Paul K. Branch, M.D. - Holistic Medicine and Classical Homeopathy


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The Alternative Healer

Archive for the ‘Medicine and Society’ Category


Reflections on Traditional Chinese Medicine

Saturday, July 10th, 2010

In response to my previous post, our reader wrote the following:

I find your blog one of very few on alternative medicine that dares to speak some of the truths rarely spoken – for example, the one on myths about weight loss – you are clear, concise and to the point – i find that refreshing.  Your answers make a lot of sense, but also provoked a few more questions –here they are:

1) From your answer and articles on your blog, as well as my own observations and experience with TCM, it is not a modality primarily used to address emotional and spiritual healing – is that true?

2) The other question is, can TCM suppress a disease, and/or cause the body to develop a deeper illness?

i am asking questions of this kind because I am troubled by how alt. med. is still being practiced the majority of the time – i.e. focus on or treat only one level, usually the physical, with little or no regard to the other levels, nor the possibility of suppression – yet i know there is a purpose that all modalities are serving… i am trying to understand, to complete the picture for myself

Thank you once again.

Thanks for your questions.  It makes blogging fun.  So please keep them coming.

As for the first question, I agree with you that TCM is not a modality primarily used to address emotional and spiritual healing.  The key word here is “primarily.”  TCM certainly encompasses the emotional and spiritual, it simply rarely creates therapeutic intentions at that level.  As I discussed early on in my blogging, the “therapeutic intention” of a healer is critical, because you are unlikely to accomplish things you do not intend.  This is the greatest weakness of TCM, which is a brilliant modality.  Observe one great Chinese practitioner and you understand what an astonishing accomplishment TCM is.

TCM springs out of a distinct perspective, which has to do with Chinese culture itself.  I find it to be ‘impersonal,” particularly when compared with other ancient cultures, such as the Greeks and ancient India.  The essence of Chinese spirituality is the Tao.  The Tao describes cosmic forces that are orderly, harmonious, mysterious, yet impersonal.  Compare it to the myths of Hinduism and the Greeks, where there is an encounter between the human and personal, even intimate, cosmic forces.  Feel the ecstasy of union of  a Hindu worshiping Krishna.  I am no expert, but such an experience seems rare in China.

Chinese medicine reflects this, and it has a powerful objectivity.  The ancient Chinese were exact observers of nature.  Yet our understanding of the  “spiritual” and “emotional,” which necessarily include the subjective, gets lost.  I have found this out recently in working with top-notch Chinese practitioners.  They conceive the mental and emotional in terms of the energy terminology of TCM.  They listen as you talk about treating a different dimension, but they have no framework to fully understand it.

TCM never developed deeper methods to help the psychologically or socially challenged patient.  It probably is because the nature of Chinese society does not produce such conditions often.  If a society does not recognize psychiatric illness, people are less likely to develop it.  Calling this a “weakness” of TCM is subjective.  Nevertheless,  TCM does not translate perfectly to western culture, where experiences such as “alienation” and “cultural mal-adjustment” are rampant.  “Depression” is an interesting concept here.  For the Chinese, depression is primarily a disease of heart or liver energy.  They are right, yet they miss the possibility of a energetic, spiritual perspective lying hidden beneath it.

As for question #2, I think bad Chinese medicine can promote deeper illness, but you would have to work at it.  A person can usually feel the imbalance produced by wrong treatment and stops it.  For example, if I am very yang and hot, and you give me herbals that rev up my yang energy, I am not going to like you much.  “Suppression” is not a good word for this.  Working with elemental forces of the universe, TCM is not given to harsh suppression.  Acupuncture I think is even more benign.  You can throw a person off with bad acupuncture, but, unless you have quite a sick or depleted person, you would have to work hard to cause any major problems.  There may be those out there whose experience contradicts this.  I would love to know about it if so.

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Filling the Void of Conventional Health Wisdom

Tuesday, February 9th, 2010

In thinking through the dilemmas we face in staying slim and healthy, one overriding problem trumps them all:  the absence of traditional health wisdom in our country.  If we had traditional wisdom, would we believe that taking Lipitor was an answer to our heart ailment?  If we had traditional wisdom, would America be reaching for the can of SlimFast, believing it to be the solution to obesity?  Would we believe that getting our gallbladder removed was the answer to our late-night gallstone attack?  The list is long.

Of course, we did have threads of traditional wisdom at one time, but they have been eradicated by science.  Every week the latest medical journals eradicate everything that preceded them.  Very few Americans know, for example, that homeopathy was a dominant medicine in our country for much of the 19th century.  We are a nation without a medical history, and worse, without a traditional cultural wisdom on how to stay healthy.   Now we are paying the multi-billion dollar price tag for it.

Although there may be a place for continual scientific revolution in the realm of electronics, it is doubtful if we are so well served in the realm of our health.  The irony is that if our exorbitant health care spending were suddenly slashed to nothing, after recovering from the shock, we would quickly work our way to being a much healthier country.  We would find out that most of what we spent on pharmaceutical drugs, surgeries, and other technology, in the end was not only unnecessary, but counter-productive.

The ancient traditions of China and India went into great detail on how to stay healthy.  Not only health, but happiness was the direct result of following the wisdom laid down by the ancients.  In India, the ancient Vedic scriptures defined “right living,” teaching you exactly what to do to stay healthy.  In China arose the great Taoist tradition, which emphasized being in tune with natural forces.  Although there have been refinements to this wisdom, very little has changed, and even today people still use it to live long and avoid medications and doctors.

The idea of “balance” or “staying in tune with nature” is central to most ancient cultural wisdom.  Listen to the attitude expressed in this excerpt from The Yellow Emperor’s Classic of Internal Medicine, written in China 4600 years ago:

I have heard that in ancient times the people lived to be over a hundred years, and yet they remained active and did not become decrepit in their activities.  But nowadays people reach only half of that age and yet become decrepit and failing.  Is it because the world changes from generation to generation?  Or is it because humankind is becoming negligent (of the laws of nature)?

Every morning, I wake up, do my qigong (an ancient Chinese breathing exercise), marvel at it, and wonder, with what do we fill the void?  How do we develop an intrinsic knowledge in our country about how to stay in balance?  Although I love the ancient Vedic system in India, I do not think it will ever take root in the US.   Acupuncture I think will become more mainstream here, but probably never will be used by a majority of us.  Chinese herbalism and the Chinese tradition of energy work (qiqong), on the other hand, have much greater adaptability.

We need to do some work on translation, developing our own language of energy and healing.  Then we need to develop channels of passing on the wisdom we gain.  Schools should begin the day with fifteen minutes of health practices that tap into ancient wisdom.  We should teach our children a holistic approach to food and eating and how to keep our bodies in tune with seasons.  It’s not that difficult.  The first step is realizing that most of what we do is not working.  The second step is accepting that our absence of traditional health wisdom is the main reason why.

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On Medical Leadership

Sunday, August 12th, 2007

I had lunch last week with one of my dear friends, Lu Marchand, M.D. We met at Barriques coffee shop on Monroe St. in Madison, WI. Not having seen her in about three months, we had a lot to catch up on. Unlike me, Lu has attempted to live out her desire to explore alternative forms of medicine within the medical system. Specializing in integrative cancer care, she has been working with a team of cancer health professionals here in Madison. There are problems and frustrations unique to each path we have chosen. I enjoy meeting with Lu to learn about “the path not followed,” among other reasons. Trying to express her unique and vibrant personality in the medical system has often left her feeling stifled.

This time, as Lu detailed to me her life working within the hospital, our conversation followed a different path. In spite of her success in working with cancer patients on all levels of healing, the hospital decision makers continue to be hesitant about offering these services on a larger scale.

Setting my coffee down, I asked “Why can’t leaders in our medical system see things from a wide enough perspective to build a system around patients rather than their financial fears?”

Lu shook her head, disconcerted. “Hospitals plan services often on what will generate revenue, such as surgery and procedures, and essential elements such as attention to nutrition, movement, emotional and spiritual well-being are usually considered secondary.”

“Oh?” I queried.

We can pause for a moment and think about how we ourselves might go about such a process. We would begin with a brainstorming session on the idea “How can we build the best hospital in the country?” closely followed with, “What do patients and families who stay in our hospital need? How can we build a hospital that will truly serve their needs, such that every parent in the country will want to bring their loved one to our hospital?” Sounds like a good way to begin planning a hospital, doesn’t it? Apparently I am behind the times. Here is my summary of Lu’ description of thinking of the medical leadership:

Our health care system rewards surgery and procedures. Hospitals, in their design, function and priorities, calculate what will contribute to the bottom line of finance. Support services to keep patients as healthy as possible as they enter our hospitals for their conventional care are not seen as important or cost efficient. They may be seen as necessary, but since they do not generate sufficient revenue, they are seen as secondary, or less important. Patients and families fall through these huge cracks in the system, and don’t receive the care that leads to total well-being and healing. A quick fix is offered, but this approach misses the mark toward true health.

Do they think about designing a hospital from the point of view of what people really need? Apparently not a lot of thought is given to that. This brings out what we know and love about a level one diagnostic
system: people and feelings get lost, transformed into diagnostic codes, which in turn translate into dollars perconventional intervention such as drugs, surgery or procedures. Voila a health care system run by accountants.. Our health care doesn’t need leaders; it merely needs those with the skill to tally insurance pay-outs and capitations.

I respect the need for hospitals to remain in the black. Nevertheless, in the long-run, such dumbed-down thinking, with service reduced to its least common denominator, can’t be good for business. Our medical system remains shrunk within its own impoverished imagination. The only reason they get away with it at
all is because people are slaves to “free medicine,” willing to accept anything the system feeds them if they don’t have to pay for it. As Lu explained, many people view alternative therapies as out of reach because most are out of pocket expenses, and they view expensive conventional therapies such as medication or surgery as relatively “free medicine” since insurance (if they are fortunate enough to have insurance * and these numbers are rapidly shrinking) will pay for these therapies, but not other more alternative therapies that are less costly and at times, more effective.

Ours is not a system that serves patients. It’s a system that serves bean counters.

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