Compassion as the driving force of Classical Chinese Medicine practice
A while ago, I began a series of posts designed to describe my experiences with Dr. Liu Lihong, renown Classical Chinese Medicine clinician and scholar. He visited NCNM in Portland just about a month ago, delivering powerful lectures and teaching us all with grace and simplicity. Many folks have asked me to share what he had to say about the Fire Spirit school of Chinese herbalism, a school that takes the use of Fu Zi (aconite) and Gui Zhi (cinnamon) to be its guiding methods. Unfortunately, I didn’t take written notes - only a recording - and it is taking me some time to transcribe. It may have to wait until school is out in a couple of weeks, when I have time between clinic shifts.
The truth of the matter is that the most powerful information that Dr. Liu gave us really had nothing to do with the practicalities of herbal formulations. I would like to share what I learned about a lecture he gave in our Medical ethics class about compassion in Classical Chinese Medical practice. I will soon share more of what I learned from this contemporary master of our medicine.
Medicine as the Bodhisattva way
Dr. Liu started out by talking about the concept of a Bodhisattva in Buddhism. In my reading, I have discovered that not everyone agrees on the definition of this concept. A basic understanding of Bodhisattva reveals a being who is either enlightened or well on their way who decides to hold off Nirvana in order to help other human beings reach enlightenment. By this definition, they embody the purest compassion and service to humanity. Certainly a noble goal for anyone, particularly a physician.
Dr. Liu wanted to help us understand what it would mean to live as a Bodhisattva. He explained that for him living this principle in daily life certainly involves living life to its fullest while striving to deeper understanding of what it means to be alive. Living a full life was explained to involve coming to a state of balance in health both in body and in the emotions. That way both Xing (form) and Shen (spirit) will be unified and harmonious. This allows us to be a great resource of inspiration for our patients while also allowing us the ability to walk our path with strength and purpose.
How do we do accomplish this task? By following the guiding hands of the ancients. 文化 (Wen Hua) is a Chinese term that’s something like “culture.” Dr. Liu related to us that the deep meaning of the term encompasses more than what the normal American interpretation might reveal. It isn’t just a collection of wheres and whens and whats, but a body of knowledge produced by great people that can be used for transformation of human lives. The study of culture and cultural artifacts, like the Classical Chinese texts, is more than an empty academic exercise. Or, at least, it should be.
The ancient texts, like those written by Kongzi (Confucius) are part of the Wen Hua that we can use in our quest to follow the Bodhisattva way. It isn’t important that we analyze the texts in an analytical manner. The important thing is that through our study of the texts, we allow them to Hua - to transform us. I think I understand from what Dr. Liu was saying that he believes Chinese medicine knowledge is this way as well. Many of us know a person who has nearly encyclopedic knowledge of Classical texts or Zangfu differentiation or herbs or acupuncture, yet remain a mean-spirited and uninspired person. This is a waste of the information.
So, our goal should be to allow what we are learning to transform us. Our program at NCNM, I believe, really takes this matter to heart. The whole first year is all about breaking you open to receive the teachings fully. It’s a tulmultuous year for many. My experience was truly a birth process. I felt the pain and the subsequent release of that pain only to be shot into an unknown world that is both breathtaking and a little frightening! On the other hand, these last two years have been a lot of information, taking it in and trying to figure out how to use it. I feel that it would be easy to become obsessed with the consumption and reproduction of information, forgetting to be transformed. Now that I look closely at the next three weeks, I realize that it is another birthing process. Our finals are pretty laid back and my mind and spirit naturally turn to cultivation. I find myself wanting to do Qigong, wanting to spend time in nature, wanting to read texts that inspire me. I find myself reading back over my first year notes, reconnecting to the symbolism we were steeped so heavily in during our first year.
Words to live by
I realize the truth of what Dr. Liu was teaching us as I’ve described above. But, there was more. After talking to us about the process by which we can get closer to enlightened awareness, and the purpose of that in turning us into superior physicians, he let us in on what he believed to be the highest truth of the Way of the Bodhisattva. It’s a simple statement, echoed through many cultures in one form or another. In this instantiation, it is expressed in a slightly different form than most Westerners are used to - by Kongzi (Confucius):
子曰、其恕乎、己所 不欲、勿施於人
Zǐyuē, qí shù hū, jǐ suǒ bù yù, wù shī yú rén
The master said, it’s perhaps “Shu”, do not place upon others what you would not have placed upon yourself.
I acknowledge my translation could use work. :) But, you get the point. It’s another statement of the Golden Rule - in this negative form sometimes called the “Silver Rule.” Important within it is the character 恕 Shu. This character is composed of three radicals. On the bottom, we have the Heart. Above that on the left we have the radical for Woman and on the right the Mouth radical. So, “Shu” is something like a woman speaking her heart. Or the kind of speech that comes from the strength of a woman’s heart. Opposed to this elsewhere is the character for anger, 怒 Nu, which looks very similar. The only difference is the upper right radical which is a picture of a hand. The woman radical and the hand radical together as a character by themselves means “slave.” So, anger is when your heart is enslaved. We can look at this in an external way - as when someone is somehow preventing us from living our heart’s desire. But, Dr. Liu asked us to look at it differently. Anger is, he suggested, like not having a master within yourself - when one loses control. Shu is an antidote to this - it is living out our heart’s greatest desires, our heart’s purest desires. This gives us ultimate freedom and it allows us to arrive at our true nature which is always productive of behavior in line with the “Golden Rule” as listed above.
Perhaps you’re not sure what this has to do with Chinese medicine, but for me it was clear.
- To achieve mastery in medicine, we must not only learn from the Classical texts and the wisdom of our teachers, but also allow this information to transform us on a deep level.
- This transformation will be on many levels. Physically, we will “follow our own advice” and live in accordance with the ways that our teachers lay out for us. Emotionally and spiritually, we will walk the path of the Boddhisattva.
- This path is one that brings us into line with Shu - opening to our true nature through living the truth of our heart. This in part involves, and is productive of, behavior in line with the Golden rule.
- This Golden rule indicates that we should treat others as we treat ourselves, or that we should not do to others what we would not have done to ourselves.
- In some sense, all of this tells us to polish ourselves into the kind of doctors that can serve as great examples for our patients. But, we must also allow our patients to be a mirror for us - when we gaze into that mirror we must always be asking ourselves if we are treating our patients as we would want to be treated in similar circumstances.
I’d be interested to hear what you think about this in the comments.
Eric
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Tags: buddhism, Classical Texts (general), Personal Development, professional-development, study, studying.-confucianismRelated posts
Classical Chinese Medicine events in Portland, OR
I know not everyone is lucky enough to live in or around Portland, OR. ;) I would still like to announce these events - they are more than worth the travel cost and time, I assure you. Click on the flyers for bigger versions, you should be able to click on the flyer when it opens in another window to zoom in even more.
If you’re having a hard time seeing the flyer, you can go to the NCNM Continuing Education event website and scroll down the page to May events.
For those experiencing trouble, here’s a quick summary:
1. Dr. Liu Lihong and Dr. Tang Nong
- Classical Chinese Medicine in Modern China
- Pearls of Wisdom from the Shanghan Lun
Date: May 10, 2008 9:30 – 5:30 // Location: NCNM Ross Island Campus; Portland, OR, Great Hall
This 2-part,1-day seminar will feature the combined genius of the two founders of China’s first official research institute for the clinical application of classical Chinese medicine. Professor Tang, chair of the Institute at Guangxi College of TCM, is the charismatic leader who made deadlines as China’s youngest hospital director. Dr. Liu, co-chair of the Institute and its medical director, is the author of the highly influential “Sikao Zhongyi” (”Contemplating Chinese Medicine”), the best-selling plea for a renaissance of classical Chinese medicine that has reached more readers in China than any other modern Chinese medicine publication during the last century. Both are veterans of the Chinese medicine machine in China, who have a clear view of the limitations as well as the potential of TCM in our time.
2. Dr. Manfred Kubny
An Introduction to Chinese Medical Astrology
Date: May 24-26, 2008 930am -530 pm // Location: NCNM Ross Island Campus; Portland, OR, Great Hall
“Chinese Medical Astrology: A Systematic Introduction” May 24-26 (9:30am-5:30pm each day). This pioneering 3-day workshop will present, for the first time in the U.S., the highly sophisticated model of Chinese constitutional and medical astrology as researched and synthesized by the West’s leading authority, Professor Manfred Kubny (University of Berlin).
If you’re interested in other events pertinent to Classical Chinese Medicine you can check the following sites - note that events are all over the US and Europe:
1. Events page at Arnaudversluys.com
2. Events page at Classicalchinesemedicine.org
3. For the five-element acupuncture fans among you, check out the Portland based home of David Ford and David Berkshire - asomseminars.com
4. NCNM’s Continuing Education Department page
Tags: Acupuncture, classical-chinese-medicine, events, news, Portland, portland oregonRelated 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
Year of Sagely Living : Business and leadership in Chinese Medicine
Well February has simply FLOWN by. While I haven’t posted much about what I’m learning, it isn’t because I’m not learning. :) It’s because I’m learning so much and enjoying it so thoroughly that I simply don’t have much time to write. I feel that my overall education has accelerated a lot in the last 60 days or so, which is a great feeling. I wanted to start writing about the biggest lessons I’ve learned so far from engaging with the business and leadership material this month. I’ll follow this up with a couple more specific posts and, of course, some lead-up to March’s Year of Sagely Living commitment.
1. Business Seminar at NCNM : As part of our program we take a two part business seminar co-taught by two LAc’s in the Portland area. They both have different approaches to business and the medicine, and complement one another well. Much of the class has been taught through the five element model and through the archetypes associated with the 12 officials. This first part of the series has been focused on general business topics, the second part will present us with more detail. We have been asked to conceptualize what kind of practitioners we would like to be, to start thinking about what our space will look like and what kind of financial structure we expect to have. We’ve been asked to interview current practitioners, write mission statements and to grapple with our own relationship with money. It’s been a good class, overall. I have to admit I’ve been a little impatient with it, as I’ve done most of that work and I’m eager to get on to the nitty gritty details of opening and maintaining a practice. However, with each more general exercise I’ve learned something important about my future medical practice. In a sense, then, the greatest lesson I’ve learned from this class and my focus on it during February’s Year of Sagely Living is: You can never revisit the basics enough.
2. Dave Ramsey - Total Money Makeover : As I’ve mentioned elsewhere, I’ve been working through Dave Ramsey’s Total Money Makeover. While I can’t say I agree with everything Dave says, I do think that his fundamental philosophy is sound. It works for someone as systems oriented as I am. I also have an appreciation for “tough love” approaches that encourage me to reach for my dreams while keeping me fully grounded in the reality of the situation. If you’re not like that, you won’t like Dave Ramsey. You also have to have a relatively high tolerance for evangelical Christian themes and statements, a sort of traditional American gender bias and lots of colloquial Texan phrases. Still with me? It’s a great program and has whipped my financial life into shape. I feel that I have a greater appreciation for the power and promise of money as well as its downfalls. Greatest lesson: grow up.
3. Tony Robbins - Personal Power II: As you can probably already tell, this month was very prolific for me. I find that while I need to spend a lot of time with material specific to Chinese medicine, my function as a Chinese medicine scholar is greatly enhanced by consuming material on personal productivity. That’s the lesson, really, of the whole month — Chinese medicine must be integrated into one’s life as a totality. Everything that I do to improve my life outside of Chinese medicine enhances my ability to understand Chinese medicine! Wonderfully - the converse is also true. I started listening to this book of Tony’s on my iPod and have really enjoyed what he has to say about the true power of a single human life. He has that classic wood-style “motivational speaker” voice and while that takes a little getting used to, I do find it gets me pretty psyched after a while. :) However, because of an error in loading my iPod, I ended up listening to another audiobook much more and that’s really what I want to talk about…
4. Steve Covey - The 7 Habits, Principle Centered Leadership : I’d like to write a few articles on the 7 Habits and how I see them meshing with the image of the Classical Chinese scholar gentleman. Steve Covey is simply brilliant. If I had more time, I would start a whole blog just to explore his ideas and how they intersect with other world philosophies. I’ve read several of his books, but this is the first time I’ve had an audiobook version. As you know, I’m a huge fan of the “Getting Things Done” system of personal organization as described by David Allen. I absolutely stand by my endorsement of his system, as nothing has enabled me to keep track of my various projects and ensure that I forget nothing like his system has. However, I find that I need something more. I need a way to overtly keep myself balanced amid the many competing interests, a way to take care of my responsibilities while still moving towards fulfillment of my highest purpose. It’s incredible how much listening to this audiobook has enhanced how I understand the basic philosophies Covey espouses. It’s difficult for me to think of just one lesson, but if I had to pick one it would be: You need to spend the most time doing the things that are most in line with your life’s purpose(s).
5. Blogging and my thinking process around future business strategies: I’ve learned so much than I’m revealing above. I think it will take a couple of weeks for me to integrate it all. It definitely has changed my vision for my practice as well as my idea of what kind of professional I want to be. It has made me re-evaluate my blogging as well. I now see that blogging is not just a hobby, it is an integral part of my life’s work. Hopefully this realization will produce results that all of you can enjoy. I realize that I haven’t put out too many blockbuster CM related posts lately and I’ve made a commitment to myself to reverse this trend.
Tags: Blogging, commitment, Dave Ramsey, David Allen, habits, Learning, organization, Personal Development, productivity, Steve Covey, Year of Sagely Living
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