onsdag 24 november 2010

Studying for tests

I´m back home here studying today. Tomorrow we have two tests in Points class. One is what they call summative – that is, the points count. The other is formative – a test for you for your own skill; points don´t count.

The summative test is on the Small Intestine channel, a general overview; the formative is on practical point location of what is called the wu shu, the Five Transporting-points or the Five Element points, now of the hand yang channels: Small Intestine, Sanjiao, and Large Intestine (see respective posts about these). We are also supposed to know a few other points on the channels. All this with added western anatomical language. (...Large Intestine 11 is on the lateral transverse cubital crease, between Lung 5 and the lateral epicondyle of the humerus...did this teach you how to feel the point energetically?..no...will we teach that during the course? According to older students, no...)

Found out yesterday that we do have the same build-up as the doctor-training in Chinese universities: we don´t get to treat patients until our third year. All the time before that in clinic is spent hanging around and watching, and learning from what the third-year students do well or badly.

Two essays are coming up in December: one on a class called Chinese medical Concepts, and one in what is called Therapeutic Relationships. We also have a practical summative test in Anatomy – the only one really, as we only get four classes of Anatomy during the course. We get huge amounts of Physiology though, including biochemistry, molecular structures, how molecular bonding works and other things completely irrelevant to being good at Chinese medicine. More Anatomy, one would have thought, could have been more interesting for the job.

In Concepts, we are currently going through the basics of the zangfu, the internal organs, and how they work in CCM. I´ll do a post on them later.

And tomorrow...students will needle each other for the first time ever. *drumroll, clash of cymbals and a single clownish sound played on a lone trumpet*

Yesterday, we were also lectured at about how the British Acupuncture Council works, what you might think about concerning yourself in practice and in clinic, how to act with patients, and on how the NHS works (sjukvården, på svenska). This might seem a bit early on to talk about given that the students are only two months into their course and that 95% of them have no previous knowledge of treating people professionally. Maybe it´s good to get it in early to get people to think. I don´t know. I do know that most of the class looked despondent and a bit overwhelmed at the information.

Yesterday afternoon after class, our study-group in the library were deep into the Five Transporting points despite that part of the test being formative. I think people are pressuring themselves on that, it´s better to give time to it. But everybody learns in different ways.

Come the final exams on Points, 80% of the points on the test have to be correct for you to pass. Including finding them, and describing them in anatomical language (...Large Intestine 1 is on the radial side of the index finger, on the dorsal aspect of the hand, on a line from the longitudinal line of the nail meeting the horizontal line, approximately 0,1 cun away from the nail...).

Early morning, heading for class

It´s dark. The famous London sky hasn´t opened yet: it´s being helped from below by the light of many windows. I get up, get some clothes on in my coldish room then stumble down to make breakfast. An hour, that´s usually what I give myself before walking off, an hour.

Commuter train, low voices, silent figures standing on the platform, preserving energy. A flurry of Metros, London edition; the hand-written sign in the station updating what tube-lines are working and which are not, which are delayed, which have ”good service”. They are saying that before the olympics here 2012, there will not be a single weekend with all tube-lines running, due to repair-work.

Get in to a London station, changing trains, the final leg in to central London. Then a short walk to the bus with London waking up more and more around me. The commuters have a grim and narrow intent, heading for work; bicyclists zoom by, often dressed in high visibility clothes that would make a clown on LSD feel embarassed about this After Ski-blue kilt he wears with his sparkling sequined harlequin coat.

The homeless, straggling in lines sometimes, waiting for food, sometimes just the lonely figure carrying a big backpack filled with bad memories and heading for one of the homeless-centers in central London to get breakfast, some coffee, other people for another kind of warmth.

See central London wake up; Tottenham Court Road station, St Giles, Tottenham Court Road itself where an alien fleet deposited all their tech geeks to open up computer- and video-stores, but only here, only here, so you don´t make the humans suspicious. Londoners on the bus, everywhere, usually fairly quiet and polite, sometimes freaking out from the pressure of big city life; maybe living in a really bad flat, going to a pretty bad job all day only to go back to living in a really bad flat in one of the concrete estates that surround London like islands of penal colonies.

Getting off the bus, going for a coffee to bring with me. I carry it like a small grail along the almost empty back-streets. At the university, there´s also almost no people in this early, just lights, cleaning-staff, a handful of students, the receptionist who sits there like a quiet queen on the figure-head of a ship. I log in with my card and muzzily head for the right room to do some training before class, carrying coffee.

Seeing a unicorn from the London bus

On my way into town one day, I see a unicorn in the window on the second floor of a house. It´s made out of papiér-machêr, professionally made, with half the body standing up and leaning against the window-frame. It has a short horn and it´s white, all white.

söndag 21 november 2010

Wingstrokes

Wingstrokes
my soul is flying again
not between lives

(yet)

but places
these two lives
different faces
facing
different faces

different responsibilities
like
lifting one tool
and putting down
another

going from
one house to
another
chiselling stone,
carving a front door
to stand life
and the rain.

They´re going to start needling people soon

my fellow students, that is. 99% of them for the first time ever. In class. Next week. First lesson where they´re needling another living human being. This is a big threshold for most people. There are acupuncturists who still, despite years of clinical practice, are afraid of using needles on their patients.

There are techniques to change your intent so that this works better and easier. Most don´t learn these, however, and have to make do with whatever they can come up with themselves, or what their teachers can help them with. Some of them can still carry a feeling that the needles are hurting or injuring patients, and without getting rid of that, working well with acupuncture and healing people gets difficult.

This is early to start needling others, I think. In the chinese acupuncture doctor trainings it takes much longer before you´re even let near a needle, and other courses in the West vary wildly across the board on it too, some fast, some only after a year or more.

It is early in the course to be doing this: barely three months in. The only needling most of the students have done is being taught twice in class how to needle pads, fruit or objects. Then we are supposed to go home and practice like hell...which most don´t, of course. Maybe it is good to get it done this quickly and get past that threshold, maybe it´s not. Most students are very nervous about it and we put together a little bit of practice for those who wanted to have a try before the class.

Acupuncture. If I´m skilled at it, will it help people greatly? Yes. Will it contain needles? Yes.

Tests

We have exams coming up before Christmas.

Including in Anatomy.

Ghaaaaa.

Sanjiao revisited: Triple Burner: the organ that is no organ (now with notes and smileys)

Currently we are going through the Sanjiao meridian in class. Test on Thursday. Ooops.
  Anyway. Sanjiao is usually translated as ”triple burner” in English. Literally, ”three burners”. It is a curiosity: an organ that has no physical, one organ linked to it.

All the other main meridians are linked to physical organs. In Chinese medicine (Classical Chinese Medicine, CCM) each organ has (at least) three levels: 1) the physical organ itself, what is an ”organ” to Western medicine, 2) the qi, energy of that organ, and the links from it to the rest of the body and how they work, and 3) the emotions and mind-states linked to that organ and to ourselves. All these three weave together in unity in Chinese medicine. They would never be seen as separate – even the act of seeing them as being able to separate leaves heads towards Western thinking. ”Separate” simply isn´t possible. And then there is also 4): how well the first three move in balance and harmony with the external world outside ourselves.


The body has three main sections. Upper burner – head to diaphragm. Middle burner – the diaphragm to belly button. Lower burner – everything beneath that. The function of the Sanjiao is making the flow and function between them smooth and balanced. This is one of many things that the Sanjiao meridian itself can work with. It´s a Yang meridian, where, for example, the Pericardium meridian we spoke about before, is a Yin meridian. They are a pair: Pericardium and Triple Burner.

This is one of those facets that you often have to treat people to make them discover that it´s possible. I have seen this work in real life, and seen how the needles awaken the link between the three jiao in the person. Suddenly, they feel a wholeness they never knew could be there. It´s very nice to watch. :) The kind of health that good CCM can give people is something that has to be felt personally to be understood. Here in the West, we simply have no tools for discovering the joy of that kind of health at all. There are no Western medical techniques that come even close. Most of us are programmed and brain-washed by bad Western science in how we view reality and health, and the depth these programmings go to is greater than most of us ever discover.


It is one of our first longer meridians, and covers a total of 22 points. The meridian itself starts at the ulnar (outer) side of the ring finger. From there it goes up the arm on the outer side, makes a brief jump over the shoulder and then goes on up to the side of the head, around and to the ear and touching eyes and throat. Part of this main channel also continues all the way through the body, through all the three burners, internally. There is another branch that touches the tounge, but this is the main one.

It has several bloody branches we have to study, along with all the other channels´ branches. Oh well. No-one said CCM was anything but complex and difficult to learn.


Treating the Sanjiao meridian weaves the three burners together with remarkable speed and smoothness. It can also treat problems with internal heat, balance the function of energy to the outside of the body, work with Wind in the body, and with certain kinds of ear- and eye-problems.

Ear-problems in CCM can be of many different kinds and for many different reasons. Loss of hearing in old people is often that their kidney energy is going down, which it does naturally through age, and this can often be treated fairly well through acupuncture. Sanjiao meridian-treatments would move more specifically to ear-problems caused by problems in the Wood element, the liver and gallblader, and how that has affected hearing. Same goes for eye-problems.


Treating it is also one way of indirectly working with and balancing the Pericardium, Fire Element and shen. In the older texts, the Sanjiao is seen as one of the conduits for yuanqi, the original qi of the body, which rests in the kidneys and lower dantian, and it can be worked and balanced to activate this when it has gone down or become inactive.

Yuanqi is the CCM term for the energy we are born with – some call it genetic qi, some call it original qi. It is the main part of your bank-balance for health all throughout your life. Some people are born with stronger yuanqi, some with weaker. The strong ones can work all hours of the day, party all night, and die healthy at 99. The weaker ones will have more health problems and issues, and will be fatigued and tired more easily. Problems with low yuanqi can be treated and balanced through CCM, as well as through specific kinds of qigong.


We are going to talk more about the Five Elements in a future post, and do the same with the concept of Wind in Chinese medicine. Wind is one of the liuxie, six evil influences, six major ways the our external environment can affect the health in our internal one. Of these, Wind is seen as the most important to protect against.

CCM talks about six main external pathogenic factors (try to work that phrase into an everyday conversation) that will affect a person from the outside. If the system is quite healthy, the effect is negligable: if it´s less healthy, it will be more affected by it. CCM teaches that external wind can get into the energy and body of the patient in energetic form. If the immune system, both in physical and energetic version, and the defenses aren´t strong enough, if you already are ill, old, have a cold, too tired, stressed – Wind can get inside to a greater depth and start causing more serious health-problems. There are techniques for diagnosing and treating this. Wind can also be a purely internal factor – emotions manifesting erratically could be seen as wind, for example; internal pain that moves around a lot with no fixed abode but comes and goes, moving, would also be seen as Wind.


The Yellow Emperor said, ”In heaven, there are winds from the eight directions, but for man, there are only winds of the five viscera, and what is the reason?”

Qibo answered: ”All the eight winds are evil winds that may hurt the human body. If one´s channels are being affected by the evil wind, it will further invade the viscera. When the viscera are touched by the evil wind through channels, one will contract disease and the winds of the five viscera will occur.”

- Neijing, chapter 4.

The eight winds of heaven” here are the winds from the eight directions in nature. In humans, this then shifts to how it affects the organs (viscera) linked to the Five Elements – in our discussion here, Sanjiao, Triple Burner, which is linked to Fire together with the Pericardium, Heart, and Small Intestine. If it goes into the body, it would first affect higher depths where the meridians (channels) are. If it goes deeper and starts creating more injury, it will come to the level of the organs themselves. Xie, evil, is an older phrase which harks back to the time when shamanism still infused Chinese medicine. Winds were seen not only as winds, but with the possibility of including evil wind spirits that might hurt you, instead of all the friendly ones who simply played with your clothes and hair. Today it would normally be translated as an ”external pathogenic factor”, and GoreTex has been invented, to the blessing of everybody.


...re-reading this I realize that I will have to write some explanations to this. I sometimes forget that people read this blog who don´t know something about Chinese medicine from before. I´ll write an annotated version of this post in a little while to remedy that...

Hope this did the job. :)

fredag 19 november 2010

On the bus

heading out one evening, the rain is pouring down outside and the bus is warming up inside, misting the windows. A young woman in front of me has punk badges on her bag; her ear-rings are filled with spikes and peace-signs.

She draws a cat next to her, on the window, just face and ears and whiskers and nose. The cat is looking to its right, in the direction the bus is going, and its nose looks like a small heart with two whiskers going out on each side. It´s quite square, this cat. I sit there smiling at it, and her, for a while. These small acts of humanity, of rebellion, of life.

The Physiology class

is now getting so much critique by our class and others in it, that we are putting together a petition for changes in the teaching format. Don´t know if anything will happen, but a lot of people are really tired and annoyed at how the classes are run at the moment. According to older students, it has been much the same the other years. We found out yesterday that a class two years before us did complain and changes were made, a little. What we are getting is an improved and upgraded version of theirs. And right now, the teacher only reads out loud from her notes during most of the class, and big subjects are covered every two pages without explanations as to what they really are and how they work before going on to next. So this is better than theirs? Jeez.

The class

is gelling as a group. It´s quite nice. We seem to have been very lucky in the people who are in it. This will make the next three-four years a lot easier – and a lot nicer.

tisdag 16 november 2010

Sanjiao, Triple Burner: the organ that is no organ

Currently we are going through the Sanjiao meridian in class. Test on Thursday. Ooops.
Anyway. Sanjiao is usually translated as ”triple burner” in English. Literally, ”three burners”. It is a curiosity: an organ that has no physical, one organ linked to it.

The body has three main sections. Upper burner – head to diaphragm. Middle burner – the diaphragm to belly button. Lower burner – everything beneath that. The function of the Sanjiao is making the flow and function between them smooth and balanced. This is one of many things that the Sanjiao meridian itself can work with. It´s a Yang meridian, where, for example, the Pericardium meridian we spoke about before, is a Yin meridian. They are a pair: Pericardium and Triple Burner.

It is one of our first longer meridians, and covers a total of 22 points. The meridian itself starts at the ulnar (outer) side of the ring finger. From there it goes up the arm on the outer side, makes a brief jump over the shoulder and then goes on up to the side of the head, around and to the ear and touching eyes and throat. Part of this main channel also continues all the way through the body, through all the three burners, internally. There is another branch that touches the tounge, but this is the main one.

Treating the Sanjiao meridian weaves the three burners together with remarkable speed and smoothness. It can also treat problems with internal heat, balance the function of energy to the outside of the body, work with Wind in the body, and with certain kinds of ear- and eye-problems.

Treating it is also one way of indirectly working with and balancing the Pericardium, Fire Element and shen. In the older texts, the Sanjiao is seen as one of the conduits for yuanqi, the original qi of the body, which rests in the kidneys and lower dantian. and it can be worked and balanced to activate this when it has gone down or become inactive.

We are going to talk more about the Five Elements in a future post, and do the same with the concept of Wind in Chinese medicine. Wind is one of the liuxie, six evil influences, six major ways the our external environment can affect the health in our internal one. Of these, Wind is seen as the most important to protect against.

...re-reading this I realize that I will have to write some explanations to this. I sometimes forget that people read this blog who don´t know something about Chinese medicine from before. I´ll write an annotated version of this post in a little while to remedy that...

lördag 13 november 2010

Thinking about the course

Thinking about the course, in this lacunae between classes. Some good stuff, some bad. Hope the three to four years are worth it.
Heard that some of the teachers don´t like me. It´s always a drag when people can´t stand to have someone around who knows a lot about a subject. Oh well. I´ll have to try to look less bored in some of the classes and see if that helps. The course isn´t made for me, and that´s fine. It´s made for student with no previous experience, not for someone with 20 years of previous experience.
  It´s interesting to think more about what good Chinese medicine can do. It inhabits a space that is distinct and unique to what Western medicine has. Western medicine´s ability to deal with some things at the 70+ part of the spectrum well is a great gift, a great knowledge, but it stands quite helpless before a lot of chronic illnessess or simply making people feel better and more harmonius in their life. I have seen Western medical practitioners sneer at the thought of ”just” making people feel better and healthier and more harmonius in their life. ”It´s not an illness to be treated,” seems to be their view, while the person who says this is often visibly tense, both physically, mentally and emotionally, and often visibly overstressed and tired. This of course indicates someone who might still have a lot of thinking to do about what health actually is, and what it means to a patient (and themselves). Good chinese medicine can quite easily balance someone´s life a bit and make them healthier, happier, have more energy, and milden problems that might blossom into Western medical problems given another five, ten or twenty years of inaction and accumulation.
  It would be fascinating to have the Utopia of the Two Wings: one with skilled Chinese medical practitioners, the other with skilled Western medical practitioners, and see the way they can complement each other to lessen the pain and problems for the patients (remember, this usually also means that the Western medical staff gets better health, as they get treated with Chinese medicine).

Comparing the systems as such doesn´t work. It has been tried, and usually fails dismally as the researchers don´t know enough about Chinese medicine to ask the right questions.
  If we take the idea of comparing treatments for the ”same” problem, we end up with problems ourselves before the sentence is even done. To begin with, the reductionism that has shaped the past 200 years of Western science, is something that Chinese science would see as naively limited. There are usually many answers to the same question, all weaving together – there has to be: the universes are too complex for just a single answer.
  If someone tried to do a study of treatments done to patients suffering from – well, anything, really. Let´s say high blood pressure. Chinese medicine would simply not see it as one thing. If we have a group of forty patients all diagnosed in Western medicine with ”high blood pressure”, the Chinese practitioner might diagnose each of the forty under one of at least five or six different diagnosises, and to be honest, each of those would be individualized too, because Chinese medicine diagnoses the individual system and health of the patient and does so again each time they come back, on the spot, before treating them and following the changes that has happened since last time.
  And treatment? Well, the forty patients would most likely get the same blood pressure medication from the Western practitioner. It might vary in dosage, the occasional one might need another brand, but they would all be put on blood pressure medication. They might be advised to take more walks, eat better, work less. Some would follow this advice, some would not. And for a large number of them, the medication would be permanent, because that´s ”all that can be done”. Over longer periods of time, most of them would no doubt get more medication of other kinds when the system starts to be affected by the drugs.
  The treatment on the chinese side would be acupuncture, and in some cases, where possible, herbs. Each of the patients would get treatment unique to them, and it would changed uniquely to them each new meeting – usually six treatments. This would then be followed up within a few months, and treatment might be resumed. Most of the patients would get reduced blood pressure quite fast in the treatment. To make it more permanent, regular treatments each year might be needed. A skilled practitioner would, at the same time, treat their system for other minor problems that impinges on their health, mental health, and well-being.
  So...most ”research” has been done with the forty patients, and the rule was for the Chinese side to treat them with the same points, which is like the Western treatment being relegated to patients only being allowed in the clinic to watch nurses and doctors, while no-one talks to them or gives them medication, and then they go home, having been ”treated”.
  Studies to ”explain” Chinese medicine in Western terms can´t be done: the systems can´t be compared like that. What would be interesting is to have the forty patients on one side, same on the other, then see which group had the better health and effect on their blood pressure after one year of treatment. It would be a bit unfair – the Western group would only be allowed to take pharmaceuticals, but it might be an interesting start to show what each system can bring to the table of its own skill and excellence.

And Western medicine would have its strength in other facets than this. Such as x-rays, some surgical procedures, and in some of its technology which is incredible, but sadly also often programs practitioners to think of humans as machines, which they are not and never have been.
Each side has its own strengths, its own weaknesses, its own flaws. In some cases, surgery really is the only option, but good Chinese medicine can make a lot of unnecessary surgeries go away, and leave more time for those that are important. Chinese medicine have never focused on Psychiatry. Their treatments, including herbs, acupuncture and qigong, would make most of those problems go away, but, again, not up at the end of 80-100 on the scale. Here there are illnessess that really need psychiatric care and skills, something the monasteries in China often dealt with in history.
  The Utopia of the Two Wings. It would be nice to see in the West. But dreams are dreams, and all we can do is stand on our own patch of ground and make sure that is watered, taken care of, and blossoms with deep-rooted trees and beautiful flowers. If we are lucky, some seeds from that patch will spread.

onsdag 10 november 2010

Reading Week

now. During which – ta-naaa – we´re supposed to read and catch up on things on the course. Which I´ve done a little, but mainly worked with teaching and treating people. So, more study needed, and I am afraid I´ll probably have to resit some exam (Anatomy or Physiology figuring high on the likely-list).

Getting ready to go back next week, for an in-class test. Then it´s only about a month left before Christmas. And we have some tests starting to come in before the holidays. In one of the courses I could have written all except maybe one of tests up until spring of 2011 from day 1, because of my previous knowledge in the field, but some of the other ones are a bit harder. For the students who came to the course knowing nothing about Chinese medicine, the pace has been punishing to say the least. I am impressed if they have followed it.

London is proving ample opportunity for buying books. This is very nice. I still have shelf-space that isn´t filled, still have walls not covered, still have floor-space that looks miserably lonely without a stack of books on top of it. I must work harder at changing this.

And my book on Daoism is coming along. A lot of the work back home now have been work on the book while I had time to do it. Sweden has no previous book on Daoism written in Swedish. No translated book that actually talks about Daoism either: only translations and misunderstandings from old texts in the Philosophical Daoism that has grown in the West. My book will cover both the living traditions of Daoism, Religious Daoism and the misunderstandings in Philosophical Daoism. Along with chapters on Daoist history, training, concepts and a unique go-through of the major texts. So-ooo...no too high standards here, as usual. The interviews with Daoists from China adds great depth, as will the pictures. It´s just an overview and introduction, but, I hope, a very good one.

Now, off to study. And, ummm, work.

tisdag 2 november 2010

Your breath

Your breath
out of winds
down small streets

the bellows
out of rushing
tube tunnels

full of lost kisses
thrown
between city lovers.

The Dao that can

The Dao that can
be discussed
self-confidently
and at great length
in class-rooms

is something else
than what my
Daoist teachers
taught me.

Ghosts

Ghosts. So many ghosts, in this city. So many dead for thousands of years. Ghosts.

Plagues, the Great Fire of London, murders, just simple deaths after lives filled with misery; suicides, executions, the homeless man who sighs his last into a cold city wall, the wealthy baroness who dies in an expensive mansion after a life full of spite. The hawker who died falling through the ice on the Thamse when they built instant towns on it during winters of the 1400´s; the police officer killed in riots by the eternal London Mob.

Walking down the oldest alleyways, they blink in the corners.

Walking back home at night, from the train station, down the pavement and the path, someone, a dark figure, follows me – and gone.