All posts by Cynthia's Acupuncture and Wellness

Registered Acupuncturist (R.Ac.) You can follow me on YouTube au CynthiaMcGilvray

Treatment of Plantar Fasciitis with Acupuncture

Have you been living with sharp, stabbing pain in the sole of the foot or heel? Or pain when standing after a period of rest? You may have a case of plantar fasciitis.

Plantar fasciitis is an inflammatory condition affecting about 10% of the population at some point in their lives. Inflammatory conditions have up to four main components: heat, pain, swelling and /or redness.

The issue with plantar fasciitis is often tissue fatigue – the same movements repeated over and over irritating the fascia. The plantar fascia is also a shock absorbor for when the feet hit the ground. This condition typically appears in people after:

  • excessive standing, walking or running
  • a recent change in activities
  • people who carry an excess of weight
  • alignment issues in the foot or leg

What are the conventional treatments for plantar fasciitis?

Conventional treatments for plantar fasciitis include pain relievers, stretching, icing, rest and limiting aggravating activities. Steroid injections are a less conservative treatment that may bring some temporary relief. Steroid use does come with side effects such as weakened bone in the affected area after repeated use and systemic hormonal imbalance such as adrenal hormone excess or deficiency. As a last resort, surgery can be done but this is usually not necessary.

How does acupuncture treat plantar fasciitis?

The plantar fascia is a shock absorbor that runs along the Kidney channel of the foot. Typically, people with plantar fasciitis also have a Kidney channel deficiency which is the underlying root cause for this condition.

Using a system of mirroring, acupuncture can be done on the hand, and not necessarily the affected foot. This is often a real bonus because it makes for a more comfortable treatment for the patient. The palm of the hand mirrors the sole of the foot. Using the Pericardium and/or Heart channel of the hand will relieve pain along the Kidney channel of the foot and support the Kidney system as well.

Acupuncture here will cause the nervous system to signal the brain to send more blood, energy and nutrients to the plantar fascia without needling the feet directly. The increase in blood and oxygen to the foot has analgesic and anti-inflammatory effects. The micro-tears and inflammation in the fascia that have developed from absorbing shock can now be repaired, allowing you to use your feet comfortably.

Other points may be used to promote circulation to the feet and to support the body`s endorphin production. Endorphins are feel-good hormones that provide an experience of well-being, and attach to the opioid receptors in the brain, making it easier for you to deal with pain without using prescription medications. 

Acupuncture shines as a treatment for many types of pain and especially plantar fasciitis. I have treated many cases of plantar fasciitis using this technique and it has worked well every time. Most patients will start to feel some relief within the first 1-3 treatments and full resolution within a short course of regular treatments in simple cases.

What else can I do to heal my heel?

Since plantar fasciitis is largely an issue of wear and tear, the most important lifestyle changes are:

  • rest when and where you can
  • stretching the calves and plantar fascia
  • losing the weight

Acupuncture is used as a natural low-risk therapy that strengthens the fascia over time allowing you to be on your feet for longer. By improving blood flow to the area it will allow for greater flexibility to the band which allows for greater range of motion so that you can get back to doing the things you love.

Healing Dupuytren’s contracture with Acupuncture

If you are experiencing tightness, knotted tissue, poor mobility and pain in the palms of one or both hands, you may be suffering from a condition know as Dupuytren’s contracture.

Dupuytren’s contracture is a condition where the connective tissue under the skin of the palms becomes contracted, thickened and shortens over time.

This condition is inherited and tends to be more common in people of Scandinavian or Northern European descent, and more often in older people and in men . While there is no known cause, research has suggested correlations with other medical issues such as alcoholism, smoking, diabetes, seizure medications, and interestingly, hypothyroidism.

Symptoms of Dupuytren’s contracture include:

  • inability to extend the hand flat on a table
  • one or more small sore nodules on the skin of the palms
  • nodules of hardened tissue that is most often seen to connect with the ring finger or middle finger
  • the nodules tighten and thicken into bands and cause the fingers to fold forward
  • difficulty using the affected hand

What are conventional treatments for Dupuytren’s contracture?

Surgery or steroid injections are the main forms of conventional treatment. Surgery I feel should be used a last resort. More conservative treatments can be tried first. Surgery in this case involves opening up the skin over the cords and removing fibrous tissue. Surgery is not curative and the condition may return at a later time. Steroid injections come with side-effects. Steroids are hormones that alter the delicate overall hormonal balance of the body.

Left untreated, this condition can cause inability to use the hands for certain tasks. Gripping objects and straightening the fingers becomes harder.

Thankfully, there are alternative treatments.

How does acupuncture treat Dupuytren’s?

A newer conventional form of treatment is needling into the cords to break the cord that is contracting the finger. This form on treatment is described on the Mayo clinic website. The main advantage of this treatment is that there are no large incisions to heal as with surgical treatment. It can be performed in an office on an out-patient basis.

However, conventionally-used needles are still large enough to carry risk of tendon and nerve injury. The advantage of having this done by an acupuncturist is that an acupuncturist’s needles are much smaller so there is no risk of injuring tendons or nerves in the hands and there is no need for any recovery time.

Acupuncture is applied along the cords. Healthy terrain is restored using electrical stimulation whereby electrical stimulator wires are attached to the base of the acupuncture needle. You will feel either nothing at all, or a mild tapping or pulsing sensation. The amount of voltage is always carefully done to your comfort level. As healing electricity flows through the wires it moves into the tissues to support faster healing than simple acupuncture alone.

From an acupuncture point of view, Dupuytren’s contracture is a tendon issue. The tendons are governed by the liver system. This would also explain why Dupuytren’s is correlated with other conditions where the liver is compromised such as alcoholism, and seizure disorders.

Dupuytren’s is found mainly along the Pericardium and Heart channels

of the hand. Treating these unbalanced channels is essential to treatment. When disease forms along a channel it signifies that healthy terrain has been lost.

Will acupuncture reverse the contractures and nodules?

If treatment is started in its early stages complete resolution is possible and does happen in a shorter period of time than if treatment is delayed. If treatment is started in later stages, Dupuytren’s may be stabilized and more treatments will be required.

Is there anything else I can do to heal the hands?

A great self-care tool you can use is guasha on the palms, over the contractures and nodules. You will need a guasha tool and these can be found on Amazon and sometimes in your local Chinese herb shop.

  1. Apply a small amount of massage oil of any variety on to the palm .
  2. With the guasha tool, use forceful strokes over the nodules and contractures to loosen up the tissues.
  3. Stop when it becomes too uncomfortable.
  4. Repeat this process daily.

Other self-care advice:

Soak hands in hot water or apply hot compress for 15-20 minutes daily.

Massage and stretching of the hand and fingers will also help soften the tissues.

Yours in health,

Cynthia McGilvray, R.Ac.

Great Acupressure Points to Heal Knee Pain

Greetings Dear Readers,

Here are some great points for treating your knee pain using acupressure according to pain location.  Enjoy!

Yours in health,

Cynthia

Treating Lupus with Acupuncture and Oriental Medicine

Greetings Dear Readers,

If you or someone you know is living with Lupus there is hope.  Oriental medicine has had a lot of success with many types of auto-immune diseases such as Lupus.

oriental medicineSystemic Lupus Erythmatosus (SLE) is an auto-immune disorder  in which the immune system attacks its’ own tissues leading to chronic inflammation. Several orlupus-symptomsgan systems may be affected such as kidneys, heart, skin, blood cells, joints, brain and skin.  Western medicine explains the cause of lupus as essentially unknown but beyond that is believed to be a combination of genetics and environment where some people have a genetic predisposition to developing lupus and then various environmental factors such as sunlight, medications (anti-biotics, anti-seizure meds, blood pressure medications) can be the triggers that set off the lupus symptoms. Commonly used Western drugs such as  NSAIDs (non-steroidal anti-inflammatory drugs), corticosteroids, anti-malarial drugs and immuno-suppressants are used to manage symptoms.  Although these drugs may be able to control flare-ups to some extent, there are often side-effects with long-term use.
Natural therapies such as acupuncture that can achieve suppression of flare-ups as well as get to the root of the disease itself.

Oriental medicine describes Lupus as a situation of too much Yang (heat)  and not enough Yin (yin=coolness, moisture) which also creates “Empty Heat” or Heat resulting from Deficient Yin.   I will publish a post about Yin Deficiency soon.

With Excess Heat, often the person has Heat signs such as the red butterfly rash on their face (red=heat)butterfly rash, constipation, excess thirst, a feeling of heat in the body or fever, and dark-coloured urine that may be scanty.  The tongue is often red with a yellow coat, and the pulse is often rapid, and full.  Heat symptoms tend to show up in the upper part of the body such as the face because heat rises.  Lupus also shows up more often in younger people between the ages of 15 – 40 because young people are relatively more Yang than older people.

When the Heat is intense it becomes Fire.  Fire rises upwards towards the heart and brain which can result in mental-emotional symptoms such as irritability or anxiety.  Fire also dries up the body fluids which is why there can be constipation and scanty urine.

With Yin Deficiency, there is a lack of the moistening, cooling body fluids in the body which result in dryness as well as Blood Deficiency symptoms such as fatigue, insomnia and hair loss..  With prolonged Yin Deficiency there can be “Empty Heat” which means a relatred cracked tongueive increase in Heat caused by a lack of Yin which shows up as low-grade fever and night sweats.  Yin involves all the body fluids including blood and sinovial fluids.  A Yin deficient tongue may be peeled (geographic, or cracked) and the pulse may be superficial, thin and fast.  Since women are considered more Yin, and require a greater amount of blood and body fluids for healthy body functions (think of how women’s bodies must replace menstrual blood lost each month) , this helps explain why SLE tends to affect women more than men.

Photophobia often stems from Yin deficiency of the Liver system (the Liver liver blood def.“opens” to the eyes) causing a lack of moistening fluids (Liver Blood) to the eyes resulting in light sensitivity  and dry eyes.  Hair loss is also indicated because in TCM hair is considered a surplus of Liver Blood.  Discoid (small round) rashes are another symptom of Blood Deficiency as it is the function of Blood to moisten the skin so the lack of Blood causes red flaky rashes.

The joint pain in lupus may be the result of the lack of body fluids (Yin) resulting in less sinovial fluids in the joints.  It can also be from Liver Blood Deficiency as the Liver Blood’s role is to moisten the tendons and resulting in arthritic pain.

Without treatment  Lupus can progress into kidney damage and failure.  This can be a life-threatening illness so it’s important to chose your treatment strategy wisely.  Where there are more severe and acute symptoms such as breathing difficulty and acute kidney issues it’s important to see a Western doctor quickly to prevent serious complications.  Once things have stabilized, TCM acupuncture can focus on the other symptoms as well as addressing the root of the disorder.

treatmentThe goals of acupuncture treatment with Lupus will depend on how the individual presents.  In general, points will be used to clear the Heat/Fire and strengthen Yin and Blood of the affected channels and organ systems.  This is achieved by selecting the correct acupuncture points that will do those jobs.  Each acupuncture point has its own functions and indications so the treatment will be tailored to the patient’s unique presentation. The treatment for Lupus tends to be longer than other conditions because Yin Deficiency takes a long time to develop and so a longer time to remove.  With persistent treatment as well as the guidance I offer in self-care including diet there should be a lessening of flare-ups as well as better energy and quality of life.

Yours in health,

Cynthia McGilvray, R.Ac.

References:

1.Weil, Andrew, M.D., (August 2016). Lupus. Retrieved from: http://www.drweil.com/health-wellness/body-mind-spirit/autoimmune-disorders/lupus/

2. Mayo Clinic Staff, (November 2014). Lupus. Retrieved from: http://www.mayoclinic.org/diseases-conditions/lupus/basics/definition/con-20019676

3. Maciocia, Giovanni. ( 2005). The Foundations of Chinese Medicine. 2nd Ed. Churchill & Livingstone.

Treatment of Shingles (Herpes Zoster) and Post-Herpetic Neuralgia

Greetings Dear Readers,

If you or someone you know is suffering from shingles, there is a lot that can be done to shingles in eyereduce pain, strengthen immunity and get relief using natural therapies. A word of caution: if you are experiencing the shingles rash, pain or unusual symptoms in your face, eyes or ears, this symptom that can have serious consequences such as damage to the eyes or ears leading to loss of vision or hearing. Please visit your doctor immediately.
In Western medicine, the virus causing shingles (varicella-zoster virus) is the same virus that causes chicken pox. When someone gets the chicken pox, eventually the rash clears, but the virus itself does not fully disappear. It lies dormant in the nerve ganglia at the dermatonesspine waiting for another opportunity. When the immune system is down, the virus may then reactivate, this time as shingles. Since the virus lives at the nerve root in the spine, it tends to affect one or multiple dermatomes or areas that the affected spinal nerve controls. Prior to the outbreak, the immune system could have been weakened by chemotherapy, radiation, HIV, fatigue, organ or bone marrow transplant, physical or psychological trauma or a very stressful life event. Shingles also tends to affect those over the age of 50 more than younger people.
According to Asian medicine, shingles is a combination of Wind, Damp and Heat pattern often involving Liver/Gall Bladder and/or Spleen system. It’s interesting that the dermatomes at T9-T12 which are often affected by shingles, is also the area of the spine that corresponds to the Liver, Gall Bladder and Spleen in Asian Medicine. Where Heat predominates, the pain tends to be more intense and the sooner the acupuncture treatment is done, the lesser the chances of intense pain that carries on for months or in some cases years. Palpation of the Fire points shows the extent of the Heat in the body and the corresponding points are treated first before treating the immune system. The Spleen system is also treated because of the burden of Dampness caused by either a pre-existing weak Spleen system (the spleen is also an immune organ in both Eastern and Western medicine) or because the virus itself has weakened the Spleen system which is responsible for controlling Dampness. In either case, Asian medicine offers effective protocols to clear any residual pain or immune weakness caused by shingles.
Once the rashes and blistering have died down, there is often lingering post-herpetic neuralgia (read: intense pain) along the nerve pathway of the affected areathat can go onSt. John wort for months, sometimes years. Getting started with acupuncture soon after the pain starts will cut down the amount of time the pain goes on for. Some patients have been told to try various rash ointments that are intended for another purpose such as eczema or psoriasis, but with little success because the pain is not about the skin. It is caused by the infection at the nerve. An excellent remedy for this type of nerve pain is St. John’s Wart oil rubbed onto the affected area.
Dietary changes can help support the immune system. An acupuncturist can determine whether Damp, Heat or Wind is most predominant in your body. If the Dampness is predominant, it is important to avoid Damp producing foods such as roasted peanuts, dairy products such as milk or ice cream, beer, sugar, concentrated juices or sweeteners, pork, bananas and saturated fats. Refined sugar itself is

Image result for immune boosting mushrooms  known to depress the immune system within hours of consumption.1 If Heat predominates, avoid hot spices, alcohol, coffee, chili, ginger, mustard, lamb, ginseng, maca and other heating foods or herbs. Ways to support the body’s immunity include immune tonics such as ganoderma (reishi mushroom), fermented foods because they promtote healthy gut flora, zinc, selenium and keeping stress levels down (stress reduces Defensive Qi) through relaxation, exercise and meditation.
Feel free to contact me if you have any questions.

 

Yours in health,
Cynthia

 

References:

1. · Albert Sanchez, J. L. · Reeser, H. S. · Lau, P. Y. · Yahiku, R. E. · Willard, P. J. · McMillan, S. Y. · Cho, A. R. · Magie, and U. D. Register. (1973. The American Society for Clinical Nutrition). The Role of Sugars in Human Neutrophils Phagocytosis. http://ajcn.nutrition.org/content/26/11/1180

 

 

Facial Pain and TMJ Relief with Acupuncture

Greetings Dear Readers,

Has your dentist told you that you are clenching your teeth at night?  Do you have facial or jaw pain when you wake up in the morning?  Does your jaw hurt when you eat or speak?  If so, there is relief.

Generally speaking, TMJ (Temporomandibular joint and muscle disorders) issues are a set of conditions that manifest as pain in the jaw joint and surrounding muscles that can lead to pain when eating, speaking, chewing, laughing and even breathing.

In the Western medical sense, it is known that TMJ disorders may involve myofascial pain (most cases), structural damage such as dislocated jaw or condyle injury, or arthritic changes impacting the TMJ joint. These causes have been studied and elaborated on further by Master Japanese acupuncturist, Kiiko Matsumoto.

When it comes to myofascial pain, people often have pain at the front of the face where the Stomach channel lies as well as inflammation or heat in the Stomach channel that is indicated with pain at Stomach 41 when pressed. The patient will often show fissures or cracks at the centre of the tongue (Stomach area in TCM), and may also complain of issues relating to Stomach Qi such as ulcers, weakened immune system, anxiety, sensitivity to gravitational or barometric shifts such as being in an airplane, weather changes and time zone shifts, motion sickness, stomach flu and certain problems with pregnancy. Acupuncture treatment here involves regulating the Stomach Qi, often strengthening Stomach Yin and clearing any Stomach channel Heat.

In terms of structural imbalance,  the root of the matter there is often a sphenoid bone imbalance causing an improper alignment. The patient may have pain on palpation of the temporal area, inguinal ligament or just below the navel. They may also have other sphenoid bone imbalance-related issues such as ear problems, headaches, dental problems, or sleep problems such as sleep apnea. A sphenoid bone imbalance may affect the pituitary gland that lies in the centre of the bone causing a hormonal imbalance. Acupuncture treatment here involves supporting proper alignment the bone, as well as correcting the pituitary imbalance.

Finally, issues with degeneration of the bone itself fall into the category of Kidney Essence Deficiency that is most often seen in older adults or those with a constitutional weakness. This may also be associated with symptoms such as insomnia, slow wound healing, skin rashes such as eczema, inguinal ligament pain and temporal headaches. Treatment in this case involves supporting proper bone alignment as well as strengthening the Kidney system.

Acupuncture treatment can go along way to preventing as well as healing TMJ by relieving the underlying patterns.  Treatment will often be weekly for a few weeks or months depending on the severity and how long the condition has gone on for.

In the meantime, a few self-care tips:

  1. Using moist heat such as a hot water bottle or hot pack can be helpful.
  2. Eating soft foods and blending foods in a blender can give the jaw a chance to rest and heal.
  3. Relaxation and stress reduction techniques such as guided relaxation such as that found at the end of yoga classes and breathing meditations to calm the mind.
  4. Sleeping on your side with a pillow between the shoulders and neck.

Yours in health,

Cynthia

References:

  1. Matsumoto, Kiiko. (2014). Kiiko Matsumoto’s Clinical Strategies: In the Spirit of Master Nagano, Vol. 1 (6th ed.). Hanover, MA: J&R Graphics.
  2. (2016). Retrieved June 20, 2016, from https://bconroytc.wikispaces.com/Facial Pain (e.g. muscular, TMJ) – Kiiko Matsumoto Japanese Style

How to Dissolve Kidney Stones

Greetings Dear Readers,

If you have kidney stones or are worried about possibly having them, here is a self-care tip:

Asparagus.

Go down to your local market and pick yourself up 2 or 3 bunches.

Raw Asparagus spears

Eat one cup of asparagus (steamed or juiced) each day for 3 or 4 days.  You’ll know this is working when you see the appearance of a white sand in your urine or cloudy urine .  This is the dissolved kidney stone material leaving your body.

Asparagus dissolves the oxalic acid crystals as well as the calcium stones caused by too much calcium supplementation either in pill form or from drinking calcium-fortified soy or almond milk, etc.  Read the labels. The body only needs a set amount of calcium at one time and will deposit excess calcium in various places in the body such as the arteries (arterial plaque) , bone spurs, and the kidneys (stones).  The body will also deposit  calcium into these tissues because it lacks various co-factors such as vitamin D which assists in the absorption of calcium into the bones, vitamin K2 and magnesium, which is extremely deficient in modern diets owing to poor soil quality.

Yours in health,

Cynthia

Eating According to Your Menstrual Cycle

Greetings Dear (Women) Readers,

Many people promote the idea that for health we need to do the same habits every day consistently.   This seems quite logical in many areas of health such as dental hygiene for example.  However, for women who are in their fertile years, the Yin and Yang fluctuations happening monthly with the menstrual cycle ask that we accommodate with subtle shifts in our diet and lifestyle.

Do you notice changes in your body at different times of your menstrual cycle?  Do you crave certain foods at different times of the month?  The wisdom of Traditional Chinese Medicine (TCM), dating back thousands of years, details four phases of the menstrual cycle and how they affect women’s health.  Below I’ve added diet and lifestyle tips to help you synch your lifestyle with your menstrual phase for improved health.  Acupuncture can also greatly assist with symptoms associated with each phase.

The Four phases to the menstrual cycle according to TCM:

**please note that for women who have shorter or longer cycles, you will still experience these phases but the number of days for each will be different.  For more detailed information on how to understand your menstrual cycle I recommend reading the very informative book, Taking Charge of Your Fertility by Toni Weschler.

Menstrual Phase (Day 1-7)

This phase starts from the first day (Day 1) of heavy bleeding or flow (not spotting).  Due to the loss of blood, some women naturally feel tired at the start of their menses.  Some spend the day in bed.  Generally, more rest is needed at this time.  During this phase the endometrial lining is shed and then rebuilt.  The endometrial lining is building itself up in preparation for conception.  At this time it is important for women to eat Blood-building foods to assist the body in creating a rich endometrial lining which may become nourishment for a developing fetus.  To balance the body during this phase, eat more Blood-building foods such as dark leafy green vegetables and mineral-rich organic foods such as beets, carrots, black cherries, kale, spinach, hawthorne or goji berries, alfalfa, dates, apricot, prunes, wheatgrass and nettle.

Pre-ovulation Phase (Day 8 – 14)

During this phase which starts at the end of the menstrual flow, the ovaries are preparing several folicles (eggs) for ovulation.  The body becomes high in estrogen at this time.  In TCM estrogen is a Yin substance.  During this phase it is important that the body has enough Yin energy to create fertile mucous (looks like egg whites) which assist the sperm in travelling through the cervix to meet the egg.  To help the body build Yin substance it is helpful to eat Yin-building foods such as persimmon, lettuce, radish, grapes, berries, watermelon, string beans, seaweed, and mung bean sprouts.

Ovulation Phase (Day 15 – 21)

Actual ovulation lasts about a day, normally day 14 or 15 in the cycle.  The shift in hormones that occurs on this day causes the body to go from Yin to Yang.  Yang = heat and it is at this time that  a woman’s body temperature will rise by 0.5 degrees Celcius which is a key indication that ovulation has taken place.  This increase in Yang energy should continue until the end of the cycle.   At this time it is important to support the Yang energy of the body.  To support this temperature increase it is important to eat foods that have more Yang (warm, invigorating) energy.  You may have cravings for spicy warm foods such as cinnamon and ginger and feel worse from eating cold foods like bananas.  TCM recommends foods and herbs which “Nourish Essence” at this time such as walnuts, wheatgrass, ginseng, rhemannia root, chlorella, spirulina, black sesame seeds, raspberries, and blackberries.

Post-Ovulation/Pre-Menstruation Phase (Day 22-28)

During this phase the Yang or warm energy is still normally present and the focus now becomes moving the energy.

Many women notice they have more energy during the later half of their cycle and it is very beneficial to use this energy to do exercise.  Lack of exercise at this time can lead to stagnation in the Liver Qi channel resulting in breast tenderness, clotted blood flow and painful cramps.  A diet high in trans fats, processed foods and unhealthy chemicals can burden to the Liver channel.  If the Spleen energy is weak there may be heavy bleeding (Spleen controls Blood) or early menstruation.  Exercise combined with eating whole foods and healthy fats at this time will reduce breast tenderness, clots in the blood flow and cramping.  Liver Qi moving foods include spearmint, garlic, fennel, cayenne, ginger, black and white pepper, cloves, vinegar, basil, onions, leeks, scallions.  Use of moxabustion can also be used to “warm the Spleen” in cases of heavy or early bleeding.

Do you change your lifestyle according to the time of the month? Love to hear your comments and questions.

Yours in Health,

Cynthia

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Creating Harmony with the Autumn Season

Greetings dear Readers,

Autumn is upon us, the entrance way to the cooler and more introspective phase of the year. For some this brings sadness and longing for the return of warmer days and so I thought I’d share my thoughts on the Traditional Chinese Medicine (TCM) perspective on how to live in harmony and actually enjoy fall, also called “Metal” season according to the TCM 5 Element system.

In the 5 Element system, spring corresponds with the Wood element, the colour green, new beginnings and vigorous energy. We can see this evidenced in our world during spring when many little plants are pushing forth through the earth with great vigor, green buds on the trees that looked so lifeless only a few weeks prior, people coming out of hibernation and taking to the outdoors on bikes or walks in the park, birds laying eggs and the whole celebration of Easter as a resurrection, new life.

But how are we to understand the Metal element in our daily life? Nature seems to be betraying us with the death of much greenery, the end of the harvest, the shorter days and the need to be indoors. Metal seems to represent loss, death and the shrinking of life which sounds anything but health-promoting. In the TCM view, in order to promote balance in one’s body, mind, spirit and society as a whole we learn to embrace each phase of the year through harnessing the virtues of each element.

Standing in front of a polished brass sculpture I see my own reflection. Of the five elements, only two, water and metal, have the capacity to reflect surrounding images. Metal and water, being the two most yin elements of the 5 Elements (Wood, Fire, Earth, Metal and Water) can be associated with the yin capacity for reflection, a quiet time of inaction to allow for deeper insight. Reflecting on one’s being, one’s life, is part of the inner journey, a yin journey. Reflecting is also yin in the sense of receiving something, more passive, as opposed to yang which is more active and acts upon things. A visual message is received and is imprinted on to the shiny metal in a passive way unlike what the Wood element does when it actively pushes out roots and branches or the way fire spreads “like wild fire”. No, metal is not that. Metal sits and reflects the surroundings.

Metal, although malleable, holds its shape under most conditions. It is quite stable. It is strong, perservering and holds it’s value. Metal coins were perhaps the first monetary system of civilization to replace barter and trade economies because the stable element metal can “hold” the value of goods and services. Even during an economic recession like the one we are in now, we can see how gold trading is at its’ prime. It is the stable value that makes people want to invest in metals such as gold when many other investments are volatile and risky. During hard times and economic collapse, gold is unchanging, holding lasting value. The expression, “born with a silver spoon in one’s mouth” expresses how metal’s quality of holding value is shown in the way we associate refined or higher class culture with precious metals such as silver and gold. Similarly, on the mental plane the virtue of metal is the capacity for integrity, maintaining one’s value system even under difficult conditions.

On the human level we can also see the virtue of metal in those that have a strong sense of self-worth. When metal energy is unbalanced, a person looses sight of their own value, their self-worth. It has been suggested that a person with a metal imbalance may seek out external things like money, reputation, fame, and respect from the outside in order to compensate for the lack of self-worth they feel within. It is also suggested that such a person may have a hard time letting go of various outdated attachments, achievements, possessions and attitudes because their self-worth is so strongly tied to these things.

This last point brings us to another quality of Metal: letting go. This quality is personified quite clearly in the two metal element organs: the lungs which take air in then let it go and their partner organ, the large intestine which holds the end products of digestion, then lets them go. A 500 mL tin can hold two cups of water only, any more will spill out. Metal is often used to hold things, a metal airplane holds cargo, a car holds passengers, a pail holds water. Metal brings us down to the essentials of life in preparation for the next phase after Metal, the time of Water, or the winter season, a time of conserving energy, hibernation and retreat. I have seen this process in my own life as my dear grandfather passed away at the end of summer. As a family we must let go and grieve for a family member who has passed on. Interestingly, in many parts of Asia, the colour worn at funerals is white, the colour associated with Metal.

This transition from Metal to Water reminds me of the way Theravadan monks and nuns live their lives with a lot of metal themes such as their vow to have only five personal possessions such as a begging bowl, a razor to cut their hair, notepad and pen. Their way of concentrating on the bare essentials of life gives them the time and energy for their spiritual pursuits such as meditation, helping others and gaining realizations. Here we see the meaning of the ancient TCM view that “Metal is the mother of Water”; metal (concentration) gives birth to of water (spiritual realizations).

Even in the west we have a very metal expression “to cut dead wood” meaning to let go of aspects of our lives that will no longer bear fruit (unworkable projects, useless possessions, meaningless activities) to allow enough time and energy for important things we need to do. In other words, we let go (Metal) of what is not beneficial to us to avoid wasting our time and resources in preparation for the winter season. In winter there is less daylight time and sun (yang) energy to invigorate the body to accomplish tasks. One prepares for this period by using the fall season to pair things down. Interesting while metal often holds things, it also lets them go: many tools used to cut things down or off are made out of metal (scissors, knives, saw, axes).

I see this element playing out for me this autumn season as I let go of old projects from the summer that will never get completed or “bare fruit” so that I can concentrate on what is most essential. The abundant growth and fun and frivolousness of summer gives way to an energy of structure, concentration and settling, getting down to business. It is a sobering, contracting and minimalizing energy, as well as a grieving one as one must let go of the warmth and fruits and joys of summer for a more cold and barren (externally) season ahead. Nature is less bountiful at this time so one must use one’s limited resources more carefully.

I also notice the quality of refinement in Metal. To “sharpen the saw” is an expression about fine-tuning or refining one’s talents and skills. In the same vein, the Metal element in TCM is said to represent the adult years in the life cycle, a time when one has already acquired many skills and abilities from one’s youth (Wood and Fire phase) which can now be refined and used in the service of humanity. Similarly, the phrase to “separate the wheat from the chaff” (presumably accomplished with metal tools or machinery) expresses the same quality of letting go of what is not needed, refining, concentrating, getting down to the essence.

Metal holds structure. On a societal level structure takes the form of routines, discipline and formality. The Metal season of autumn marks a return to school for many young people, a place where academic disciplines are taught and there is a lot of structure to the day. Similarly, a marriage is a ceremony that takes a relationship to a more formal level and is often seen as the foundation of the structure of the family, and interestingly, the occasion is marked by the exchange of metal (such as gold) in the form of a ring.

Finally, with all of its structure, Metal also represents boundaries. The skin is governed by the Metal element where the lungs control the pores’ opening and closing. Our skin is the dividing boundary where the outside world ends and we begin. Skin is where we make contact with things outside of us and where we first receive other’s contact. When a baby leaves its’ mother’s womb it first feels the world through the air on it’s skin and takes its’ first breath through the lungs. Similarly, Metal forms what TCM calls our “Defensive Qi” or another word for immunity. The lungs help form the defensive qi that resides below our skin to keep pathogens out.

On a mental level, Metal’s virtue of boundaries is conveyed in the expression “good fences make good neighbors”. A person with healthy Metal can maintain healthy boundaries in relationships. They know what they are responsible for and what they are not. They know where to respectfully draw the line and stay within the boundaries of one’s roles in relationship, family, or community as friend, parent, worker, employer. ect. A person with a metal imbalance is more likely to verge on the side of co-dependence where they experience fuzzy, unclear, indistinct boundaries. They have trouble maintaining the Metal quality of respect for themselves and others in their relationships.

So here are some things you can do for yourself to experience more health and contentment in autumn:

For the physical plane:

1. Keep some sort of exercise routine. The Lungs correspond with Metal and one major way to enhance Lung energy is through deep breathing. Practicing Qi Gong, Tai Chi, yoga
or any such mind-body exercise that includes deep breathing, breath awareness and a more introspective approach will enhance Metal.
2. Thyme tea benefits the Lungs.
3. Eat orange and dark green vegetables. The beta-carotene benefits with Lungs while
the fiber-richness of the vegetables gently cleans the Large Intestine, the Metal element organ pair of the Lungs.

For the mental plane:

1. de-clutter. If you haven’t done so already, it’s time to put away the summer clothes, shelve some projects, shred old papers, clear the email inbox, pack things up and practice some “less is more”. The goal here is not to be an aesthetic or any kind of extreme, it’s just about creating some “breathing space” for the mind. With a mind less encumbered by all the junk lying around and never-ending “to-do” lists, you will have mental space to have gratitude for life’s gifts, the real meaning of Thanksgiving which is right around the corner.
2. Think about where your boundaries are (physical, emotional, mental, spiritual) and decide what in your life right now is crossing your boundaries and stressing you out. You will feel this in your body when you are in stressful situations. Your feelings are guides to where your personal boundaries are. Give yourself permission to redraw those boundaries. This can take the form of learning to say “no” to certain activities that are no longer supporting your growth, or deciding which foods do not benefit your health and deciding not to eat them or paying attention to your thought patterns and re-directing your thoughts in more positive, hopeful direction when you notice negativity creeping in.

For the spiritual plane:
1. Clarify your value system. Ask yourself “what do I believe in?” and “how do I uphold this value and belief in my daily life?” Seek out a counsellor or spiritual teacher for help.
2. Think about things you’ve had to let go of in the past that served a greater purpose. Reflect with joy and how you let go of those things you didn’t need. Celebrate the courage it took to have faith that the letting go could be beneficial. For example, as kids we lost baby teeth, it hurt for a while but then we got adult teeth which were better suited to our soon-to-be adult body. We had girlfriends or boyfriends that we broke up with. The loss hurt at first and later we felt glad to have room in our life for someone more suited to us.

I look forward to hearing your comments and questions.

Hope you have a happy fall!!