Your Liver: Free & Easy Wanderer

https://www.chinesemedicineliving.com

According to Western medicine, the Liver filters toxins out of the blood and metabolizes medicines. It also secretes bile which allows the digestive system to break down fats. Finally the Liver stores glycogen (a fuel source) for the body until it’s needed.

From a Chinese medical perspective, the Liver is in charge of distributing Qi to the body in a consistent and even manner. When the Liver is functioning properly, Qi gets to all the organs and tissues that need it. There is no pain throughout the body, the digestion works harmoniously, sleep is deep and restful. “Free and Easy Wanderer” is the name given to an important Chinese herbal formula that keeps the Liver Qi moving freely. I imagine the well-functioning Liver as a happy old hippy wandering around shaking hands, high-fiving people and giving pep talks. Everyone’s getting the Qi they need and everyone’s happy. 

When the Qi isn’t moving freely big problems result: neck and shoulder tension, a predisposition to anger, pain in the body, PMS, alternating constipation and diarrhea, to name a few. Here, I am reminded an officemate I used to work with years ago. Red face, red eyes, shouting voice, angry, he was plagued by digestive issues and high blood pressure. He always looked ready to explode at any moment. He would ignore those of us around him for hours and then burst in and yell “Where are those reports? Why haven’t gotten back to me about what the customer said?!” This is the perfect example of what the Liver does when it is not in balance: too little followed by too much. In the case of GI problems, first the Liver fails to provide Qi to the organs of digestion (the Spleen and Stomach). A lack of Qi can cause gas, bloating, a feeling like food is just sitting in the Stomach, and dull pain. When the Liver sends too much Qi to the Spleen and Stomach this results in cramping and diarrhea.     

When the Qi doesn’t move freely in the muscles and the joints? You guessed it: Pain. Qi stagnation can be caused by traumatic injury, overuse, or lack of exercise. Zhong Zhang Jing is one of the fathers of Chinese medicine and made famous this quote: “Where there is free flow, there is no pain. Where there is pain, there is no free flow.” Over time, the stagnation of Qi leads to the blood in the area becoming stagnant, too. This leads to chronic pain and pain of a more intense and stabbing nature. 

Another function of the Liver is that it “controls the sinews”. Sinews (tendons and ligaments) that do not receive enough Qi, Blood and nourishment from the Liver become dry, brittle, and prone to injury. Inflexible muscles, cramps, and spasms are symptoms of tissues that aren’t being nourished by the Liver. 

One of the great things about acupuncture is that we are by definition moving your Qi. The very act of putting a needle into the human body begins the process of moving Qi. This is one reason why most of us find acupuncture so relaxing: our Liver Qi gets to flow free and easy again. 

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Left Hand Community Acupuncture is located in the heart of Old Town Lafayette 
at the corner of Simpson St. and Michigan Ave. LHCA offers an affordable sliding 
scale of $25-$55. We do not ask for proof of income. You decide what you feel is 
fair to you and fair to us. We treat patients in a relaxed, group setting that promotes 
an atmosphere of healing. Caroline Adams is a Licensed 
Acupuncturist and nationally board certified. Acupuncture can help with a wide range 
of health issues including pain, stress, insomnia, arthritis, allergies, depression, 
headaches, fatigue, cold and flu, digestive issues, PMS, and many other health concerns.

http://lefthandacu.com 

720-248-8626

What's Blood got to do with it?

Ouch! Traumatic Injury
Blood stasis is what Chinese Medicine labels a "secondary cause of disease". Something else must happen before it occurs. The easiest example: you drop the fry pan on your foot, it causes a bruise. Literally a bruise is blood stasis: a bunch of capillaries are broken by the injury, the blood leaks out. Your body uses inflammation to shut down any additional blood loss. Inflammation causing swelling and limits the oxygen to the area. The lack of O2 is what causes the distinct black and blue color of a bruise.

You trip while training for the Bolder Boulder and sprain your ankle. What happens? The area turns black and blue, it swells: blood stasis. Do a good job of staying off your ankle, getting acupuncture, letting it heal, and doing gentle PT, you'll clear out the blood stasis. If, for whatever reason, the ankle isn't able to heal like it should, you'll end up with one of those chronic injuries that becomes painful when it's overused or when a weather front comes in.

The Stream Analogy
I was talking to one of my patients about blood stasis. She asked me: "How can blood ever be stagnant? It's pumping all the time." It's a good point, but think about a creek: the same amount of water flows through it all the time, but there are some places where the water rushes quickly. There are many places that the water slows and pools deeper. In these places, you might smell the musty smell of algae growing. It's harder for water to flow as smoothly through these areas. The more the water slows down, the harder it is to clean out the gunk, so this is where the dried leaves, muck and garbage collect. It works the same way in your body. Where qi and blood aren't moving smoothly, pain results.

The Low Down on the Slow Down
It's a maxim of Chinese Medicine that "The Qi leads the Blood".  When the qi slows down, we get qi stagnation.  When the qi stagnates long enough, eventually the blood slows down, too. My first  example is of my dear beloved aunt. We'll call her Auntie Katherine. Auntie Katherine has 'cankles', those kind of calf/ankles that flow over the tops of her shoes. She was never a very active sort and spends most of her time in a chair watching game shows. She rarely gets her heart rate up, so her Qi doesn't get moving much. Over time, the blood slowed down, too.  Her lower legs became swollen and covered in a spidery network of painful-looking veins. Sure, her blood is still flowing, but not flowing very efficiently, hence the fat ankles and painful legs.

In a Mess with Stress
Another example: Joe, a businessman is 45. He works at the Acme widget factory as an executive. His work is very stressful; he spends a lot of his days shouting into his speakerphone at the incompetant nincompoops he's forced to work with. Let's look at his signs and symptoms: headaches, high blood pressure, red face, and he's angry most of the time. Any of us can easily diagnose him with "stress". What do we know about stress? It stagnates the qi, slows it down, makes it flow erratically. Stagnate the qi long enough, you end up with blood stasis. Blood stasis in Joe's case might very well end up manifesting as a blood clot that causes a stroke or a heart attack.

Brrr!!!
Stagnant qi is not the only reason for blood stasis. Cold can play a part, too. Marcy, 25, is a competitive runner.  She has very painful menses, so painful in fact that she has to take a day off work to lay on the couch with a hot water bottle. When I asked her about her training regimen, she admitted that she ran outside winter and summer in shorts and a t-shirt. I asked her to either train inside when it was cold or to wear leg warmers to keep the acupuncture channels of the lower legs warm.  I told her if she wanted things to change, she needed to stop wearing flip flops, crop tops and capri pants in the winter months. She followed my recommendations, and along with Chinese herbs to warm the uterus, her pain ceased.

Wait? Aren't you supposed to put ice on traumatic injuries? Well, there's been a lot of discussion about that recently in the news. Some MDs and PTs feel that limiting the amount of inflammation in the area, by using ice, will speed healing. Others counter that it's actually slowing the healing process and there's no benefit to it. I'm of the opinion that you should only ice an injury *if* it brings relief and only for the first 24 hours. Then, switch to warm compresses.

I'm Lookin' at You Jackie Chan
Martial artists are at a great risk for hidden blood stasis. They are active enough that their Qi flows nicely. However, they spend a lot of time falling and getting hit. Their pulse is likely to cover the telltale "choppy" pulse of someone with blood stasis. Looking at the underside of your tongue is a good indicator for blood stasis. Does it have bulging purple or blue veins? That's a good sign you have some blood stasis going on in your body. If you see them, don't panic. Come in for an assessment and we'll determine the right course of action for you.

In Conclusion
The good news about blood stasis: it's reversible. There are lots of different ways to treat it including lifestyle, acupuncture and Chinese herbs.  The bad news about blood stasis, it's not as easy to clear out as Qi stasis and leads to significant issues over time. As usual, approaching problems early leads to easier and more effective treatment in the long run.

**Note: these case histories, although based on real people, are completely fictional.**

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Left Hand Community Acupuncture is located in the heart of Old Town Lafayette 
at the corner of Simpson St. and Michigan Ave. LHCA offers an affordable sliding 
scale of $25-$55. We do not ask for proof of income. You decide what you feel is 
fair to you and fair to us. We treat patients in a relaxed, group setting that promotes 
an atmosphere of healing. Caroline Adams is a Licensed 
Acupuncturist and nationally board certified. Acupuncture can help with a wide range of health 
issues including pain, stress, insomnia, arthritis, allergies, depression, headaches, 
fatigue, cold and flu, digestive issues, PMS, infertility and many other health concerns.

http://lefthandacu.com 

720-248-8626

Daith piercings for migraines?

Lately there's been a lot of buzz on the internet regarding Daith piercings as a cure for migraines.1 A "Daith" piercing bores a hole through the ear's innermost cartilage fold.2

Why would a piercing in the ear affect migraines? The man who pioneered auricular (ear) acupuncture, Paul Nogier, was a French neurologist. A lot of his patients were coming to him with a scar on their ears in a particular place. When asked they told him they had visited a lay healer who burned that point on their ears to cure them of sciatica. In an "ah ha" moment, he realized the entire body was connected to the ear.

Anyone who's had acupuncture at our clinic knows we use acupuncture points in the ears a lot. I call the ears the "keyboard to the brain". Using them, I can affect hormones, the nervous system, and the way the body processes pain. Ear acupuncture is one way among many that I, as an acupuncturist, have of encouraging your body to use its resources differently.

There are no recognized acupuncture points at the exit and entry points of the Daith piercing. It's actually closest to the "External Genitals" point. (Yes, I know, "eek!") My only theory for why this affects pain in the head is that a piercing here would redirect excess Qi from the top of the head to the root of the pelvis. Contrary to what you might have read on the internet, it's at least 1 cm away from "Point Zero" that regulates homeostasis in the body.

My opinion on the Daith piercing is that it might very well help some people. I'm willing to bet, however, that it doesn't help everyone. It's likely not a permanent solution and comes with some significant risks.

This piercing is very painful and takes between 3-6 months to heal. Extra care must be taken to avoid infection in the cartilage. If nickel allergies or sensitivities are an issue for you, a Daith piercing may cause more problems than it solves. A proper Daith piercing requires knowledge of advanced techniques by the practitioner. I would insist upon implant grade material for any piercing of this type.

A Daith piercing could theoretically stimulate the points so strongly and actively, the nervous system would be re-trained to accept a new pattern. For some people this new pattern might stick and they'll be "cured". For some folks, I suspect as soon as the piercing heals, their migraines will return. I'm sure there are migraine sufferers who have noticed no improvement or just feel it's so uncomfortable it keeps them from focusing on their other pains.

My concern with using piercings for relief is that they probably become "background noise". Just like repeatedly telling my kids to "pick up your socks!", the body eventually tunes this stimulus out. Any point that's overused will lose its effect. I have a piercing at the "eye" point in my ears, but I don't notice that I have any greater visual acuity because of it. An additional concern is that a piercing of this magnitude could well destroy the acupuncture points that we're trying to effect.

When I treat you with acupuncture, I start out with a hypothesis of what's causing your problem. Migraines have a number of different causes from a Chinese Medical perspective. You might have Liver Yang Rising, Yin Deficiency, Qi and Blood Deficiency, Phlegm Turbidity, or Fire rising in the Gallbladder Channel to name a few. I usually select points on the ears and the body to set a new pattern for your body to follow. I use points in the ears to calm down the parts of the brain that process pain. I use body points to set a strategy for reversing the negative pattern.

Sometimes I can't find any reactive points in the ears, so I have to rethink my strategy. For whatever reason, some folks are just not good candidates for ear acupuncture. There's no harm in putting needles there, but we're not going to have a powerful effect. Other patients have fantastic results with ear acupuncture. For these folks, I send them home with retention needles that are very much like a mini-piercing.

So, in short: do your research and try acupuncture first!

1 -Could a daith piercing solve your migraine problem ...
   -Daith Piercing: Migraine Cure?

2 https://en.wikipedia.org/wiki/Daith_piercing

Left Hand Community Acupuncture is located in the heart of Old Town Lafayette 
at the corner of Simpson St. and Michigan Ave. LHCA offers an affordable sliding 
scale of $25-$55. We do not ask for proof of income. You decide what you feel is 
fair to you and fair to us. We treat patients in a relaxed, group setting that promotes 
an atmosphere of healing. Caroline Adams is a Licensed 
Acupuncturist and nationally board certified. Acupuncture can help with a wide range of health 
issues including pain, stress, insomnia, arthritis, allergies, depression, headaches, 
fatigue, cold and flu, digestive issues, PMS, infertility and many other health concerns.

http://lefthandacu.com 

720-248-8626