Sunday, February 7, 2016

How would you rate your health right now?

If you said  “I feel fine”, your probably in the great majority of people. Fine is ok, it’s liveable. Often we don’t know what great or fantastic can be because we settle with fine. Not just our in health, but in lots of areas in life.

When my phone contract ended in October last year, I didn’t get a new iPhone, cause the one I have is fine. It’s doing the job I want it to, despite dropping it numerous times it didn’t get a crack screen, and I did not think it was worth the expense of getting a new one. In marketing they say “fine is the enemy”. If the thing you have already is fine then we, as customers, settle for that. We often don’t see the need for a new one, an upgrade or something different.

Over the years of treating hundreds of people with Chinese Medicine, I often see people come in with all kinds of health problems they describe as “fine”. In the course of the consultation you find out they have aches and pains, digestive and bowel problems, and symptoms that they did not class as a problem or think was bad enough for them to book an appointment for. “Oh I’ve always had this old shoulder pain” or “that chronic back pain (they have had for 5 years)… that’s just a 3/10, I just have to live with that”.

Just because you’ve had constipation for as long as you can remember, doesn’t make it normal!
It’s not that we chose or want these lingering health problems, but if it’s not terrible, sometimes we just live with them, telling ourselves it’s fine.

One of the things I love about my job is seeing the changes that Chinese Medicine can do. I love to see people the week after a treatment, that has dramatically changed their life…when people go from fine to fantastic. Now that doesn’t happen with every patient, but when it does, they are literally jumping for joy.
Sometimes we live with things that are fine, and don’t even realise that we could be fantastic.

When was the last time you discovered something and said to yourself “why didn’t I do this earlier?” I do that in business all the time. When you stumble upon something so fantastic, you couldn’t believe it would change your life so much, and then you think back to how you settled with “fine” before.
If you think your health could be better than fine why not check out my website for my free, self help ideas, and as always, we welcome you to make an appointment where we can work together towards your health goals.












More about Marie, and making an appointment for Chinese Medicine can be found on  the Metro Health website: www.metrohealth.com.au

Tuesday, January 19, 2016

Acupuncture just as good as Placebo - what does this mean?

This is a comment by Acupuncturist, Marie Hopkinson on Today's news reporting on a recent study for Acupuncture in the treatment of hot flushes.
Reported by ABC  "Real and fake acupuncture both ease the symptoms of menopausal hot flushes: study"
and even in a very limited "article" in the West Australian today:


The current published report (1) is a conference abstract, so we can only see they used a placebo, but not exactly what it was. In this study, the placebo used was called "noninvasive sham acupuncture" - this can be a number of things as I will describe below.
In the sham (placebo) acupuncture, blinding is essential. This means the participant doesn’t know if they are getting the placebo or not. In Acupuncture studies, the patient lies down, having a curtain partioning their head and body, obstructing the participants ability to see their body. The acupuncturists starts the treatment process as if they were doing everything like the real acupuncture treatment, except when it comes to actually inserting the needle itself. A non-invasive sham acupuncture is usually a retractable needle so it feels like it's touching the skin but does not penetrate into the person.
Sometimes a non-invasive sham acupuncture is tapping the points with the outside of the guide tube, along with the practitioner pretending to do the acupuncture itself, gives the participants brain the understanding that they are having acupuncture when in fact they are just lying down.
Compared with a drug trial, It's much more difficult to simulate a proper placebo with Acupuncture, for obvious reasons. Often the process of the placebo is already doing similar things to the body that acupuncture would be doing. For instance - it can stimulate the skin in an acupressure-like way that gives off a therapeutic response. After all, there are many treatments in acupuncture where the needles are not retained at all, only stimulated for a moment and then removed. This can be just as effective as a treatment where needles are retained for 20 minutes.
In the Acupuncture for Hot Flushes trial report(1) the authors used a ‘non-invasive’ sham, which means the needles would not be inserted at all. However, there are other placebo type acupuncture treatments used like needling the body in random place that is not an acupuncture point, or needling points that are not supposed to treat the condition being studied. These can have a lot more therapeutic effects than the non-invasive sham acupuncture.

SO WHY DOES PLACEBO ACUPUNCTURE HAVE SUCH GREAT RESULTS?
In the study we are focusing on here, the results were on par in both groups, so much so that the authors concluded “An eight-week course of Chinese medicine acupuncture was not superior to non-invasive sham acupuncture for menopausal hot flushes”(1)
One major difference of placebo acupuncture compared with a placebo in a drug or herbs trial for instance, is that the person doesn’t just take the placebo and get on with their daily life, they actually do something different – usually lying down for the 20 or so minutes. So we could say that relaxing for the same time and thinking you are having acupuncture for this complaint – that’s visualising having acupuncture is just as effective to treat the symptoms.
Then we have to think what are the causes of the symptoms…from a Chinese Medicine perspective. Even thought the patients selected had a diagnosis of Kidney Yin Deficiency. So we have to think what is Kidney Yin and how would lying down help this if at all? In Chinese Medicine, lying down in the day (usually associated with a post-lunch afternoon nap) means more blood goes from your extremities (arms and legs) and circulates around your vital organs. In Chinese Medicine, 20 minutes of lying down flat is considered therapeutic exercise for your Liver Blood (Xue). This is directly linked to Kidney Yin, although not all Kidney yin deficiency patients will have Liver Blood deficiency, it is commonly seen affecting one another.

On an experiential level, as a practitioner over the past 14 years of practice I would say a common comment patients make is that they “never feel more relaxed” and I’ve even had a few patients that say “wow, this is the only time I can relax when I come here and have acupuncture” If you have had acupuncture yourself, you will likely be familiar with the side effect of relaxation that it brings. Part of this is the lying down part. Trust me, as a busy entrepreneur as well as a practitioner, if I get sick with a headache or some pain or symptom I’ll often put needles in my head, legs or wherever I can to fix it, and the symptoms might go away but I don’t feel relaxed walking around the house with needles in my head!
What is this high placebo effect telling us? Does it mean acupuncture isn’t effective and we should all just lie down for 20 minutes once a week? No, I still think there is value in the skill of a Chinese Medicine practitioner – but what I give to my patients is not just sticking in the needles. There is usually diet advice, herbs and home treatments like exercises or even non-Chinese medicine things like helping patients to make a plan for dealing with stress.
Not all studies of acupuncture using the same kind of placebo as this hot flushes study have such an equal placebo-treatment outcome. This is just one study on one kind of symptom – Hot Flushes in menopause.
Secondly, if people wanted to try healing themselves at home, this study adds evidence to the concept that visualising having acupuncture is just as powerful as having it. I encourage my patients to do that as much as possible, in between their acupuncture treatments. Your brain can be an amazing resource to heal your body.
  1. Ee C, Xue C, Chondros P, Myers S, French S, Teede H, et al. Acupuncture for menopausal hot flushes: A randomised sham-controlled trial. Advances in Integrative Medicine. 2015;2(2):115-6.

Wednesday, January 13, 2016

Wednesday, December 23, 2015

Health benefits of Gratitude in a consumer driven world


Health benefits of Gratitude in a consumer driven world

On this eve of Christmas, I can’t help but get excited about whats to come tomorrow, I really love the time to eat, drink and be merry. Spending time chilling out with the family and those lazy hot days of the holiday period to come.

However our enjoyment of the festivities can be easily overshadowed by the dark side of our consumer driven society. It’s within this context that I want to take a moment in the holiday season to talk about gratitude and the benefits it can have for our mind, body and soul.

One definition of consumerism I like is “The concept that an ever-expanding consumption of goods is advantageous to the economy.”(1)

Don’t get me wrong, I’m not opposed to consumerism, it’s what makes our world go around. As a retail shop owner, I rely on consumerism to drive my business. Buying things, getting what you want, and enjoying the journey of life which is often made better by our purchases is all good. But is that all life is about?

The dark side to consumerism breeds people who walk around like “entitled customers” Consumerism says  “The customer is always right” (which I DO NOT agree with). It’s such a philosophy drilled into us from a young age in the western world that we must have everything perfect, not defective in any way – not broken but “brand new”, untainted, regardless of if the function is intact.

I had my retail shop in a café strip for a number of years and the number one thing that would drive me nuts was the kids of customers who would come in winging at their parents “Muuuum, I want a babychino, you said we were coming out to get a babychino…” and so on. The poor parent just wanted to look around at some clothes for herself when this little kid could only think of their own babychino time. Now that’s forgivable for a kid, but what kind of adult are they going to be? If that was me, as a kid, I would have got a smack bottom for throwing a tantrum and a forced sleep in the afternoon! Thank God for a mum and dad who taught good lessons.
So where does gratitude fit in? Nothing wrong with getting what you want, what you paid for, what your entitled to, but when life is all about me,  or all about consuming and getting, we can miss out on the happiness that comes with the thing we were striving so hard to get in the first place. 

The biggest downsides from consumer culture is:

o   It emphasises happiness from material things
o   It’s about comparisons & envy rather than appreciation.
o   Satisfaction doesn’t necessarily come with purchase!
                                   
The problem with consumer culture is that Satisfaction inevitably  decreases. Then you must acquire more, or better to get the same satisfaction again. Conversely, in a Gratitude culture satisfaction can stay the same or increase regardless of things I acquire or purchases made.

GRATTITUDE

Sometimes we are bombarded by our first world problems that we don’t obtain the happiness that an attitude of gratitude would bring if we could only see the wood for the trees!

Essentially gratitude is about being thankful, appreciative and a bent toward kindness.

Having a culture of gratitude is not something that comes easy for us in our consumer-centric world. We have to work at being thankful.

Tell yourself it’s still ok to strive for better but at the same time, be thankful. I like to think that gratitude culture is a kind of paradox where you are not about to settle for second best, although your still incredibly happy with what you have. It’s all about perspective.

How you look at things, even situations that might be terrible ones, can help cultivate the gratitude that is so good for our mind body and soul.

THERE ARE SOME GREAT HEALTH BENEFITS OF GRATITUDE:


·      Gratitude influences our sleep
·      Research shows people who have a culture of gratitude in their world have a better nights sleep. (2)

Studies have been done using interventions like getting people to write down 3 things that they are grateful for before going to bed. One way to do this might be to create a Thanks or Gratitude Journal. This is where you write down what you are grateful for regularly. It could be one thing every day or 3 things every week. It should be something you work into your routine. Doing it last thing before you head hits the pillow is the best time to maximise the benefits of gratitude for a good nights sleep.

·      Gratitude helps our body function better improves recovery from illness

In a recent study on heart failure patients (2015), researchers reported “ In sum, we report that gratitude and spiritual well-being are related to better mood and sleep, less fatigue, and more self-efficacy, and that gratitude fully or partially mediates the beneficial effects of spiritual wellbeing on these endpoints. Efforts to increase gratitude may be a treatment for improving well-being in HF patients’ lives and be of potential clinical value.” (3) 

·      Gratitude improves self-esteem. 
Even if you already have healthy self esteem, there is nothing wrong with a boost. Generally when you start to compare yourself with others, dwelling on what you think you should have or deserve, what other people in similar positions to you have – self esteem decreases. Studies have shown gratefulness practices increase self esteem as people make less comparisons, and are more able to appreciate others accomplishments.

In fact, self esteem is something that is closely studied in the sports psychology field. It’s well known athletes have a chance of winning or performance is positively correlated with levels of self esteem.  A 2014 study published in the Journal of Applied Sport Psychology found that gratitude increased athlete’s self-esteem (4).

I encourage you to take a moment this holiday season to appreciate what you do have, and how much you have achieved in 2015 rather than just skipping on into the new year without pause.

3 EASY STEPS to cultivate a culture of GRATEFULNESS in your world:

1)  Pause
Make time, Make room, make space – keep a journal, a note app on you phone, make an appointment with yourself. Make time in the car, or late at night or some regular time.

Maybe pause yourself when you complain about the things you think you deserve, and switch those thoughts to gratitude about the things you already have.

2) Think

Find something good to be thankful for RIGHT NOW. TODAY
“I appreciate…”
“(insert name) Thank you for…”

Having something that is greater than us, our world, beyond us lifts our focus from our me, me, me world to something bigger. It might be your faith or spiritual belief that helps you achieve this, but it also is effective to take your thoughts to appreciating others.

Have you ever received a note of appreciation from someone? It might have been something minor you did, but it actualy makes a big difference to them.

As a creator of products I’m constantly putting my art “out there” into the world. Now it essentially doesn’t really bother me if one person says they hate it or another says they love it…this happens all the time and If I listened to the opinions of the masses I wouldn’t put anything out there at all!

A few weeks ago I got an email from a customer who bought one of my products at a retail store, she lived in the country and wanted to purchase them again. She raved on about how she liked the product and at that moment in a day where 99.9% of my emails were stress, bills and jobs to do, that made my day.

It’s not common for people to go out of their way and express gratitude or appreciation, so when you do, you should know it will really make a difference to that person.

3) Action
Thoughts alone are not very productive, you have to take some kind of action to get the full benefit of cultivating a culture of gratitude in your world.

It doesn’t have to be complicated, or longwinded - it might be a thought you take the time and space to meditate on, write down in your Thanks Journal, saying a prayer, saying thanks or appreciation to someone. There is power in verbalising and saying it aloud.


ASK YOURSELF “WHAT CAN I BE GRATEFUL FOR IN MY LIFE RIGHT NOW?”

ABOUT THE AUTHOR:
Marie Hopkinson is a Chinese Medicine Practitioner, Practicing from her clinic in North Perth, WA- METRO HEALTH AND MEDICINE. Marie can be consulted for appointments, while in-person is preferred, Email /phone consultations can be arranged. Marie has been practicing since 2000, completing initial 3-year course in Chinese Medicine at the Perth Academy of Natural Therapies in WA. Marie has been to China for additional training in the Hangzhou Traditional Chinese Medicine Hospital (Hangzhou Shi Zhong Yi Yuan) twice as well as completing a Master of International Health at Curtin University in 2006. Marie is passionate about the effective practice and understanding of Chinese Medicine and enjoys the opportunity to educate patients about the benefits of self-help aspects such as diet therapy, as well as teaching Chinese Medicine at the Endeavour College of Natural Health.
For more info about booking an appointment with Marie CLICK HERE.
For more info about conditions treated with Acupuncture, and Chinese Herbal Medicine CLICK HERE. 

REFERENCES:

1.         Dictionary.com. 2015 [cited 2015 12/12/15]. Available from: http://dictionary.reference.com/browse/consumerism.
2.         Wood AM, Joseph S, Lloyd J, Atkins S. Original article: Gratitude influences sleep through the mechanism of pre-sleep cognitions. Journal of Psychosomatic Research. 2009;66:43-8.
3.         Mills PJ, Wilson K, Punga MA, Chinh K, Pruitt C, Greenberg B, et al. The Role of Gratitude in Well-being in Asymptomatic Heart Failure Patients. Integrative Medicine: A Clinician's Journal. 2015;14(1):51- 1p.

4.         Chen LH, Wu C-H. Gratitude Enhances Change in Athletes’ Self-Esteem: The Moderating Role of Trust in Coach. Journal of Applied Sport Psychology. 2014;26(3):349-62 14p.

Friday, November 27, 2015

The difference between acupuncture and acupressure for morning sickness symptoms.


Acupressure for nausea is very common. You can buy acupressure based bands in many travel and airport stores for instance which work on treating the pressure point "Neiguan Pc 6". In my clinic as an acupuncturist over the years i've heard many patients say they tried the bands but didn't feel any real effects. When they have had acupuncture for the same condition it had a much more pronounced effect on the same symptoms so why might this happen? Lets take the example of treating morning sickness for example. 

MORNING SICKNESS
Morning sickness can also lead to tiredness, if the symptoms of dry heaving, nausea and vomiting make it hard to hold down or eat food. Tiredness can come from not bieng able to digest enough foods. Acupuncture and acupuressure is a commonly used treatment for morning sickness. Even if acupuressure does not work to releive the symptoms, there is a big difference between the two therapies.

Acupuncture can access the bodies Qi (Energy) in multiple places at once, while acupressure can only access it in one point at a time (as you press each one). While some treatments of self acupressure can be powerful, there can be many reasons why acupressure dosen't work for morining sickness.
  1. Incorrect point location. One common reason is the point location is wrong. Neiguan Pc 6 (called Pc 6 becuase it's the sixth point on the pericardium channel), is a common point for nausea. it's used in treating travel sickness and you will often see the bands you can put around your wrist to supposedly stop the nausea. If the band is in the wrong place, or the tightness of the band isn't sufficient to press the acupressure point then no effect will likely take place.
Pc 6
Location of Pc 6 Neiguan is deep between 2 tendons
IMG_0070

2. Not enough or correct stimulation of the point. Points are deep in the body not on the skin. Another common reason why acupressure fails some people is that they don't obtain the Qi (Energy) of the acupuncture points by the pressure. An acupressure practitioner (also called a tui na practitioner) is a skilled practitioner of Chinese Medicine (in China it's a 5 year course) and they use around 28 different techniques, all with many hours of repeated, dedicated and specific training to be able to get the Qi (energy) of your body in the acupressure points. Not to say a layperson can't get the Qi, there is just a bit more skill involved than finding a point and pressing on it.
3. Wrong point for the pattern. In Chinese medicine, morning sickness doesn't have a one-size-fit's all diagnosis. When you see an acupuncturist they don't do acupuncture points for morning sickness. they do points for your pattern of disharmony thats causing the morning sickness. Two common patterns are "Liver Energy invading the Stomach" and "Deficiency of energy and blood leading to weakness of the Spleen and Stomach energy"
Essentially with nausea and vomiting, there is a mechanism of action problem with the Stomach Energy. Stomach Qi (Energy) should go down. When Stomach Qi goes up, we call it rebellious Stomach energy. Rebellious Stomach Qi can cause nausea, vomiting, refulx, acidic regurgitation and even epigastric pain. There are other points used for different reasons why the Stomach Qi has become rebellious. Often a combination of points is needed to have a thereaputic effect (as with acupuncture) rather than one point at a time (possible with acupressure).
By the way, the location of Pc 6 Neiguan is 2 cun* above the crease of the wrist, on the inside (medial aspect) of the wrist. *a cun is a measurement used in Chinese medicine, based on your body. 2 cun is is two fingers (of your fingers) spaced slightly apart. (1 Cun is the width of a thumb), so Neiguan, PC 6 is:
IMG_0073
The point is that if you've tried acupressure for morning sickness before and it didn't work, it does not mean that acupuncture won't work. Also, that a more targeted or specific approach of acupressure could still be effective. It's worth seeing a professional, qualified practitioner of Chinese Medicine if you are suffering with morning sickness in pregnancy.

ABOUT THE AUTHOR:
Marie Hopkinson is a Chinese Medicine Practitioner, Practicing from her clinic in North Perth, WA- METRO HEALTH AND MEDICINE. Marie can be consulted for appointments, while in-person is preferred, Email /phone consultations can be arranged. Marie has been practicing since 2000, completing initial 3-year course in Chinese Medicine at the Perth Academy of Natural Therapies in WA. Marie has been to China for additional training in the Hangzhou Traditional Chinese Medicine Hospital (Hangzhou Shi Zhong Yi Yuan) twice as well as completing a Master of International Health at Curtin University in 2006. Marie is passionate about the effective practice and understanding of Chinese Medicine and enjoys the opportunity to educate patients about the benefits of self-help aspects such as diet therapy, as well as teaching Chinese Medicine at the Endeavour College of Natural Health.
For more info about booking an appointment with Marie CLICK HERE.
For more info about conditions treated with Acupuncture, and Chinese Herbal Medicine CLICK HERE.