torsdag 17 mars 2011

The Stomach Channel in Chinese medicine and post-birth qi: how we get energy to live after we´re one year old

Well, god knows how we do that, really, given the stresses life can bring with it. But in Chinese medical view, there are two main different types of energy that powers living beings: xiantianqi and houtianqi, pre-heaven energy and post-heaven energy.

The stomach is much more important in China than in the West. This is not unique to the Chinese, it´s simply a reflection of a society were food is scarce and starvation a real possibility. The Stomach becomes crucial, something reflected in the old Chinese greeting which used to be ”Ni chi fan le ma?” - have you eaten? In the 19th century, due to Western traders, ”How are you?” came into the Chinese language instead in the phrase of ”Ni hao.” These days in the West, most have forgotten what it is like to constantly worry about getting food (interestingly, the Earth element that the Stomach and Spleen links to, has worry as a pathological emotional state). Everything in us is full, all the time, we can buy whatever we like in the store and the risk of a famine is as real as a science fiction series on TV. Due to this, most people have shi, problems of excess energy, in the West, while most people in China and developing countries often have a high frequency of xu, problems of emptiness or deficiency.

Daoism and Chinese medicine both see that up to the age of about one-and-a-half we use xiantianqi, pre-heaven energy, where we take in nourishment from the outside in a small way but keep on charging energy from the universe like we did in the womb. Once that age is past, we go into houtianqi, the energy of post-heaven, where we get nourishment and energy from three things: 1) food, 2) rest, 3) air. Long-term Daoist qigong- and meditation-practice will change this and slowly relink a person to the pre-heaven qi over work of many decades of training, while continously upgrading and refining our post-heaven qi and its ability to work in our body and life.

The Stomach is seen as the most important pivot for this, as it brings in crucial nourishment through food. It is seen as transforming food into guqi, ”grain energy” that nourishes our body. The Stomach is paired with the Spleen in the Earth Element, and they together are responsible for ”ripening and rotting” food while transforming some of it into pure qi that will work in our body. There is a long sequence of organs involved in distilling and refining this food qi to usable qi in the body, while the simultaneous western view of food disgestion takes place. Both exist simultaneously.

The Earth Element is also the Element that integrates things on all levels, all the way from our life to our ideas to information we get. It is the one Element that is destroyed the most in the lifestyle of the industrialized West. It is the Element that integrates the other four. In older Chinese drawings, sculptures or incense burners, the five were often depicted with Earth in the middle and the other four around it.

The ability of the Stomach to digest food is very important. If the system is unbalanced, the body will not properly digest the food coming in and the person will become sluggish, with too little heat inside to transform food and move the body. This is often a problem with the Earth element itself, a yin problem. A yang problem would be too fast metabolic rate and no interest in food, where food is only fuel to move the organism. To the first person, food would not be particularly interesting, and they would eat very little but prefer sweets or carbs if they can. To the second one, food will be important to eat but won´t really taste much – it´s just fuel, something that has to be eaten. If the Earth element works well, the Chinese medical classics say ”You taste the five flavours” - that is, you truly taste and enjoy the food you eat, feeling each nuance of flavour clearly and savouring them.

In the Five Element cycle Fire releases into Earth like summer into indian summer. Earth opens into Metal, like indian summer opens into autumn.

Linking to the channels in the body, what is called interior-exterior paired channels, the Spleen is linked to the Lung channel, while the Stomach is linked to the Large Intestine channel. Spleen and Stomach is part of the Earth element, Lung and Large Intestine is part of the Metal element. This relationship is also seen between Earth and Metal, in that Earth is seen as creating the zhengqi, the Upright Qi, our ability to remain upright and straight and simply work or walk without becoming tired. If this fails to work well with Metal, which is linked to our spine and lungs, our spine will slumping, weaker, and tired.

The energy of the Stomach, Spleen and Earth element grounds us, integrates our life, puts both feet on the ground and keeps us centered. When in balance, it nourishes freely and gently, and lets us enjoy our earthly existence while we are here.

söndag 13 mars 2011

Back from China, old doctors (which you can´t find in the West) and changing universities

A lot of stuff in that title and a lot of stuff in this post.

I went to China for two weeks doing research for a book. The trip went very well, with some unique information coming out of it.

I also got the chance to attend clinic and learn from a laoyisheng, the honorific the Chinese use for ”Old Doctor”, usually a practitioner, man or woman, who is above 60 years old and has at least 30 years daily work in Chinese medicine behind them. The one I met is in his early seventies, with 40 years clinical experience in hospitals and clinics. He has also done deep research in trying to improve the skill and knowledge in the system he was trained in. Seeing his skill makes it all too obvious how much is lacking in the West, how little has made it over here. This man is, of course, at the apex of his professional life, and a naturally gifted doctor to boot, but you still feel sad about how little we have available of it. There are no Old Doctors in the West, pretty much due to the fact that Chinese medicine is too young here. Maybe we can produce some budding ones over the next century.

Another factor in this is the sheer number of patients. A typical Chinese doctor in hospitals sees an average of 20-40 patients in a day, sometimes a lot more, five days a week. A Western acupuncturist with their own clinic might have an average of 6-8 patients a day, and might not work every day of the week. Having access to the huge numbers means an increase in skills and diagnostics that the lower numbers simply will never approach.

I am also quitting the course at the university. The blog hiccups here a bit, over that, but the blog is supposed to be about what it is like studying acupuncture in the West, and my experience with some of the low-grade teachers is a very common complaint among students of chinese medicine in the West, so it is quite typical of what is like to study acupuncture here. Are they all Old Doctors and maestros of the art in China? No. Not at all. But the main Chinese training is five years minimum, full time at university, the chinese medical doctor course, and that will produce a very different level of skill than the average course in the West. There are downsides to the chinese training too, but just by it being closer to the source and huge in length compared to the courses here, it produces very different results.

So. Due to the way the course was structured at the first university, and due to issues with the teaching methodology of two of the modules (50% of the course), I will now be looking at another university course in London. This one is quite different to the first, with a stronger emphasis on Chinese medicine itself, and less a focus on the Western biomedical side as being something to adapt to. I will give more information about the difference between the two later.

I am also, due to 20 years of previous study and full-time work in the field, of course not the student these courses are designed for. So, right now, I am trying to find a course and way of training that will maximize my previous skills while upgrading the new ones. But at the course I am attending now, the past nine months of full time course has included 10 percent purely new information on the Chinese medical side for me. 5% of them, I can pick up straight out of books. The other 5% are the skills of good practitioners, and that is much more rare and valuable. But those are possible to reach without attending a university course where the amount of Western Physiology is 25%, packed with information and badly taught.

More on this later.

Next post will be about the Stomach, an organ much more focused on in China than in the West.