Learning How to Tailor Treatment to a Patient’s Needs with Nora Franglen

Nora Franglen has been a Five Element Acupuncturist for many years and has refined her profession over a lifetime.

We have an extract from her latest book, A Five Element Legacy, where she provides guidance to other practitioners on how to tailor treatment to a patient’s needs, the difficulty of a fixed diagnosis and how to measure if treatment has been successful.

In A Five Element Legacy, Nora Franglen reflects on a lifetime of practising five element acupuncture, and offers advice and insights into developing patient-practitioner relationships, tailoring treatments to individual patient’s needs and the importance of taking your time and trusting your feelings. Read more about the book here.

Continue reading

What Role Does Mitochondria Play in Fatigue?

Fatigue can be a debilitating experience for many, and the impact on the physical and mental health of those affected can be immense.

Ray Griffiths, author of Mitochondria in Health and Disease, discusses fatigue in this extract, including an in depth exploration of the causes of fatigue and the mitochondrial nutrients that can assist with resolving cases of fatigue to improve the quality of life of your patients.

Continue reading

Introducing the ‘Personalized Nutrition and Lifestyle Medicine for Healthcare Practitioners’ Series

We are pleased to announce our new series, ‘Personalized Nutrition and Lifestyle Medicine for Healthcare Practitioners’. Written and edited by healthcare practitioners, this series aims to help practitioners and students of clinical nutrition facilitate new levels of success with individuals striving for optimal health and peak performance. Accessible and evidence-based, this innovative new series will provide essential guidance for professionals in this fast growing area of healthcare.

Sign up to our mailing list here to keep up to date with the books in the series.

Continue reading

Acupuncture Without Needles?

I have spent a lot of time developing my technique with an acupuncture needle. First as a practitioner of Traditional Chinese Medicine (TCM) and then as a teacher of needle technique, and now as the author of The Living Needle, a book on the subject. I have a lot of friends who aren’t acupuncturists that ask me if there is anything in all that work for them, other than just getting treatments from me. The answer is a resounding yes! While the needle is certainly the most well-known tool of the TCM practitioner and a very useful one as well, it is not the most important thing at my disposal, or even completely necessary to my trade.

As I discuss in The Living Needle, what is most important is that the body is engaged, and not simply engaged in a passive way, but really meaningfully engaged. This can be accomplished with or without a needle. While it is wonderful to be able to make direct contact with the deeper tissues, the fact that is so often forgotten by providers and patients alike is that all the body’s tissues are interconnected into one vast network. This means that contact with any tissue will necessarily affect all the others. Because of this, as any good massage therapist knows fingers can be just as powerful as needles. This reality is perfectly clear not only in massage, but in trigger point therapy and any number of other manual techniques using nothing more than a finger or an external tool to create pressure.

Am I suggesting that you don’t need to see an acupuncturist? Not necessarily because there is a wealth of diagnostic and other skills we bring to the table, I’m just suggesting you might not be stuck waiting on your appointment to start seeing benefits. You don’t even have to go to a massage or physical therapist to start reaping some rewards (though in a lot of cases you should go see them too). What I’m suggesting more than anything, is that your health and well-being are your business first and there are some simple tools and tricks close to hand that you can start using right now!

All around your house are implements that you can bring to bear on your aches, pains, and even internal medicine issues; from the handle of a spoon, to a toothpick, or a rolling pin, almost anything can be used to apply targeted pressure to the body. And of course you always have fingers. Here are a couple specific things that you can try.

  • Digestive Rolling: Get a round implement, a dough roller, stiff cardboard tube, or even the side of a pencil. Find the front edge of your shin bone just under your knee. Place the tool just below the knee and about half an inch outside the edge of your shin bone. It shouldn’t be pressing on the bone, but it should be pretty close. From here, with strong pressure (it shouldn’t be painful, but you should know you’re doing it) roll whatever you’re using down the front of your leg to your ankle. Come back to the start and do it again. Roll down nine times and then do the other leg. This area of the body has a strong effect on the digestion and rolling it like this will bolster stomach function and up-regulate peristalsis. This is a big deal, because with the chronic stress most of us live under our digestive system is underfunctioning most of the time, and chronic underfunction in the digestive system can lead to all sorts of long term illnesses!
  • Morning Wake-Up Call: Get that same item you used to roll your shin and put it on the floor. You’re going to sit down and put your foot on it so that the inside edge of your foot, just behind your big toe is pressing against it. Put some pressure on it and roll it back and forth from just behind the big toe to the heel, keeping the pressure focused mostly on the inside edge of the foot. This will again stimulate digestive function, but will also help with adrenal function and cortisol, which can help you feel brighter eyed on those draggy mornings!
  • Stress Buster: Feeling stressed? Especially that kind of stress where it feels like someone is squeezing the middle of your chest and refuses to let go? Grab the handle of a spoon or a toothpick if you like a little bit of a sharper sensation, or even just use your finger if you don’t have anything else close to hand. On the underside of your wrist, find the two tendons that run down from your hand. About an inch and a half below the crease of your wrist you’ll find a little tender spot between those two tendons. Press and hold there, making little counter-clockwise circles. On the top of your foot, between the bones behind the big and second toe, slide back toward the top of your foot until you feel where those bones almost meet and then move back toward your toes just a little. You should find another tender spot there where you can repeat the same procedure. While you’re rubbing either of these spots try to slow your breathing down and take nice long breaths. Within a minute or two you should feel a lot better!

The most important thing to remember with any of this is that the real treatment, the fundamental improvement isn’t about the tool that you use, it’s about the meaningful engagement with the body. Most of us live a life where we are largely separated from our bodies as far as awareness goes. The adage I often share with students and patients alike is that most of us don’t know we have feet until we stub our toe. So while you’re doing any of these practices, really get involved. Don’t simply poke away at the body while you make a mental grocery list of other things you have to do. Be aware of the sensations you feel under your fingers and in your tissues. After all, it’s your body, you might as well get to know it!

This more than anything is the real art to medicine, the ability to actively connect with a body and respond to it in the moment. This is also where real health lives. If you want to learn more about engaging the body feel free to pick up The Living Needle: Modern Acupuncture Technique.

 

Justin Phillips, LAc teaches needle technique and advanced needle technique at AOMA. He also runs a private acupuncture practice in Texas. His new book, The Living Needle: Modern Acupuncture Technique explains the fundamental principles of the art of needle technique for acupuncturists.

Challenging Stress, Burnout and Rust-Out: Finding Balance in Busy Lives Extract

Are the holiday’s amping up the stress in your already busy professional life? A balanced lifestyle enhances health, happiness and wellbeing. This practical resource provides professionals with techniques to achieve all of the above. Challenging Stress, Burnout and Rust-Out explores how balance can be found and how stress and anxiety, which are linked to being overworked and over busy, may be alleviated.

Read an extract of Clouston-Challenging-Stress-Burnout-and-Rust-Out-Ch-5-PRESS.pdf

For more information on Challenging Stress, Burnout and Rust, please visit our website.

How can reflexology help children?

Susan Quayle, author of the ‘Mouse’ series, spoke to us to discuss her background in reflexology, the concept behind her books and how the practice of reflexology can help children.

 

Susan, you’ve been a reflexologist for a number of years. How did you discover reflexology?

I actually believe that reflexology discovered me, despite my resistance to it.

I first came across it at a green festival in Dorset. I tried it and found it extremely relaxing. At the time I was a hardcore horticulturalist, plants were my passion, but I did buy Laura Norman’s book and was fascinated with the whole idea.

Shortly after this my sister-in-law became pregnant and suffered very badly with Hyperemisis Gravidarum and my first step on the road to becoming a maternity reflexologist, unbeknownst to me, was when I would visit her and give her the treatment for morning sickness from Laura’s book. It always made her feel better.

 

It was another ten years before I retrained in massage therapy and followed this training with sports massage. Unfortunately, the sports massage tutor wasn’t very good and we all felt that we would never get through the exam or have the required knowledge to work in this field so we left en-mass. The only other course that was running was the reflexology diploma, which I was very unsure about joining. Fortunately I did and came to realise very quickly what an incredible therapy it is. I have trained in many therapies but reflexology has been the focus of my career followed closely by aromatherapy.

 

What do you think it is about reflexology that is so beneficial for children’s physical and mental well-being?

I have seen reflexology totally relax children, almost instantly; their eyes glaze and have a far away look in them and it happens very quickly if the child is in need of the treatment.

Reflexology promotes a profoundly deep relaxation that often feels like a switch being flicked and a part of you just sinks into a deep restfulness. It is during this deep rest and quiet space that the body is able to begin a healing response.

Children are open to new experiences and engage fully, when they feel safe and comfortable, which enables them to reach this place of healing and relaxation very quickly. As they are so young and untainted by life-long indulgences their body can rebalance quickly and often does.

Every day our children are put under more and more pressure to perform, conform and do well. Their physical and mental health is constantly under threat and children with supportive families are just as likely as those without to be prescribed drugs for depression now.

Complementary therapies are an important part of family life. In so many cultures around the world, where appropriate, nurturing touch is shared by the whole family not just given to the babies and young children.

Touch helps children to be more accepting of their body and the changes taking place, touch is an important part of being human and I think is particularly important for teenagers, who would accept it more readily if it had been part of their every day life delivered within the safety of a loving family.

 

Your new book (and the other books in your series) focuses around characters and a story to accompany a reflexology exercise. How did you find this process?

As with all processes that appear to arrive from nowhere, my first book had actually been many years in the making; deep inside my head where all the creativity is happening without me even really knowing about it.

Both my children were brought up with a love of books; we read to them every day and sang songs, our favourites were always the rhyming stories and songs. So it all began with Slinky Malinky, The Gruffalo, The Snail and the Whale, Green Eggs and Ham and all those wonderful books for children. I have always been pretty good at putting little rhymes together for children’s cards and things so the rhyming was fixed a long time ago.

The actual ‘Eureka’ moment, like Archimedes, occurred in the bath, a great place for parents to get a moment’s peace and actually lose themselves in thoughts. I jumped out and wrote the first draft instantly, that was the effect of all those years of preparation in the hidden corners of my brain! Many months’ work followed but that very first draft took place on October 12th 2012. I have never been so excited or bewildered!

Once I had the idea it was only really a matter of allowing the story to develop in my head. I think I could come up with them forever!

 

What reaction have you had to your books so far?

The reaction to the books has been wonderful. They have been embraced by the reflexology community and have even won awards, along with The Children’s Reflexology Programme, (the teaching programme that now goes with them). I think it was such a unique and novel idea to put reflexology to a story and also to make this lovely, gentle complementary therapy available to children. Children have embraced it whole heartedly; they love the animal characters, finding the animals on their own feet but also sharing such healthy, positive touch with family and friends. Complementary therapy made accessible through play offers a positive understanding of issues relating to health, self care and nurturing, positive touch within families but also within communities.

 

How is Mouse and the Storm different from the other books in your series?

My latest book Mouse and the Storm differs from the first two in that it contains hand reflexology. The first two books use foot reflexology so are more about giving and receiving reflexology. Book three is about giving and receiving too, but it also focuses on self treatment. Mouse and the Storm was written specifically to support parents of children with additional needs and to go with our courses for these parents.

Being able to self treat offers many children who have challenges with day-to-day transitions, between places and activities, strategies to help them. It also allows children with sensitivity issues to take control of the pressure and touch that is used on them. We have seen some wonderful results with both the book and the course, and with these children loving and engaging with the animal characters too. We have had reports of children coming home from school and telling their parents how many times they visited Mouse that day.

 

Are there any challenges you have encountered when using reflexology with children?

Using reflexology with children can be as challenging as trying to get them to engage in anything else. It can take time to build a relationship with them, which can create some awkward moments! If a child doesn’t want reflexology the chances are that today you won’t be giving any. However if you are careful you may well sow the seeds that will allow you to treat them next time. Children are naturally curious and once they have made a connection with you they will put their trust in you and love to learn. You can’t force a child so really it is about releasing your own ego and making it all about the child. I had one little boy whose mum used to come to me for reflexology and I always gave him a bit too. He wouldn’t allow anyone to give him reflexology except me – he grew out of it soon enough and now gives his baby sister reflexology as well as his parents; he’s only five.

 

Lastly, what do you hope readers take away from your book?

My passion is reflexology. I wrote my books so that I could share the huge benefits of reflexology with as many families as I could. I hope that the next generation will grow up not only knowing what reflexology is but what it feels like to receive and what it feels like to give, and value it as a resource available to them with little cost or effort. Hopefully these children will grow up wanting to share these books with their own children and so pass their knowledge on to the next generation.

Reflexology is an experience, a powerful human connection on a deeply personal and nurturing level that I hope will resonate with every child that encounters it through my books at a young age. To value connection and humanity through our basic human need, touch, is a value worth instilling from as early an age as possible. Complementary therapies are a gentle way of bringing communities together in health, well being, nurture and caring. Our children need to grow up in the warm embrace of these life skills for their own good health and that of each other. Our families and communities need to reconnect on the most basic level. This is a part of what I hope my books can bring about.

 

If you would like to read more articles like this and hear the latest news and offers on our books, why not join our mailing list? We can send information by email or post as you prefer, and please also tell us about your areas of interest so we can send the most relevant information. You can unsubscribe at any time.


To view the whole series by Susan Quayle, please click here.

Mouse and the Storm

A hand reflexology programme designed to relieve anxiety in children, accompanied by a soothing story about dealing with unexpected disruptions

 

Mouse’s Best Day Ever

A charming story about Mouse and her friends as they find fun on a stormy day with an accompanying simple reflexology treatment to help relieve discomfort from teething, constipation and colic

 

The Mouse’s House

An enchanting story about a mouse’s mission to make a cosy home for Winter with an accompanying simple reflexology massage for parents or carers to perform on a child

Why is the advice for treatment of the menopause so confusing?

menopause

In the midst of conflicting information surrounding HRT and the best ways to treat the symptoms of the menopause, author of The Menopause Maze, Liz Efiong – inspired by recent media inspection of the issue – weighs in.

Last year, Dr Megan Arroll and I published a book for women approaching and experiencing menopause entitled The Menopause Maze: The Complete Guide to Conventional, Complementary and Self-Help Options. We set out to write a book which would inform and empower women to visit their GPs and seek the help they needed. Our book was published after the National Institute for Health and Care Excellence’s (NICE) new guidelines at the end of 2015 and presents the very latest advice from menopause experts.

On the 23rd of February 2017, an hour long documentary called The Insiders’ Guide to the Menopause, became available on BBC iPlayer*. The programme was presented by Kirsty Wark, who herself went through the menopause following a hysterectomy and took HRT for 3 years until stopping abruptly in 2002, when the health scares surrounding the study called the Women’s Health Initiative (WHI) were published. The results showed an increased risk of breast cancer for women taking HRT, which caused many women to stop taking HRT suddenly, often going cold-turkey without even consulting a medical professional. Women stopped asking their GPs for HRT, whilst GPs were also caught up in the safety issues and became less familiar with HRT.

Continue reading

The Story Behind ‘Embroidered Cancer Comic’ by Sima Elizabeth Shefrin

1

Here I am looking at my book, still holding the packaging.

 

It’s April 2016 here on Gabriola Island, British Columbia. The flowers are blooming, and I am looking for the first time at my new book, Embroidered Cancer Comic

“How did I come to write a comic?” I’m glad you asked. As soon as my husband Bob Bossin was diagnosed in 2011 with prostate cancer, we started making cancer jokes. Every time we could laugh about the situation, one of us would say, “That goes in the comic”.  At this stage the comic was completely imaginary.  But eventually I picked up my needle and stitched and stitched until I had over sixty embroidered squares… Continue reading

Yijinjing Qigong Exercises from the Qing Dynasty

Li_Illustrated-Han_978-1-84819-197-6_colourjpg-webThis extract from An Illustrated Handbook of Chinese Qigong Forms from the Ancient Texts features Yijinjing exercises taken from a text by Pan Wei from the late Qing dynasty (1644-1912). Yijinjing is a type of dynamic Qigong for limbering up the tendons.

Click here to read the extract.

The exercises featured are designed to improve metabolism and promote flexibility. Yijinjing is attributed to Bodhidharma, the founder of the Chan school of Buddhism in China, during the Northern and Southern Dynasties (420–589). As it is easy to learn it has long been a popular form of exercise. Many styles emerged as it was spread and passed down, but the common practice at present is the set of exercises compiled by Pan Wei.

An Illustrated Handbook of Chinese Qigong Forms from the Ancient Texts features authentic exercises from throughout China’s history. Twenty-six sets of pictures relating to Qigong, Daoyin, diet and living habits are included, each set introduced with a brief overview of the origin, development, changes and practice modes of each method. The book is available to buy from the Singing Dragon website.

Michael Davies on the benefits of the gentle exercise known as Jiangan – The Chinese Health Wand

Michael Davies is a senior instructor with the Tai Chi Union for Great Britain. He has been practising Chinese internal arts for over 30 years and teaching Tai Chi Chuan for 13 years. He runs a Tai Chi club with regular classes, workshops and seminars in Tai Chi, Qigong and Jiangan. He lives in Hertfordshire, UK.

Here, Michael answers some questions about his new book, Jiangan – The Chinese Health Wand.

Video: Click to see Jiangan in action!


When did you first come across the Chinese health wand?

I saw it performed by an elderly Chinese man while on holiday in Malaysia in 1982, then later read a copy of the book by Bruce L. Johnson, the man who discovered the system in Shanghai in 1945. I had only just begun learning Tai Chi, which I took up mainly for the martial and meditation aspects. So although I was intrigued by the ‘Chinese Wand’ I was not sufficiently motivated to study it at that time. It was thirty years later, after working in an office and experiencing a sedentary lifestyle for much of that time, that I become more interested in the health aspects of Asian arts. I had become a Tai Chi instructor but felt that there were areas of conditioning and fitness that even this Chinese treasure was lacking. I decided to revisit Johnson’s book and experiment with the exercises, and was so impressed that I wrote this book.

What does Jiangan mean?

In Chinese (pin-yin) ‘Jian’ means health and ‘Gan’ means pole or wand. Jiangan can therefore be translated as ‘Health Wand’. Although there is no direct mention of Jiangan in Chinese written records, such exercises have been traditionally passed down from teacher to student orally for many generations. Dr Cheng, the Chinese Grandmaster who taught Bruce Johnson, claimed that the art was as old as Yoga and Qigong. But unlike other Asian mind-body systems that developed health aspects as by-products of spiritual advancement (Yoga), martial skill (Tai Chi) or healing specific illnesses (Qigong), Jiangan was specifically devised as a daily health and fitness maintenance routine for the gentry and imperial family who had unique health problems caused by their sedentary lifestyle. So for this purpose only the exercises evolved, the less effective and less safe exercises being replaced by more potent and safer exercises through countless generations. This makes it a scientific and comprehensive daily work-out.

Did you find Jiangan easy to learn, and have you found that the practice has expanded over the years?

It is very easy to learn but deceptively so. It possesses hidden subtleties and can be as simple or as challenging as you like. People tend to start practising physically but when the body adjusts there is less need for physical exertion. Eventually you realise that it is very much an internal exercise and you focus more on the deep diagrammatic breathing and develop a meditative frame of mind which greatly enhances your practice. The book takes the reader through the exercises in great detail and suggests traditional mental imagery based on the Chinese element system which helps to link the physical movement to spiritual concepts.

What are the health benefits, and how long each day do you need to practice?

The benefits include a sense of well-being, a clear tranquil mind, deep restorative sleep, increased energy, sexual vitality and fertility, increased circulation, clear skin, more efficient metabolism and improved digestion. But in addition Jiangan stretches and strengthens the physical body and is capable of delivering body-shaping results associated with vigorous gym workouts. It is therefore a holistic internal-external exercise. Many people separate health and fitness but Jiangan regards both as the same. Although there is stretching and strengthening similar to Western exercises these are performed in the style and spirit of a Tai Chi or Qigong routine. We approach stretches in gradual stages, always returning to the beginning posture with each breath and not holding a stretch for longer than a breath. Every movement is cyclic, gradual and gentle. So physical goals can be achieved at the same time as ‘internal cultivation’ because they are both part of the holistic joining of mind and body. Perhaps the systems’ most crucial contribution to health is its capacity to improve posture and help with a whole range of back, shoulder, and neck problems.

Twenty minutes a day is adequate to avail oneself of the many health benefits.


VIDEO: Michael Davies demonstrates some Jiangan exercises.

[youtube]_MdRX4gvjaM[/youtube]


Is this a purely ‘health’ practice or does it, like other Chinese energetic movement forms, carry within it a deeper spiritual practice?

The unique esoteric aspects of the art are based on Chinese traditional medicine and more obscure ancient practices, particularly involving the Gan itself. I discovered that the length that Johnson and Grandmaster Cheng specified for the Gan is approximately a ‘Golden Ratio’ longer than the length of an average person’s arm, which is probably the basis of the intriguing esoteric principles surrounding the Gan (‘Wand’ is an apt, rather magical term). Holding the Gan at each end – one hand considered ‘Yin’ and the other ‘Yang’ respectively – may relate back to the Healing Rods of ancient Egypt. Continuing with the Egyptian theme, this wide grip creates a symbolic pyramid shape with the body. As we continually circulate Qi around this ‘pyramid’ its vertex or tip repeatedly focusses on and stimulates the body’s two ‘polarity points’; the Yang (Baihui) on the crown of the head and the Yin (Huiyin) at base of the spine. This process relates to the important Chakra centres of Yoga and can also be seen as a simplified way to perform the ‘Microcosmic Orbit Meditation’ of Taoist alchemy. The ‘Yin-Yang’ concept is also an important influence on body mechanics. In most exercises the Gan acts as a fulcrum or lever. In many of the exercises, one part of the body is motionless (Yin) while another part is in motion (Yang). This creates a resistance that causes beneficial stretches and also massages internal organs. It is a methodology in stark contrast to Tai Chi where all the body moves as one unit.

Why do you think it is not very well known?

Bruce Johnson said that Dr Cheng was the last Chinese Grandmaster. When he introduced it to the West in the 1950’s there was little enthusiasm for Asian arts. By the time Tai Chi and Qigong became popular Johnson had given up teaching for religious reasons. The art was left behind. Though a few people kept it alive using Johnson’s out-of-print book as a reference point. But the internal, philosophical side of the art was not being taught. In recent years it seems to have been relegated to the role of a ‘quirky physical exercise with a stick’.

Using my experience in Chinese internal arts I wanted to rediscover the internal philosophy and present the art as originally intended so that a new generation can reap the health benefits. In fact, it was the way Jiangan effects the physical body that was the catalyst for writing the book. Even though I had been practising Tai Chi for over thirty years, like many men my age I had developed a middle-aged spread. There seems to be a consensus amongst Tai Chi and Qigong practitioners that it is possible to have a middle-age spread and still be healthy and to regard exercises that focus on physical improvement as somehow inferior and cosmetic. But an expanding waistband is often a sign that visceral fat – the fat that sits around the major organs and linked to diabetes and heart disease – is accumulating in the body. After practising Jiangan for several weeks my middle-ages spread was gone and I felt fitter, leaner and stronger, more supple than I had for years. I hope that my book will be particularly useful to people attracted to internal Chinese health but who also need to reduce weight and keep fit.

How does this practice fit within the Chinese martial arts tradition, and how might you integrate it with martial arts practice?

Jiangan is not a martial art and there is no evidence that it evolved from martial techniques. However, the dimensions of the Gan itself is approximately the same as the Chinese short staff (sometimes called the ‘Gun’ or ‘whip staff”) used for some martial forms.

It is a complete and integrated warm-up, a stretching, strengthening and Qigong-energy type practice that can be utilised to support any martial art training. It enriches training sessions and makes them more effective.

Now that the book is published, what is your next challenge?

I would like the art to become better known and more widely practised – particularly in the areas where it’s unique qualities can make a significant contribution, such as tackling obesity and weight-loss – especially in seniors and helping sedentary people overcome problems associated with their lifestyles. As it is simple to learn there is great opportunity for a wide range of people to teach themselves without long-term commitment to lessons or classes. Johnson wanted his own book to be in every nursing home, every hospital, every physical therapy room, every doctor’s office. I would like to see Jiangan practised by workers in offices and factories to increase productivity and the health of the workforce. I would also like to see it practised in schools and colleges, where it could not only help maintain student’s physical fitness but also be an accessible introduction to Chinese internal arts.

Copyright © Singing Dragon 2011.