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Are there any topics that you want to know more about?  Any topic about acupuncture, specific illnesses, or general health is fair game. Just leave a comment.  Also if you’ve been treated by me I’d love to have your testimonials. Just click on “About Us” on the menu above, then on the testimonials page there is a link for you to submit a testimonial.  Thank you in advance!

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The Mystery Illness

I just found this blog entry about a woman’s experience with an unknown pain condition. http://www.chicagonow.com/blogs/ay-mama/2011/05/the-mystery-illness.html

I have heard many similar stories from my patients over the years: the pain started slowly and continued to get worse. Doctors and specialists were seen, tests were run, but no definitive diagnosis given. Pain meds get prescribed and offer only minimal and temporary relief. Or worse yet surgery was performed and the pain was the same or worse afterwards.  After trying “everything” the patient finally gives acupuncture a try and are amazed when leaving the office after the first visit with little or no pain.

Too often acupuncture is seen as a “last resort” type of treatment after all other options are exhausted.  This is unfortunate because acupuncture is effective, safe, and relative to many other treatments very inexpensive.  Hopefully doctors and patients alike will start to think of acupuncture as a beginning point for treatment of both pain and a variety of other conditions, especially since it can be done along with any other therapies including medications.

Like the story linked above indicates acupuncture can still be effective even when doctors are unable to diagnose the problem. Since traditional Chinese medicine (which acupuncture is a part of) uses its own diagnostic system an acupuncturist can still evaluate and treat patients. So whether you have tried “everything else” or are just starting to deal with an illness consider using acupuncture and traditional Chinese medicine now.

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Vacations

This weekend my wife and I enjoyed a nice get-away in Connecticut at a beautiful bed and breakfast (www.19rockhallroad.com). It was only two nights but it was just the kind of vacation we needed – simple and relaxing. This morning as I prepared to tackle another week “at the office” I started thinking about the importance of vacations in relation to our healthcare.

Regardless of the main reason a patient comes in to see me in the first place I find that a majority of my patients report high levels of stress. I don’t believe that stress is necessarily the cause of most diseases, but it certainly contributes. It can also be an obstacle in the healing process. Therefore managing stress is a great way to improve health and quality of life.

I think a great way to reduce stress is to take a vacation.  It can be a two week trip to Europe or a two night stay somewhere near by.  As long as you can remove yourself from those parts of life that cause you stress it doesn’t matter.  But here’s the catch: many of us bring our stress with us on vacation.  That could be literal if your kids cause you stress. Or maybe your boss calls you three times a day and you feel like you never left the office even if you are sitting on a sunny beach.  Sometimes it isn’t that obvious – maybe instead of relaxing you are thinking about some of the problems you will be facing when you get back home. Or maybe with every dollar you spend you stress out about your financial situation.

So maybe travel vacations are not a great way to manage stress. But let’s think of vacations in a broader sense.  The definition of vacation according to Merriam-Webster dictionary: “1: a respite or a time of respite from something : intermission. 2a:  a scheduled period during which activity (as of a court or school) is suspended.”  In these definitions travel is not required. All that is needed is a break from the everyday hustle and bustle of life.

Instead of planning elaborate week-long adventures a vacation can be something you do every day. Great options are meditation, yoga, tai chi/qigong.  They don’t need to take up a lot of time and with the exception of taking classes are not expensive. Many people find exercise to be a great stress reliever too.  Hobbies are also a great way to take a daily “vacation”.  Regardless of what you do the important part is to give yourself 15-30 mins a day of “me time”. Turn off the cell phones and let your family know that you are not to be disturbed.

This strategy may seem counter-intuitive when a busy schedule is the cause of stress. But give it a try for a week or two. You may find that de-stressing for 15 minutes of the day earns you an extra productivity because you will be able to handle your busy schedule better without the stress.

And, of course, consider incorporating acupuncture into your stress management routine, maybe every few weeks or once a month. Most people wouldn’t think of acupuncture as being a relaxing activity, mainly because of the whole needle thing.  But the reality is that most of my patients find their treatments to be very relaxing.  The needles don’t hurt and the treatment stimulates the release of endorphins, the body’s own “feel good” chemicals. And being in a quiet room with soft music playing with no distractions just increases the sensation of tranquility.  It makes for a great vacation from day to day life.

When I treat patients with high stress (either their main complaint or secondary to other health issues) they often report within the first few sessions that they handle stress better. Those inescapable realities of life are still there but instead of creating stress and ruining a day, those issues can be dealt with (when possible) or just don’t impact them the same way anymore. They are happier, more productive, and also important – they are less quick to anger or snap at their loved ones so the whole household is happier.

So next time you find yourself getting stressed out ask yourself if it’s time for a vacation.

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Spring is here!

According to the calendar it’s spring.  Though looking out the window this morning and seeing snow fall puts some doubt in my mind.  Regardless I am excited knowing that warm, sunny weather is almost here.  Some people are not as excited because spring means allergy season.

Most people do not associate acupuncture with allergy treatment but it can be a great tool in the fight against the runny nose, itchy eyes, sneezing, fatigue, etc that comes along with allergies, particularly seasonal allergies. In traditional Chinese medicine we view allergies as being caused by a weakened immune system. To treat it we use acupuncture and/or herbs to deal with the underlying cause and boost the immune system and the body’s natural defense mechanisms.  We also help alleviate the more obvious symptoms associated with allergies, which can vary from person to person.

In contrast the typical allergy treatment uses antihistamines to reduce the overactive immune response that is the hallmark of allergies. This type of treatment only works on reducing symptoms and does not do much to address the root cause.  Also, whereas antihistamines can cause side effects such as grogginess or dry eyes, acupuncture and Chinese medicine does not cause side effects.  This can make it a good treatment option for anyone who cannot risk the drowsiness of antihistamines because of their job.

Though allergies can be treated at any time now is a great time to start treatment if you suffer from spring-time allergies.  Starting now means that there is time to boost the body’s immune system before the symptoms kick into high gear and hopefully avoid the symptoms altogether. That way you can look forward to, and enjoy, the nicer spring weather.

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Can acupuncture treat….?

Next to “Does acupuncture hurt?” (answer is no) the most commonly asked question I get is “Can acupuncture treat ________ ?”   Sometimes I get question as a serious inquiry, and sometimes it is tongue-and-cheek or just curiosity combined with an attempt at small talk (especially in social situations when people ask me about my job).  For almost all of the serious inquiries, and occasionally even for the tongue-and-cheek questions, the answer is yes.

People are sometimes surprised to hear about the many things that acupuncture can treat (or to be more accurate acupuncture and herbal medicine). How can sticking needles in someone have such wide ranging effects?  I won’t get into the mechanisms of acupuncture here (but I will address this at some point in future posts). The important part that people don’t always realize is that acupuncture is a part of Traditional Chinese Medicine (which also includes Chinese herbal medicine, massage techniques, dietary therapy, and exercises such as tai chi and qigong). Traditional Chinese Medicine (TCM) is a complete system of medicine and was the only form of medicine in China for over 2,000 years.  By complete system of medicine I mean that it treats the whole body (inside and out, head to toe) and has it’s own understanding of the body, a system of diagnosis, and therapies used to treat disease (acupuncture is the best known therapy of this system).

The ancient Chinese did not have the various technologies that we take for granted in modern medicine – no x-rays or MRIs, no blood tests, or even microscopes.  Those various technologies have allowed today’s MDs to look and focus on all of the little components of the body.  The ancient Chinese physician only had his five senses to use. Therefore TCM is based on thousands of years of observation of how the human body works, which has led to a systems based understanding of the body.

The TCM practitioner does not focus on the little parts, but rather looks at the state of the different systems (named after the major organs of the body).  We look at imbalances – too much or too little, too hot or too cold, overactive or underactive (of course the actual medicine is much more complex than this, but I’m trying to represent the basic underlying  concepts).  Using this perspective we are able to diagnose just about anything that goes wrong with the body even without knowing what is happening on a microscopic level. Using the various therapies of TCM (acupuncture and herbal medicine mainly) we are able to address these imbalance and restore the different systems to a healthier state.

So if we view all diseases as an imbalance in the body and it’s systems, and we know that acupuncture can correct imbalances, then yes – acupuncture can treat just about anything you can think of.  The other big advantage of using a systems based approach is that we can deal with multiple issues (symptoms) with the same treatment.  In fact, several seemingly unrelated symptoms are often manifestations of the same imbalance.  Since we are treating the whole body instead of messing with just one little component, we can also treat with little or no negative side effects. The only side effects of treatment are feeling healthier, being more energetic, being less stressed, and being happier.

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The importance of wellness care

Acupuncture and Traditional Chinese Medicine (TCM) is often called a preventative medicine because it can be effective at promoting health and preventing serious disease. While this is true the fact is that it’s role in today’s healthcare system is often interventionist. By that I mean that many people who seek acupuncture care do not usually do so until health issues are already present – whether it is pain or some other diagnosed disease. In fact, acupuncture is often a “last resort” treatment that is used because all other options have been exhausted without any results.

Luckily this mindset seems to be changing as our country is becoming more health conscious and dealing with the sky rocketing costs of conventional health care. As they say, “an ounce of prevention is worth a pound of cure”. Most of us implicitly understand this concept and are willing to do those things considered “preventative” within the scope of our conventional care – yearly physicals including blood tests, mammograms, pap smears, prostate exams, colonoscopy, etc. However, these are not truly preventative in the sense that they prevent diseases from occurring.  Rather these are aimed at early detection of disease. The general idea is preventative, detect the disease early enough so that it can be treated before it is life threatening or harder to treat. Yet treatment is not rendered until disease is present (or in some cases enough pathological change has occurred).

True preventive medicine is about taking care of the body, through all stages of life, to lower the chance of developing disease. This is done by keeping the body in a state of good health and reversing the damaging effects of the environment, lifestyle, and other factors. The best ways are to avoid those things that damage the body –  such as pollution, physical strain, and stress – and do more of the things that keep us healthy – eat well, sleep well, exercise (appropriately), and relax. Interestingly, none of those things need to cost a dime and doing so can greatly reduce our need for medical care (and therefore reduce our medical costs overall).

However, in our current world being completely healthy is still a challenge.  There are some things that we cannot completely avoid and just the day to day living (even if it is healthy) causes wear and tear.  The best analogy I can give is with car maintenance. No matter how little we drive our car, no matter how good we are with doing our oil changes and other maintenance on time, our cars will still wear out.  (Oddly enough I find more people are better about taking care of their cars than they are about taking care of themselves). Likewise our bodies start to exhibit wear and tear, and when it is left to build up disease can/will arise.

Using the car maintenance analogy I think of myself as the mechanic and the therapies I use (acupuncture and herbs mainly) like the oil change, tire rotation, filter changes, etc. Some people do the simple maintenance tasks themselves and leave the bigger tasks to the mechanic, while other drivers maybe wash the car in a while and that’s about it.  Likewise some people are good about taking care of their health through diet, exercise, etc while others do not. Either way at some point the effects of life will build up and can create health problems. In many cases it takes years or decades for the damage to build up to the point that we have symptoms.  However, incorporating acupuncture and herbal medicine into your health maintenance at an early age before symptoms have started can help correct those damages to slow down the rate they build up. In a young healthy person this may be needed only a few times a year.  In an older individual it may need to be a little more often since we have more damage to correct but still can be as little as once every month or so.

So for all of you reading this, if you have not already done so, consider making acupuncture and Traditional Chinese Medicine part of your health care and encourage your family and friends to do so as well.  And just as importantly learn more about ways to take care of yourself day-today. Check back here as I hope to include more information on self-care in coming posts.

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Qi

Qi (pronounced ‘chee‘ and sometimes spelled chi) is a very important concept in Chinese medicine and is mentioned in almost any news article about acupuncture. It is also a fundamental concept in some traditional Chinese martial arts. And because it is exotic and mysterious, it gets misappropriated by other healing systems and sometimes even used as a cheap marketing tool to sell products.  So on one hand it is a well known term, but at the same time a very poorly understood concept.  For us English speakers it is often translated as energy or life force. When people think of it as energy they tend to think of it like electricity, or in some cases they think it refers to the electromagnetic fields in the body and the various electrical signals used in the nervous system.  When the term life force is used (sometimes with universal tacked on in front) then it starts to evoke images of Jedi knights, at least for me it does. It becomes this mystical concept that underlies a deeper cosmological perspective.

In some ways both of these conceptualizations are true, but both greatly miss the mark of defining this very big concept. So let me attempt to break it down a little more and show you how I think of qi.

First of all – let’s look at the character of qi.     This character is comprised of 2 parts.  The first part is the bottom, in the picture above it looks like an asterisk. This part of the character means a bowl of rice.  The top part (the 3 lines and the backwards long division symbol) mean steam. So together the character for qi means steam rising from a bowl of rice. Not very mystical at all. Instead of electrical energy, I like to think of qi more like steam. It is a substance, but also like steam in a steam engine it can be harnessed as energy to do work. In our bodies qi is a substance and it also provides the force of various physiological functions.

At this point, we are still in the realm of generalized concept. When we use qi in Chinese medicine we start to break it down into more and more specific components. There are several different types of qi in the body and each organ has its own qi with its own specific characteristics and functions.  I won’t elaborate on them too much here as it can start to get complicated. However, the point is that qi has several different functions within the body.  It becomes a stand in term to cover many different components of physiological functions.  The ancient Chinese had a very sophisticated understanding of the body and its processes arrived at through observation and refined over hundreds and thousands of years. Nowadays we have the technology of modern medicine to more accurately observe, understand, and define physiology and we accordingly label each individual process. The ancient Chinese had some of the same understanding but instead used the term qi (sometimes with an additional adjective) to describe these processes.  Nothing mystical about it. However, the western mindset says that if you use a term like qi and tell me it is a substance or process, you have to scientifically quantify it.  Measure it with a lab test or show it under a microscope.  So far no one has been able to do so, and therefore many people dismiss all of Chinese medicine as being based on some falsehood and ignore the thousands of years and millions of people it has helped. Yet as I said, qi is a stand-in concept for many different substances and processes in the body that we can never distill it to one thing and call it qi. Despite that it can still be dealt with and manipulated using the principles of Chinese medicine to have a great and sometimes profound effect on people.

In other areas of Chinese thought (philosophy and religion) they also use the term qi. In these usages it does take on a more mystical definition as it becomes more of a term to describe the universe and its interactions (its physiology?) as well as understand the whole concept of life.  In these usages qi is more of a “universal life force” and is more mystical. There is a lot more to this understanding of qi but to do it any justice I’d have to write quite a lot more.

To summarize – in medicine qi refers to physical phenomena of the body, in philosophy/religion it describes a metaphysical understanding of life and the universe. Same term, same concept, different scope.

Just to make it a little more complicated, a quick word about martial arts.  In Chinese styles the concept of qi is also important. It becomes a foundation of body development (through practice of qigong exercises) that melds both the physical/medicine understanding with the metaphysical/philosophical understanding of the term.

I’m sure some of my fellow acupuncturists as well as my kung fu friends will read this.  If you have anything to add, or even if you disagree, please leave a comment.

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What is an acupuncturist?

I love my job. I truly enjoy being an acupuncturist. One thing I am not a fan of is my title – acupuncturist. Not so much because it is wrong, I do insert needles into people, but rather that it is incomplete.  More accurately I am a practitioner of Traditional Chinese Medicine (TCM) as I practice a complete form of medicine, of which acupuncture is just one piece of the bigger picture. “Practitioner of Traditional Chinese Medicine” is a bit of a mouthful and takes up a lot of space on a business card, so I guess I’ll stick with acupuncturist for the time being.

So why split hairs about my title? A big reason is because a lot of people I meet are afraid of needles. Based on my title they think all I do is stick needles in patients.  They don’t realize that I am also an herbalist (not all acupuncturists are) and that I have several other therapeutic techniques available to me that do not require the use of needles.  The title also implies that I just perform a therapeutic technique. It ignores the fact that I am using thousands of years of knowledge to evaluate a patient’s health, plan appropriate treatment, and just as importantly, educate the patient on how they can make healthier decisions in day to day life. This last part is particularly important, because I believe education is the foundation of any healthcare especially any that purports to be preventative. It is also something that I think is often lacking in today’s conventional care.

Granted, I may be just as much to blame. I definitely use the title “acupuncturist” to refer to myself, and my business name has Acupuncture in it.  I am also guilty of using acupuncture (the insertion of needles) and Acupuncture (in reference to Chinese medicine as a whole) interchangeably.  The reality is that the American public has become familiar with the term “acupuncture” and has been quite intrigued by this ancient form of health care possibly because it seems so exotic. Herbalism does not seem to garner the same amount of interest, possibly because it is nothing new to us. And most patients undergoing care, regardless of what kind of doctor or practitioner they are seeing, are aware of all of the other processes occurring such as evaluation, diagnosis, planning of treatment. They just see the outcome of that process which is the therapy, be it acupuncture, Chiropractic adjustment, or the writing of a prescription.

So while I would prefer a title that more completely describes all that I do, feel free to continue calling me an acupuncturist. Or just call me Casey.

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First post!

I can be surprisingly slow in keeping up with trends and technology.  What do you expect from someone who practices a medicine that is over 2,000 years old? If there are any topics you would like to see discussed in upcoming posts please contact me or leave a comment.

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About

Welcome to the East Side Acupuncture Blog. This is a blog written by Casey Lewis, a licensed acupuncturist. East Side Acupuncture currently has two offices – in Fayetteville and Oneida, NY.

For more information about East Side Acupuncture and receiving acupuncture treatments from Casey go to www.eastside-acupuncture.com

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