Understanding Stress and Autoimmune Disease through TCM Theory
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Understanding Stress and Autoimmune Disease Through TCM Theory
The environment within our body indicates its function. How is our body expressing itself to communicate its current state? We experience stress throughout our lives to help us learn, survive, and thrive in whatever ways we are able to manage. When we experience excess amounts of “unmanageable” stress, the immune system can be negatively affected. Many diseases, namely autoimmune diseases, have an origin in harmful stress on the body. We can utilize TCM (Traditional Chinese Medicine) principles to understand what stress does to the immune system.
Stress comes in many forms to the body. Emotional, physical, and environmental are the main stressors that effect ones life. What we experience and how we react to it can greatly affect our health. Stress weakens one’s overall energy; therefore they will not have enough energy to develop and nourish the immune system. Here is a brief look at how stress can affect our immune system to the point of creating an autoimmune disease. While the concepts within the anatomy/physiology and TCM theory have much deeper knowledge to explore, we will just touch on a few basics to convey the general aspects of autoimmune disease.
General Affects of Stress on the Nervous System
Understanding the affects of stress on our nervous system will help us conceive how stress affects our immune system. When we experience stress, this directly alters our nervous system and therefore our hormonal balance. Our autonomic nervous system (ANS) controls our involuntary internal organ function to breathe, pump blood, dilate pupils, be sexually aroused, and more. This ANS also contributes to our immune system response. There are two divisions of the ANS have a “fight or flight” (sympathetic) or “rest and digest” (parasympathetic) nervous system. Both divisions are vital for survival and maintaining homeostasis.
In a stressful situation, the sympathetic nervous system will activate corticosteroid hormones(also utilized in immune response) such as cortisol, norepinephrine, insulin, DHEA and epinephrine (adrenaline ) to help the body, especially physically, to get through the situation. In short spurts, this is healthy. Such as if one can utilize the cortisol and epinephrine released in their system. For example, to go chase down a gazelle to eat for survival, or have the energy to jump out of bed in the morning.
Yet if this stress survival method is prolonged, or unable to be properly processed, stress is very damaging. This can cause hyperactivity &/or fatigue perhaps leaving one feeling “wired and tired”. For example, if we encounter situations in a high-pressure job it will cause an internal stress response. We will excrete hormones that are meant to help us get out of danger. Many of people in the work force end up sitting stagnant at a desk all day, stewing on stress hormones coursing through their systems. It is optimal to be able to clear these hormones through physical exertion one way or another. Even if exertion upon stress response occurs, over a long period of stress the hormones will no longer be helpful or available.
Chronic stress can accumulate without the individual realizing it; as stressors add up as we can become desensitized to reoccurring stressors that once disrupted us on a conscious level. It is similar to the feeling some get from excess caffeine. One cup of coffee can energize, yet too many can lead the consumer to feel drained, perhaps “fried”. Like this, senses and internal responses are dulled as the body acclimatizes to new levels of stressful stimulation, while continuing to deplete its vital resources. This is stress-induced depletion at work, which leads to inflammation. Inflammation within the body is one of the leading symptoms of stress and has major consequences to health. More explanation on how this happens in the next section.
The Immune System and Autoimmune Disease
directly with white blood cells to remove them or create protein antibodies to neutralize or remove them from the body. This is done by a series of internal actions when injury or pathogens disrupt the normal flow of the body. Humans have an amazing capacity to address anything that compromises health.
Part of a healthy immune response is to create inflammation to heal damaged tissue. Cortisol regulates the inflammation response by it’s anti-inflammatory abilities. If one is under stress, cortisol will be released relentlessly into the body, suppressing the immune system from inflaming the area for healing, to get through the stressful situation at all costs. With the immune system is repressed, the body is more susceptible to acquire diseases.
While this can last for a years of stressed hyper-drive, the adrenals can and will eventually become depleted and dysfunctional under such conditions. Hormones and their associated functions will deplete one by one, cortisol being the longest lasting. If cortisol levels are drained, this is devastating for the system as immune inflammation reaction will no longer be properly regulated. From this chronic and excessive inflammation can easily overtake the body.
In the case of autoimmune disease, the body will create dysfunctional antibodies, called autoantibodies, which loose the ability to differentiate between foreign pathogens and healthy cells of the body; leading to a cascade of the body attacking its own healthy cells.
Traditional Chinese Medicine Theory and Autoimmune Disorders
Why would someone’s system cause harm to its own healthy tissues? In TCM there is a way of understanding if we look at how our organs operate together within our system. We understand the internal processes within a human as a cohesive system of balanced elements, which are fundamental components of our existence. We see our body as a fluid ecosystem, akin to the world around us. There are 5 elements in this system with corresponding organs: metal (lung and large intestine), water (kidney and urinary bladder), wood (gallbladder and liver), fire (heart/pericardium and small intestine/triple burner), and earth (spleen and stomach).
These elements dynamically work together in a cyclical and inter-acting flow to maintain proper form and function in the body. The elements move cyclically through: metal–> water–> wood–> fire–> earth. And move in an inter-acting pattern (star-pattern) by metal–> wood–> earth–>water–>fire. Every element of the system needs to remain balanced, if one goes out of balance that will create a power-struggle of sorts in the body. Meaning if there is an excess or deficiency in one of the elements this will disturb the systematic flow. Stress caused by excess and/or deficiency is the main cause of disruption to the body’s flow of energy, or qi. Sometimes this can result in a reversal or counter-flow in the cyclical patterns of qi.
For example, in relation to autoimmune disease, we can see how the interplay of organs affect the system as a whole. The immune system is greatly influenced by the kidneys (water), which in TCM stores the “essence”, the vital hormones of the body. The liver(wood) works closely with the kidneys to regulate hormones and create and cleanse blood from toxins. Hormones are our main “messengers” that dictate healthy functioning in the body.
If we are stressed out, this can damage our hormone balance and blood flow within our liver (wood). This causes stagnation and excess heat to build up. Excess heat can attack the kidneys by burning out water, leaving them deplete. In the same way our essence, or our hormones, are depleted after stress causes excessive usage of cortisol and epinephrine. If the water element is deficient to the point of qi being disturbed and natural flow reversing, the fire element will counter-act in the 5-element cycle. This will cause harm to the flow of the entire system, as fire will consume vital resources, leaving the body deplete.
Understanding the mechanics of the stress-immune-inflation disorder in the eyes of TCM theory can help one understand how they are imbalanced. From there, one can see how to balance themselves. It is important to get a well-rounded view of the processes within the body to understand how we can live in our optimal flow-state.
The Importance of Maintaining Stress Levels to Keep Healthy Qi Flow
In TCM we understand the result of inflammation primarily as blood and qi stagnation. Meaning that there is not a smooth flow of nutrients and energy flowing to this area, causing imbalance, perverse, &/or stagnate qi accumulating. It is important for us to be aware of what causes stagnation in our system. The autoantibodies created in autoimmune disorder attack healthy cells leading to tissues being damaged and inflamed.
Stress is a main cause of inflammation, and there are many ways of encountering stress. We need to be sensitive to what our bodies are experiencing to help mitigate stressors in a healthy way, as they come. If we do not have awareness of how our external and internal influences are affecting us, we are more prone to letting stagnation accumulate to a harmful potential. All disease starts somewhere, and more often than not unnoticed at first. This includes autoimmune disease. The diseases that originate from qi stagnation are plentiful.
So keep in mind, especially if going through trauma or living with stress, find how to keep your emotions calm and qi flowing smoothly throughout your body. There are many indicators for us to check-in with ourselves to make sure we are handling our stress well. We can identify our stress levels by observing our breath, emotions, physical sensations, mental activity, sleep, digestion, and energy levels. By staying aware, we are preventing symptoms from getting worse and improving general health.
What Should I do if I am Struggling with Stress or Autoimmune Diseases?
If you are struggling with stress in general, seek treatment and lifestyle alterations as early as possible to instill balance and healthy patterning within the body. With acupuncture and herbs there is much that can be done to help this; especially in the earlier the of stages the disease. This will lead to a healthier lifestyle, as stress will be decreased. This has potential to help reduce symptoms, disease progression, and/or even cure the disease.
For those struggling with autoimmune disorders, know that there are effective treatments available. The doctors at Oshio Clinic have worked to effectively treat autoimmune diseases of all kinds including yet not limited to: Rheumatoid Arthritis, lupus, Multiple Sclerosis, Hashimoto’s Thyroiditis, Celiac disease, Crohn’s disease, autoimmune Hepatitis, and others. While many of these diseases are very complicated, there is hope in treatment.
Understanding of the nature of autoimmune disease and how to balance one’s body to their optimal state of being, can be applied in specific case analysis to assist the patient. By assisting the body to find this flow we can take steps towards a cohesively functioning body system. The body’s natural impulse is to smoothly regulate its form and function optimal for life, this is the basis for TCM as medicine.
Diagram provided by http://www.acupuncture.com
Acupuncture – Understanding an ancient model of health in modern language
Language has always been used as a way to interpret what our experiences. Even though the objective experience of situations may be the same, it can be interpreted in different ways. Traditional Chinese medicine (TCM) has its own way of interpreting the model of healthcare, and even though it is interpreted in a language unfamiliar to our modern culture, there is some very valuable information that can be used to help increase the health of our population. As practitioners of TCM it is our duty to study both the TCM model along with the standard model of medicine, in order to better understand and treat the current illnesses which we are facing today. TCM practitioners therefore act as interpreters of the ancient and current understanding of health.
What is the TCM approach?
TCM emphasises on prevention and health preservation. A superior doctor, according to TCM, is one who can treat a disease before it’s onset. This approach to health requires a more active involvement from patients, as preventative health is addressed with nutrition and lifestyle. Therefore, education plays a big role in how we treat patients.
What is acupuncture?
Acupuncture is one of the most common ways in which TCM treats illness. This treatment is based on the understanding that an organism has a vital force, known to the Chinese as ‘Qi’, which keeps the organism in health. illness comes when there is a sort of blockage disrupting the natural flow of energy (Qi) within the organism. There are different reasons which may cause blockages, but ultimately acupuncture aims at trying to remove these blocks in order allow Qi to flow naturally.
What can I expect from an acupuncture treatment?
An acupuncture treatment is an uplifting and revitalizing experience where we simply aim to bring harmony back to your body.
Acupuncture needles are very thin (as thin as two scalp hairs) and can barely be felt when inserted. Because many acupuncture points coincide with nerve clusters the general sensation that is reported among patients with getting acupuncture is that of a dull feeling. This is generally a good indication that the point has been activated or that the Qi has arrived to that point.
What are the educational standards of practice for TCM practitioners and Acupuncturists
TCM is regulated by the College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia (CTCMA). This allows for the public to feel comfortable with considering TCM as an alternative option for treatment and health maintenance. There are three degrees which can be obtained under the scope of TCM: Acupuncture, TCM practitioner, and Doctor of TCM. All of these titles require a minimum of 2 years post graduate education for enrolment. The Acupuncture diploma is 3 years (6 semesters) and requires 1900 hours of education including 450 hours of clinical practice. The TCM Practitioner diploma is 4 years in total (8 semesters) and requires 1600 of education including 650 hours of clinical practice and observation. The Doctor of TCM diploma is 5 years (10 full time semesters) and requires 3300 hours of education including 1050 hours of clinical practice and observation.
Here are a few external links that may be helpful in further informing you about TCM:
So everybody complains of being tired. Life is busy, and we are pulled in so many directions these days. But where do we draw the line between feeling tired and actual fatigue?
In Traditional Chinese Medicine (TCM) we speak of Qi Deficiency. Qi is the vital life force, or energy of the body and mind, and of course deficiency means that there is not enough.
The general symptoms of Qi Deficiency are Tiredness, Fatigue, Weakness, etc. In particular, it is the fact that these symptoms are worse with exertion, and there may even be Shortness of Breath (which I lovingly abbreviate as SOB). The person looks pale and may have a pale tongue and a weak pulse.
Qi Deficiency is so common, in fact, that it is likely the most common syndrome that TCM practitioners (Acupuncturists and Herbalists) diagnose. But when we look more closely at a person’s type of fatigue, and other symptoms that may be occurring, we begin to differentiate into the basic types of Qi deficiency.
Internal Organ Energy Systems
Each internal organ exists within an energetic system that includes the physical tissues, the chemical and endocrine components that drive the organ, and also a mental or emotional aspect that we usually experience as arising from the mind (or the heart) but that is associated with the function (or dysfunction) of the main Internal organs.
Lung Qi Deficiency
For the Lung organ, the tissues may have been damaged due to genetics or lifestyle factors, and/or there may be an endocrine disruption in the body, which negatively affects the breathing.
Shortness of breath is the main symptom for Lung Qi deficiency, but it can also manifest as propensity to catch a cold, or a person who easily breaks into a sweat. Of course, a patient with chronic cough or asthma is said to have Lung Qi deficiency.
Heart Qi Deficiency
In the Heart organ system, palpitations occur as a natural result of a lack of Qi, or vital energy circulating within the Heart system.
Spleen Qi Deficiency
The Spleen-Pancreas system is responsible to assist the digestive function to uptake nutrients in order to form blood.
The main symptoms of Spleen Qi deficiency may include one or more of the following: poor appetite, loose stool, abdominal bloating, dizziness, bleeding dis-orders (such as easy bruising) and perhaps even the prolapse of internal organs.
TCM Diagnosis: Abdominal Bloating with Normal (increased) appetite
The difficulty for TCM diagnosis is that each patient may have not only one of the aforementioned organ deficiencies, but there is likely another pattern (or two!) going on at the same time.
A recent patient complained of Fatigue, Abdominal Bloating after eating, but definitely not poor appetite, and instead of loose stools, she tended towards constipation. She likely has the Spleen Qi Deficiency syndrome (Fatigue and Abdominal Bloating) but then also some internal heat which is causing an increased appetite and also drying out the stools and causing constipation.
In this case, as with many cases of Spleen Qi Deficiency, the Masters say that we need to treat both the Spleen and Stomach organ systems. Herbal formulas to Tonify the Spleen need to be balanced with herbs that gently cool and clear the internal heat, and promote digestion and bowel movement.
Kidney Qi Deficiency
For the Kidney system, it is understood that Qi deficiency can manifest in 3 main ways:
The first situation is that the Kidney fails to grasp the lung Qi, and this results in the type of asthma where the inhalation is not quite as deep as it should be, with the typical panting breath of the asthmatic.
The second way in which Kidney Qi deficiency manifests is that the Kidney fails to consolidate. The Kidney system is responsible for controlling the 2 lower orifices. If there is not enough energy in the Kidney system (as naturally happens as we get older) there can be dribbling or leaking of urine, or a need to urinate frequently and throughout the night. The other (posterior) lower orifice needs to have enough energy to hold in the Bowel movements and discharge them at the correct time. If the Kidney energy is not strong enough, this may result in failure to control when the BM happens, or even incontinent diarrhea.
Other difficulties with the lower orifices may be a result of a Kidney Qi deficiency, such as excessive vaginal discharge, pre-mature ejaculation, and even some types of mis-carriage.
For children who have difficulty with bedwetting, TCM modalities such as Acupuncture and Herbal Medicine have been helpful to strengthen the Kidney Qi in order to stop the bedwetting.
The third type of Kidney Qi deficiency is more severe, and we sometimes call it Kidney Essence Deficiency. This is when genetic dis-orders result in slow development or lower than normal intelligence or other types of functioning. These cases are hard to treat.
In summary, everybody feels tired some (most) of the time. It is important to have your symptoms evaluated by a medical professional to get an insight into why you are feeling that way. The strength of TCM (Traditional Chinese Medicine) is that you can gain insight into your condition even if it is not severe enough to show up on any of the standard medical tests. Also, if you have been diagnosed with something, your TCM Professional can help you to understand ways to naturally strengthen your body’s Qi (Vital Energy).
I wish you the best of Health and Happiness.
Lisa Cumberland, R. TCMP
Why do TCM intakes take so long?
Why is this Acupuncturist asking me so many questions?… I am only here because I have read that Acupuncture is effective to treat low back pain. Why does she want to look at my tongue, and can she really tell anything about me by feeling my radial (wrist) pulse?
Yes, we will get to treating your back pain, but first we must make a full TCM diagnosis and establish a treatment plan. The whole point is to treat you as a whole person, and we may as well include some points to calm your mind and treat your insomnia or digestion or whatever else is bothering you while we sort out that nagging low back pain problem.
TCM (Traditional Chinese Medicine) evolved through centuries of observing the whole of a person’s symptoms and eventually TCM doctors established Syndromes, called Zheng, which can be thought of as “patterns of dysfunction”, or symptoms that often combine together, that give the TCM doctor clues about what is really going on at the root (ben) of your condition. That way, he/she can treat the whole pattern, and bring improvement to many aspects of your functioning, rather that just sticking a needle in your Quadratus Lumborum (low back muscle) to release the muscular tension there (although he/she may do that, too!)
Perhaps your overactive anxiety is diverting energy up to your head and away from where it should be nourishing your low back (We call this Shen Xu Yin Xu Re Zheng). Or maybe you are getting older, and also have some urinary incontinence, or sexual power is becoming diminished (we call this Shen Qi Bu Gu).
The point is, your TCM doctor can assess your overall pattern, and will treat that low back pain accordingly. For older, deficient-type patients, it is probably necessary to take a herbal formula to strengthen the body instead of just releasing the tight low back muscles.
So, be prepared to answer a lot of questions, but one of the great things about seeing an Acupuncturist is the opportunity to learn more about your patterns and things that you can do to improve your overall health and happiness.
I wish you all the best,
Lisa Cumberland R.TCMP
Chinese Medical Massage (Tui Na)
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One of the best things about studying Traditional Chinese Medicine is that you learn many techniques that you can immediately put to use on family, friends and even clients.
Students enrolled in Oshio college’s Tui Na practitioner program learn the techniques of Chinese medical massage, as well as Gua Sha and Cupping therapies, in addition to a broad foundation in TCM history, philosophy and diagnosis.
What is Gua Sha? It is an ancient form of “friction therapy”. Gua means to scrape or rub. Sha can be translated as a reddish rash, or petechiae. Gua Sha is a friction technique that intentionally raises Sha rash or petechiae, by drawing stagnant intercellular fluid to the surface of the skin, removing toxins, and allowing fresh fluid to enter the space (usually large muscle groups on the back of the body) to regenerate and revitalize the body. Gua Sha moves stuck Qi and blood, releases the exterior (mimicking sweating) and moves body fluids. In medical terms, Gua sha allows for the movement of metabolic waste, promotes circulation and normalizes metabolic processes.
Cupping therapy has been used since approx. 300 C.E. when the famous Taoist alchemist Ge Hong described the method in his book A handbook for prescriptions for emergencies. Originally animal horns were used to create a vacuum on the surface of the skin, to move Qi and blood. Nowadays, glass cups are used predominately, with the options of bamboo or plastic also available.
It is important to warn the patients that there is a risk of bruising with both Gua sha and cupping therapies. The results ( withdrawal of toxins, promotion of circulation and a general feeling of enhanced wellbeing) are worth the temporary bruising, as fans of such therapies will tell you.
At Oshio College in Victoria, students who complete the one year program of Tui Na massage therapy learn all these techniques, as well as the foundational courses towards the 3 year Diploma of Acupuncture. This way, students can practice using Tui Na, cupping, Gua Sha and other techniques on their family, friends and patients while working towards their designation as a Registered Acupuncturist.
Best place to study Acupuncture and Herbs in Victoria, BC Canada
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As I look out at the Garry Oak trees blowing in the wind, and the bright June sunshine illuminating the leaves, I am reminded of why Victoria, BC is one of the best places in Canada to live. Thinking about the family, friends and patients I have helped through the years with Acupuncture treatments to relieve their pain, Herbal formulas to strengthen their constitution, I am very grateful to have had the opportunity to study Traditional Chinese Medicine.
Acupuncture has been used for thousands of years to help to re-set the balance of the Yin and Yang energies in the body. More recently, the World Health Organization has endorsed the use of Acupuncture to help with over 150 conditions. Indeed, the number of people in the West who have experienced and benefited from Acupuncture treatments is growing steadily. It is a practical, interesting and meaningful skill to learn.
In British Columbia, the practice of Acupuncture has been regulated by the CTCMA since 2003. Currently, there are 6 colleges in BC that offer the 3 year Diploma of Acupuncture that is necessary to be able to sit the Board Exams to become a Registered Acupuncturist in BC. Oshio College in Victoria is one of the best. Why? Oshio is a small college with a big heart. Dr. Yin, Dr. Hu and the highly experienced faculty at Oshio have both sound knowledge of TCM, and the kindness and patience required to pass it on.
Traditional Chinese Medicine is a complex and limitless system of diagnosis and treatment, of which Acupuncture is but one limb. In addition to the 365 Acupuncture points, the 400+ single herbs, which combine into over 200 classical Formulae, and all the Traditional Diagnostic methods that are taught, today’s Acupuncture and TCM students have to be well informed about modern allopathic bio-medicine as well. It is a huge courseload, and it is important to have teachers who are concise, experienced, and also patient enough to lead new students through the mountains of information.
Luckily, we have a strong team of such teachers at Oshio College in Victoria. For this reason, I believe that Oshio College is truly the best place to study TCM Acupuncture and Herbs in Victoria.
Acupuncture and Herbal Medicine for Chest Pain
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Most Acupuncturists know the best Acupuncture points to stop chest pain and move qi and blood in the chest. Nei Guan, Shan Zhong and Xin Shu are some of the most effective Acupuncture points to treat chronic Chest Pain.
But Herbal Medicine is more effective to move blood stasis, or to nourish the underlying deficiency which results in Chest pain. But which herbal formulas to use?
Well, that’s where the TCM differentiation according to syndromes shines. The following is a brief summary of the 6 main syndromes resulting in chronic chest pain, and their representative formulas. Thank you to Dr. Kai Chen of Oshio College for teaching us how to effectively differentiate and prescribe herbal formulas.
Xue Fu Zhu Yu Tang is of course the representative formula for Chest pain due to blood stasis in the mansion of the Blood. If the patient has Heart palpitations with an irregular, choppy pulse and other classic blood stasis symptoms, we can use this formula to Move blood and Open up the channels.
If the patient has a heavier sensation, along with the telltale signs of Phlegm Stagnation, we can give them Gua Luo Xie Bai Ban Xia Tang in order to open the chest and dissolve phlegm.
If they are suffering from Qi Stagnation, with distending pain and a wiry pulse, then a modification of Chai Hu Shu Gan San can be used to smooth liver Qi, open the meridians and stop pain.
If the Chest pain is due to cold invasion, and features a sharp, colicky sensation with a tight pulse and pale/purple tongue, then we can give them Gua Luo Xie Bai Bai Jiu Tang, perhaps with some warming herbs like Gui Zhi or a small amount of Fu Zi.
If the Chest pain is worse after exertion, better with rest, and we suspect that they have an underlying Yang Qi deficiency, then we can warm them and tonify their Yang Qi using the formula Shen Fu Tang.
If it’s not quite that bad, and they only suffer from Qi deficiency, then it’s better to use Sheng Mai San to nourish Yin and tonify Qi.
And if they have chronic, dull, burning chest pain with other Yin deficiency signs, then we can Nourish their Heart Yin using Liu Wei Di Huang Wan with Sheng Mai San.
Of course, if they are having an Acute attack of chest pain, we must refer them to the CICU: Cardiac Intensive Care Unit. Just remember to take out the needles first!!!
Sunny Day in Victoria…and hope for Migraines with Acupuncture therapy
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