Chinese medicine and physical exercise
Lately, I’ve been considering any holes I can find in my Classical Chinese Medicine education here at NCNM. Amazingly, there aren’t many. It’s hard to put together a top notch program in any topic, much less one as complicated as Chinese medicine. One place I have found myself without much to go on is in understanding the role of physical exercise in health according to this medicine. I’ve learned things here and there, both in class and in my own study, but the information is confusing and definitely conflicts with my own experience in places. In this article, I’d like to briefly discuss what I feel I have learned and the problems I’ve found therein. I hope that you will add your input in the comments. Some of what I write below will be in explicit TCM terms, as most of the docs I’ve talked to about this subject know that system best.
What I’ve learned about physical exercise since starting school in Chinese Medicine:
- In general, vigorous exercise is not recommended. This is particularly the case when the exercise is productive of lots of sweat. The thought is that the discharge of so much sweat inevitably damages Heart Yang, given that Heart Yang is used to expel sweat from the pores. Instead, gentler forms such as Qigong, Taiji and sometimes Yoga are recommended. These are said to build the body from the inside in a way that does not damage any vital substance of the body.
- Many of our doctors mention of how overwork can be very bad for the muscles and tendons and deplete both the Blood and the Qi. This is often mentioned mostly with relation to labor, but also non-working exercise. We are frequently asked to consider the lot of laboring people worldwide. They are often physically strong, but become ill easily and have shortened life.
- Much of the negative information we get about exercise concerns specific habits. For instance, showering or soaking in water directly after being very sweaty (with open pores). It is said that this (common) practice pulls dampness into the body and creates conditions of damp and hot damp in the middle jiao. Lifting very heavy weights over long periods of time are widely regarded (by most medicine) to be difficult for the joints, tendons and even bones. Another commonly mentioned problem is the tendency for many weight lifters to be building a sort of “muscle shell” that only conceals a hollow interior. Their muscles are very strong, very impressive, but the person is ultimately weak on a number of levels.
- There are often discussions about the importance of protecting the Heart. We often hear worry about making the Heart work so hard and wasting its precious Qi and Yang. Sometimes we will discuss various spiritual theories about the length of a person’s life being determined by a pre-determined number of heartbeats or breaths. I don’t think this information is regarded very seriously, we simply discuss it as something intriguing to consider.
I can understand much of this. For instance, it is certainly important that we don’t overwork ourselves. I see many people exercising in the name of health who seem to be making gains (losing weight, gaining muscle) but possibly at the expense of their longevity because of heavy wear on the joints and Heart. Further, the practice of being hot and sweaty and immediately going into the sauna or hot shower has always made me cringe a little.
On the other hand, we need to be mindful of the current state of most Americans. Another thing that we hear railed about at school is the danger of being overweight - leading a sedentary lifestyle. So, while exercising too much is certainly a bad thing and we can advise our patients to avoid it, we do need to help our overweight and out of shape patients! It seems that most Chinese medicine doctors would have us just eat a moderate diet, sleep well and do gentle movement in order to stay healthy. This sounds fantastic, but it doesn’t seem to work for everyone. It also makes one wonder what to do with a person who comes in already suffering from an overweight condition. Often overweight conditions are helped with dampness draining formulas and SP rectification, but again, this doesn’t seem to work for everyone. Some of the work seems to need to come from the person themselves.
Anciently, of course, most people were doing hard labor. In many of the Qigong forms we use, we visualize doing various kinds of labor (grinding the millstone, for instance). So, there is obviously some kind of recognition of the physical benefit of hard work. But, again, as explained above - it’s clear to anyone that too much hard physical labor is not great for a person.
I’m interested in this topic for two reasons. First, I expect to have plenty of fitness-challenged patients walking through my door in just over a year’s time. I want to know how to talk to them in a way that makes sense, will help them understand a course of action and yet also be rooted in Classical Chinese Medical principles. Second, as part of my revised Year of Sagely Living goal, I plan to engage in a program of focused physical exercise to help achieve a more optimal physique. Why do this? Well, by anyone’s measure I do need it and also I find that the process (exercise, focusing on what’s going on with my body) is very pleasurable and gives me lots of energy in a way that doesn’t feel at all jittery or strange.
I’m interested to hear others’ thoughts and experiences with this topic. What have you learned? What have you rejected? Please comment!
Note: For the record, my current plan is to balance my physical cultivation through a combination of walking/bike-riding, weight lifting, gardening, Qigong and yoga. I am also doing some work with diet, but mostly just watching portion sizes and eating until I am about 3/4 full. This seems to work the best for me. I’ll probably track my progress on the YSL page, if you’re interested. I will be watching, particularly, my experience of some of this information listed above and monitoring my energy levels very carefully.
Eric
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Tags: exercise, human physiology, Year of Sagely LivingRelated posts
Taking it all in: Buddhist practice and Chinese medicine school
I’ve been struggling for the past couple of weeks. I’ve gone through the range of responses to my difficulty, mostly hovering in the realm of “just keep moving” which seems to work for me. The fact is that since I began Chinese medicine school at National College of Natural Medicine (NCNM) I’ve gone through periods of difficulty. Some of them come with warning - I am asked to interact directly with something challenging for me - but mostly they sneak up and don’t give much explanation as to their origins. This time has been one of those latter types. Finals week was hard. I mean, medical school is supposed to be hard, right? True, this finals week was particularly difficult. It reached deep and it wouldn’t let go, even with a very relaxing Spring break. But, somehow, this isn’t enough of an explanation for the kind of existential weirdness I’ve been experiencing.
Well, most of these things come on quickly and without much fanfare and leave much the same way. This time it broke open gently, slowly, and not all at once. In fact, there are some stubborn bits that refuse to go. But the breaking open has released some articles that I’m going to write all in one sitting and release over the week. They may represent something of a departure from my regular musings, but I hope they will be helpful to you nonetheless. The first, this one, is probably the most important for me to get out. So pay attention, will you? And let me know how it goes.
A short time ago, I was reading the Shambhala Sun,a wonderful Buddhist publication for anyone (not just Buddhists), and was struck by an article by noted Buddhist author Sylvia Boorstein. The article discusses the Divine Abodes, an element of the Buddhist explanation of reality that centers on particular states of consciousness that are (in part) an antidote to some pretty common negative emotional states of human beings. The Divine Abodes can be translated as (1) equanimity (2) impartial goodwill (3) spontaneous compassion and (4) genuine appreciation. The article discusses these states of consciousness in a very approachable manner and I learned a lot from it, but that wasn’t really moved me.
I was particularly interested in the simple explanation Boorstein gives of one of the primary insights of Buddhism. That is that situations, in and of themselves, have no inherent nature. My sitting in this coffee shop writing an article cannot, in a sense, MAKE me feel one way or another. I may have various reactions to being here (the basics being positive, negative and neutral) and those reactions are ok, but they can cause problems. For instance, if I enjoy it very much my clinging mind may start scheming to find a way to retain the experience and, knowing that I have to be somewhere in 45 minutes, I may begin to suffer the negative effects of knowing that this, too, shall pass. Boorstein talks in easy prose about her lived experience as a person observing her own reactions to various stimuli and finding equanimity within these situations. Equanimity allows us to experience all situations in such a way that we do not suffer from them, though we may still (of course) feel pain, pleasure or indifference in response to particular stimuli.
What does this have to do with Chinese medicine? Well, plenty. As I mulled over this article, I realized how important its insights are for students. In every educational program, we have classes that move us tremendously, others that we don’t really care one way or another about, and others that we actively dislike. When I am in a class that I love, I feel inspired and excited and I’m so reluctant to leave! This is particularly the case if I have a class that I don’t prefer soon afterwards. In fact, wonderful classes negatively impact my experience of classes that are less interesting to me. When I’m in a class I don’t prefer, I find myself not really taking in the information and - indeed - not even really being IN the class. I disconnect. I suffer in response to considering having to go to that class in the future. All of this dramatic running towards and running away serves no purpose but the stroking of my own ego - my steadfast resolve that I know what is good or valuable and what is bad or worthless. It detaches me from my lived experience and probably robs me of a great education.
So, I’ve begun trying to cultivate equanimity in class. When I say “try” I really just mean that whenever I notice my state moving in the direction of overt negativity, overt positivity or obvious indifference, I try to come back to being in that moment. What’s going on around me? What is my body sensing? What is the professor saying? Where is my breath? In this way, I had the best pharmacology class EVER today. The danger, of course, is that I become so interested in so many things that I don’t know what to focus on! :D But, there’s no rush and no aching need to spend every waking moment in pursuit of knowledge when my state is one of equanimity - so hopefully no danger there.
I realize I may not be communicating this absolutely clearly, but I hope the essence is coming across. I think this kind of state might be quite helpful in a clinical situation as well. It’s really just a variation on the old exclamation, “BE HERE NOW!” I’d be interested in hearing others’ thoughts in the comments.
Eric
Tags: buddhism, Cultivation, education, Learning, ncnm, Personal Development, Student Life, students, studyRelated posts
How would a sage care for the planet?
April has already begun and I’ve spent quite a bit of time thinking about the habit I would like to develop in pursuit of a more sagely existence. First, let’s recap what was said in the inaugural Year of Sagely Living post:
April - Large Intestine, Mao 卯 (Rabbit) - Care of the planet/consumption: This category will contain practices that develop us into compassionate and sane consumers, while helping to develop our deep relationship with the natural world. Why this pairing? April is a time when we can see the beauty of nature all around us, so is a great time to contemplate our dependence on it and responsibility towards it. Also, the negative side of LI/Rabbit is a tendency to run rough-shod over the needs and wants of others, these practices will seek to counterbalance this.
My lifestyle is already very much concerned with what I would call “compassionate consumerism,” which is to say that I consider the human and non-human ramifications of my actions every time I buy, consume or discard something. I recycle about 20 times more than I throw away, my version of whole-foods veganism lives lightly on the planet, I use my own two feet and public transportation most of the time, so on and so forth. Looking for a way to leave the planet in better shape than I found it has been a sort of part-time job of mine. So, figuring out an excellent practice for April’s Year of Sagely Living both had more weight and seemed more challenging.
At the end of March, I really took some time to review the whole Year of Sagely Living project. I have a passion for personal development, and my thoughts and actions naturally tend in this direction. However, “regular” personal development is not what my schooling, future career, and this blog are really about! The point is to look at categories of practice that seem to be aligned with the essence of Chinese medical philosophy, live by them, and analyze the results. The hypothesis is that these practices, particularly when they are very deeply rooted in Chinese medical philosophy, will be productive of excellent human beings. What I’m getting to here is that I want to be sure that I stay connected to the aim of reaching back to the ancient wisdom.
So, when considering my April YSL goal, I really tried to consider what kind of practice I could do that would bring me in line with the overall aim of the project. I’ve decided, with my family, to try to grow as much of our produce as possible in our backyard. I have been trying for a long time to develop the habit of growing food. We have beautiful houseplants and have managed to grow some excellent flowers, shrubs and trees in our yard. We have several fruit trees, raspberry bushes, and now a strawberry patch. We have had a container garden on our back stoop for two years running that was mildly successful. Now we have the space and the desire to really make a push and create a beautiful, bountiful space to provide our fruit and vegetable needs and we should use it.
This goal is ideal in a number of respects. First, it really brings us into line with our desire to buy the majority of our food locally. We shop at our local coop which has this goal as one of its goals, so we generally eat food that comes from pretty close to home. However, growing it in our yard would take that to another level. Eating locally is one of the greatest things you can do to reduce your environmental impact, as it reduces theamounto of petroleum used to get you the things you eat. It has a number of residual benefits as well, such as strengthening the local economy. We are making an attempt to make this even more petroleum-neutral by using public transportation when we can to get things for our garden, sharing some supplies (and their transportation) with a garden-savvy friend, etc…
Another reason why this goal is ideal for the YSL is that it connects the two vital practices of interacting with nature and ensuring the viability of our ecosphere. Chinese medicine has nature observation and contemplation at its root. Watching the cycle of growth, death, and rebirth will certainly deepen my understanding of this root. Third, there are a number of health benefits involved in growing a significant portion of our food. Micro-agriculture seems to yield more Qi-laden veggies, having lots of veggies around will promote us to eat them more often and the work itself (when done mindfully) can be tremendously good exercise. Finally, I really believe that interacting with nature on this level will confer some spiritual benefits - improving my general level of personal cultivation.
Some details:
- We will be growing the following: two kinds of kale, two kinds of chard, two kinds of lettuce, lots of tomatoes, potatoes, broccoli, summer squash, delicata squash, cucumbers, spicy peppers, chicory, carrots, fennel, basil, oregano and maybe a couple of other herbs. I will be seeking out Chinese herbs to grow as well. I know our local Classical Chinese Garden sometimes has plant sales.
- We will be using all organic soil amendments and pest control.
- We will not be using any machines in creation of the garden.
- We will be using heirloom varieties whenever possible, open pollinated.
- We will be using raised beds created from recycled wood (left in our yard by the landlord) or FCS certified wood
I will discuss the particulars of my experience and probably even find a way to post pictures of the garden as it grows. This will obviously be more than a month, but I will use my Year of Sagely Living intensity to really engage in the process of setting up the garden and getting it in the ground and then do periodic reports as time goes on. I can’t wait to hear about other people’s April Year of Sagely Living goals!
Eric
Tags: chinese-herb, chinese-herbs, environment, environmentalism, garden, habits, nature, organic, Personal Development, Year of Sagely LivingRelated posts
Why I am about to become slave to the clock
As I described in my last post on the Year of Sagely Living, March is meant to have us focus on the balance of rest and activity in our lives. I’ve thought more about this category than the two prior, because nothing immediately sprang to mind as a perfect practice to undertake. This is especially true because I am attempting to maintain my January and February practices and having some success with both of them.
Ultimately, because I’m trying to stay as focused on explicit Chinese Medicine material as possible, I think I’m going to focus on the organ clock. It’s such a ubiquitous part of our lives at school, we talk about it in almost every class. Some laughingly shrug it off, others take it seriously but don’t seem to evaluate it much. I’d like to use March as a kind of organ clock laboratory. Using Brandon Brown’s widget to help me keep to the true organ system periods, I will be doing a brief (3-5 minute) meditation on the organ systems as the energy reaches its peak within each. This will require me to be vigilant in watching the clock, which shouldn’t be too much of a problem because of the relatively regimented quality of my normal schedule.
There are some caveats. Obviously, sometimes I will be in class when I should be doing a meditation. I won’t be able to do each organ system every day. Over the course of March, however, I should get a good sense of the reality of the organ clock at each position. Another problem is that I will be sleeping during a portion of the organ system times. I considered having a weekend where I set an alarm for each organ system during the night to get a sense of their qualities. However, because we have finals coming as well as our clinical entrance exams, I don’t think that’s a fantastic idea. The most yin of the organ systems are going to have to wait to be tested.
Along with this, I will continue to maintain my practice of leaving Sunday completely open for family time - rest and relaxation. Saturday is also a family/home day, but I let myself do some work-related things such as my Weekly Review. I have already seen such great benefit from doing this, I can’t think of any reason not to continue.
One final goal, and I’m afraid this is a bit of a doozy. The “one goal at a time” advocates will not be happy with my do-it-all approach. :) Starting tomorrow, I will begin weaning myself until I reach a solid habit of waking at 5am. The early morning time is my very favorite and while I currently wake around 6, I don’t feel that it is early enough. I would like to take that early morning time to recharge myself in a variety of ways - through brisk walks through the neighborhood, Yijing readings, tea on the deck, Qigong, meditation or any other quiet activity that fits well with the gentle early morning energy. I have lots of help on how to achieve this goal - many bloggers have written about it. Steve Pavlina is one of my favorites as far as this topic is concerned.
So, to recap - my March Year of Sagely Living practices are:
1. Organ clock meditations during the peaks of the energy for each organ system.
2. Continuing my practice of spending weekends on family/home oriented rest and relaxation.
3. Going through the process to achieve the goal of waking at 5am daily - including weekends.
Thanks for listening.
Eric
Tags: balance, meditation, organ system, Organ systems, personal commitment, Personal Development, relaxation, Year of Sagely LivingRelated posts
Reviewing one’s progress in the realm of self cultivation
There is something inherently fishy about “evaluating” myself when it comes to a program of personal development. While goal setting is an important activity, and awareness of my strengths and weaknesses is essential to many things, there seems to be some way in which self cultivation stands exempt from my every attempt to measure it. How did January’s Year of Sagely Living goal go for me? Did I reach the benchmarks I laid out for myself? Well, yes and no.
I originally set out to study half an hour a day in each subject I’m studying in school. This turned out to be impossible given my many other responsibilities. But, this was not a failure. It gave me valuable information. It told me where my limits are and why they are there. It gave me an opportunity to evaluate those supposed limits and decide whether I wanted to accept them. It also helped me to be ok with where I am - pushing myself to my limit let me know that what I *am* able to do is *all* I’m able to do. That’s profoundly nourishing.
Falling short of my original mark, I set another one. I decided to study at least two hours in every subject every week. While this may seem laughable to some, for a variety of respects, it seemed about right to me. While I know I shorted a subject or two due to their lower weight in my overall academic scheme of things, I made up for that by studying a bunch more in my favorite class, Formulas. It turned out that two hours a week is just about right. It has been profoundly helpful and I think it has already increased my understanding of the medicine. As such, I plan to adopt it as a constant goal while I’m in school. After school, other scholarly goals will need to be set.
Several folks have joined on in the Year of Sagely Living - and they have had varying degrees of “success” with the program. I will include links to their sites at the end of this article, all definitely worth reading through. In the end, I think they have all discovered what I have. The simple act of focusing on a particular realm of life is transformative. Whether you can objectively evaluate “progress” is up for debate. So what does this mean for the rest of the Year of Sagely Living?
I still feel that the setting of specific goals, or the declaration of commitment to a certain practice or set of practices is very valuable. In that way, discussing whether one was able to fulfill that commitment makes sense. However, the benefit of these activities are more likely to be fractal in nature and difficult to put your finger on. While I am able to say that I have increased clarity and less stress as a result of my January YSL attempts, the true power is less measurable and more likely to develop over a long period of time. This, really, is the aim of the Year of Sagely Living. Not to set and meet goals. Not to yield some list of optimal practices that everyone could/should follow. Simply to articulate essential features of Chinese medicine and attempt to live by them in contemporary society.
I’m looking forward to February! February 1 happens to be my 31st birthday, so it will be an emergence into new things on more than one front. :)
Eric
Tags: commitment, Cultivation, focus, goal setting, January, Personal Development, scholar, study, studying, Year of Sagely Living
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