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September 2011 Acupuncture and Mental Health

In This Issue (Get QiMail delivered to your inbox )
– Nurturing Mental and Emotional Wellness with Acupuncture
– Acupuncture for Irritability and Moodiness
– Move Your Qi!
– Acupressure Points for Moving Qi
– -News, Events and Gratitude!

Nurturing Mental and Emotional Wellness with Acupuncture
At some point in life everyone deals with major upheavals or emotional distress. These events can trigger a host of unexpected feelings and behaviors from depression and panic attacks to major disruptions in sleep and eating. Acupuncture and Oriental medicine can alleviate symptoms associated with mental health issues in treating the root cause of the problem by helping to rebalance the body’s internal environment.

Mental health disorders are medical conditions that disrupt a person’s thinking, feeling, mood, ability to relate to others, and daily functioning which result in a diminished capacity for coping with the ordinary demands of life. The good news about mental disorders is that recovery is often possible. Affecting persons of any age, race, religion, or income mental health disorders have been found to be common and experts estimate almost a third of the population report sufficient qualifying criteria at some point in their life. Serious mental illnesses include major depression, schizophrenia, bipolar disorder, obsessive compulsive disorder (OCD), panic disorder, post traumatic stress disorder (PTSD), and borderline personality disorder.

From an Oriental medicine perspective mental health disorders can cause a disruption in the flow of vital energy, or qi, through the body. These energetic imbalances can throw off the immune system or cause symptoms of pain, sleep disturbances, abnormal digestion, headaches, and menstrual irregularities, and, over time, more serious illnesses can develop. Acupuncture treatments can correct these imbalances and directly affect the way your body manages your mental health.

Diagnosis and Treatment of Mental Disorders

Oriental Medicine does not recognize any mental disorder as one particular syndrome. Instead, it aims to treat the specific symptoms that are unique to each individual using a variety of techniques including acupuncture, lifestyle/dietary recommendations and exercises to restore imbalances found in the body. Therefore, if 100 patients are treated with acupuncture and Oriental medicine for anxiety, each of these 100 people will receive a unique, customized treatment with different acupuncture points, and different lifestyle and diet recommendations.

Acupuncture and Oriental medicine have the ability to detect energetic changes that occur in the body and relieve symptoms by restoring equilibrium. The physical and emotional symptoms that you are experiencing will help create a clear picture on which a treatment plan can be created specifically for you. 

Here are just a few acupuncture and Oriental medicine can help with:

Depressive Disorders – Common symptoms of depressive disorders include: a decreased interest in most activities, insomnia, fatigue, and feeling empty and worthless. Even when depression is sub-clinical, the body’s immune system is compromised and the symptoms reduce functioning and impair work performance and social relationships. Acupuncture treatments can correct these imbalances, support the immune system, and directly affect the way your body manages stress and your mental health.

Attention Deficit/Hyperactive Disorder (ADHD) – a condition of the brain that makes it difficult to concentrate or control impulsive behavior ADD/ADHD does not just occur during childhood. Acupuncture can help enhance concentration, reduce fidgeting, augment mood management techniques, reduce hyperactivity and enhance concentration.

Anxiety and Stress Disorders – Anxiety comes in a wide range of manifestations, from mild worrying to more physical responses such as nausea, insomnia, shortness of breath and panic attacks. Some anxiety is a healthy response to the stress of daily life and new situations; however, anxiety that occurs randomly or excessively is a sign to take notice. Acupuncture and Chinese medicine can help balance both the mental and physical symptoms of anxiety and help to create harmony and spaciousness.

Mental health issues are best managed when health professionals work together to meet the unique needs of each individual. Acupuncture is an excellent addition to any treatment plan as it is used to help the body restore balance, treating the root of the disorder, while also diminishing symptoms.

If you or someone you know struggles with a mental health disorder or if you would like to know how to optimize your mental health, please call to find out more about how acupuncture and Oriental medicine can be integrated into your mental and emotional wellness plan today!

Acupuncture for Irritability and Moodiness
Everyone suffers from irritability and moodiness from time to time, but if you find that a short temper and frustration are becoming a constant issue for you, then acupuncture may be able to help.

Often irritability and moodiness are the consequence of chronic stress in your life. Over time these emotions can progress into more serious emotional conditions such as anxiety and depression as well as other health conditions such as digestive problems, trouble sleeping and the tendency to get sick more frequently.

Liver Qi Stagnation and Emotions

Emotional disorders can be associated with a number of different patterns of disharmony within Oriental medicine however, anger, irritability, and frustration are all signs that our qi (life force) is not flowing smoothly. The liver is responsible for the smooth flowing of qi (life force) throughout the body and for smoothing our emotions. When the liver’s function of moving qi is disrupted, qi can become stuck. This is referred to as liver qi stagnation.

Liver qi stagnation is one of the most common patterns of disharmony seen in today’s patients. In addition to irritability and moodiness, signs and symptoms may include: distending pain in the area below the ribs, stuffiness of the chest, sighing, abdominal distention, nausea, sour regurgitation, belching, diarrhea or constipation, feeling of a lump in the throat, irregular periods, painful periods and distention of the breasts prior to periods. Liver qi stagnation is commonly associated with PMS.

Acupuncture and Oriental medicine is excellent at relieving liver qi stagnation. Treatment for irritability and moodiness associated with liver qi stagnation focuses on moving qi and supporting the liver and spleen organ systems with acupuncture, lifestyle and dietary recommendations.

If you are concerned that your emotions may be interfering with your health and wellness, please call today to see how acupuncture and Oriental medicine can help you!

Move Your Qi!
When your Qi (life force) functions smoothly, physical and emotional activity throughout the body also runs smoothly. So, for optimum health, move your Qi!

Stretch
According to Oriental medicine, the liver stores blood during periods of rest and then releases it to the tendons in times of activity, maintaining tendon health and flexibility. Incorporate a morning stretch into your routine.

Eye Exercises
Although all organs have some connection to eye health the liver is connected to proper eye function. Take breaks when looking at a monitor for extended periods of time and do eye exercises.

Eat Green
Eating young plants – fresh, leafy greens, sprouts, and immature cereal grasses can improve the liver’s overall functions and aid in the movement of qi.

Do More Outdoor Activities
Outside air helps liver qi flow. If you have been feeling irritable, find an outdoor activity to smooth out that liver qi stagnation.

Acupressure Points for Moving Qi
Four Gates
A popular treatment for stress, anger, sadness, and frustration these four acupuncture points are thought to enhance the circulation of Qi and blood throughout the body and have a calming and analgesic effect.

LI 4 is located on the padded area of your hand between the thumb and index finger, between the first and second metacarpal bones. Massage this point with your thumb on both hands for approximately 30 seconds.

LV 3 is located in a hollow on the top of your foot below the gap between your big toe and the next toe, between the 1st and 2nd metatarsal bones. To stimulate this point, place your right heel in the juncture between the bones that attach to the large and second toes and gently knead the point for approximately thirty seconds. Then switch sides to stimulate the point on your other foot.

Baihui for Clarity 
Massage acupuncture point, Baihui for mental clarity. Located on the top of the head midway between the ears Baihui is used to clear the mind, calm the spirit, and improve focus. Stimulate the point with your index finger for 30-45 seconds for a quick “brain boost”.

Yintang for Calmness
Yintang, a point located midway between the eyebrows is sometimes referred to as “the third eye”. Stimulation of Yintang is known to calm the mind, enhance one’s ability to focus, soothe emotions, promote sleep, and relieve depression.

News, Events and Gratitude!
– Thanks Katie H. in WA for your Yelp review of the Balancing Point radio show: I just absolutely love this show! I wait impatiently for his wonderful wife to upload the shows to iTunes (Thanks Jenny!) I have learned so much, I listen at work keeping notes on a post-it pad. I’ve tried to stream it live online but really the podcast is so much better simply because you can rewind something you didn’t quite catch. Also, listen to The Medicine Men podcast. It’s a different format: one topic discussed by two knowledgeable men instead of a call in Qand A show of several topics back to back. Anyway, I’ve been listening for a couple years now and I hope they continue on. I really have gotten such value out of it, I’d like to see a “donate” button on the website, or I may just mail a check.
– Our Facebook community is growing. If you are on Facebook, please join us! http://www.facebook.com/pages/Alameda-Acupuncture-Dr-John-Nieters-LAc/126245057390177
-The Academy of Chinese Culture and Health Sciences was established in 1982 by Master Wei Tsuei. During his lifetime, Master Tsui was President of ACCHS. This August, it is John’s great honor to have become the second President of this acupuncture college. If you are considering a career in acupuncture, give us a call. John has not given up his clinical practice, he has more time than ever for existing patients, and is gladly accepting new patients.
– Tune-in to The Medicine Men and The Balancing Point radio shows podcast in iTunes, or live in the Bay Area, www.medicinemenradio.com or www.thebalancingpoint.net
– Thanks for everyone who participated in the August taping of A Forum on Spirituality. John was interviewed for two episodes. One episode focused on John’s personal path and the second focused on Acupuncture and TCM. We will let you know when those shows will air.
– September 20: Lotus Institute of Integrative Medicine is having John offer a Free 1 hour Webinar on the Integrative Diabetes Protocol. Details: http://elotus.org/bio/john-nieters-daom-lac
– September 25th, John will teach at the Colorado School of Traditional Chinese Medicine in Denver. He will teach a 1/2 day on his Integrative Diabetes Protocol and a 1/2 day on the modern clinical applications of the Pi Wei Lun classic. If you are in the Denver area, we hope to see you there. http://www.cstcm.edu/pda/all

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Free 1hr Webinar with Dr. John Nieters Integrative Diabetes

Lotus Institute of Integrative Medicine Presents  FREE 1 hour Webinar Weekdays w/Dr. John Nieters on Integrative Diabetes Care at 12PM, PT!?!

Join us by clicking here for direct entry to the meeting room. (Choose the “Enter as a Guest” option)

Or Log in to your FREE online eLotus account to access this webinar and download the Lecture Notes.

Don’t have one yet? Sign up for your FREE account to access this webinar!

Not sure how to access a Webinar Weekdays from your eLotus account?
Follow these simple steps:

  1. Log in to your eLotus online account at www.elotus.org.
  2. Click on the “Webinar Weekdays” link at the top of the eLotus home page.
  3. Click the course name you would like to attend, then click on “Click here to launch course” in the pop-up bubble.
  4. On the course page, click on the link next to “Click to Watch Webinar” to be automatically logged in to the webinar!

http://www.acupunctureceublog.com/join-us-tomorrow-for-a-free-1-hr-webinar-with-dr-john-nieters/

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Can I take Vitamin D supplements?

Hi John,
I tested low for Vitamin D 25(OH) and 1,25 di-hydroxy Vitamin D at 89.7 and was told to start supplementing Vitamin D. I am a Type 1 diabetic with Lyme disease. What do you think?
Thanks,
– Jess

Dear Jess,
This can be a very confusing issue.  While it is one of the greatest things for the health of the nation that Vitamin D deficiencies have moved into the spotlight, most health care professionals don’t understand all of the issues involved.  I have personally explained the Vitamin D issues to several MD’s who have called to question me about testing that I have done on their patients.

Athough the Vitamin D test done by your other health care provider is indeed low, it is only one relevant test.  The test done was a 25(OH) Vitamin D, the more common test that measures the storage form of Vitamin D in the body.  Most labs report results of over 32 ng/dl as “normal”.  While this may be adequate for protection and creation of healthy bones, we need much higher levels to support immune function.  I place “normal” at 55-60 ng/dl because that is the typical level achieved by lifeguards and in cultures that get traditional amounts of sunlight exposure.  When serum levels of Vitamin D fall under 30 ng/dl there has been shown a proven increase in diabetes, 15 forms of cancer, Parkinson’s disease, Multiple Sclerosis, and several other neurodegenerative diseases.

It is virtually impossible to have too high a level of the storage form of Vitamin D, so very few people need to be concerned.  However, you are one of the people who must be concerned.  Anyone with very high levels of inflammation should get both vitamin D tests.

The test that I order for the more bioactive form of Vitamin D is called 1,25 dihydroxy Vitamin D or calcitriol.  This is the form that directly activates the immune system.  This is a very powerful hormone that can cause significant damage if the levels are elevated.

The body produces cytokines which are chemicals that attract the other immune cells, such as the white cells in the bloodstream, to infection sites.  This is a very important process.  With inflammatory disease conditions the body often produces an overabundance of cytokines and will even lose it’s ability to turn off the reactions.  These excess cytokines can then block the vitamin D receptor sites, tricking the body into thinking it needs more of the “active” Vitamin D.  The body then over converts the storage to active forms, which can be a very serious problem. Your 1,25 di-hydroxy Vitamin D (calcitriol) level is too high at 89.7.  The “normal” range at Labcorp is 10-75.  This will cause a lot of inflammation and even increase osteoporosis risk if it stays high.

You should not take any vitamin D supplements until this goes down, as you will over-convert from the 25(OH) Vit D in the supplements to this active form. The cytokine storms from your infections are likely blocking the vitamin D receptor sites. Although you need vitamin D to activate the immune system, getting this calcitriol level down would take priority. Even sun exposure could be a bit problematic at this time.

Be Happy!

– Dr. John Nieters, L.Ac. DAOM, FABORM

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Sorting out Tai Ji (Tai Chi) styles

Hi John,
I went to the Tai chi Class yesterday.  They do something called Guang Ping Yang Tai Chi.  Some of the moves are similar to the set that you teach, but the set is in different sequence and includes some moves we did not study.  Some basic differences in movement but same principles, for the most part.  Are you familiar with this type of Tai Chi?
Thanks for any feedback.
Tai Ji Student

Dear Tai Ji Student,
My first Tai Chi Instructor was one of the two main teachers of this type of Tai Ji in the US.  I studied this form with him in the early 1970’s.  I later studied Dayan Qigong, the QiGong form that I used to teach, with his wife.

This form was originally taught by the son of the founder of yang style Tai Ji so it is certainly authentic.  As such, it is based on exactly the same principles as the set that you studied with me.  I have found that the set that I taught to you and the group is a much easier form to learn than the Guang Ping Yang style.

People who are devotees of Guan Ping Yang Style say it is the “real family style Tai Ji” and is more powerful than the Cheng Man Ching style that you learned.  That may be true.  I do know that the most competent and powerful Tai Ji practitioners that I have seen do the set that I taught.  So they are all great.

I learned them both and think they are both fabulous. .

Be Happy!

– Dr. John Nieters, L.Ac. DAOM, FABORM

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August 2011 Acupuncture for Healthy Skin

In This Issue (Get QiMail delivered to your inbox )
– Acupuncture for Healthy Skin
– Foods to Help You Look Your Best
– Treating Hives with Acupuncture
– News, Events and Gratitude

Acupuncture for Healthy Skin
Acupuncture and Oriental medicine can be very effective at treating skin conditions. Treatments can provide quick relief for acute symptoms and can provide significant and lasting relief from recurrent or chronic skin conditions.

The skin reflects and reacts to imbalances within the body’s internal landscape and the effects of the environment. Internal disharmonies caused by strong emotions, diet, and your constitution as well as environmental influences, such as wind, dryness, dampness, and heat can all contribute to the development of a skin disorder. To keep your skin healthy and beautiful on the outside, you must work on the inside of your body as well. Increasing the flow of energy, blood and lymph circulation improves the skin’s natural healthy color. 

Promotion of collagen production increases muscle tone and elasticity helping to firm the skin. Stimulating the formation of body fluids nourishes the skin and encourages it to be moister, softer, smoother and more lustrous. 

General skin conditions that can be treated with acupuncture and Oriental medicine include acne, dermatitis, eczema, pruritus, psoriasis, rosacea, shingles and urticaria (hives). Oriental medicine does not recognize skin problems as one particular syndrome. Instead, it aims to treat the specific symptoms that are unique to each individual using a variety of techniques with acupuncture such as herbal medicine, bodywork, lifestyle/dietary recommendations and energetic exercises to restore imbalances found in the body. Therefore, if 10 patients are treated with Oriental medicine for eczema, each patient will receive a unique, customized treatment with different lifestyle and dietary recommendations. 

If you suffer from a skin condition or would like to know how to optimize your skin health, please call to find out more about how acupuncture and Oriental medicine can help you

Foods to Help You Look Your Best
Acupuncture views nutrition in a complex light, through the application of Oriental medicine wisdom to dietary habits. In short, certain foods are considered too yang, or hot to eat in excess during the warmer months, while others are prized for their yin ability to cool the body. Overall, the goal is balance between the internal yin and yang of the body.

A healthy, nutritional diet, getting good quality sleep and moderate exercise can keep your skin and physical form at it’s best. Be sure to integrate these items into your diet to help keep you looking your best!

Carrots and Sweet Potatoes – Healthy skin is directly dependent on the amount of vitamin A in our diet. Vitamin A acts as an antioxidant to neutralize harmful elements in our skin, helps to prevent wrinkles, resist infection and maintain the skin’s elasticity. One of the best places to get Vitamin A is vegetables that are deep orange in color.

Blackberries, Blueberries, Strawberries, and Plums – In a study recently published in the Journal of Agricultural and Food Chemistry, these four fruits weighed in with the highest “total antioxidant capacity” of any food. Antioxidants and other phytochemicals in these fruits can protect cells from damage and disintegration, thus guarding against premature aging.

Salmon, Walnuts, Olive Oil, and Flax Seed – Essential fatty acids (EFAs) are responsible for skin repair, moisture content, and overall flexibility, but because the body cannot produce its own EFAs, they must be obtained through the diet. Fish, walnuts, and flax seed oil are among the best sources for omega 3 fatty acid. Eating good-quality olive oil helps keep skin lubricated and keeps it looking and feeling healthier overall. Which olive oil is the best for your skin? Those labeled “cold pressed”, “expeller processed”, or “extra virgin” are the least processed forms. As a result, they contain the highest levels of antioxidative substances.

Whole Wheat Bread, Brown Rice, Turkey, Tuna and Brazil Nuts – Selenium is an antioxidant mineral responsible for tissue elasticity and healthy skin. It may play an important role in preventing skin cancer, as some recent studies are showing that skin damaged by the sun may suffer fewer consequences if selenium levels are high. 

Green Tea – Green tea’s ability to slow down the development of some signs of aging is attributed to its high levels of polyphenols, which have been well-documented for their antioxidant and anti-inflammatory properties. Green tea may help prevent or reduce the risk of skin cancer according to a study published recently in the Archives of Dermatology, which shows that whether taken orally or applied to the skin, green tea can reduce the risk of damage from ultraviolet light and thus reduce the risk of skin cancer.

Water – Hydration plays a key role in keeping skin cells healthy. It is essential to maintaining your skin’s elasticity and suppleness. Keeping cells hydrated helps cells move nutrients in and toxins out, which helps keep skin clean and clear.

Treating Hives with Acupuncture
Hives (urticaria) are swollen, red, bumps, patches or welts on the skin that appear suddenly. Itching is the most common symptom associated with hives, although some people report that hives cause a stinging or burning sensation. Hives can occur anywhere on the body including the hands, face, lips, tongue, throat, or ears. 

A sign that the whole body is experiencing a hypersensitivity reaction a hives outbreak can occur due to a wide array of stimuli. While intolerance to certain foods, additives, intense emotions, sunlight exposure, and medications can all cause hives, in 70-75% of outbreaks the exact cause of hives remains unknown. 

Whether lasting for just a few minutes, a few hours or persisting for several weeks hives are rarely a medical emergency however, in some cases they can be accompanied by shock, difficulty breathing and be life threatening. About 20% of people will experience hives (urticaria) at some point in their lives. While standard treatment for hives is directed toward relieving unpleasant symptoms with antihistamines or a corticosteroid drug many people are turning to acupuncture and Oriental medicine to address underlying imbalances that cause this condition and stop recurrent outbreaks once and for all.

Evidence that Acupuncture and herbal medicine have been used for skin disorders, such as hives, can be found in early medical literature dating back to 3 AD. Medicinal plants and stone needles were utilized to relieve and cure discomforts of the external areas of the body.

In Oriental medicine, an outbreak of hives is described as wind invading the skin and the meridians, causing itching and swelling. When the eruptions are red it is an indication that wind and heat are involved. When the eruptions are a pale pink or white, it is likely that the diagnoses will be wind-cold invading the skin. How the condition is diagnosed will determine what acupuncture points are used, what herbal medicinals are prescribed and what lifestyle/dietary recommendations are made.

Treatments are directed at addressing both the cause and the symptoms by providing immediate relief from the itching and swelling and addressing the underlying imbalances and triggers that are causing the condition.

News, Events and Gratitude!

-John was appointed to the Board of Directors at the Academy of Chinese Culture and Health Sciences. If you are considering a career in acupuncture, give us a call.

– We thank you for sharing about John’s work on the Alameda Parents Network and on www.yelp.com. Your support is welcome and meaningful.

– Tune-in to The Medicine Men and The Balancing Point radio shows podcast in iTunes, or live in the Bay Area, www.medicinemenradio.com or www.thebalancingpoint.net

– On August 11 John will be taping two guest appearances on the television show, A Forum on Spirituality. He will be interviewed about the spiritual aspects of his acupuncture practice. We will let you know when those shows will air.

– On September 25th, John will teach at the Colorado School of Traditional Chinese Medicine in Denver. He will teach a 1/2 day on his Integrative Diabetes Protocol and a 1/2 day on the modern clinical applications of the Pi Wei Lun classic. If you are in the Denver area, we hope to see you there. http://www.cstcm.edu/pda/all

– Please join us on Facebook Alameda Acupuncture – Dr. John Nieters, L.Ac.
http://www.facebook.com/pages/Alameda-Acupuncture-Dr-John-Nieters-LAc/126245057390177

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