Friday, March 22, 2013

Why they can't prove Chinese Medicine works in Medical Clinical Trials.

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There seems to be a lot of research saying Acupuncture is ineffective or only works for certain conditions.  In my own clinic I have had plenty of success with conditions that many medical trials say have no effect, and I know many other practitioners that have also.  The problem with these studies that say Acupuncture doesn't work, is that they don't take into account the individual.  In trials variables need to be kept to a minimum, so patients are put into groups so they receive the same treatments, which is fair enough. But Chinese Medicine was designed for the individual, so if you have 20 patients with Migraines, you will have 20 different diagnoses and 20 different treatment plans. This isn't allowed in clinical trials so of course the results are poor.  Also Chinese Medicine works on the root of the problem, not the symptoms like Western Medicine does, so results can take a bit longer to appear.  No two people will respond the same, one may show improvement in 2 treatments, another may need 6, again these trials can’t account for any of that.  This though is not a flaw in Chinese Medicine but in Western Medicine's methodology. It’s like trying to put a square block in a round hole and blaming the square for being a square.


Please note I am not bagging Western Medicine, but people need to understand the fundamental differences between the medicines which explains why you can't use the framework of one to justify the other.

Thursday, February 28, 2013

The Modern Alcoholic...



One of the most common Aussie traditions is to have a beer in your hand, its implied its required after a hard days work, but is it becoming a problem? The standard image of an alcoholic is someone drinking out of a brown paper bag sitting on the side of the road in dirty clothes who can't hold a job. Today though this couldn't be further from the truth.  There's the public perception of what a drinking problem is, and then there's the medical view, which are quite different.  The reality is this; if you drink alcohol nightly or almost every night, and its been going on for an extended period of time, and worse yet you can't (don't want to) stop. Medically you are classed as an alcoholic. This shocks many of my patients, but so many conditions I see can easily be resolved by simply cutting back on the alcohol.

For most people it starts out as a coping mechanism, but then it becomes habit and before you know it, we have a serious problem.  Another factor when drinking at home is;  a glass of wine measured at home tends to be well above the "standard drink' mark served in a restaurant wine glass.  When patients say they only have 1-2 glasses of wine a night, they are really having 4-5 "standard glasses".  There's an age old saying in emergency rooms, "whatever the number of drinks the person says they have at home, double it". Sadly this is often true.

The challenge is this, take a week of drinking, and see if you can do it, if you can't, then there is a problem that needs to be addressed.  It's sadly a sign of the times, people are working harder, longer, for less money, so we need something to help us cope. Instead of having a hobby though, or doing exercise to relieve stress, people drink.  It is a terrible Australian habit, largely modelled off our British cousins, and its something that needs to stop.  There's nothing wrong with having a few social drinks on the weekend or at parties, that's nothing to feel guilty about, but finishing each day with a drink, is not healthy.

One of the long term dangers is called "Tolerance". Our body is an incredible machine, like with drugs, pharmaceuticals and alcohol, the body can adjust to long term abuse and become tolerant. This means that when 6 months ago you only needed one drink to relax, you now need 3 to achieve the same state,  and this can continue to escalate if left unchecked.  Aside from the damage to the Liver and Kidneys, long term alcohol abuse will begin to impair the digestion, cardiovascular system and fertility.

Patients are frequently amazed how good they feel even after only one week of not drinking. They are sleeping more soundly, able to concentrate better, their memory is sharper and they have more energy.  Often Acupuncture isn't even needed, all that's need is a small lifestyle adjustment.   The paradox of drinking alcohol is, most of the symptoms that cause people to drink (like not being able to fall asleep), are the very things being caused by the alcohol.

Remember, there is nothing wrong with the occasional drink, it's the age old "everything in moderation"...

Wednesday, December 5, 2012

Food is not the Enemy

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Frequently when speaking to patients and reading magazines I see and read lots of worrying things in regards to peoples perception of food.  As I frequently tell my patients "food is not the enemy". Yes we have an obesity crisis on our hands, but it is a multi-faceted problem, it isn't our food's fault. While this topic requires a thesis to go into properly I'll just skim through my views on the issues.  Please note when I talk about food in general, I mean fresh foods, not takeaway or anything from a can.

Rice as been the staple of Asia's diet for a millennium,  we used to be told that rice was better than wheat, but now one rice is better than the other and white rice is "bad".  Celiac's and gluten intolerance's are sky-rocketing (due to wheat becoming so genetically-modified) so now wheat and gluten is "bad", and yet places like Italy and France have also had it as a staple and never had any major issues.  Suddenly carbohydrates are "bad", we should eat only high protein diets and so on and so on.  My view is this, there is no such thing as bad food, simply put, some foods are more appropriate for one person than other and the same can be applied geographically. If you live in the north pole or cold climates like Russia in the winter, you can eat lots of fat as you need the Kilojoules to burn to stay warm, that diet though does not suite Australia at any time of year.  I myself am quite physically active, I simply cannot get enough energy from protein alone no matter what form or how much I eat of it, I need carbs.  Protein at the end of the day is a terrible source of energy when looked at chemically, yes its good for our brain etc, but does not supply anywhere near the ATP molecules when broken down like glucose, carbohydrates and fat.  There is a reason why when the body is burning energy it goes through a particular order and protein is last on the list.  Women seem to be the main ones who keep telling me that "carbs are bad". Largely because they are concerned about their weight, so since protein is a poor source of energy, their body's will burn through their fat stores instead. Great in the short term, but what about when your down to 4-5% body fat? where will your energy come from then? especially when your exercising a lot.  This often presents to me as patients with chronic deficiencies, as sure they have a great figure, but their body and mind is still lacking nourishment.  This often shows in menstrual and fertility issues along with emotional problems.

Along with this there is the population issue. There are so many of us, food production can't keep up. As a result, almost everything is genetically modified, chickens are fed antibiotics to yield more meat and we end up having to digest all these additional additives. Similarly because crops are recycled so fast the soil never recovers and modern fruit and vegetables are simply not as nutrient rich as they once were. The human digestion simply can't keep up, it takes our system hundreds probably a thousand years to evolve to deal with such changes in our food, and its all happened within our lifetime.  As a result, more and more people are reacting to these changes, so we can no longer tolerate wheat and so forth like we used to, which is causing lots of internal inflammation and digestive problems.  This is the price we pay for convenience, and it isn't going to stop, we need to find ways to balance with these changes.

We went through a time when fat was the enemy, so everything turned fat free, but its sugar that is now the culprit. Again, natural sugar is not bad for you, it is a great source of short term energy, but when almost everything we eat is laden with heavily processed sugars, we start having problems. In Chinese Medicine, the sweet flavour nourishes the digestion, but too much sweet blocks it up and causes stagnations and pathologies like dampness and phlegm which cause a whole host of problems.  This too is slowly becoming an issue with salt, as it is added to almost everything in a can.

Similarly too we told frequently by the Medical community that certain foods should be avoided (avocados being the classic as they are "fatty"), but now suddenly we have "super foods", which if you look closely contain most of the foods we were told to avoid a decade ago. why? because they majorly got it wrong, then suddenly needed a buzz word to repair the damage done. Once again proving everything is good for you, in moderation.

The last point I'd like to touch on is our mental state when eating. We live in a very negatively driven society, don't do this, don't eat that etc.  we are constantly bombarded with guilt over doing the wrong thing. As a result how many people really sit down and enjoy their food and don't feel guilty over it? in fact how many people even take time to eat slowly and enjoy their food?  Research has shown that people who sit down, eat slowly and enjoy their food actually digest it better and stay fuller longer. In Asia, if you go and sit at a table on your own, someone will usually come and sit with you and eat. They won't talk to you or anything, but its an unspoken rule that you shouldn't sit and eat alone, its unhealthy.

So what can you take away at the end of this rant? again so much to cover in so little space, its only the tip of the iceberg. I feel people need to take the time to find what foods and diet best suit them, that matches their lifestyle, background and any medical conditions. Stay away from "Fads" and "celebrity diets", its about balance, too much of anything is bad for you.  Balance is the only universal constant, and it can be applied to every facet of our lives, the age old saying holds true "We Are What We Eat". Try and avoid heavily processed foods, take time to read the labels, you don't have to go crazy and buy only organic etc, but try and eat fresh food. If you've ever grown your own vegetables you'll know the massive difference in taste from what you buy in the supermarket.  The other facet to this whole issue is our sedentary lifestyle, but that is a separate article, and again, not our food's fault.

Most importantly, I want people to stop viewing food as the enemy, it isn't. It nourishes us, it gives us life and most importantly it should be enjoyed.

Friday, August 31, 2012

Acupuncture proven to be more effective than Biomedicine for Osteoarthritis of the Knee

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New research supports earlier studies that show acupuncture is a more effective way to treat osteoarthritic knee pain than treating it with conventional biomedicine.

"Acupuncture provided significantly better relief from knee osteoarthritis pain and a larger improvement in function than sham acupuncture, standard care treatment, or waiting for further treatment," concluded the study, a meta-analysis of 14 separate, random controlled clinical trials involving 3,835 patients states, the Healthcare Medicine Institute reported on its website.

Further, the study went on to note that treating osteoarthritic knee pain with acupuncture is "better at relieving pain and restoring function" than sham acupuncture and standard biomedical care.

Sources:

http://www.ncbi.nlm.nih.gov/pubmed/17215263
http://www.healthcmi.com
http://www.counselheal.com
http://www.voxxi.com/medical-health-benefits-acupuncture/