriving the leaves of that essence. So those beautiful colors are actually signs that the leaves are dying. Eventually they fall and turn brown, withered corpses of the beauty they once were […] In nature, Autumn is when all forms of life store their valuables where they are safe, yet available, and let go of everything else.”
(Slate Stennett: 2018, 17-18)

We have come to a point in the year where we can no longer hold on to the external accessories or adornments that serve to decorate our exterior. If we are to survive the “death” of Winter and rebirth in Spring, the transformation of our Self, then we need to let go of excess baggage to delve deeper into our beings. Slate Stennett suggests some very powerful questions that we should ask ourselves, in deciding what to let go of, whether “physical belongings, emotional baggage, or spiritual practices.” They are:
  1. What is most valuable?
  2. What is precious and serves life?
  3. What is unnecessary and no longer serves life?
(Slate Stennett: 2018, 18)
 
These are sometimes not simple questions to answer and to apply in our lives, as they can be relationships to people who have been with us for a while, but are no longer aiding us in life’s journey. Or maybe it could be a job that is draining us of our life essence but we can’t see a way yet to let go of it without some other way of making a living already lined up. These can bring up themes of survival and the fear of not being able to make it through.
 
Chinese Medicine attributes Autumn to the organs or `officials´ of the Lung and Large Intestines. Both have to do with purifying the body; with air (Qi) by the Lung and letting go of feces, the waste, by the Large Intestines. In this time of year, we may experience many Lung and Large Intestine themes, especially if we do not give space for these processes to occur naturally. The body is then forced to do it on its own by creating dis-ease, like fever, upper respiratory or digestive disturbance to compel us to slow down or even flat out immobile, in order that these organs can do their jobs to purify our beings of the unnecessary; these unnecessaries can be from an emotional or even spiritual point of view but still manifesting as physical symptoms.
 
Once more beautiful and precise advice from Slate Stennett to end this post:

“In our Autumns, then, let’s be deliberate in deciding what we want to let go. Honor each item – then let it go. Let it be like the brown leaves that fall to the ground and return minerals to the soil as they decompose […] In the mind and spirit, letting go leaves an empty place for something new.”
(Slate Stennett: 2018, 19-20)
 


Reference
Slate Stennett, Deanna (2018) : Poetry of the Body – Stories about Acupuncture Points. Bloomington, IN, USA: iUniverse.
 
 
 

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Letting Go of Our Fear of Fever

30/10/2024

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I remember getting fevers as a child, feeling chills-heat and laying around not being able to do anything. On some of these feverish occasions, I recall having the urge to use the bathroom, closing my eyes as it felt so strenuous to stand up to walk to the bathroom, then dreaming of having gone to the bathroom, only to open my eyes to find that I had not moved from the spot I had laid down on. My parents would do the same routine; take my temperature, put a moist, cool towel on my forehead, make me drink fluids and at some point, give me a paracetamol to lower the fever. Most times it worked; the fever would drop and after maybe some other symptoms, like sore throat or cough, resolved, I was back doing my normal day activities. What we never asked was what exactly is a fever, why they occur or if there are other ways to work with fever.

Since having my own children and my training in natural medicine, I have become more knowledgeable and comfortable with fevers. I believe this is one of the most feared symptoms that parents have for their children. Often many parents have had their own negative experience with fever and coupled with their fear, they end up at the hospital emergency room with their child, where a whole triage of events will occur; these can sometimes be traumatic for child and parents. Fevers are however a common and natural occurrence in the life of a human being; in fact, in science fevers are viewed as an evolutionary trait developed over 600 million years in both vertebrates and invertebrate life forms on Earth.

If you ever came in contact with a child, or remember your own childhood, you will experience fevers. It is part and parcel of growing up. As a parent, I realized that my instinct to protect my children, created a sense of wanting to take the discomfort of fever away from them. This however is a fallacy; it is a natural process of the body to “train” the immune system and the whole body for growth. I studied Chinese Medical methods to reduce fever, with Acupuncture and Chinese Herbs, but really knowing when to apply them came with experience of being a parent. As a parent to young children, I came to read a book of Natural Medicine, Wickel und Co., about using traditional healing methods like compress. This book’s section on fevers provided me with an understanding that I am very thankful for. I remember reading that children can have fevers for different reasons, not just due to infections. This can also be due to growth, teething, excitement or stress. After reading this and observing my kids, I realized this was true. I recall my eldest son was ill from a stomach-intestinal virus just before his 1st birthday. He had a fever, thrown-up, had diarrhea for almost a week and when finally the day of his birthday came, with all the guests outside celebrating his birthday, he was lying in bed sleeping. But the next year, he was healthy before his birthday, no fever or illness; the birthday celebration came and went, which he enjoyed a lot. The next day, he had a fever and we stayed home to rest. After half a day of sleep, he was up and about playing, with a slightly elevated temperature of 37.5 degrees Celsius, which resolved and he was fully healthy the next day. This surprised me, but it made me aware that even excitement could raise a body temperature in a child. But what most surprised me was on both occasions, he lost a little more of his “baby cheeks,” grew another few centimeters and developed another growth milestone over the coming weeks and months. I learned then to back-off from “doing;” just wait, observe, support and then act when needed. My children have used very little pharmaceutical medicine for fevers through their childhood.

I find this categorization of fevers by Swetha, Karlie, Shumway and Shweta very clear:
  •  Low-grade: 37.3 to 38.0 C (99.1 to 100.4 F)
  • Moderate-grade: 38.1 to 39.0 C (100.6 to 102.2 F)
  • High-grade: 39.1 to 41 C (102.4 to 105.8 F)
  • Hyperthermia: Greater than 41 C (105.8 F)

My first course of action was to get my children to rest, provide lots of fluid, take their temperature regularly to assess if the fever was rising and observe how they were doing as well as what time of the day it was. If it was low-grade, I would just do the above. If it was evening (fevers tend to rise later in the evening and night) after 7 pm, and the fever was over 38.5 degrees Celsius (moderate-grade), then I would act by doing acupuncture to clear the heat, do a vinegar-water compress on the calves and provide fluids throughout the night. If it was high-grade fever at any time of the day, I would act immediately with Acupuncture and compresses, not waiting. Often times, the fever would subside by morning. Both my children have never been to a Western medical doctor for fevers. We have learned to respect the body’s own healing capacity and help it to do what it needs to do with natural and herbal methods.

Looking at fevers alone and not paying attention to the rest of the body is counterproductive. There is a reason why the body is mounting a fever, therefore, observing the rest of the body is essential to helping the healing process. Often times all we need to do is just be present with our children and let their bodies do what they need to do.
 


Reference
Swetha Balli; Karlie R. Shumway; Shweta Sharan (2023) : Physiology, Fever:
https://www.ncbi.nlm.nih.gov/books/NBK562334/ (accessed on 30.10.2024)



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Body Autonomy

16/6/2024

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As a 17-year-old in my last year of secondary school, my English teacher made us debate the topic of abortion. She, Mrs. Narayanan, who was a Catholic, placed the girl who sat next to me and myself on the side of pro-abortion. Till that point in time, I had not taken a stance on the issue, as many teenagers are at that age with life issues. I was brought up in the Catholic faith; I went to Sunday mass and religious classes with bible study and of the such. In one of those classes, at primary school age, we were even shown a video about what happens to the “unborn child” in utero, with the agenda to steer us in the direction of being against abortion. Anyway, as my fellow student and I gathered the points of debate for abortion, I started to realize how unfavorable things were for the woman, who would be pregnant and needed/ wanted an abortion. By the end of that class and our debate, I was convinced that the stigma, rules and laws made by societies around the world to outlaw abortion were unfair to women; I joined the camp of Pro-Choice of the individual from that day onward, thanks to Mrs. Narayanan, which I do not imagine was her intention of the debate. Within the years that followed, I watched a movie about Roe v. Wade, a true account of Roe’s life, her experience in the system when she wanted to have an abortion, was declined, fought with her lawyers for the change in the law and how abortion came to be a constitutional right in the USA in 1973.

Fast forward 31 years to 2022, I was appalled when Roe v. Wade was overturned in the USA. I am stunned to hear that there are still places in Europe, where I was led to believe, like in North America, which champion the rights of women and humans, which still do not honor the rights of a woman to abort, if she chooses to. I risk sounding political, which I am sorry if I offend anyone, but how can we say that we care about human rights and do not allow women to choose what they see fit to do with their own bodies? I grew up in a restrictive, even oppressive political environment, where if one did not agree with the powers that be in the country, one would be censored, jailed or even killed for speaking up. I have often heard comments of the backward, uncivilized manner in which we live and treat living beings, humans and animals included, in parts of Asia, spoken by Westerners. When I hear of how some countries in Europe and parts of the USA that still curb the rights of women to choose in 2024 as to what should happen with their bodies, I am appalled. I am disgusted by the hypocrisy and the lousy lip-service paid to women’s and human rights.

I am aware that with the right to choose, as with a democratic style of government, one has to have the ability to think for one’s self as well as to have the availability of information to the individual; in order for us to make the “right” choices for ourselves, we must be able to access the “right” information. About a year ago, as I was preparing for our Women’s Health project at ICM, I asked myself, “What actually happens to a woman’s body when she takes oral contraception?” I do not use oral contraception myself but I know of many women, friends and patients, who do; I am aware of its effects on many women’s bodies and minds, and through Chinese Medicine aid them in finding balance in their body-minds. As I researched, I realized that many of the women I knew, who shared their menstrual cycle patterns with me or what they thought was a menstrual cycle, were not aware that they were not having a menstrual bleed when they took the Pill. The official, scientific term for the bleeding provoked when the hormones of the Pill are stopped, is “withdrawal bleeding.” “Withdrawal” as in the state that one experiences when one gets off drugs. Many of the women I know, who take oral contraception, are not even aware that they do not have a menstrual cycle. Many of them began the Pill as teenagers, when at the gynecologist, maybe even for the very first time, were told that if they didn’t want acne or to “regulate” their menstrual cycle and at the same time not get pregnant, they should take the Pill. This is not “informed consent;” they were not informed that they aren’t actually having a menstrual cycle or that there may be side-effects to hormonal contraception use. It was just given to them by those “trusted” individuals in a white-coat, telling them that this is their “best” option to make life “easier” and have clear skin.

In this age of information, we have to take back the autonomy of our own bodies into our own hands, which we somehow or another gave away to those whom we think know more than we do about our own bodies. We need to research what is best for our health and make the best choices for our own bodies, female or male or otherwise. Our health practitioners can only be guides and offer us possibilities for treatment. The final say lays with us. We are the ones who will live with the consequences of any action or procedure done onto our bodies, whether we like it or not. As a health practitioner, I can only provide treatment possibilities, within the scope of my practice, with the best interest of the individual client. A person’s health journey is theirs to walk, I am simply accompanying them, aiding them as best I can on their way. Sometimes it means I can only hold their hand for part of the way, sometimes it means I can carry them with my treatments part of the way. Ultimately, they need to walk their path.

This Thursday, June 20, 2024 is the Summer Solstice and the (almost) Full-Moon. It is the day I have chosen to present our Women’s Life Phases - Menstruation talk. It is meant as a way to honor women and provide a space for information and exchange with other women especially on some very, till now hidden theme of menstruation. All are welcome, even men or others. Join us!




Image by ICM
    

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Nourishing Our Essence

17/3/2024

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The principles of Chinese Medicine tell us that a human being comes into the world with Pre-Natal Jing (Pre-Birth Life Essence) and Post-Natal Jing (Post-Birth Acquired Essence). Pre-Natal Jing determines the individual’s constitution basis, strength, vitality and its amount is finite; which means that we can’t choose what kind of genetics we get from our parents as well as ancestors, and what amount of “good” Essence we possess. Post-Natal Jing comes from us eating food, drinking fluid and breathing air, which our Spleen, Stomach and Lungs extract as well as refine the Essence of food, fluid and air for its creation. In contrast to Pre-Natal Jing, Post-Natal Jing is deeply rooted in our choices; we may not be able to change our genetics but we are able to choose the foods, drinks and environment that we live in as well as with our everyday habits. In fact, if we understand and accept the boundaries of our constitution, we will be able to influence the unfolding of our Jing, both Pre and Post-Natal, that we may flourish and thrive in this lifetime.
 
One of the pillars of Chinese Medicine is Chinese Nutrition and Dietetics. It is a part of the medicine that requires action and/ or modification in habits from the individual; hence, is challenging. Many a time, patients come in with an enthusiasm to change the way they eat and often ask me what they should or shouldn’t eat, as they want to lose weight. Often times, they are looking for a “simple quick fix.” Then we discuss strategies from the Chinese Medicine perspective and they realize that it isn’t going to be as simple as they had imagined. Why is this? I believe one of the reasons is because food is related to culture and social conditioning, which we inherited from generations that came before us and the patterns that shape its production as well as availability are dictated by what is around us. So it is not just the individual constitution that we need to look at, but the environment, the practices of the culture, the emotional connection of this particular individual to food, their habits with food shaped early on in their lives by upbringing, etc. Short answer - THERE IS NO QUICK FIX. Food and nutrition shouldn’t be a quick fix. If we understand that food shapes our Post-Natal Jing and therefore the development of our being, then we realize that it is essential for survival and living a life of quality. Is this not worth time and effort, instead of a look-like-simple diet fad that we saw on some social-media post which may help us lose a few kilograms of weight today but gain it all back next week and some, as it was never really addressing our true essence?

I recently came across a treatise on Daoist practice by Jampa Mackenzie Stewart, Daoist-Buddhist and Chinese Medicine practitioner, which I find gives a good summary to Daoist Nutritional Therapy. First and foremost, moderation, flexibility and a diet that matches your constitution; this also means you should get to know your body well, in order for you to know your constitution. Eating and drinking in excess “dulls the mind and strains the body.” He discusses a way, and there are many other ways, to classifying food into building foods and cleansing foods:

“Building foods are those that help build the body’s substances; foods such as meats, grains, and the more starchy vegetables and fruits are building foods. Cleansing foods are the more watery fruits and vegetables; foods such as green leafy vegetables, celery, bok choy, strawberries, tomatoes, peppers and the like. In general, a diet should be made up of both categories to stay in balance, with a higher ratio of building foods eaten during the fall and winter to provide warmth and energy, and a higher ratio of cleansing foods eaten during the spring and summer for cooling and flushing.”   

Another theme that often comes up for many patients I treat is that they eat healthy but are still feeling unwell. Mackenzie Stewart distinguishes between a mountain yogi and a city Taoist.

“The mountain yogi, undisturbed by the hectic pace of the city, living in the pure air and sun with few distractions to stir the passions and emotions, usually eats a pure and light diet of simple vegetables and fruit, and eventually consuming only tonic herbs (…) If a city person tries to eat too rarefied and pure a diet, he or she may become overly sensitive to the gross influences of the city environment and may be too easily thrown out of balance and become ill. Thus city dwelling Taoists often practice “strategic impurity,” ingesting moderate amounts of meat, alcohol, caffeine, white flour or sugar in their diet. Again, moderation is the key word, and this is never to be construed as advice for those with a propensity for addiction.”

Many, if not most of the people I know and treat are city or at least urban dwellers. As such, I believe this view provided above is very applicable. Until we, including myself, city-dwelling Taoist can retreat into the mountains, it would be beneficial for us to be moderate in our intake of food as well as information, if I may add.

Many blogposts ago, I mentioned that cooking our food is actually the beginnings of the digestive process. Mackenzie Stewart supports this by providing an analogy that I find is very appropriate for our current entry into Spring. “Lightly cooked foods are preferred to raw foods. Eating raw foods is compared to burning green wood: hard to burn, lots of smoke and waste, and little heat.” As Spring arrives and the warmth of the Sun returns, our beings will show us the need for more cleansing and lighter foods, maybe even a fast. We’ll get into that in further blogposts, stay tuned. Until then, stay warm, eat in moderation, be well.
 
 
Reference
Jampa Mackenzie Stewart: Foundations of Taoist Practice. E-Book on www.holybooks.com.




Image by Ruttikal Chularom on pixabay

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Finding Shoes That Fit

2/8/2023

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As I am sitting here writing, I look down at my feet and ankles. I am reminded how my body, and its parts have been shaped by life, as with all of us; what we have experience and done in our lives, how we were raised and where we have been, all shape every part of our bodies, whether we like to acknowledge it or not. Whenever I look down at my feet and ankles, physically I see the chronic swelling left behind from years of trying to fit into shoes that didn't fit. I might have mentioned it before, I grew up dancing classical ballet from the age of 5, at 12 started with rhythmic gymnastics, continued on with classical and contemporary dance till around 30, when I finally stopped dancing intensely. When I say, "shoes that didn't fit," I mean that physically and metaphorically.
 
I started pointe work, dancing on your toes, around 11. This process is no simple feat; basically, it is so unnatural for the feet that one has almost to start early enough in order to shape and create enough strength in the feet, as well as to get use to the discomfort of stuffing one's toes into uncomfortable shoes, but not too early in childhood or else growth will be stunted. I remember, how pain, blisters and blood were a normal occurrence during/ after pointe class, even if the shoes were fitted "right," which they almost always didn't feel like. Most ballet dancers have their own tactics to protect their toes. I had lamb's wool strands, which I would wrap my 2 lasts toes of each foot, pull my tights over them and put on my shoes. These helped but if something was off on that day, let's say the humidity in the air was high, too much moisture from sweat or class was at the end of the day, when my feet and toes would possibly be slightly bigger, then my toes would suffer; regular blisters with clear fluid, blood-filled blisters, bruised toenail beds, these are normal circumstances of dancers who do pointe. I still have toenails that will stop growing at some point and I have to rip off the nail so that the new nail can grow afresh, after almost 20 years  post-dancing. Sounds like war-wounds, doesn't it?  
 
What's more, ballet is so form-specific that you have to have the "correct" foot form, or even body form to be successful in it. To be brutally honest, I had the "wrong" body for ballet. I was not blessed by the ballet-gods with high-arched feet; the arch that I have comes from years of work. When I look in the mirror and extend my right foot, it looks like a dancer's foot, but not like a virtuoso ballet dancer. My left foot, through injuries, looks like a deformed, swollen mass of a foot, which sometimes calls out for my attention with pain. Pain, which I have no explanation for sometimes. Perhaps, it is remembering the trauma of being stuffed into shoes that didn't fit 25 years long. A form it did not or could not fit into and being made to do movements that it wasn't meant to do. However, this for me is not a curse but a blessing. My left foot, was and still is the body part that leads me to explore healing; healing of self and of others. It opens a door to the healing world for me. The first time I tried acupuncture was because this ankle asked to be taken care of. I became aware of a whole different world that exists, parallel to the physical world; the energetic one. This has led me to study Chinese Medicine and explore the world of (un)consciousness. 
 
The journey has only just begun. My ankle still talks to me, reminding me to stay open; learn new ways to sense things, try new methods of healing and wear shoes that give space as well as support my movement in life. Whenever I perform movement in Tai Ji Quan, Qi Gong or Yoga, I feel the boundaries my ankle sets for me in the physical realm, but these are healthy ones that I have learned not to exceed. It is like moving to the edge of a cliff and finding a safe spot to enjoy the view, among other things. I have learned to listen and do self-care for my ankle. Maybe I look silly wearing boots on a warm, sunny day but if my ankle tells me it feels well supported in it, I listen. It is one of my inner barometers, it confirms if the shoe fits from the inside, not how it looks from the outside. My ankle teaches me to wear the shoe that fits me well, not what fits others.    
 
        
 
 
 
Image by Pixabay on pexels.com

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Abdominal Therapy

10/7/2023

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Having spent most of my life in households with other mammals, dogs and cats, I have come to realize how abdomens are sensitive body parts for mammals. Currently, my family and I share our household with our cat, Ayla. Like most cats, she has very clear boundaries about when or who is allowed to pet her. She is not a lap-cat; she seldom, if ever, comes on her own to sit on our laps. What she does do, when she feels comfortable, is to reveal her belly to those she trusts, but even this does not mean that it is an invitation to rub her belly; if you make this mistake with a cat, you will be shown the sharpness of its claws or teeth. Most mammals, especially 4-legged ones where the abdomen is protected by its position facing the earth, do not bear their bellies willingly to everyone. The abdomen is a place of vulnerability and as such, requires trust that it be revealed or given to be touched willingly. This includes humans.
 
Since I began my training in Abdominal Therapy just a few months ago, I have become in-touch with many people's bellies. When we, therapists in any form of bodywork, are trained, we are warned to be mindful of people's abdomens, which is understandable. Very often though, we are even told to just avoid this area completely, for fear of triggering some discomfort physically or emotionally, as humans store many tensions and emotions within this area. So far, when I have offered to work with my patients on their abdomens with Abdominal Therapy, they have reported to me very positive experiences. I almost feel like it's an extension of my Chinese Medical treatments but stemming from a tradition thousands of miles (kilometers) away in another continent.
 
As with Chinese Medicine, Abdominal Therapy has its root in a traditional culture, the Maya culture of Central America; hence, sometimes known as Maya Abdominal Therapy. The Mayans of Mesoamerica were an ancient civilization that appears to have had cities that date back to ca. 750 BCE. Dr. Rosita Arvigo, an American who moved to Mexico and then to Belize in the 1970s developed what is now called Abdominal Therapy, after she apprenticed for 13 years with Don Elijio Panti, a Mayan Medicine Man H'men, and Ms. Hortense Robinson, a traditional Mayan Midwife. Abdominal Therapy is a system of medicine that incorporates hands-on massage, herbal medicine from the Central American jungles and spiritual healing. The Abdominal Therapy Collective was set up in 2020 by practitioners of the work from multiple places in the world, i.e. USA, Europe and Belize, as a way to pass on the traditional healing methods together with a modern, medical perspective. My experience as a member of the collective has so far been a positive, nurturing, inclusive and supportive organization, whose main goal is to share this therapy with the same intent with the receivers of Abdominal Therapy. I find this refreshing in a world where so many try to forward their own personal ambitions by engaging in dominance and exclusivity. Till now, I find there is an openness in this organization to spread the work and a sensitivity to address many imbalances that pervade our modern society.   
 
Abdominal Therapy begins with us learning to do self-care on our own bellies. I begin by teaching my patients to do Your Abdominal Therapy YAM. With YAM, we learn to reconnect to our abdomens, to feel which parts of it holds tension, to help the tension release with regular self-massage and to respect this part of our body as the center of energy or Qi. The lower abdomen is after all where both females and males hold organs that are able to create life. As we connect to our abdomens, we connect also with the inner structures and substances; the skin, connective tissue, muscle, organs, blood vessels, lymph vessels, nerves and our energetic core. 

When you receive treatment regularly from a practitioner, certain adjustive techniques will be included to aid tension release, increase blood circulation and strengthens the body's ability to self-repair through homeostasis restoration. As these occur, abdominal breathing becomes deeper, digestion improves, organ function is maximized and for women, menstrual flow becomes smoother. When we breathe deeper, we get more oxygen and Qi into our bodies from the environment, to allow our organs to do the work as they were made to do. When our blood and lymph flow better to get rid of toxins from the body, we feel more vital and are more resistant to dis-ease. As our digestion works well to digest and transform the food we eat into energy, we feel energized and resilient. 
 
I am still exploring and continuing my education in Abdominal Therapy but I appreciate the holistic view of the body that this method promotes. It seems to me to have many similarities and parallels to Chinese Medicine; stemming from a culture in a different continent but having similar ideas towards healing the bodymind.
 
 
 
Image by Louise Crockart    
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Being Woman

25/3/2023

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​As I sat on the sofa one day at the end of the 1990s, in between studies and work at university in the US, I heard a talk on TV given by a "Holistic" medical physician. Her name is Dr. Christiane Northrup. First of all, I had not even known that a Holistic medical doctor even existed at that point in time, so I listened. Her talk was about the book she had written a few years earlier entitled, " Women's Bodies, Women's Wisdom." She asked a very awakening question that touched me deeply and I am paraphrasing it, "How would it be if a girl is taught at a very young age that her menstrual cycle which she would experience from puberty onward is her ability to bring life into the world and that it is something special?" I thought to myself, "Wow! How would that have been for me if I had heard this at that point in time?" 
 
The experience of my personal menarche came back to me in that moment. No adult in my family had explained to me what the menstrual period was; my sisters sort of tried but not really as they themselves were teenagers. The first I heard was from other girls my age or a little older. They told me all sorts of strange things that invoked fear, "bleeding from below that can come at anytime," "pain!" and "blood stains all over your clothes." The only adult who did talk to us about the menstrual period was a female educator, hired by the school system and menstrual hygiene company to explain to us, by showing us a video of what happens anatomically, marking the calendar monthly, how to wear a pad or possibly a tampon and giving out free samples of menstrual pads to us 10-11-year-olds; I am sure this was a strategy to ensure that we, pre-pubescent girls, would buy and favor their brand of sanitary hygiene products for the rest of our menstruating years. No one mentioned how special it was, or anything about life-giving. I wasn't welcomed into womanhood, I felt like it was more of hiding my femaleness, being more segregated from the males of my society and definitely no sign of honoring me being a woman. Almost a feeling of shame, if I am honest about it. I did not receive a special ritual or celebration of entering womanhood, as in many traditional cultures. It was kept as quiet as possible. When my menarche came, it was a little uncomfortable for me to tell my mom that it had begun. I had the free samples sanitary pads from years earlier to use, but I did tell her in whispers and she provided me with more. But there was no more talk about how it was, her own experience of menses or anything else. 
 
After Dr. Christiane Northrup's talk, which also focused on other themes of being a woman, I knew that if I ever had children, especially females one, I would be open to explaining and sharing my experiences of menstruation; to explain to them how special it is that they have a monthly bleeding that prepares our women bodies to bring life into the world and how this connects us to the Earth, as well as all life on Earth. Also, to welcome them into the circle of Women and celebrate their Womanhood. I do not have female children but that has not stopped me from sharing with my young men about menses and our bodies, female and male. If this information doesn't come from me, who will share it with them? 
I realized that I did not want a repeat of misinformation and ignorance, like I experienced as a teenager, because the adults around me were too ashamed to discuss their/our bodies. I also share this with my patients, some are young girls coming into womanhood and others are grown women, mothers or grandmothers, entering the "changing years." We speak openly about menstruation and other phases in life that women go through, our experiences and that we do not have to accept pain or discomfort as 'normal'; there are Chinese medical plants, (acu)points and practices that help create smoother menstrual flow. I believe that through bringing light to these very important life themes, we dispel these archaic ideas of shame of our bodies. Our bodies are as natural as nature is.
 
This year at ICM, we have decided to honor and give space to Womanhood. We will be launching our Women-Life-Phases project - to inform, create consciousness, to honor Womanhood and provide healing support through Chinese Medicine, as well as other healing modalities. This does not mean we don't give space to males, that may be our next project for the coming years. It is our way of creating balance that has been lacking in our society/world for a while. It is also quite ironic that this comes at our 15th anniversary year, almost as if ICM is at its "coming of age." Watch out for info coming up on our website, in the form of live presentations, pamphlets, info sheets and who knows what else.  
 
 
 
 
Image by Anna Shvets on pexels.com
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    Elaine Yap

    I am a Chinese Medicine practitioner at ICM, mother of 2 sons, living on my third continent. I'd love to share with you my perspectives on healing, TCM, movement, plants, social change and life.

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