Thursday, November 15, 2018

Emerging from another productive five element seminar

It always takes me a few days to come down from the high I finish on at the end of each of our five element seminars.  Having just finished our latest two-day event, I still wake with a smile on my face, one that has been there from the moment Guy and I opened the doors to our first arrivals on Monday 12 November, and stayed there for the whole two days of the seminar, until it was temporarily replaced by a few tears as we hugged each other and bid each other good and satisfying times in our practice until we meet again in February.

It is such a delight for me to have such welcome confirmation of five element acupuncture’s firm hold on the hearts of many of what I call the “original” JR-trained practitioners, as well as now, happily, the many acupuncture students finding their way to us to reinforce their five element understanding.  It is probably no coincidence that this upturn in the interest in this branch of acupuncture is occurring at the same time as, or I suspect as a direct result of, the enormous interest Chinese acupuncturists are showing in learning from both my writings and the seminars Mei, Guy and I run twice-yearly in Beijing.  I laugh as I look at the photo of us with our 275 Chinese students (posted on Facebook for all to see), and compare it to the photo of the initially small group of under 20 practitioners with which we started our adventures in China 8 years ago.  I have often been asked whether I will frame this latest photo, but answer by saying that our next seminar in April 2019 will expand to more than 300 practitioners, so I’ll need an even larger frame and a bigger wall space on which to hang the photos each time I go.

Guy and I have already planned our next London clinical seminar which will be on Friday 8 February 2019.  Details and a booking form can now be downloaded from our website  Since we are holding this seminar at a smaller venue in Neal’s Yard, we are now already half-booked, so applications will have to be made promptly if you want to join us.

Friday, November 2, 2018

A plea for tolerance: how a knowledge of the qualities of the five elements can help all of us understand each other better

I was reminded of one of the most rewarding aspects of my five element practice during a conversation I had with a Chinese psychotherapist during our latest seminar in Beijing.  This illustrated very neatly something I have consistently emphasized over the years.  Very soon after I started my five element studies all those many years ago, I realised that my understanding of the elements was shaping my approach not only to health and ill-health, which was my original reason for embarking on these studies, but also, at the deepest level, to how I related to other people.  My study of the elements helped me to a greater acceptance of the incredible diversity of human reactions, and this was making me more tolerant of those who differed from me.

The Chinese psychotherapist I spoke to specializes in family therapy, and told me how coming to my five element seminars and reading my books was proving very helpful in his own practice.  He asked my permission to quote from my books in his teaching, permission I was only too happy to give him.  I am always glad that my descriptions of the elements are useful not only to acupuncturists but to people of other therapies, as a way of helping them understand human interactions better. 

I have often said that I love the old English saying, “All the world is odd, except thou and me, and even thou art a little odd,” because it so accurately and neatly describes a common human failing, which we are all guilty of.  We tend to judge other people from the standpoint of our own prejudices, our own likes and dislikes, rather than seeing them as having equally valid though often very different and conflicting views to our own.  We all have a common human tendency to judge others as though inadequate in some way if they act or think differently from us.  A knowledge of the elements therefore teaches us greater humility, and leads to greater tolerance, something this increasingly intolerant world of ours so badly needs..




Wood: the element of future potential

I have a lovely quote by a Wood friend of mine which I would like to share.  She is planning to make many changes in her life at the moment, and as she left the coffee house where we were meeting, she called out from the door: “I’m always looking at possibilities.”

I can’t think of a neater description of one of the Wood element’s most important qualities, that of giving itself, and others, hope for the future.

Sunday, October 14, 2018

Thoughts on the 12 guardian officials in preparation for our coming seminar in Beijing

Guy Caplan, Mei Long (from the Netherlands) and I are off in a few days for our next seminar in Beijing (from 17 – 26 October).  I have lost count, but I think this will be the 14th seminar we have given there.  As usual, each time I go, I like to think of something new I would like to concentrate our teaching upon.  This time, it has been prompted by an email sent to me by Caroline, a dedicated five element acupuncturist and the lovely translator of my books.  She wondered whether I could talk more about the functions of the 12 officials, because the people she teaches at the five element introductory seminars held before we come seem only to think of them in terms of physical organs, and not as having the deeper meanings associated with their individual elements. 

That made me realise that I, too, concentrate much more upon the elements as a whole, rather than trying to distinguish which of the yin or yang officials holds a dominant position.  I have always thought that it was difficult enough homing in on the correct element, and that I would only confuse myself by trying too hard to see which of its two officials is the most important.  JR Worsley would diagnose somebody as being a “Metal CF”, and then write next to this “IX” or “X” in brackets, meaning that either the Lung or the Colon was the dominant aspect of the Metal element for this particular patient.  I have now rather cheekily coined the phrase “guardian official” to describe this official.  In all the time that I observed patients with him, I never heard him explain what it was in the patient which made him select one or other official, except in the case of the Small Intestine (II).  Here he would always specify, not that this patient’s CF was a I/II as we say in five element acupuncture, but simply a II CF.  I remember very clearly him saying one day as he watched a video of himself asking a patient a question, “Only a II CF would answer like that”.  This taught me a lot about the Small Intestine and the way it looks as it tries to find the correct answer to a question.

Thinking about this carefully in preparation for my Beijing seminar has also brought to my mind the question which has remained a slight puzzle for me throughout my acupuncture life.  In all the hundreds of patients JR diagnosed in front of me, I never once heard him say that a person was a “I CF” (in other words had the Heart as his/her guardian official).  Somebody told me that he had indeed diagnosed an acquaintance of mine as a “I CF”, but that was only hearsay, and never corroborated by JR himself.  And my doubts about the Heart official being the primary cause of an imbalance (that’s what “CF” means) always seemed to me something that a tutor of mine at Leamington put well into words for me.  He said that he himself felt that the Heart, the Supreme Controller of body, mind and spirit, would never allow itself to be so much weakened as to be the ultimate “causative factor of disease”.  Unfortunately I never thought to ask JR himself why I had never seen him diagnose a person as being a Heart CF, so this has always remained an unanswered question for me.  Somehow, though, I have always felt that what my tutor told us rings true. 

There has always been a slight niggle in my mind about this diagnosis, because I felt very strongly when I was with this person, that she was very like me, and that our two Small Intestines were engaged in a slight tussle for supremacy, as each tried to sort the other person out.  Surely the Heart, such a yin official, would just be residing quietly rather than battling with me, as my own yang Small Intestine quite likes to do when it is under some sort of stress.  The niggle was also strengthened by the fact that this person liked to feel that she was a rather rare person by reason of her guardian official being the most important official of the twelve.  I did wonder whether she had herself spread this rumour, rather than that JR had actually diagnosed her as such, but I will never know, whatever my slight suspicions.
So I am now thinking carefully about the different qualities of the officials so as to help the 300 or so practitioners gathering next week to hear us in Beijing.  They, of course, are brought up on rote learning of the Neijing Suwen, and I have told them to prepare for what we will be talking about by re-reading Suwen Chapter 8, which is all about the officials, and gives each of them their distinctive name.  Now I have to ask myself, “Do I really understand how the Liver differs from the Gall Bladder in a person with Wood as their guardian element, or the Stomach from the Spleen for Earth?”  These are all very important questions to which I am ashamed not to have paid sufficient attention over the years.  So, as usual, my visits to China and all the other seminars I have held over the years offer fresh stimulation to my thoughts.



Sunday, September 16, 2018

A draft introduction to another book

I am just drafting the introduction to some more of my writings about the elements, and am posting this below as a blog.

"I am drawing together in this book some of the writings about my practice as five element acupuncturist which I feel will be helpful for any of my colleagues, particularly now those in China, who want to benefit from what I have gradually learnt over the years.  I am especially keen to pass on the lessons from my own acupuncture master, JR Worsley, with whom I studied closely for several years as part of my postgraduate training.  One of the many things I remember him telling us was that we would always learn more from what we didn’t get right to start with, especially our diagnosis of guardian element, than when we got things right.  I know that the mistakes I made in my early practice were always valuable lessons for me, and I therefore hope that what I write here will give five element practitioners a little more confidence and enjoyment in their five element practice.
We can never be neutral observers of life.  As all scientists now acknowledge, the observer is always part of what is observed, so there is no such thing as being objective.  Our judgements are always subjective.  The important thing is to be aware of this and to try and understand ourselves as deeply as possible so that we can understand the nature of our involvement in any human interaction.  In five element acupuncture terms, this means understanding how our own guardian element colours how we perceive all the people we meet, and in particular how this fact colours our interactions with our patients, and our diagnosis of their particular element.
All I write about the elements is always therefore to some extent coloured by what I perceive through the filter of my own element, Fire, and in particular its inner core, the Small Intestine and the Heart deep within.  Anybody reading what I write must therefore take this into account, and accept my particular slant on the elements which a lifetime of being Fire gives to it.  Of course I have many, many years of observing how people of other elements interact with other people, and learning from these observations so that I hope I have  also much to say about the world as seen through the filters of elements which are not my own.  
The subjective nature of all our interactions with the world around us is undoubtedly why I notice that my writings about the elements which I present here are not evenly spread over the five, but tend to be focussed more on Wood and Fire, with Earth a slightly more distant third.  Throughout my writing life, I appear to have written far less about Metal and Water.  I rationalize this a little by thinking of the order in which the elements are placed around the great five element circle.  Fire’s relationship to its fellow elements is closest to its mother element, Wood, and its child element, Earth, whilst it has a more distant relationship to the following two yin elements, Metal and Water.  I wonder also whether this helps explain my yang Fire’s deeper understanding of totally yang Wood and half-yang Earth, than of the two more mysterious and more hidden yin elements.  Despite myself, then, this book is tilted slightly more towards the yang, the sunny side of the mountain and daylight, than towards the yin, the shady side of the mountain and the darkening light.
As I draw together the observations of all the elements and their interactions with each other which I present here, it is useful for those reading this to understand that, unique as each human being is, everybody will have their own individual take on the elements which will lead to their own often quite different perceptions, but ones which are as valid as mine are for me.  The important thing is that we should constantly test our understanding against what we learn from our interactions with one patient after another, so that we remain honest enough to modify our thoughts to take account of any new insights we gain."



Tuesday, August 28, 2018

It's never a good idea to try to persuade a patient to continue treatment

I never think it is right for me to answer questions from practitioners who ask me for help in trying to diagnose a patient’s element or what specific treatment to give.  I can only do this when I am actually there with the patient in the practice room.  On the other hand, there are general questions about five element practice which I find useful to answer, and which often stimulate me into writing a blog.  Into this category falls something which a practitioner, Caline Chew from Singapore, has just emailed me about.  I cannot help her with specific questions about the treatment of her patients, but she finished her email as follows:  “…..I don’t know how I can convince (my patient) to stay on the treatment.”

I always say that treatment can only be successful when both patient and practitioner are equally involved, 50% the patient and 50% the practitioner.  It is therefore good to remember that we can never help a patient who is reluctant to receive treatment.  As soon as we sense this, we need to stop what we are doing and address the issue.  Dealing with a patient who openly doubts the effectiveness of our treatment is always disturbing for any practitioner, nor can we do good work if we are not sure what is going on in the practice room.

One of the tips I learnt many years ago from JR Worsley, which I have followed successfully ever since in all cases where my relationship to my patient is under some strain, is always to be honest with the patient, and tell them as soon as I sense that there is a problem.  You need to be brave enough to ask them whether they, too, feel that this is so.  I always preface what I say with the words, “I feel that ….”  Saying this removes any risk of the patient feeling that we are blaming them for what is not right, and gives them the courage to be open with us.  I am then often surprised by my patients’ answers, which may be quite different from what I have imagined.  This frankness between us goes a long way to solve some of the tricky patient/practitioner issues which complicate our work.

So this is the advice I am going to give Caline, with the hope that it will help restore a good relationship with her patient.  I hope, too, that this will clear up some of her own doubts about what she is doing.


Saturday, August 25, 2018

More on what makes the Earth element angry

Here are two observations about what I wrote in my last blog by two of my Earth practitioner friends, one living in Beijing and the other in London.  Both comments have helped me to understand Earth a little better.

My Chinese friend wrote:  “Thank you for sending me your new blogs, I learned a lot about what makes Fire angry. And about what makes Earth angry, I agree with you when you say that “Earth can show its anger when it feels that somebody is not paying enough attention to what it wants to say, or interrupts it in mid-sentence.” But I think “angry” might be a little bit too strong here from my point of view, because I would only feel a bit unhappy about that, and if that’s something I really want to express, I will try to find another chance to tell the practitioner about it. But I will get angry if I tell the practitioner something that really makes me upset or sad or worried, and the practitioner shows no understanding but says something like ”that’s nothing, I don't know why you…”, I may even stop getting treatment from him or her. And in everyday life, I think Earth may get angry when it feels that somebody it really cares about is not paying enough attention to its devotion, or even worse, totally denying it.”

And when asked what would make her angry, my English friend told me: “It would take a lot to make me angry.”

After publishing this blog, this friend added the following to her comments: 
"Just to add to mine.... when I get angry about something I feel that I have to express myself over a period of time to different people until I have reached the point that I can let go of it. I guess this is my Earth processing.  And having space and time to mull it over. Also by talking about it over and over it is my way of being understood and heard."


Saturday, August 18, 2018

What do the different elements get angry about?

I always like looking at the ways the different elements express their emotions, and  my last blog (14 August) has made me think about how each element expresses its anger. 

When we express emotions other than the one our particular element imprints us with, these other emotions will always be coloured a little by the specific emotion which has our guardian element’s stamp upon it.  If I take the example of Metal, then Metal’s expression of anger will always be tinged with Metal’s own emotional needs, one of which is its demand for others to respect it.  What makes Metal most angry, therefore, are likely to be those things which impact negatively upon its sense of self-respect, or, by extension, upon the self-respect of others around it.  I have seen Metal people becoming extremely angry, and to me quite frighteningly so, when somebody has ridiculed them openly in front of other people.

Earth can show its anger when it feels that somebody is not paying enough attention to what it wants to say, or interrupts it in mid-sentence.  Its need is not so much a craving for sympathy, but a craving for understanding in its widest sense.  It wants to be given the space and time to express exactly how it feels, and becomes irritated if it is not allowed to do this.  This is something that I, as a rather over-hasty Fire person, have sometimes been guilty of doing, at my Earth patients’ cost. 

I have found Water’s expression of anger to be more hidden, but like Metal’s it can be quite frightening to witness.  It can appear out of the blue (what a Water-like phrase!), like a tornado erupting suddenly out of a clear sky.  Water needs to be constantly on the move, and its sudden expression of anger can be its response to feeling that something is blocking its path.  Behind this outburst of anger lies all the power which Water exerts on all it does.

There is then the Wood element’s own expression of anger.  This is an element most at ease within a given structure and with order in its life.  It is when structure and order are under threat that its dominant emotion of anger will show its stress.   It is easy for us to see an exaggerated example of this in the shouting and fighting to be observed in drunken people on the streets at night.  There is, however, the flipside to this, which is often forgotten, and which often leads us to misdiagnose the Wood element.  This is the suppressed expression of this emotion which we call lack of anger.  Here the voice can speak in an exaggerated whisper instead of a shout, and there may be a marked inability to express anger where anger would be a balanced reaction to some external event. 

Lastly, how do I think Fire tends to express its anger?  I should know, because I am, after all, Fire, but there is always the complication with Fire that, unlike any other element, it has two sides to it, which I have called Inner and Outer Fire.  I have always felt that in some ways this double-sided element could really be described as harbouring two elements, making a total of six in all.  I remember saying this to JR Worsley one day, and was rather delighted when he nodded.  Of course the two sides share Fire’s sensory signatures of colour, sound and smell, but their emotional approach to life is very different.  I can really only speak at first-hand for Inner Fire, although having observed Outer Fire for many years I have learnt to understand some of its qualities as I have those of the other elements.

I know what makes me angry, and that is any injustice meted out to other people, not so much injustice of which I am the object.  I like to fight my battles more on behalf of others than on behalf of myself, and feel deeply, and thus become very angry, when others are wronged.  In my experience Outer Fire’s anger is more directed at feeling that they have been the victim of some injustice.  Both sides of Fire, though, will not harbour grudges for long for they tend to feel that difficulties in any of their relationships with others may somehow be their fault.  Their anger is therefore likely to simmer down quite quickly, once they acknowledge their own role in whatever initially angered them. 

These are my thoughts on the different expressions of anger which each of the five elements may show.    

Tuesday, August 14, 2018

Don't shut the elements up into too small boxes

In our attempt to pin down some of the characteristics of the five elements to help us with our diagnostic skills, there is always a danger that we apply the very broad definitions we have learnt for each element in too rigid a way.  General descriptions, such as that Fire’s emotion is joy, or Earth’s colour is yellow, are all well and good as starting points to help us understand the differences between the elements, but we have to be careful not to regard them as fixed categories.  Instead we should see them as providing us with broad outlines into which we will gradually learn to fit our growing understanding of the elements.  In each of us as unique human beings they meld together to form something far less clear-cut.

Of the four sensory signatures of colour, sound, smell and emotion I always think the most accessible initially are the emotional signs.  The others are likely to be more difficult for us to detect, since our senses tend to become blunted as we grow.  Our emotional sensitivity, however, has to continue to be sufficiently acute throughout life to guide us through the intricacies of human relationships, and this is why we may often concentrate our diagnostic antennae more upon how a patient makes us feel emotionally than upon whether we can detect a specific smell or colour.  With time, of course, our other senses grow sharp enough to help us with our diagnosis, but even now, after 40 years of practice, I find that my first impression of a patient is based upon their emotional impact upon me.  Subsequently, I will draw upon information my other senses give me to add to this. 

At least that is true for me, but may not of course be the same for other five element practitioners.  One of my fellow students at our Leamington College, for example, had a very acute sense of smell, and used his ability to pinpoint a five element smell as the basis for his diagnosis.  Presumably painters must have an acute ability to see colour, and musicians an equally highly-developed sensitivity to sound.  I am neither a painter nor a musician, so I tend to fall back on what I feel is my most developed sensory skill, which is that of recognizing the emotional signals directed at me by my patients. 

Here, too, though, we must beware of relying too heavily upon boxing the elements into too rigid categories.  Something like this is always likely to happen as a result of being told that a particular emotion is assigned to each element.  If we take Wood, for example, whose emotion is described as anger, it becomes all too easy to think that any expression of anger must point to this element, whereas experience will gradually help us understand that each element can express anger in its own way, since every person, whatever their element, has a liver and a gall-bladder, which are Wood’s organs within us.  For example, I am of the Fire element, but can all too often explode with anger, but for very different reasons from those which my Wood or Water friends will express.  Earth’s sense of fear differs from that of Water, Wood, Metal or Fire, just as Metal’s expression of joy differs from that of each of the other elements.

These thoughts have been stimulated by another email from my very “curious” French acupuncture friend, Pierre.  Here are his latest questions to me:

“Which element is the most connected with curiosity? And particularly in the sense of discovery and novelty?
Which one wants to look for efficiency first? Wood?
Do Earth people have trouble moving, i.e. travelling, exploring?”
Based on what I have written above, I think that Pierre’s problem is that he still tends to think that any human characteristic, such as curiosity or efficiency, must be a quality of a particular element, rather than being a common human quality which each different element will express in its own particular way.  My answer to Pierre is therefore that all elements can be “connected with curiosity”, or “a sense of discovery and novelty”, just as all can “want to look for efficiency” in addition to the Wood element, (I, as Fire, certainly do!), and not only Earth people have “trouble moving”.  The crucial thing for us five element acupuncturists is to determine the specific way in which they are expressing these general human tendencies.

Friday, August 3, 2018

The significance of a CV/GV (Ren Mai/Du Mai) block

A CV/GV block is the deepest block of all Entry-Exit blocks, indicating that there has been some disturbance to the central line of energy passing up and down the back and front of the body.  The two pathways of Conception and Governor Vessels link together to create a great circle of energy within which we are enclosed, body and soul.  These central meridians provide the source of all the energies of the other 12 meridians which branch off from them.  They together form two great streams in the ocean of life which feed 12 subsidiary tributaries, each of which then has its own function in maintaining the cohesion and health of the whole.  Any impediment to the smooth flow around this central circle of energy must then necessarily have a great effect upon the ability of all the 12 officials to function as they should.  

I remember JR Worsley telling us that when there is a CV/GV block, a patient “lingers miserably”, whilst with a Husband/Wife imbalance they feel as though they can’t go on and just want to give up.  I think the idea of “lingering miserably” expresses well the debilitating loss of energy this block causes in a person.  From the point of view of our pulse readings, we know that all the pulses should be indicating great weakness, revealing an overall lack of energy in all the elements.  When I think the block is there, I therefore always ask my patients whether they feel exhausted most of the time, reflecting this general depletion in their energy, and inevitably they always do.  This is another guide to help me  with my diagnosis.

Since all the elements are under stress, the symptoms shown can vary greatly, depending upon which element or elements are most affected.  The elements will show that they are suffering in different ways, and a patient will often talk about all kinds of niggling symptoms which indicate an attack upon one or more elements.  In particular, the block can often appear after a Caesarian birth, where a large incision will have been made right across the CV line.  I have found it is worth needling the points to clear this block in any patient who has had this surgery, as well as in women trying to conceive, where one of the impediments to conception is often a weakness in the flow of energy along the CV meridian.  The same can also be true for men as well as woman.  The health and nature of the sperm can be affected by blocked energy along the CV meridian or between CV and GV.

Persistent problems which treatment of the elements seems unable to shift may also be caused by a CV/GV block.  For example, this may be one of the reasons why a person cannot lose weight despite being very careful with their diet, since the sluggishness of the overall level of energy throughout the meridian system slows down their elements’ ability to process food and eliminate waste material, leading to its being hoarded as fat in the body.  It is always worth considering this block, even if your fingers cannot detect an overall picture of empty pulses, whenever a symptom persists unchanged despite all the elemental treatment you give your patient. 

The importance of ensuring an interrupted flow of energy through CV and GV was brought home to me when JR Worsley told us that if the points used to clear this block were on the hand, we would do them on all our patients.  Because of their position and practitioners’ reluctance to use them routinely, the block is sadly much under-diagnosed, to the detriment of patients’ health.


Wednesday, August 1, 2018

More on Entry-Exit blocks

In my last blog (25 July) I said that I am never happy simply relying on my pulse readings to detect the appearance of blocks.  To supplement what I think the pulses are telling me, over the years I have therefore drawn up my own list of signs, both physical and emotional, which alert me to the possibility that they may be there.   

Entry-Exit blocks form the largest group of blocks.  I have always thought that they should really be called Exit-Entry blocks, because they occur between the exit points of one meridian on the Wei cycle of energy and the entry point of its adjacent meridian, for example between X (LI) 20 and XI (St) 1.  They are a sign of an over-accumulation of energy at the exit point of the first meridian leading to depletion of energy at the entry point of the following meridian, with the pulses of the Exit point having relatively excess energy compared with the pulse on the next Entry point.  In the example of a X- XI block, for some reason the Large Intestine has become unable to pass some of its energy on to the Stomach, or the Stomach has become too weak to accept it.

One of the advantages of the five element numbering of meridians i that the numerical order we use makes it easy to list the blocks.  These consist of the following blocks: II – III (SI – Bl), IV – V (Ki – HP), VI – VII (TH – GB), VIII – IX (Liv – Lu), X – XI (LI – St) and XII – I (Sp – Ht).  The remaining Entry-Exit block is that between CV and GV (Du Mai and Ren Mai), which stands somewhat apart, as being the most significant block of all.  I will write about this in another blog.

A frequently found block is a II – III (SI - Bl) block between Inner Fire and the Water element, treated by needling II 19 and III 1. Here physical symptoms can sometimes be very obvious, with patients pinching the corners of their eyes to get rid of some irritation, or rubbing itchy ears.  At the deeper level, the block can be found at a time when a person is struggling to sort out their life, often appearing as treatment progresses, and patients are aware that changes need to be made, which put a strain on the Small Intestine, the official most involved with working out such changes.

This is a block often found in children.  Their frequent ear-aches and hearing troubles can be seen in five element terms as signs of the stress life places upon a child’s Small Intestine, as it tries to make sense of all the confusing signals pouring into its ears from the world outside.  Western medicine treats these ear problems by inserting grommets.  We do it, much less drastically, by needling II 19 and III 1.  In a similar fashion, much of the disturbing increase in the prescription of steroid inhalers for young children affected by asthma could well be reduced by treating their X – XI (LI – St) blocks to counter the increasing levels of environmental and emotional pollution they are exposed to which is being inhaled by a child’s Lung official. 

All these blocks are at the exit point of one element and the entry point of the next element.  I have wondered how often there may also be blocks within an element, in other words between its yin and yang officials, which are more difficult to detect from a pulse reading.  I remember JR Worsley saying that after a little treatment an element’s yin and yang officials become strong enough to share their energy, and at no time during the many hours I spent observing him with patients do I recall him diagnosing a block of this kind within an element.  I have however myself once found a IX – X block between the Lung and the Large Intestine within the Metal element in a patient who had just had colostomy surgery. There was a very marked discrepancy between the two pulses, and I successfully cleared this block by needling IX 7, the exit point on the Lung, and X 4, the entry point on the Large Intestine.  But this was the only time in my many years of practice where I found a sufficiently noticeable block within an element. 

When trying to diagnose an Entry-Exit block, I always like to have in mind the physical area of the body where the entry and exit points are located, and, at a deeper level, look to see whether the patient is showing any emotional signs indicating some disturbance of the officials concerned.  In the case of a X - XI block, for example, the position of X 20 at the side of the nose and of XI 1 just below the eye indicates a blockage of energy running up the nose towards the eye.  It is easy to see that this may well cause, and does often cause, symptoms such as hay fever, sinusitis or conjunctivitis.  At a deeper level, this block can also be seen as a manifestation of the difficulty the Metal element’s LI official may be experiencing in letting go for some reason, and the resultant difficulty of the Earth element’s Stomach official to process what is coming to it.  This imbalance between the two linked elements may also reveal itself in changes in some of the sensory signals they show, such as a very marked change of colour or emotion.  For example, I have detected an VIII – IX (Liv – Lu) block in patients well before taking a pulse reading, because a patient who has previously been very mild and gentle suddenly turns up for treatment telling me how angry he feels with the world. 

It is important to remember, too, that Entry-Exit blocks are not related to a particular element, and can appear in people of any element.  They can therefore not be used to help us diagnose a person’s element.

Finally, I have noticed that people have what I call their “favourite” blocks, ones that recur at intervals.  Mine happens to be a II – III (SI - Bl) block, other people’s might be a XII – 1 (Sp - Ht) block or a VIII – IX  (Li - Lu) block.  These blocks recur only very infrequently, perhaps once in 6 months or a year, and are a sign of some individual weakness in the balance of the elements within us.

My next blog will be about the deepest block all, that between CV and GV (Ren Mai and Du Mai).

Wednesday, July 25, 2018

We should never rely too much on our pulse-taking

An Israeli practitioner, Anton, who is making every effort to deepen his understanding of five element acupuncture, has recently sent me the following interesting question:

I have a question about the husband/wife block. Today I treated a patient and found this block on her. And this is the third time in four months that I make this treatment for her. Well, maybe I am missing something, am I? Does it seem ok to you to have this block back almost every month?
This patient delivered a baby four months ago, and the baby has a heart problem from birth. He needs to undergo a surgery on the next week. I explain to myself that all the worry about new born baby makes the block to come back every time, but is it really so? Do you think it is possible, or maybe I need to pay attention to something else?
This was my reply to him:

It is very rare for blocks to come back more than once in a short time.  It is most likely that this patient’s pulses are always a little stronger on the right hand than the left hand, so that it isn’t a H/W block.  Just assume that that is what is the case, and don’t treat the block again.

I mulled over his question and my reply for a time afterwards, and realised that I should have added something important.  I myself never rely only on my pulse-taking to help me diagnose a block of any kind. As I have said on many occasions, pulse-taking is a very complex art, much more complex than I think we like to admit to ourselves.  In effect we are attempting to read the state of the five different elements and their 12 officials with what I always like to think of as the rather blunt instruments of our finger-tips.  Of course we get more adept at doing this as the years pass, but I have never forgotten the lessons I learned comparing JR Worsley’s pulse-readings with my own, even after I had been more than 3 years in practice (plus 3 years training myself to read pulses). 

He would tell me one of my patients had an Entry/Exit block or a Husband/Wife block when I simply could not feel this.  Conversely, what I rather simplistically thought to be some kind of a block would turn out not to be that.  In other words the delicate art of accurate pulse-reading was something I realised would take me many years to learn.  And in the meantime I realised, too, that I had to look for other indications in patients which should be helping me suspect the presence of a block.  In the case of a Husband/Wife block, we must never forget that this is the indication of a deep attack on the Heart, and a patient must be showing signs of some desperation, of almost wanting to give up.  They may not articulate this in words, and some may like to hide their despair, but as good five element acupuncturists we should always be looking below the surface to see what is really going on deep inside a patient.

Anton’s patient is dealing with the serious condition of her baby, but not everybody facing something like this would necessarily feel like giving up.  It may not be causing a Husband/Wife block, though it is always worth considering this, and carrying out the treatment procedure for a block even if we are not sure of the pulse picture.  Remember that it never matters if we try to clear a block of any kind, from Possession to a simple Entry/Exit block, if the block is not there.  It is then only like trying to open a door which is already open.  So it is better to err on the side of treating for a block even if we are unsure of its presence, rather than ignoring what might be a block.  On the other hand, once you have treated a block, you don’t need to repeat this treatment if you are sure you got the points the first time.










Thursday, July 19, 2018

Perhaps we are alone in the universe after all

The more I encountered the concept of the elements early on in my acupuncture studies, the more I became fascinated by the idea that the same energies which create the universe also created me and will continue to go on giving me life until the day I die.  As acupuncturists we are not always aware in our everyday work with the elements as we treat our patients that these elements are symbols for universal aspects of cosmic life.  I have therefore always been intrigued to realise how much this understanding of the work I do forces me to confront the deepest of life’s mysteries.  This has led me to the belief that each of us can be seen as a tiny thought in the mind of whatever god or universal force we believe ultimately created the universe.

I am therefore always thrilled when a little more light is shed into the deepest of life’s mysteries, where science tries to make sense of how human life appeared and, even more mysteriously, why it appeared in the form it has done.  So here is a further offering to my curiosity from the Guardian a few days ago with the headline: “Perhaps we are alone in the universe after all.  The article describes a paper written by three Oxford University philosophers in which they surmise that “the probability (is) that we are alone in our galaxy, and perhaps in the universe…. There is quite probably no one out there to rescue or to care about us.  What happens to our species is in our hands alone.  We had better get on with it.”

This has prompted me to look up some other quotations I had collected over the years on much the same subject.  Some are by Martin Rees, the Astronomer Royal, in which he says, in lovely poetic language:
We are composed of the language of the universe”
I think it’s only life which gives the universe any meaning.”
And, most memorably:
Perhaps it could be said that the universe was made for Man”.
Finally, in an article about Leonardo da Vinci, the writer, an art historian, said the following:

 “I once heard a scientist remark that perhaps the principal function of mankind was to bear witness to the universe, to be here precisely to see in the night sky the light of long dead stars, and in so doing to give completion and meaning.”
All these are profound thoughts for us all to ponder on.  But I don’t think we can understand the potential power of what we do as we harness the energies of the elements through our needles to help our patients if we ignore the deeper implications of our practice.


Tuesday, July 10, 2018

Western Medicine confirms the existence of the Chinese Clock

I love it when Western medicine shows its surprise at discovering something we acupuncturists (and the ancient Chinese more than 2000 years ago) have known about all along.  In today’s Guardian newspaper there is an article entitled, “Night shifts throw brain and gut out of sync, research finds”. 

Here are some quotes from it:

“The finding highlights the dramatic impact that night shifts can have on the different processes that govern the natural rhythms of organs and systems throughout the human body”.


“We have a central master clock in the brain that draws on changes in ambient light to control when we wake up and when we fall asleep.  But many other organs in the body have their own biological clocks, including the digestive system.”


“..nowadays we can do anything we like at any time of day, so we are giving our body clock very confusing time cues.”
The Chinese, of course, extended their understanding of the 24-hour body clock to cover the longer period of the 12 months of the year, linking all these daily and seasonal variations to the waxing and waning of the influences of the five elements.    
Guy and I needle our own horary points as we pass through the different time zones on our flights to and from China.  We both feel that this certainly helps to mitigate the effects of jet-lag.