Showing posts with label Five element diagnosis. Show all posts
Showing posts with label Five element diagnosis. Show all posts

Wednesday, May 20, 2020

Passing people by on the street in lockdown London

I don’t know why I am still so surprised at the different reactions I am getting to my approaches to those I encounter on my daily walk around the streets.  Surely, I ask myself, I should know by now that my smiles, accompanied often by a few words, will not always be welcomed.  Indeed they can often be rebuffed, which happens surprisingly often, even in these difficult days when I suppose I assume that we would all welcome friendly approaches from our fellow quarantined human beings.  I am also taken aback at how hurt I feel when I encounter blank stares as I try to engage people I pass in some kind of interaction.  They must all be aware of me, as they correctly swerve 2 metres away from me, and yet they often make not a flicker of eye contact, let alone respond to my words of thanks as I see them moving aside to let me pass.

Of course there are many exceptions, people who are happy to smile in response, even sometimes to stop and talk, and these brief encounters lighten my day and warm my heart.  As a Fire person, I suppose by now I should be aware of how much this heart of mine needs the warmth of its interactions with other people to keep it going.  But I often seem to forget this simple fact, which should act as a reminder to me that, however, much we think we know each element’s needs, particularly our own, we can never fully satisfy them.  At some level we never easily leave that one small circle which our element forms in the larger five-element circle of life.  We remain as though conditioned by who we are despite all our attempts, particularly as five element acupuncturists, to think ourselves into the circles of the other elements.  It becomes a weakness in us if we ignore this, and forget how much our element colours all we do. 

Perhaps, then, it would be a good lesson for me on my walk outside today to try simply to “walk on by”, rather than feel that I should interact in some way with each person I pass.  And I could also learn to use my experiences out in the streets as a useful way of trying to diagnose the different elements of those I meet through their reactions to my approaches.

 

Monday, April 13, 2020

The challenge of being a five element acupuncturist

We must never be too quick to say “I know this patient’s element is obviously Fire (or Wood or Earth or Metal or Water)”.  There is nothing “obvious” at all about the way in which an element presents itself to us.  We may learn to recognize its presence more and more clearly with time, but we should always keep a healthy question-mark hanging over it reminding us that elements can hide themselves so subtly behind manifestations of other elements that they still have the power to surprise us, as they do me even after all these years.  Pride, as they say, comes before a fall, and never is this truer when trying to diagnose an element.  We risk much if we think our understanding of the elements is greater than it truly is.

If the presence of an element were so simple to detect, we would all be brilliant five element acupuncturists from early on in our career, but human beings are much more complex than we think.  So we should never underestimate the time it will take us to find the one element buried deep within the circle of the elements which gives each of us our individual stamp of uniqueness.

In any case, the secret of good five element acupuncture is not simply managing to diagnose the right element, despite this being what many practitioners think.  Instead it is learning to respond appropriately to that particular element’s needs in that particular patient.  Even if we diagnose the right element, do we know how to respond to its needs in a way which makes the patient feel that they have been heard as they want to be heard?  If that understanding is not there, treatment will rest on fallow ground, however much it may be focused upon the right element.

Supposing, for example, that we diagnose a patient’s element, correctly, as Metal, but respond to it in a way which would be more appropriate to an Earth patient, offering a kind of “Oh dear, Oh dear, you poor thing” kind of response, we will find that our Metal patient soon backs away and decides not to continue treatment.  Our own element may be Earth and it may be natural for us, mistakenly, to offer to all our patients what we ourselves feel most comfortable with.  Unfortunately, however, we have to learn to feel comfortable in the company of elements not our own.  To surround Metal, for example, with a kind of enveloping sympathy is not what it wants.  It will feel suffocated by it, its Lung unable to breathe.  Instead we must learn to offer the space it always wants to place between itself and others.

And the same holds true for how we need to approach our interactions with the other elements.  As far as possible, then, we must learn to suppress the needs of our own element and think ourselves into those of the element we have chosen to treat.  This is not an easy task, and one that it takes some skill and much practice to acquire.

 

 

 

Monday, October 14, 2019

Which element would tidy up his/her practitioner’s magazines?

Here’s another little lesson in following up even the tiniest clues to the elements, sent to me by Pierre from France.  I give his words in full, with a few small amendments to make for easier reading:

Just a few words concerning an interesting clue in order to help diagnose the elements.

I treat a male patient since 2 months. At the beginning I felt Water and
Metal a little bit. The others haven't aroused my attention.

After the two first treatments he felt better, but I can attribute this to 7
dragons and AE drain, not to Water treatment.

When I saw him last week, I found that he walked slightly too fast and with
a kind of forcefulness. Compared to my way of walking, I had doubts about
Water... And then when after the third treatment, he got up fast and strong
from the treatment couch, I realized that my intuition was good to change my idea
of his guardian element : indeed I moved from Water to Wood ( thank you for
your blog about bodily movement!) . After he left, I went into the waiting
room and all the magazines which were in a mess on the table before he came
in were now well arranged in ordered piles.


" What an interesting clue to help diagnose a Wood person! Structure of the piles of magazines!"
 
Here is my reply:

A very interesting observation, Pierre.

I think probably only Wood would tidy up the magazines. I (Inner Fire)
would definitely notice that they were all in a muddle, but would not like
to make the practitioner feel that I was judging him by tidying up! I don't
think that Earth would even have noticed (much too busy thinking about
his/her problems). I think Metal would have noticed, but would think it was
the practitioner's task to tidy up, not theirs.

What would you have done, as a Water person? Would you have noticed the
mess?
 
Pierre’s reply to me:

I have never arranged any piles of magazines in a practitioner's clinic. I notice that it is a mess, and I don't like mess. But I know that each thing is moving and unstable : so making an effort to tidy up the piles of magazines is wasting energy for nothing.  I prefer to leave the magazines in a mess.

In my own clinic, I tidy up sometimes the magazines in the waiting room, but always by sorting and throwing out a lot!   Like that, what is left does not seem too messy when it is!

It is by following up such very tiny clues that we begin to differentiate between the different elements.


As a postscript to this blog, I asked Guy Caplan (Metal) whether I was right about Metal not tidying up the magazines, and here’s his reply:

When I arrived at the Acupuncture Academy there were some Acu magazines and EJOM's on the table in the entrance hall.  I instinctively tidied them up into two piles and put them in order.  I don't know if this is a Metal trait or a bit of OCD!

So my observation of Metal is not quite right, is it?  And that’s how we learn that we can’t shut up any element into too tight a box, much as we would like to.   

 And then Guy followed this up by adding another insight into Water:

 When we had the Water group in front of the class, one interesting thing came up for many of them, about not wasting resources! Perhaps the fact of taking time with no goal for itself would be a waste of resources of time for energy for a Water CF?

Interesting how one small but perceptive observation by Pierre has led me, and now Guy, and I hope all those reading this blog, to do a lot of thinking.

Sunday, October 6, 2019

Political mayhem and the Wood element

It’s nice if occasionally other writers do my work for me, as a journalist just did in an extract printed in a newspaper about Donald Trump last week.  So here is what this writer, his biographer, said about him: “I don’t think right or wrong are categories he thinks in.  The only category is, can he get away with it?  He loves fights.  That’s his comfort zone.  He likes people being angry and yelling at each other.  He gins that up any chance he gets… He’s comfortable when everyone else is uncomfortable, running and ducking for cover.  That’s how he got elected, pitting people against each other.  He’s into “bring it on” because he’s in his element.”

And I would add to that, “because he’s in his Wood element”!

I don’t think you can have a clearer description of the Wood element completely out of balance, with its enjoyment in stoking up the anger in others so clearly shown.  And I think Trump has a very shouting voice, and always talks with the finger stabbing at his audience, which we recognize as one of Wood’s signatures.

Whilst I’m thinking about the Wood element, it would be good to spend a little time wondering about which official out of the two Wood officials is the one that might most influence Donald Trump, the one I now like to call the guardian official.  Is it the Liver, the yin official, or is it the Gall Bladder, the yang official?  We know that the Liver’s function is to be responsible for making plans, and the Gall Bladder’s is to be responsible for putting these plans into effect.  I always like to think of the Liver as being the general sitting in his tent deciding on the campaign to be run, and the Gall Bladder the official in the field carrying out the general’s orders.  So which do we think most fits our impression of Donald Trump?  I feel that the Liver is more likely to be his weakest point.  It’s almost as though he represents the general sitting in his tent, sulking, as Ulysses did, whilst the army runs riot outside doing whatever it likes.  In other words, it seems as if his Gall Bladder is given no clear instructions on how to act by the Liver, which is why all those inappropriate tweets are sent off, significantly often during Wood’s time, in the middle of the night.

Enough said, I feel, about these somewhat unhappy excursions into the worlds of Inner Fire and Wood.  But how I wish both of the heads of state I have written about in these last two blogs would find their way to a five element practice room so that their poor, unbalanced elements could regain some equilibrium, and save their respective countries from much chaos and hardship.

 

 

Thursday, October 3, 2019

Political mayhem and the Small Intestine

To divert myself a little from the appalling political scene in this country, which mirrors what is happening in the US, I try to hone my five element skills by observing the leaders of the two countries in action on the world stage. I always add a proviso to my thoughts about the elements of famous people that since I don’t know them personally I have to base any tentative diagnosis on observing them at one remove on the TV screen.

The effect they have upon me is surprisingly similar.  They both make me very, very angry.  I am appalled at their behaviour and at their total lack of concern for anybody but themselves – an almost pathological level of selfishness which dumbfounds me.  But despite the obvious similarities between them I do not think they are the same element, and will try and explain why not.  I have blogged before that I think Donald Trump is of the Wood element, but, after observing the effect Boris Johnson has on those around him and on me watching on TV, I think his element is Fire.  Despite myself he makes me laugh, as he deliberately acts the clown.  If you watch the people around Donald Trump, on the other hand, all you can see is apprehension, the fear that an unbalanced Wood can arouse in those around it, with only a strained smile on the faces of his audience.  So I will concentrate in this blog on looking at how I think the Fire element shows itself in Boris Johnson, and dedicate another blog to updating my comments on Donald Trump.

When diagnosing the Fire Element we always have to remember the very real differences there are within this element between its two sides, the one I call Outer Fire, with its Heart Protector and Three Heater officials, and the other, Inner Fire, with its Small Intestine and Heart officials.  Having just held another happy day’s clinical seminar at which we discussed in detail just this question of how to distinguish between the two aspects of Fire, this has made me look more closely again at the kind of Fire which Boris Johnson appears to be showing.

I often gather significant pointers to how the different elements reveal themselves by reading newspaper comments.  Today, for example, I read that Boris Johnson has created an “atmosphere of feuding” within 10 Downing Street.  He is, the article says, “only listening to two voices now”, those of Dominic Cummings and of his partner, Carrie Symonds.  Would Outer Fire be so unconcerned about the atmosphere within its team that it would allow feuding between its members?  I can’t see that it would, for it is the task of its two officials to maintain a safe and comfortable atmosphere, physically through the balanced flow of warm blood round the body, and emotionally through their efforts to protect the actions of the Heart in their midst.  I see no sign that Boris Johnson is concerned with doing this.  Far from it.  He does not seem interested in ensuring the overall well-being of anybody apart from himself, and appears ever more preoccupied with pursuing his own ends without regard for others.  His team are said to be at loggerheads with one another, all but his inner circle of two having been banished to the periphery of decision-making.  And it is one of the characteristics of the Small Intestine that it has to make its mind up quickly in order to ensure that it does not endanger the Heart, its yin official, and quick decisions are more easily made by a few people rather than thrown open to a large group.  This again points to Inner Fire.  

Boris Johnson’s voice, too, reflects what I regard as the hesitancy all Inner Fire people show in speaking, as their minds work hard at sorting out the words to express the complex thoughts they are engaged in.  His speech is certainly not the articulate speech that distinguishes Outer Fire people, who think before they speak, and when they speak do so without hesitancy.  I have always believed that Inner Fire uses the very action of speaking as a way of sorting out its thoughts, as it searches for exactly the right expression to articulate these thoughts.  There is therefore always a kind of “stop and start” feeling about listening to Inner Fire people, as they try to gather their thoughts into exactly the right form to express what they want to say.  Boris Johnson often mumbles or sounds hesitant, interspersing this hesitancy with sudden bursts of bullying, when he talks over the interviewer apparently without listening to what he is being asked and failing to answer directly many of the questions directed at him. Is his “element within” Wood within Fire perhaps?

I have written before that I thought that Tony Blair was also Inner Fire, but a much more balanced expression of the Small Intestine as it takes on the task of sorting the pure from the impure.  During his time as Prime Minister, though, he had in common one characteristic which he shares with Boris Johnson, and that was his reliance upon one or a few people who he allowed to have too much influence upon him.  In Tony Blair’s case it was George Bush.  I still find it disturbing watching the old clips of Tony Blair walking in the woods in America with George Bush, with an almost sycophantic, adoring look on his face.  It was the influence his obvious admiration for George Bush had upon him which I believe led to his decision to follow him into the disastrous war in Iraq.  Similarly, we are at the time of writing this (3 October 2019) watching a somewhat hapless Boris Johnson appearing to be trapped in the coils of a disastrous attachment to his adviser, Dominic Cummings.  The Small Intestine, when out of balance, as Boris Johnson’s so obviously is, can indeed lose its ability to sort the pure from the impure, in the case of both these leaders of this country leading to disastrous consequences.

I am always happy to acknowledge that everybody is free to develop their own personal take on the elements, and should indeed do so.  I am therefore sure that some people reading this may well disagree with my diagnosis.  But since I feel a strong affinity with all other Inner Fire people, having the Small Intestine as my particular guardian official, I am quite happy to express my own very personal understanding of the advantages and disadvantages of living my life under the influence of this particular official, and how my personal understanding may be helping me see signs of this in Boris Johnson.

I also like to think that my writing this will help me let off a bit of the indignant steam I feel rising within me as I watch the political shambles unfolding around me.

 

 

 

 

Saturday, July 13, 2019

27. The way people walk

Since our observations will be filtered through our own personal spectacles, we will all observe the life around us from different angles.  I notice, for example, that I appear to be very aware of the way people walk, and can recognise them from a long way away just by the way they are moving and well before I can even see their faces as they come towards me.  This is therefore one of the things I look for in patients to help me with my diagnosis.  There may not be as much time to observe their walk as they move towards me in the practice room as there is out in the street, but if we extend the concept of walking to include the way a person moves in general, we can obtain a surprising amount of information even within the small confines of a practice room and the comparatively brief time we have with a patient.

My observation of movement was originally sparked by something my own practitioner at the time once said to me.  At the end of treatment I was told to get up from the couch and get dressed.  Apparently, although I myself didn’t realise this, I leapt off the couch in a hurry, reaching for my clothes almost before my feet had touched the ground.  “Goodness”, she said, “you are a speedy person.”  At the time, not having observed people as closely as I do now, I had not noticed that my movements are always quick, often much quicker than others around me, and speed up even more when I think somebody is waiting for me to leave and I assume, usually wrongly, that they are waiting impatiently, as I may well have thought my practitioner was.

Thinking back on this from my present standpoint, I realise that the speed of my springing up from the couch was closely associated with my fear, one that I have always had, that I am somehow outstaying my welcome and need to get myself out of the way quickly.  Fire, my element, is naturally an energetic element, but added to my natural Fire quickness was also Fire’s fear that it is somehow not getting something right.  I suppose this comes from its very heightened awareness of others and of others’ needs, and its desire to ensure that what it does is not upsetting to other people.  My rapid jumping up from the couch could then be interpreted as a clear pointer to the Fire element.  It took me some time to put this quick interaction in the practice room into context, and see it as pointing towards an example of the Fire element in action within me.

Another example was offered me when I was casually watching some golf on TV, and I suddenly noticed the golfer Rory McIlroy’s walk.  I can best describe it as a kind of jaunty stride.  It is certainly not a stroll nor does it appear to be a form  of hurrying, and yet I can find no better way of describing it than to say that he walks as though pushing the air aside in front of him, not in any way aggressively, but firmly.  It is definitely a stride, but done with a kind of joyousness to it.  He is so obviously an excellent example of the Fire element.  He can’t stop smiling as he walks, nor can he can’t stop wanting to make other people laugh.  You feel that if you were in front of him you would have to give way to allow this force of nature to pass by.

That set me thinking about the different ways the other elements walk.  I then compared McIlroy’s walk with that of another golfer who I diagnosed as the Wood element.  Wood, after all, is another very yang, outgoing element, with perhaps an even more forceful signature than Fire as its hallmark.  But this Wood golfer’s walk, though firm, differed from McIlroy’s because it did not have the same kind of joyous spring to it.  It was more of a firm placing of one foot in front of the other, a kind of a stomp, like someone claiming that bit of ground for himself, so that he made me more aware of the force with which each foot landed on the ground.  McIlroy’s stride makes me aware of the top of his body, as his chest pushes aside the air in front of him, the Wood golfer’s more of his feet conquering the ground.  This may seem a little fanciful, but I don’t think it is.  Wood, after all, emphasizes the feet, Fire the top half of the body.  If I think of a Wood person coming towards me, the word “striding” comes to mind, adding another distinctive layer to the concept of a walk.  Striding is first of all a vigorous activity, as though the air is being moved aside to allow the person through.  It is a robust form of walking, and is a good description of the kind of strong actions which Wood’s body enjoys.  If we are wondering if a person is Wood, therefore, it would be good to ask ourselves whether we can imagine them as striding rather than strolling towards that future which is where all Wood people want to head. 

All this made me think about my own Fire stride.  Did I have something akin to McIlroy’s walk, and did other Fire people, too, or had my observation not revealed a characteristic peculiar to all Fire people but only to the one?  I have not yet come to any satisfactory conclusion about this, but if anybody were to watch me walking along the street they might be surprised to note how often I glance in shop windows as I try and catch myself in mid-stride to analyse how I am walking.   

Whilst I am in the world of golf, I can also think of golfers who are Earth, and compare their walk to that of people of other elements.  Like many Earth people, I notice that they place their feet very solidly on the ground, and one could picture all their ten toes spreading out to find as much support for their body as they could.  I have often noticed this about Earth people, and realised that it is not surprising that an element with such a need for stability, literally for “ground beneath their feet”, should make their contact with this ground as firm as possible.

I can’t at the moment find any good example of Water golfers, though I am sure they are there, as all the elements are in every walk of life, but a supremely characteristic Water sportsman from another sport is Roger Federer, the tennis player.  There is a rhythm and sinuous flow to his movements which mimics that of what I am sure is his element, Water.  I would imagine that the Water element must be well-represented in dancers, for that reason.

Finally, an obvious Metal sportsman whose movements were not as flowing as Water’s, but were completely focused on the goal ahead was a former 100 metre Olympic champion, Linford Christie, whose almost trance-like stare as he looked up from his blocks ready to run always seemed to me to be the epitome of Metal’s determination to reach its goal.  Metal, like Water, is light on its feet, but does not float so much as glide.  It reflects a person that somehow wants to move upwards, and dislikes being tied to the earth, unlike its fellow element, Earth, which so clearly needs always to be tethered to the ground in some way.

It is perhaps not surprising, therefore, that it is usually Earth people who develop a fear of flying, often experiencing the moment when the aircraft takes off as something frightening.  It is no coincidence that the Earth command points are on the feet and legs, whilst those of Metal are on the hands and arms.  Feet can only leave the ground for very short stretches of time.  Hands are free to move away from the body, and, most significantly, can stretch up above our heads.  Both positions of the two elements’ command points symbolically represent their respective elements’ needs, Earth’s to anchor itself firmly to the ground, Metal’s to allow itself the freedom to explore.

 

 

 

Friday, May 3, 2019

Procedure for diagnosing 130 budding five element acupuncturists in one day

I am often asked how on earth we have attempted to offer a five element diagnosis to the many hundreds of acupuncturists in China who have come to our seminars over the past eight years.  I am just returning from another week’s seminar in Beijing where we have tried yet again to do just that, so I would like to describe the procedure we have worked on over the years to do this.

Of the 300 or so practitioners who attended, some 130 were new to us.  All these had previously attended one of the many preliminary five element courses in many towns all over China organized by the more experienced of our five element group of practitioners, now promoted to the role of five element teachers.  By the time Mei, Guy and I arrive at a seminar all those attending will have been given a provisional diagnosis of their element as a starting point from which we work.

In China, nobody seems to worry at all when I explain that all diagnoses we make are only a first attempt at finding their element.  They are very unconcerned when we change these preliminary diagnoses, and may change them again during the week of our seminar.  This is probably because I always emphasize that none of us can ever truly “know” the guardian element until treatment has confirmed that we are on the right track.   

As encouragement for myself, and for others, I always like to remember JR Worsley telling us when we were students that we would all be able to diagnose as quickly as he did when we had as much experience as he had after his 45 years of practice.  I have now had 30 or more years of five element practice to help me, and if I add these years to those of Guy and Mei, I like to think that together we reach JR’s total of years.  Certainly to my surprise, every time to we return to China  the three of us are getting better and better at our diagnoses, and quicker and quicker at making them, too.  And we work together very well as a team.

So here I will describe the procedure for carrying out these multiple diagnoses which we have developed to cope with the ever-increasing number of those attending our seminars who wish to have some idea of their own element.  As we know, all five element acupuncturists should as far as possible be sure of their own element as an essential pre-requisite for their practice, for without this we do not know what shadow our own element unconsciously casts over our patients.  And all those attending quite rightly crave a diagnosis from the most experienced five element practitioners they can find.  I therefore think we have a duty to offer them our expertise in diagnosing the elements, with the proviso that we make these diagnoses in a rather idiosyncratic way to take account of the sheer numbers involved.  The Chinese, bless their hearts, willingly accept this without complaint.

This is what we do:  To help us, we are given photographs of the new practitioners grouped together according to the element to which they have been assigned in the introductory seminars.  We then count the total number for each element.  This seminar (April 2019) the numbers were:

Wood: 17,  Fire: 10,  Earth: 32,  Metal: 21, Water: 42, plus 11 still left undiagnosed.   

From experience we know that if we work quickly, we can get through this large number in a day, divided into a morning section from 8.30 – 12, a long lunch-break of 2 ½ hours from 12 to 2.30 (the Chinese always take a nap after lunch), and an afternoon session from 1.30 – 5.30.  Five chairs are placed on the raised platform at the front of the large seminar room, and Mei, Guy and I sit in the front row of the audience group, with many people sitting on the floor all around us, and everybody else seated behind us.  There is always a scramble for people to get as close to us as possible, because they want to hear the discussions we carry on between us. 

This time we started with one of the larger groups (when our minds were fresh!), choosing Earth first, because starting with the largest group, Water, was likely to give the room a more uneasy feel (Water’s fear showing itself as it is asked to talk in front of such a large group of people).  An Earth group is much more at ease, and this helps to settle the room down nicely at the start.

Five of the each group sit down in turn on the platform in front of us, and we look at this small group as a whole to see how far they seem at ease with each other (or not), and whether any particular person stands out from the group in some way.  Then each of the five is asked to talk a little about anything they want, as we listen to their voices (the audience group is told to do this with closed eyes for part of the time), and observe them closely.  Over the years everybody coming to our seminars has got much better at spotting the odd person who doesn’t seem to fit in with the rest of the group.  This may be the one who sits forward whilst the others sit back, the one who turns to look at the person talking, whilst the others look straight ahead, or is constantly moving whilst the others remain still.  We have found that the audience as a whole has become surprisingly good at pointing out any significant differences.

Mei, Guy and I then put our heads together and decide whether or not we agree with the provisional diagnoses.  We discuss quite openly where we have doubts and why this is so and which element group we think a person should be re-allocated to. 

When we have gone through an element group as a whole, we ask all those we still think are that element to stand together on the platform for us to take a look at the group as a whole.  And here we may change our diagnosis again, because in the large element group, one or two will now stand out as feeling different.  These we then re-allocate to join another element grouping during the day.

At previous seminars Guy had the bright idea of providing coloured stickers in the five element colours, which we would put on those we had diagnosed so that everybody could see from a distance which element we had provisionally allocated to those attending.  This time, instead of a coloured sticker, each person was given a much more visible ribbon to wear around their neck, the colour of which could be spotted a long way away to help us if we decided to change a diagnosis.

After this seminar I totted up how many changes we made for each element. For Wood it was 5 out of 17, for Fire it was only 1 out of 10, for Earth it was 17 out of 32, for Metal 8 out of 21 and for Water 8 out of 42.  From this random survey we could conclude that the Chinese five element acupuncturists running the preliminary seminars are better at diagnosing Fire (nearly 100% right), than Earth (only about 50% right)!  For some reason there are always a large number of Water people at our seminars, and practitioners over there therefore have a lot of practice in diagnosing this element.

This may seem a rather complicated procedure, but it works surprisingly well, and is an excellent way of helping a large group of practitioners learn more about diagnosing the elements in one day than they will learn from seeing only a few patients at a time.  We do the diagnoses at the start of a five-day seminar, which leaves us nearly four days in which to change our minds.  When you are sitting in front of a roomful of people, all wearing very visible coloured ribbons around their necks, it becomes surprisingly easy to see those who respond to what is going on in an expected way and those who don’t.  I was delighted that the last thing I did as I left the platform on our last afternoon was ceremonially to remove the red ribbon around a young man’s neck and replace it with a yellow ribbon to great applause in the room.  I had been talking about the Fire element, and in my usual Fire way had stoked up a lot of laughter in the room, except in this young man who only looked puzzled.  “He looks worried as though trying to process something, and isn’t his colour yellow?” I asked myself.  “He must surely be Earth, not Fire”.  He himself was delighted at the change, as he had felt that he didn’t really fit in amongst his fellow Fire practitioners.

We have also added another simple diagnostic technique to our teaching, which is to ask the group whether they feel a patient coming before the class makes the room feel “up” or “down” (i.e., yang or yin).  If “up”, then it is likely to be either Wood or Fire, if “down” then Metal or Water, with Earth “neither up nor down”, or “both up and down”.  This is again a surprisingly simple way of helping those new to five element acupuncture start examining the feelings different elements evoke in them.