Friday, 17 June 2011

The Quest for Personalised Health

Last weekend, I went to a fascinating conference entitled The Quest for Personalised Health, organised by the University of Westminster.  The purpose of the conference was to explore the interface between East Asian medicine and modern system sciences.  So, those present included systems biologists, acupuncturists, social analysts, herbalists, doctors, historians and researchers. 

As an acupuncturist, I was intrigued to learn from systems biologists that genes are merely databases and do nothing without interacting with the rest of the human system.  As a result of this insight, some systems biologists are looking for multiple actions and therefore multi-action drugs, which sounded quite like the sort of approach taken by acupuncturists and herbalists towards their patients.  Systems biologists, it turns out, also look at the effect of mental and social states, environment and behaviour, when trying to address health issues.  So they see intervention as a complex process, not as a simple matter of targeting one trigger in a physiological process.

It was also interesting to learn that in Korea, there is interaction between scientists and traditional “sasang” practitioners.  Korean sasang emphasises the role in health of the person’s constitution, as does traditional Chinese medicine, which I practise.  All three (systems biology, Chinese medicine and Korean sasang) look for a patient specific treatment.  Looking for synthesis between Eastern and Western medicine at the conference emphasised the importance of seeing human health and illness in terms of the processes that are happening in a person, whether those processes have a western name such as circulation or an oriental name such as qi.

Exploration of what is involved in medical treatment of any nature inevitably includes research into efficacy, and we were given an enlightening discourse on the placebo effect of the patient’s response to the clinician and the wider consultation, as well as to any specific treatment.  This was particularly interesting in view of the current difficulties in assessing research into acupuncture, where the ‘sham’ needle has been hailed as the gold standard method of comparing ‘real’ acupuncture with ‘sham’ acupuncture, leaving many of us wondering why the whole process of an acupuncture treatment (rapport, relaxation, dietary and lifestyle advice etc.) is excluded from study.

The conference was a refreshing change and stimulating experience – if this blog has stimulated your interest in the connection between systems biology and Chinese medicine, have a look at the book written by one of the speakers: The Music of Life, by Dennis Noble – beyond the genome http://musicoflife.co.uk/dnoble.html.

Thursday, 14 April 2011

Health in Springtime - a Chinese Medicine Perspective

The pleasure of Spring is fully apparent in April; gardens are bursting into life and most of us feel a renewed sense of vigour.  In Chinese Medicine, where the process of describing health and illness is somewhat different from the western perspective, this season is aptly associated with the Element “wood”.  In turn, wood is associated with flexible, vigorous growth and flowing movement, pushing upwards, getting out there and getting on with things.

In terms of the physical body, this element is associated with the liver and the gallbladder.  In mental terms it is associated with pairs of opposite characteristics: organisation and chaos, control and lack of control.  In emotional terms, there is also a spectrum of associations, from anger and assertiveness to depression and indecisiveness. 

In assessing a person’s state of health, the Chinese look for a balance between the Elements (the others are Fire, Earth, Metal and Water), and a balance within each Element.  Thus a balanced Wood Element shows itself in a person who gets things done effectively but in a relaxed kind of way.  Such a person is able to change plans and adapt to new circumstances with a positive and flexible attitude, feeling in charge of their life without needing to over-control other people or let other people walk all over them.  One of the characteristics of Spring is spontaneity, and a balanced wood element enjoys, or at least copes with, life’s little surprises – it’s “going with the flow”.  In purely physical terms, this means strong but supple muscles, enjoying walking and bending and stretching.  Cyclical events in the body also go smoothly, e.g. sleep comes easily and so does waking; in women, the menstrual cycle is regular and pre-menstrual tension and pain are absent.

This idyllic picture is not, unfortunately, always the way we are.  At this time of year, I see a lot of people with “wood” or “liver/gallbladder” imbalances. Sometimes people describe themselves as feeling “liverish”, or they complain of irritability or depression, feeling “up-tight” or that life is out of control.  Sometimes they feel a loss of confidence or cannot assert their point of view or make decisions.  The imbalance may manifest physically in headaches, migraine, pre-menstrual tension, muscular tension, cramps, irritable bowel or indigestion.

Chinese recommendations for good health in Spring include taking plenty of exercise (outdoors if possible, preferably protected from any very cold winds), and doing something which you enjoy and which helps you relax – gardening is perfect for those who love their gardens! Anything which allows energy to flow freely is recommended, e.g. singing, running, swimming and laughing! 

The Chinese have a lovely image of the healthy Wood Element. It is “the free and easy wanderer”, which brings to mind, for me, the picture of someone wandering through Wardour woods, taking pleasure in the spring air, the new leaves on the trees and the sound of the birds singing around them.

Friday, 1 April 2011

Can acupuncture help hot flushes? New Research

I went to the ARRC research symposium in London on 12th March - it proved a great opportunity to hear about some of the wide-ranging research that is going on. 

I was very interested in the presentation of a Norwegian researcher, Terje Alraek, into the effect of traditional (TCM) acupuncture on menopausal hot flushes.

The study was carried out by experts at the National Research Centre in Alternative and Complementary Medicine in Tromso, Norway.

Researcher Terje Alraek said the study involved women self-reporting their symptoms.

He said this type of research had been validated against other studies where flushes are scientifically analysed using data from the skin.

He added: "After menopause, 10 to 20% of all women have nearly intolerable hot flushes.

"The promising results of the Acuflash study suggest that acupuncture may be able to provide an alternative to long-term use of hormone replacement therapy."

The full account of the study was downloaded by aim.bmj.com on 1st April 2011.  To read the whole thing, follow this URL:http://aim.bmj.com/content/27/3/101.full.pdf

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