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The Twin Palaces of China

Chinese medicine is a treasure house, Mao told us, and so it has proven. For those of us in the profession it provides, at the least, a means of making a reasonable living in a satisfying and ethical way. But the more one engages with it, the more Chinese medicine reveals itself as a truly vast storehouse of treasures, each separate room an inexhaustible cornucopia of ways to improve the quality of living for oneself and others.

A separate room may be a specialty within the formal medical structure, such as paediatrics or ophthalmology, or it may be an area of investigation, such as herb growing and harvesting. Some rooms are larger than others. A small but very popular room is accessed by the billions who utilise some aspect of Chinese food therapy. We in the West have just barely peeked around the edge of the door in some rooms: an example of this is the meteorological–medical theory wuyun liuqi.

Indeed, we may find that exploration of this vast storehouse transforms us as we go, makes demands upon us that alter the way we experience ourselves and the world, challenges and changes our assumptions about how we as humans function, why we are, and even the boundaries of our skin.

One of the major halls in this storehouse is the experiential knowledge of the flow of qi around the body, both within and without the channels. We could almost call it the Hall of Qi, as it is an area that has led to the development of acupuncture, shiatsu, and qi gong, not to mention most of the Chinese martial arts. Involvement with qi gong or the martial arts (especially those known as “internal’” that put a premium on the development of proprioceptive awareness) will after a period of time — generally five years or so — find one developing an awareness of the circulation of qi, one that is not imagined or forced, but rather quite natural.

An older acupuncture teacher in China, who had also practised tai chi for a number of years, was incredulous when her new foreign students kept asking questions like: but how do you know the acupuncture points and channels are here, in this spot, and not somewhere else? She finally said, exasperated: “But can’t you feel it?”

It starts to look as though we, the modern sophisticates, are the ones who lack refinement in this area. Is it possible that there are ways of feeling and sensing that are simply not developed in our culture, while being so commonplace in other cultures that they are taken for granted?

As we get better at this, we may find that Chinese medicine students can learn in the body, instead of just in the head; that qi gong or tai chi or other internal martial arts will be core subjects taught by experts, rather than electives. At the moment, we should certainly be increasing the awareness of the part that yang sheng (life nourishing) exercises can play, not only in keeping practitioners healthy, but in fostering a deeper, more palpably experiential understanding of their art.

It is easy to wander from that Hall of Qi into an adjoining palace called Daoism (which Mao, strangely enough, never mentioned) — the two buildings share a non–existent wall.

While Chinese medicine has informed Daoism from the earliest times, the influence flowed strongly both ways. Many of the best known early authors in our medicine were as well–known for their Daoist works as for their medical texts, and these include such heavyweights as Ge Hong (Zhou Hou Bei Ji Fang), Tao Hongjing (Ming Yi Bie Lu, Ben Cao Jing Ji Zhu), Sun Simiao (Qian Jin Yao Fang), Meng Shen (Shi Liao Ben Cao) and even the famed Tang dynasty commentator on the Huang Di Nei Jing, Wang Bing, whose standard version we still use today.

All of these authors have works discussing the practice of Daoism. This pattern continues throughout the history of TCM: Ma Danyang (to name a single further example) is the compiler of the Ma Danyang’s 12 Heavenly Star Points of Acupuncture song (Ma Danyang Tian Xing Shi Er Xue Ge) but he is even better known as one of the seven illustrious disciples of Wang Chongyang, along with his famous wife Sun Buer — Sun the Inimitable.

The point of this retro romp is to flag this connection between Chinese medicine and Daoism, for the few who may not be aware of it, and to perhaps pique the curiosity — why is the connection so strong? Did the Daoists, those early scientists, discover in their investigations not only better herbal medicines and more effective uses of points, but other things that improved their medicine?
Those interested in delving deeper should read the book review section, where several of Thomas Cleary’s books on Daoism were introduced.

Nan Huai-Chin discusses Zhuge Liang’s “Letter to my Son”

Master Nan Huai-Chin is a very influential author of books in Chinese and English. While most of his works remain in Chinese, several excellent ones have been translated into English, notably by J.C. Cleary. Master Nan is unusual in being thoroughly versed in the schools of Vajrayana Buddhism, Confucianism, Daoism and Chan Buddhism, and thus able to express realisations in a wide variety of ways, not encumbered by sectarian limitations.

Zhuge Liang was a famous strategist at the end of the Han dynasty, as China entered the period of the Warring States. Portrayed as one of the prominent and colourful characters in San Guo Yan Yi (Romance of the Three Kingdoms) Zhuge is the ideal of Confucian statesmanship. Yet, at the same time, he is spoken of quite seriously as a Daoist Celestial who chose to return to the world of men to assist the re-ordering of a chaotic world.

Click for complete article pdf (no charge, no sign-up, no nothing: just the article): Nan Huai-Chin discusses Zhuge Liang

A quote from the article; Nan Huai-Chin in fine form:

Without strength of will, you will not attain knowledge. In the search for knowledge, the first requirement is learning to be settled and quiet. Many of you have gained your PhDs, or studied overseas and returned, but your state of mind is not even a little bit calm, and thus your knowledge is not great. I am talking to you young people—who actually are now over middle-age—all of you great professors, renowned doctors, all of you are my old students, and I am scolding you. I am invariably polite to outsiders. But now I am reproaching you among my old students: pay attention to the line that says if you are arrogant and lazy, you will not achieve excellence. Several decades now you have been slothful …

For more from Nan Huai-Chin, see Master Nan discusses a Daoist poem and Master Nan tells a Zen story.

The Tyranny of the Microscope

OR

 

The Allure of Certainty

 

Chinese and Western medicine complement each other so well because of the great difference in mindset, in approach. Chinese medicine is handicapped when there is a change at the cellular level that is not reflected in either bodily sensations or appearance of the patient (including tongue, facial colour, pulse and various bodily discharges). Western medicine can often pick this up early — for example, in a simple pap smear.

Western medicine is handicapped when the patient feels something is wrong but none of the diagnostic tests show any changes. There is a tendency to downplay the patient’s sensations of illness, or suggest that it may be stress, depression or imagination.

This is not a consciously applied technique on the part of Western medicine, it is a natural outgrowth of the technology that focuses on chemicals, cells and molecules. In this world, the world of the microscopic, it is visible physical change at this level that is significant; vague subjective sensations give only a general hint about which tests to run. Once the tests come back, there is concrete evidence of the problem, a certainty to the diagnosis; there is a clear line: complaint—test—results—diagnosis. There is a firm foundation, someplace solid to stand. This concrete certainty is extremely alluring. You have proof for every move you make! You are Right, and you can prove it.

That is, if the tests come back with concrete evidence. Without clear positive results, there is no certainty, and for those reliant on certainty this would feel extremely precarious. Like sailors pre-Columbus: over there, beyond that horizon, is Chaos!

Infinitely variable life has a way of disrupting our certainties.

So what do you do? Improve the tests, by all means. Develop more sensitive scanning devices — perhaps the answer is at an even smaller level. One day surely we can control all the variables. Or …

 … you learn to work with uncertainty. One might have methods of measurement that give you enough to go on, enough to be able to plot a course of action, without the comfort of absolute concrete evidence. One might, as it were, navigate by the stars instead of that solid dependable coastline.

This is the everyday world of Chinese medicine, our proper place, and one of our major contributions to the health care of our society: a different way of navigating. This is clinic, not the lab. We take the evidence of our own senses, together with the “vague subjective sensations” of the patient, and look for recognisable patterns. We have learned, over hundreds of generations of humans, what to look for, the patterns to seek, which could be confused with what, how to differentiate. There is no certainty, but from these pattern constellations we plot our course, the course for doctor and patient, back home to that fluid state called health.

Evidence-based medicine is very attractive if one is uncomfortable dealing with uncertainty. There is the proof: this treatment will work, for sure. Well, at least for a certain percentage of patients; the others are non-responders. Too bad for them.

There is also the understandable tendency to try to fit the patient to the treatment instead of fitting the treatment to the patient: “Well, I know this works, it’s proven, and he is almost right for the category, so …”

This type of approach also seems so undeniably right. Who can dispute that “we should use what works”? “There is proof for this treatment, it works, of course it should be used” (unfortunately this all too easily slips into the false corollary, “There is no proof for this treatment, of course it should not be used.”)

But again: works for whom?

There are those who lament the advent of evidence-based medicine as the demise of the art of the clinic in Western medicine; the movement in this direction has been inexorable ever since Western doctors began looking more at their lab results than they do at their patients. This all may be so; it is really not the business of anyone in Chinese medicine except perhaps to watch and learn. It becomes our business when we are told that Chinese medicine should change its clinical approach to be more like Western medicine, when we are told we should have proof, and more certainty.

When certainty exists, by all means take advantage of it (before it moves!) — but when that coastline has disappeared behind you, and the waterfall at the edge of the world is before you, try Chinese medicine. It’s been there before.

A light intervention can treat a serious illness

It is a standard assumption for us, part of our worldview in Chinese medicine, that the part reflects the whole. Enough reflections from different parts, and we have a pretty good idea of what the whole is doing.

The whole can be an organ in the body, the whole body, or even the body of society.

Increasingly over a number of years, a certain scenario has been recurring. Patients, especially those working for large firms, have been becoming more and more run-down, exhausted, burnt out. Treatment helps, but before long it is obvious that it is all being poured back into the job, and that “treatment” has become “maintenance.” Soon even that is slipping. Things continue to slide downhill until they finally and reluctantly quit the job, and then they gradually recover their health, and are much happier as well.

Now people in modern societies generally work harder than is necessary or good for them, but this has gone far beyond that. There is something different going on. Here is the story we hear, again and again:

Why Work is Killing You
Click for the article in pdf form, (no charge, no sign-up, no nothing: just the article).

2
Xiaoyao at his last job.

The Art of Living and the Game of Go

Yang sheng is not just about physical or breathing exercises, it is cultivating the art of living in all its rich variety and interest. Underneath all of that rich variety, however, is a unity of being that is ultimately supportive and nourishing; most traditional societies know this, and are structured to develop this understanding over the course of a life.

I remember one day back in China when I was young, I heard three teachers of completely different disciplines use the same words to describe what they were doing. At a morning taichi class, the teacher said “Your qi must reach the tip of the sword, just as if it were reaching the tip of your finger!”
At noon, the calligraphy teacher insisted “Don’t just hold the brush in your hand – the qi must flow through and reach through the brush into the ink!”
And later I heard an acupuncture teacher explaining to a beginner: “Stand properly! Your intent must pass into the needle, and your qi must flow to the tip of the needle. Only then can you rectify the qi of the patient!”

That was when I realised that the whole of Chinese traditional society was designed to foster an understanding of fundamental cosmic principles, learned by experience, and by different experiences in different disciplines. The goal of this was to produce a complete person, a real human being.

A gentleman (and many women) in traditional China would learn music, calligraphy, painting and the game of Go — in Chinese, “Wei Qi” or “surrounding chess.” Qín qí shü hùa were the four arts of the cultivated person, literally “zither, chess, writing and painting”. All of these arts introduce different facets of the same cosmic principles.
Let us take the most apparently trivial: the game of Go …

Art of Living and Weiqi
Click for complete article pdf (no charge, no sign-up, no nothing: just the article).

Go board

Ba Duan Jin on the bed

Eight Sections of Brocade is a traditional Daoist health maintenance program reputedly created by Zhongli Quan in the Tang dynasty more than 1000 years ago. Over that thousand years it has spread widely among the people, and has a variety of movements, some standing and some sitting. In the past two posts a common version of the standing movements was introduced, and here we will complete the routine with the sitting movements, which are actually a form of self-massage the Chinese call dry bathing.

If the room is warm enough, it is best to wear as little clothing as possible. One can sit in a chair or on the bed, or the floor if warm. Throughout the exercises the mind should remain (or be gently returned to) the area of the umbilicus, and one begins with three gentle deep breaths, then rub the hands vigorously together – especially the palms – for a full minute. Once the palms are warmed, the massage can begin.

Head, neck, eyes and nose
Rub the warm palms very gently over the skin of the face in circular motions, then use the fingertips to rub backwards through the hair at the sides of the head nine times, ending by rubbing the back of the neck and the area around Fengchi (GB-20) at the base of the skull with the fingertips. Use the sides of the thumbs to rub outward along the eyebrows from the point between them (Yintang) nine times, then the thumbs massage the temples (Taiyang) clockwise nine times, then counter-clockwise. Finally rub up and down alongside the nose, at the point Yingxiang (LI-20).

Teeth and tongue
Now, instead of the hands, use the tongue to massage the gums both inside and outside of the teeth, circling all over the mouth. The saliva that gathers should be held in the mouth for the space of a deep breath, return the mind to the umbilical area, and swallow the saliva. Very lightly chomp together the upper and lower teeth 18 times.

Sounding the Drum of Heaven
Rubbing the palms together again until warm, put the palms over the ears, with the fingers pointing backward. Place the index finger on top of the middle finger, then flick it downward to strike the skull, creating a deep drum-like sound, 36 times. After this rub fingers behind the ears up and down nine times, then rub the ears themselves.

Rubbing arms, shoulders, back and chest
Slide the palm forcefully up the inside of the arm, over the shoulder to the neck, and down the outside of the arm nine times, then repeat on the other arm. Rub the palms together until warm again and, with fingers pointing down, rub up and down the lower back until the area is warm and you have raised a light sweat doing so. Then massage the flanks and chest with circular motions.

Chafing the well of eternity
Roughly rub the legs all over, from top to bottom and back again, then place one foot on the knee and rub the point Yongquan (K-1) on the centre of the sole 81 times before shifting to the other foot and repeating. Rub lightly between the toes with the fingers once or twice.

Two palms warm the Cinnabar Field
This can be done sitting, standing or lying down. Placing one palm over the back of the other hand, gently rotate the hands over the lower abdomen 18 times, then reverse the direction and do it again. One should by this point feel an utterly delicious feeling of tingling relaxation throughout the whole body. Lying down to sleep, one can concentrate the qi that has been generated by lying on the back, and placing the hands over the spot on the body where the breath naturally reaches – for some this will be the chest, for others the upper abdomen, for some the lower abdomen. The sleep that follows this routine is extremely beneficial and refreshing, and long-term practice will demonstrate why Daoists were often called ‘Immortals’ – they never seemed to age!

IMG_8162

Ba Duan Jin — the Eight Sections of Precious Brocade

An ancient series of Daoist yang sheng exercises, passed down since the Song dynasty 800 years ago, is the Ba Duan Jin–the Eight Sections of Brocade–so named due to their precious effect on health. The earliest reference that I have found so far is a book called The Pivot of Dao (Dao Shu) which contains the sitting postures of Ba Duan Jin. Designed to be simple enough for children to learn, and gentle enough for old people, the series consists of eight associated exercises that stretch and strengthen the body from top to bottom.
The movements also have the intention of opening the acupuncture channels in the body, including the eight extra channels: the movements often include repeated running of the hands over the pathways of the channel for this purpose.

The mnemonic ode for Ba Duan Jin is as follows:

Both hands support the sky, to benefit the San Jiao,
Left and right open the chest, like holding a bow,
Regulate the Spleen and Stomach by lifting one hand,
Look backward to treat the Five Exhaustions and the Seven Injuries,
Wag both the head and the tail to eliminate Heart fire,
Punch and stare furiously to increase energy and strength,
Facing upward then bending the body over makes the Kidneys and waist firm,
Support the back, then seven jolts dissolve the Hundred Illnesses.

Ba Duan Jin part one links to a pdf with the first four exercises including a photo of each movement.
Ba Duan Jin part two links to a pdf of the last four exercises, with a quote from Thomas Cleary regarding its history, explanations of the final four movements, and photographs.

There is a difference between qi gong (‘breath work’) and exercises like Ba Duan Jin, which are yang sheng (nourishment of life) exercises. Yang sheng movements maintain and promote general health, which includes a good qi flow through open channels and collaterals, whereas qi gong concentrates on building a qi sensation, often in the Dan Tian (Cinnabar Field–a point located in the centre of the lower abdomen) then allowing it to circulate.

As a reward for those who have read this far, I will pass on the greatest secret of nourishing life, which I learned from my teacher Wang Ru-Zheng many years ago. The secret, he said, will look like no secret at all to those not ready to hear it, but it is the basis not only for yang sheng, but also for all healing, learning, spiritual studies and even financial investment. And here it is:

A little bit every day accumulates.

Fragrant shower

Several readers have taken me to task for, they said, being too negative. Surely health is not just about avoidance? Surely what we do is more important than what we don’t do?
I can understand  their point  of view: doing exercises to nourish  life is far more interesting than stopping up the leaks, as crucial as this is. It does put me in mind, though, of an old story told in the far west of China, in Chinese Turkestan, a tale of Afanti — the Effendi — who was either extremely wise or extremely foolish; no one could tell which.

It seems that one day Afanti was standing at the pump in the public square, pumping water into a pitcher in his hand. This went on for some time, until one of the gathering onlookers said to him: “Afanti! You will never fill that pitcher, for it has no bottom!” Afanti looked at him indignantly and said, “I am not interested in the bottom of the pitcher, I want to fill it to the top, and so I am looking at the top. Don’t distract me with irrelevancies about the bottom!”

Now that I have had my say, however, a useful technique is described in a number of traditions such as the Daoist and the Zen streams, and probably others of which I am unaware. The aim is to systematically melt away tensions in the body and mind.

The technique
Sit in a comfortable position. Standing is also possible, but is best done in the posture used at the beginning of a Tai Chi set, before any movement takes place. If you do not know what this means, better sit. Once practised with the technique, it can be done in any posture.
Now visualise a slow stream of comfortably warm and fragrant sesame oil flowing very slowly and gently down from the top of your head, dissolving any point of tension it may encounter. At first the warm fragrant liquid slowly covers every part of your head and face, melting away the tensions in your forehead, nose, eyes, ears and jaw, dissolving knots at the base of your skull and in your neck, and then pouring warmly down over your shoulders and back and chest, melting and dissolving as it goes. Its fragrant warmth then gathers briefly in the pelvis and hips before moving on into the buttocks, thighs and knees, down through the shins and calves, into the feet, where it pours into the ground.1

There are two important  points: one is that you begin to gently dissolve from the surface of the body, and over time extend this into the interior so that the organs are washed with the gentle warm fragrance of the melting sesame oil. The second is that throughout the exercise you maintain a gently straightened back and do not slouch, so that while everything is melting and pouring downward, there is still an upright centre (this is particularly important if one has low blood pressure). The effect is very much like the Tai Chi ideal: utter relaxation and flexible movement around an upright but not rigid centre.

This is an excellent prelude to a period of meditation or Tai Chi, but balance is the key: no exercise should be overindulged. It has been said that a technique like this, which is very “opening”, is best done when and where the surrounding environment is natural, supportive and beneficial, in order to absorb only the best influences. Similarly, it should not be done just prior to sleeping, but an interval allowed for the everyday self to regroup its usual — but much more relaxed! — self-image.
Another outstanding aspect of Daoist yang sheng exercise is the slow, gentle and deliberate stretching of all the major tendons in the body. Important  at any age, it becomes crucial as one gets older, as tendons stiffen and lead to imbalance throughout the structure of the body. Mindful breathing is often coupled with the slow and gentle stretching, which further relaxes the body in depth.

An excellent series of exercises for achieving this will be described in the following post about Ba Duan Jin.

Endnote

1. More on this technique can be found in the following two books: a detailed technical description in B. K. Frantzis’ Opening the Energy Gates of The Body (North Atlantic Press, 1993) and a more personal and warmer description in Wild Ivy: the spiritual autobiography of Zen Master Hakuin by Norman Waddell (Shambala, 2001).

The thing about Jing

In a previous post we looked at jing/essence as a trust fund of inherited constitutional energy, intended to be used for procreation and emergencies only, but regularly wasted through failure to understand that:

a) it is not infinite, and

b) it can only be replaced through long-term quiet accumulation in the midst of stillness.

Jing/essence is, in fact, the power of our youth. Those with less age quickly.

Chen Zhi-Xiu (Shang Yang-Zi) quotes the Daoist acupuncturist Ma Dan-Yang about its importance:

The most precious thing people have is jing/essence, but it is very limited … [Ma] Dan-Yang says ‘Sex is worse than tigers or wolves, it destroys a person’s beauty and bearing, it ruins good actions. Wasted jing, extinguished spirit — these simply lead to premature death. Those who would aspire to the Dao must avoid [excess in this regard].’*

Chen goes on to say:

Others, of less intelligence, quip that the span of their life is set by fate, why not enjoy it? But the old saying warns: when the oil dries up, the lamp goes out; when the marrow is exhausted, a person dies. You must know that jing/essence is the root and basis of your body — how long does a tree last when its root is cut away?’ To nourish life, first treasure the jing/essence. When the jing/essence is full, qi will flourish, and then the spirit will be hearty, the body healthy, with few illnesses. The organs inside will function perfectly, the skin outside will glow, your visage will be bright, your eyes and ears and brain sharp! And all of this from reducing the wastage of jing/essence in your youth. If you have done this, and on top of this can reduce desire altogether, you will live a good long life.

It is not only ejaculation that wastes jing/essence: anything that disturbs its quiet repose and incites it to movement has already caused wastage of the jing, as it has become transformed into active energy waiting to be used. Jing is potential. Once this source has been tapped, that activated energy cannot be easily transformed back into the potential which was.

So what disturbs jing? Anything that excites desire, especially sexual desire, disturbs jing. Little desires cause little disturbance, the greater the desire, the greater the disturbance to the jing/essence. Desires modified by control are much less disrupting.

This whole concept, of course, is anathema to a consumer-driven society (or at least to the information media fueled by advertising), which is why these sorts of ideas are not very popular, but we should be able to see that in fact unbridled craving for things is ultimately weakening for the whole society: less essence, less spirit, less will.

This idea, that desire which is not skillfully controlled will easily drain jing/essence, also shows up the potential danger in the “Taoist sexual techniques” advocated by so many popular books — dangers in fact warned against for centuries by Daoists themselves. Thomas Cleary’s Sex, Health and Long Life provides a balanced introduction to the topic.

And how do we build up jing/essence, then? Well, how about a little peace and quiet, first …

Xiaoyao building up his jing/essence

Xiaoyao building up his jing/essence …

 

* 盖色之害人,甚于狼虎,败人美行,损人善事,亡精灭神,至于损躯,故为道人之大孽。

Two Letters of Liu Yiming

A letter in answer to General Su

Yesterday at the provincial capital  you honoured me with your elder presence and did not disdain the wilds of the mountains for our talk, and the [Daoist] mnemonic rhymes you passed on I have found very beneficial.

It is true when they say “when old friends meet, the warmth exceeds all class distinctions.”

When this patch-robed monk  was young, I had no discernment of what was deviant or correct. I would ask anyone and study anything, one day with Wang, another day with Li, a little bit of one thing then a little bit of something else.

Nothing came of this.

Then I met a Daoist who taught stillness techniques and …

Two Letters of Liu Yi Ming

(translated by Xiaoyao, these letters have, as far as we know, not been previously translated into English)