Monday, June 29, 2009
A Special Week
After much effort,Something wonderful finally happened...The very first time ever since I work in this ward...Something difficult to achieve, and hard to believe...We manage to have an empty cubicle!! (In fact the ward is really quite empty - only 10 patients!)Imagine everyday in the past 6 months we are having a ward-full of patients and even bed extensions at times...this scene is considered a
Tuesday, June 23, 2009
Magic in Medicine and the 13 Ghost Points

I am no scholar of the history of medicine or the anthropological etymology of traditional healing practices around the world, but I can guess that the medicine of early human was a split between the heroics of emergency care and the magical battle against the demons of disease. It was Antonie van Leeuwenhoek's improvements on the microscope and his subsequent studies of microbiology that lead to germ theory and immunology that faltered these supernatural conclusions. Now we use words like bacteria and virus, autoimmune disorder to describe the monsters that, seasonally or otherwise, usurp our body and mind. Most of us cannot see demons or devils or ghosts so we dismiss the notion as superstition and therefore not of physical importance. But we can at various magnifications witness, study and categorize the germs representing these superstitions. No longer do we count on the shaman's communion with the Spirits and our ancestors to intervene to exorcise the pernicious influence out from our body. It is pharmaceutical science we believe in, it is pharmaceutical science that works. But was the treatment by the shaman or the priest any less effective than our modern science? Was the non-scientific understanding of the clinical nature of the devil-for-pathogen any less accurate than the science of how a pathogenic enzyme weakens a cell wall thus allowing a virus, say, to hijack the cell in order to industrialize its "evil" genetic material? A devil by another name doesn't sound so sweet; but, really, were our ancient brothers and sisters of the healing arts off the mark when they considered our spiritual and mental delinquencies a correlation--if not a direct cause--of the ghosts and devils that ravaged our well being?
Let's consider the human form. It is a sack of ghastly viscera held between an armature of cartilage and bone; it is a machine of complicated circulatory pumps and muscular devices able to manipulate matter and do work; it is a material construct of a spiritual consciousness; it is a biological super-bug; it is alive. Regardless of how we approach the object of us and its function, we understand it as comprised of three elements: the body, the mind and the spirit and as a result of the balance between the communion of these three, susceptible to illness.Chinese Medicine is one of many medical traditions that embrace this natural trinity when considering the health of each patient. Of course it is not without its history of demonized conditions exorcised through ancestor worship and prayer, repentance, etc. Illness within the body was understood early on as consequences of the patient whose actions were out of sink with the movements of nature and reflected in the body through various patterns of the 8 principles: hot, cold, damp, dry,internal, external, yin & yang. What about mental/brain disorders and emotional disturbances? Particularly mania and epilepsy was thought to be the work of ghosts. Ah... But these ghosts or devils could be tamed and led outside and away from the body by a physician utilizing, through acupressure or acupuncture, a prescribed pattern from the thirteen ghost points developed over 2000 years ago.
See below:
13 Ghost Points *
GV26 --Gui Gong--Ghost Palace LU 11
LU 11--Gui Xin--Ghost Convincing SP 1
SP1--Gui Lei--Ghost Fortress PC 7
PC7--Gui Xin--Ghost Heart BL 62
BL62--Gui Lu--Ghost Road (Fire needle 3-7 times)
GV16--Gui Zhen--Ghost Pillow
ST6--Gui Chuang--Ghost Bed (Fire needle)
CV24--Gui Shi--Ghost Market
PC8--Gui Ku--Ghost Cave
GV23--Gui Tang--Ghost Hall CV 1
CV1--Gui Cang--Ghost Hidden (Moxa only)
LI11--Gui Chen--Ghost Official (Fire needle 3-7 times)
Hai Cuan--Gui Feng--Ghost Seal (Needle or Prick)*Source: www.tcmstudent.com/study_tools/Ghost Points.html which sourced the information from "Sun Si-Miao's Ode to 13 Ghost Acupoints for the Treatment of Mental Disorders". American Journal of Acupuncture. Vol 20, No 3, 1992, p267-268.
No longer are these points used to exorcise a patient of their demon but, interestingly, to help treat various onsets of psychological illness such as bipolar disorder, schizophrenia, depression, mania, epilepsy, etc. But how often do Western practitioners of Chinese Medicine use these points to treat a patient's mental illness? Would they even describe these points as "ghost points" to their Western patients? Are these practices still used in the People's Republic of China? In his March 1979 article Mental Illness in China: A 'Contradiction among the People', Joel Greenberg reports about two groups of American psychiatrists who visited the People's Republic of China to study the treatment practices of Chinese psychiatric doctors on a growing patient population of mentally ill. Oddly enough, the subject of ghost points was never addressed in the article. Of course the common practices of herbal prescriptions, acupressure, acupuncture and moxabustion were used in conjunction with Western pharmaceuticals ("antischizophrenic drugs") and a dose of communist idealism: "'The doctors believe that patients have arrived at wrong conclusions because they have not made thorough investigations' into their illness. In-hospital classes are held, where the patients study Chairman Mao's philosophical works and articles on how to handle 'the contradictions among the people,' or interpersonal difficulties."The points that were needled--"in front of each ear canal for phobias; at the temples for ruminative states and at the mandibular joints and vortex for schizophrenia"--do not appear to match any of the 13 points listed above. But this is Chairman Mao's China. Traditional Chinese Medicine has publicly replaced Classical Chinese Medicine practices. "Superstition" in Chinese medicine has all but been completely rid of and the integration of Western science and biomedical theories and practices is the mainstream in Chinese hospitals and with the government trained "barefoot doctors" administering aide and health education to rural China.
The literal ghosts of illness and disease were replaced by figurative ones which still let us consider the mind-body disturbance that elicited the imbalance that fostered the pernicious influence to ravage the body and the mind. Then those figurative ghosts were busted and now remains the symptoms of disease to be managed. More and more, though, through the integration of Western and Eastern medical practices into mainstream medicine and the health care reform's focus on wellness and prevention, we're learning that managed disease care doesn't have to be the singular work of modern medicine. Health care professionals can actually promote health and wellness in the communities by educating the public of the curative magical practices of our bodies. The act of someone fostering wellness in another may be without its magical paradigms, but there is something sacred to the act, the ritual of giving of oneself to help heal a stranger in need. Modern healers may no longer be our village shamans or country priests but they can be guides to help us see the invisible that afflicts us, to understand the intentions of that heated influence and to educate us to know our bodies, our lifestyle (without judgment) and our environment so that we may avoid future altercations with the Devil pathogen that's keeping us from enjoying the full life we all deserve.
Monday, June 22, 2009
Rare Diagnosis (2) - Fahr's Syndrome
Saw a really interesting case last week.A middle-aged woman was brought by her husband who's worried that she might be suffering from dementia, although it seems a bit early onset for her age. Her behaviour and personality seems to be changing over the past few months, and frequent falls were also noted.Examination revealed Parkinsonian features: Mask-like facial appearance, shuffling gait with
would you rather shop or make something?
In a somewhat constant state of transition, I was having trouble settling into just being home. Larry had already left for the airport, and it had been a busy week with my nephew visting on his way from Isreal to sell Dead Sea Products in a DC mall.
And, it was raining. As good a reason as any to go shopping... but the itch was stronger to hole up in my studio, despite the chaos, and work on a project I've been thinking about for months.
I drink almond milk, and tossing the cartons out always gives me pause. I put them in the recycle bin, but not really sure if these cartons with waxed paper outside, and foil inside actually can be recycled. In theory of course they can. But are they?
Reuse is actually better than recycling. And I've had a pile of these hanging around for a while with the intent to make a large tote from them. I hit a snag when I realized that the sewing machine couldn't manuever some of the necessary seams. And after a bit of agonizing, realized that duct tape was the perfect tool!
So for my next attempt I am going to skip the sewing altogether, and go straight for the duct tape. There were some great online tutorials for making change purses from juice cartons. All very kid friendly.
I of course opted to intuit the construction realizing that I don't actually follow directions well at all. And I have to say, I was sooooo satisfied with the result. And so glad I'd opted for studio time instead of shopping.
At the end of the day, shopping always leaves me rather fuzzy headed and psychically exhausted. Making things leaves me feeling pleasantly spent, like a good work out.
So I'm thinking I can use this as a way to save a bit more money these days. If I give myself the option of making something, anything, instead of shopping each time I get the urge. We'll see what happens.
May your day be filled with the Magic Medicine of making something out of your garbage instead of shopping for things that create more waste...
Get the book: Magic Medicine: Rx for Creativity now, at Lulu.com, order directly from me, or keep an eye out on Amazon.
Friday, June 19, 2009
Failed Contraception?
(Pic from Foto S.A)Just to share a story:A friend of mine did an educational community project during his final year as a medical student, which aimed to create awareness of contraception in a village (kampung).They have prepared the presentation and booklets explaining on various types of contraceptives, which the primary emphasis is on barrier method - condoms, due to its cost-effectiveness
Wednesday, June 17, 2009
Like most people born and raised under the western health care umbrella, I grew up having no familiarity with the life style of natural medicine or preventive medicine, much less the holistic-health care model of Oriental Medicine--classical or otherwise. My idea of prevention comes from my childhood experiences of painful vaccinations and an ear infection every Fall until I was six. There was nothing sacred about medicine; it was a job which allowed our single mother, a Registered Nurse, to pay the rent and keep the cupboards half full. Its pattern was simple: it was the doctor's cold invasion, the white-walled office, hands that smelled rubbed with alcohol, the pallid eyes, the otoscope pushed too far into the canal of my raging ear; the ear infection confirmed, antibiotics, then feeling better in a day or two. It's difficult to differentiate your body from yourself at such an early age. How do you not misinterpret each illness as a personal attack on your character? Why should I endure these pains alone, I would think, when my sister--my twin, no less--had the privilege of sleeping through every October undisturbed. Why was there no devil's finger digging in her ear? What made my body's relationship with this evil bacterium so different from hers? By the sixth year my eustachian tubes had made their natural course downward, forward, medially and the seasonal infections were gone. Our visits with the doctor also disappeared and I stopped with my jealous introspections. For the next seven years we would not visit a doctor unless we really had to, that is if what ailed us could not be fixed at home--but what could not a mother cure? Between the chamomile teas and ibuprofen we came to understand that the body would just take care of itself. Our mother never got sick. All her years helping the sick and dying in nursing homes, emergency rooms and eventually neonatal intensive care units the one thing she "contracted" and then communicated to my sister and me was that the body is a very capable machine.
Three years ago, however, I learned that my capable machine had been confronted by the stresses on my inconsistent lifestyle of a young man in graduate art school. Suddenly one afternoon I began to suffer from a dry, burning that affected the middle of my back, my right arm (including the axillary) and right pectoral. A week later when this burning progressed into painful blisters, and while my wife and I were traveling to Arlington, Texas for a wedding, the diagnosed was made clear: I had shingles. I asked the tending physician how this could have happened. My hygiene was very important to me, I told her, and I didn't eat greasy foods. My ignorance was showing. It is not impossible but it is rare for some one in their late twenties to suffer the effects of the herpes zoster virus. My immune system had been compromised and stress was the most likely culprit. The diagnosis came too late for the antiviral to have been effective, so it was not prescribed. My body would have to carry on as before for the next four to six weeks with no outside assistance except moderate doses of a prescribed painkiller "when needed" which only made me nauseous. I mention this occurrence in my life not because it then introduced me to the powers of Oriental Medicine or to my current OM practitioner, but because it was then that I realized I had been neglecting that trinity of mind, body and spirit and that there were consequences to this delinquency. This machine is only capable as long as we work with it towards its wellness. Since the shingles outbreak I've been exercising regularly, trying to eat seasonally, engaging in talk therapy once a week and visiting with my OM practitioner when ever I can and reading all I can get my hands on regarding the theory, the science and practice of OM and bioscience. Technology and the Western medical model can guarantee a longer life, but if we do not come to understand the body's fluid relationship with the mind and spirit and the relationship we share with our environment (for better or worse), and if we do not practice and regulate these teachings, how can we expect to maintain balance thereby ensuring a richer quality of life to accompany that longevity?Tuesday, June 16, 2009
On Reading the Huang Di Nei Jing (Ilza Veith translation)

There are many treasures shared from reading through the Nei Jing--if not an infinite number of gems; for it's like opening a book to read from the gestures of the cosmos and each bit of light needles the heart by way of the brain, by way of the eyes . In a practical sense, the Nei Jing is an understanding of the circular, multilayered philosophy of Yin and Yang and the 5-Elements principle. But I say one reads "through" the text because my experience is you can't just read it once or twice and then impress your friends for having kept such company as the Huang Di and Qi'Po. Depending on your state of mind, your development spiritually, philosophically, professionally as you read each chapter, you will be drawn as a wandering satellite to orbit a certain philosophical gem, a poetic gesture, a technical inquiry, an historical curiosity that reflects your current position with yourself in the world. The theory of Yin and Yang is simple and complex and I would love to understand it further and live by the 5-elements, but what moves me most right now as I read through it again is the relationship between Huang Di and his court physician Qi'Po. I think as students of body and medicine (though my studies so far are only amaturish) we all want that communion with our teachers: our childish enthusiasm to understand this theory and practice with question after question after question, trying to delve further and deeper so that we can be the best healers we can be and the teacher's unflinching patience to keep our head above water. It's a lot of information to try to ingest and keep put as if it had always been in us and/or accessible anytime (is it?). Qi'Po and Huang Di's relationship is about pacing and deep breathing with The Tao; otherwise you will learn nothing and never recognize the truth right before your eyes because you're struggling so hard to reach the bottom where the goal, the "truth", lies as fallen treasure to be had. I don't mean to say that the Nei Jing is a cautionary tale of the fallen student, Iquaris in the middle of an ocean metaphor, but I do mean to say that the magic of the body is a bottomless abyss and from reading through the Nei Jing I've begun to think that the best way to understand that bottomless abyss (ocean metaphor alert!) is to recognize our own bouancy in it. Once we learn how to be in the knowledge, then can we begin to mark distance in it.
Monday, June 15, 2009
another amazing omega adventure
Back from a week at Omega where I do an artist's residency each year. As always, a whirlwind. And this time, way too short. I had the amazing blessing of taking 2 workshops with visionary artist Randal Roberts.
I'm 3-d girl, so painting and drawing are a real challenge for me. But Randal got me diving into both with surrealistic divining techniques that blew my heart, mind and hands way open. There's nothing like the feeling of "hey, I can do this!". I can't wait to keep the pencil and brush going.
Meanwhile... in my own 3 d explorations I created a series from the paper that tea bags come in. Been collecting them for years. Using them to create prayer beads. And now:
Tea-Betan Prayer Flags, Tea-Betan Prayer Wheel and Tea-Betan Book of the Dead.
With gracious thanks to Nico for coming up with the name, which definitely pulls the concept together.
I love a collaboration that just pops into being like that. Nico walked into the art hut one day and just tossed it out. Fit like a glove.
Pics to come soon. Of all this and more.
So stir up a little Magic Medicine of your own with a pencil, a brush, some watercolors. Or just a bunch of garbage you haven't thrown out yet.
May your day be filled with love.
I'm 3-d girl, so painting and drawing are a real challenge for me. But Randal got me diving into both with surrealistic divining techniques that blew my heart, mind and hands way open. There's nothing like the feeling of "hey, I can do this!". I can't wait to keep the pencil and brush going.
Meanwhile... in my own 3 d explorations I created a series from the paper that tea bags come in. Been collecting them for years. Using them to create prayer beads. And now:
Tea-Betan Prayer Flags, Tea-Betan Prayer Wheel and Tea-Betan Book of the Dead.
With gracious thanks to Nico for coming up with the name, which definitely pulls the concept together.
I love a collaboration that just pops into being like that. Nico walked into the art hut one day and just tossed it out. Fit like a glove.
Pics to come soon. Of all this and more.
So stir up a little Magic Medicine of your own with a pencil, a brush, some watercolors. Or just a bunch of garbage you haven't thrown out yet.
May your day be filled with love.
Saturday, June 13, 2009
Departmental Event - Food Poisoning!
My department had quite an incident recently. It all happened when we tried out a new food catering service for one of our conferences. It was kinda nice buffet-style dinner, with usual cuisines like chicken/ beef/ vege and ya, the mutton (which we all then think the most suspicious culprit!). The night after dinner was relatively uneventful - as compared to what happened the next day.So this is
Friday, June 5, 2009
Rare Diagnosis - Leishmaniasis
We had an interesting case lately. A young patient presented with prolonged fever, hyperpigmented skin lesions and hepatosplenomegaly. Lab study showed pancytopenia. Based on the clinical presentation and there is history of travelling, the physician made a diagnosis of Kala-azar (visceral leishmaniasis) right before much investigation.And bone marrow aspiration with trephine biopsy was then done
Thursday, June 4, 2009
Q Fever
Did a presentation on Q fever today. Just take out some points to share:Q fever is a zoonotic disease caused by Coxiella burnetii, a pleomorphic, obligate intracellular Gram –ve coccobacillus., causing acute or chronic infection worldwide.It's first recognized in 1935 by Derrick in Queensland, Australia but this is not the reason it's named so. "Q" stands for "Query" as it has been presenting as
Subscribe to:
Comments (Atom)