Today's Post By Gichin Funakoshi Sensei

This is taken directly from the preface to Gichin Funakoshi's autobiography Karate-Do: My Way of Life. Funakoshi Sensei systematized Shotokan karate from many different indigenous Okinawan martial arts styles - the very name Shotokan comes from the pen name he used when writing poetry. Here he gives us some excellent health advice.

As I look back over the nine decades of my life - from childhood to youth to maturity to (making use of an expression I dislike) old age - I realize that it is thanks to my devotion to Karate-do that I have never once had to consult a physician. I have never in my life taken any medicine: no pills, no elixirs, not even a single injection. In recent years my friends have accused me of being immortal; it is a joke to which I can only reply, seriously but simply, that my body has been so well trained that it repels all sickness and disease.

In my opinion, there are three kinds of ailments that afflict a human being: illnesses that cause fever, malfunctions of the gastrointestinal system and physical injuries. Almost invariably, the cause of a disability is rooted in an unwholesome life-style, in irregular habits, and in poor circulation. If a man who runs a temperature practices karate until the sweat begins to pour from his body, he will soon find that his temperature has dropped to normal, and that his illness has been cured. If a man with gastric troubles does the same, it will cause his blood to circulate more freely and so alleviate his distress. Physical injuries are, of course, another matter, but many of these too may be avoided by a well-trained man exercising proper care and caution. Karate-do is not merely a sport that teaches how to strike and kick; it is also a defense against illness and disease.

Small Changes Lead to Big Changes in Preventing Diabetes

Tim and Paul Daly, identical twins. One has diabetes, one does not.

Here's an inspirational story about beating diabetes. Tim and Paul Daly are identical twins who were inseparable up through young adulthood - they even joined the Army together. Later they took different paths, and while Tim kept playing basketball every week with friends on Tuesday night, his brother didn't do any exercise at all.

In 1996 Paul was diagnosed with Type 2 diabetes. His identical twin Tim was pre-diabetic. Then...

Tim volunteered to take part in a huge national research study aimed at determining exactly what it takes to prevent or delay the onset of Type 2 diabetes.

Like him, all of the 3,234 volunteers in the study were at high risk of developing the disease. The volunteers were broken down into three groups.

Tim was randomly assigned to the "lifestyle intervention" group. He received intensive counseling from a dietitian and motivational coach who helped him develop a plan to eat less and exercise more.

A second group of participants took a diabetes medicine called Metformin twice a day. These volunteers received information about diet and exercise, but they didn't get motivational counseling. A third group received placebo pills instead of Metformin.

Researchers wanted to know which intervention would work best to prevent diabetes and all of the complications that can develop as a result: loss of vision, kidney failure, amputations and a substantial increase in risk of heart disease and stroke.

As it turns out, the study found lifestyle changes to be twice as affective as the medicine.

Twice as effective!! Keep that in mind when you read the possible side effects of Metformin:

Metformin may cause side effects. Tell your doctor if any of these symptoms are severe, do not go away, go away and come back, or do not begin for some time after you begin taking metformin:

• diarrhea
  
• bloating
  
• stomach pain
  
• gas
  
• constipation
  
• unpleasant metallic taste in mouth
  
• heartburn
  
• headache
  
• sneezing
  
• cough
  
• runny nose
  
• flushing of the skin
  
• nail changes
  
• muscle pain

Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them or those listed in the IMPORTANT WARNING section, call your doctor immediately:

• chest pain
  
• rash

Some female laboratory animals given high doses of metformin developed non-cancerous polyps (abnormal growths of tissue) in the uterus (womb). It is not known if metformin increases the risk of polyps in humans. Talk to your doctor about the risks of taking this medication.

Metformin may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.

Just more evidence that exercise is good for nearly everything. The audio version of this story, available for free on the NPR website, has more detail than the printed version.

Preventing Diabetes: Small Changes Have Big Payoff by Allison Aubrey
Diabetes Prevention Program Study Repository
Medline Plus: Metformin

At the age of 100, Xing Yi Master Wang Ji Wu Describes His Principles of Living a Healthy Life

This gem was brought to my attention by licensed acupuncturist and tai chi teacher Robert Martinez of New York City. Thanks Robert! It has wonderful words of wisdom for anyone interested in health, and for doctors and martial artists in particular.

I believe it may have been taken from this book, Xing Yi Nei Gong.

The Heart is Calm, Quiet as Still Water
My own history is from the end of the Qing Dynasty, through the period of the republic to the People's Republic, already a hundred years. My life has seen its share of ups and downs, times of poverty and hardship, honor and dishonor, the changes of the seasons, all of which have left a deep impression on me. After the founding of the People's Republic, my life became stable, but with the Cultural Revolution, disaster once again overran the country and I was forced out of business. All of these events served as a means of cultivating my spirit, and afforded me the opportunity to practice the "gong fu" of living in the world.

One must always maintain a calm heart even when influenced by the Seven Emotions; joy, anger, happiness, worry, sadness, fear, and surprise. The heart must remain as calm as still water, never allowing any personal desires to stir up a ripple of disturbance. My thoughts are pure; in spirit I seek to forget myself and transcend the common affairs of the world, keeping my life simple and my desires few. With a clear heart, I do not contend with others or make demands upon the world, but rather seek to contribute what I can for the benefit of all, aiding those in need and protecting those in danger.

Without desire one is strong, without desire one is quiet, without desire one may return to that which is natural, without desire one returns to the Original State. With a heart like still water, from the extreme stillness will spring action, from the Void comes that which is alive, yin and yang are in harmony and the qi flows unimpeded. With a heart like still water, the qi is sufficient and the spirit full. When the qi is sufficient and the spirit full, the Organs function normally, the blood is nourished, the meridians, nerves, digestion, and circulation are all healthy and the metabolism stimulated. When the factors that prevent aging are all strong, one may prevent illness and live a long and healthy life.

Humans are holistic beings which are possessed of a certain vitality. The spirit and flesh are inseparable and form a complicated entity. The human vitality supports, influences, and is responsive to the person as a whole, while the spirit is the leader and controller, the "commander-in-chief" of the being as a whole. Under certain circumstances, it can be said that the spirit, "pulls one hair and the whole body follows," or, at the slightest stirring of the spirit the whole being responds, and each movement of the spirit has a real effect on the individual. Therefore, I put special emphasis on the spirit as leader, ever strengthening my resolve to cultivate the spirit, maintain calmness of heart, and become as pure as light without a speck of dust. This is akin to the Song Dynasty poet who wrote "to understand the highest virtue" applied to the present time. Better yet, this cultivation of the spirit and heart will improve the physical constitution of the people, protect their health, and contribute to a long and healthy life.

Live an Enthusiastic Life, Serve the Public Good
I have traveled the long road of life, experiencing hardship, difficulty, and I know the sentiment of man is often as thin as paper. I have seen corruption and those whose only concern is realizing their own desires. Because of this, I have striven even harder to live a practical life, willing to sacrifice even more for the good of the people. After the founding of the Republic, I spent my time working in the streets as a doctor, treating anyone who came to me for help with wholehearted enthusiasm. When one finds happiness in serving others, one will be full of the spirit of life, seeing things as they are with a calm heart. Thus, one may reach the state where the spirit is preserved within, the body is healthy and the spirit full, the intellect wise, decisions made adroitly and reactions made spontaneously. Consequently, the life energy will be strengthened and increased while promoting the health and longevity of the body.

Happy Thanksgiving everyone!

Run Barefoot!

I'm going to try this... as soon as I can find a place to run that is relatively free of glass and/or dog poop... so it may be awhile.

Runners are baring their very soles - L.A. Times
Running Barefoot

To Prevent Osteoporosis: Exercise, Exercise, Exercise

Think Wang Pei Kun has a bone density problem? Please.

What is osteoporosis? According to the Merck Manual:

Osteoporosis is a progressive metabolic bone disease that decreases bone density (bone mass per unit volume), with deterioration of bone structure. Skeletal weakness leads to fractures with minor or inapparent trauma, particularly in the thoracic and lumbar spine, wrist and hip.

You've heard of the little old lady who falls down and breaks her hip? She's got osteoporosis. Fortunately there are a number of things that the little old lady can do to increase bone density and prevent fractures without the need for poisonous pharmaceutical drugs such as Fosamax, which can actually cause mandibular osteonecrosis. "Mandibular osteonecrosis" is a fancy way of saying that it kills your jaw bone. Let's not play Abel to Fosamax's Cain, okay? (Ironically, Fosamax is a product of the Merck pharmaceutical company)

Important to note is that osteoporosis is what the Merck Manual calls a "metabolic" disease. This means it is not caused by any external bacteria or virus. You can't catch osteoporosis from anyone. Your own body can create the condition of osteoporosis, and it can also therefore reverse that condition.

The number one thing that you can do to increase bone density and decrease the risk of osteoporosis is EXERCISE. Numerous studies have confirmed that even gentle exercise such as taijiquan can increase bone density. If you're not crazy about taiji, try yoga, or weightlifting, or jogging or even walking. Here's a sample of the literature on bone density and exercise:

• Tai Chi May Help Maintain Bone Mineral Density in Postmenopausal Women
  
• Bone density sharply enhanced by weight training, even in the elderly
  
• The American Society of Bone and Mineral Research says: "Research helped us to understand the need for weight-bearing exercise to build and maintain bone in order to reduce fracture risk. Falling can be reduced by strength-building exercise that increases balance and flexibility." Unfortunately they contradict themselves in the very same document (PDF) when they say "Research identified and demonstrated a variety of drugs that can reduce bone loss and fractures and even build new bone. Thirty years ago there was no treatment for osteoporosis." If weight-bearing exercise increases bone density, isn't that a treatment for osteoporosis? Unless I have been sorely misled, exercise wasn't invented less than thirty years ago.

According to Chen and Chen's formula book, there are four formulas one can use to treat osteoporosis. Obviously your options are not limited to these four formulas (独活寄生汤 Du Huo Ji Sheng Tang, anyone?) but it's a good starting point.

Kidney Yin Deficiency: 左归丸 Zuo Gui Wan
Kidney Yang Deficiency: 右归丸 You Gui Wan
Kidney Jing Deficiency: 龟鹿二仙胶 Gui Lu Er Xian Jiao
Spleen Qi Deficiency: 参苓白术散 Shen Ling Bai Zhu San

Fat Turtle Herb Company can fill all these formulas to your exact specifications in different formats: raw herbs, pre-cooked vacuum packs, granule and capsule.

p.s. The occasion for this post was a NY Times article on osteoporosis which ignores even their own archives. As my nephew Joey would say, with his hands on his head: Ai yai yai yai yai!

Exercise Prevents Senility

Master Guo Lian Ying (aka Kuo Lien Ying)

Yet another reason to exercise...

For the past week I've been getting up at roughly 6 a.m. and going to Mar Vista park to stretch and engage in a little "physical culture." I've been doing a mix of kung fu exercises, qi gong, tai ji quan. People get out early to this park - there's a dedicated group of middle-aged Chinese women who are out practicing their tai ji sword form, and occasionally you see others doing different kinds of tai ji. The basketballers and the soccer players are out pretty early too. People are there with their dogs, too, but mostly they let the dogs play for them.

It's been a long time since I've dedicated myself to practice everyday. The difference is incredible. My digestion is better, my energy is flowing and relaxed at all hours of the day, my jokes are funnier and my mood is better. This is one of the benefits of running your own business - you can set your own hours.

Bump: Crossfit Pacific Coast

Our classmate Traver Boehm L.Ac has opened up a Crossfit gym in Santa Barbara. Take a look!

Crossfit Pacific Coast

Swine Flu, Concerned Parents, Western Medicine and Chinese Medicine

Yesterday I got an email from my dad. I've been sick for the past few weeks, but what with finals and the end of school, I only got serious about treating it last Friday, when I went to see Dr. Yuhong Chen at the Yosan clinic (scroll down to read her bio). I had two acupuncture treatments and she wrote a kick-ass herbal formula, and five days later I'm back to 100%.

My main symptom was sore throat, persisting for three weeks, plus fatigue, and at various points during that four weeks I had body aches, slight fever, night sweats, thick sticky green phlegm streaked with blood, thin white phlegm, and probably something else too. It sounds bad when I write it all out, but it didn't bother me too much. All those symptoms didn't occur at the same time, and when they did occur they only lasted a day or so. The only thing that persisted was the sore throat.

In a phone conversation last weekend, my dad suggested that I go get a throat culture and, if it turned out to be strep throat, take antibiotics. I told him that I was fairly sure it wasn't strep, and even if it was, I'd rather take Chinese medicine. Like many Americans, I don't have health insurance, and my last trip to the ER cost me nearly $1000.

Then the swine flu media panic got out of control over the weekend, and I had the email exchange reproduced below with my dad. I guess I was a little defensive about Chinese medicine - after all, I just spent four years studying this completely different, completely effective system of medicine, and now my dad wants me to take antibiotics and Tamiflu? Sheesh.

But I think it's instructive about the way a lot of people feel about Chinese medicine - that's it's good for mild symptoms, but if it's "something serious," then you absolutely have to "go see a doctor," which means an M.D. The fact is, Chinese medicine can treat everything. Let me say that again: Chinese medicine can treat everything.

And now, without further ado...

>>>>>>>>>>>>>>>>>>>>>>>>>>>
11:54 AM (22 hours ago)
(My Dad)
to me

Hey Jonah,

Not sure if your symptoms fit this profile, but if they’re in the ballpark I would urge you to go to a clinic or even a hospital ER somewhere to get a test. This has public health implications – the only way the CDC can track what’s happening is by monitoring test results – but more important the health networks are well stocked with anti-virals (tamiflu and another one whose name I forget) that so far have been effective if the result turns out positive. So no need to panic, but also no reason not to be proactive. From the news reports it looks as if this could get serious down the line. As you have probably been reading, the group most at risk from this outbreak are healthy young adults in the 20-40 age range.

Love,

Dad



From: Lisa
Sent: Sunday, April 26, 2009 7:29 PM
Subject: IMPORTANT UPDATE! Swine Influenza Outbreak.
Importance: High

Fellow Employees:

The World Health Organization (WHO) and Center for Disease Control (CDC) have confirmed an outbreak of the Swine Influenza A/H1N1 (swine flu) in Mexico with now twenty (20) confirmed cases in the United States. Swine Influenza is a respiratory disease found in pigs caused by type A influenza that regularly causes outbreaks of influenza among pigs. CDC has determined that this swine influenza A (H1N1) virus is contagious and is spreading from human to human. However, at this time, it not known how easily the virus spreads between people.

The symptoms of swine flu in people are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills and fatigue. Some people have reported diarrhea and vomiting associated with swine flu. In the past, severe illness (pneumonia and respiratory failure) and deaths have been reported with swine flu infection in people. Like seasonal flu, swine flu may cause a worsening of underlying chronic medical conditions.

Spread of this swine influenza A (H1N1) virus is thought to be happening in the same way that seasonal flu spreads. Flu viruses are spread mainly from person to person through coughing or sneezing of people with influenza. Sometimes people may become infected by touching something with flu viruses on it and then touching their mouth or nose.

Your health and the health of your family is greatly important. Please take some general precautions during this time.

Since influenza is thought to spread mainly person-to-person through coughing or sneezing of infected people, there are many things you can to do preventing getting and spreading influenza:

Everyday actions:

· Cover coughs and sneezes with tissues or by coughing into the inside of the elbow. Throw the tissue in the trash after you use it.

· Wash your hands often with soap and water for 20 seconds, especially after you cough or sneeze. Alcohol-based hands cleaners are also effective.

· Avoid touching your eyes, nose or mouth. Germs spread that way.

Try to avoid close contact with sick people.

· Limit close contact (within 6 feet) with others when possible.

· Stay away from places where there are large groups of people.

· If you get sick, CDC recommends that you stay home from work and limit contact with others to keep from infecting them.

All offices remain open at this time. However, we would like to recommend that business travel to/from Mexico be delayed/re-scheduled. In lieu of travel, please consider conducting conference calls and/or video conferences.

The following link is the CDC’s Q&A which provides the detail regarding when to contact your health care provider, especially for children or someone with pre-existing health issues. http://www.cdc.gov/swineflu/swineflu_you.htm

We will continue to send you updates on any important information as it becomes available. Please contact your HRBP or the Benefits Team if you have any other questions or concerns.

Regards,

Lisa
Vice President, Human Resources

--------------------------------------------------
1:23 PM (21 hours ago)
Jonah Ewell
to (My Dad)

Hey Dad,

I appreciate your concern! But I'm getting much better. Chinese medicine is much much more effective for any kind of influenza than drugs. When SARS broke out in China, they used herbal medicine. If Chinese medicine were in wider use in the Americas, swine flu would be much easier to contain. Obviously, to treat the root of the problem you need to stop having factory farming and crowding huge amounts of pigs together, which concentrates effluvia (aka pigshit!) and breeds disease. Until that happens, Chinese medicine, handwashing, and rest are the best way to recover from a flu.

I'm currently taking a Chinese herbal prescription which consists of 15 herbs. Some of the key herbs, such as 茵陳蒿 Yin Chen Hao (a type of artemisiae) and 山豆根 Shan Dou Gen (a type of sophora root) have been proven in laboratory testing to have broad-spectrum antiviral and antibacterial actions. No need to worry, Chinese medicine is on the case!

love,
Jonah
------------------------------------------------

1:53 PM (20 hours ago)
(My Dad)
to me

OK, sounds good. But do you know whether you have the particular virus that’s in the news?

Love,

Dad

---------------------------------------------------------

2:35 PM (19 hours ago)
Jonah Ewell
to (My Dad)

In the framework of Chinese medicine, it's unimportant what exact microbe or virus is causing you problems. Western science and medicine is reductionist, always looking for that ONE THING that they can point to and say is the cause of illness. When you find the exact bacteria or virus, all you have to do is kill it, or remove it, or block it, or any of the other things Western medicine does. This is a relatively recent development, hinging on the invention of advanced microscopes. Thanks to these instruments, we have made incredible advances in being able to look at and detect these small microbes and viruses, which has helped the world deal with serious health problems. However, as we are seeing, looking for the one microbe and trying to eliminate it is a textbook case of missing the forest for the trees.

What causes disease? Why do some people get sick and others don't? If the swine flu was really so contagious, why haven't more people become sick and died? According to what I've heard on the radio and read in the newspapers, less than 10% of people with swine flu have died. Over 90% recover. Think of fruit in a basket. If you leave it for awhile, you might find that one piece of fruit has mold on it. Another piece of fruit, sitting right next to it and even touching it, cheek-by-jowl, is unaffected. Why is that?

Louis Pasteur, the father of modern bacteria studies (the process of pasteurization was named for him) was said to have renounced bacteria-based medicine on his deathbed, saying "Terrain is everything." Terrain means our bodies, our immune system, our environment. If you have a strong immune system (what the Chinese call 卫气 wei qi, or defensive qi) without underlying deficiencies, and live in harmony with your environment, you will not become sick.

Chinese medicine has, over the course of 2000-3000 years of recorded history, developed a number of powerful diagnostic systems that, properly applied, can cure nearly everything. Modern medicine has a place, and it adds to the world's knowledge. But it doesn't replace Chinese medicine.

Chinese medicine looks at the totality of a person and treats the person, not the disease. The herbal formula I'm taking was written exactly for me, taking into account all my body systems, my constitution and my presenting symptoms. This is what good medicine is. Simply telling millions of people, young, old, tall, short, skinny, fat, to go dose themselves with Tamiflu is ridiculous.

If you have an epidemic situation, in Chinese medicine it falls under the general classification of 温病 wen bing, or warm disease. There are many subcategories within it, but one of note is called 杂气 za qi, or miscellaneous qi. This is a type of qi that arises under special circumstances and is outside the realm of the ordinary system of Chinese medicine, which holds that there are six types of exogenous pathogens. This seventh type of qi was discussed by 吴有性 Dr. Wu Youxing in his work the 温疫论 Wen Yi Lun in 1642 A.D., many centuries after the main classics of Chinese medicine were written but two centuries before Dr. Pasteur made his discoveries in the area of germ theory.

In other words... don't worry!

love,
Jonah

--------------------------------------------------

6:05 PM (16 hours ago)
(My Dad)
to me

In principle I can see your point, but the 1918 flu pandemic killed millions of people in a single year before it ran its course, and the treatments that have been developed since then to combat viruses of this type are pretty specific and pretty effective once the agent has been identified. Not sure of the details, but I think that anti-virals are different from antibiotics, which are less specific and also ineffective against viruses. Also, according to the NYT article on it yesterday, what makes this particular virus so deadly is not so much what it does directly as the immune reaction that it triggers, literally drowning the patient as the body tries to activate its natural defenses to meet a perceived but not well understood threat. Viruses (which are basically small free-floating pieces of genetic code) are tricky, and developing an effective anti-viral agent on the molecular level seems mostly to be a matter of strategy. So maybe the most appropriate medical text for this kind of threat would be the Sunzi…

Anyway, my 2 cents for what it’s worth.

Love,

Dad

-------------------------------------------------------

10:03 PM (12 hours ago)
Jonah Ewell
to (My Dad)

Sunzi is used as a medical text, but antiviral medications are a far cry from the wisdom of Sunzi. One of Sunzi's basic tenets is to follow the laws of Heaven and Earth. In medical terms, that means the exterior and the interior, the environment and the body. Viruses are highly adaptable, which is why getting a flu shot is such a crap shoot. They have to guess which flu strain is going to go around, and a lot of times they get it wrong, so all these old folks are immunized against something which poses no threat, and they have no defense against the flu strain that actually does come around.

They would be far, far better off to do the basics: light exercise daily, eat foods in accordance with the seasons, and have a stable emotional life. Add handwashing, proper clothing for the weather, and there's your natural flu vaccine. It's easy to tune out because it's so basic. The basics are hard! Huaching Ni says that having a normal life is actually quite difficult, and that few people ever achieve it. Instead of focusing on the basics, everyone's looking for the magic pill or injection which is going to allow them to continue with their bad habits.

The CDC is doing their job by telling people to wash their hands (http://www.cdc.gov/swineflu/), but that doesn't get picked up by the media. Everyone's looking for a vaccine or treatment. As the Neijing says, treating an illness after it has started is like digging a well when you get thirsty, or forging weapons after the battle has begun.

There is an "attacking school" or "detoxification school" of Chinese medicine that concentrates on using harsh, bitter, cold herbs to drive pathogens from the body (攻邪学派 Gong Xie Xue Pai). It's one of the four famous schools of medical thought from the Jin-Yuan period. Most modern western medicine can be thought of as an extreme example of the attacking school. Antibiotics, antivirals, chemotherapy, radiation, are all very effective if used correctly (big if) but they absolutely destroy your body and leave it open to further attack. This mode of thought is just one of many overlapping theories that are used concurrently in Chinese medicine, and certainly not a dominant one.

love,
Jonah

-----------------------------------------------------
10:34 PM (11 hours ago)
Jonah Ewell
to (My Dad)

You're correct in that strategy is important, but if the only time you apply strategy is in a quest to find the best anti-viral medication, that's a misapplication of strategy. Everyone is looking through the microscope, which is fine, but if the virus is underneath a microscope that means it's not in a human body. At the same time as you bend over the microscope, you also have to step back and look at what's going on in a real live sick person, and then step back again to look at where that person lives, the state of the environment in which he or she lives, and all the people around them, sick or not. The strength of Chinese medicine is that we deal with living systems in their natural environments.

Modern machinery is great - who wouldn't want an MRI machine to peer inside the body? - but it doesn't replace the basics of the four examinations - palpation, listening/smelling, observation, and questioning. When you add blood tests, X-rays and scopes to that, you have a some very powerful diagnostic tools. If you rely too much on the machines and lab reports, as many modern doctors tend to do, you can very easily be misled. Western medicine, until very recently, made good use of palpation, physical exam, and the verbal investigation to form a complete diagnosis. Nowadays, it's just testing. Some of my patients in the clinic get sent for test after test after test. Some of these tests are very invasive, and at the end of it the doctors say, "we can't find anything wrong. It must be psychological." Well, they're looking in the wrong place, with the wrong tools, and the wrong mindset.

Dao of the Day

Dr. Alex Feng is my martial arts teacher since I was a child. He's also a Chinese medicine doctor, licensed acupuncturist, and Taoist leader. Once a month, in Oakland, California, he gives a talk about Taoism and leads a meditation. Now there are two videos of these talks online, and I'm pleased to be able to share them with you!

This is a long video, but at about the 31-minute mark he talks about centenarians, those who live to be 100 years old.

There are a couple common denominators. It's not about do you smoke; it's not about do you eat fish, or vegetable or zucchini or ling zhi or ginseng, or chicken or tofu, it's not about that. Do you drink alcohol, whiskey, wine, lime juice... it's not about that. It's about number one: can you still walk? Motility, mobility. That's why tai ji says, first things first: train your legs, train your foundation.

Two, interestingly enough, all the centenarians were still working. Working. Busy. They got things to do, places to go, hands to shake, babies to kiss... people to make contact with. There's service, they're still servicing. Selflessly. Wu wei.

Enjoy.

'Alternative' Medicine is Mainstream: Wall Street Journal Opinion

Note: This opinion piece does a great job of pointing out the huge advantages of natural health care and preventive medicine over pharmaceutical and surgery based medicine. It was written by four well-known names in the field of natural medicine in the U.S.: Deepak Chopra, Dean Ornish, Andrew Weil, and Rustum Roy. It also highlights some of the excellent research being done on natural medicine (all links were added).

In mid-February, the Institute of Medicine of the National Academy of Sciences and the Bravewell Collaborative are convening a "Summit on Integrative Medicine and the Health of the Public." This is a watershed in the evolution of integrative medicine, a holistic approach to health care that uses the best of conventional and alternative therapies such as meditation, yoga, acupuncture and herbal remedies. Many of these therapies are now scientifically documented to be not only medically effective but also cost effective.

President-elect Barack Obama and former Sen. Tom Daschle (the nominee for Secretary of Health and Human Services) understand that if we want to make affordable health care available to the 45 million Americans who do not have health insurance, then we need to address the fundamental causes of health and illness, and provide incentives for healthy ways of living rather than reimbursing only drugs and surgery.

Heart disease, diabetes, prostate cancer, breast cancer and obesity account for 75% of health-care costs, and yet these are largely preventable and even reversible by changing diet and lifestyle. As Mr. Obama states in his health plan, unveiled during his campaign: "This nation is facing a true epidemic of chronic disease. An increasing number of Americans are suffering and dying needlessly from diseases such as obesity, diabetes, heart disease, asthma and HIV/AIDS, all of which can be delayed in onset if not prevented entirely."

The latest scientific studies show that our bodies have a remarkable capacity to begin healing, and much more quickly than we had once realized, if we address the lifestyle factors that often cause these chronic diseases. These studies show that integrative medicine can make a powerful difference in our health and well-being, how quickly these changes may occur, and how dynamic these mechanisms can be.

Many people tend to think of breakthroughs in medicine as a new drug, laser or high-tech surgical procedure. They often have a hard time believing that the simple choices that we make in our lifestyle -- what we eat, how we respond to stress, whether or not we smoke cigarettes, how much exercise we get, and the quality of our relationships and social support -- can be as powerful as drugs and surgery. But they often are. And in many instances, they're even more powerful.

These studies often used high-tech, state-of-the-art measures to prove the power of simple, low-tech, and low-cost interventions. Integrative medicine approaches such as plant-based diets, yoga, meditation and psychosocial support may stop or even reverse the progression of coronary heart disease, diabetes, hypertension, prostate cancer, obesity, hypercholesterolemia and other chronic conditions.

A recent study published in the Proceedings of the National Academy of Sciences found that these approaches may even change gene expression in hundreds of genes in only a few months. Genes associated with cancer, heart disease and inflammation were downregulated or "turned off" whereas protective genes were upregulated or "turned on." A study published in The Lancet Oncology reported that these changes increase telomerase, the enzyme that lengthens telomeres, the ends of our chromosomes that control how long we live. Even drugs have not been shown to do this.

Our "health-care system" is primarily a disease-care system. Last year, $2.1 trillion was spent in the U.S. on medical care, or 16.5% of the gross national product. Of these trillions, 95 cents of every dollar was spent to treat disease after it had already occurred. At least 75% of these costs were spent on treating chronic diseases, such as heart disease and diabetes, that are preventable or even reversible.

The choices are especially clear in cardiology. In 2006, for example, according to data provided by the American Heart Association, 1.3 million coronary angioplasty procedures were performed at an average cost of $48,399 each, or more than $60 billion; and 448,000 coronary bypass operations were performed at a cost of $99,743 each, or more than $44 billion. In other words, Americans spent more than $100 billion in 2006 for these two procedures alone.

Despite these costs, a randomized controlled trial published in April 2007 in The New England Journal of Medicine found that angioplasties and stents do not prolong life or even prevent heart attacks in stable patients (i.e., 95% of those who receive them). Coronary bypass surgery prolongs life in less than 3% of patients who receive it. So, Medicare and other insurers and individuals pay billions for surgical procedures like angioplasty and bypass surgery that are usually dangerous, invasive, expensive and largely ineffective. Yet they pay very little -- if any money at all -- for integrative medicine approaches that have been proven to reverse and prevent most chronic diseases that account for at least 75% of health-care costs. The INTERHEART study, published in September 2004 in The Lancet, followed 30,000 men and women on six continents and found that changing lifestyle could prevent at least 90% of all heart disease.

That bears repeating: The disease that accounts for more premature deaths and costs Americans more than any other illness is almost completely preventable simply by changing diet and lifestyle. And the same lifestyle changes that can prevent or even reverse heart disease also help prevent or reverse many other chronic diseases as well. Chronic pain is one of the major sources of worker's compensation claims costs, yet studies show that it is often susceptible to acupuncture and Qi Gong. Herbs usually have far fewer side effects than pharmaceuticals.

Joy, pleasure and freedom are sustainable, deprivation and austerity are not. When you eat a healthier diet, quit smoking, exercise, meditate and have more love in your life, then your brain receives more blood and oxygen, so you think more clearly, have more energy, need less sleep. Your brain may grow so many new neurons that it could get measurably bigger in only a few months. Your face gets more blood flow, so your skin glows more and wrinkles less. Your heart gets more blood flow, so you have more stamina and can even begin to reverse heart disease. Your sexual organs receive more blood flow, so you may become more potent -- similar to the way that circulation-increasing drugs like Viagra work. For many people, these are choices worth making -- not just to live longer, but also to live better.

It's time to move past the debate of alternative medicine versus traditional medicine, and to focus on what works, what doesn't, for whom, and under which circumstances. It will take serious government funding to find out, but these findings may help reduce costs and increase health.

Integrative medicine approaches bring together those in red states and blue states, liberals and conservatives, Democrats and Republicans, because these are human issues. They are both medically effective and, important in our current economic climate, cost effective. These approaches emphasize both personal responsibility and the opportunity to make affordable, quality health care available to those who most need it. Mr. Obama should make them an integral part of his health plan as soon as possible.

Qi Gong For Diabetes

Great Medical Advice from Thousands of Years Ago

The sages of ancient times emphasized not the treatment of disease, but rather the prevention of its occurrence. To administer medicines to diseases which have already developed and to suppress revolts which have already begun is comparable to the behavior of one who begins to dig a well after he has become thirsty and of one who begins to forge his weapons after he has engaged in battle. Would these actions not be too late?

- The Yellow Emperor's Internal Classic, Simple Questions, quoted in Tao: The Subtle Universal Law and the Integral Way of Life by Hua-Ching Ni

Seems pretty straightforward, doesn't it? Hua-Ching Ni goes on to explain that, in the Chinese system, "it is possible to detect energy imbalances long before they are seen as an overt disease."

From the point of view of modern medicine, health is merely the absence of disease. But, by taking a preventive route, one may elevate one's general state of health to a level at which one may consistently enjoy a positive feeling of well-being with an abundance of physical and mental energy.

Sounds great, doesn't it? How does one get there, to a state of health where you just feel great and have lots of energy all the time? Four things: regulation of the mind and your emotions, proper physical activity, proper diet, and staying in tune with the four seasons ("proper" here means both the right amount and the right type).

Acupuncture Mitigates Side Effects of Conventional Breast Cancer Treatments

There's a new study which confirms that acupuncture can relieve the unpleasant side effects of standard medication. In this case it's tamoxifen and anastrozole, which are used to help prevent recurrence of breast cancer.

Tamoxifen is a selective estrogen reuptake modulator (SERM), which disrupts the body's ability to bind with estrogen. Anastrozole decreases the amount of estrogen made by the body in the first place. Estrogen is targeted because some breast cancers respond to estrogen.

This is from the National Cancer Institute:

The known, serious side effects of tamoxifen are blood clots, strokes, uterine cancer, and cataracts (see Questions 5–8). Other side effects of tamoxifen are similar to the symptoms of menopause. The most common side effects are hot flashes and vaginal discharge. Some women experience irregular menstrual periods, headaches, fatigue, nausea and/or vomiting, vaginal dryness or itching, irritation of the skin around the vagina, and skin rash. As with menopause, not all women who take tamoxifen have these symptoms. Men who take tamoxifen may experience headaches, nausea and/or vomiting, skin rash, impotence, or a decrease in sexual interest.

And this from the NY Times:

The acupuncture worked just as well as the antidepressant Effexor to curb hot flashes. Women who received acupuncture also reported fewer side effects and more energy, and some reported an increased sex drive, compared to women who used Effexor, the study showed.

So, to recap: All the women in the study were taking tamoxifen and anastrozole. Half of them took Effexor, and half got acupuncture once or twice a week for twelve weeks.

This sort of study is very important in advancing acceptance of acupuncture in mainstream circles. For those women who are taking these highly toxic medications, which suppress the production of their natural hormones, acupuncture should be available to alleviate their suffering.

If we accept the dominant bacteriological medical paradigm, this is the best that acupuncture can do: cleaning up around the edges after the worst diseases have taken their toll. This role is least threatening to pharmaceutical money and M.D. status, and therefore is not crushed.

The "modern" medical model ignores the role of emotion, jeers at notions of "energy" and would rather wait years for highly selective "evidence" to become available before admitting that dirty air and chemically-tainted water can cause disease.

But if we are true to our medicine, and do our best to advance the Chinese medical model of health, that is where I believe we will do the most good. Cancer is a form of stagnation. Therefore, to avoid stagnation, you have to move. It follows that exercise is one the single best ways to treat just about everything.

Stagnation can also be caused by overburdening the body's digestive system. Therefore, to avoid stagnation, don't eat too much. Limit your intake of fatty, greasy and sweet foods.

Lots of people talk about the "mind-body" connection, but in Chinese medicine there is no clear line between the mind and body. The mind, as a set of neuro/emotional habits distinct from the physical brain, is a part of the body just as much as your thigh bone or your endocrine system. In Chinese medicine, we say that long-term stagnation can transform into fire, and that is certainly true of emotions. It is therefore vitally important to your health that you understand your emotions. Meditation is a wonderful way to separate yourself from your "self", to gain some perspective on your personality and see yourself from the outside. When you realize that you aren't a slave to your emotions, the whole world becomes your playground. Or so I'm told... I've still got work to do in that department. ;)

Eat well, exercise, and express yourself - the three E's. It's easy advice to ignore because it's so bland. But it becomes less bland when you personalize it. One person's eating well is entirely different from another person's eating well - a small, weak person needs fortifying foods like lamb and small amounts of alcohol to aid circulation. But give that same prescription to a 6 foot tall, 300 pound 50-year-old man with high blood pressure and you'll be sending him to an early grave. Some people have a lot of energy and need to go to kickboxing class to work it off, while for some others, some gentle tai ji quan or qi gong would be best. And of course, emotional expression varies widely.

There is a fourth E! The three E's should be done everyday! Avoid cancer! Live your life! Be happy!