Harmony

August 27, 2009

What Happened to Chinese Medicine?

The View from the Window — Marci Davis

Reflection: D ShayneWhen I first began to study Chinese Medicine back in the 1980’s, it was in response to my fascination with Taoism and martial arts.  Here was an ancient medicine based on principles of harmony and an understanding of our relationship to nature. It was radical in its premise that nature is self correcting, and that humans can heal naturally by tuning back in to the rhythm of natural cycles. The doctor’s job was to search out the cause of a patient’s disharmony and help them restore balance.  We took the pulse; we listened to the voice; we observed movement, bearing, and skin tone; we asked questions about the patient’s life and their illness.  Then we recommended changes in diet and lifestyle; we used needles, moxa, and herbs.  We restored balance.  Patients got better.

Somewhere along the line, things started to change.  It’s been a subtle process, and therefore easy to miss.  But Taoist medicine, in which skill is dependent on the refinement of the doctor’s sensitivity over a lifetime of practice, is getting gradually replaced by a westernized approach that emphasizes the constant acquisition of new treatment techniques and diagnostic tools.

I suspect this all started from the justifiable need for acupuncturists in this modern age of technological medicine to make a decent living and enjoy a modicum of respect among other health care professionals.  Thus the emergence of what is now called “complementary” medicine (complementary to what I wonder?) and the blossoming of doctoral programs in Chinese medicine that teach us western medical skills so we can fit in better with the medical establishment.

All of this leaves me disheartened.  These days, instead of instructing our patients in the art of meditation or qigong, reading their fate in the stars, and adjusting their home environment to correct imbalances, we are more likely to send them for lab tests and spend our time taking courses on which procedure codes to stack up on our insurance bills. Perhaps this is all necessary to survive as a healthcare provider in this strange antagonistic world.

But I long for a return to the Taoist roots of Chinese medicine, when a poem might be the prescription, and a life well lived, not a lab test, was the measure of success.

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August 25, 2009

The Most Radical Health Program

Qi Notes — rmerola

av_rm2No one should feel bad that the Chinese did it first. After all, they’ve had 5000 years to noodle with these things. But before we go on we have to take a simple test. If you still believe that the quality and kind of health care we have is dependent only on the attempt to supply the finest care for the most people then this new (old) approach may be too much foryou. If you can see the influence of such extrogenous factors as money, status, power and-very important- convenience then you are ready.

This absolutely radical approach which the Chinese employed for millennia was this (and as we will see it directly relates to the practice of Qigong): you pay the doctor when you are well, not sick. If he keeps you well forever, so much the better. If you get sick his fees stop until you are better.

Let me take a second to recover myself. And I know about this. Whew, better now. Well, first off some could say we already have this and it’s called insurance but of course that’s not true because insurance you pay when you are sick OR well (there’s that convenience issue again, but not for you).

We could discuss this plan for days and turn it around a hundred ways but I want to address just one little twist in the road. Doctors weren’t stupid. They figured out pretty quickly that people really didn’t want to be sick and, better yet, if they could enlist the patient’s cooperation they would be more assured of their fees. So Chinese doctors actually encouraged their patients to do healthful practices.

Such as skiing, bungee jumping, locking and space dodge ball, right? No, they helped to design exercises which were consistent with the medical practices of the culture with a different emphasis such as longevity, conservation of energy, rejuvenation, balance, optimization of movement, reduction of stress. Qigong, Tai Chi and other studies were seen as perfectly grooving in with the needs of the people and, as far as fees continuing to trickle in, with the needs of the medical community.

We  somehow think that the pursuit of happiness is tied to returning to the slopes for the fifth time after your fourth ACL operation. I wonder if our medical practitioners would be less likely to feed this delusion if their income were tied to preventing our whimsical self destruction?

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August 21, 2009

Health Care: Free, Simple, Self Reliant

Qi Notes — rmerola

av_rm2The health care debate at present has moved into the realm of fantasy, a very dark fantasy. Besides ridiculous misrepresentations of what each side intends, cross accusations of wrong doing, sloppy thinking and name calling on the level of kindergarten there’s a problem no one mentions. This problem, pandemic to modern culture–particularly in America–is the persistent misrepresentation that money equals quality health care and vice versa.

Nothing could be further from the truth and, in fact, it’s a sad day when a nation acclaimed for its “know-how” equates health care with pocketbooks. But let’s be frank, health care is shifting from an honest attempt to help people to strictly a money game. Insurance companies dictate doctors’ fees, legal departments compel malpractice rates, insurers routinely refuse to pay claims just to see who will go away.

And then there’s the national shame for what some people believe to be a great health care system. There has never been a proper encouragement of preventative care. The action-oriented, antagonistic, results-craving mentality finds it hard to comprehend that the best approach to any illness is to not let it happen in the first place. So little effort and money is spent on preventative medicine—not the prejudiced studies, mind you, but the medicine—that any health care model must always resolve itself into a major obsession with who gets the pie instead of how good the pie is.

Enter Qigong and other practices like Tai Chi. Even if Chinese medical terminology seems confusing, or the theory strikes you as mystical, these practices have fundamental strengths to recommend them. Take Tai Chi example, an exercise partly designed by a doctor. Its great benefits come from the fact it is slow, careful, strength building, rhythmic, calming, highly efficient, posturally correct, pleasant, age and sex suitable, engaging and, with slight modifications, can even be aerobic. It requires no equipment and, once learned can be practiced for the length of one’s life. Qigong is the same with the added advantage of having a modularity which allows you to learn very small exercises one at a time rather than memorizing the more intricate and complex routines of Tai Chi.

Once learned the cost of either is exactly nothing. The movements are very safe, encouraging good respiration and reducing stress at the same time. It can be communal or solitary; requires no special area to be built, like a stadium or a court; it encourages an efficiency and grace that is expressed in everyday life.

And there’s another bonus which could be huge. Qigong encourages people to reflect on themselves, to take a bit more responsibility for their own health. One of the most disappointing things about the health care debate is its top-down, condescending, hierarchical, money-dominated orientation. The people are left wondering which “provider” to bow to (forgetting that, according to some of their own beliefs, there is only one health care provider ultimately). It certainly doesn’t encourage the kind of self-reliance so many people pride themselves on but which crumbles like a dirt tower when it comes to the topic of health. We are, instead, encouraged by this system to be dependent, about something so fundamentally ours as our own health and well-being. We have become a nation of people afraid of self-examination, unfamiliar with our own bodies, only capable of asking the doctor which pills go in which combination.

Don’t expect anyone to pick up this noble banner soon, though. In this scheme there’s no one except a few underpaid Qigong instructors to make any money and, like they say, if cars were free and ran on water instead of gasoline we’d still be riding bicycles.

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