Monday, January 9, 2017


Thoughts At Year’s End 2016
    
I will not subject you to my thoughts on 2016. Instead, I will turn my thoughts to the future, 2017.


     In 1975 in Tokyo, I was introduced to a young epidemiologist/cardiologist, Hiroshi Shibata, recently returned from Geneva after a stint as Japan’s representative to the World Health Organization. I spent twenty-seven years working with him, his team, and international teams on projects for the Tokyo Metropolitan Institute of Gerontology (TMIG), the world’s largest public health institute dedicated to gerontology. TMIG operates a 1200 bed hospital for the elderly, and has living facilities for the healthy elderly around Tokyo. International epidemiology surveys were undertaken together with the U.S. National Institutes of Health, the Karolinska Institute of Sweden, the Framingham Study of Massachusetts, and other first-rank research institutions. 

     While in Geneva, Dr. Shibata had upset the powers-that-be by making two (of what were then) revolutionary proposals.

     The first was to classify poverty as a disease. By doing so, the international community would use its collective powers to eradicate poverty in the same way it financed the research and treatment, both curative and preventive, for smallpox, polio, tuberculosis, and malaria. The proposal was both humane and cost-effective. It was never adopted.

     His second proposal had to do with gerontology. The medical and scientific communities gave their full attention to diseases of the elderly. No one was talking about health. He proposed international epidemiology surveys into healthy aging. We all know what kills the elderly, but what are the factors that lead to successful, healthy aging? To this end, he proposed a new category of investigation: Quality of Life (QOL). QOL is today taken for granted, but forty years ago it was considered a crackpot idea. QOL would have two prongs: objective factors and subjective factors. For example, “financial security in old age”. Elderly Americans had more savings and more financial support from family than the Japanese, but the Japanese elderly responded more positively to the subjective question of Happiness. The French elderly complained across the board and produced a low value of Happiness, though their objective factors were satisfactory. Clearly cultural and societal factors affected the statistics however they were correlated. What was useful was that individual nations could use these surveys to provide more and better services to their elderly.

     After twenty years of investigation, the following factors obtained the highest values for successful aging: Education (the better educated lived longer and had more satisfying lives); Curiosity (intellectual stimulation was a vital factor for successful aging); Social Relationships including Family (loneliness and feelings of alienation produced significant negative outcomes. The Japanese scored highest in social relationships because of the high number of municipal community centers throughout the country catering to their social needs and desire for friendships. Some American researchers wrongly concluded that the high Japanese values for social relationships were due to the Confucian tradition of filial piety—they did not know the saying “When I finally got around to acts of filial piety, my parents were dead”.); Financial Stability (economic stress was the leading cause of hypertension and hypertension related illness including kidney failure and stroke); Diet (the ideal diet had animal protein, animal fat, fruit, carbohydrates, and vegetables, all in moderation. Moderate liquor intake had no significant value for longevity or health.); Exercise (walking, working, cooking, playing a musical instrument, dancing, traveling, etc.).

     When you look at the above six factors, it is inevitable that you think, “Well, of course, this is what everybody needs for a happy life,” and you would be right to think so. Achieving the six factors requires more than individual effort. It requires a community. I am not heading into “it takes a village” territory. I am heading into “it takes a nation committed to providing a level playing field for the pursuit of Happiness” territory. We need a well-funded and ambitious public
school system. We need to stimulate the curiosity and intellectual powers of citizens, which would be a concomitant to better education. There should be publicly funded facilities for the healthy to develop and maintain social networks, not just day-care centers for the infirm and demented. There should be a national safety net to catch those falling into financial distress. We do not need fad diets that are costly and difficult to maintain. We need common-sense nutritional guidance and publicly broadcast guidelines. How many public service announcements on nutrition do you see compared to fast food commercials?

     It is delusional to adopt an “I’m all right, Jack” attitude because your subjective criteria have been met. Your taxes, your money, go to paying for the young and the old who are marginalized beyond the six factors for health and happiness. You pay their medical expenses, their social welfare, and their incarceration.
It costs far more to maintain a person in jail than to provide that person with preventive educational, medical, and social services. It is far more productive and financially rewarding to have a nation of educated people exporting inventions and innovations rather than a nation of minimum wage earners in service industries. Prevention makes sense economically, and is the humane thing to do.

     I entered a two-year illness in 1979. Dr. Shibata, looking at my X-rays, concurred with the other doctors that my only hope was back surgery. When Mrs. Matsuura cured me in 1981, Dr. Shibata was the first to want to meet her. She treated him successfully for a persistent kidney problem. He came away with a profound respect for her knowledge and the modality she practiced. He was impressed by her holistic vision of health and healthcare. He actively encouraged me to learn from her and the association she worked for.

    His revolutionary nature was captivated by the marriage of qi to modern medical practice. As much as he admired the curative powers of the work, he was even more enthused about the work’s preventive power. He considered it the most effective modality for public health he had ever encountered from both a medical standpoint and a cost-benefit standpoint. He wanted to train hundreds of practitioners at government expense, and have them work in the public health sector as health monitors and gatekeepers to physicians. Specifically, people would go to a SIKE practitioner at each change of season to have their health monitored as prevention. People with poor health issues would visit a practitioner to have the issue resolved, and failing that, the practitioner would refer them to a suitable physician. All of this would be low-cost because SIKE is a hands-on modality—no machines or equipment of any kind is used—and no medicine is given or prescribed.

     It was also his vision that the SIKE technique of Kiryu would be taught to the public at large for people to do at home for health maintenance. It is easy to learn, and takes only minutes a day to keep the body in top condition. In addition, he wished to teach people how to transmit their qi for treating the aches and pains and minor ailments of friends and family. He saw SIKE as a comprehensive holistic medical program that could be learned by non-specialists.

     Therese and I fulfill Dr. Shibata’s vision. We cure ailments, but we prefer to prevent them. We give seminars and private instruction in Kiryu, transmitting qi, and home healthcare. I have published two books on the subject. Our ambition of founding a school to train people in our work as a legacy to the nation has not yet been realized. That is our vision for 2017. What we do makes sense to us and to those who have treatment from us. SIKE is a new, rational, and natural approach to health. It creates community. It is what Odysseus, in The Odyssey, meant when he said, “One touch of Nature makes the whole world kin.”


Monday, November 21, 2016

 A Magic Moment of Ki Healing
     This story happened about twenty-five years ago. I was living half the year in Tokyo. I made friends with a restaurateur/chef named Koichi Yamamoto, whom I called by the diminutive Yamachan. He had a small, gourmet seafood restaurant in Kagurazaka where I dined at least once a week, sometimes more.
     As a Buddhist, Yamachan believed in karma, and was certain that the two of us had been brothers in a former life. He said he had two lucky charms: hearses and me. Business was good on days when he saw a hearse and when I ate at his restaurant.
     The restaurant had a counter that sat five, and three tables that could seat four each. The kitchen was narrow and on the other side of the counter, clearly visible from any part of the restaurant. When I was alone I always sat at the far end of the counter where I could chat with Yamachan’s waitress/wife.
     This incident occurred on a Monday night. The restaurant was closed on weekends, and Mondays were a busy time for Yamachan. He had a lot of preparations to make. I arrived after work at 8:00, and there were six customers. By 9:00, a foursome had entered which made eleven people. The foursome ordered grilled fish. The gas grill was on a shelf above the refrigerator, and Yamachan had to climb on a step stool to light it.
     He ignited the grill, stepped down off the stool, when a mouse who had spent the weekend sleeping in the grill, leapt out of the grill and into the breast pocket of Yamachan’s chef’s jacket. Yamachan cried out in surprise and put his hands over his breast pocket to keep the mouse from escaping. 
     Hearing Yamachan’s startled cry, the customers got to their feet asking what was the matter.
     “My heart, my heart,” Yamachan yelled, and staggered out of the kitchen into the restaurant, where he fell supine on the floor.
     The customers whipped out their cell phones to call 911, but Yamachan stopped them.
     “There’s no time for an ambulance,” he said weakly. “That white guy at the end of the counter, he’s a ki healer. He can save me. Bring him over.”
     Thinking that Yamachan was dying and entrusting his final moments to my care, I rushed to his side.
     “What’s wrong? Where does it hurt?”
     He pulled my ear to his lips and whispered, “Get this f…ing mouse out of my pocket and out of the restaurant without them seeing you do it.”
     I stood up and ordered everyone to stand back and give Yamachan air. I opened the restaurant door to let in a breeze. I knelt over Yamachan so the  customers couldn’t see him, replaced his hands with mine, and went through the motions of a CPR heart massage. Little by little, I got the mouse into my hands. I shouted, “This is the healing moment!”, and ran out of the restaurant into the street where I released the stricken mouse who probably did have a heart attack.
     I returned to Yamachan and knelt over him, continuing my heart massage and mumbling healer-like words. I should have been wearing feathers and shaking a rattle.
     Yamachan opened his eyes and exclaimed, “It’s a miracle. The white guy saved me. Thank you, thank you. I owe you my life. Dinner is on me.”
      He got to his feet and dusted himself off.
     “I haven’t felt this good in years,” he said, and went back into the kitchen.
     The ten customers clustered around me, begging for my business cards.
     That was the magic moment that jump-started my practice.

Tuesday, November 13, 2012

Sike Health Newsletter


QI HEALS, AND HOW!!

The Newsletter of the SIKE Health Qi Community

                                          TABLE OF CONTENTS

   Eastern Medicine/Western Culture May 2004 (Issue #1)
   One Thought Fills Immensity (Projecting Qi) August 2004 (#2)
   The Core Issue (Treating Auto-Immune Diseases Oct. 2004 (#3)
   The Path of Health (The Pleasure of Breathing) Dec. 2004 (#4)
   Springtime in Asia February 2005 (Issue #5)
   Change and Renewal 1 (Emotional Scars) April 2005 (#6)
   Change and Renewal 2 (How Qi Works)  June 2005 (Issue #7)
   The Body's Priorities (Overcoming Pain August 2005 (Issue #8)



Spinal Integration August 2005 (Issue #9)

Stress, Physical Tension, Anxiety  September 2006 (Issue #13)
Thoughts at Year's End 2006 December 2006 (Issue #14)
Remembering Takeshi Watabe Sensei March 2007 (Issue #15)
From Here to Tranquility (I) April 2007 (Issue #16)
From Here to Tranquility (II) August 2007 (Issue #17)
Qi and the Elderly October 2007 (Issue #18)
Thoughts at Year's End December 2007 (Issue #19)
Remembering Ron Gorow March 2008 (Issue #20)
Wit of Dennis Keene May 2008 (Issue #21)
Stress is Back in the News June 2008 (Issue #22)
Going With the Flow  July 2008 (Issue #23)
Biorhythms September 2008 (Issue #24)
Oh, Baby!, Part 1 (Issue #26)
Oh, Baby! (Part 2) (Issue #27)

Change of Pace (Issue #29)
Qi For Pets, Part 2 (Issue #33)
Anger and the Body (Issue #36)

  Basil LeChat  He Put he Ki in Kitty  (Issue #41)
  Mind and Body Are One April 2011(Issue #42)
  Annual Halloween Issue October 2011 (Issue #43)
  Thoughts At Year's End 2011 December 2011 (Issue #44)
  The Ultimate Transition February 2012 (Issue #45)
  Qi and I April 2012 (Issue #46)
  Qi and the Caregiver June 2012 (Issue #47)
  Healthy Talk October 2012 (Issue #48)
  Thoughts at Year's End December 2012 (Issue #49)
  Death and Transformation February 2013 (Issue #50)
  Lower Back Pain and $urgery  July 2013 (Issue #51) 
  Thoughts at Year's End 2013  December 2013 (Issue #52)   
  The Path of Mind/Body in Poetry  March 2014 (Issue #53)
  Sorry, No Special Powers Here   September 2014 (Issue #54)
  Thoughts at Year's End 2014       December 2014 (Issue #55)
  Oriental Holistic Medicine Folk Wisdom   June 2015 (Issue #56)
  Fall Season Change, Your Body, Global Warming  Sept 2015 (Issue #57)
  Healing and Health Maintenance  April 2016 (Issue #58)
  A Magic Moment of Ki Healing  October 2016 (Issue #59)
                                                     

EASTERN  MEDICINE/WESTERN  CULTURE

Both the oral and literary traditions of SIKE Health History relate the story of how Mallory, through a lengthy, fruitless quest to heal a debilitating illness, came upon a Japanese qi-based health association practitioner who quickly and cheaply healed him. Therese followed suit with her physical problems, and both of us convinced Mallory's mother to fly to Japan for (successful) treatment for her chronic and unremitting sciatica. We were so enamoured of the simplicity, elegance, and effectiveness of the technique that, while pursuing full-time occupations, we trained assiduously for 12 years as students and apprentices, and began to practice professionally in 1991.
The Technique, we were frequently informed, was devised in the classical tradition of Eastern medicine... to be easily accessible, inexpensive, and effective without reliance on invasive procedures, drugs, or supplements. Our Japanese mentors ceaselessly and strenuously impressed upon us the need to explain to people that the essence of medicine is maintaining health, not the treatment of illness.
"Just as a good swordsman anticipates an opponent's blow and evades it in order to strike, a sound medical regimen anticipates illness and avoids it through health care."
As long as we were living and practicing in Japan, we were 'preaching to the converted', and we had a practice based more on blending with seasonal changes and strengthening bodies and body systems than on curing an illness or mending a bad back.
As opposed to the health-oriented Technique we were taught, the culture of America is illness-oriented. No one but a lunatic would visit a physician to say he felt great and wanted to feel even better! Much less ask for guidance for passing from a hot season to a cold season!  And yet, it is just this "lunacy" that we, as holistic practitioners, applaud.
The majority of Americans uphold the Eastern paradigm of health not with their bodies, but with their automobiles. No one would dream of going 25,000 miles between oil changes, or wait for the brakes to completely wear away before changing them. Do you wait, hoping to get 100K miles out of your tires, or do you change them before they explode? How do you feel about being stranded for lack of engine coolant in Lower Slobovia? Yes, America is a land of car maintenance, not health maintenance.
For goodness sake, don't pamper your car at the expense of your body. What is more—it is a clinically proven fact that regular qi treatments make a person nicer!

ONE THOUGHT FILLS IMMENSITY

It was in February 1981 that my sciatica/paralysis was healed by Dr. Matsuura, and I continued having regular treatments from her until her death in May 1985. It then took me two years to find another practitioner whose high reputation was justified by his skill. He astonished me on my first visit to him by feeling my qi and saying: "Did you ever have treatment from the late Kayoko Matsuura? I seem to feel her qi in you." Her qi lives on in me and contributes to my health and well-being. I do not know if it blended with my qi or has a distinct life of its own. I do know now that the qi of all those who have (literally) touched us with love or kindness or goodness or a sincere desire to help us resides within us and elsewhere, and can be accessed to provide us pleasure, comfort, health, and happiness. The feeling is as palpable as a transcendent memory of bliss.
I had my introduction to communing with the various qi within me in 1991. It was at a meeting of the Te No Kai (The Society of Hands), a sort of Baker Street Irregulars for qi practitioners in Tokyo. Someone mentioned how communicating with the qi of his long-dead grandmother had seen him through a recent crisis, and I was surprised that not a single member present smirked... in fact, they all nodded as if it was a trite truism.
The grandson of the deceased said:
"Qi is breath, it is electricity, it is spirit, and it is more. It is the link, the nexus of the mind and body. It is thought, and thought is the great bond, the supreme unifier. Just as light is both a discreet unit and an unbroken wave at the same time, so thought is qi itself and the means of transmitting qi to wherever we choose to send it. And nothing, not even electricity, is as fast or as penetrating as thought. You might say that qi is the purest form of energy, and like energy of any sort, it cannot be destroyed. When a person dies, their qi returns to the universe where it can be accessed by the living. At the same time, their qi remains on Earth inside of those they loved. Christians talk about guardian angels. They are probably manifestations of a loved-one's qi. At the moment of my grandmother's passing, she held my hand and whispered, 'Death will keep us together.' And so it has."
That evening I joined a small group of people sending their qi to heal those who were in hospital or bedridden at home or living abroad and unable to come for treatment. It was an experience that opened vistas for me not unlike, I am sure, those geographical vistas seen by voyagers during the Age of Discovery.
Today I communicate with the qi of a person, living or dead, whose respect and approval I seek. I dedicate my workday to that person, and use their qi together with mine for healing and promoting tranquility. We also do "long distance" qi treatments regularly, and guide our trainees through the experience of working hands-on on an absent person.

THE CORE ISSUE

Over the past 5 years, we have seen an increase in persons suffering from the following "cocktail" of symptoms--lower back pain, tingling or pain in the fingers and toes, headache, loss of appetite, poor sleep, loss of mental clarity, weakened immune system, and fatigue. The common diagnoses are usually Rheumatoid Arthritis, Lupus, Chronic Fatigue Syndrome (CFS), Fibromyalgia, and in extreme cases, MS.
What all of these sufferers share is a lack of a core, and this core is, of course, two-fold: mind and body. Or, from the qi perspective, a single deficiency of mind/body.
The physical manifestation is a weak lower back/pelvic girdle. These persons tend to live from the margins of their body. When they sit on a chair, their feet will not be planted on the ground, but they will be on their toes; or they will be leaning forward with their hands or elbows on their knees for support. They tend to hold people and objects from the fingertips rather than with the hand. When they stand, they usually need support because of the weakness of their core. They will lean on whatever is available or hold on to an object to steady themselves and hold themselves upright. And it will always be either the left side or right side that is leaning. People without a core have a definite left/right bias for support.
In terms of personality, such people rely on others for their ideas, motivation, and philosophy. In Japanese, they are called "pillows", because the heaviest head leaves the deepest impression...meaning the louder or more insistent the argument, especially by older, "parental-type" figures, the more they are likely to agree and follow regardless of the merits or demerits of the content.
People without a core, therefore, rely on others to provide support. This support can be material, such as nursing or caretaking. It is also mind-oriented meaning sympathy, guidance, and providing direction. When the support is either unavailable or insufficient, the physical symptoms mentioned above strongly manifest themselves. What we do is to explain to people about the core, and then strengthen their core area and lower body, while enabling them to become psychologically stronger and more independently-minded. Mind follows body. We have a significantly high success rate.
Since most people are unable to see themselves as others see them, we have, for the past four years, been using President Bush as a classic example of a person without a core. We have no intention of getting into the lamentable schoolyard name-calling that passes for political discourse in this country. The President is a highly visible celebrity who possesses all of the physical and mental traits characterizing a lack of core. A person has only to go home and switch on the nightly news to see what we are talking about, which simplifies things for us.
Have a look to see what we mean.
Walking: "Some people call it a swagger. In Texas, we call it walkin'." If so, the entire population of the Lone Star State should drop whatever it is they are doing and schedule a SIKE appointment before it is too late to save their upper spines from serious disability. Since Bush has no core to support his upper body, he relies on his shoulder blades (scapulae) to carry him. The scapulae are the third largest bones in the body (after the femurs and hips, which should be supporting him), and people without a core use them to hold themselves up in mid-air as it were, rather than let the ground take their weight. Hence, Bush's arms never dangle at his sides, but are always splayed out as if they will turn into wings. This puts a terrific strain on the neck and upper back. Whoever was transformed into the President's 7th cervical vertebra must have done something awful in a former life that completely ruined his karma. That poor vertebra is suffering by taking the weight of the scapulae which are taking the weight of the body.
Standing: Bush cannot support his upper body, so he leans on the lectern when he makes a speech. His left forearm/elbow is on the lectern, his body is leaning left, his neck is twisted, and his upper body is bending forward. When he tires of that posture, he will grasp the lectern with the fingertips of both hands for support, but his left hand is extended further than the right, and so his body is still bent to the left. His neck compresses/recedes like a turtle pulling into its shell, his eyes narrow, and he gives the impression of someone who is very uncomfortable in his body.
Sitting: The President sits at the edge of his seat with his hands or elbows on his knees, his upper body leaning forward. He looks as though he is ready to get up and leave at any second, but in fact, he is keeping his mid-section and lower back from caving in.
The Mind: It has become the comedic equivalent of shooting ducks in a barrel to point out the President's frequent lapses of grammar, syntax, and common sense. The cumulative effect of these lapses leads many people to compare his intellectualbona fides with that of toaster-oven. The fact is, however, he cannot get the words right because they are not his. He relies on the dictates and directions of agenda-oriented "mentors".  
Cheney and Rumsfeld are remnants of his father's presidency. Rice is George Schultz's proxy from their Stanford days. He introduced her to Bush and made sure Bush took her on board. Schultz is an even older and more formidable parental-figure (he gave the nod for Bush to enter the 2000 Republican primaries), and is inseparable from the Bechtel Corporation. The "pillow" that is Bush is receiving the triple-head-with-one-voice of "older and wiser" mentors that supported his father. What is paradoxical is that, unlike his body's natural inclination, they are not left-leaning.
Should you or anyone you know experience the "cocktail" of symptoms listed above, look at the President as a standard for comparison, and if you note his characteristics in yourself, get to work restoring your core.

THE PATH OF HEALTH

Tranquil, steady breathing is the pathway to health.
There is nothing worth racing or rushing for.
The breath of Nature is rhythmic and tranquil.
Flowers do not succumb to the pressure of time and rush to bloom.
But we fall into disorder, agitation, and commotion when we 'fall behind' time.
Humans are the only organisms capable of conceiving the future.
Most of our stress and all of our anxieties come from thoughts of the future.  Until we realize that our anxieties are always one station ahead of us, and thus groundless, the future remains a prime source of human agitation.
Agitation disrupts our breathing.
Every moment of agitation is a moment lost to our span of life.
Calm yourself by gently slowing your agitated breathing and returning to the present.
Restore yourself to a steady repose.
With the natural rhythm of breath, our bodies will move as Nature intends, toward health.
Happiness, sadness, anger, suffering, pleasure...all are interesting.
Observe a child: tears give way to laughter, and pain gives way to pleasure. Binding oneself to any single transient emotion disturbs our breathing and subverts our core of tranquility. In extreme cases, we stop breathing altogether.
Each life is encircled by an ever-turning wheel of varied emotions.
When the wheel turns to anger, get angry; when you are facing sadness, feel sad; conform to the changing reality before you without losing the healthy rhythm of your breathing.
This is the path of health.

MEANWHILE, ON THE OTHER SIDE OF THE WORLD

The Chinese have always been fanatics about keeping records and statistics, and the Japanese are not far behind them in enthusiasm. Until modern times, the mortality rate for children in those countries was high, the peak incidence for girls at age 3, and for boys at age 5. If a child lived to age 7, he/she was considered to have survived childhood, and likely to go on to marry and have children.
Thus, the 3rd day of the 3rd month (March 3) is Girls Day. The 5th day of the 5th month (May 5) is Boys Day. The 7th day of the 7th month (July 7) is Lovers Day (it is also an astronomical event—the "rendezvous of the stars Altair and Vega). In Japan, people mark these days by visiting shrines and decorating their homes to give thanks for their children's health, and to wish for continued good health.
It is good for us, too, to take a moment to count our blessings and, like Oliver Twist, ask for more.

CHANGE AND RENEWAL 1

Emotional scars leave clear physical traces.  The traces take many forms. Poor digestion, poor sleep, headaches, backache, sensory loss, impotence, lethargy, muscle pain, twitching, fatigue...In short, emotional issues result in a loss of flexibility somewhere in the body, and that loss of flexibility is the beginning of a physical problem that diminishes quality of life.
Over the 15 years of our professional practice, roughly 90% of emotional scars/physical traces resulted from anger/resentment/frustration left unexpressed, which, therefore, had become internalized. This unexpressed anger has a corrosive effect on the flexibility of the body.  Diagnoses ranging from MS to lupus to rheumatoid arthritis to chronic fatigue syndrome cleared up quickly once the embedded anger was removed from the body.
Perhaps the most unusual case we saw was of the elderly holocaust survivor. She and a boy she later married survived the Nazi camps, displacement, and unspeakable hardships—always together-- to carve out a life in the U.S.  The two were inseparable. On the eve of his 80th birthday, her husband died in his sleep, and she awoke to find him lifeless by her side. Within a week she lost her sense of taste. Everything she tasted and smelled was bitter.  We treated her two years after the event. When I suggested that her body was holding onto anger, she confessed to being furious with her late husband for leaving her behind, abandoning her as it were.  What truly enraged her was that he left without saying good-bye, and without allowing her a leave-taking.
From a qi perspective, the physical scars of emotional issues are most commonly found embedded in the scalp and spine. We all watch a person's face for physical signs of emotion, never thinking that the scalp moves in the same way, and is just as revealing. And unlike the face, which can be consciously configured to hide the truth, the scalp never deceives, nor does the spine.
Hence, we approach emotional scars through the body. First we use the scalp and spine as a diagnostic "map, and then seek to restore flexibility to that part of the body that has been robbed of its freedom of movement and change. The stomach can shift position and shape, and the resulting discomfort is intense (think IBS). Compression to the upper cervical vertebrae can lead to everything from migraines to insomnia to loss of feeling in the fingers to fatigue, etc.
Once flexibility has been restored, the individual "opens up", and that almost always results in a physical outburst that we call "cleansing", and others call an emotional catharsis. Tears, crying, gasping, spasmodic sobbing, and panting are all physical cleansing elements, designed to invigorate and cleanse the ears, nose, eyes, throat, lungs, digestive system, and (believe it or not) brain. If your chest has been compressed through tension/fear/emotional issues, what better way to jumpstart your lungs than taking in huge lungsful of air in order to sob? The tears themselves are saline and cleansing. The muscles between the ribs are exercised and the chest expands, the upper thoracic vertebrae can relax, and the upper cervical vertebrae (base of skull) can be released from compressed tension.  Circulation, especially needed by the brain and liver, accelerates. The organism experiences full-fledged, full-body dynamism for the first time in years.  Perhaps since you were an infant exhibiting the same behavior naturally...
Joseph Campbell writes of how an "ordinary" person becomes a Hero: The Hero... reassociates with the powers of Nature, which are the powers of our lives from which our mind removes us. This consciousness is a secondary organ of a total human being, and it must not put itself in control. The mind must submit and serve the humanity of the body.   (My underline) 
In other words---Mind Follows Body.  Even the so-called somatic (body)-oriented psychotherapies, if they help at all, are time-consuming, verbose, and costly. If you seek change and renewal, look first to your body. Emotional scars are clearly visible. Find them and cleanse them from you. Then keep your body and soul cleansed by doing kiryu.  

CHANGE AND RENEWAL 2

I am asked from time to time just how qi works. Meaning, I suppose, in a deeper sense, just what is it and how is it able to effect changes in living things? The Honda Motor Company has been studying and researching qi in their labs in Tsukuba, Japan, and some of their findings have been interesting and even enlightening. I have synthesized some of their findings with my own experience and philosophy to propose the following.
All life is movement. All movement creates sound through the medium of vibrations. These vibrations are measured in Hertz (vibrations per second). The human ear is capable of perceiving from 20 Hz to 20,000 Hz. The planet Earth vibrates at about 8 Hz, which is called the Schumann resonance. As the musician/musicologist Ron Gorow has pointed out, "Perhaps not coincidentally, the human body in a relaxed state resonates at the same frequency, as do alpha brain waves, characteristic of states of higher consciousness, inspiration, and creativity."
Qi itself is a flow of vibrations that produces an "echo effect" on systems in which the qi is flowing and vibrating at a harmonious frequency, but qi is frequently stymied in its motion when encountering something that is vibrating little if at all. This latter effect is commonly termed "blockage", and it is what we look for when diagnosing and treating a health problem. Most people assume that I am somehow using my qi to force an opening in their qi in order to restore the flow. The drain rooter effect comes to mind.  Shove it in, whirl it around, remove the debris, and get the flow back.
In fact, what we do is nothing of the kind.  We relax all or part of the individual to the point where his/her own qi will naturally begin vibrating in the "blockage". In short, we add nothing and apply no external forces to produce change; we removetension in order to renew the free flow of qi in the people we treat. The body, with a little nudge, fixes itself. This is the basis ofkiryu. The body will remove its own impediments to the flow of qi, and health is maintained and enhanced. What we do is therefore persuasive, as opposed to the coercive techniques of, say, chiropractic and rolfing.
Another definition of qi is "the link between mind and body." English is a clumsy means of expressing this concept; it might be better to say that qi is the medium in which mind and body live as one. And so besides the physicality of vibrations, and renewing movement where it had been blocked, qi treatments entail a psychological perspective, what in Japan is called "altering the conscious".  To put it another way, we attempt to change the direction of people's thoughts regarding their ailment, or to put an end to some thoughts entirely.
The mind, like the body, expends a lot of energy. The most fatiguing types of thoughts are repetitive or obsessive thoughts, and those not guided to any realistic end. If you do repetitive exercise with only your arms, you will develop, then overdevelop, then cripple, specific muscles while the rest of the body goes untouched.  The breakdown comes from excessive tension at one point or place.
It is the same with the mind. Repetitive thoughts develop only one segment of the mind, and left to their own devices, these thoughts can ultimately inhibit the free functioning of the mind AND cause bodily damage. The qi collects, swirls, and ultimately coalesces into blockage through repetitive thinking.  This includes obsessive thinking about illness.  Just as people will unconsciously pick at or habitually touch a sore, many people think (without being aware they are doing so) over and over about their ailment. We seek to divert people's minds in order to remove mind-induced blockage and allow the body to heal. As Dr. Matsuura told each of us who came for treatment, "Now get out of here and have some fun!"
Our discipline is based on a modern revision of classical Chinese medicine. About 80 years ago, Haruchika Noguchi blended the physicality of qi with the Western paradigm of anatomy and physiology. Noguchi was, not surprisingly given his intelligence and wide-ranging interests, an accomplished student of Zen. His commentaries on Zen "classics" are eccentric, humorous, and insightful. His study of Zen brought him to the brilliant innovation of adding the mind to medicine, and making the mind as physical as the thumb. There has never been in 1400 years of Zen records, a single enlightenment (satori) that was not triggered by a physical stimulus. The sound of a stone striking a bamboo, the sound of laughter, a blow to the head, the sight of a meat market...
"A monk stood before the Zen master. "My mind is deeply troubling me," he said. "Show me your mind, and I will remove your troubles," replied the master. The monk laughed, and walked away, happy."
Noguchi would often use Zen "illogic" or contradiction to break the logjam in people's minds while he was touching their bodies. Happily, he was in the country where Zen is most widely practiced, and people were familiar with it and responded well. Unfortunately, Therese and I are practicing in a country where a Zen outburst could provoke a lawsuit.
Most of the great thoughts and revelations of history have been physically induced. The blinding conversion of Saul to Paul; the fiery presence before Moses that changed civilized morality; the sight of the emaciated corpse that changed Shakyamuni into the Buddha; the apple that fell in front of Newton leading to the Principia; the key that fell out of Einstein's pocket that led to the Special Theory of Relativity; Proust's petit madeleine; Wordsworth's daffodils, Keats'  nightingale...
We attempt to heal the body by re-directing the mind through touch and the physicality of qi. Once people begin feeling they have more energy, more focus, more mental acuity, we know for certain that their bodies are on the mend. And the road to mending is not always the shortest distance between two points. But that is for the next Newsletter.

THE  BODY'S  PRIORITIES

We last wrote: "And the road to mending is not always the shortest distance between two points. But that is for the next Newsletter...
I recently received an email from a disgruntled woman .  (Emails from gruntled people go up on our website as Testimonials.) The gist of her email was that her return to health was not following a logical progression.  The worst of her pain was over, but it still returned unexpectedly from time to time. Not only that, but the results of each treatment were unpredictable and "uneven."  One treatment left her feeling blissfully pain-free, while another made her tired and nauseous, while yet another produced so much pain in her legs that she thought she would pass out, while yet another made her feverish and sweaty, while still another made her hungry, and she ate much more than usual. And, what is more, enjoyed what she ate!
To sum up her complaint as a composite of most of the complaints we receive would produce the following:  "It seems to me that if I were getting better, there would be a steady linear progression from much pain to no pain at all. I don't think we're making progress." Or  "I don't see why getting rid of PMS has caused my skin to get blotchy." Or "I've cut my medications back 80%, but I can't cut them off completely. I don't think this is working."  As the King of Siam liked to say, "Etcetera, etcetera, etcetera."
Prolonged pain is frustrating, debilitating, and dehumanizing. It takes away our human pleasures, and leaves us with little more than basic life-sustaining bodily functions that become more and more difficult to perform. The loss of pleasure, optimism, and creativity associated with chronic pain produce extreme psychological effects that can last for years.  Sleep is no longer refreshing or rejuvenating. Pain also leads to wide-ranging side effects: our bodies produce chemicals to help us cope with pain. When powerful analgesics are added to our natural chemistry, our quality of life declines even more as side-effects increase. Some analgesics, notably steroids, can become habit forming. Other drugs create a psychological dependency. They can never be cut off completely without an accompanying personality change.
Pain leads to a rapid decline in muscle tone. We cannot move, much less exercise, as much as we used to, or as well as we would like. The body's balance has been compromised. If the left leg is causing the pain, the body will naturally transfer its weight to the right leg. The hip joint will be affected, as will the sacrum.  Muscle tone declines even further. Talk about a domino effect...
Now add to this external factors: Stress at the workplace; financial worries and hardships; frustration and anger at any number of things, including the "unfairness of life; caretaking your elderly or infirm family members whose gratitude at your efforts is dubious at best; worry over a persistent, debilitating, and costly disease in your pet that has the vets stumped; living with one or more teenagers; concern for the shredding social fabric and degraded environment; an obsession with your declining health status; etc, etc, etc.
Given these internal and external factors, why should there be...no...how can there be a steady linear progression of returning to health? There is not one PAIN to be dealt with at this time. There is tissue damage, nerve damage, compromised musculature, corrupt sleep patterns, several flavors of anxiety, and poor digestion. The body's cleansing system has a "to do" list about three feet long, even if were robust enough to undertake its task.  What seems like an isolated pain in the lower back and leg is, in fact, a body-wide medley of problems. And you can't fix the one without fixing the others...
The trouble is, once SIKE starts the healing ball rolling: restructure the muscles and bones, stimulate the cleansing system, stimulate the nerves, relax the stomach, stimulate the liver and heart, promote sleep, etc., it is very hard to know which of the problems the body will naturally deal with first. Regardless of your priorities, your body will direct its healing energy according to its own needs.
It may be the cleansing system, in which case vomiting frequently occurs; this is unpleasant, but it is the fastest and most effective means of body cleansing. Cleansing could be endless diarrhea, or a fever accompanied by sweating. One man produced a bowl of ear wax!  The skin as the largest organ of the body is a major agent in cleansing. Changes to the body, especially the body's hormones, register right away on the skin.
It may be sleep. Many people yawn after treatment, feel overwhelmed with a pleasant languor, and nap for several hours. Some people (including Therese) have actually passed out and slept for a day. Once they are rejuvenated by sleep at a cellular level, their bodies will move on to its next task.
It may be healing the inflamed nerves, in which case those little neural synapses will party like Pamploma, Mardi Gras, and Rio Carnival all in one. The pain is stupendous. But when the party's over, you feel great.
And do not forget...when you get out of pain, if only for a couple of hours, and use your body as you wish, your lack of muscle tone will become apparent as aches and pains. These are often mistaken for the original problem.
Remember this:  If you can be out of pain for a couple of hours, those hours will extend into days, then weeks, then months, etc. etc. etc., and you will be pain-free.
The body's priorities for progress and your desperate wishes to be ailment-free do not always coincide.  But everybody gets better in the end.

SPINAL  INTEGRATION

Now, I consider that the phrenologists have omitted an important thing in not pushing their investigations from the cerebellum through the spinal canal.  For I believe that much of a man's character will be found betokened in his backbone.  I would rather feel your spine than your skull, whoever you are.  A thin joist of a spine never yet upheld a full and noble soul.  I rejoice in my spine, as in the firm audacious staff of that flag which I fling half out to the world.                                                Herman Melville,Moby Dick,  Chapter 79
TF writes: Over the course of these last few Newsletters, Mallory has given a concise overview of the "Qi Energy" side of our practice, which I, for one, greatly enjoyed and appreciated.   Even if you've been treating with qi for 20 years, it's refreshing to hear it explained from another slightly different slant.  Since I'm beginning work on a SIKE structure book soon, I want to elaborate a bit on the "Spinal Integration" portion of our work.  Not that the boundary is inviolate; during the course of a normal treatment we integrate both to the same end: a better balanced body.  A body, we hope, which has readjusted its strength and relaxation, so that changes enhanced by treatment will continue, and the overall sense of well-being will be improved.
In the world of body mechanics (yes, you do have a design), or if you will, body alignment, the spine is literally the backbone of support.  Interestingly, the use of the traditional military posture: feet together, knees locked backward, backside tilted up, chest out, and chin flying up, ignore the spine entirely.   Proper body alignment creates a Central Line of Support from the inside out, which is the spine and joints, and from the bottom up, which is the feet, knees, pelvis, shoulders and head.  If there is proper strength in the short ligamental muscles which surround the joints and spine, and, if the body is aligned with the joint below supporting the joint above it, the body is brought into its proper relationship with the "Law of Gravitation".    When this relationship is in place, a natural uplift occurs, which in turn allows the longer, improperly used muscles of the body to relax, and an immediate elation is felt from the combination of relaxation and new-found strength and length. 
We incorporate a series of movements and exercises in our practice, which redesign the body and the mind, so that proper alignment is achieved and maintained in all resting and moving states.  Sleep is more relaxed and deep, that tennis game improves, added breath improves the singing voice, it's more comfortable to stand in line, and sit during long meetings.   The SIKE series is actually taught so that when the body and mind develop the proper "memory", it becomes a tool for a home "workout", and allows progress to continue without coming in for treatment.   For proper balance to occur it takes some people a mere 5-10 sessions, for others, perhaps with more serious structural problems, it can a year or more.  But as Dr. Matsuura always said, "It may take time, but what else do you have to do as important to your well-being?"
And here-- for those interested parties-- is a supine exercise some of you may know, designed to promote spinal extension, the Supine Exercise:
Lie on Back.  Bending the knees, place soles of feet flat on floor,
and gently press lower  back flat on floor.  Relax body.  Extend
arms outwards from body to form a cross, making sure shoulder
blades are flat on floor.  Look up to the ceiling (no TV watching,
music listening is good) and hold pose for 5 minutes.  If the
fingers begin to tingle, bring arms in and lay hands on chest
wherever they feel most comfortable.  If there is tension in the
neck, slowly turn the head to left and right, inhaling through
nose before moving, moving on the exhale, and stopping in the
middle before moving the other side.  Using a small pillow to
support the head is also good.
Just a quick reminder to help pass a healthy summer's end – keep your knees released and always look where you're going.  Remember: Mind follows Body, Body follows Eyes.  If you don't believe me, try singing "Mary had a little lamb" while running blindfolded at Mile 26 in your next marathon.

THIS MAGIC MOMENT

Halloween
Human beings have had since prehistoric times a speculation about, and fascination with, death. Life was then, indeed, "nasty, brutish, and short", and it was natural for ancient peoples to ponder what came next rather than what was presently happening. Communing with the dead was the one sure way of getting information about the "other world".
Whether the community was hunter, nomad, or agrarian, the cycle of birth, life, death, re-birth was a natural concomitant to the change of seasons. Season change meant watching the sky, and so astronomy quickly became an advanced "science" long before the word existed.
The ancients (as we do) marked the change of seasons with solstices and equinoxes, but reserved cross-quarter days, which fall midway between these events, for feast days. These astronomical events were imbued with magic and mystery, none more so than the time of year when departed souls returned to earth to rejoin the living for a brief communication. To the northern Europeans, the "bridge to the other world" (Yule) opened at the winter solstice. To the Chinese and Japanese, the spirits of the dead returned at the quarter day (Bon) between the summer solstice and fall equinox. To the Celts, the quarter day between the fall equinox and winter solstice (Samhain) was the day the world of the dead had access to the world of the living.
The Chinese and Japanese viewed the return of the dead as a benign and pleasant event. Even today, paper lanterns are lit to direct the spirits to food which has been prepared and set out for them. The Scandanavians lit fires to scare the spirits back to their world. The Celts set aside our present November 1 as the day to deal with the dead. People might be visited by supernatural powers or spirits, and many spent the previous night in burial mounds to commune with death in life. In Ireland, there are many legends of great heroes dying at Samhain.
The Catholic Church, determined to extirpate paganism once and for all, declared November 1 All-Saints Day, known as All Hallows Day in Britain. The common people, equally determined to preserve their tradition, celebrated Samhain the night before, which came to be called All Hallows Eve or Halloween. The Celts built bonfires and wore frightening masks and costumes in order to scare the spirits away. However, this is not the origin of our costumes and trick-or-treat.
As the feudal system declined in Britain in the 15th century, the Antwerp Entrepot - the largest wool market in the world—grew wealthy. The British landed gentry had traditionally allowed local peasants to use marginal land ("commons") to graze their animals and grow subsistence food. In order to expand production of wool for sale in Antwerp, the gentry evicted the peasants and enclosed the commons for their sheep to graze. The Enclosures Movement saw the dislocation of thousands. A generation of homeless people was born. Civil unrest occurred as the esurient peasantry struggled to maintain life at a time when "sheep devoureth men".
These homeless took advantage of quarter feast days to roam the countryside begging for food. Because Samhain followed the harvest, it was usually the most opulent and lavish feast day. There was a tradition for housewives to bake "soul cakes for the dead. These seem to have been small fruit tarts. Bands of homeless would gather at Samhain, and walk through the countryside from home to home, asking for soul cakes. They disguised themselves, so as not to invite retribution from local authorities. They stood outside of homes and sang, "Good Mistress, please,/a sweet soul cake we pray./Apple, pear, peach, or cherry,/ anything to make us merry."  The implied threat of violence was not lost on the housewives, who usually handed over the cakes.
It is interesting to note that one of the most exciting and interesting events on a child's annual calendar had its origin in death, persecution, turmoil, and fear. Our health and sanity depend upon us living through inimical events, be they physical or psychological, and coming out the stronger for the passage. My prolonged illness of 25 years ago has almost faded from my memory. I have now "legendized" it to the point where it glows as the happy opportunity to meet  Dr. Matsuura and her qi, which in turn set me on this unexpected, strange, and rewarding path of hands-on health care.

THE ART OF PUTTING THE BODY IN ORDER

Contrary to popular belief, and what the AMA would have us believe, medicine is not a science. The premise of science is the infinite replication of the same procedure to obtain the same results. The methodology used to obtain precise coordinates will get a rocket to the moon every time. Change any step along the way and your rocket will land elsewhere.
Medicine is an art. There are statistical data indicating how Jill Average is likely to react to a medication or procedure, but the fact is, each of us react differently. This is true for caffeine, nicotine, aspirin, codeine, and any other chemical put in the body. I am glancing at a magazine ad for cold medication, and find a list of possible side-effects including dizziness, nervousness, sleeplessness, and gastritis. Some of us will experience no side-effects, while others will suffer them all. The artfulness of medicine resides in knowing what to apply to whom, and in what quantity and duration. More below...
Believing as we do that Life resides in the mind/body as a continuity of experience (rather than as a series of transient, punctuated events), TF and I have sought to introduce some history into this year's newsletters.the object being to show how ancient and far-off events still reverberate in the collective mind/body of the world. And so, I am going to end the year by presenting a brief history and philosophical background of the health discipline we practice. It may help answer many of the FAQ we receive.
Haruchika Noguchi (1911-1976) was born in a tough neighborhood of Tokyo. He was a thoughtful child with a taste for the Chinese classics, much as Victorian children studied the literature of classical Greece and Rome. He soon became fascinated by Chinese medical treatises, and early on recognized his ability to transmit his qi to others and produce healing benefits. You can imagine that, in a poor neighborhood, word of a local boy with the gift of healing soon made him a popular figure. By the time he entered middle school, he had a local reputation as an adept of classical Chinese medicine.
His reputation was sealed at the time of the Great Kanto Earthquake in 1924. The devastation in Tokyo was so immense that it was hard to separate the dead from the dying. Bodies were taken to Hibiya Park near the Ginza and placed wherever there was a spot on the ground. Noguchi went to the park, and passed from person to person, putting qi into their ears with his fingers. People who showed a response (such as a fluttering of the eyelids or muscle twitches) were taken to makeshift clinics. Those who did not exhibit a response were considered as deceased. The 13-year old Noguchi became, if not famous, then well-known in the downtown Tokyo community.
Noguchi continued his study of Chinese medicine, and at the same time, began learning Western medicine, especially physiology. By the time he was in his early twenties, he had a profound knowledge of both disciplines, and established his first dojo in a middle-class neighborhood. He named his discipline SeitaiSei means to put or arrange something in the best possible way. Tai means "body. Together they mean "to put the entire body in its best possible order".  
He did this by using the body's nervous system as a sort of grid, and inducing the body to heal itself by applying qi to the necessary location along the grid. He believed in maximizing the body's natural healing power while minimizing external "aids" to health. He devised an exercise that he called Katsugen Undo (Source of Life Movement) which, if practiced daily, brings the body to its maximum potential for health. The movement stimulates the extrapyramidal motor system to use the body's own qi as a sort of full-body scan-and-repair mechanism. We have slightly modified Katsugen Undo, and called itKiryu (The Flow of Qi). A lengthy explanation and discussion of Kiryu can be found in my book, Qi Energy for Health and Healing.
He did not believe in adding his qi to another's body to promote healing. Rather, he sought to remove impediments to a person's health. There are many reasons why qi gets blocked—some mechanical, some systemic, others psychological—and Noguchi sought to remove impediments so that the person's own qi could fulfill its healing powers. To that end, he inveighed against doing anything to "help" a person. All that was necessary was to guide them to the condition where they help themselves. He warned his students about trying to force qi on a person, even for his own good. "Just as a few drinks can make you happy, and suddenly that next drink makes you unpleasantly drunk, so does too much qi lead to a counterproductive result. Know when to stop!"
Noguchi's style of medicine found unqualified acceptance in pre-war Tokyo. It was fast, cheap, and effective. It could be done at home, and people were taught, for a nominal fee, how to provide basic seitai treatments to others. Further, Noguchi had a charismatic flair and healing manner that attracted hundreds of people to his lectures and workshops. He formed the Seitai Association (Seitai Kyokai), which he turned into a sort of alternative membership HMO. It is still going strong today. He began taking promising men and women into his home and dojo to train as practitioners.
After the war, Japan was in ruins. Tokyo had been firebombed several times, and the toll of death and destruction exceeded that of Hiroshima. Medical equipment and supplies were almost nil, and most doctors found themselves unable to treat people for want of the facilities, medicine, and equipment they were used to. It was now, indeed, that Noguchi's qi-based style of medicine became popular, not only among the blue collar class, but among the upper/educated class. Many doctors and educators joined Noguchi's association to learn his style of medicine in order to make themselves useful in the post-war recovery process. After the Tokyo War Crimes Tribunal, Noguchi approached the American Occupation Authorities, and offered 3rd tier war criminals the chance to avoid prison time through expiatory public service by joining his association and practicing medicine in poor neighborhoods for free. The sight of former generals and admirals doing hands-on medicine in ruined neighborhoods gave the association both gravity and luster in the public's eye.
Though only in his 50's, Noguchi had become the Grand Old Man of holistic medicine in Japan. Moshe Feldenkrais, through his practice of judo, had a long acquaintance with Japan. He sought Noguchi out to discuss with him Feldenkrais' ideas of holistic medicine. 
The interview did not go well. Feldenkrais, whom Noguchi referred to as 'the Israeli' in his reminiscences, had a mechanistic view of the body, and told Noguchi that there was a different treatment for every problem. Noguchi replied that he had one treatment for every problem –Katsugen Undo—and that qi could fix whatever was fixable. Feldenkrais disputed this, and tried to get Noguchi to accept a more physical/mechanistic approach. This caused Noguchi to froth at the mouth and terminate the conversation. He had no kind words for Feldenkrais after that. Feldenkrais left no record of the discussion.
Noguchi was a firm believer of quality of life having precedence over quantity. He often said that "The person who lives with joy and vigor will enjoy a tranquil sleep." This was, for him, true on a daily basis, and also on the visionary basis of dying with no regrets. He smoked and drank heavily, and died "young". He died with no regrets. His widow survived him by 28 years, passing away only last year. Two of his sons now run the organization and provide treatments at the Headquarter's Clinic. The Association's Board of Directors reads like a 'Who's Who of the Prominent' in Japan, including the ex-Prime Minister Hosokawa.
Noguchi was learned in the Chinese Classics, and used the classic literature of Chinese Zen as a teaching tool for Seitai. He relished the Zen element of surprise to divert the mind from its pre-conceptions. Like Shakespeare, he knew that "When the mind's free, the body's delicate", meaning sensitive and flexible. He was skilled at taking peoples' minds off their troubles, so that he could successfully treat a physical problem.       
He created a new medical art which was highly esteemed by other artists. Noguchi himself and the Seitai discipline were and are very popular with potters, painters, writers, poets, and musicians. He was a particular lover and patron of music. He cultivated the friendship of musicians, and spoke extensively on the relationship between the rhythm, tone, and texture of music, and his style of medicine.
His calligraphy is prized simply because it is his. I cannot tell if it is exquisite or awful. It is certainly unusual...powerful and childish at the same time. He was a lover of seasons, and marveled how the human organism changed daily in order to blend harmoniously with season change. He was stern, and often harsh (he did not suffer fools gladly), but he had a warm heart and, when he showed it, a truly endearing smile.
Through illness, I joined the Seitai Association in February 1981, and after studying briefly with Mrs. Matsuura (a physician who joined the Association right after the war), I apprenticed to the grandson of a general who had done his public service under Noguchi. We are still very good friends and colleagues. 

The Mind Must Submit and Serve the Humanity of the Body

                                                                                              Joseph Campbell
MF writes: A veteran psychotherapist came in recently to have a treatment for lower back pain. When the session was concluded and she got off the massage table feeling loose, relaxed, and pain-free, she began to muse.
"I cannot begin to understand how people accommodate themselves to pain, and yet rush right out for $1000 worth of psychotherapy when they experience a twinge of anxiety." I asked her to elucidate.
"I have over a dozen patients who are clearly in a state of physical pain. It might be back pain, or shoulder pain, or recurring headaches. I ask them what they are doing about their pain, and they say that they are used to the pain, that it has been with them for years, or that they are taking painkillers of varying strength. What they all have in common is that they have given pain a home; they are sharing their bodies with pain. They have stopped exploring avenues of healing.
"However, they say they cannot live a second longer with anxiety. Give me drugs, do something, anything, just get rid of this awful feeling. But no one has ever died of anxiety. You feel crummy, but it's nothing like sciatica or migraines. With the proper tools, you can fix it yourself in an hour. You can't say the same thing about pain."
For those of you who wish to learn everything there is to know about the physiology of anxiety, I recommend Robert Sapolsky's excellent book Why Zebras Don't Get Ulcers. By the time you have read the book cover to cover, you will never worry again. Trust me. The physiological effects of worry are scarier than almost anything you can imagine.
For those of you who wish to know the SIKE take on anxiety, read on...
At the base of the neck is a big vertebra, the 7th cervical (C7).
Below it, are four small thoracic vertebrae (T1-4). The nerves coming off these four vertebrae are linked to the brain, the heart, and the lungs. In other words, these three organs work together. This is why when you perceive something frightening, your heart starts pounding (tachycardia), your throat and lungs grow tight, your breath becomes shallow and rapid (hyperventilation), and you find it difficult or impossible to concentrate your mind on anything meaningful. Just say BOO to an unsuspecting person and you will see this result.
For better or worse, human beings are the only creatures capable of conceiving the future. All other beings live only in the "eternal present".
Anxiety occurs when we have a fearful thought about the future (usually irrelevant to the present), and we "believe" the thought.
It is a beautiful day, sunny and mild. You are driving merrily on the freeway listening to music when, suddenly, the thought enters your head, "What if I suddenly lose control of my myself, and my mind forces my body to steer the car off the road". At this moment, the muscles alongside of T1,2,3,4 grow tense, the vertebrae lose their flexibility, and the nerves running from them to the organs become agitated. If you exhale strongly so that your shoulders drop, the four thoracic vertebrae release their tension, and then think to yourself, "How ridiculous! There's no way I could ever lose control. What a stupid thought!," anxiety will not occur. The vertebrae will relax, and the nerves will continue functioning as usual.\ If, however, you suck in your breath and hold it, and think, "What if I really do lose control? I'll crash and die. This is serious!," you will have an anxiety attack. Your scalp will tighten, your chest will constrict, your heart will pound, and your breathing will speed up. In other words, your body has given a thought a home. You have this great big body, but you let a little disembodied voice/thought usurp its power. It is a voice in the head, a thought, just like Gee, it would be great to win the lottery,  or  Maybe I'll vacation in Maui this year,  thoughts that you would ordinarily let pass casually in and out of your mind. 
Mind follows body. If you don't believe it, try imagining what will happen to your mind when your body dies. Naturally, we at SIKE take a body-oriented approach to removing anxiety.
Fight Back
These anxious thoughts are messages from somewhere in the mind that tell you that you will lose control of yourself. Each person has his/her own "special message", but they are substantially the same across the spectrum of humanity.  The message is like a tape loop that is repeated over and over, until you can hardly believe that there are times when you are free from the message. Those times will always be when you are doing something physical and mentally engaging. No one feels anxiety during an orgasm.
No one can produce a palpable message, in the way that they can produce urine or sputum for a sample. The message has no body, yet seeks control of the organism. Don't let it!
The best thing to do is to make fun of the voice. "It will take more than your empty words to get me into a car crash!"  You can and should get angry at the voice. "How dare you threaten me!" Go into a safe "haven" such as your bedroom, and thrash a pillow to death, thinking of it as the message-producing voice. Get a punching bag, and beat the voice to death, shouting at it and getting truly angry and indignant; or even mad as hell.  Do something physical and loud, even violent, to the anxiety, and it will quickly submit to your body which is, after all, real.
However, if you are timid and fearful of the voice, and submit your body to its domination, you will feel awful, and no amount of prescription drugs will help you.  The mind does not feel its own message. The awfulness of anxiety is physical, and its physicality comes from the effects explained earlier. Your body, driven by your "true voice", is the cure for this unpleasant condition.

STRESS, PHYSICAL TENSION, ANXIETY, AND FATIGUE

MF writes: When muscles become tense, the sensory receptors (spindle fibers) within them send out a constant stimulation to the brain asking it to relax the muscle. The message is outgoing, fills the nerve channel, and therefore no incoming message is possible. The brain itself becomes tense from this unending barrage of requests. The muscles weary of their fruitless labor, and lose the capacity to receive clearly messages even if they were able to get through.
The result is that the local muscle tension cannot be relieved. 
When tension in the head becomes the focus of our attention, we lose awareness of our muscle tension, yet it remains. We can alleviate mental tension by relaxing the afflicted muscle. Or, the reverse is also true: relaxing the brain will release muscle tension.
To put it another way, the brain must be freed from its thrall to the stimulation of the muscle's sensory receptors. The brain's attention must be turned in another direction.
For example: you're studying for a test. The body automatically gears up to work at full throttle. As you read and write, your neck becomes tense, then warm, then even feverish, at which point neck ache begins. When the tension in the neck passes a certain critical level, the tension leaves the neck and goes to the head, producing a sensation of swelling to the skull, and tightness in the skin around it. At this point, the brain can no longer work or concentrate effectively. No matter how much you force yourself, there is too much tension to allow penetration and retention of information and data. The problem with the head is, in fact, a manifestation of a neck that could not support its tension.
The muscles in the neck are responsible for the mental tension. It is they who have sent the unending stream of messages to the brain that ultimately clogged the nerve channel. However, the head alone is thought to be both the cause and effect of the problem, the head alone is worked on, and the true problem is not alleviated. 
Tension in the arm will produce a change of thinking; if it persists and worsens, it can lead to a change in personality. Relaxing the head is a start; however, relaxing the arm is necessary to return the individual to his/her original self.
It is possible, therefore, to 'read' a person's character and way of thinking by observing the state of tension in the body, especially if the tension persists in the same way.
This approach is a little hard to follow. Why should there be an interaction between mental function and physical movement?
The fact is that we manifest this interaction constantly. When we are angry, we clench our fists. When we are annoyed or frustrated, we clench our jaw. When we are frightened, we open our eyes wide and hold our breath.
To test this interaction of mind and body on yourself, try laughing out loud while looking down at the ground, or weeping while looking up toward the sky. You have to force yourself to do it. It feels 'unnatural', which is why Hollywood heroines crying up at the camera produce such a powerful reaction on us viewers.
One overlooked, perhaps unknown, relation between physical and mental tension, is seen in the relation between the Achilles Tendons and mental activity. The tighter (tenser) the Achilles Tendons, the greater the useless mental activity. People suffering from anxiety have AT's as tight as bowstrings. Tight AT's result in what I call "mental static", meaning repetitive, unwanted, and useless thoughts that rob us of mental clarity.
Human beings learn life from the ground up. Babies lie on their back and seek their environment with their legs and feet. To calm, sooth, pacify, and induce sleep in a baby or infant, just hold their heels and AT's in your hands as they lie on their back, and send qi into the tendons. You will have a quiet, sleeping baby within a minute!
The 4th thoracic vertebra (T4), located about 3-4 inches below the neck, is related to shrinkage/tightening/ tensing of the body. It is thus a reliable indicator of anxiety. When the muscles on either side of T4 tighten, you can expect tightening somewhere in the upper body. For example, stiff shoulders are common. Extreme tightening alongside T4 can pull the muscles aligning T5 and T6, and this leads to gastric problems such as belching, acid reflux, heartburn, and loss of appetite.
This upper body tightening is closely related to brain tension. The mind loses its clarity, discernment, and sharpness of perception. In cases when the sufferer takes his/her shoulder pain and loss of mental powers to a physician, he/she is usually told that the problem comes from stress. But it is never made clear just what stress is. The sufferer goes home thinking that simply by changing his/her lifestyle, or by removing something harmful from his/her daily activity, the aches and pains will disappear, and his/her mental powers will be restored.
I propose that stress is not a cause, but a result. That to talk about stress, you should define it as: a muscle which has shrunk so tight (or grown so rigid) that qi cannot be released into or out of it; and thus the muscle cannot perform its proper function. From this single source, the tension spreads until it comes to impinge on the brain, the stomach, or both. The source of the tension may be internal or external--however, the body cannot be restored to health without releasing the original muscle and then relaxing the brain.
Speaking of tension brings us to fatigue. If the entire body became fatigued, one would die from a breakdown of all bodily functions. The body may feel fatigued, but in fact, only one part of it is. Restore flexibility and vigor to that one part, and all the rest will follow. 
Fatigue is related to body habits, and thus usually crops up in the same place in an individual over and over again. The hallmark of a fatigued part is that, though there is the flexibility to expand and contract, there is not enough of either. The body part functions neither well nor poorly. It just feels unsatisfied and unsatisfying.
To return to T4, even infants can suffer from anxiety. I once treated a 22 month-old infant, clearly suffering from anxiety and a nervous-related rash. T4 was twisted to the right, and it quickly became apparent that anxiety had produced the twist and not vice-versa. But why? It turned out that the mother had told the child she was determined he would be potty trained within two weeks. She declared a deadline. She would take away his diapers with or without being potty trained after 14 days. After all that time of being allowed to pee and poop as he pleased, the child's response was one of anxiety bordering on panic. T4 was easy to untwist once the mother told her child that she would gradually wean him away from diapers. His rash was gone within 48 hours.
Finally, tension/stress results in a decrease of our powers of enjoyment. When we are not happy when we should be, when we do not have the physical/emotional/sexual desires that stimulate and promote our well-being, our energy has been blocked, perhaps even turned inward. It is the task of SIKE treatments to restore relaxation to the afflicted body part and the whole mind, so that full mind-body satisfaction becomes once again possible.

THOUGHTS AT YEAR'S END 2006

MF writes: I have always tried to maintain the happy, Wordsworthian outlook that "all that we behold is full of blessings," and to bring that optimistic outlook to those I treat. In the back of my mind, however, have lurked the misgivings of Aldous Huxley in his amusing and dark essay, Wordsworth in the Tropics.  Huxley wrote that as long as Wordsworth was in England's "green and pleasant land" where he saw "a host of golden daffodils/beside the lake, beneath the trees/fluttering and dancing in the breeze," where he and Mary could give laudanum-laced high tea to their cultured friends, and the most vicious animal around was a rogue sheep, his romantic and optimistic outlook was perfectly natural. But change the environment:put him in a tropical jungle with wild beasts, vipers, crocodiles, poisonous flora, and an oppressive climate... a hostile environment which demands the utmost energy and skill simply in order to survive... well, Wordsworth would not have had the time or strength to write uplifting poetry, much less paeans to all things comfy, blessed, and ethical. In fact, poetry would have been far from his mind.
In short, all of the "things meant to comfort and aid us are of benefit only in so far as we have the physical leeway to accommodate them. Shakespeare, of course, put it succinctly: "There was never yet philosopher/That could endure the toothache patiently."
Over the years, I have written and counseled (in an optimistic and Wordsworthian way) about restoring mental equipoise and physical health through breathing, walking, kiryu, and a variety of body-based exercises. You know the message: "Every breath lost to agitation is a moment lost to life. Stay calm and centered. Breathe deeply. Laugh often." I had been living in a "green and pleasant land where my counsels had brought me, if no one else, comfort and blessings.
This year I was abducted and dropped into the "tropics. My philosophy was too soft and complacent for the harsh realities of that environment, and began to wilt. More than that, the magnitude of the suffering I encountered so overwhelmed me that I was at a loss for any philosophical solace even for myself.
Only When I Laugh
During this year, I was asked to treat, for the first time, ALS  (Amyotrophic Lateral Sclerosis, also called Lou Gehrig's disease).
I had an initial experience with a group suffering from RSD (Reflex Sympathetic Dystrophy), the new nomenclature for CRPS (Chronic Regional Pain Syndrome). I was also presented with a woman whose story of emotional trauma was so bizarre and shocking, that I would not have believed her save for the extremity of mind/body suffering that her tragic accident had created.
The dreadful suffering and sadness of ALS knocked me for a loop. However, my encounter with RSD was particularly horrifying. I was asked to give an educational and inspirational lecture on "Coping With Pain to a support group of RSD sufferers. During the years of my practice, I have sometimes come to see myself in the role of Healing David versus Pain Goliath. RSD was a different dimension. This was Goliath's bigger, meaner brother together with 18 of his scary friends. How do you tell 20 people with morphine pumps that tranquil, steady breathing is the key to health and longevity?  What uplifting words come to mind when confronted by unspeakable, disfiguring pain caused by a medical mishap? "Take long walks, and don't forget to floss!?
My mind went blank, then two thoughts arose. The first was that there really are worse things than death. The other was an old joke:  The battle is over, and a soldier is shot full of bullet holes. Life is draining out of him. A well-meaning chaplain rushes over and asks, "Does it hurt, son?" "Only when I laugh, Father," the soldier says, and expires.
How do you comfort strangers in an unremitting extremity of pain and suffering? What are the words? How do you avoid the pitfall of the well-meaning, but buffoon chaplain?
Back to Wordsworth
Wordsworth has an uneventful poem called Michael in which an elderly shepherd and his wife lose their son. The poem contains the lines: 
                There is a comfort in the strength of love;
                'Twill make a thing endurable, which else
                Would overset the brain, or break the heart.
What is gripping about the passage is that the reader is left to decide what that love is. Is it the parents' love for their dead child? The couple's love for one another? The old shepherd's love for Nature? Nature's love for the old shepherd? Or is it just Love?
The comfort exists in the very depth of the emotion. The details are immaterial.
Now stay with me.
I had to find a deep core in order to enable myself to endure the suffering I encountered, so that I could help ameliorate that very suffering. I re-discovered the strength of qi. The qi which is adaptable, the qi which is intention: the intention to help, to comfort; the intention to love life, your own and others'. By substituting qi for love, I became proof against heartbreak, and found the strength to help.
Wordsworth was back!
Life is indeed lovable, especially when one is healthy. Never mind Wordsworth in the Tropics. You could write the same essay on Wordsworth at the Infirmary. A loss of health diminishes quality of life, and certainly calls into question the "inherent lovability of living.
Huxley got it wrong in one large sense. Wordsworth would have been a poet in the tropics, but he would have been a different sort of poet. His poetic voice would not have had the range in the tropics that it enjoyed in the Lake District. He would not have been so lyrical or optimistic. But he would have found a love of life, an intention to be uplifting and ethical, and expressed it within the severe limitations of his environment. His qi would have adapted.
Pow!  Zap!  Boom!
Meanwhile, back at the infirmary...
The Gospel of St. John begins: "In the beginning was the Word..."
The poet Goethe revised it to say: "In the beginning was the Act..."
I realized that words were worse than useless; that was where the chaplain blundered. To act was the only healthy expression of intention. My qi surged together with my desire to act.
I said nothing to the ALS woman. I focused on my intention to restore to her even a shred of conscious control over her own body by finding links along her neural pathways. She was able to consciously move her foot after 45 minutes.
I said nothing to the RSD group. I took a volunteer and treated her while the group members circled around me in their wheelchairs, and watched. The woman's pain diminished, and she regained a bit of movement in her arm. Her face had good color. (The group members were very pleased with the outcome, but angry with me. The volunteer had not been a group member, but an observer there just for the evening. Even so, I am still part of the group.)
And the emotionally traumatized woman of great pain? She went from wearing only black clothing so that she would be suitably dressed for death, to bright pink ensembles. She is pain free. I am not sure that bright pink is a life-affirming or qi-enhancing color, but it works for her.
I could provide these sufferers no hope for the future, nor could I provide them an optimistic outlook on life. What I did manage to do, in a small way, was to provide relief and comfort. A sort of restful lodging for the night during a long, ghastly journey.
Yeah, So...?
I will try to remain optimistic in outlook, and try to provide hope to the people I treat for a bright, healthy future. I have my health, and so I have the leeway to keep the spirit of Wordsworth alive within me when I work.
However, I will no longer be writing of guidelines to health, keys to health, breathing for health, Tranquility for President, Serenity is King, chewing your food slowly guarantees long life, a positive attitude removes wrinkles, or any other platitudinous panacea.
I will keep my mouth shut, and act in such a way that I exercise:
...the best portion of a good man's life,
His little, nameless, unremembered, acts
Of kindness and of love.
               William Wordsworth (1798)

REMEMBERING TAKESHI WATABE

1915-2007
On Sunday, September 7, 1975, I wandered into an old, wooden aikido dojo in suburban Tokyo. I was attracted by the hastily written sign:
No one who enters is turned away.... No one who leaves is pursued
The instructor was Takeshi Watabe. He was friendly without being familiar, eager without being pushy. He asked me if I wouldn't like to start learning right away, dressed just as I was in jeans and a T-shirt. He taught me a couple of nifty moves that afternoon, and continued to teach me nifty moves and more for the next 27 years.
He had just retired at age 60 from the Japanese Ministry of Defense. He was one of the finest metallurgists in the country, and had been seconded to the U.S. military command to investigate the composition of Soviet submarine propellers. Scraps of metal would be retrieved after subs scraped rocks or other surfaces in the North Pacific, and Watabe would analyze these to determine how the Soviets muffled propeller noise.
His job consisted of long stretches of nothing to do punctuated by brief, hectic activity. He was smoking two packs of cigarettes a day out of boredom,  doodling a lot, and reading Agatha Christie novels in translation. A friend suggested he join the Ministry's aikido club, so at the age of 40, he quit smoking and doodling, and took up aikido. He received his black belt (1st Dan) at age 48. When I met him he was 4th Dan, and very well respected within the aikido community.
Watabe shortly thereafter became an instructor of Jo (Japanese quarter staff fighting), and an instructor of Tai Chi. He taught Tai Chi for twenty years. He learned to swim at age 65, and five years later received his scuba instructor's license. He led scuba trips to Guam and the South Pacific until age 80, when he found he could no longer carry the equipment comfortably on land. He took up ballroom dancing when he was 70, and loved to put on fancy clothes and twirl younger women around. He continued dancing twice a week until he was 87. He ended his aikido career at age 89 as 7th Dan.
In 1995, the Tokyo Institute of Gerontology together with the Asahi News Corporation published a book entitled Growing Old In Tokyo. The book was an analysis of data from a three-year survey of health, happiness, and quality of life of the elderly living in Tokyo. The results and conclusions were bleak, even depressing. Hidden like a shining nugget in the gloomy depths of the book was a chapter entitled Successful Aging. Takeshi Watabe was chosen as the ideal of successful aging for maintaining the vigor of his mind and body, for his active pursuit of social networks, for his intellectual curiosity and positive outlook, and for his enjoyment of teaching. The book revealed that the local elderly in his community referred to him as Super Wa, and the name stuck. That is what most of us called him, though not always to his face, until the end of his life.
THE HOLY TRINITY TRANSFORMED
In March of 1979 I was diagnosed with chronic sciatica, and by the Fall of 1980 I was bedridden. I was no longer able even to leave my apartment to observe aikido, and so Watabe would visit me several times a week with food and cheery conversation. In February, 1981 I met Mrs. Matsuura, and thanks to her qi ministrations, was healed and back doing aikido, albeit very slowly, by early Spring. Watabe was excited and curious to know more about healing by qi.
I began studying with Mrs. Matsuura, who, from the first, stressed what I called the Holy Trinity of qi medicine: Opportunity, Space, and Degree. Opportunity means the practitioner's ability to sense the precise moment to address directly the patient's complaint. Most adults are physically and mentally tense, and so are not fully receptive to qi treatment. Qi works quickly and effectively when the mind/body is in a state of relaxation, and so the bulk of a qi treatment consists of relaxing the patient so that the qi can be successfully transmitted. It takes experience to sense the right opportunity for effective transmission of qi.
Space means the ability to distance oneself from the patient and observe how the treatment should progress, and is progressing.
Degree means the effective amount of qi to be given, and the effective duration of transmission time necessary for positive results.
When I told Watabe about this trinity, he was first thoughtful, then merry. "That's what I've always said was the essence of aikido: the right move at the right time. Know when to start, when to stop, and how much to do in between." He was very pleased to have found that qi had even more applications than he had thought. "However," he said, "it seems to me that together with opportunity, space, and degree, you have to add movement, certainly in aikido. Without movement, nothing really occurs. Of course, it is the nature of the universe to be in constant motion. We add our movement to that of others, and we have a great qi experience whether for killing or healing."
I thought: Einstein added the 4th dimension, Time, to Newton's three spatial dimensions, and so revealed an active universe in infinite motion. Watabe added movement to Matsuura's Holy Trinity, and created an active relationship between practitioner and patient. By blending my movement ---both micro- and macroscopic movement---  to that of the patient, we form a bond that enhances the quality of the qi treatment. Another nifty move.
"ALL ARE EQUAL ON THE MATS"
The characteristics that made Watabe so admirable and lovable to me were, paradoxically, not valued by most Japanese. Many people, including his family members, considered him a kawatta hito, really offbeat. What made the Japanese most uncomfortable was his irreverence toward authority, especially his own. Whereas most Japanese martial arts instructors are dogmatically insistent that students do waza (movements/techniques) exactly as they are taught, Watabe encouraged students to find a style that suited them best, and encouraged them toward their own greatest mind/body freedom and ease of movement. He required that students show respect for the art and its traditions, but not necessarily for him and members of the aikido hierarchy. In fact, he banished hierarchy from the dojo.
Japan is a precisely stratified society, and dojo of any sort (from karate to ikebana) are the most rigidly stratified micro-societies of all. They are civilian copies of military society. To enter a society in which each individual's social position is not well defined is uncomfortable to most Japanese. This was the case for the majority of newcomers to the dojo. Watabe would state from the first, "All are equal on the tatami (mats)," which made a lot of beginners feel hopelessly adrift in what they expected to be a rigidly formalized society. It was as if the apex of the pyramid had told the base of the pyramid that the pyramid itself was an illusion, and that they were all standing on the same stratum. Those who had the psychic wherewithal to cope soon loved his style of liberty, equality, and fraternity, and respected him far more than if he had demanded their respect. He became each student's friend.
A BRIEF TRIBUTE
At age 88, Watabe was the oldest practicing martial arts instructor in Japan, and was asked by the Aikido Federation to give a demonstration of his art in front of an international audience of 4,000 people. I was asked to write a brief piece about him, which I have included in this remembrance.
My Aikido instructor, Takeshi Watabe, was a model of successful aging, and part of the reason was his fondness for getting and receiving qi. Another part of the reason was that he became a teacher at the cusp of "old age," from age 60, and remained eager to teach through his extreme old age. He taught until he was 89. As eager as he was to teach, so there were students eager to learn from him, and a healthy give-and-take of energy was the highlight of his old age.
He did not spend 49 years practicing Aikido in order to become a hero or warrior or to protect himself from attack. He practiced in order to develop his qi and to maintain his health. He enjoyed learning and he enjoyed teaching. He enjoyed the company of people who enjoyed exercising their qi. He avoided people who exercised only their strength.  Mr. Watabe was a small man, and could not compete in strength with an average-size man, especially an average-size American man. Added to this, he did not begin his study of Aikido until he was forty years old, by which time he was considerably past his physical prime. This meant that he had to rely on qi to become a proficient martial artist. As he put it, "Making the right move at the right time."
And so he trained his qi, and his breath, and his sense of timing, so that strength and size became irrelevant to his understanding of Aikido. His technique was always fluid and flexible. It never fell into a pattern of "do such-and-such in so-and-so situation." His technique came from his personality and the refinement of his qi. It did not come from repetitive imitation of a martial art paradigm. Proficiency with qi gave him the ability to "read" people and situations, and it was a rare occasion that he did not make the right move at the right time.
His qi was of its very nature and cultivation a constructive rather than a destructive qi; in other words, his qi was a healing qi. He maintained a mental and emotional flexibility long after his body lost its nimbleness. Still, his body responded remarkably quickly to qi treatment. He suffered an accident at age 86 that twisted his sacrum and pelvis, leaving him in great pain. It took only two short treatments to restore him to his original shape and health.
Thoreau in Walden tells the parable of the artist of Kouroo, who, "As he made no compromise with Time, Time kept out of his way, and only sighed at a distance because he could not overcome him." In the same way, Takeshi Watabe made no compromise with size and strength. Therefore, when he reached old age, he had neither size nor strength to lose. He refined his qi, which kept him vigorous, flexible, esteemed, and in harmony with his environment. The infirmities of old age only sighed at a distance because they could not overcome him. I never knew him young, but I always knew him youthful.
Takeshi Watabe died of pneumonia on January 12. He was a mentor to many, a father to Therese and me, and was an active and loving grandfather to Corin. The body that gave him and his students so much pleasure and instruction is gone, but the qi that animated him is with us still.

FROM HERE TO TRANQUILITY  (I)

I have been, for twenty-five years, a student and practitioner of holistic medicine. During that time, I have never met an individual who suffered from an excess of relaxation. Or, to put it another way, I have never met an individual who suffered from a chronic lack of tension.
To the contrary, about 80% of the people I treat present stress-related symptoms and problems. (The remaining 20% consist of injury-related, age-related, and congenital problems.)  Stress-related problems include insomnia, anxiety, depression, upper and lower back pain, headaches, migraines, female infertility, male impotence, fibromyalgia, irritable bowel syndrome, acid reflux, and stomach ulcers.
If the United States government were to regulate competition between causative factors for ill health in the same way it regulates, say, competition between companies regarding market share of an industry, a team of anti-trust lawyers would descend upon Stress, Inc. and order it to be broken up. Stress has such a clear-cut monopoly over every other causative factor that it is not just anti-free market, it is undemocratic. Those of you who love democracy and wish to see it preserved and enlarged should band together for a War on Stress. Although on second thought, that might prove too stressful, and end up being counter-productive.
Qi treatments and lessons for stress reduction and stress management are the most effective holistic preventive health measures I know of. This two-part article will explain how.
Let us for a moment consider an ideal, stress-free day. It's difficult, isn't it? That's because it doesn't exist. Most people think that life without stress means bad things not happening. For example, "It would be great if Baby slept through the night and I could catch up on my sleep," or "If I could only get to the office without hitting heavy traffic". The idea of a stress-free day comprised of a string of good things happening is almost unimaginable. The following is what I consider to be a generic ideal day.
THE IDEAL DAY
You wake up five minutes before the alarm, fully refreshed from eight hours of dreamless sleep. The hot water flows out as soon as you turn on the faucet, and your electric toothbrush is fully charged. You get on the scale, and find that you lost 3 pounds during the night. Junior is dressed and enjoying a nutritious breakfast that he made himself, while doing extra study of math drills. As he leaves the house, he beams cheerfully and says, "Don't worry, Mom, I'll have that cold fusion problem licked by dinnertime."
Your hair works not well, but splendidly, and your skin has a healthy glow. Your husband notices, and makes risqué suggestions for that evening after Junior goes to bed. You set out for work feeling youthful and frisky.
Traffic is light, and your favorite classical piece, Shubert's Trout Quintet, is playing on the car radio.  The music is briefly interrupted by a news flash announcing that the Dow has risen 2600 points, and the 1500 shares of the lemon stock that you never thought you could unload  are now up by $638 a share. Exhilarated, you call your broker on your hands-free car phone, and order him to sell.
At work, four clients phone to thank you for your brilliance and efficiency. Your secretary is courteous and cooperative, and you note with delight that he has for once spelled your name correctly rather than phonetically. You leave work feeling fulfilled, and looking forward to an evening with your loving family.
You return home to find that Junior is finishing up his homework, and begging for household chores to do. You let him clean out the rain gutters before dinner. He is so grateful that he volunteers to load the dishwasher and take out the garbage after dinner.
Your husband returns home with a bouquet of fragrant flowers. He leers at you the way he did before Junior was born 12 years ago. You feel as sexy as you did the night you got pregnant.
Dinner is a perfect poem because you had the revelation that half a cup of Calvados would add a gustatory frisson to your chicken casserole. Even Junior asks for seconds.
When dinner ends, you and your husband hold hands across the dining room table and gaze amorously at each other while listening to the sweet sound of Junior laboring in the kitchen.
Junior bathes, and puts himself to bed by 9:00. You and your husband change into your pj's, and watch a little TV in bed. The news reports that nothing of any significance happened anywhere in the world today, and that tomorrow's weather will set new records of excellence.
You turn down the lights, and enjoy an amorous hour before falling ---- excited, fulfilled and exhausted, aaaah .... --- into a dreamless slumber.
If, on the other hand, you live in the same sort of industrial society upon the same planet as I do, then your day is pretty stressful, as follows.
THE ACTUAL DAY
You wake up after hitting the 5-minute XtraSnooze button on the alarm clock three times, and haul yourself out of bed feeling like you need another couple of hours of sleep. The bathroom is chilly, and it takes a good three minutes for the sink water to become warm. Your electric toothbrush has lost its charge, and you remember that you saw Junior chasing the cat with the recharge cord two days ago. You stumble into the kitchen hoping to find him, but he is eating cold pizza and drinking a can of root beer on the new den sofa while watching a steamy soap opera in a language unknown to you. He tells you that the cat took the cord and buried it in the garden.
Your frustration mounts as your hair seems to have a life of its own. Your husband compares your look to that of a porcupine. You leave for work feeling old and edgy.
The drive is somehow worse than usual. One man calls you an idiot, one woman calls you a jerk, and a young woman flips you the bird as they drive by. Your frustration is rising high, and you take several deep breaths and turn on the car radio. Your favorite classical work is interrupted by the news that the Dow has fallen 383 points, and your particular gilt-edged, foolproof portfolio has lost 29% of its value. You fear that you may not be able to put Junior through college or retire as early as you would like.
As for work ---- well, the less said about it the better. People either failed to understand what you told them or else botched the execution of your orders. The result was confusion, some hard feelings, and frustration over having to re-do what should have been a straightforward procedure.
You return home to find Junior waiting for you with a note from his math teacher, asking you to see him in order to clarify just why your son is performing at a level he should have surpassed three grades ago. You feel anger and disappointment.
Your husband returns home cheerful, but is crestfallen when he reads the teacher's note. He says that the two of you will have to dip into your meager private time in order to tutor Junior in math for a while. Either that or lose your summer vacation in order to put him through summer school.
Dinner is tasty, but uninspired. You have a brief, intense row with Junior in order to coerce him to help with the cleaning up. He compares you, unfairly, to Hitler, and you again feel anger and frustration at how little help you receive, and how even that little help is grudging.
Junior finally succumbs to relentless coercion, has his bath, and goes to bed at 9:30. You pray he sleeps and does not play with his Gameboy under the covers. Meanwhile, you and your husband, who hardly had time to notice each other this day, change into your pj's for a quiet moment of conversation and TV news. The news seems to have little else than stories of homicidal pedophiles, and the two of you feel a clutch in your hearts as you think of your naiAÅãNve and defenseless child in the next room.
Slightly uneasy, you have trouble falling asleep. Your dreams are complicated, and you wake, agitated, twice during the night to pee.

FROM HERE TO TRANQUILITY (II)

Our present attitude to stress differs radically from that of earlier societies, who perceived stress as a physical problem. Take the Victorians and their literature for example. Victorian descriptions of reaction to stress are almost always concrete. "Her throat constricted, and her mouth went dry. Words would not come." "His legs suddenly lost the strength to support him. His worry had robbed him of the powers of movement." "His heart pounded so fearfully within his chest that he doubted it could continue without bursting." Their expressions of the physicality of stress appear overblown and melodramatic to us.
Nowadays, we prefer to mellow out with anti-depressants and mood elevators. We choose to portray each of life's stressful moments from an "emotional" point of view.   "She felt/he felt" is commonly used to express the phenomenon of stress, especially stress that obtains, not from a situation that confronts us that moment, but from an anxious thought. Stress is usually considered as a mental/emotional phenomenon. Thus, programs for alleviating stress are centered on a mental process. We are instructed to gaze tranquilly at a lava lamp, or listen to the sound of waves on tape, or lie still with our eyes closed and imagine a gorgeous beach scene. These mental approaches to dealing with stress seek to divert our thoughts. Most of them work to a degree, and some for a goodish amount of time. But, alas, our thoughts return, and with them, stress-inducing fears of the future.
We are told to take a break, or to go on vacation "to recharge our batteries" (whatever that means). This is all well and good, but every break and vacation has to end, and returning home with recharged batteries is not going to help us stand up to the stress that drove us to vacation in the first place.
In the last Newsletter describing an Ideal Day and an Actual Day, I wrote that stress is the prime causative factor for ill health in our society. This is because every emotional response to a stressful event produces a corresponding physical reaction. In terms of bodily as well as mental health, the "you" of the Ideal Day has had her store of health increased. The "you" of the Actual Day, on the other hand, has received many small but telling blows to her muscles, heart, lungs, circulation, digestion, body cleansing mechanism, and emotional equipoise. Repetition and accumulation of these blows will lead to a physical breakdown that impairs body functions.
Follow The Leader
But is it only the mind that reacts to stress and sets the pernicious physical effects in motion? The qi perspective takes it as axiomatic that it is more frequently physical responses to stress that produce emotional reactions. In other words, my approach turns conventional wisdom about stress on its head.
Marcel Proust had his memory/emotions jogged by the physicality-the aroma, texture, and taste-of a little cake, and went on to write a four-volume novel that is considered a modern masterpiece. His body set his mind in motion. John Keats heard a nightingale, and was moved to write a poem. In the same way, we hear  unpleasant news at a meeting, and our blood pressure rises and our stomach starts secreting acid. We then feel under stress. On the other hand, a gorgeous or picturesque sight will lower our blood pressure and set our stomach purring. This is the physical trigger that suddenly releases us from the tension of the day that Keats refers to when he writes: "The setting sun will always set me to rights." And at that sight, we, like Keats, feel the happiness that is the hallmark of an absence of stress.
The body is capable of relaxing the mind and keeping it relaxed. This is how the SIKE approach differs from that of others. By giving primacy to the body rather than to the mind, we are able to re-associate with the powers of Nature. Restoring the integrity of the body to its rightful position of power lessens the effects of the "swiftly dividing mind," and restores us to tranquility.
All of us know that we should close our eyes and count slowly to ten before giving way to anger. This is about as close as conventional stress management comes to incorporating the body alone in stress management. This is, no doubt, a very good and useful means of deflating stress-induced anger, and has probably saved countless children from a spanking. However, what I propose is a change of awareness of, and attitude towards stress, while at the same time adopting physical exercises as preventive measures.
Breathe, Darn Ya, Breathe!
The First Step is to recognize the stress that you are under. I do not mean the origin of the stress-the bad traffic or the pressing deadline or your spouse's health problem--, but the physical sensation within you. That sensation produces mental stress, which in turn aggravates the physical sensation. You will notice that your breathing is shallow, irregular, unsatisfying; perhaps you are barely breathing!
The surest way to give stress and trauma a good home is to hold your breath. Whenever you hear bad news, see an awful sight, touch something creepy, smell something revolting, or taste the bitterness of despair or the bile of anger, exhale through the mouth as powerfully as you can. Most people suck in their breath, and hold it, releasing it only in small, nasal bursts.  You have now given food, clothing, and shelter to stress and trauma. You can release tension from your body with a powerful exhalation, followed by a conscious effort at stabilizing your breath into a satisfying rhythm.
The uniquely human consciousness of time, both short-term and long-term, causes us agitation, whether it is the fear of dying tomorrow, or the worry of arriving late somewhere. Thoughts of time disturb our breathing. Again, it is good to exhale powerfully, and get back on a rhythmic breathing track.
You will be amazed by what a healing difference an awareness of your breathing will create.
The Second Step is to be aware of locked-in tension. Men tend to clench their jaw. You can see the jaw muscles bulge. Women tend to clench their buttocks. Both men and women lock tension in their shoulders.
Are your jaw muscles tense? Are your shoulders relaxed and sloping, or are they high and tight, something like the Ed Sullivan Look? Is your neck extended, or is it withdrawn like a frightened turtle's neck? Is your backside soft like Jell-o on springs, or hard as a board?
You can relax your body by exhaling through the mouth and letting the jaw go slack. A second breath will relax your neck and lower your shoulders. A third breath, combined with bending the knees will release tension from the backside.
Having done this, if it is possible, take a short walk, even around the house, letting your arms dangle and taking long strides.
The Wonder of Kiryu 
I devoted a chapter in my book Qi Energy for Health and Healing to kiryu, what it is and how to do it. This being a short Newsletter, I will not take the space to reiterate what I have already said there at length.  Kiryu is, in my experience, the fastest, most effective, and overall best way to remove stress, induce relaxation, and keep the body balanced, meaning harmony of internal and external movement. 
Kiryu is Japanese for "the flow of ki (qi)". This flow follows the neural pathway of the extra pyramidal motor system  (EMS), releasing tension when it is excessive, and inducing tension when it is missing.
The Extrapyramidal Motor System
The extrapyramidal motor system and the autonomic nervous system govern all facets of the balance of tension and relaxation within the body. The application of qi to the EMS will trigger a flow of energy throughout that system and throughout the ANS. This energy flow will bypass the central nervous system and transcend thought (conscious behavior). It will sweep away blockages and barriers to the smooth passage of qi. It will remove tension and promote relaxation, and will restore the functioning of organs to their original integrity. In Japanese, the exercise promoting the uninhibited flow of qi is called Kiryu.
Kiryu creates physical anarchy in a way we have not experienced since early childhood. We were then free to respond to the body's demands and express its striving for health any way we liked. We could fart, belch, burp, roll around on the floor, cry, yell and scream, jump and run, giggle uncontrollably...all with impunity. As we aged and learned manners and entered society, we learned to suppress a fart, squelch a belch, curb our physical impulses, etc. In other words, we repress and suppress all the hundreds of little release mechanisms designed to rid ourselves of tension.
Above all, we feel self-conscious about movement. We join movement classes and dance classes and exercise classes in order to have a safe and approved environment in which to move in a manner different from our "everyday" manner. No one seems to notice that while our minds are in constant motion, our bodies hardly move in proportion in our daily life.
Social conventions state that the fewer our movements, the more well-behaved we are.  "Children should be seen and not heard." We take pride when our young children do not run around and make noise in a restaurant, but sit with a minimum of movement and talk. "We are good parents," we think, "we have taught our children self-control. Now we can enjoy our meal."
Looked at from your own physiology, stress can "teach" you self-control. Stress can impair the movements of cells, nerves, muscles, and organs so that they sit quietly doing nothing. ...you would like to get your body "moving again" to improve your health and enjoyment of life's little pleasures.
The EMS and ANS, stimulated by qi, use any and all of our original release mechanisms to promote relaxation and restore our bodies to a healthy equilibrium.
The body is always adjusting and fine-tuning itself.  Kiryu releases the body's full potential to adjust and fine-tune.
And just as each person has his own anatomy and qi characteristics, so each person reacts in subtly different ways to Kiryu. There are, however, a number of characteristic responses to Kiryu.
1.   The most common, indeed universal, response is uninhibited movement. Your body may begin to twitch spasmodically, shake, shiver, or sway. You may feel you want to walk or simply lie on the floor moving your feet or legs. You may feel like flapping your arms or shaking your wrists or snapping your fingers or all of the above.
The qi will naturally go to any part of the body that is over-tense, and seek to relax it through movement. If you have bruised your right elbow, you may expect your arm to shake so that the muscles relax and the elbow joint gently moves. If you have a headache, you may expect your head to sway and your neck to swivel in order to relax the muscles along the 1st and 2nd cervical vertebrae (C1 and C2).
Movements are never violent. They are always pleasurable.
2.   Yawning is a typical response. You would be surprised how many people do not yawn at all. Or cannot yawn at all. Yawning is a sign of health, a sign that the body is capable of relaxation. People who cannot yawn are destined to sleep dysfunction and lower back pain. Kiryu stimulates the body to yawn and to stretch. When you have done Kiryu for some months, you find that you begin to yawn and stretch just at the thought of inducing Kiryu.
3.   A release of vocalized sounds is a common response. This could be laughter or giggling, it could be a moan, it could be humming, it could be singing, it could be noises pushed out with your breath.
4.   A release of fluids frequently occurs. Tears are common in the case of women, less so in men. A woman may suddenly feel "emotional," not necessarily happy or sad, but having an irrepressible desire to cry, releasing both fluid and sounds at the same time.
As the muscles in the jaw and neck relax, the body may produce a lot of saliva.
Another type of fluid is mucus from the nose.
And finally, the body may sweat profusely without becoming feverish. The sweat may come from the entire body, or it may be localized, such as from the scalp or armpits.
 5.  The stomach and intestines may gurgle and rumble as they are released from  their usual bondage of tension.
The effect of Kiryu is a release from tension. You feel remarkably relaxed and clear-headed. Minor aches and pains vanish, and there is usually a sensible diminution of major aches and pains. The cumulative effect of Kiryu-that is, to make Kiryu a daily or thrice-weekly part of your health regimen-is to promote deep, refreshing sleep, improve digestion and muscle tone, strengthen the body's immune system, and keep the cleansing system functioning effectively.
Kiryu is the cheapest, easiest, and most effective preventive medicine measure ever devised. (I wish I had thought of it.)
A word of caution: Because Kiryu stimulates and strengthens the immune system, people with artificial body parts should not attempt the procedure. Their bodies will seek to reject the artificial "intruder."

QI AND THE ELDERLY

Wrinkled with black spots,
Bent back, bald head, white beard,
Trembling hands, wobbly legs,
Teeth falling out, failing hearing, failing vision,
Wearing a headscarf and glasses, walking with a cane,
Fearful of death, lonely,
Greedy, impatient, foolish, nosey,
Annoying, and bossy,
Praising one's children in the same old stories,
Proud of one's health,
Hated by everybody.
(Afflictions of Old Age)
Zen Master Sengai (1750-1837)
The image of the elderly has hardly changed today.
Sengai was a kind-hearted man, and his poem is meant as gentle irony. However, it is hard for people (especially for people who do not deal directly with the elderly) to realize that, while true, much of what Sengai wrote about can be prevented, ameliorated, or cared for.
The defining feature of aging is loss of flexibility. Eventually, this loss becomes so great that we return to the helplessness of the infant.  We become dependent on the help and good will of others. This is not a welcome condition to someone who has been to some degree autonomous since age two, not to mention someone who has held positions of responsibility and managed to raise a family.
A decline in autonomy frequently leads to an alteration of the character of our qi; we become, as Sengai wrote, "greedy, impatient, foolish, nosey, annoying and bossy." These are not attractive characteristics, yet they certainly provoke an immediate and powerful response, which is something that dependent elderly enjoy.
The physical loss of flexibility is apparent. Everything from vision to stamina to hearing to recuperative power declines. There is nothing anyone can do about this however many "anti-aging" products one devours. It is doubtful that the loss of flexibility can even be delayed or retarded. Diminishing flexibility is part of the human condition, and has to be accommodated rather than mourned. New avenues that allow us to utilize what flexibility remains should be pursued. The growth and spread of senior centers and elderhostel programs are recent phenomena that provide new avenues and outlets to make the most of our reduced capacities.
On the other hand, within our physical decline it is possible to fulfill our potential for health and flexibility by giving and receiving qi. The phrase "within this physical decline" is of supreme importance here, because it defines the parameters of health.  A program of qi is not going to rejuvenate an 80 year-old body into a 50 year-old body. It may improve eyesight, but will not restore it to teenage levels. It will not bring back acute hearing. It will alleviate aches and pains, but will not prevent them.
It will bring out the full potential for health and vigor available to that 80 year-old body.  But why wait for old age? Participating in a qi health program creates a benign transition into old age, and is excellent preventive medicine.
Loss of physical flexibility is frequently accompanied by a decline in mental and emotional flexibility. The person who was once grateful and cooperative for any and all help received now becomes cross-grained and bad-tempered.
To put it another way: What was once a flow of qi of cooperation becomes a cycle of resistance and conflict.
The elderly person's behavior becomes an expression of that resistance. Cooperation seems like a further loss of autonomy, while resistance is felt to be an assertion of independence.  A spirit of harmony and conviviality brings about a weakening of the qi, while argument and aspersion bring fire and strength back to the qi.
To digress for a moment in my allusion: The Japan Socialist Party (JSP) was, from the time of its inception, an opposition party. And oppose it didAÅãc It was a very skillful opponent, and its resistance to government policies and projects kept it lively and healthy. Suddenly, through a wild vagary of political fate, the JSP came to power in the mid-1990s, and was in a position to enact policies of its own. The trouble was, it had none. It had become so used to opposing as a reflex response that it had never developed any creative or constructive vision. Once the party came to power and there was nothing left to oppose, it withered and died.
The same holds true for many of the elderly whose qi has altered through lack of flexibility of mind. These elderly people want to be harangued, pleaded with, and cajoled.
 "If you don't get out of bed, you'll get bedsores and have to enter a nursing home. You have to get out of bed every day and do a little walking."
 "You should let me cook for you. Eating ice cream three times a day is not a healthy diet."
 "You can't insult your attendants like that. They'll quit and then where will you be? Good help is hard to find."
If you were to agree with everything the resisting elderly said, and let them have their way on every point, they would follow the JSP, and wither away.
To many of the elderly, resistance is a natural form of exercising their qi. It keeps them sharp, alert, and vigorous. They are not seeking a confrontation which demands a "yes or no" resolution. To force a confrontation to a resolution would probably leave them at a great disadvantage from what they presently enjoy. What they are seeking is an ongoing dialog that tests strength of will.
Thus, an energetic refusal to change an unhealthy lifestyle such as poor diet, or an indulgence in anti-social behavior such as verbal abuse or smoking cigarettes is a natural exercise of qi. The elderly person actively seeks to provoke reactions that will force her to resist even more. She seems to be selfishly trying to get her own way. This is, to a certain extent, true. She is also stimulating her cleansing mechanism through resistance. Her physiology becomes energized. Moreover, resistance binds the caretaker or family member more closely to the elderly person, providing the elder with a sense of security.
 "I can't just walk away from her and let her decline even more. After all, she is my mother, no matter how bad her behavior is."
This may seem perverse. After all, most people are willing and happy to care for their elderly loved ones. Honey attracts more flies than vinegar, etc. and so harmony is a more powerful bonding agent than conflict. However, by resisting and provoking conflict, the elderly person feels that she has the upper hand in the bonding process; that it is she who writes the script which you willy-nilly follow, rather than vice versa. She becomes much more active and involved in the bonding process if you have to harangue her for fifteen minutes to take a walk, rather than were she to acquiesce and hop out of bed at your first suggestion of healthy behavior.
Redirect the Energy
The closer the elderly comes to death, and the more the idea of death intrudes upon her conscious, the more she will resist and reject as a self-strengthening endeavor.
This is, to friends and family, tedious and irksome behavior. It is also an interesting phenomenon, vital to a true understanding and appreciation of the human organism, and how it seeks to make itself strong and healthy by any means available. The justness or unjustness of your advice and demands is not an issue with the elderly. He will resist in the same way he will reflexively scratch an itch. And, as in the case of scratching an itch, it provides him with relief and satisfaction.
One way to bring an elder "out of himself" and get him to exercise his qi in a positive and harmonious way is to seek qi from him. The strength of qi does not decline with age, and the qi of a 90 year-old is every bit as potent as that of a 20 year-old.
The elderly enjoy talking about health issues, especially the declining health of others. There is almost nothing that produces a glow of schadenfreude in the elderly like hearing a younger person complain about a health problem. Should you divert the elder from his attitude of resistance to one of assisting you and yours with your health problems by means of his giving you qi, you will be redirecting the thrust of his natural energy from rejection to generosity, and thus helping it enlarge.
Just have the elder place his hands on his grandchild, his great-grandchild, or any passing child you can lay your hands on, and tell him to direct the qi of wisdom and longevity into the child (or into you or your spouse). Breathe together with the elder. Synchronize your breaths and imagine a harmony of spirit. You will see that, as the elder gives qi, his shoulders drop, his abdomen relaxes, and his breath deepens. These are all healthy signs.
As William Blake wrote, "Damn braces. Bless relaxes." Rather than the negative energy of resistance, the positive energy of providing what blessings you still can promotes the health of the elder and his caretakers.  
I have met only one elder who preferred the qi of resistance to the qi of generosity when given the choice.

THOUGHTS AT YEAR'S END 2007

Freed from intricacies, I am taught to live
The easiest way, nor with perplexing thoughts
To interrupt the sweet of life, from which
God hath bid dwell far off all anxious cares,
And not molest us, unless we ourselves
Seek them with wand'ring thoughts and notions vain.
But apt the mind or fancy is to rove
Unchecked, and of her roving is no end;
Till warned, or by experience taught, she learn
That not to know at large of things remote
From use, obscure and subtle, but to know
That which before us lies in daily life,
Is the prime wisdom; what is more is fume,
Or emptiness, or fond impertinence,
And renders us in things that most concern
Unpractised, unprepared, and still to seek.
John Milton    Paradise Lost  VIII   182-197
This is the very tragedy of human existence. In its depth of feeling and insight into the human condition, Milton's sentiment goes far beyond Shelley's: We look before and after/And pine for what is not.
We human beings trivialize that which lies directly in front of us, the "prime wisdom of daily life", and yearn incessantly for what we had, might have had, might have had, might have, or will never have. We live in a mental and emotional environment of "fume, emptiness, or fond impertinence." We feel baffled, frustrated, and disappointed as events beyond our control derail our aspirations. We do not stop to listen to what Yeats called "the deep heart's core", nor do we see that "all that we behold is full of blessings".
This is never more true that when we behold our bodies, if we behold them at all beyond a cursory glance. Your lungs that breathe, your heart that beats. The lungs and heart working together, about four heart beats for each breath you take. Your body's self-regulating heating system of about 99° F (37°C). The perpetual motion of your cells, living and dying, recreating every atom in your body every six years. The digestive system that processes the drek you put in it. The same body that has put up with tension, emotional and physical trauma, junk food, broken bones, torn muscles, cigarette smoke, cheap booze, recreational drugs, pain killers, anti-depressants, pro-depressants, flu, colds, fevers, cosmetic surgeries, jet lag, and Lord Knows What Else for half a century, and is still carrying you forward. We pine for a "better body".

We are forever putting demands on our time and on our body. I want a Lexus sedan, no, a Jaguar convertible. I want to be strong: No pain, no gain. I want a six bedroom house, a figure like Aphrodite, a mind like Einstein, a soul like Buddha, the wisdom of Socrates, a case of Viagra, just the teeniest 4-carat diamond ring. I want my child to go to Harvard. I want to jog twenty years off my life. No wait, I'll just have liposuction. We talk to ourselves about these demands constantly, and work extra hours to achieve them, and consume even more hours fretting that we shall not obtain them.
What we do not hear are the demands our body is making of us. "I need to be fed, and with digestible food. I need less food, my stomach is overworked. I need more water. I need more sleep. I need more movement. I need more rest. I need more fun. I need cleansing. I need relaxation. Stop holding your breath, and let me breathe! I need recognition of my existence in the here and now."
We recognize these demands in our newborns and infants, and respond immediately, most of the time effectively and with good humor. We stop listening to our own body's demands from an early age. By the time we are old enough to drive ourselves to the doctor, we are almost completely out of touch with our bodily demands. We are demanding of it, and ignore its demands of us.
In other words, we cease having an endless dialog with our bodies, and listen only to what our mind is saying. But who, in the end, is the more truthful and the more powerful, the mind or body? The following is a late 16th century riddle, very popular with the Elizabethans. The statement: "My mind to me a kingdom is." The puzzle: "Find the king." If you think the answer is "I", then who or what are you? The correct answer is, of course, "The body", which does, in fact, define who you are and determine your existence.
You should not regard the demands of your body as irksome or dangerous. It is ignoring and suppressing these natural demands that creates a truly irksome and dangerous reaction in your body. And wait to see how that affects your mind...The body's demands need to be acted upon, not when you remember to get around to it, but now!
Ghandi and Me
Mahatma Gandhi, in a bit of irony just before his assassination, made a provocative alternative list to the Seven Wonders of the World- the "Seven Blunders of Mankind". His list of World Blunders from a half-century ago is just as historically important and globally minded as the contemporary swirl of interactive maps, international media, and new age hype, but more abstract. Abstraction notwithstanding, the Blunders will hit home to each reader in a particular way.
His list:
1. Wealth without work  
2. Pleasure without conscience  
3. Knowledge without character  
4. Commerce without morality 
5. Science without humanity  
6. Worship without sacrifice  
7. Politics without principle
To these I would add: Health without personal responsibility.
We have delegated control of our health, mental and physical, to "experts", rather than use our own powers of health, sensibility, and sanity to provide wellness and comfort.
Joe/Josephine Average SIKE Health Client walks in for an initial treatment and presents the following: stiff to painful neck and shoulders; regular headaches; poor sleep; tight chest; mild to bad acid reflux; irregular bowel movements; diminished sex drive; recurring lower back pain; dehydration; a feeling of being "out of touch" with their body; fertile women, in addition to the above problems, present irregular periods, PMS, and fibroids causing heavy bleeding and lower back ache.
To deal with these problems, J/J Client takes daily: Cardizem (for high blood pressure-from a cardiologist), Vicodin and Xanex (a mood elevator to balance the painkiller Vicodin-from an orthopedist and/or neurologist), Prevacid (for heartburn-from a gastroenterologist), Ambien or Lunesta (for sleep-from an internist), Estradiol and Naxopron (for vaginal bleeding and PMS-from a gynecologist), and Lexapro (an anti-depressant to feel happy in the face of all these afflictions-available from all of the above).
In addition to this comprehensive allopathic health team, J/J Client has an alternative health team comprising a chiropractor, an acupuncturist, a homeopath, a personal trainer, a past-lives analyst, a psychotherapist, and a massage therapist, each of whom is a "total genius".
By my count, it takes 13 total geniuses and a lot of drugs to get J/J Client upright and out the door each day. This is what I mean by delegating our health to experts and their pharmacological minions. By "powers of health, sensibility, and sanity", I mean listening carefully to your own body's demands, and acting upon them swiftly and unequivocally. Re-order your life's priorities so that the Physical You does not rank below the acquisitive and vain you. Make sleep and rest top priorities. Your body will tell you exactly what needs to be done. Find the time to do consistently what it demands of you, and the J/J Client team will be reduced by 13, leaving only you and me!
  USEFUL HEALTH HINT
How to Catch a Monkey
Take one large, heavy metal vase with a thin neck and a fat bottom to a place where monkeys congregate. Get the monkeys' attention, and, in a conspicuous way, put some appetizing monkey food into the vase. I suggest watermelon or pumpkin seeds. Place the vase on the ground, walk away, and conceal yourself where you can see the monkeys.
All of the monkeys will rush to the vase, but one will be bolder or stronger or quicker than the rest, and will stick his arm into the vase and grab a handful of seeds. Once he has a handful of seeds in his fist, he will try to pull his arm out of the vase to eat the seeds. The fist will be larger than the neck of the vase, and the monkey will be unable to remove it.
Now you reveal yourself and walk toward the monkey. All he has to do is drop the seeds, pull his arm out of the vase, and escape. However, monkeys never do this! The monkey will pull and tug fruitlessly, but will not let go of the seeds, even though it costs him his freedom and possibly his life. Now collar the monkey, and make him your pet or your dinner.
Human beings are like this, too. They hold on to "fume, emptiness, and fond impertinence" which stymies their movements, and robs them of their emotional freedom and happiness. Let useless things go...toss them overboard. Lighten your emotional load, and escape to a safer, happier place.

REMEMBERING RON GOROW

1939-2008
I didn't speak to Ron the first two years I treated him. He arrived at the West Hollywood office punctually once a fortnight. He would change from his civvies into grey sweat pants, white sweat socks, and a grey T-shirt. He would put his check into the money box on the counter, and then wordlessly climb onto the table, face-down, and await treatment. The only thing I knew well about him was his qi. His qi and my qi blended famously. His energy was forceful and tranquil. He was very receptive and his body was, despite his chronic condition, flexible. The first time I saw him I thought he was wasting his money and I was frittering away my time. But then I touched him, felt his muscles respond, and thought there might be a bright light at the end of a very long tunnel.
At our first meeting, I stared at his back and wished I were somewhere else. Ron had one of the most pronounced cases of scoliosis I have ever seen. His spine was straight from T-1 to T-4 (the first through fourth thoracic vertebrae), and then bowed out significantly to the right from T-5 to L-2, a total of 10 vertebrae. The spine did not become completely realigned until L-3. In other words, Ron had 7 vertebrae in alignment out of a total of 17. When I first treated him, T-9 and T-10 were 2 1/2 inches to the right of true!  This meant that his right shoulder and shoulder blade were raised to the level of his ear. His right ribs, which were attached to the thoracic vertebrae, were bunched up, hunchback like, and crisscrossed at some places. Besides his structural pain and discomfort, the nerves coming off of his spine were so impaired in their function that Ron suffered from stomach pains and acid reflux, poor sleep, and poor liver function.
I had heard he was a jazz trumpeter and flugelhorn player, which astonished me. His right lung was so compressed by his distorted ribs that I could not believe he could play a wind instrument. Also, he was lacking so much musculature on the right side, that I could not see him standing up with his horn for hours at a time.
Amazingly, his spine responded to treatment from the first. Or rather, his qi responded to mine, and his muscles began to move his vertebrae. By the second treatment I had his T-5 in place, and his stomach problems cleared up. T-6 soon followed, his shoulder blade began to descend, and his sleep improved, as did his circulation and liver function. By the end of two years, Ron's shoulders were of equal height, T-5, 6, and 7, as well as L-2 were in alignment, the maximum curvature in his spine at T-9 and T-10 was 1 inch off of true, and he had developed good musculature along his right side.
But until then, we never spoke. He would present his spine, I would work on it, call it a day, he would change back into his civvies, and go wherever it was he went.
Then one day, he changed into his grey "treatment outfit", pulled his check out of his T-shirt pocket, and handed it to me saying, "Business before pressure." I laughed and laughed, and that broke the ice. From that moment he never stopped talking for the six years we continued together. I loved his talk, and learned a great deal about music from him.
By the end of four years, Ron's spine was straight (about 1/2 inch off true) and his ribs had settled down so that he now had a slight bump on his right back, hardly noticeable. He was so pleased that he said he would like to write a testimonial for the SIKE website. I had never thought about having testimonials, but he insisted, and so became the first to contribute. His words are still on the site today.
After six years, he suddenly declared that he wanted to write a book with me about his life with scoliosis, and the treatment that corrected it. He was a natural writer with a clear, flowing style. He would write the book, and I would provide him with technical information.
I had asked him at the start of his treatments if he would allow me to photograph his back, but he steadfastly refused. I asked him several times during the first year, and again met with refusal. He refused to be photographed except for headshots, usually in tandem with his wife, Judy Kerr. Now, I said, we have no before-and-after pictures. How do you expect to get a believable book without the seeing-is-believing part? He went to Colorado to visit his mother, and combed through her photo archives, but could find nothing better than a blurry photo of himself as a teenager that showed nothing of his back. He was disappointed at not having a photo. Life was good: he had forgotten just how bad his spine had been, how much discomfort he had been in, and how he had been too self-conscious to allow photos to be taken. He really wanted to do that book.
Ron was a small man with a mischievous, frequently sardonic, sense of humor. His hands were small and expressive, and he rarely used them in conversation except to make a point. He had a smile that made you feel like kin, and a slow, laconic way of speaking that was relaxing to hear. Reading his book Hearing and Writing Music for the first time, I fell under the spell of his profound knowledge of music and his approachable way of expressing it. He was at his most articulate and engaging when talking about music: why he loved bebop, why he hated Kenny G., the vibration of alpha brain waves blending with the vibration of the earth, the charm of the flute, the need to let children "horse around" with musical instruments until they establish a "voice" of their own, the mathematics of sound, Chinese and Grecian harmonics --- and of course, dozens of fascinating anecdotes about his life in music and working with musicians for over 50 years.  He heard music in city noises and in the still of night. Ron is the only person I have ever met who had a good MRI experience\he composed a movement of a flute concerto while motionless in the tube. When he learned that I play the clarinet, he wrote a series of concertos for me using the pentatonic scale entitled Tozai no De ai  (East Meets West). There are no melodies per se, but the sounds are subtle and haunting.
At the age of 65 he went back to college to study art, history, and art history. He was an excellent student, and would come directly from class for a treatment, brimming with ideas and questions. In our eight years together, I never experienced an unsatisfying or dull moment with Ron. Our time together passed all too quickly, and we sometimes finished our thoughts and conversations by email. Just two weeks ago, we were talking about Rudolf Steiner, the founder of Anthroposophy. I sent Ron information about the Steiner schools and their approach to education through the arts, and he wrote back: "I want to enroll there. Will they teach me how to pronounce anthroposophy?"
About the time Ron was writing his testimonial in 2004, Therese and I were considering writing an e-Newsletter, and I put the idea to Ron. He enthusiastically endorsed it, and instructed me in the html format and how to do a mass mailing. He responded to each issue the day after receiving it with words of appreciation and comment. He was an endless source of advice about music and sound, and I could not have written the issue on the vibrations of qi without his assistance. Sadly, the only issue he will never comment on is the one about him. I am sure he would have much to say. He filled many lives with warmth, wit, lively energy, and music. He is sorely missed.

THE WIT OF DENNIS KEENE (1934-2007) - May 2008

MF writes: Dennis Keene was living in Oxford, England in 2004 when he turned 70. I wrote to him, asking his thoughts on reaching this milestone. He wrote: My only regret, and it’s a large one, is that I did not put more fun in my life. I am not sure why this was. I believe myself to be a fun loving person. My country, my culture, my religion, my occupation, even my friends told me that life is serious and that I should be serious about life. And now, with arthritis and missing teeth and a new bicycle to ward off heart attacks, I neither see the seriousness of life nor the usefulness of seriousness at all. If I can just pass the Bagpipe Test so that we can buy a retirement cottage in the Highlands, I will devote the rest of my days to fun.

In September 1973, I walked into my first interview with my Ph.D. tutor, Kenneth Strong, School of Oriental and African Studies, University of London. He greeted me by handing over a fat book, and said, “I have just been the external examiner on this thesis from Oxford. It is the finest I have ever read, and I expect no less of you.” The work was written by Dennis Keene.
The thesis sent me into a depression. Here was a man so wise, witty, learned, and articulate that I knew I could never hope to write anything half as good. I imagined him somewhat around my own age, 24. It gave me a bit of comfort to learn, some years later, that he was actually about 40 when he wrote his book. Not a lot, only a bit. The intellectual brilliance of the work astonished me, but what gave me hope that writing a doctoral dissertation might not be pure hell was Dennis’ humor. He made erudite and astute references in a satirical vein in English, French, Japanese, and, yes, Latin, but he also cracked jokes. And believe me, this was no mean feat in a work dealing with Gustave Flaubert, Emile Zola, the transmission of culture, and the Japanese experimental writer Ri-ichi Yokomitsu.
Six years later, Dennis was my external examiner. I did not know him very well. What I did know was that he was intellectually demanding, academically rigorous, completely fair-minded, and very witty. Kenneth Strong was ill, and would submit his questions by mail. The Oriental Board of London University therefore requested that the Viva (oral exam) be tape recorded for review by Kenneth and by the board.
Dennis guided me almost paternally through the first 30 minutes of the Viva, by which time I was quite relaxed and replying fluently, even coherently. At this point, he produced, as if by magic, a bottle of Johnny Walker Black Label, and poured us each a couple of fingers. At the end of the first hour, we had downed about a third of the bottle, and I was feeling euphoric. I could see my name up in lights: Mallory B. Fromm, Ph.D. from London and Oxford.
Dennis suddenly rose out of his chair, and switched off the tape machine. He was a big man, 6’1” weighing about 230 lbs. He paced the room excitedly as if ordering his thoughts, and then turned to me: How could you, an obviously intelligent, thoughtful man, devote not only years of your life, but great mental energy to a topic like this?! This topic, the whole field of Japanese studies, is not worthy of your talent. My God, take a line of Blake. “The cut worm forgives the plow.” You could think a lifetime on that, and find truth, wisdom, and humor. And what about “An Island in the Moon”? You’ve read it of course. Why could you not devote your talents to that?!
He saw that I was respectfully flabbergasted, and said something like “Steady on,” sat down, switched the machine back on, and finished the Viva. We had drunk about two-thirds of the bottle at the end of almost three hours.
A week later he wrote me the following: I played the tape back and found it amusing to listen to. There is a lot of sparring at the beginning, with you maintaining a fairly powerful left, and me vaguely circling about. Around rounds six and seven there are a few fancy jabs from me, more or less taken on your gloves, and an actual flurry of blows around round ten, although the nearest approach to a knock down scene is a heavy uppercut from your left hand scoring pretty consistently, and the end result seems to be a points win for yourself, but no disgrace to a plucky challenger; which is how it should be, unless one wants blood all over the place in the first few rounds, which some examiners seem to like as they slip illegal steel inside their gloves. Anyway, I can’t see any possible reason why you should not get the speedy result you want.
Dennis frequently advised me against having children: You will gain only a knowledge of pity and terror which is no good for anything except writing classical Greek drama. And, my favorite: Don’t have any children. They give a quite spurious sense of direction to one’s life, and I can’t feel it is good for one.
But he was delighted when our son was born, and wrote the following about our choice of name, Corin Blake: I like CB’s name as it suits him for any career. Corin Blake’s latest mystery keeps the reader ever eager to turn over the next ten pages: Blake Fromm’s definitive edition of the Complete Works of Herbert Marcuse is a must for every college library: let me recommend my solicitors Blake, Corin, and Fromm, who are slightly old school, but very reliable: Corin Fromm made a solid 47 when he opened the innings for Yorkshire: Blake Baxter, retired CIA agent, has been accused of garroting his former mistress, the reigning Miss Universe; the possible permutations seem inexhaustible.
Dennis was a very practical problem solver. ‘To those who decry the decline of civilization, I say, take some action. Agitate and lobby to have the creation and dissemination of bad art made a capital offense. Bring back public executions…hangings are good…for bad art. They could start small, say, a couple of poets, and then move up through playwrights, tv writers, artists, and composers until there would be only fine art remaining. Of course, Rupert Murdoch, the Lorenzo de’ Medici of the vulgar and meretricious, would have to be taken care of in a special way. Perhaps an auto-da-fé broadcast live over satellite.
Dennis, Therese, and I were eating ice cream cones in a park on a lovely June day in 1996. He was looking immensely pleased with himself, and was practically quivering with laughter. He seemed ready to explode with fizz. ‘So?’ we asked.
The BBC was making a documentary to commemorate the Suez War. It was called Suez: Forty Years On. Dennis had been asked to narrate his part in the conflict. ‘I was the biggest man in the regiment, so I had to carry the bloody Bofors gun all over the desert. I wasn’t allowed to shoot it, just carry it. We were stationed in a little mud brick village named Sweetwater. The BBC decided to send me back there, trust to my creaky memory, and have me reminisce about Sweetwater in 1956.
Dennis dieted and lost 20 pounds. He went to Savile Row and had a suit custom made. He grew a beard. He was the center of attention in Sweetwater. The streets of the town had been cleared of people. Two dozen BBC employees danced around him putting on his makeup, checking the lighting, laying rails through the village so that the camera could track him, running lines of script with him, etc. All while the villagers stared at him from behind earthen walls. He was obviously a man of importance.
He began chuckling as he told this to us. ‘ I’m walking down the street looking at the camera, gesticulating solemnly, stopping to peer into the sky as if in the throes of a vision, but actually trying to remember my lines, trying to ignore the dozen or so people frantically waving directions at me…You know what it’s like to be the center of a small universe.
‘Suddenly a little boy of seven or eight was pushed out from behind a wall and came running to my side. Tugging at my sleeve, he looked up at me with lustrous, adoring eyes and said, “Meester, who are you?”
‘ I looked down at him and said in my plummiest voice, “Bond. James Bond,” and kept walking straight ahead. There was pandemonium in the village.’
Therese and I were holding our sides with laughter. Dennis’ eyes were big and bright. ‘At that moment I thought, this is why I carried that f***ing great gun around; this is what I was meant to do. And I realized I could now die with no regrets.’
Dennis did not send his annual Christmas message last year, nor did he reply to mine. I recently learned that he had died (on my birthday in November) of a brain tumor after undergoing months of chemotherapy. A horrible and ironic end to a man with a great heart, and an even greater mind. Dennis was a remarkable scholar, a superb translator, a fine poet, a doting husband and father, and a loyal and generous friend. The world has lost a wealth of laughter and sanity now that he is gone.

STRESS IS BACK IN THE NEWS
We have written often and in detail (notably Newsletters Nos. 16 & 17) on the pernicious effects of stress on health. We counsel pre-fertile, fertile, and post-fertile women on the relationship between stress and their reproductive system until we are blue in the face. We talk about fibroids, and cysts, and irregular periods, and PMS, and infertility, and violent cramping, and sporadic spotting, etc., and how they are usually stress-related. We have counseled women about stress during pregnancy, especially in the first term when it is often a cause of chronic morning sickness, and in the third term when it can lead to premature labor and birth.
Now comes word from (gasp!) the AMA that stress effects a woman’s reproductive system and influences pregnancy outcomes.
America ranks high in the world (#34) among countries in infant mortality before the age of one. (I believe Iceland has the lowest infant mortality rate.) This is the worst record in the industrialized world, and is far higher than even a country in a constant state of war such as Israel.
What is even more remarkable is that the rate of infant mortality and premature births in the black American community is twice that of the white American community regardless of education and socio-economic status. Well-educated and high-earning black women have much higher rates of infant mortality and premature births than uneducated, relatively poor white women.
Epidemiological surveys have shown that genetics is not an issue, as black African women have identical rates of premature birth as white women. Education, wealth, and availability of medical attention are not factors. All the evidence points conclusively to one factor: racism.
The researchers believe that chronic stress of social prejudice and unequal treatment keeps black women in a state of mild to medium anxiety. Racism is not an occasional problem, but a daily stressor that causes the constant release of stress hormones. The cumulative effect of these hormones is the degradation of the body’s organs (call it advanced wear and tear). It is speculated that these hormones can lead to premature birth by: 1) acting as a trigger mechanism for labor
2) causing the diameter of the placenta to shrink; the baby’s life becomes endangered, and the body seeks to expel it 3) inflaming the lining of the womb, which induces labor.
One of the benefits of a SIKE treatment, and the greatest benefit of doing kiryu daily, is the removal of stress from the body. It’s no good spending a fortune on organic, fair-trade, eco-friendly food and drink if your organs can’t process the food adequately due to stress. Think beautiful thoughts, and come and see us.
GOING WITH THE FLOW (Season Change and the Body) - July 2008

MF writes: The four seasons according to Americans:
Spring: March Madness gives way to Easter, a holiday in which thousands of high school and college students celebrate the death and resurrection of Christ by running amok at resorts.
Summer: Hot hot hot! Let’s go on vacation.
Autumn: A boring stretch of time redeemed only by children returning to school. Leaves change color and die…ho hum. Maybe Halloween and Thanksgiving will provide some excitement.
Winter: Cold cold cold, but filled with holidays and the thrill of spending ourselves into debt.
Few of us believe that the change of seasons exerts a physiological effect on the body. After all, thanks to thermal technology, we can live and work at a constant temperature throughout the year. New Zealand and Chile provide the Northern Hemisphere with summer fruits and vegetables during our winter months, and I have no doubt that we reciprocate the favor during their winter months. Refrigerators and freezers preserve food well beyond their natural lifespan. Man-made fibers resist the winter cold with as little weight as summer cottons. Clean drinking water is piped into our homes year-round, and we do not have to contend with seasonal droughts or floods for the precious fluid. The length of each day is unvarying thanks to electric lighting. We have just as long a workday during the “short” days of winter as during the “long” days of summer. Neither scorching heat nor arctic blasts prevents us from socializing with our friends thanks to well-equipped automobiles. Movie theaters, playhouses, sports arenas, and other places of amusement and entertainment offer us diversion throughout the year.
The list of devices, techniques, and facilities to baffle and defeat the environmental changes of the seasons goes on and on.
Stephen Jay Gould wrote that the three greatest factors extending human life were the discovery of sanitation and hygiene, the invention of the X-ray (allowing us to see under the skin), and the discovery of penicillin. Whereas life was once “nasty, brutish, and short,” it is now no longer short. However…
THE CAVEMAN IN YOU
Human life was conducted in caves and mud huts for much longer than it has been conducted in centrally heated condos and tract homes with all the modern conveniences.
Put simply, we have not yet evolved into our contemporary living spaces.
You may revel in the fact that you are a Homo Sapien with a university degree and a six figure income, but physiologically, you are strictly Neanderthal, and as such, susceptible to all the physiological seasonal changes as your hairy forebears.
There are actually only two primary seasonally induced changes, but each of these induces smaller changes throughout the body in a ripple effect. The body is always adapting/fine tuning itself to the subtle changes produced by season change.
The two primary changes are, of course, tension and relaxation.
The body is in a constant state of flux as it expands and contracts. It expands (relaxes) in the warm and hot months, and contracts (tenses) in the cool and cold months. There may be as much as an inch difference in your height between the hot and cold seasons.
The body tenses from the feet upwards, and relaxes from the head downwards. You may visualize a wave starting from the soles of your feet and working its way slowly upwards, and then, reaching the crown of your head, beginning its descent to the ground. The wave never ceases from the moment of birth until the moment of death.
The body does not begin to adapt to the season when the season changes, but well before so that it enters the season fully prepared for the environmental change. The body will never be caught off-guard by season change, unless you abuse it to the extent it is unable to change. Left to its own healthy devices, the body will never have to play catch up or slow down with the change of seasons.
So, for example, the body begins its change for winter in late August or early September. The body is always one step ahead of the season.
BASIC SEASON CHANGES
(ANTIPODEAN READERS SHOULD INVERT THE SEASONS)
Autumn Changes (Late August to Mid-October)
The body needs to contract: skin, hair, teeth, and internal organs all begin to tense. However, we place demands on our body in the form of activities that hinder the contracting process. We work just as long hours; we still attend PTA meetings; we maintain an active schedule to fulfill duties and obligations.
In order to promote and facilitate the contracting process, the body will become “tired.” We do not feel as energetic as usual, and this forces us to cut back our activities. This tiredness is manifested by tension in the spine, particularly at T1-4, and weakness in L3 and L4. If the body cannot obtain rest by means of this tiredness, it will next resort to catching colds.
The ankles begin to tighten and stiffen at this time. It is important to rotate the ankles in order to keep them flexible.
The sweat glands, hitherto wide open, begin to close in order to protect the skin. The skin itself begins to tighten as if “battening down the hatches” against the cold of winter. This battening down process accelerates as the air becomes cooler and drier. Women frequently get dry, flaky skin. The dryness begins at the shins and calves, and progresses up the body to the scalp.
The female pelvis tenses and contracts. When women get an autumn cold or feel tired, this may lead to menstrual irregularity and/or lower back ache.
As the body contracts, the pain of old wounds and blows may resurface, and muscle ache, rheumatic-like pain, and other aches and pains arise.
Small children are prone to ear ache and nose bleeds at this time.
The stomach contracts, however most people continue eating the same quantities of food as during summer. This can lead to more tiredness, even to fatigue as the stomach struggles to cope.

Pre-Winter Changes (Late October to Early December)
The body’s contraction is almost complete. The spine has now contracted, and the scalp begins to contract. The body has a tendency to become dehydrated. Plenty of liquids, especially warm liquids such as soups and broths help ease the body into winter. It is good to slightly increase salt intake.
If the lips and sides of the mouth become dry, this is a sure sign of dehydration. The body will do all it can to retain water, and so will become swollen if liquid intake is not increased. This swelling is usually seen in women in one of the thighs. It will be larger than the other. Increasing water intake will result in the release of “stale” water by the body.
The T11 vertebra may become stiff and painful if dehydration persists. Middle-back pain can be alleviated by drinking a lot of water.
Finally, a lack of water at this time will lead to stiff shoulders.
The hamstrings become tight and tender to the touch. It is good to give direct qi to the hamstrings if you feel stiffness there.

Winter Changes (Early December to Mid-January)
The body has closed up; contraction is complete. The skin is tight and has lost a lot of moisture. The waist and hips are also tight, and so the body loses some flexibility. Twisting and turning from side to side are not as easy as in the period of warmth. One arm is likely to feel dull and the shoulder blade on that side may get tight, even a bit achy. The lumbar vertebrae are frequently tight, and the muscles alongside them may become tender to the touch.

Early Spring Changes (Mid-January to Mid-February)
The body begins to loosen in anticipation of spring. The loosening process begins at the top of the head, and works its way slowly downwards. You can feel the scalp relax from the crown of the head to the lower back of the head, and the skin of the scalp and face becomes more moist and oily. Following this, the cervical vertebrae begin to loosen. This expansion should be encouraged. This can be done by letting warm water run over the back of the neck when showering. It is also useful to take a hot compress and place it on the sides of the bridge of the nose for two or three minutes daily.

Spring Changes (Mid-February to Mid-March)
The cervical vertebrae will have relaxed by now. It is time for the thoracic vertebrae to follow. In early March, the lumbar vertebrae and pelvis will loosen, so that the body will be flexible and relaxed for the warmth of spring.
As the thoracic vertebrae begin to loosen, people commonly experience stiff shoulders or pain in the upper back. In extreme cases, upper back spasms occur.
It is not uncommon for T6 to twist, and this leads to problems with digestion, most notably acid reflux (heartburn).
As the head, neck and upper back begin to relax, the mind, which has been fairly tranquil during the cold months, begins to buzz with activity. It may become filled with repetitive, annoying thoughts or hints of thoughts. (A healthy mind indulges in flights of fancy or imaginative fantasies.) The sensation of anxiety is not uncommon at this time, and this feeling leads to shortness of breath. I have been told that this is the peak season for suicides. Feelings of anxiety or repetitive morbid thoughts should pass as the weather turns warmer, and the body is naturally induced to sleep more deeply.
As the thoracic vertebrae relax, female skin may blemish easily and lose some of its natural moisture. It is a good time of year to add body oil to your bath water.
March is the most important time of year for the female reproductive system. There may be a tender, stationary lump in one of the breasts, located on the side of the breast where it meets the ribcage. It is easy to check for this lump by lying on the back, and feeling along the side of the breast with the middle, ring, and little fingers of the opposite hand. This lump will pass as the season changes. This breast usually corresponds to the working ovary that month. (Lump in left breast indicates that the left ovary is working.) It is a useful means of ascertaining the working ovary in order to keep track of the menstrual cycle.
Women should give themselves, or receive from others, direct qi to the resting ovary in order to ensure a smooth and regular menstrual cycle for the rest of the warm weather period.
As the ankles begin to relax from the tension of winter, they may be weak and unstable. Be sure to give them plenty of stretching exercise to impart strength and flexibility.

Early Summer Changes (Mid-March to Early June)
Summer is the season of peak expansion. The spine lengthens to full extension, and a person normally “grows” a half-inch to an inch in height. The shoulders, lower back, and hips tend to twist in the direction of the individual’s dominant side. The result is often a weak or aching lower back. Twisting the body by looking over your shoulder should be done several times a day as a corrective to this natural twist.
The body enlarges despite a smaller appetite. Weight gain of 2-4 pounds is not uncommon during summer. The body stabilizes itself by lowering its center of gravity slightly. Weight is directed downwards, towards the ground.
The body’s metabolic rate increases. Body cleansing—through the digestive system, urinary tract, and the skin—is performed faster at this time of year. External stimuli are felt more keenly, as are emotional stimuli. Joy, sorrow, optimism, anger, etc. seem more intense at this time of year. There is a tendency to act on impulse, and it is good to think something through before putting the impulse into action.
The quality of sleep will improve from early May. Sleep will become deeper and more refreshing. When this happens, the mind will relax and anxious thoughts will pass.

Summer Changes (Early June to Late August)
There is a tendency for the pulmonary system to weaken. Be aware of your breathing and if you are feeling satisfied by the fullness of your breath.
Putting qi directly into the top back of the head will strengthen the pulmonary system, increase appetite, and prepare the body for a smooth transition into autumn.
If the elbow joint(s) becomes stiff during summertime, hold the elbow in the palm of your hand and give direct qi. Anyone who has ever dinged his elbow knows about the existence of the “funny bone.” This is a nerve cluster at the elbow joint. This is the point into which you put your direct qi.

Biorhythms - September 2008
MF writes: Our bodies are in a state of unceasing flux and motion both microscopically and macroscopically. Our hearts beat, our lungs respire, our skin expands and contracts, and all the atomic and sub-atomic particles that constitute our corporeal self zoom all over our living autobahn. Our bodies also come equipped with an unceasing rhythm that naturally tenses and relaxes us. In the world of qi, this rhythm is called a “tide,” and our minds and bodies are always moving between “flood tide” and “ebb tide.” You may think of the former as “active” and the latter as “passive.” For those of a Far Eastern bent, think “yang” and “ying.”
The tides are like the Russian folk dolls that live one inside the other, each becoming progressively smaller. Our largest tide is birth and death. We are born at flood tide, and die at ebb tide, though there is a sudden and powerful transition to flood tide at the exact moment of death. Each of us has a lengthy rhythm cycle of varying duration. Mine is nine years; that of my wife is seven years. The next rhythm durations become progressively shorter: a yearly rhythm, a monthly rhythm, a weekly rhythm, and a daily rhythm. We are most aware of our monthly rhythm.
A pregnant woman goes into the active flood tide from the moment of conception until approximately 10 days before labor begins, at which time she goes into the passive ebb tide. The fetus is in ebb tide until the mother swings into ebb tide, at which time its biorhythm changes to flood tide.
The woman is physically responsible for the welfare of herself and her fetus for the term of the pregnancy, and so stays at flood tide. The fetus is dominated by the mother’s qi and physicality, and so stays at ebb tide for nine months.
When labor begins, Nature has seen to it that the baby fight its way into the world through the birth canal, and this requires it to be in the active flood tide. At the same time, the mother must relax so that the pelvis opens to maximum width in order to allow the baby to come out easily. She goes into the passive ebb tide.
At the moment of birth, the baby once again lapses into ebb tide, and the mother, faced with feeding and nurturing a helpless creature, changes into flood tide. It takes the new mother about six weeks to return to her characteristic flux between ebb and flood tides.
The physical and mental characteristics of flood tide are: the face is firm, compact, and has good color and sheen; the hair is firm and “works well;” you do not need as much sleep time or food to function at full energy; the memory is sharp; you do not forget or lose things; you tend to be forward looking and even optimistic.
The physical and mental characteristics of ebb tide are: the face is pallid, loose, puffy, and seems wider than usual; the hair is soft, lank, and does not “work well;” the palms tend to be moist or sweaty; it takes more sleep and food to function at full tilt; you tend to be absent-minded, and forget or lose things; your outlook is past and present-oriented, and life does not seem to present many opportunities.
The tides manifest themselves in a pulse just below the navel. This pulse rate corresponds to that found on the wrist. Having accessed your qi, place two fingers 1 inch below and 1 inch to the left of the navel, and see if you feel the pulse. Then try placing your fingers 1 inch below and 1 inch to the right of the navel.
A pulse on the left indicates flood tide, a pulse on the right indicates ebb tide. The pulse may travel further than an inch from the left or right of the navel. The further from the navel the pulse is found, the more pronounced the degree of the tide.
Another way to ascertain tide is: with the person lying on his back, watch carefully as they inhale and exhale. If the inhalation is longer than the exhalation, they are in a state of flood tide. A longer exhalation indicates ebb tide.
Doing kiryu¯ on a regular basis will keep your body’s natural rhythm moving smoothly between the two tides.
Case History
My wife, Therese, was feeling and behaving uncharacteristically. Her hair wouldn’t do what she wanted it to; she was constipated; she was moody; she slept and slept, yet could not shake off a feeling of tiredness; food did not taste as good as it used to; she had trouble concentrating, and frequently dropped things.
This state of affairs continued for a couple of months, and though it was annoying, we were only slightly worried that it indicated a deeper problem.
Our qi practitioner, Kayoko Matsuura, on the other hand, was overjoyed.
“Your biorhythm is on a seven year cycle, and you are now at the lowest point of it,” she chirped with delight. “You could come out of it naturally, but that would take months. Why wait? Let’s start you climbing back into flood tide today.”
Mrs. Matsuura worked on Therese for thirty minutes, and declared that she was out of the woods.
We left Mrs. Matsuura’s house and began walking towards the train station when all of a sudden Therese said she felt tired. She had been saying that for two months, so I did not pay any attention, but continued walking. I had gone about 20 feet when I realized that I was walking alone. Therese had fallen down in the road, dead asleep.
I could not revive her. I half-carried, half-dragged her to the station and pushed her onto a train. She slept the entire two-hour trip to our station. I then had to carry her home. The sight of a white caveman carrying his mate like a sack of potatoes excited a lot of comment in Tokyo. I dropped her on the bed, and she continued sleeping for eighteen hours.
When she awoke, she raced to the toilet where she ensconced herself for two hours of almost continuous relief. With the final flush, she returned to bed and slept another eight hours.
The next day her hair was working well and all of her lovable characteristics had returned.
She has passed through three more seven-year cycles since then. Her low point was never as pronounced as that first experience, by means of applying qi to the pulse on her right side, and by doing kiryu¯ twice a day during her low period.
THOUGHTS AT YEAR END 2008

MF writes: Become serene and think on this. The
full, rich, satisfying life is Either/Or.

If you wish for death,
Then die! If for life,
Live on!
But, oh! What joy
Just to have been born
In this world.
Tanaka Shozo (1841-1913)

Be active without haste…enjoy the pleasure of deep breathing…be fair to yourself and others…have fun
OH, BABY!
Part I  (#26)

One of the most pleasurable qi experiences is to engage the qi of a fetus. From the moment of conception, the vital spark, the energy, the qi with its own brand of DNA are present and can be felt. The fetus has no political or religious affiliations to lock horns with, has no desires other than to get big and stay in a warm wet environment, and is eager to please in order to realize his/her desires.

After a two-year pregnancy drought, we recently had the pleasure of taking two women from conception to childbirth. We detected the presence of conception days before the result of the pregnancy test was announced. We monitored the pregnancies throughout their course, and true qi babies were born: 1) at the moment of birth, the baby is alert, and seems aware of its surroundings; then it goes into its “baby” mode 2) the baby has a lot of “bottom”, meaning it feels solid, almost heavy when you hold it 3) the skin has a glow and sheen.

So, you ask, what does baby qi feel like? Most commonly, it is a buzzing sensation like something tiny and intense vibrating in the hand. One of the women had a very mellow baby. This child produced a warm, flowing, wave-like sensation in the hand that never varied from conception through birth. This baby was very cooperative: she let her mother sleep through the night, did not kick or elbow her during rest times, and turned nicely about week 32.

The other child was more typical. He liked to play hide-and-seek from the qi, and would not always respond when called. What do you mean, when called?, I hear you ask. I mean that I place my hand on the mother in a location likely to find the fetus (for example, until the baby rises, the fetus is always under the pubic bone on the mother’s left side; the baby always rises on the left just below the navel, etc.), and send qi specifically to the fetus. The fetus will respond with a burst of qi back to my hand.
Babies in the womb love to have the base of their skull caressed with qi, and will frequently come to the qi and turn so that they receive that caress. The hypothalamus is at the base of the skull, and this stimulates in utero growth and development.

In Chinese and Japanese, the word for “womb” means baby palace. This, to me, conveys a lovely image. The palace is large and clean and usually houses a single ruler. All things necessary to maintain a comfortable life are provided free of charge: food, air, water, warmth, and indoor plumbing. No wonder at some time or other we all wish to return there.

The baby palace is also a very secure place, full of sounds and sweet airs that give delight and hurt not. The baby does not hear voices so much as experience them. He/she is enveloped by energy and vibrations within the palace walls. Qi is one more vibration for the fetus to enjoy and to respond to.

The mother-to-be lies on her back with her head on a pillow and a low bolster under her knees. Seated at her right side, I place my right hand just below her navel, usually on her left side, and my left hand on her right shoulder. I send qi with my right hand into the womb just as I would cast a fishing line into a lake, and wait to get a “bite”. Babies in the first and third trimester usually respond right away. Babies in the second trimester between the time they rise and the time they prepare to turn are playing here and there in the womb, stimulating their own growth and the development of their nervous system. They tend to treat my sending qi as a game. Eventually, they will come, but sometimes they will swim away and make me come to them.

This is the pleasure of the experience for me. The mother and I are both relaxed. Typically, we will have synchronized our breathing without conscious effort. I feel the warmth and security of the fetal environment, and also the sharp stirrings of life expanding. There is no eye contact, no verbal contact, no give and take…there is nothing but the physical sensation of two lives greeting each other and taking the measure of each others’ energy. The experience is pared to the essence of life. It may be “primitive”, it may be “transcendent”; I’m not sure which, if either. It is fulfilling and bliss-inducing. It is an additional pleasure to be paid to receive such delight.
Oh Baby!
Part II (#27)
The energy, the qi, of a woman’s body changes perceptibly from the moment she conceives. As I have written in previous newsletters, we are all governed by biorhythms of various cycles. These cycles are similar to the Russian nesting dolls which live in diminishing size one inside the other, yet each has its own features and characteristics. There are seven year cycles, annual cycles, seasonal cycles, monthly cycles, weekly cycles, daily cycles, and even hourly cycles. The combination of these cycles we refer to as Tides. High Tide is when you feel sharp, alert, your skin texture is tight and good, your hair works well, you have a generally optimistic outlook, etc. Low Tide is when you feel dull, lethargic, your skin is texture is puffy and perhaps blotchy, your hair is a mess, and your outlook is on the dour side. In between are transition points which may have elements of both High and Low Tide.

From the moment of conception, a woman’s body moves into High Tide and, if the pregnancy is a typical one without complications, her body remains in High Tide until it is time to give birth.

Within a week of learning that Therese was pregnant, I felt a change in her energy when she gave me treatments. Her qi had become stronger and more incisive, yet it had a soothing quality to it. I felt this change physically, but I ascribed it to wishful thinking on my part. No doubt my delight at her pregnancy had colored my senses and led me to feel what was not, in fact, there.
Three weeks into her pregnancy when she and I were still the only ones who knew, Therese’s patients began to feel the change. Not only did they comment on the intensity of her energy, but noted that her treatments, usually effective, had become much more so and took less time. What normally took thirty minutes to change in the body could now be done in ten. I had not been deluded by joy.

Not only had Therese’s body moved into High Tide and remained there, but it seemed to me then and seems to me now that the female body contains a mass of latent power that does not come into play until the organism becomes pregnant. This is like Pavarotti using his voice to sing only nursery rhymes, or the space shuttle being used to go to and from the market: the greater part of the potential is wasted. The female body was created to reproduce in quantity, and it is at the moment of conception that the latent energy rises to the surface on the crest of her Tide.

The baby, on the other hand, is in Low Tide from conception, and is totally dependent on the mother for food and lodging. In the second trimester after she rises, the baby will do kiryu in the womb, exercising her developing mind and body.  She will remain in Low Tide until it is time for her to be born.  It is commonly understood in many “scientifically advanced” societies that the mother actively gives birth to a passive baby who doesn’t do a whole helluva lot to get born. A lot of pushing and breathing and coaching and cheerleading are required for the mother to give birth. 

In fact, just before the mother goes into labor, her body drops into a Low Tide passive state, and the baby jumps into High Tide. The baby actively fights it way through the birth canal and, if the English language will pardon me, borns itself. Once the baby clears the birth canal and the umbilical cord is severed, the baby immediately drops back into its totally dependent Low Tide state, and the mother, who must nurture and feed the newborn, swings back into High Tide.

Therese’s energy returned to its original state following the birth of our son. She lost her superpowers with motherhood. Her qi changed and her biorhythm returned to normal as her pelvis closed during the first six post-partum weeks. It took about three months before we were able to gauge accurately our son’s changing tides.

THE SIKE PRACTITIONER
Part I (#28)
Those who are occupied in the restoration of health of other men, by the joint exertion of skill and humanity, are above all the great of the earth. They can even partake of divinity, since to preserve and renew is almost as noble as to create.
Voltaire, 1776
  It is the practice of modern medicine to see a stomach as a stomach and emotions as emotions. The former is mechanical and the latter is chemical, and so one is sent to different practitioners for each. However, a SIKE practitioner sees the mind and body as a single unit. More than that, one must recognize that the mind/body connections differ between individuals.
     The difficulty of learning the technical side of SIKE is obtaining and implementing the knowledge of what technique suits what individual. Before you even begin the technical side of treatment, the practitioner must read the patient’s sensitivity in order to know how much to apply and where. This is, indeed, difficult, but if you are to treat each patient as an individual, you must first take a reading of his or her sensitivity/receptivity. Without taking the measure of the individual, you might end up giving them an ineffective or counter-productive treatment: like giving toast to a thirsty man.
     Taking the measure of the individual is done by reading the head, both the anatomy and the energy, and by feeling the flow of qi along the spine. By doing so, we are able to discern past injuries and traumas, both physical and emotional, and how the body has accommodated them over the years. We can gauge quality of sleep, anxiety, tension, and other factors contributing to overall wellness or lack thereof.
     There is a spiritual, even divine, side to giving treatment. In the moment it takes to effect a change in the patient, you feel as if you commit yourself to an irreversible action. It is as if your fate becomes inextricably linked with that of the patient who lies before you. That is why in Japan each and every patient—even parents with their children or family members together— bow before receiving treatment. Practitioner and patient bow to each other. The significance of this act goes beyond the mere gesture of bonding through mutual respect.
     First, it is actively involving the patient in the treatment; we give together and receive together. The sensitivity of a totally passive patient is difficult to read. Moreover, the practitioner is giving of her/himself, going all out to treat this human being as if this is the one and only time he will ever touch him/her.
     To have a person lay there as passive and uninvolved as a bump on a log is not conducive to the practitioner’s sensitivity. The patient must be engaged in the treatment process.
     Second, when you bow properly, your qi will collect at the tanden (3 fingers-breadth below the navel) as you exhale. This centers the qi of both the practitioner and patient, and so makes for a good start for an effective treatment.
     Reading the spine is important, but it is just as important to be aware of the body shape, and the distribution of tension and relaxation throughout the body. Without this awareness, it is hard to know when the right change has taken place. The more sensitive the patient (and qi treatments will produce sensitivity), the faster the changes, and the less treatment is necessary. In really sensitive people, those who have had regular qi treatments, the body needs its own time and space to accommodate and adjust to the changes.
     One cannot force qi on a person in the expectation of changing them quickly. That is like a door-to-door salesman flogging a useless product. It will provoke resistance rather than cooperation.
     A moment comes when you feel a sudden change in the patient’s body: the qi has gone through and done it! It is a very liberating feeling. If at this point the practitioner thinks, “Well, he’s better, but not completely better. Just five more minutes of big qi will heal him completely,” and act upon that thought, she will set back the healing process. You have to know when to stop.
     The SIKE practitioner’s role is to initiate the healing process that will ultimately be fulfilled by the latent strength of the patient. Once you have felt the process begin, it is time to desist and let it carry on by itself. This means giving the patient time and space to heal himself before reading his spine again and giving treatment.
     The least effective treatment is that where the practitioner “takes control”, and tries to force a cure. When one feels a change for the better, no matter how slight, leave it at that. Once the healing process begins, all it takes for most people is a good night’s sleep for the body to adjust itself and accelerate the healing process.
     Knowing the limit of each individual treatment is where the technical finesse of SIKE treatment lies. Knowing where to stop is the essence of treatment. A bad practitioner ends up doing a sort of qi-wrestling with the patient. It wears the practitioner out, and leaves the patient confused.
     One must always remember, there are limitations to what one can do at a certain time. Just as one more drink will make you drunk, or one more bite will make you nauseous, that one more little bit of qi that takes you beyond a certain boundary will do no one any good.
     One of the essentials of practice is learning to feel the boundaries.
Haruchika Noguchi, the founder of Seitai (SIKE in Japan), wrote: What we do is not a job or an occupation. It starts from caring for each others’ bodies and each others’ health, and so should be considered the cultivation of life and living rather than a job. In this sense, the practitioner must be an exceptional individual. He or she must bring a unique ability and potential to the skill. Certainly, practicing Seitai is immensely interesting, and this interest is what piques one’s ability into action. Thus, one should not “study” Seitai, but rather follow one’s interest.
     People ask if we give medical treatment, and it is disingenuous to say No. However, if people ask what we do, I reply, 'physical education'. Literally, we educate people to their bodies. This entails changing our vocabulary, changing our procedures, and changing our outlook and goals. This is, indeed, what makes our work so special.
     I do not want a clinic full of sick people waiting their turn to be healed. I want an association of healthy people taking care of each other so that, following their healing initiation into Seitai, they seek of their own accord a continuity of health and well-being and only a minimum of 'treatment'.
How SIKE differs from other qi-based disciplines and holistic modalities
     SIKE does not seek to impose “healing” qi on an individual---rather, it seeks to remove obstacles and impediments to the individual’s own flow of qi. That is to say, we remove obstacles so that the innate qi can effect a beneficial change.
     Thus, we subtract rather than add. We persuade rather than coerce. We believe that the body is always inclining toward health, and that, barring impediments, health can be attained and maintained by the individual. Added to this is the power of suggestion; by this I mean working upon the individual’s subconscious to induce change. We do this by carefully observing the body, and then pointing out how the individual can help him/herself simply by thinking that a healthy change is possible.
     “Your body is very responsive and shows great sensitivity to qi treatment. You should feel the positive effects very soon.”
     “You may not have felt it, but your body has changed. It is very susceptible to this kind of treatment. You will probably have a slight cleansing, but nothing to worry about.”
     We do not rely on any tools, props, machinery, implements, tests, totems, talismans, incantations, or prayers. We seek to implant a healthy, positive idea in the individual’s mind that will relax that person enough that his qi can naturally adjust his body.
     We do not believe that everyone is capable of regaining health or attaining to a health status they never before possessed. We cannot turn a 94-pound weakling into a 200-pound body builder. We can, however, make him the healthiest 94-pound weakling he is physically and emotionally capable of becoming.
     Since we are using qi to “talk” to qi, there are often instances where the qi’s do not “get on” or blend, and so treatment is fruitless. Some people’s qi defies treatment by certain individuals, and it is best not to get involved with such people if your own flow of qi is diminished or even halted.
     We do most of our work through the nervous system(s) and extrapyramidal motor system. There is, naturally, some overlap of “points”  and “meridians”  between SIKE and other disciplines such as acupuncture, shiatsu, and qi gong. However, the majority of these “overlaps” do not correspond to the same organ or treatment in SIKE as in other disciplines.
     This is because we work topically through the spine and the nerves therein to produce an effect or “resonance”  that combines with points and meridians differently then when using needles or finger pressure.
     Bones, muscles, and organs---any tissue---will not move without a neural command. This is how SIKE achieves its effects, by stimulating/inducing the tissue to change by means of a neural command. For example, in order to move the sacrum or coccyx or pelvis to treat backache or sciatica, we stimulate the surrounding muscle tissue to move, and this movement shifts the bones. Thus, SIKE is non-invasive and rarely uses manipulation.
THOUGHTS AT YEAR’S END 2009
(#28)
 Sometime around 30 B.C.E., a young Hindu ascetic found himself perplexed. There were so many different religions and schools of religious thought, each claiming its own superiority in the attainment and exposition of Truth. The young man decided to visit all the various schools of thought and houses of worship, seeking the religious leaders therein, in order to pose the following problem: standing on one leg, the sage must explain the essence of his religion. The young ascetic would offer his allegiance and devotion to whoever passed this test.
     He traveled throughout India, Persia, and Hellenized Syria seeking out famous religious leaders. And to each he posed the problem. Each sage took up the challenge eagerly and with great confidence in his ability to expound the Truth while standing on one leg.
     “You see,” each sage began, “in the beginning there was this, which led to that, and so on until we come to, which led us to conceive that…”
     After a couple of minutes, the leg supporting the sage would begin to tremble, and after another minute, he would fall over before he had even begun to discuss Truth.
     The Hindu was disappointed, but was determined to visit Rome and beyond if that was what it took to hear the truth.
     He was not destined to go that far. In the fifth year of his travels, he arrived in Jerusalem, and was told that a man named Hillel was a great sage with a genius for expounding Truth. The ascetic went straight to his school and put the problem to him. Hillel listened gravely.
     “The essence, eh?” he mused, and then smiling, said that nothing could be easier.
     Raising his left leg, he said, “Compassion,” and lowered the leg.
     “But how can you say that? The essence of your religion has got to be more than one word!” exclaimed the young ascetic. “Do you not have a lengthy Bible, and Torah, and Talmud and more? What do they represent?”
     “Commentary,” replied Hillel, and waved the young man away.

THE SIKE PRACTITIONER
PART II

   Compassion is a powerful frame of mind that maintains its objective integrity. It looks upon objects and circumstances unmoved by impulse or high emotion. It is the supreme form of pity and tenderness.    
     Sympathy and a wish to do good at any cost are weak emotions that are at the mercy of subjectivity. They internalize an external problem, and frequently lead to wishing to put oneself in another’s place, or to take another’s pain upon oneself. One frequently has the feeling that one “has been there and felt that,” and that one has the ability to deal with another’s problem.
     It is ear-catching political rhetoric to announce in varying degrees of sincerity, “I feel your pain.” The fact of the matter is, the politician neither does nor can feel another’s pain. One cannot internalize poverty or child abuse.
     On the contrary, the practitioner is very susceptible to another’s pain. A gush of sympathy opens the door to the receiver’s qi entering you and bringing its problems with it. A practitioner who sympathizes with a receiver in the middle of an anxiety attack will himself become anxious, even panicky. To try and understand another’s stomach pain while giving qi to the stomach will bring that pain into your stomach.
     Compassion keeps the mind focused and objective, allowing us to make the right move at the right time. Sympathy negates our objectivity, and clouds our judgment.
     On the third day of a recent 5-day qi workshop, a participant complained of the sudden onset of a severe headache. One of the other participants exclaimed, “You poor dear. I know just how that feels. Let me give you qi.” She raced over and put her hands on the other woman’s head, and as fast as thought, the headache entered her and caused her to cry with pain. When I felt her head, the qi was stationary, and just whirled in a small space like a dog chasing its tail. These were the same symptoms as the first woman presented. She had unwittingly taken the woman’s pain upon herself, and was no longer an effective provider of qi. She would have provided relief and saved herself a headache by remaining dispassionate and acting out of compassion.
     A sympathetic practitioner says, “I will share that person’s pain.”
     A compassionate qi caregiver says, “I will remove that person’s pain.”
     The need to remain objective and compassionate is applicable to any qi-giving situation. I call this state of mind “dispassionate and compassionate.” By “dispassionate” I mean fair, objective, impartial, and levelheaded. It is vital to bear these words in mind when giving treatment, for it is all too tempting to become sympathetic and try to “save” a person. You will simply take their frailties and afflictions upon yourself, and lose your ability to provide them with effective care.
CHANGE OF PACE
(#29)
2009 was grim year in many ways. The more I think about it, in all ways. So it’s time to start the New Year with some yuks. Read on…

A Brief History of Medicine
A man goes to a doctor to treat his earache.

2010 B.C. “Here, eat this root.”
1010 A.D. “That root is heathen. Say this prayer.”
1510 A.D. “That prayer is heretic. Say this prayer.”
1850 A.D. “That prayer is superstition. Take this potion.”
1910 A.D. “That potion is snake-oil. Take this pill.”
1970 A.D. “That pill is ineffective. Take this antibiotic.”
2010 A.D. “That antibiotic is artificial and causes serious side effects. Here, eat
this root.”

The Theology of Health
And God populated the earth with broccoli and cauliflower and spinach, green and yellow vegetables of all kinds, so Man and Woman would live long and healthy lives.
And Satan created McDonalds. And McDonalds brought forth the 99-cent double cheeseburger. And Satan said to Man, “You want fries with that?” And Man replied, “Supersize them.” And Man gained pounds.
And God created the healthful yoghurt, that Woman might keep her figure that Man found so fair.
And Satan brought forth chocolate. And Woman gained pounds.
And God said, “Try my crispy fresh salad.”
And Satan brought forth ice cream. And Woman gained pounds.
And God said, “I have sent you heart healthy vegetables and olive oil with which to cook them.”
And Satan brought forth chicken-fried steak so big it needed its own platter. And Man gained pounds and his bad cholesterol went through the roof.
And God brought forth running shoes and Man resolved to lose those extra pounds.
And Satan brought forth cable TV with remote control so Man would not have to toil to change channels between ESPN and ESPN2. And Man gained pounds.
And God said, “You are running up the score, Devil.” And God brought forth the potato, a vegetable naturally low in fat and brimming with nutrition.
And Satan peeled off the healthful skin and sliced the starchy center into chips and deep-fat fried them. And he created sour cream dip also. And Man clutched his remote control and ate the potato chips laden with cholesterol.
And Satan saw and said, “It is good.”
And man went into cardiac arrest.
And God sighed, and created quadruple bypass surgery.
And Satan created HMOs.
A Joke

A man goes to see a doctor because of chronic migraines. The doctor orders a battery of tests. After paying a small fortune in medical expenses and waiting a month for the results, the man is told, “The problem is coming from your testicles. The results are conclusive and cannot be denied. The only way to get rid of your migraines is for you to be castrated.”
The man is horrified, and stammers that there must be another way to solve his problem. But the doctor is firm, and painstakingly shows the man all of the test results and explains why they are conclusive.
“Well, I am not going to be castrated,” the man says.
“Very well,” says the doctor, “you’ll just have to go on living with agonizing migraines.”
A week later the man returns to the doctor and says that he would rather live without migraines than with his testicles. The doctor concurs, and says, “I have a grief counselor on my staff. Why don’t you speak with her before surgery? I’m sure she can point you in a healthy, comforting direction.”
The grief counselor says, “Don’t think of it as the end of something, but as the beginning of something. As soon as you are released from hospital, you should get a whole new wardrobe, something bright and cheery, and face the world as a new person.”
So the man leaves the hospital determined to cheer himself up with a new wardrobe. He’s walked about 100 yards when there across the street is the sign
Mo the Tailor, Suits Made to Order. The man enters the shop and there’s Mo, a small, elderly man wearing a gorgeous suit.
“I’d like the same outfit you’re wearing,” says the man. “It’s fantastic. The suit, the shirt, the shoes, the socks, everything.”
Mo says, “Okay, the your size is jacket 42 regular, slacks 37 waist and 32 1⁄2 inseam, shirt is neck 16 1⁄2, sleeves 33, shoes are 13 N.”
The man is astonished. “How can you know all that? You haven’t even measured me, but you’re absolutely correct.”
Mo shrugs. “I’ve been in this business 50 years. I can just look at a man and know his size exactly. I’ll get the fabrics from the back.”
Mo turns to walk away when the man says, “And I’ll take half a dozen pair of underwear to go with it.”
“Right,” says Mo, “size 38.”
“Hah!” exclaims the man, “you’re wrong for once. I take size 36.”
Mo shakes his head. “That’s impossible. Size 36 would pinch your balls and you’d have terrible migraines.”


HOW THE BODY ADAPTS (1)
(ISSUE #30)
You cannot consciously will your heart to stop beating or your
stomach to stop functioning. You cannot demand your body to cease
processing the elements you put in it such as polluted air, lite beer,
and greasy food. The power of prayer will exert no influence on the
quantity of hair you maintain or lose on your head.
On the other hand, the gradual accumulation of negative external
influences—say, financial worries, unhappy personal relationships,
troubles on the job—can cause your heart to stop beating and your
stomach to malfunction. You may develop ulcers or suffer a heart
attack. Prolonged worry will eventually cause your hair to fall out or
lead to constipation.
Your body has reacted to certain stimuli, and has suffered for it.
The suffering was not sudden and unexpected. It was steady and
cumulative. During the “buildup to breakdown,” your body sought to
protect you from the negative stimuli. It alerted you to your condition
by headaches, stiff shoulders, gastric pain, heartburn, sleep
disorders, and other means, and in so doing, kept you functioning
longer than might be expected. In the end, your body was physically
overwhelmed by the constancy and intensity of the mental and
physical stress to which it was subjected. Or to put it bluntly, to which
you subjected it. What I wish to suggest here is the fact that your
body strove to maintain and prolong your health right up until the
moment it was overwhelmed.
Then there is the well-known and often-cited example of an
average man or woman who, at a moment of crisis, performs a
“superhuman” feat. The average person could not possibly walk over
to a car and lift up its front end. However, there are authenticated
stories of an average person seeing someone knocked down by, and
pinned under a car, and running over and lifting the car off the victim.
The physiological workings behind this scenario, as in the case of the
preceding paragraph, are not as important as the phenomenon itself:
the body reacted to certain stimuli in a certain way, this time in a
successful, life-saving way.
What these extreme scenarios demonstrate is the body’s latent
energy and strength for producing beneficial results, that is, the
prolongation of life. This Newsletter seeks to instruct the reader into
the nature of this latent energy and into its use for healing and for
maintaining the health of the body.
Let us look more closely at the example of the person who saves
a life by lifting up the front end of a car. The body received a stimulus,
and reacted to that stimulus. To put it another way, the body quickly
and efficiently adapted to the sudden event it encountered. It did so
naturally, without any conscious thought on the part of the individual.
There was simply a reflex response, the impulse to “do good.” The
nervous system sent out urgent signals, adrenaline and other
chemicals were instantly secreted, the lungs took a deep breath,
oxygen flowed into the blood cells, and a number of other
physiological processes occurred in an instant. With only the intention
to save a life, the body’s strength momentarily increased a hundredfold,
and a life was saved.
This super power was momentary, for it was needed only for a
moment. Once the need has been fulfilled, in other words, once the
body has done what it has to do (save a life), it re-adapts to a new
situation, a situation which does not require all the adrenaline and
muscle power and oxygen, etc. it now possesses. The adrenaline and
other chemicals must be flushed from the body or they will, with time,
turn stale and toxic. The muscles must relax. They will probably be
sore from this unexpected exertion. The nervous system must calm
itself, the heart rate must slow down, etc. The organism will re-adjust
itself to its pre-stimulated status.
This natural behavior to react to stimuli is what I call the body’s
adaptive power, and it is qi that maintains and regulates this power.
The example I have just given is large and dramatic. I do not wish
the reader to think that the body’s latent power is confined to such
macroscopic stimuli. The human body encounters thousands of tiny
stimuli daily, some so small we do not even think of them as stimuli.
We walk out of our home into the fresh air, and we are met with a
different temperature to which we must adapt. We hear loud noises,
soft noises, sudden noises that our senses and mind must adapt to if
we are to survive the day. We meet people we like and people we
dislike, and we react in different ways. We drink too little water and
too much coffee. The former must be retained while the latter must be
cleansed from our system. We eat some food that we enjoy, and
some food whose taste, texture and composition are so unappetizing
that we prefer to think of it as fuel rather than food. The body must
overcome its own distaste with the meal to extract some nourishment
from it.
Though we take it for granted, it is astonishing how our bodies
continually and effectively adapt to each and every one of these
internal and external stimuli. The body’s obsession with micromanagement
makes the most compulsive supervisor look like a
slouch. This is the microscopic working of our latent energy which is
roused into action by our natural adaptive power.
The effectiveness of our natural adaptive power resides in
our sensitivity to ceaselessly changing stimuli, and in the speed
and strength (latent energy) of the body’s response.
If your body is invaded by bacteria, the healthy adaptive response
is quickly to run a fever in order to burn away the invaders. It is
confusing cause and effect to think that bacteria produce fever. We
encounter tens of thousands of bacteria daily and never bat an
eyelash. However, when the body’s ever-vigilant immune system
senses a dangerous trespasser, it launches a brief investigation, and
then takes appropriate action to repel the intruder. You cannot will
your body to take different measures.

HOW THE BODY ADAPTS (II)
(Issue #31)

     If you get a piece of grit in your eye, your body adapts to the discomfort by turning on tears in order to wash the grit away, and the sooner the better.  In the same way, your body adapts to an extreme psychological situation by using tears and vocal sounds as cleansing mechanisms. Whether produced by joy or sorrow, tears and sobs release and remove a powerful emotion from the body where, if it were left pent-up, the emotion would lead to physical discomfort or dysfunction.
     On a more light-hearted note, you can work yourself into ill-health in order to clear your desk in time for your vacation. You may leave for your vacation feeling like something the cat dragged in, but on the morning of the first day of that longed-for vacation, you feel like a million dollars, and your body is more than up to the task of sudden exercise and exertion.
     It is qi that promotes the effective functioning of the adaptive power; it is, therefore, through the working of qi that physical health and mental alertness are maintained and improved.
     There is one more thing to be said about our natural adaptive power. Our adaptive power responds both micro and macroscopically to a continuing barrage of stimuli. This may be called dealing with the present. On top of all this, as if just dealing with this barrage were not enough, the body is also dealing with the past and with the future.
     All of the events in our lives occur within a time continuum, and therefore have a context. Let us return to last month’s car lifter, and put that incident in perspective.
    Her name is Liz Dunn, and she is a 64-year old widow living alone. Her late husband was in the military, and died in a work-related accident eight years before. Her only child, Charles, is 40 years old, and lives half-way across the country.
     Liz has a part-time job with a barely adequate salary, and so has been financially dependent on her late husband’s military benefits.  One day, about two weeks before lifting the front end of the car, she received two communications: one a letter from the Veterans Administration informing her that her benefits were to be reduced by 12% in accordance with their cost-cutting measures; the second an air ticket from her son, Charles, with a sweet note inviting her to spend Thanksgiving with him and his family.      
     The note from the V.A. sent her into a tizzy of alarm. She lost her appetite and had trouble falling asleep. At work, she found that rather than concentrating on what she was doing, she was thinking about how to economize to make ends meet. Sometimes her chest felt so tight that she could hardly breathe, and that would induce brief weeping that relieved the strain.
     At the same time, she looked forward to seeing Charles and his family, though she hated to fly. It was not fear of flying that bothered her. It was the physical discomfort of packing and unpacking and sitting around at the airport and having her flight delayed or canceled and the cramped airplane seats, and then waiting endlessly for her baggage at the other end.
     From the moment the two communications arrived until the moment Liz saw the traffic victim hit by the car, her body was adapting and adjusting to the past stimulus of her bad financial news and to the future stimulus of her impending plane flight, all the while adapting and adjusting to present stimuli.
     Her body was attempting to ameliorate the physical stress her tense emotional state had produced so that she could continue to function in daily life. At the same time, her body was adjusting itself to the idea of a three-hour plane flight, so that it would be ready and resilient to make a successful trip when the day came…
     …when suddenly, an event exploded upon Liz’s present that called for an instant adjustment. When the person had been saved and she released the car, Liz’s body went immediately back to dealing with her past and future adjustments, even as it adapted to the immediate change of events, i.e. great physical strength was no longer needed and she had to relax.
     Even as the body copes and responds to the present, it deals with the legacy of the past and the promise of the future.
     Apart from the unexpected such as Liz encountered, we never enter into a situation that our bodies have not already prepared for, nor, until there is a decisive conclusion, do we ever stop adjusting to past events. When Liz boards that plane, her body will not play catch-up, but will be fully prepared for the flight. And unless Charles offers to make up the 12% pension cut, her Thanksgiving appetite will not improve. 


Qi For Pets (I)
(Issue #32)
The qi you project mirrors your current emotional state. If you
are agitated about finances or disappointed in love, your qi will
have those qualities, and you are unlikely to produce soothing
or healing effects when transmitting your qi. Your qi will be
hesitant, tentative and perhaps even agitated.
On the other hand, should you feel on top of the world,
relaxed, happy, and satisfied, your qi will produce highly
effective results in a short amount of time. In other words, qi
produced by worry, tension or agitation will likely produce
similar effects in others, while qi produced through relaxation
and benevolence will produce a soothing and tranquilizing effect
that is the first step to healing.
The trouble is that, what with the hustle and bustle and
tension in our daily lives, we are hardly aware of our current
emotional state. Certainly, we do not have a clear and focused
awareness of the degree of tension we are carrying within us. A
simple but trying forty-minute car ride from home to office can
produce an emotional state that colors the rest of the day.
Added to this is the desensitization that comes from living in
artificially controlled environments, and enjoying an unvarying
diet that bears no relation to the change of the seasons. No
wonder that we humans have but a meager awareness of the
strength, texture, and feel of our qi at any given moment. Other
animals, however, are extremely sensitive to the texture of qi,
and will give us an immediate and unequivocal response to the
qi we project. What follows is an interesting approach to
gauging your qi, and to bringing out the St. Francis in you.
Let us assume you have a pet. If you do not, you probably
know someone who has, and who would be happy to let you
spend a few minutes with it. The following exercise can be done
with either a dog or a cat. I have found cats respond more
quickly and demonstrably than dogs, so for the purpose of my
example, I will use a cat.
Access your qi and, having done so, look for your cat.
Chances are it will be sleeping on that one piece of furniture you
are forever shooing it off of. Do not be annoyed, or the
experiment will be doomed to failure.
Remember: cats were placed on Earth to test our patience and
qualifications for sainthood.
Sit in a comfortable position on a couch or in an easy
chair…anywhere that you and the cat can feel relaxed together.
You may be listening to soothing music or watching TV.
If possible, keep your back straight, but this is not absolutely
necessary. It is more important to have both you and the cat
resting comfortably.
Place the cat on your lap. Give it a minute to situate itself and
fall into that twilight world of restful cat life. Place one hand (the
right hand if possible) on the cat’s spine. The palm may be either
horizontal or vertical to the spine, whichever suits your posture.
I have found the horizontal position more natural and more
comfortable to maintain. Try and keep the hand resting lightly,
and away from the cat’s head.
Look at your hand on the cat’s spine for a moment. Then,
inhaling quietly through the nose, exhale through the palm of
your hand and into the spine of the cat.
There is no need for any visualization. Simply feel your breath
leave your hand and enter the spine of the cat. Your qi will be
flowing out steadily into the creature’s body. Maintain a steady,
comfortable rhythm of breathing.
By your third breath, the cat will be aware of your qi. Most
cats respond by the second breath, and indicate this by a large
twitch. Now comes the test.
If your qi is agitated or tentative or abrupt, the cat will react at
once, sometimes by bristling and even snarling. Fur standing on
end is a sign of extreme displeasure. Most cats react to a
disturbance in the qi with a small shriek, jump off your lap, and
rush out of the room.
The cat’s reaction to soothing and steady qi is the complete
opposite. It will begin to purr and lapse into an apparent kitty
coma. At this point, you will probably spend the next ten
minutes considering how to extricate yourself without disturbing
this picture of Perfect Bliss.
The cat’s reaction to your qi is in no way an evaluation of the
general properties of your qi. It is an indication of your present
mood or state of mind. You may try the exercise six days in a
row and get a different reaction each day.
My cat, Basil, and I do qi training almost every night before
bed. He is now a veteran of the qi experience, and swings
between being a qi junkie and a qi connoisseur: some nights he
just needs a fix, and other nights he evaluates qi critically.
Because he reacts with violent displeasure to any disturbance in
my qi, I put myself into a relaxed and bonhomous state of mind
before putting hands on him. I find that I cannot watch the late
news and satisfy Basil. The news is usually too disturbing. So,
listening to music, I put qi into Basil’s spine, which soothes both
of us, and we sleep the better for it.

QI FOR PETS (II)
(Issue #33)

     A skilled but eccentric gentleman with whom I studied qi in Japan claimed to practice on his fish. He had a small pond with koi (carp) in his garden. He would place his hand under water and send qi throughout the pond, giving each fish a pretty good dose. He maintained that the qi tranquilized them, and that they would swim in slow ecstasy. I never witnessed this and only put it forward for future experimentation. My own experience with fish was quite the opposite.
     It happened when our son was in pre-school. We went to his school carnival, and I lost sight of him in the crush for about a minute. During which time, he succeeded in achieving the unthinkable: he won a living prize at a rather difficult pitch-and-toss event. 
    This prize was a tiny goldfish in a small plastic bag with about enough water in it to wiggle its wee tail. This prize package had been standing in 106° sunlight most of the day, and the fish looked poached. Seeing the shock and sadness in my eyes, the prize giver sought to console me.  
     “Don’t worry,” said the fish lady, “these fish are guaranteed to die within three days.”
    Our son named the fish Goofy, declared he loved it more than anything in the world, and brought it into the house to live with him forever.
    We got Goofy a little fishbowl and a lot of fresh water. On the third morning of Goofy’s arrival, our son woke us up to say that Goofy had stopped swimming, and was sleeping on his side at the bottom of the fishbowl. Sure enough, Goofy was looking like a flounder that had just suffered a coronary. I prodded him, he seemed dead, and I went to get the net to scoop him out and inter his remains in the toilet. 
     “Oh, do something, Mama, do something,” our son implored my wife.
     Rising to the drama of the moment, she stuck her finger in the fishbowl, aimed at the lifeless Goofy, and began sending qi for all she was worth. I cupped the bowl with both hands, and felt her qi swirling in the water. Now comes the amazing part.
     Goofy remained inert for at least a minute. My wife and I were giving up hope when all of a sudden, he swam straight up to the top of the tank and leapt out of the water like a rocket!
     That fish leapt and dove and swam in circles like a hooked marlin. There was nothing tranquil or mellow about his reaction. He swam to the side of the fishbowl and stared at my wife as if memorizing every line on her face. 
     Goofy returned from the (near?) dead by means of qi, I am sure of it. He returned (or turned out to be) a female, and so our son, being a Francophile, renamed her Gaufée. 
     Gaufée grew to be about seven inches long with a beautiful gossamer tail and fins. She lived for six years following her “coronary”.  Therese had only to enter the room for Gaufée to swim to the side of the bowl and stare out at her. She then leapt out of the water, my wife shot her a little qi, and she was happy in her tank the rest of the day, a very animated fish.
   In short, your pets being living creatures, they possess the same features of qi as yourself. You should feel no hesitation to use your qi for the on-going health of your pets, or to get them over an illness, or help them to heal after an accident or surgical procedure. And remember: the more you love your pet, the more likely and able you are to help them when they need you. Your qi will be so well-intentioned and focused that your treatment, however clumsy, will be effective.

HOW DIVINE! 
A QI PERSPECTIVE
(Issue #34)

Those who are occupied in the restoration of health of others, by the joint exertion of skill and humanity, are above all the great of the earth. They can even partake of divinity, since to preserve and renew is almost as noble as to create.
                                                Voltaire  1776  
     What has always piqued my interest about this quotation is the phrase restoration of health. Voltaire links the word with the infinitives to preserve and (to) renew. Preservation and renewal of what? Of health only, or are there more expansive implications? 
     It is also intriguing that he insists that the exertion of humanity will make one divine. We do not need a spark of divinity within us to be divine. We need to use to the utmost the humanity we are born with. On the surface, this is a little like Blake’s  if a fool persists in his folly/he will become wise, meaning to use to the utmost what you are given. The difference is that, in Blake’s world, there are many fools, and they do not persist in their folly because they are fools; whereas in Voltaire’s world, there are few people exerting humanity to restore health. Today I will consider how these ideas are relevant to my work.  
     The Japanese greeting for ‘how are you?’ is genki desu ka. Genki (元気)means ‘pristine ki (qi)’ or ‘the ki you are born with’. The deeper meaning of the greeting is thus: ‘is your qi today the qi you were born with?’,  ‘do you have your original qi?’.
     Genki is more than just health. It is a state of vigor, verve, and well-being. An athlete who performs poorly is not genki, and an athlete who performs well is very genki. Waking up with a sense of optimism and a wish to go out and meet the day is genki. Wanting to lie in bed and let the day pass without you is not.
      My feeling about genki is that we are born with a transparent qi that is all-inclusive. Over the years, our qi becomes less and less transparent, and more and more translucent, finally becoming opaque as we acquire layer upon layer of, well, Life. This has the effect of numbing or dulling our senses and our health. The ideal of Zen Buddhism is to return the qi to its original transparency by means of zazen (Zen meditation) culminating in satori. The ineffable insight of satori (enlightenment) renews and preserves the qi we were born with. It is the quintessential mind/body experience.
     We have no idea how a newborn or infant really sees the world. The lens of the newborn’s eye is perfectly clear. Scientists speculate that newborns perceive the world in intensities of brightness; all that they behold is luminous. By the time we are old enough to remember our first sights, we have already lost the purity of our lenses. The colors around us that we perceive as “normal” are actually different from what we would see with a pristine lens. Our perception has become clouded over. Hence Blake’s assertion that “If the doors of perception were cleansed, everything would appear to man as it is, infinite.” We need to restore and renew our vision. The successful Zen practitioner has perfectly clear doors of perception.
     Which brings us to our ‘original qi’. Qi is universal. All living things possess it. Qi is also specific in so far as each of us has his/her own. According to Noguchi, the founder of the Seitai Association, our individual qi comes from the way each of us meets gravity. Our bodies can move in ten different ways: up, down, forward, backward, left, right, twist left, twist right, open, close. We are born with a certain bias toward one of these movements, and this bias is directly responsible for our personalities and behaviors. He was in agreement with Freud who wrote anatomy is destiny. Noguchi provided details as to why this is so. The way your feet meet the ground determines how your body weight is distributed. Check the soles of ten people’s shoes to see the differences in distribution of body weight. Your relationship with gravity and this effect on your total movement is what creates bias, and accounts for the type of qi you have and how you use it. 
     Noguchi called this bias taiheki (体癖), and designated ten types and two sub-types. Taiheki literally means ‘body habits’. It was Noguchi’s strong contention that taiheki is unchanging and unchangeable. The way taiheki shapes your qi is what makes you you. It accounts for personality traits and characteristic behavior. (Noguchi had a thriving matchmaking practice, evaluating potential couples’ compatibility on the basis of their mutual taiheki.) Today, there are a number of practitioners who disagree with Noguchi, and believe that a person’s taiheki can be, if not completely changed, at least modified. There is not one, however, that does not believe in taiheki and its influence on qi.
     We are created with a certain taiheki. We are created with a certain quality of health. You cannot become healthier than you are capable of becoming. You have to play the hand you are dealt. You can be taken from an unhealthy environment to a salubrious one and feel the better for it. Your health quotient has been given the opportunity to fulfill its potential. Still, there is a limit to how healthy, strong, intelligent, and funny you can be. What a good qi practitioner will attempt to do is to restore you to your pristine qi so that you can make new again your life. A good qi treatment will put you in touch with your original qi. If your health, strength, intelligence, and humor are operating at half-speed, the treatment should bring you up to full speed, and give you a renewed sense of optimism about yourself and, well, Life.
     Most people come for treatments to get rid of a specific problem, usually pain. This was my case thirty years ago. I was in so much pain that I didn’t care if my qi was pure or impure, black or white, or even existed for that matter. Just get me out of pain. It took me a couple of years to figure out that Mrs. Matsuura got me out of pain through qi, and had been trying to restore me to, and then preserve, my original qi in order to accelerate the healing process and make me happy. 
     A person in pain wants immediate relief. No one comes to see me as a first choice. SIKE Health is, if I estimate conservatively, about the fourteenth stage of the Via Dolorosa to healing. We are the Chapel of Lost Hope. Or maybe Last Hope. First interviews require delicacy and tact to get the information I want. I have to take the measure of the person, try and get a handle on their personality, assess their qi, and relax them before I can really get down to work. If you are a good listener and an incisive questioner, most people will tell you exactly what is wrong with them. It saves wasting time and energy following your own preconceptions of what is ‘really’ the problem.
     I want to know what people were like before their pain, so that I can return them to that status. This requires more than a mechanistic approach of adjusting, tweaking, pulling and prodding. It requires an appeal to their humanity through my own. Their qi has become degraded through pain, and has to be renewed just as much as the physical obstacle to a pain-free life has to be removed. 
     Not everyone comes for pain. Some people say, “I don’t feel comfortable in my body.” Time to restore their qi. Others say their zest for life is diminished. Time to restore their qi. A few people complain of a diminished sense of taste, and therefore a loss of pleasure with food. Time to restore their qi. And many many people are troubled by poor sleep and/or anxiety. Time to restore their qi. 
     I may have once or twice saved someone’s life. I don’t know for sure. I have restored and renewed many people to their true pre-pain, pre-degraded qi selves, through the exertion of skill and humanity. I have often been called a ‘lifesaver’ for that. 
     Let me tell you, the feeling is divine.


ABOUT THE SIKE TECHNIQUE
(Issue #35)

   The SIKE Technique is a modality to induce physical change by means of stimulation. For example, you can get the stomach to expand or contract by stimulating the sixth thoracic vertebra. The stimulus itself is, of course, qi. If the stimulus is applied properly, a bloated stomach will contract, improving digestion; a tight stomach will expand, improving digestion. The application of the technique is a conscious design, and so the SIKE Technique differs from kiryu which is based on the unconscious flow of qi through the body. SIKE is applied according to a plan based on a careful view of the individual and his/her body.
     You consciously apply a stimulus to induce the body to move in a certain direction. It is analogous to golf. Depending on the placement of your ball in relation to the hole, you choose a certain wood or iron, you carefully plan a swing designed to send the ball straight, to the left or right, to curve, to have a certain speed, to have a certain trajectory, to have a certain spin, etc. In other words, careful observation of the situation leads you to make a considered judgment. Then you use your concentrated skill to execute that judgment.
     Successful SIKE depends on the practitioner’s judgment of using a variety of stimulation techniques to restore the patient to health. The overriding consideration must be how the patient is likely to respond to a single stimulus or a combination of stimuli. 
     The essence of Japanese art is the removal of all superfluous and extraneous movement. Whether it be Tea Ceremony, calligraphy, or swordsmanship, the object is to pare the art down to the bone so that only the essential movement remains, leaving both beauty and efficiency. The same is true of the SIKE Technique. The practitioner should seek an economy of movement. After each treatment, the practitioner should ask him/herself, “What could I have removed from that treatment to have improved its effect?” Each treatment aims for a gestalt that creates beauty of motion akin to Noh and Tea Ceremony. It should be an aesthetic pleasure to watch a good practitioner at work. The observer will be left with the same sensation of tranquil beauty as that experienced in the Noh Theatre or tea house.

APPLYING QI
Generosity of Spirit
     There is a unity of intention and the effective flow of qi. The most potent qi is that which is generated and guided by a generosity of spirit. Regard for others is central to the efficacy of healing qi. In the words of William Blake, “The most sublime act is to set another before you.”
     You cannot kill a person with qi. You can wish them dead as you transmit your qi, but qi will not make your wish come true. At worst, you will make the person feel anxious or nauseous. More probably, your qi will not be the least effective simply because it does not blend with the qi of the receiver. Just as it is next to impossible to transmit qi successfully to a mean-spirited person, so it is unthinkable that a mean-spirited person can generate effective healing qi.
     On the other hand, wishing someone well as you transmit qi will work toward making him/her well. To have a loving thought in mind as you give qi enlarges and fortifies your qi.
     You may also have a conscious intention of healing a specific ailment or treating a specific wound or blow. Intention is not the be-all-and-end-all of healing qi, but no amount of technical expertise or finesse can make up for a lack of good intention and generosity of spirit.
     I never begin to give qi treatment without thinking of a loved person, living or dead, whose approval energizes me. I conjure up his/her face when I do my warm up exercises to access my qi, and imagine us breathing together. I feel a rhythmic union with the person, and dedicate my day’s work to that person. I work for that person’s approval by helping others on their behalf. Thus, I set out to do a day’s work with good intentions and a generosity of spirit.
Applying Qi
   The application of qi depends on the size and location of the area to be treated. There are three fundamental ways of giving qi: through the fingers, through the hands, and through the circular area at the base of the forefinger.
     Touch the base of your forefinger and you will feel a round, prominent bone. This bone is the center of a small circular area that is highly effective for transmitting qi. In traditional Japanese martial arts, it is known as “the fourth point,” and, when applied effectively, creates a lot of pain. In traditional Japanese healing arts, it is called “the tranquil point,” and when applied effectively, alleviates pain. I like to refer to this point as the “heart” of the hand for the transmission of healing qi.
Remember: whenever you transmit qi, be sure to begin and end on an exhalation.
     When you begin to give qi, the spot that is receiving it will begin to feel warm under your fingers in under a minute. It may even feel as if, rather than you giving it the qi, the spot is taking the qi from you. The sensation is as if your qi is being quickly sucked out of your fingers or hands.
     In a minute or two, the sensation of warmth will reach its peak and then plateau out. Once the plateau has been reached, the area will begin to cool down. In another minute it may actually feel cold to the touch. This means that the spot has absorbed all the qi it can, and it is pointless to try and force more qi into it. It would be like adding water to a saturated sponge. Remove your fingers on an exhalation, and wait at least an hour before attempting to give qi to the same spot.  
     Qi is not magic. The giving and receiving of qi involves physiological processes. Therefore, rather than “go for the home run” and attempt to eliminate pain at a single go, attempt to hit a single or a double, meaning the alleviation of pain. The qi will continue to work at the cellular level after you have removed your hands, and the pain may later be eliminated.
Remember: healing with qi is like cooking with microwaves---the process continues even after the current is turned off.
CULTIVATING THE IMAGINATION
   A central tenet of the SIKE Technique is that it is important to feel that you are helping another cultivate his/her life by touching her heart or mind. Pain and illness are debilitating. They make people feel closed and small. We try to instill a feeling of widening, deepening, and heightening a person’s powers of imagination in order to bring them some pleasure while they are passing though an unpleasant situation. The easiest way to do this is to present an optimistic picture of the person’s future, i.e. a future without pain and with health and structural integrity. Just to imagine a pain-free life in the not-too-distant future stimulates the person in a healthy and positive direction.
     The imagination cannot be discounted as a tool for healing. Where the body is concerned, no amount of will power can raise your pulse rate by so much as a beat, or cause you to shed a single tear. However, use the imagination, and you can bring about changes in the circulation of the blood, bring forth tears, encourage the secretion of gastric juices, and constantly direct the body’s workings in various ways.

ANGER AND THE BODY
(Issue #36)

     Anger has a corrosive effect on the body. If anger persists, it can be fatal by causing a breakdown in the healthy functioning of the organism. Below are two case histories of the effects of anger.
Alma
     Alma was 78 when I met her. She was a large woman who spoke English well with a strong Polish accent. She had a number tattooed on her forearm, so I knew she was a Holocaust survivor. Her complaint was that she had lost five of her six sensations of taste; the only thing she could taste was bitter. She was paying for her granddaughter’s wedding at the Beverly Hills Four Seasons Hotel, and she wanted to be able to taste the food. 
     Her loss of taste coincided with the death of her husband three years before. The various doctors and psychologists she had consulted assumed that she was sad and despairing from the loss of her husband, and so had given her a variety of anti-depressants and mood elevators. These had only made her condition worse.
     When I treated her, the first thing I felt was anger. Her qi was not flowing smoothly, and there was considerable heat coming from one part of her head, a sign that she had a negative repetitive thought. I felt her spleen, which was tender to the touch, another sign of anger. The qi in her spleen was not flowing smoothly, but was sharp, sort of like static electricity. I assumed that her anger had something to do with Hitler and the concentration camp.
     I told her she was angry, and that her anger had contributed to her loss of taste. She gave a thin, sad smile, and said, yes, she was angry, but had not dared tell anyone about her anger. She was afraid the person would reproach her. She told me the following story.
     She had been put into the concentration camp in 1942 when she was fourteen. There was a sixteen year old Polish boy already in the camp, and somehow, the two of them met, spent time together, and survived the war together. They were liberated in January 1945 by the American Army, and sent as displaced persons to Galveston, Texas. They did not speak any English, and found Galveston an unpleasant place to live, and an impossible place to make a living. 
     They hitchhiked to Los Angeles, got married, set up house in a small apartment, and went to work. She stayed up all night making sandwiches and other edibles, and her husband drove around to the movie studios and construction sites selling them. He was the inventor of the Roach Coach. They prospered.
     She wanted to forget the Holocaust. He was a Holocaust witness. She would not talk about it at home, even to her children. He traveled the country bearing witness to the atrocities lest people forget or worse, dismiss it as irrelevant. They celebrated no holidays (“Not even Jewish holidays. I know we’re the Chosen People. I got chosen once, and it was enough.”). The only event they celebrated was the anniversary of the liberation of the camp in January. Alma would cook late into the night, join her sleeping husband, and the two of them would eat and enjoy themselves all the next day. 
     On the morning of the anniversary three years before, Alma awoke to find her husband dead in the bed beside her. He had died in his sleep of congestive heart failure.
     “And this is why I am so angry. He left without saying goodbye. We survived Hitler, we survived the camp, we survived life as refugees, we created a new life and family. We did it together, always together. How could he leave me without so much as a goodbye?! I am furious at him. He left me without a word.”
     I gave her the big red plastic baseball bat we keep for just such occasions, and told her to let loose on the pillow on the massage table. I discretely left the room. She bashed the pillow, yelling and hollering all the while in Polish. I got the gist without understanding a word. About ten minutes later, she was finished and highly energized. Her qi was flowing well, and her spleen was no longer tender to the touch.
     She phoned me the next day to say that her taste had returned.
Caroline
      Caroline hailed from the middle of nowhere somewhere in Iowa. Her nearest neighbor was three miles away. She slaughtered her own cows and pigs for meat. She raised her own vegetables. She worked in the office of a research lab. She was a devout Christian. She was thirty, thin, tall, had long lank pale hair, a pale complexion, and seemingly more teeth than could fit comfortably in her mouth. She was always smiling, turning the other cheek whenever she could, giving thanks for everything that came her way, and wishing everyone she met a beautiful day.
     Her mother brought her out to Los Angeles to see me because the Mayo Clinic had told her she had only six months to live. She had taken out a second mortgage on her house to pay their bill. Her symptoms were scary.
Her strength had steadily declined to the point where she could no longer hold her job, and could not do any gardening or farm work. She could not keep food down and was losing weight. Her stomach always pained her. She suffered from insomnia. Her vision was deteriorating.  She had lost strength in her legs, and had gone from a cane to a walker. Next was a wheelchair.
     Asbestos had been found in the walls of the office where she worked, but tests, albeit inconclusive, ruled out asbestos poisoning.  In fact, the tests ruled out everything, except the fact that she was going downhill fast. She had been told to go back home, and get as much out of what little life was left her as she could.
     As in the case of Alma, Caroline’s body was full of anger. But this was anger of a completely different scale. She was literally consumed by anger. Her spleen was painful to the touch, and emitted a great deal of concentrated heat. Her head had an unusually dense concentration of qi at one location. Her upper vertebrae (T1-4) were locked together and protruding. Her T5-6 were buried somewhere in her back.
     I told her she was very angry, and that that anger was the source of her problems. That unless she dealt swiftly and effectively with that anger, she probably would die as predicted.
     She smiled at me and told me that she was not angry, that it was impossible for her to be angry, and that anger on the scale that I proposed was un-Christian. She was a very forgiving person, and to forgive was to rid oneself of anger.
     I asked her to tell me about her family. She waxed rhapsodic about her young son and daughter. She said nothing about her husband. I asked if the marriage was a good one. She actually scowled. Well...it turned out he was an unsavory character. He ran a methamphetamine lab in the barn. He drank alot, and she was sure that he was trying to molest their daughter. He frequently beat the boy. One night he got drunk. stuck the boy on the handlebars of his motorcycle, and took off at high speed down the road. They ended up in a ditch in order to avoid a collision with a truck, and the boy spent three weeks in hospital with lacerations and contusions. She was not going to tell anybody that anything was wrong, not even her mother. She was trying to forgive him and prayed constantly that he would change for the better. She thought that separation and divorce would create a scandal, and be un-Christian. And then, he ran off with her first cousin, who just happened to be her next-door neighbor, even if next door was three miles away. The entire town knew about it, and she was sure she was the laughingstock of the church congregation. She was so embarrassed that she hadn’t attended church in months. She wasn’t just angry, she was volcanically angry. 
     After three treatments that got her stomach and legs working again, I told her to go back to Iowa, have her spleen checked, divorce her husband, and get a restraining order on him to stay away from the children.
     She reported to me that her spleen had to be removed. The surgeon told her it looked as if half of it had been burned. She had informed the police of her husband’s drug activities, he had been arrested, and divorce proceedings were going forward. She was happy again, and all of her symptoms had vanished. She could now fulfill her lifelong dream of going to Paradise Cove in Malibu to eat fish tacos. Which Therese and I did with her and her mother three months later.

TREATING LOWER BACK PAIN
(Issue #37)

A first-time visitor to the Baptist Spine Center is greeted by the sight of a large exercise room, full of men and women of all ages engaged in just the sorts of activities that most people who suffer from back pain have been warned against: running on treadmills, lifting weights with their knees, stacking milk crates filled with steel bricks. In addition to the machines that one finds in an ordinary gym, there are specially designed “multihip” machines, back-strengthening machines, and a Roman chair, which braces your lower legs, knee-down, at a forty-degree angle from the floor as you attempt to hold up the rest of your body. Each patient’s level of strength and degree of flexibility are carefully monitored. Records are also kept of the patient’s capacity to execute ordinary activities: pick up a child, sit at a desk, have sexual intercourse. Each patient’s regimen is designed to make the muscles strong again, the ligaments elastic, and the vertebrae well supported.

Dr. James Rainville, who is the head of the Spine Center, explains to his patients that although their pain is debilitating, it is not a sign that they are doing themselves any harm. Like many rehabilitative physicians, he believes that chronic pain originally has a physical cause but that it may become magnified and imprinted along the sensory pathways of the central nervous system. The solution, Rainville thinks, is to try to change the sensitivity of the neurofibres by “reëducating them” through strenuous exercise. In fact, the more the patient exercises correctly, the higher his pain threshold becomes. The hope is that his sensory circuits will be rewired to transmit signals of the healthy aches of exercise rather than the terrifying pain of debility.

Rainville’s program of aggressive rehabilitation exercise has been supported during the past decade by prospective studies. A recent analysis of sixty-seven patients with long-standing back pain, nearly all of whom had had prior surgery or other forms of treatment, showed that the regimen improved physical capacity and reduced pain. Between twenty-five and forty per cent of the patients for whom performing flexion and extension maneuvers was painful when they entered the program were free from pain by the time they were discharged; the others experienced a marked reduction in the intensity of their pain. Still, Rainville argues, it will be impossible to properly compare the results of such nonsurgical interventions with surgery until both options are included in a well-designed randomized study.

Doctors often describe the treatment of lower-back pain as “an industry,” and as long as patients are confronted with an array of conflicting advice, that’s unlikely to change: the desperate patient sitting in the doctor’s office is especially vulnerable to the persuasive recommendations of whatever professional he happens to be consulting. Many patients report a worsening of their condition following surgery. It is not uncommon to experience a brief period of blessed relief from pain, only to have the pain return later, usually six months to a year following spinal fusion surgery. The returning sciatic pain can be more intense and intractable than pre-surgery pain.

Dr. James Weinstein, the head of orthopedic surgery at Dartmouth and a leading expert in back pain, believes that there needs to be a radical improvement in the way doctors approach treatment: patients must be given unbiased information on what is known and not known about back pain and the various ways of treating it. Instead of informed consent, Weinstein advocates what he calls “informed choice” -- a comprehensive understanding of all the options and their possible risks and benefits.

Weinstein is now leading the first prospective, randomized investigation of discectomy for ruptured lumbar disks to be conducted in nearly thirty years. This trial, which is sponsored by the National Institutes of Health, will cost more than thirteen million dollars. Even so, it will not address fusion surgery for chronic back pain; the participating physicians couldn’t agree on diagnostic criteria and forms of treatment. For the tens of thousands of patients facing lower-lumbar fusion each year, no rigorous, government-sponsored study is forthcoming.

In the meantime, Dr. Seth Waldman, who sees the consequences of failed fusions at the Hospital for Special Surgery every week, wishes that the medical profession could be persuaded to show a little restraint. “If you have a screwdriver, everything looks like a screw,” he said. “There will be a lot of people doing the wrong thing for back pain for a long time, until we finally figure it out. I just hope that we don’t hurt too many people in the process.”
Jerome Groopman, M.D. 
Professor, Harvard Medical School

MF adds: As many of you know, I came to practice this modality through a debilitating bout of sciatica. X-rays showed two herniated lumbar discs, and the physicians assumed and assured me that this was the cause of my sciatica. I was recommended by four different orthopedic surgeons to have spinal fusion as the only way out of my problem. Fortunately, I met Mrs. Matsuura who healed me in an hour using her hands and qi. I took away many lessons from my experience, one of which is that many, if not most, people are walking around with herniated lumbar discs and never even know it. In other words, they feel no discomfort much less pain. I also learned that sciatica and sciatic symptoms frequently have nothing to do with herniated discs, but arise from a misalignment of pelvis or sacrum or coccyx or any combination of the three. One other epiphany was that no one has the faintest idea how nerves work, and that the “logic” of a linear progression of pain from the source down a distinct neural pathway, while elegant in its simplicity, is completely erroneous.  
     Qi will stimulate lower back muscles to separate the vertebrae enough for herniated discs to slip back into place. However, I have found in 80% of cases that the discs are irrelevant to the condition. The sacrum and pelvis need to be realigned using a lot of qi and a hint of muscle. Following this, the musculature of the lower back and legs needs to be realigned and re-educated as it were, in order to maintain the healthy configuration. 
     Apart from cases in which the back problem was induced by a fall or an attempt to lift a heavy weight without proper support, the onset of pain, though seemingly abrupt, has been a long time in coming. The body has done everything possible to keep the pain from coming. That means shifting weight distribution, and reconfiguring the musculature for months, possibly years. By this time, “muscle memory” has set it, and the body must exercise within the new configuration in order to maintain it. This accounts for the success of the Baptist Spine Center’s program, although the process is lengthy and depends on guidance and machinery. 
     Once we have realigned the muscles and bones of the lower back and pelvis, we present the person with a series of simple, effective exercises to be done at home daily. None of our exercises requires equipment. All exercises are based on strengthening the muscles using techniques from tai chi, aikido, physio-synthesis, and traditional Japanese chiropractic (honetsugi) that was developed to treat jujitsu injuries. The process is short and simple and requires almost no guidance. (to be continued)

TREATING LOWER BACK PAIN (II)
(Issue #38)
     Americans are very pro-anti. We like anti-aging unguents, anti-wrinkle creams, antiperspirants, antibiotics, antipastos, etc. About the only anti we generally dislike is the Anti-Christ, though some are eagerly awaiting his advent to bring on the Rapture to Narnia. One of the few anti’s we lack, and which we have wished for since the days of Buck Rogers, is an anti-gravity device. Most people would like the device to release them from slavery to the pavement. Wouldn’t it be cool to float around at will? My feeling is that, had we an anti-gravity device, we would be free from lower back pain.
     I believe that most lower back pain is a gradual accretion of stress due to poor posture. Yes, Grandma was right. Without lower structural strength and integrity to support the superstructure, stress has no where to go but to the lower back. When the back finally gives in to  stress, pain begins. When I talk about lower structural strength and integrity, and I mean the feet, that part of the body that actually meets the pavement and puts you literally in touch with gravity. 
     Ideally, body weight should be distributed across the ball of the foot and the heel in the shape of a triangle. However, just watching a person walk, or looking at his/her shoes, you will see that people walk on the outside of the feet, on the balls alone (also called ‘toewalking’), or on the heels. This weight distribution is an affront to gravity, and gravity will have its way with you. Walking on the outside of the feet means that your weight will be supported by the muscles running on the outside of the leg, the so-called long muscles. Again ideally, the weight should be taken by the inner muscles, the short muscles, which support the superstructure with ease. 
     When a person does not walk heel-to-toe, which maintains the flexibility of the ankles and distributes weight throughout the ideal triangle, the muscles running from the ankle to the knee along the shin become tight and painful. When they become chronically painful, they are called shin splints, and can be crippling. Most people are unaware that they have pain along their shins until they press on the muscle with their fingers.  Walking flat-footed, or with weight bias on the front or back of the foot, is like driving a car without shock absorbers. The lower spine gets jolted out of alignment. 
    Lower back pain begins from the ground up, starting with tight, inflexible ankles, moving up the leg through the shin muscles, and tightening up at the bottom of the inner knee.  Now, here is where things get interesting. Instead of continuing moving up the inner leg, the stress jumps across the knee, and lands on the upper outside of the  knee, then makes its way up the outer leg to the hip joint. The pelvis is pulled out of alignment, the sacrum tilts, and voila, you have lower back pain. You call SIKE Health, and we use qi to stimulate the muscles to realign the bones.
     Once the pelvis has been aligned, and the sacrum is back where it should be, the pain goes away within 72 hours. However, muscle memory guarantees that the pain will return without a second or even third treatment, followed by a simple regimen of physical re-education at home.
     The physical re-education consists of several things. 1) One should soaks one’s feet in hot water (about 102 degrees) to above the ankles for 3 minutes once a day. Twice a day is better at the beginning, but once will do. 2) Lying on the back, rotate the ankles in both directions for a minute a day. Putting strength into the big toe makes it easier to rotate the ankle. 3) Be mindful when you walk that you are walking heel-to-toe, even if it feels awkward or unnatural at first. Three other things that will keep you flowing with gravity are 1) keep your feet flat on the floor when you sit. Crossing your legs or having your heels up and your weight on your toes is a recipe for recurring backache. 2) Do the yoga position Child Pose daily. This is like a cat stretching its spine.
3. Do not bend over to lift objects. Keeping the back straight, squat 
down, get hold of the object, and then stand up from the ground up rather than from the lower back up.


MOVE ON!
Circadian Cycles
(Issue #39)

    All living things are in a state of constant movement. You are unable to stop the movement within you, and for good reason: it would kill you. The heart keeps beating, the lungs keep expanding and contracting, the spleen keeps processing red corpuscles, the neurons of the brain keep dying, etc. The body’s cells keep doing whatever it is they do, and the body’s atoms keep spinning, dying, and being recreated. Movement is good in that no alternative other than death exists. 

    Most people have a circadian cycle (also called a body clock) that runs on a 24-hour timer. The cycle moves the body through changes without your having to think about it. What follows is a brief overview of a typical cycle.

Early Evening: The core body temperature begins to drop 4 to 5 hours prior to bedtime. An hour or two before bedtime, the core temperature drops sharply, which stimulates the pineal gland to release the sleep-inducing hormone melatonin.
   The early evening drop in core body temperature produces four other effects: 1) the stomach produces more acid  2) blood pressure begins to drop  3) urinary output increases  4) the body’s pain threshold reaches its lowest point about 21:00, meaning aches and pains are felt more keenly. Take pain medication about 20:00 to avoid this.

Nighttime:  1) Sensitivity to allergens increases.  2) the body’s immune system strengthens due to an increase in the flow of interlukin 1.  3) Immune cells called helper T lymphocytes increase until about 1:00 a.m. 4) This is the time most pregnant women are likely to go into labor.  5) Levels of HGH (human growth hormone) reach their peak about 2:00 a.m.  6) Cortisol, an anti-inflammatory hormone, reaches its lowest levels after midnight.  7) Pro-inflammatory and spasm-producing compounds called leukotrienes reach their highest levels late at night. This accounts for the majority of severe asthma attacks occurring between 3 and 4:00 a.m. If you are prone to asthma attacks, do not eat sweets before bedtime, because this weakens the adrenal glands which are necessary to avoid such attacks.

Morning: Assuming you do not sleep in a crypt or a coffin, light begins to hit your eyes, stimulating the retina. The retina sends a signal to the suprachiasmatic nucleus (SCN), wherein the body’s biological clock is kept. The SCN sends signals to the pineal gland informing it that it is time to wake, and so reduce the output of melatonin. As the melatonin decreases, this stimulates the following: 1) core body temperature begins to increase.  
2) Insulin levels fall to their lowest point, and levels of the adrenal hormone cortisol begin to increase.  3) Heart rate and blood pressure begin to rise quickly. Ingesting caffeine will accelerate the rise.  4) In women, the pelvis relaxes, and so menstruation tends to begin early in the morning.  5)  Levels of the helper T lymphocytes of the immune system decline at this time. 

Midday:  1) The muscles expand to their utmost, the spine elongates, and the body is at its maximum height.  2)  Natural killer cell activity accelerates.  3)  Blood hemoglobin levels peak.
        
Afternoon:  1)  Body temperatures begin to cool down. Many people experience a sense of drowsiness as a result.  2)  By mid-afternoon, airway openings are at maximum extension, and breathing becomes easy.  3) The body’s reflexes are at their highest level of performance, and your natural strength reaches a peak. 

Once More With Feeling
DRINK LOTS OF WATER!

     More data in from clinical studies:

About 75% of all Americans are chronically dehydrated.

In 37% of Americans, the thirst mechanism weakens to the point where it is often mistaken for hunger. Weight gain results.

Even mild dehydration will slow the body’s metabolic rate as much as 3%.

One glass of water before bed shuts down midnight hunger pangs in over 95% of dieters studied.

Dehydration is the primary trigger of daytime drowsiness and fatigue.

Drinking 8 glasses of water daily significantly eased back and joint pain in 80% of subjects.

Drinking even 5 glasses of water daily decreases the risk of colon cancer by 45%, and reduces the risk of bladder cancer by 50%. Early data indicate that it also reduces the risk of breast cancer.

     For those of you who avoid drinking water in order to lose weight, you are living in a fool’s paradise. The body needs a certain amount of water in order to function, and will retain as much water as it needs. If fresh water is not forthcoming, it will retain the old water, which is not healthy. People come to see me complaining of pain along the inside of their thigh; women, especially, complain that one thigh is swollen. I have them increase their water intake, and the “problem” vanishes. The body will retain fluid in the thigh if not enough fresh water is forthcoming, and the urinary tract will tighten, causing the discomfort along the inner thigh.


THOUGHTS AT YEAR'S END 2010
(Issue #40)
     “Sometimes one can do nothing to help a person, and the sight of so much suffering is painful. A man should not only have his own way as far as possible, but he should only consort with things that are getting their own way so far that they are at any rate comfortable. Unless for short times under exceptional circumstances he should not even see things that have been stunted or starved, much less should he eat meat that has been vexed by having been overdriven or underfed, or afflicted with any disease; nor should he touch vegetables that have not been well grown. For all these things cross a man; whatever a man comes in contact with in any way forms a cross with him which will leave him better or worse, and the better things he is crossed with the more likely he is to live long and happily. All things must be crossed a little or they would cease to live—but holy things have been crossed with nothing but what is good of its kind.”
Samuel Butler, 1903

     The Jewish sage, Hillel, was challenged to expound on the essence of Judaism while standing on one leg. He raised his leg, said “Compassion”, and lowered his leg. The Hebrew word rachmones  (compassion) is derived from the root word for “womb”. Compassion is the feeling of a mother for the child in her womb. It is a feeling of love, of nurturing, of protecting, of sustaining, and of responsibility. These feelings, both individually and in a blended unity, are what Hillel meant in the single word “compassion”.
     We usually use the word as a limited sense of sympathy or pity for the unfortunates of the world, both human and other. A dog hit by a car or an elderly parent requiring caretaking bring out the compassion in us. This is a fine and decent spirit. However, the quality of compassion that we, in the spirit of Hillel, posit is not limited to the unfortunate and piteous. Compassion extends to all. ..it is universal in scope and application. It applies to the universe itself and everything within it. If everything derives from the same Creation, then everything is worthy of our compassion—our sense of responsibility for doing no harm, our wish to sustain and nurture the good and joyous, and our protection of everything in creation from depredation, degradation, and destruction.
     When we attain the true spirit of compassion, we feel the unity of the universe and the divinity that informs it. We are no longer fragmented. We are part of a whole that we sustain and are sustained by. We are active in our spirit, and have the clarity of vision that all that we behold is full of blessings. We fall in love…with ourselves, with others, and with the universe that sustains us. It is the happiest and holiest of feelings.
For true love is a fire
In the mind every-burning;
Never sick, never old, never dead,
From itself never turning.”


Basil Lechat
1993-2011
He put the Ki in Kitty
Issue #41, February 2011

   The 1994 Northridge earthquake devastated our home and neighborhood. It had taken months to have repairs done, and the streets and yards were still littered with bricks, debris, and other souvenirs of the quake. Rebuilding the walls between the properties was a special nightmare as the homeowners refused to club together and work in concert. Some people wanted completely new, bigger and better and more elaborate walls, while others wanted to restore the fallen walls. Without walls, animals of all types wandered in and out of properties. Sometimes, watching in the late afternoon, I felt I was witnessing some great African migration of stray pets, earthquake orphans, and dispossessed feral animals such as opossums, raccoons, squirrels, and mice.
     I found Basil in a patch of basil in the herb garden of our yard. He was sitting in the middle of it, calmly, even serenely, not saying anything, but paying attention to me. He seemed to know me. He had the look and coloring of the famous tiger drawn by Hokusai. I commented to Therese that there was a very pretty cat in our basil patch, and forgot about him. The next day he had left the patch and moved about a foot closer to the house. The next day he had moved another foot, and the following day yet another foot, until after 10 days, he was lying in front of our rear door, and we had to step over him to get outside.
     Then one day he was not there, and I fretted. He returned the following day, but his left hind leg had been bitten in half, and the lower half was dangling painfully. We took him to the vet, had him restored to health and converted to infertility, and brought him home to live with us. We never regretted it.
     The only trouble we ever had with Bas was not so much trouble as being inconvenienced by Bas’s concern for Corin. Two days after Corin was born in the hospital, we brought him home, wrapped in swaddling and packed tightly into a car seat. I put the car seat on the floor of the family room, and then went back to the car to help Therese into the house. When we entered, Basil was circling the car seat, and sniffing at the bright pink face in the center of it. When, suddenly, Corin sneezed. Bas did a double back flip, cowered for a moment, then walked back to the car seat and made obeisance. He became Corin’s loyal retainer and protector.
    So, to return to the trouble...Basil clearly found us incapable of truly taking care of our child, because he always guarded him, and stood lookout at his room window whenever Corin was in his crib. Basil looked perplexed and sometimes forlorn when we would take Corin in his pram to the park. I never paid much attention to it, but occasionally, a dog would walk past the pram and touch it, or stick his nose into the pram, or in some way have a brief relationship with the pram. I would bring the pram home, remove Corin from it, and while I was placing him in his crib or summer seat, Basil would spray the entire pram. I mean, this cat would cut loose, and we would have a tomcat stench that would keep a troop of devils away. I finally had to remove Corin from the pram in the garage, and lock the pram away before Basil could smell it.
     Basil loved qi, and was eager to sacrifice his body to our ministrations. He would sit on my lap and I would put qi into his spine while I watched television. He would slip into a kitty coma. But if there was a violent or brutal news segment, my qi would be agitated, and Bas’s fur would stand on end, and he would jump off my lap as if he’d been prodded by an electric shock. He loved to come into the treatment room while we worked, and soak up the energy with a goofy look of ineffable squiffiness. Only one client in 17 years, a woman who claimed to be a devout cat lover, resented and complained about Basil’s presence in the room. She seemed to think he was poaching her qi, like someone stealing your wi-fi. She wanted it all to herself. Obviously, the woman had to go...  
     Basil loved to pose, frequently unconsciously. He would assume a pose--sitting erect with tail wrapped around his front paws--that was either worshipful, demanding worship, or both. The family’s favorite pose was when Basil fell asleep on his back with his front legs stretched over his head and his hind legs outstretched beyond his tail. This was his ‘flying‘ pose, and someone grabbed a camera whenever we caught him at it. We have about 400 photos of him in that pose. Clients brought cameras to photograph Bas, who was always obliging. Not that he bowed, smiled, or offered autographs. He was patient when the person would wander around him looking for the perfect angle, and then set off a flash in his eyes. He frequently sat on Therese’s lap while she was working on computer, and would enjoy seeing photos of himself. They made him purr.
     He retained his kittenish qualities until old age. We hardly noticed he was aging until he began losing fights. Young, mean strays would wander through the yard and Basil, vigilant as ever, would go toe to toe with them in his ongoing effort to protect Corin. He would come in with bite marks and lacerations to his face which showed that he never ‘turned tail‘ and ran. Unfortunately, the results of his bravado sometimes turned into abscesses which we all regretted.
     Basil had his own kitty theater, which was watching the birds feeding from the outdoor feeder dangling overhead from an eave. The feeder was placed in front of a large picture window for us to enjoy the bird show. Basil would hunker down in a corner for minutes on end, watching the birds feed, and probably counting their numbers. When the feeder was quite covered with birds, he would leap up and shout. The birds would be flustered, and one or two would flying straight into the transparent window with a clunk and fall to the ground. Basil would be on the bird in a flash, and we had to rescue numerous birds. Then Basil would pout and get sullen, however, having no long term memory, he would be his old self again in minutes. We knew he was aging when he stopped taking an interest in birds. They would fly right over him, and he would not even lift up his head to frighten them.
     That was his condition when we moved to our new home near the Santa Monica Mountains 18 months ago. We went from being in a built up neighborhood to being in the wilds with predators on the ground and in the air. Bas had to become an indoor cat. He would pace in front of the french doors, staring out sometimes eagerly, sometimes morosely. Therese took pity on him and got him a leash so that she could walk him around the grounds. Bas would be champing on the bit to get out of doors, but as soon as he was taken outside, he would fall on the ground and go to sleep. If Therese tried to rouse him into movement, he would complain, and so she would bring him indoors. At which point he would slip his leash and run away. We always found him somewhere on the lawn eating grass until he felt ill.
     Basil was allergic to fish. Therese provided him a steady diet of home-made grilled lamb, chicken, and turkey, which he enjoyed and thrived on. In old age, he wanted fish more than anything, and he was given fresh tuna, salmon, shrimp, and any other expensive item we could find. We knew the end was approaching when he started snubbing shrimp.
     Basil died in his sleep on February 2. We made a little mini-chapel to hold him until Corin got home from school. Then we buried him on our hill under the gingko tree. Corin planted African daisies on the grave. There is a dead tree on our other hill facing the gravesite, and Corin decorated it with paint, colorful string, placards, and Basil memorabilia as a totem to Basil’s soul. He had a large, engaging, soothing, and loving soul. He is sorely missed.

MIND AND BODY ARE ONE
Issue #42, April 2011

WHAT A DRAG IT IS GETTING OLD
‘Things are different today,’ I hear ev’ry mother say
Mother needs something today to calm her down,
And though she’s not really ill, there’s a little yellow pill
She goes running for the shelter of her mother’s little helper

       So sang the Rolling Stones forty-six years ago, and things have only gotten worse. Not only do we have mother’s little helpers, but we now have father’s and children’s little helpers as well. I don’t know how prevalent anti-depressants are in, say, rural Indiana (although given the amount of meth-amphetamines manufactured in Indiana homes and barns, the residents seem in need of a pick-me-up), but in the state of California and other points I have visited in the past five years, it appears that there are more people juiced up on AD’s than not.
      The last time I was in Texas, I was told by a toxicologist that the people in East Texas (Dallas/Ft. Worth, Houston, Waco) are so heavily medicated that their systems cannot absorb their daily dose of AD’s, and so large quantities of Fluoxetine (an SSRI) are being urinated into the sewage system which is unable to filter most of it out. The treated water is then sent into rivers and lakes, with the result that the fish are now under the influence of Fluoxetine. The fish are too stoned to mate, and too mellow to try and elude predators. Unsurprisingly, the fish population is dropping at an alarming rate which will change the balance of the entire ecosystem of East Texas. Oh well, it’s Texas...what the Hell...
     For the past twenty-five years I have been translating medical research papers from Japanese into English for publication in professional journals. I have noticed with growing alarm the trend for psychiatric and pharmacological research to view human beings as little more than a chemical soup. A pinch of this, a dash of that, and, voila!, we have a new improved person. Or, if not new and improved, at least different and more tractable. It’s that simple.
     I remember growing up in the 1950’s when words such as ‘brainwashing’ and ‘mind control’ and ‘mind manipulation’ were popular, frightening, and believable. The film ‘The Manchurian Candidate’, about a young American brainwashed by the communist Chinese into becoming an assassin, embodied those fears. We wanted our minds free, and the Commies were trying to control them.
     Today, we pay goodly sums of money to physicians and pharmaceutical companies to do precisely what we were resisting from the Commies. And it is usually not about depression. True depression requires medical assistance because it is frequently a genetic disorder in which the chemical balance of the blood is skewed and needs to be put in order. I am not even talking about the sort of “depression” that Fritz Perls characterized as “anger and frustration directed inwards”, and that he and other Gestalt therapists successfully treated by redirecting that anger and frustration outwards. Those misdirected feelings are corrosive and sap one’s mental and physical energies, leaving one feeling “depressed”. Nor am I thinking about depression and anger in the elderly, which is a natural concomitant to reaching extreme old age, especially in those with progressive dementia.
     I am thinking of the lack of energy, the blah feeling, the desire for a “pick-me-up” or “buck-me-up”, the wish to be spared worry and concern, the need to be able to cope with bad news or an unpleasant situation or any combination or variation of these feelings that are today regularly treated with anti-depressants. To put it another way, people go to their physicians asking for “happy pills”. AD’s are now provided as relief for marital conflicts, anti-social or oppositional child behavior, economic woes, poor school grades and a host of other non-depression issues. People just want to have their chemical soup heated and stirred in order to feel good. They want relief from their lives.
                    ‘Life is much too hard today,’ I hear ev’ry mother say
‘The pursuit of happiness just seems a bore’
And if you take more of those, you will get an overdose
     Selective serotonin reuptake inhibitors (SSRI) (think Prozac, Zoloft, Celexa) and central nervous system stimulants (think Ritalin, Adderall) are the AD’s of choice today. I assume that, if they do not actually make a person happy, at least they cheer him/her up. However, the downside is considerable. These drugs are addictive. The common side effects are as follows (abridged): drowsiness, nausea, lower back or side pain, sores on lips or mouth, constipation or diarrhea, headache, anxiety, changes in sexual desire and function (not for the better!), insomnia, unusual weakness or tiredness, confusion, apathy, loss of appetite, etc. This is less than half the list. AND you are not allowed to drink grapefruit juice! Bummer!
     Part of the reason for the prevalence of AD’s today is that physicians routinely prescribe them. On a personal note, when my mother moved to California from Florida and had her heart medications transferred to the supervision of a local physician, he added the AD Mirtazapine “as a matter of course”. When I said that she did not need an AD, he said that she would sooner or later, so why not start now.
     A larger part of the reason is that people ask for them. One naturally wants to know why this should be. This is the question I am posing and will attempt to answer in this piece. What has caused the boom in the AD market, and are there alternatives?

The world is to much with us; late and soon,
 Getting and spending, we lay waste our powers:
(Wordsworth, 1806)

     In addition to getting and spending, we also have fighting and arguing and caregiving and living in a competitive society. Dog-eat-dog as some characterize it. If we do not lay waste our powers by ourselves, circumstances often lay them waste for us. It seems to me, then, that the reason people feel the need for AD’s is a sense of powerlessness and helplessness. They feel too weak to cope.
     In Wordsworth’s poem, the reason for the malaise he describes is human beings’ detachment from Nature.
 Little we see in Nature that is ours;
We have given our hearts away, a sordid boon!
      That was then. Today we have become so detached from Nature that Nature hardly matters. The problem now is that we have become detached from our own natures, and so seek to alter them with chemicals. We feel that, what with all the mental demands upon us, we deserve a respite that does not tax our strength, will, or time. Fair enough. But the price of that is a further detachment from our original self, not to mention the possibility/probability of the side effects mentioned above.
     I once asked a young woman what she does when she feels blue. She said, “When I feel blue, I move my feet.” Good advice. The first thing one can do to energize oneself is to move. Going to the gym and engaging in repetitive movement is not good. Non-repetitive movements such as dancing, swimming, walking, hiking, running, martial arts, bicycling, golf, tennis, etc. will energize the body and give one a heady sense of self. Further, the goal of movement should not be “fitness”, but rather regaining the sensation of truly living in your body, or at least re-establishing a working relationship with it.
     Remember the words of Joseph Campbell: The mind must submit to the humanity of the body.
     The universe is all movement. Nothing is static. The atoms in our bodies move, the cells move, the bones move, the muscles move...it is when we get into a rut and stop moving, or else get into a rut and move in a mechanical, repetitive way that we experience a breakdown in the mind/body continuum.
     Another thing to restore yourself to yourself is to practice kiryu on a daily basis. Kiryu replaces tension with relaxation, promotes mental clarity, stimulates the proper functioning of the organs, revs up the immune system, and generally sensitizes your senses. Things will taste, smell, touch, sound, and look better than you can remember they ever have. If you are unable to experience kiryu here with Therese and me, then an explanation of kiryu together with instruction on how to induce it is available in my ‘Qi Energy for Health and Healing’ book.
     There is one last trick to energizing yourself. Think on the Zen story: A man went to see a Zen priest to complain about how hard his life was. “My mind is troubling me,” said the man, “Can you give me relief?” The Zen priest replied, “Give me your mind, and I will cleanse if of trouble.” The man realized that he had no mind to give, and was relieved.
     Or think of the Elizabethan period riddle: My mind to me a kingdom is.
Question: Find the king.
 Answer: The body is king.
    Turn and return to your body. It will provide you relief.


ANNUAL HALLOWEEN ISSUE
October 2011, Issue #43

MF writes: Human beings have had since prehistoric times a speculation about, and fascination with, death. Life was then, indeed, “nasty, brutish, and short”, and it was natural for ancient peoples to ponder what came next rather than what was presently happening. Communing with the dead was the one sure way of getting information about the “other world”.

     Whether the community was hunter, nomad, or agrarian, the cycle of birth, life, death, re-birth was a natural concomitant to the change of seasons. Season change meant watching the sky, and so astronomy quickly became an advanced “science” long before the word ‘science’ existed.

     The ancients (as we do) marked the change of seasons with solstices and equinoxes, but reserved cross-quarter days, which fall midway between these events, for feast days. These astronomical events were imbued with magic and mystery, none more so than the time of year when departed souls returned to earth to rejoin the living for a brief communication. To the northern Europeans, the “bridge to the other world” (Yule) opened at the winter solstice. To the Chinese and Japanese, the spirits of the dead returned at the quarter day (Bon) between the summer solstice and fall equinox. To the Celts, the quarter day between the fall equinox and winter solstice (Samhain) was the day the world of the dead had access to the world of the living.

     The Chinese and Japanese viewed the return of the dead as a benign and pleasant event. Even today, paper lanterns are lit to direct the spirits to food which has been prepared and set out for them. The Scandanavians lit fires to scare the spirits back to their world. The Celts set aside our present November 1 as the day to deal with the dead. People might be visited by supernatural powers or spirits, and many spent the previous night in burial mounds to commune with death in life. In Ireland, there are many legends of great heroes dying at Samhain.

   The Catholic Church, determined to extirpate paganism once and for all, declared November 1 All-Saints Day, known as All Hallows Day in Britain. The common people, equally determined to preserve their tradition, celebrated Samhain the night before, which came to be called All Hallows Eve or Halloween. The Celts built bonfires and wore frightening masks and costumes in order to scare the spirits away. However, this is not the origin of our costumes and trick-or-treat.

     As the feudal system declined in Britain in the 15th century, the Antwerp Entrepenôt--the largest wool market in the world—grew wealthy. The British landed gentry had traditionally allowed local peasants to use marginal land (“commons”) to graze their animals and grow subsistence food. In order to expand production of wool for sale in Antwerp, the gentry evicted the peasants and enclosed the commons for their sheep to graze. The Enclosures Movement saw the dislocation of thousands. A generation of homeless people was born. Civil unrest occurred as the esurient peasantry struggled to maintain life at a time when “sheep devoureth men”.

     These homeless took advantage of quarter feast days to roam the countryside begging for food. Because Samhain followed the harvest, it was usually the most opulent and lavish feast day. There was a tradition for housewives to bake “soul cakes” for the dead. These seem to have been small fruit tarts. Bands of homeless would gather at Samhain, and walk through the countryside from home to home, asking for soul cakes. They disguised themselves, so as not to invite retribution from local authorities. They stood outside of homes and sang, “Good Mistress, please,/a sweet soul cake we pray./Apple, pear, peach, or cherry,/ anything to make us merry.”
The implied threat of violence should food not be forthcoming was not lost on the housewives, who usually handed over the cakes.

     It is interesting to note that one of the most exciting and interesting events on a child’s annual calendar had its origin in death, persecution, turmoil, and fear. Our health and sanity depend upon us living through inimical events, be they physical or psychological, and coming out the stronger for the passage. My prolonged illness of 30 years ago has almost faded from my memory. I have now “legendized” it to the point where it glows as the happy opportunity to meet Dr. Matsuura and her qi, which in turn set me on this unexpected, strange, and rewarding path of hands-on health care.

   
HELPFUL HEALTH HINT FOR OCTOBER/NOVEMBER
Issue #43  October 2011



     As the body continues slowly tightening up for winter from the ground up, this is the time to relax the neck, upper back, and extremities (especially the hands), and to increase tension in the lower back, which tends to become flaccid at this time of year. Many people report trouble sleeping.
     A feeling of listlessness, fatigue, and even joint pain is not uncommon while there is an imbalance of tension between the upper and lower back. When the upper body tension is lowered and then restored to the lumbar vertebrae, there will be an increase in vigor and energy. The body will not be able to adjust smoothly to the change from hot weather to cold weather until the lumbar vertebrae, especially L3, have been strengthened.
     From November, the body’s closing for winter becomes more rapid, and the body will be fully closed by the beginning of December. The skin is getting tight and losing moisture. The pores of the skin close from the feet upwards, and dryness will first be noticed on the shin and calf. By the end of the month, the scalp will get dry and flaky. Women, especially, will experience dry, flaky skin and should add oil to their bath water.
     The waist and hips are also getting tight, and so the body loses some flexibility. Twisting and turning from side to side are not as easy as in a warm period. One arm is likely to feel dull and the shoulder blade on that side may get tight, even a bit achy. If this ache is accompanied by digestion problems, including acid reflux, it is a sign that the #5 and/or #6 thoracic vertebrae have twisted.
     Finally, the lumbar vertebrae may feel tight, and the muscles alongside of them tender to the touch. Breathing tends to be shallow, and so sleep is not as deep and refreshing as in the warmer months. Using a humidifier will improve nighttime breathing, and provide a more refreshing rest.


THOUGHTS AT YEAR’S END 2011
December 2011, Issue #44

MF writes:  My mother, Marty, is 87 years-old and profoundly demented. She becomes lucid and conversational from time to time, but never coherent. She is for the most part in a happy mood, enjoys a good appetite, is affectionate, and as far as she is physically able, cooperative with me and her caregivers. She knows me and Corin, but not who we are. We are variously her father, husband, brother, uncle, neighbor, childhood friend...anything but son and grandson. She knows that Therese has something to do with me. She is either my maid whom I lend to Marty, or  Marty’s maid whom she lends to me. My mother is under the impression that all women are her maids.
     For all of her seeming inertia and inattentiveness, Marty has a rich and full inner life. I believe physicists have identified 16 dimensions, 13 more than the three we are bound by in our quotidian lives. Marty inhabits those extra dimensions: she dances with neutrinos and converses with quarks. She tells me of universes she visits, of grand balls and banquets she attends, of swimming in warms pools of light, of movement and motion and time travel, of visiting with great souls of the past, and seeing into the future. As long as her spirit flows in the micro and macro cosmos, her three dimensions of wheelchair, diapers, and wheezing are minor obstacles to her contentment, easily overcome.
        Marty lives in a bijou board-and-care residence about a mile from our house. There are four other residents, all of whom are also demented. Johnny, 94, is physically active. He dresses himself, toilets himself, loves to eat, and likes to try to take midnight rambles outside of the house. He has a vibrant, youthful voice, which expresses nothing but incoherencies. Dora, 90, bounced back from a stroke a couple of years ago, and though she can no longer swallow solid food, is the least demented resident. She will follow a conversation and try to make comments, but tends to forget the beginning of the sentence and so comments only on the end of the sentence. She thinks she was Miss Milwaukee of 1941, and is greedy for compliments of her beauty. Ynez, 89, used to be the residence greeter. She had no idea where she was or whom she was addressing, but anyone who passed her got an unexpected, florid greeting such as: “My, you are looking wonderful this fine day, and I am sure your health is as wonderful as you look.” She entered hospital three months ago, reasons unknown since she appeared robust, and returned to the residence eight days later unable to walk, speak, or feed herself. She is now in hospice care at the residence. I expect she will pass on in a month or so. Madeline, 89, sits in a wheelchair sucking oxygen, and stares into space. She rarely speaks. She has at least fourteen afflictions, and a battery of home health care nurses dances attendance on her. I believe a medical intern could spend a month with Madeline, and come away with a diplomate in Gerontology, so various and intense are her maladies.
     Madeline spends most of her time in her room, but the other four spent their days in a large lounge. Marty sits on a couch facing a 70” television. Ynez used to sit next to her, but she is now unable to leave her bed. Dora sits in an easy chair off to Marty’s right, and likes to face the back patio, so that she has to turn her head back and forth to see Marty and Johnny and the television. Marty brought a large Eames easy chair and matching ottoman to the residence. Johnny fell in love with it, and made it his own. Marty never said a word about this because 1) she doesn’t remember it is her chair 2) it is too deep for her to get out of.
     When the four of them spent their days together in the room, there was a palpable feeling of tranquility and harmony. Sometimes they dozed, sometimes they watched TV, sometimes they tried conversing with each other. Having no sense of past, present, or future, they live in an Eternal Present, and so each day’s meeting is the first. They got to know each other all over again every day. On some level that was not obvious, they communicated and enjoyed each other’s company. Dora knew that Ynez had gone, but Marty was not aware of it. However, she did say that the atmosphere of the lounge had changed.
     Most of the time, their qi--their energy--was focused inward, and so there was an atmosphere of quiet contentment and tranquility. However, every now and again, the direction of the qi would change from inward to outward, and the room would be charged with happy energy. It might be Johnny chuckling to himself. Marty, Dora, and Ynez would begin to smile, then chuckle, then laugh, which in turn provoked Johnny to laughter. It might be Ynez humming to herself, which would start the others humming and singing and laughing. It might be Ynez, seemingly inert and unconscious, startling a visitor with a flowery greeting delivered in a mellifluous alto voice. The visitor would stammer, triggering a change in energy throughout the room. It might be one of the caregivers dropping a lunch plate with a crash that would galvanize them. There was always something audible, a stimulus of vibrations that, while negligible to me, brought their qi into alignment so that there would be a mass eruption of united energy.
     Therese and I thought it would be a gift to Ynez, her sons, and the house to throw a party for her before hospice slapped a morphine patch on her, and she lost all awareness. To that end, we got the favorite foods of the elderly (which just happen to be Corin’s favorite foods), namely pizza, fried chicken, Caesar salad, cola, and a gooey sheet cake. Ynez’s son is a musician, and he and his friend provided some upbeat live music (two guitars and a keyboard which also did percussion).
     The four residents (Madeline was not present) were not quite sure why artificial leis and beads had been put on them, and a fuss was being made over them. Johnny walked to table, the other three were wheeled, and all were impressed by the mountain of food laid out. They seemed pleased with the festivities, but it was obvious that the energy of each was directed inward, and there was no sense of shared experience. When suddenly, the musicians loudly launched into: Doo Doo Dee  Dooo, Dee Dee Doo Da, Doo Doo Dee Doooo, Dee Dee Doo Da, AAH, (beat)
Purple haze all in my brain/Lately things just don’t seem the same/Actin’ funny but I don’t know why/‘Scuse me while I kiss the sky.
     The effect was sensational. It was like the starting pistol shot at the Olympic 100 meters final, when all the sprinters leap out of the starting blocks as a single individual in a single motion. In an instant, the energy of the four was re-directed outward and aligned as a single living thing. Dora took off her lei and swung it over her head; Marty danced from the waist up in her wheelchair; Ynez smiled from ear to ear, and bobbed her head in time; even Johnny, committed trencherman, swallowed his food, put down his silverware, and rocked happily to the music. As they did so, the caregivers and family members caught the surge of united energy, and  became bound up in the music and movement and happiness of the four residents.
     And this is what was interesting: the energy felt like a heady sensation of happy purpose. There was a reason for the day, a reason for the party, a reason for us all to be there together, and the purpose was to forget our feelings of fragmentation and weakness, and be absorbed into a larger entity of unity and strength.
     Now, I didn’t bring you all this way to introduce you to life at a senior care facility. The first riff of Purple Haze and the unity of purpose it induced made me think at once of the Occupy Wall Street movement. Here was a mass movement that overspilled the bounds of its original purpose, and spread throughout the country and the world. There was no financial backing of vested interests nor was there any so-called ‘grassroots’ organization. There were no period costumes to provide mutual recognition of a common cause. There was no charismatic leader. There were no thrilling speeches. There were no songs or anthems. OWS was a spontaneous efflorescence of a united energy which brought thousands of people together. Their qi was aligned.
     No one could say what sparked the movement. Anyone who wasn’t petrified by the idea that thousands of geographically, ethnically, economically, and educationally disparate people could coalesce without an igniting spark or precipitating event understood what had aligned their qi: a hunger for social, economic, and political freedom and, if not equitability, then at least fairness. The right wing media and vested interests were disingenuous in pretending not to know what the OWSers were implicitly demanding, and so characterized them as unwashed agitators. It is one thing to call people names, but it is another to try and fathom the moment that united their energy. The right wing media and politicians have not even addressed what precipitated the mass movement, because the reason might be too fearful for them to contemplate.
     As I write, most Americans did not, cannot, and will not understand the spontaneous alignment of qi that sparked the OWS movement. Nor do I pretend to understand the “moment” that set the movement off. I have no idea why the opening riff of Purple Haze would send four geriatrics and their families into a unity of movement and happiness. There was a stimulus that touched us all in that small room at that moment, and we were ready to follow its lead. From fragmentation to unity, from a sense of isolation to a feeling of belonging---this is the alpha and omega of aligning qi.
     Thoreau wrote: It is said that the British Empire is very large and respectable...We do not believe that a tide rises and falls behind every man which can float the British Empire like a chip, should he ever harbor it in his mind.
       Think what thousands can do should they ever harbor it in their minds.
It is a pity to do nothing, thinking that the actions of a single individual can produce no change. We are all responsive to some riff. We can all align our energies for some healthful purpose. Not that (honestly) earning tons of money is necessarily a bad ambition; but even while doing that, one can unite with Superman to battle for Truth, Justice, and --wait for it-- the (new) American Way.



THE ULTIMATE TRANSITION
February 2012, Issue #45

      There have been several deaths of people close to me since the last newsletter, including the death of Ynez who resided with Marty in the bed and board.
No motion has she now, no force,
She neither hears nor sees,
Rolled round in Earth’s diurnal course
With rocks, and stones, and trees.

     Kayoko Matsuura, the woman who healed me in 1981 and set my feet on the path to becoming a qi practitioner, died in 1986. She had a stroke in the summer of 1985 which left her paralyzed from the neck down. I visited her as often as I could. The last time I saw her she confided in me that she had decided to die. She had spent her life actively giving qi and helping people. Now she was confined to a meager margin of existence. Life was weakness, death was strength. Living was passive, dying was active. She was going to exercise her qi in the only positive way left her, by dying.
     I did not understand her. I thought, perhaps, she was suffering some sort of dementia brought on by the stroke. At university, I had read Zen texts in which the ancient patriarchs sought eccentric ways to die. One died standing on his head, another shouted and dropped dead, another just stood still until he died. To me these were anecdotes of enlightened zanies that could not be confirmed or denied. How could someone decide to die? And more, how could anyone as feeble as she put that determination into action?
     We said our good-byes. She clamped her jaws shut and armored herself in qi. Her jaws could not be pried open, and her body rejected all attempts at intravenous intervention. She died two days after our final farewell.
     And now comes, perhaps, the best reason for practicing qi with those you love, admire, and wish never to leave.
    The event occurred about eighteen months after my last qi treatment from Dr. Matsuura. I was looking for a new practitioner and teacher to replace her, and was recommended to a man who had a large practice and a formidable reputation. He put his hands on my head, and then on the base of my spine. After five minutes, he said, “You have a sharp, eccentric sort of qi. It reminds me very much of a practitioner I used to know, but haven’t seen for a few years. Her name was Kayoko Matsuura, and she had the sort of qi that once experienced is never forgotten. Have you ever received qi from her?”
     Her qi lives on in me, and thus she lives on in me. Not as a memory, but as a palpable force.
     Every day before I begin work, I think of people, living and dead, whom I admire and whose approval I seek, when I do my qi warm ups. I dedicate the good I will do that day to that person. I call this “dedicated qi.”
     When I dedicate my qi to someone whose qi I know, and whose qi I have often felt, I can feel their qi entering me from some external abode. I feel a fusion of my qi and their qi into a much larger, more potent qi than I could possible create by myself. I feel Kayoko Matsuura’s presence when I dedicate my qi to her. I can connect in a physical way with old teachers, friends, and family whenever I choose.
     I do not receive messages from “the other side,” and I am not privy to the secrets of the universe via Nekrofilia, ancient warrior lounge princess. The spirit of J.P. Morgan does not provide me with stock tips. What I experience is the physical presence of familiar qi from friends and loved ones. Each qi has its own “signature.” I can read the signature and feel assured that I have access to that person’s qi.
     Your qi therefore becomes a repository of the lives of all those who have (literally and figuratively) touched you.
    Our qi does not wane with illness or old age. It maintains its integrity until the final moment of life. What does change is our biorhythm. The duration of our passive biorhythm ebb tide becomes longer, and our active flood tide becomes brief, but intense. This accounts for sudden remissions or bursts of energy in the dying. The qi has returned to the center of the body, to the flood tide position, and the organism is stimulated to activity. After the energy surge, the tide ebbs and lingers for another long interval. Think of Ynez being energized by Purple Haze in the last newsletter.
     As death approaches, the solar plexus tightens. What was once flexible, sometimes soft, becomes hard. The closer to death, the harder it gets until it feels almost like a wooden washboard. Just before death occurs, the solar plexus relaxes. The tightness dissolves, and the the solar plexus returns to its ‘normal’ state. This was the case with Ynez who, once morphine was introduced into her body, fell into what seemed to be a deep sleep. She remained in that inert state for a week, but we could monitor her status through the tension in the solar plexus. She passed away two hours after the solar plexus released its tension.
     At the final moment of life, all of the body’s qi collects at the solar plexus, and there is an efflorescence or explosion of qi. Thus, the numerous eyewitness accounts of auras or bursts of light emitted from the dying at the moment of death. I have been present at a few peaceful deaths and witnessed this. I have heard from other qi practitioners that death, like birth, always occurs at flood tide (or produces the flood tide), and then all is silence. Though the organism is still active (hair and nails still grow, organs can still be harvested for transplant), qi has departed, and the organism is now pronounced lifeless.
WHAT DOES IT ALL MEAN?
     Working with qi for thirty years has not brought me any closer to apprehending the meaning of life. It has not provided me with a philosophy of guidance and comfort. What it has done is validate the wisdom of William Blake when he wrote that “Exuberance is Beauty.” The exuberance obtained from the energy of qi, the exuberance that informs our best actions, the exuberance that comes of knowing that we are not living in a fragmented universe, but one which is unified by qi—all of this exuberance is, indeed, very beautiful. It seems to me that we, as energy, return to the universe to be subsumed within it to be, perhaps, recreated within other forms of energy.
     And so, I would like to close this chapter and this book on a note of exuberance. It is a modern Japanese poem (my translation) that provides me all the guidance and comfort I need.

If you seek death,
 Then die! If life,
Live on!
But, oh! What joy
Just to have been born
In this world.
                                             TANAKA SHOZO (1841-1913)


 Qi and I
April 2012, Issue # 46

     MF writes: My first encounter with qi occurred when I was an undergraduate student of London University, learning things Japanese and Chinese. The encounter was neither memorable nor particularly influential in my life. Qi (pronounced as chi in Chinese, and as ki in Japanese and Korean) was one more Chinese character (kanji) to learn; one of about 3,000 that I was forced to fix indelibly in my brain.
     It happened to be one of the most popular kanji in the vocabulary, and I remember thinking as a freshman how versatile qi was. It was used in kanji compounds for health, illness, electricity, sanity, madness, strength/weakness of character, weather, purpose, energy, feelings, courage and a myriad more. It was hard to make a simple declarative sentence without fitting qi in, and it was impossible to discuss anything physical or emotional without resorting to qi several times. The ubiquity of qi within the language and culture struck me as interesting, but no more than that.
     The construction of the kanji is divided into two parts, the outer part and the inner part. The former signifies vapor, steam, gas;  invisible yet potent energy. The latter is the kanji for “rice”, the staple food of Asia. “Okay, so we eat food (fuel) which produces invisible energy, and that is how we exist,” I thought, unimpressed, and then passed on to the next kanji to be learned. If I subsequently thought about the kanji for qi at all, the fatal result of the absence of fuel seemed so obvious and inevitable that I did not consider its philosophical implications. ‘No rice/fuel equals starvation” was all that occurred to me.
     Today I think that life is the presence of qi, and death is the absence of qi. I have no better definition.
     While still a student, I briefly took up the martial art Aikido, which I had heard rumored to be based on the mental and physical properties of qi.  The word Aikido means “the Way of blending Qi’s”, but my qi did not at all blend with that of my first instructor. In Japanese, the blending of qi’s means to get along well with someone, and our qi’s could not have been further apart.  I gave up on him, but not on Aikido.
     Coming to Japan as a research student pursuing a doctorate at London University, I had another encounter with qi. This encounter was indeed memorable.
     I once again entered an Aikido dojo, and this time I stayed. My instructor, Takeshi Watabe, who later became recognized as a master of the discipline, and who taught and practiced with vigor into his late eighties, had qi with which mine blended seamlessly.  I spent 27 happy years under his tutelage. It was he who defined the essence of Aikido as “the right move at the right time.”  It might well be the recipe for a happy life. Certainly, recognizing the link between qi and timing (in its widest and deepest implications) gave my mind and body something to chew on.
     My third encounter with qi occurred as I was just on the verge of completing my doctoral thesis. This encounter resulted in an on-going love affair with qi that influenced the course of my life.
     As I was putting the final high gloss on my dissertation, I suffered a physical breakdown. Perhaps letdown would be a better word. I had never given my body a second thought, but had taken its health and vitality for granted, and so the fact that it “gave out on me,” reducing me to intense pain and a bedridden condition, seemed like
an inexplicable betrayal.
     The decline in my physical condition went hand in hand with a drop in my spirits. My outlook plummeted. To say that I was pessimistic and depressed would be an understatement. My only really active mood was desperation. I sometimes had dreams in which I made a Faustian pact with some devil whereby I would commit a horrible crime in return for being released from pain and regaining mobility.
     A detailed account of my illness, cure, and awakening to the health-giving virtues of qi has been published elsewhere (The Book of Ki, Healing Arts Press). I will here only summarize by saying that, after two fruitless and frustrating years of trying a dozen physicians and a dozen holistic (alternative) practitioners including acupuncturists and chiropractors, I was finally healed by an eighty year old Japanese woman in about thirty minutes. She diagnosed my problem using qi, and healed my ailment using qi. I became her ardent admirer and pupil.
     Her name was Kayoko Matsuura, and she was one practitioner among many –certainly the most gifted—of a Japanese holistic health organization that employs a modern revision of classical Chinese healing and health techniques based on qi.
She introduced me to the world of healing qi which, when appended to the martial qi I had been studying, created a vital totality of “the right move at the right time.” She used to kid me that I could beat someone up, and then heal him, something along the lines of the legendary Japanese man of medicine known as Red Beard (see the Kurosawa film of that name).
    Mrs. Matsuura practiced her art without letup until she died at the age of eighty-five. Though she had experienced what the Japanese call a “sublime death,” I was, of course, saddened, and when my sadness passed, it was time to find a new teacher after having learned from her for four years.
     I took courses at the health organization and joined small “study groups” of other practitioner-hopefuls. Eventually I was able to learn directly from a practitioner whom Mrs. Matsuura had always spoken of with the highest regard. It was never my goal to practice any healing or health maintenance; quite the opposite. I continued my study of qi out of intellectual curiosity and interest, because it gave me a sense of health and well-being, and in order to attend to the health needs of my immediate family. Beyond that I had no ambition. I was living half the year in Japan, and so could just learn and practice for my own sake.
     It happened that, about 9 years into my study, a sixty-year old Japanese friend came to see me socially, and complained of chronic shoulder pain.  He had been diagnosed as having an advanced case of bursitis, was told his condition was hopeless, and that he should consider having surgery. I impulsively asked him to let me have a go at alleviating his pain, he agreed, and his shoulder condition cleared up in two days. On the fourth day following his visit, my phone began ringing and people began turning up at my door asking to be treated. After I got over my surprise, my reactions were mixed.   Half of me was flustered and lacked confidence; the other half was gratified and eager to get to work. Through an unforeseen event, I had a practice in spite of myself.

QI AND THE CAREGIVER
June 2012, Issue #47
     This  is meant not only for the caregiver (the person who lifts, carries, wipes, cleans, and feeds), but also for concerned family and friends who give time and attention to the caregiven.
     The qi-caregiver must have compassion for the person he is endeavoring to help. This holds true for any situation, but it is especially important to bear this in mind when working with the terminally ill, the dying, and the very old. 
     Compassion is a powerful frame of mind that maintains its objective integrity. It looks upon objects and circumstances unmoved by impulse or high emotion. It is the supreme form of pity and tenderness.     
     Sympathy and a wish to do good at any cost are weak emotions that are at the mercy of subjectivity. They internalize an external problem, and frequently lead to wishing to put oneself in another’s place, or to take another’s pain upon oneself. One frequently has the feeling that one “has been there and felt that,” and that one has the ability to deal with another’s problem.
     It is ear-catching political rhetoric to announce in varying degrees of sincerity, “I feel your pain.” The fact of the matter is, the politician neither does nor can feel another’s pain. One cannot internalize poverty or child abuse.
     On the contrary, you the qi-caregiver are very susceptible to another’s pain. A gush of sympathy opens the door to the receiver’s qi entering you and bringing its problems with it. A qi-caregiver who sympathizes with a receiver in the middle of an anxiety attack will himself become anxious, even panicky. To try and understand another’s stomach pain while giving qi to the stomach will bring that pain into your stomach.
     Compassion keeps the mind focused and objective, allowing us to make the right move at the right time. Sympathy negates our objectivity, and clouds our judgment. 
     On the third day of a recent 5-day qi workshop, a participant complained of the sudden onset of a severe headache. One of the other participants exclaimed, “You poor dear. I know just how that feels. Let me give you qi.” She raced over and put her hands on the other woman’s head, and as fast as thought, the headache entered her and caused her to cry with pain. When I felt her head, the qi was stationary, and just whirled in a small space like a dog chasing its tail. These were the exact same symptoms as the first woman presented. She had unwittingly taken the woman’s pain upon herself, and was no longer an effective provider of qi. She would have provided relief and saved herself a headache by remaining dispassionate and acting out of compassion.
     A sympathetic qi-caregiver says, “I will share that person’s pain.”
     A compassionate qi-caregiver says, “I will remove that person’s pain.”
     The need to remain objective and compassionate is applicable to any qi-caregiving situation. I call this state of mind “dispassionate and compassionate.” By “dispassionate” I mean fair, objective, impartial, and level-headed. It is vital to bear these words in mind when giving care to the terminally ill, for it is all too tempting to become sympathetic and try to “save” them. You will simply take their frailties and afflictions upon yourself, and lose your ability to provide them with effective care.
     Sympathy for a dying loved one or terminally ill person will result in the diminution of your own powers. 
     International epidemiological studies of the elderly and their lifestyle have shown that, regardless of country or culture, an older person living with a younger person does not grow young under the influence of the younger person. To the contrary, the younger person “grows old,” and assumes the characteristics of the elder.
     In the same way, sympathy and a desire to do good at any cost will corrupt your integrity as an effective caretaker. You will come to resemble your charge.
     Compassion and a generosity of spirit are the most important elements in caregiving with qi.
    The caretaker must first take care of him/herself in order to provide effective care.
     Some years ago, I was preparing to leave the following day for Japan when I received a call from the personal manager of a rock star.  He was suffering lower back spasms and sciatica. His upcoming tour was in jeopardy. Would I drop everything and check him out?
     Being the caring person I am, I told the manager that I was busy with my own life, and to just shoot him full of painkillers until I returned.  Anyway, he probably had enough money that canceling a tour wouldn’t matter.
     “Of course it wouldn’t hurt him financially,” his manager replied, “but think of all the people who depend on him. The guys in his band and their wives and children. Then the technicians and roadies. How about the people who sell souvenirs? They have families to support. How about the kids who sell soft drinks at the concerts? They’re probably supporting their parents or making money for college. Don’t you realize how many people will be adversely affected if he is unable to tour?”
     The caregiver is like that rock star. Without your own good health and sound judgment, those who depend on you will be adversely affected.  Your state of mind and body must come before that of your charge(s). 
     Do not fall into the trap of “caregiver captivity.”
     Do not let sympathy or routine enslave you to your charge. For many caregiven, particularly the very old, their loss of physical independence arouses in them the desire to have some sort of sway over another person. They will play upon a caregiver’s sympathy or sense of duty to bend that person to their will. This is how they exercise their qi. To cooperate with the caregiver would seem like capitulation and resignation to their loss of independence; while to the contrary, resistance and conflict energize the caregiven and restore to them a measure of (emotional) independence. 
     One of the hallmarks of caregiver captivity is an increasing reluctance to delegate authority or responsibility, and to assume that everyone in the caregiving enterprise but yourself is negligent and incompetent. This means repeat phone calls to the doctor’s office, nurses’ station, medical equipment provider, nursing home staff, etc. This means worry that the caregiven’s diet is not being seen to, or that their care is inadequate though you have just instructed the nursing staff exactly what to do, etc. 
     This caretaker’s captivity keeps one’s qi from flowing steadily throughout the body. It tends to collect in the head, and so produces repetitive, anxious, and negative thoughts. It will lead to loss of sleep and loss of appetite. More and more, you come to resemble your charge.
     As caregiver, you must have time for yourself. You must have the freedom to enjoy yourself. You must be able to exercise and maintain your health. You must keep regular mealtimes and eat what you like in a relaxed frame of mind. You must keep a healthy perspective of your abilities and limitations: specifically, what you can provide your charge and what is beyond your power to provide. You may compromise with the caregiven, but you must not capitulate to what you consider to be bad behavior. And finally, you must feel that, by caregiving with qi, you are actively participating in the health and welfare of your charge. This last statement is particularly important.
     Caregiving involves physical labor, much of it dirty and unrewarding. It is sad if the caregiver or family member becomes a captive to that role and that role alone without being able to participate in the health of their charge. Most caregivers are concerned bystanders who feel powerless to do anything but watch and wait as physicians, technicians, and therapists play the dominant healthcare role in the lives of their charges. By means of qi, the caregiver can become an active and health-effective participant in the life of his/her charge. 
     Giving qi to the caregiven will alleviate pain, lessen the side-effects of drugs, improve appetite, stimulate alertness, and provide physical and spiritual comfort.
     Giving qi locally will alleviate pain. Giving qi to the solar plexus will create a feeling of comfort and warmth, as will holding the right arm between your two hands.     
     Finally, the very act of hands-on qi-giving provides an intimate bond between caregiver and caregiven. It is not just physical comfort, but also emotional succor. Providing and receiving hands-on qi care is the physical manifestation of the mind/body union of both parties.
     The physical sensation of receiving qi in this way is very pleasurable to the caregiven, and the results are no less effective than giving qi more systematically. Best of all, the caregiver sees to her own health even as she sees to the health of her charge.



Healthy Talk
October 2012, Issue #48

MF writes: Thirty years ago I had a serious illness. I knew it was a serious illness because every practitioner, allopathic and otherwise, who treated me told me I had a serious illness. I conjectured I had a serious illness when I walked in the door, and was positive I had a serious illness when I walked out the door. Being confirmed in my conjecture by a health care professional did not fill me with pride in my own bodily percipience. Quite the contrary. I found that I had gone into the meeting unconsciously hoping that I would be contradicted; that my illness would be diagnosed as light if not completely insubstantial, and I would leave the office with the optimism that healing would be gentle and brief.
     The Japanese orthopedic specialists were, on the whole, mild-mannered and kindly. They advised soaking in hot mineral springs, therapeutic massage, traction, steroid enemas, and brisk walks (which I could not do), but seemed resigned that all of these were but half-way houses to the final destination of spinal surgery. The two American orthopedic surgeons I consulted made me feel like a pantywaist. They told me that if I couldn’t suck up the pain, they would just operate and that would fix everything. The English specialist I consulted at London University Hospital had a frank and manly disposition. He came right out and told me that all indications pointed directly to surgery, and to deny this was immature and self-destructive.
     I can’t even remember how many acupuncturists, chiropractors, shiatsu practitioners, and massage therapists I consulted on three continents. Most of the acupuncturists and chiropractors hinted darkly that my condition might even be more serious than the physicians had diagnosed, but that they could fix me in just seventeen or so treatments, payable in advance.  
     Lying in bed at night clutching my bedpan, I began physically to feel the weight of all the bad news I had received. The feeling was oppressive and depressing. No one had offered me a glimmer of hope that precluded surgery, and my research into the outcomes of spinal surgery did not give me cause for optimism.
     The frustration and disappointment born of these diagnoses led me into fantasy as an outlet for feeling better. I would somehow get over this problem, and when I did I would be a force for good and health, and I would never ever EVER tell anyone that they had a serious health problem, even if I thought they had the worst health problem in history. The fantasy became a vow.
     Those of you who are old fans or devotees of these newsletters will know that a late night phone call from a drunk in a Tokyo bar led me to an old woman in Odawara, a two hour train ride south from Tokyo, who healed me using qi. But what you don’t know is this:
     The drunk turned out to be a professor of linguistics who was an enthusiastic amateur rugby player. He had been injured in a crushing tackle some years before, and after pursuing the same futile course as I had, was introduced to this old lady who had healed him. He had no idea how she had done it, but she had done it, and that was enough for him. Just as I had made a vow, he had made a vow that he would introduce any fellow-sufferer to this woman, and that is why he took a day off from work to introduce me to her.
     There are some moments in every life that cut distinct and fine in memory like a sharp axe biting into a tree. One such moment for me was meeting the old lady. The professor had told me she was old, so I expected someone about seventy. This woman was eighty and pitifully small. I thought she was malnourished and feeble. She was not five feet tall, and could not have weighed more than eighty pounds. Her face was thin and bony, and her eyes were large, black and intense.
     So far, I’m a little disappointed. But what almost sent me running to the exit was her hair. It was cropped close to the skull and dyed ghastly colors, something like tie-dye gone horribly wrong. She might have been a pioneer of punk in Odawara or she dyed her hair maniacally with every color in the hair salon and spice rack.
     She instructed me to remove all my clothes but my undershirt and pants, and lie face down on the tatami. She scanned my body and ran her fingers gently and with assurance down my spine. Then she had me turn over.
     When I was on my back and she was feeling my legs, abdomen and chest, I told her about how serious my condition was, and gave her the consensus diagnosis. I didn’t think she was listening, or if listening, ignoring everything I said. I was annoyed.
     She said, “I am so pleased to meet you. I meet so few people with a body as wonderful, as healthy as yours. You’re in excellent health. Your organs are all functioning perfectly, your skin is clear, your muscles are firm and resilient. You should consider yourself a lucky man. It’s really a pleasure to put my hands on you. There is just one little thing wrong, but we’ll soon clear it up. This will not be difficult.”
      I was certain she was mad. Or if not mad, then she was gibbering in senility. All of the medical people, with varying degrees of drama, had told me how bad my body was. Even in the best of health, a physician will only tell one there is nothing wrong with him. Never had I had my body complimented by anyone in the healing profession. 
     I thought, “She’s not giving me credit where credit is due!”
     “But I’m in terrible pain,” I said in a voice that demanded her to look again and reconsider.
     She was unperturbed. “Of course you’re in terrible pain. That’s because you have a healthy body. If you weren’t in pain, there’d be something wrong with you. Imagine having a pinched nerve and not being in terrible pain.”
     I thought, “I should lock this woman in a closet, throw away the key, and burn down the house for the good of humankind. She could be deranged, incompetent, whimsical or all three. Maybe she is trying to give me a psychological boost at the low point of my life. Maybe she is doing the classic Japanese behavior of truth evasion by painting a pretty picture on bad news. Maybe she is this, she is that...”
     As she worked on me with her short, strong, assured fingers, it occurred to me that my illness might actually be light, and I would leave her treatment with the optimism that my healing would be gentle and brief. 
     When I left her and began my way home, I felt no different than when I arrived a couple of hours before. However, I did feel a rush of optimism, and a visceral sensation that I would be completely better thanks to her treatment. I was pleased and relieved that she had found my body to be healthy and my problem to be fixable without surgery. Her words were encouraging.
     My healing was brief and anything but gentle. However, it beat surgery hands down, especially as she found that all previous diagnoses had been incorrect, and surgery would not have addressed the root of the problem.
     I continued to visit her in Odawara monthly even after my illness cleared up. There is not much privacy in Japan, and one does not have to eavesdrop to overhear conversations. I soon realized that I was not the only one to whom she spoke optimistically. I liked to flatter myself that she was the most fulsome with me, but certainly she gave every person she treated cause for hope. I learned many things from her, and one of the least technical but most significant was to instill optimism and hope from the outset.
     People do not come to me for treatment for hangnails or trivialities.  I am low man on the totem pole of medicine for most of the people who come to see me. They have already seen several physicians, acupuncturists, chiropractors, and even psychotherapists (having been told the problem is not real, but in their heads), and all treatments and approaches have been futile. They come to see me, not necessarily reluctantly, but because they have run out of options. I feel like the Chapel of Last Hope. 
     Having spent so much time and money on fruitless treatments, and having been told to go away and try something else while they are in pain or going sleepless or are infertile or chronically nauseous or whatever, these people become rather obsessive about their problem. They think about little else, especially if they require drugs just to keep upright or get a night’s sleep. Their qi goes round in circles in their heads, and they feel helplessly captive to their condition.
     As if this is not bad enough, they have to drive through Los Angeles traffic to see me. Most people take forty minutes or less, but some people can spend two hours each way. They are frustrated, flustered, sometimes angry, but always tense when they arrive, and to add to the problem, they have had plenty of time to think about their complaint and rehearse in their heads how they will present it to me. It’s like My Summer Vacation on Queen-for-a-Day-Steroids. Just as most neurotics think that their neurosis is unusual, most people who see me think of themselves as medical mysteries of a unique sort. The fact is, I encounter conditions that most physicians only read about and drool over. The only condition I have never seen is, perhaps, leprosy. So I try to remain unperturbed but sympathetic when people relate their problem(s). Sometimes I give them a score based on Olympic standards for eloquence or drama or pitifulness or bitter frustration. 
     Now, they have turned up at my office tense from driving, from rehashing their problem in their mind, by having to fill out a short but dreary form, and finally by reliving in words their lousy experience. I have to put my hands on them and relax them to the point where I can make an accurate diagnosis by touch. Their bodies are rigid and unyielding. I put a lot of qi into the spine to deepen their breathing, and then run my fingers here and there to pretend like I am doing something important.
     Then I say, “It’s not as bad as you led me to believe. This is workable. Your body is already responding and I feel confident that it will respond in a positive way for a good outcome.”
     The person will almost always give a lung-clearing exhale and say, “Really?” And the body will relax, and I can get on with really doing something important. And as I work, I act as a tour guide pointing out the highlights of their anatomy and physiology, while minimizing the lowlights.
     By now the person is relaxed and relieved, but suddenly remembers something important that he/she has asked two hundred times without receiving a satisfactory answer. “What did I do to get into this mess? How did this happen?” He/she believes that she has been “bad” or done something “wrong”. Certainly, he has brought this medical misfortune on himself. I can feel the body tensing up and denying me access. I have to block that passage of thought.
     “You don’t pay me enough to find out,” I say, and the person laughs. When I feel the body relax, I continue. “You’ve done nothing wrong. It’s just life. Living day to day is reason enough for ___ to happen. It’s not uncommon.”
     Most people leave feeling optimistic, and that optimism/positive energy accelerates the healing process. I phone or email the person 48 hours after treatment in order to learn the outcome, and to keep the optimism in play. In twenty-one years of practice, I have only once been at a loss for encouraging words because I had no idea of the magnitude of the illness, RSD (see Newsletter #14 in the archives for further details). Still today RSD fills me with a hopelessness that leaves me feeling eviscerated. 
     Just as salivation is the first step in the successful completion of the lengthy digestion process, a sympathetic ear, an encouraging or complimentary word, an optimistic tone, and an avoidance of placing blame are the first step in the successful completion of the healing process. I live my vow.


THOUGHTS AT YEAR’S END 2012
Issue #49
LIFE UNFOLDS

     We are all of us restless, asking for whys and wherefores and seeking some sort of answer to get at the root of our restlessness. We believe in free will which is a good thing, but we are not certain that there are fates or destinies or opportunities--both very good and very bad--open to us that exist apart from our will. We find it hard to believe that life just unfolds and carries us with the unfoldment willy-nilly. We have our hardheaded logic that stubbornly resists that notion, and that resistance frustrates us.
     It is not at all a strong thing to put one’s reliance upon logic; and our own logic particularly, for it is generally wrong. We never know where we are to end if once we begin following words or doctors. There is an upright stock in a man’s own heart that is trustier than any syllogism, and the eyes, and the sympathies, and the appetites know a thing or two that have never yet been stated in controversy. Reasons are as plentiful as blackberries; and like fisticuffs, they serve impartially with all sides.  R L Stevenson




Robert Louis Stevenson was an imaginative, restless man of a deeply spiritual nature. Read his Fables to appreciate fully his spirituality. His life unfolded into avenues that would have seemed like fantasy in mid-19th century Edinburgh where he was born. He died 44 years later on the South Pacific island of Samoa in the village of Vailima. He, too, asked for whys and wherefores as his life unfolded, until at the very end he came to an understanding.  This poem, written in Vailimi, is one of his last.

Evensong
                                            The embers of the day are red
                                             Beyond the murky hill:
                                             The kitchen smokes: the bed 
                                             In the darkly house is spread:
                                             The great sky darkens overhead,
                                              And the great woods are shrill.
                                              So far have I been led, 
                                              Lord, by thy will:
                                              So far I have followed, Lord, and wondered still.

                                              The breeze from the embalmèd land
                                              Blows sudden toward the shore;
                                               And claps my cottage door.
                                               I hear the signal, Lord--I understand.
                                               The night at they command 
                                               Comes. I will eat and sleep and will not question more.
                                             
     There is a Japanese proverb: the foot of the lighthouse is in pitch darkness. Like a lighthouse beacon, we restlessly scan the horizon for the signal that will put an end to our questioning, ignoring what is at our feet, our fingertips, or right under our noses. We need to put our reliance in our “eyes, sympathies, and appetites”; we need tranquil moments of being alone and alert; we need to believe that life just unfolds, and though we may make choices and decisions, we are not in charge of the unfoldment. Then we will experience the signal. We will obtain a measure of contentment.
                                    
NB: Parents of a teenager must be very very much more aware and  conscientious about the above than those without.

         

                                            DEATH AND TRANSFORMATION

MF Writes:  My mother, Marty Fromm, passed away last month. She had several afflictions, not least of which were dementia and congestive heart failure.  As the one left behind with mind intact, it pained me to watch my mother ease into feebleness of mind and body. But for her it was a kind of a gift. She had, as far back as I can remember, been very afraid of death, and dementia removed the concept of death from her mind. I suspect that she grew demented in order to have a peaceful and comfortable death. Though no physician would have called her healthy, her descent into dementia was a very healthy choice her body made. She passed the last three years of her life without anxiety or fear; and more important, she was wonderfully happy and grateful to be alive. She existed in what the Japanese politely and accurately call a state of ecstasy. 
     She died at home, and her course of death was typical. She stopped speaking and eating. Her solar plexus became tight. I sent for hospice and put her in bed. Her solar plexus grew tighter and tighter until it was almost like a board. She drank Coke through a syringe, and Therese and I kept her face and lips moist with water. On the third day, her solar plexus softened, and I knew death would come soon. A short while after her solar plexus relaxed, I called her name. She opened her eyes and focused on my face. I asked her questions and she responded by nodding or shaking her head. Her wrinkles vanished. Her broad smile was beatific. She told me she was tired, closed her eyes, and her qi flashed out of her solar plexus. She was dead. 
     Or so I thought. As I looked at her for what I thought was the last time, I saw the pulse beating in her thin neck. It took me a few minutes to realize that although she was “dead”, her pacemaker was keeping her alive. She lay in that condition for about 12 hours, and then was finally, legally gone.
     I have often spoken and written that my definition of life and death is a simple one: life is the presence of qi, and death is the absence of qi. Once the qi leaves the body, the person is no more, yet the body goes on living. This is what makes possible the harvesting of organs and body parts for transplants. This is also what makes possible the accessing of the qi of deceased persons. Their qi is no longer confined to a small shell, but is free to roam the universe. Qi is, after all, energy. My mother was loving to me, and invested her energy in that love. Her energy has blended with mine. She has literally become a part of me. I can use that energy to contact her as she roams the universe. She can speak to me again.





     LOWER BACK PAIN AND $URGERY

MF writes: I have not succumbed to summer laziness by choosing to quote rather than write an original piece. I agree with Emerson: It is as difficult to appropriate the thoughts of others as it is to invent. I came across an article by the Harvard Medical School professor and well-known hematologist Jerome Groopman, and found his information to be salutary enough to warrant sharing. I give you 
Dr. Groopman:

    In 2006, more than 150,000 spine fusions were performed in the U.S. The operation involves removing discs from the lower spine and mechanically bracing the vertebrae with metal rods and screws. The procedure is of tremendous benefit to patients with fractured spines or spinal cancer, but these make up a minuscule number of the total cases. More frequently, spinal fusion is performed to alleviate chronic low back pain. There are serious questions about whether the operation is effective and why some doctors perform it.
     CT and MRI scans are often used to make the case for surgery, but the correlation between damaged or degenerated discs and low back pain is poor. Studies have shown that 27% of healthy people over the age of forty had a herniated disc, 10% had an abnormality of the vertebral facet joints, and 50% had other anatomical changed that appeared significant on CT scans. Yet none of these people had back pain. Similar results were found in a study using MRI scanning: 36% of people over sixty had herniated discs, and some 80% to 90% of them had significant disc degeneration in the form of narrowing or bulging. Again, despite significant anatomical changes in the lumbar spine, these healthy people had no nagging back pain. For some people, of course, the rupture of a disc coincides with the acute onset of pain. But even then, studies show that surgery is often unnecessary. More than 80% of people will recover with conservative measures, like anti-inflammatory medication, a short period of rest, and then progressive mobilization and physical therapy. A simple operation called a discectomy--shaving off the lip of the disc that has herniated and that presses on the nerve root--can relieve pain  more rapidly.
     Each of the various muscles, tendons, bones, joints, and ligaments in the lower back contains sensory nerves that can transmit message of pain through the spinal cord to the brain. There are also organs in the abdomen and pelvis that, when they become inflamed or diseased, can signal pain in the back. Given all of these structures, the source of the chronic low back pain is often a mystery. Doctors can be hard-pressed to identify why a patient is uncomfortable.
     How doctors think about a problem like chronic low back pain is heavily influenced by the specialty they trained in. A research study published in 1994 showed that each group of specialists favored the diagnostic tools of their discipline in evaluating patients. Neurologists called for electromyograms (EMGs) that assess the integrity of the conduction system of nerves. Rheumatologists, who are experts in arthritis and other joint disorders, ordered blood tests called serologies than can identify relatively rare autoimmune disorders that affect the spine. Surgeons requested MRI scans, which reveal the anatomy of the vertebral bones and discs and may suggest a surgical solution.
     One doctor who sees many patients with chronic low back pain pointed out that in medicine, when you do a procedure on a patient, even if it just sticking a needle into him, the insurance company reimburses you at a much better rate than if you perform a physical examination. So, he said, there is a powerful drive to perform invasive procedures.
     On the other hand, Dr. Richard Deyo, a primary care physician at the University of Washington who has studied the results of treating thousands of patients with low back pain, emphasized that in most cases these diagnostic tests are neither informative nor useful in guiding treatment. Research showed that 85% of patients who suffer from low back pain cannot be given a precise diagnosis; the pain is usually vaguely ascribed to “strain” or “sprain” or “spinal instability” in the lumbar region. It turns out that the diagnosis is not critical, because the outcomes tend to be similar anyway. With acute low back pain, 90% improve within two to seven weeks without specific therapy. Even with an acute ruptured disc the prognosis is good, although recovery is usually slower; 80% feel significantly better within six weeks without surgery. Over time, the disc retracts, so it no longer presses on the nerves and the inflammation subsides. As noted before, a simple discectomy will make you feel better faster if you have acute sciatica, so some people opt for this procedure. But the rationale for surgery for chronic, as opposed to acute, low back pain is much less clear; how physicians guide patients with chronic pain, alas, may be significantly influenced by economics.
     The current culture of medicine fosters lucrative networks of referrals and procedures but discourages critical examination of their value. Insurance benefits also favor surgery: patients usually get greater disability payments if they undergo back surgery. Insurance nearly always reimburses a surgeon at a much higher rate for a fusion operation than for a discectomy. In 2006, the surgeon’s full fee for a simple discectomy was around $5000, as opposed to some $20,000 for a fusion procedure. The financial incentive tips heavily toward fusion.
     For the majority of patients with chronic lumbar pain, fusion surgery has no dramatic impact on either their pain or their mobility. Yet many surgeons pay scant attention to the poor results. A prospective trial in Scandinavia compared patients who underwent fusion surgery for chronic low back pain with those who did not. After two years, an independent observer rated only one out of every six patients in the surgical group as having an “excellent” result--only marginally better than patients who had intensive physical therapy.
     In conclusion, it is unlikely that in the near future personal financial gain will be extracted from certain clinical decisions. Several spine surgeons told me they would not participate in a trial comparing simple discectomy with fusion surgery, because fusion surgery is a main source of their income and because they are convinced of its value. These were the obstacles that Dr. James Weinstein, at Dartmouth Medical School, faced in trying to launch a national study. Weinstein, an orthopedic surgeon and a leading expert in back pain, told me that the way doctors approach treatment of chronic lumbar complaints needs radical improvement. Patients, he said, must be given unbiased information about what is known and not known about back pain and the various ways of treating it. Informed choice means a comprehensive understanding of all the options and their possible risks and benefits. 


Thoughts at Year’s End 2013

Generosity of Spirit
When Giving and Receiving Are the Same
     There is a unity of intention and the effective flow of qi. The most potent qi is that which is generated and guided by a generosity of spirit. To me, one’s degree of health is the degree of satisfaction one takes in life. However, the satisfaction one takes in life does not imply a self-seeking hedonism. Regard for others is central to the efficacy of healing qi. In the words of William Blake, “The most sublime act is to set another before you.” “Another” is not limited to people. Any living creature, be it flora or fauna, that you wish to help and heal will benefit from your qi. Even cats. 
     You cannot kill a person with qi no matter how hard you try. You can wish them dead as you transmit your qi, but qi will not make your wish come true. At worst, you will make the person feel anxious or nauseous. More probably, your qi will not be effective simply because it does not blend with the qi of the receiver. Just as it is next to impossible to transmit qi successfully to a mean-spirited person, so it is unthinkable that a mean-spirited person can generate effective healing qi.
     On the other hand, wishing someone well as you transmit qi will work toward making him/her well. To have a loving thought in mind as you give qi enlarges and fortifies your qi.
     You may also have a conscious intention of healing a specific ailment or treating a specific wound or blow. Intention is not the be-all-and-end-all of healing qi, but no amount of technical expertise or finesse can make up for a lack of good intention and generosity of spirit.
     I never begin to give qi treatment without thinking of a loved person, living or dead, whose approval energizes me. I conjure up his/her face when I do my warm up exercises to access my qi, and imagine us breathing together. I feel a rhythmic union with the person, and dedicate my day’s work to that person. I work for that person’s approval by helping others on their behalf. Thus, I set out to do a day’s work with good intentions and a generosity of spirit.
     As most of you know, my mother passed away in January. She has not been speaking to me or aiding me like Obi Wan did with Luke Skywalker, but her spirit has been subsumed in mine. Beginning with her introduction to qi in 1984 when she was healed of chronic sciatica by Mrs. Matsuura in Japan, she was helped regularly by qi treatments, including acupuncture. She was a great fan of qi, and was grateful for treatments. Therese and I were at her bedside giving her qi up to the moment of death. I dedicate one day of work a week to her, and that work usually goes very well. Her generous spirit enhances mine.
     This is not to say that you have to love every person you treat. You don’t. Sometimes you have to hold your (metaphorical) nose when you give treatment. The point is that you wish them well enough that you can generate the kindness of intention that produces good results.
     The good news is that the more qi you transmit to others for the purpose of health and healing, the healthier you get. People often ask if I am exhausted at the end of a day’s work, having expended so much energy. The answer is no. I get tired listening to sad stories and seeing people in pain, but my expenditure of energy returns to me by the act of giving. Again, as Blake said, “Energy is eternal delight---Exuberance is Beauty”. That’s a healthy thought for the New Year.  
(PRETTY) BIG NEWS!!
     At the invitation of Professor Steven Hirohama, Therese and I sponsored a competition for his film class to create a short promotional video for SIKE Health. Prof. Hirohama shot a couple of hours of raw footage, and then handed it to the students to edit and add music and effects.


THE PATH OF MIND/BODY HEALTH IN POETRY



     Our lives are full of stress and worry. Young and old alike are losing their health and their emotional stability to regretting the past and fretting about the future.

            We look before and after,

          And pine for what is not

                                                              P. B. Shelley ‘To A Skylark’ (1820)



         It is harder and harder for us to live in the present, not because the present is drearier than in the past, but because the present places more demands on us than in the past. Just look at anyone with a cell phone. There is no place to be alone and collect oneself, at least not in “advanced” countries. People in "developing" countries are worried about feeding themselves and fending off diseases. We are concerned about popularity, success and acquisition.



The world is too much with us; late and soon,

Getting and spending, we lay waste our powers;

W. Wordsworth



     Some of those powers have to do with our digestion and immune system. I am seeing more and more young women with irregular menstrual cycles and bad skin due to a disruption in their body cleansing system. Both young men and women complain of headaches, sleep disorders, and problems with digestion. Not one of these people has a carefree attitude to life. In fact, I would have to say that they are careworn by the time they finish four years of university.

     Their parents display the same symptoms. The parents fret that the children are not working hard enough to succeed financially, and the children are worn out from trying to satisfy the parents. Both parents and children aspire to the same goal: a secure future with happiness on the side. But fantasies of, and aspirations for happiness are unclear and unfocussed ("notions vain"), and are usually so abstract that they lead to anxiety. The present loses its hold on us, and we struggle to find our way through life.

                                                       Freed from intricacies, I am taught to live

                                             The easiest way, nor with perplexing thoughts

                                             To interrupt the sweet of life, from which

                                             God hath bid dwell far off all anxious cares,

                                             And not molest us, unless we ourselves

                                             Seek them with wand’ring thoughts and notions vain.

                                             But apt the mind or fancy is to rove

                                            Unchecked, and of her roving is no end;

                                            Till warned, or by experience taught, she learn

                                            That not to know at large of things remote

                                            From use, obscure and subtle, but to know

                                           That which before us lies in daily life,

                                            Is the prime wisdom; what is more is fume,

                                           Or emptiness, or fond impertinence,

                                           And renders us in things that most concern

                                           Unpractised, unprepared, and still to seek.

                                                                             John Milton  Paradise Lost  VIII 182-197

      Buddhism has a useful metaphor for describing the problems that perplex us. The problems are described as a long rope on fire at one end. As the rope whirls around faster and faster from the center, it appears that the fire is a single circle enclosing us and preventing us from moving. In fact, there is only one point on the circle at any time that can hurt us. If we just become tranquil and thoughtful, put aside feelings of haste, and see the present for what it is, we can walk through the circle of fire to freedom.


   Tranquil, steady breathing is the pathway to health.

There is nothing worth racing or rushing for.

The breath of Nature is rhythmic and tranquil.

Flowers do not succumb to the pressure of time and rush to bloom.

But we fall into disorder, agitation, and commotion when we 'fall behind' time.

Humans are the only organisms capable of conceiving the future.

Most of our stress and all of our anxieties come from thoughts of the future.  Until we realize that our anxieties are always one station ahead of us, and thus groundless, the future remains a prime source of human agitation.

Agitation disrupts our breathing.

Every moment of agitation is a moment lost to our span of life.

Calm yourself by gently slowing your agitated breathing and returning to the present.

Restore yourself to a steady repose.

With the natural rhythm of breath, our bodies will move as Nature intends, toward health.

Happiness, sadness, anger, suffering, pleasure...all are interesting.

Observe a child: tears give way to laughter, and pain gives way to pleasure. Binding oneself to any single transient emotion disturbs our breathing and subverts our core of tranquility. In extreme cases, we stop breathing altogether.

Each life is encircled by an ever-turning wheel of varied emotions.

When the wheel turns to anger, get angry; when you are facing sadness, feel sad; conform to the changing reality before you without losing the healthy rhythm of your breathing.

This is the path of health.

      

     Our lives are too short to lose time to worry, stress, and the health problems they create. In closing, a fragment of a Victorian poem that is remarkably like a Japanese Zen waka (31 syllable poem).



They are not long, the days of wine and roses:

Out of a misty dream


Our path emerges for a while, then closes


Within a dream.

                          Ernest Dowson, from "Vitae Summa Brevis" (1896)



Useful Health Hint

    A Health Note from Denmark


    KEEP ON WALKING!

    Above all, do not lose your desire to walk: every day I walk myself into a state of well-being and walk away from every illness; I have walked myself into my best thoughts, and I know of no thought so burdensome that one cannot walk away from it. Even if one were to walk for one’s health and it were constantly one station ahead--- I would still say: Walk!! Besides, it is also apparent that in walking one constantly gets as close to well-being as possible, even if one does not quite reach it--- but by being still, and the more one sits still, the closer one comes to feeling ill. Health and salvation can be found only in motion. If anyone denies that motion exists, I do as Diogenes did, I walk. If anyone denies that health resides in motion, then I walk away from all morbid objections. Thus, if one just keeps on walking, everything will be all right.

                                                                        Søren Kierkegaard


SORRY, NO SPECIAL POWERS HERE

MF writes: A few years back I was part of a panel discussion on a radio program dealing with health. I thought we would be discussing health, but I was quickly disabused of that notion. The talk began with a theme that I can only refer to as ‘sixth-sense’. One panelist claimed to be psychic, two said they were intuitives, and one was a ‘sensitive’. As the four panelists and moderator waited for me to chime in with my sensory powers, I felt like a complete loser, like Charlie Brown dropping the fly ball in the 9th inning, like Marc Antony telling Cleopatra how things turned out at the Battle of Actium, like a total doofus, like…well, you get the picture. I admitted to having no sensory powers. I tried to cover myself, saying, “I don’t need special powers in my line of work.” It didn’t wash. The group shunned me.
     As the other panelists regaled the invisible radio audience with tales of exposing haunted houses, predicting unanticipated deaths, sensing out ancient Indian burial grounds, prognosticating weather patterns, and conversing with the dead, I sat meditating on my lack of powers, and how their powers had little or nothing to do with health.
    Within an hour of the program ending, my feeling of failure evaporated and my normal feeling of superiority kicked in. I may not be able to communicate with the dead, but I can communicate well with the living, especially with their mind/body. Perhaps, after 30-some years of learning and practicing qi medicine, I have exercised a latent intuitive sensory muscle within me that makes me a better, more sensitive practitioner.  
     It was 1981. I began studying with Mrs. Matsuura, who, from the first, stressed what I called the Holy Trinity of qi medicine: Opportunity, Space, and Degree.
    Opportunity means the practitioner’s ability to sense the precise moment to address directly the patient’s complaint. Most adults are physically and mentally tense, and so are not fully receptive to qi treatment. Qi works quickly and effectively when the mind/body is in a state of relaxation, and so the bulk of a qi treatment consists of relaxing the patient so that the qi can be successfully transmitted. In the words of Ben Jonson (“The Art of Physic”): The art of medicine consists of amusing the patient while nature cures the disease. It takes sensitivity born of experience to sense the right opportunity for effective transmission of qi.
    Space means the ability to distance oneself from the patient and observe how the treatment should progress, and is progressing.
    Degree means the effective amount of qi to be given, and the effective duration of transmission time necessary for positive results.
     The Japanese for this Holy Trinity is ki, do, ma. When the three overlap, you have powerful qi. Is the awareness of this overlap a form of intuition developed over time? Does awareness just occur naturally with experience? These are tough questions to answer. I have met a number of experienced practitioners who not only lack awareness, but are not aware that they should be aware.
     When I told my Aikido instructor, Mr. Watabe, about this trinity, he was first thoughtful, then merry. “That’s what I’ve always said was the essence of Aikido (lit. Path of Blending Qi): the right move at the right time. Know when to start, when to stop, and how much to do in between.” He was very pleased to have found that qi had even more applications than he had thought. “However,” he said, “it seems to me that together with opportunity, space, and degree, you have to add movement, certainly in Aikido. Without movement, nothing really occurs. Of course, it is the nature of the universe to be in constant motion, just like it is with our bodies. We add our movement to that of others, and we have a great qi experience whether for killing or healing.”
     I thought: Einstein added the 4th dimension, Time, to Newton’s three spatial dimensions, and so revealed an active universe in infinite motion. Watabe added movement to Matsuura’s Holy Trinity, and created an active relationship between practitioner and patient. By blending my movement
---both micro- and macroscopic movement---  to that of the patient, we form a bond that enhances the quality of the qi treatment.

Forming the Bond
     It is very important to get an idea of the patient’s personality and character from the first. At the initial consultation, I always spend at least fifteen minutes talking to the person and observing his/her body language. It is not uncommon for me to have what I call a “vision” of the person in good health. This is like a diagnosis because it enables me to know what needs to be rectified in order for the person to regain the health he/she seeks. It is almost like seeing into the person to observe the structure and organs of the body. The Japanese call this naikan, ‘seeing within’.
    I was told early in my training that naikan was an essential component of a competent practitioner. I had no idea what the instructors were “seeing”. I despaired of ever achieving the ability. And then one day—boom—it happened. It wasn’t that I had developed X-ray eyes. It was a subtle feeling of visionary confidence that I knew what was going on inside the person, and that I could fix it. The vision was an amalgamation of her voice, posture, eye contact, disposition, breathing, and list of medications. A bond was formed, and today I naturally form bonds with those I treat.
     The new patient probably does not feel the bond. That doesn’t matter. Most people prefer to be passive and let me do the work without asking what on earth I’m doing. They have heard about me from a third party and are taking a leap of faith to undergo treatment from me. However, by the fourth or fifth treatment, they are aware of the bond, and this makes my work easier because they look forward to treatment and their bodies are receptive. They even ask me what qi is!

   
Time For Intuition
 Some people’s maladies are puzzling. They are seeing several specialists, each of whom provides a different diagnosis and prognosis. By the time such people turn up at our clinic like castaways, they are confused, bothered, and bewildered. It is not always easy to form a bond because they have become so altered from their original selves, not least because of powerful medication.
     In these cases I find intuition raising its hand and asking to be called on. Since XYZ have all been unsuccessfully tried, my intuition tells me that we should try ABC. I then filter that intuitive voice through my experience in order to determine the validity of the thought. I am not as confident with this intuitive approach as I am with my ‘vision’. However, when a vision is unattainable, this is the next best thing.
Demands

    Our bodies are demanding of us, and we are demanding of our bodies. My body says, ‘Let me sleep”, and I reply, ‘I want to party all night.’ Your body wants to eat, but you want to fast. Your body wants to breathe deeply, but you want hurry along  breathing shallowly.
    Understanding the mutual demands of a person is also a key factor in creating a visionary health plan. It is not enough to deal with, say, a 70 year-old body. I have to tell the person that he/she is no longer 26 and cannot and should not physically compete with youngsters. If a 47 year-old tells me he can no longer do the amount of exercise he used to be able to do, all I can say is that he was never 47 before.
    I always ask a person at the initial consultation what his/her goal is; what kind of outcome they seek. It is not enough to say he wants to be pain free or she wants to be healthy. I like to know how they plan to use their healthy body when the treatment(s) are concluded: attend a wedding, walk through Paris, join a Pilates class, swim, garden, etc. When we have a mutual goal, I feel more confident to blend the mutual demands.
Clairvoyance
  When I travel, I always have to resist the temptation to ask a self-proclaimed psychic why he doesn’t know where his lost luggage is. In 1994, I wondered why two psychics bought property and opened for business one week before the Northridge earthquake that demolished their properties.
   I am sure that some people have clairvoyance, which is French for ‘clear seeing’. As we use the word, it means a supernatural power to see the future.
    I believe that I am clairvoyant, though not in the above sense. In order to give effective and timely treatments, it is imperative for me to see clearly, and that involves seeing not only the person as she stands before me, but also the person who will be transformed at treatments’ end. My clairvoyance is not an innate gift. It is the result of years of thoughtful experience with, perhaps, a soupçon of intuition.
    My clairvoyance is what the Japanese refer to as kan. There is no single English word for kan. A dictionary will give the word ‘intuition’, but that word requires a lengthy footnote of the type I have been writing about. Kan is much closer to a certainty than to a hunch. I am told by disappointed practitioners that young trainees today are more interested in studying technique than in developing kan. If that is so, I fear for the future of the art. Qi medicine will devolve into a one-size-fits-all painting by numbers technique in which the individual will be overlooked.
Best not to think about that…
    If I had had my wits about me that day on the radio, I would have called myself clairvoyant. But, really, how do you compete with ghost-busters?


Thoughts at Year’s End 2014

Any idiot can face a crisis--
It’s this day to day living that wears you out.
Anton Chekov

In the past I have written about the properties of qi including the
physical and mental properties. As Carl Jung almost said, “Bidden or
unbidden, qi is always there in your life.” At the end of 2014, I write to
enlighten you to the unending flow of qi, and how it can improve all
aspects of your health.
Left to its own devices, the human body would self-monitor and
self-regulate its flow of qi in order to keep itself at optimum health. It
would, all by itself, keep itself as healthy as its innate adaptive power
allowed. There are, however, several reasons why this ideal state
does not come about. For the purpose of this newsletter, only one
reason—the prime reason—need be advanced: stress. Stress is
induced by personal and environmental factors. Stress is the main
impediment to the healthy functioning of the organism. There is a
growing school of medical opinion that believes that stress, together
with genetic factors, is at the root of many illnesses including cancer.
Make a fist. Clench it tight. Feel the muscles bulge in your forearm,
feel the ache in your palm. Now try and brush your teeth. Or drive a
car. Or hold a fork. Or sew a button on a shirt. Obviously you can't.
And the number of things you can’t do in this state is infinitely greater
than the number you can.
The “unnatural,” excessive tension in the hand is impeding the
hand’s functions. It is by relaxing the hand that you can comb your
hair or type an e-mail. In the same way, stress resulting in physical
tension impedes the self-regulating activities of the body, which in
turn impairs health. To put it another way, the flow of qi within the
body encounters insurmountable obstacles.
The qi which you feel leaving your hands when you do the
preceding exercises, and the qi which you feel when you receive qi
from another person are the same qi which is continuously coursing
through your body. The flow of qi is the body’s equivalent of running
a virus scan or a disk scan on your computer. The qi is ceaselessly
monitoring the body’s activities and movements at the micro and
macroscopic levels, and making adjustments where need be. Stress
impedes the flow of qi and causes gaps in the monitoring process.
It is as if a technician charged with monitoring the machinery of a
large laboratory finds half of the doors inexplicably locked against
him as he makes his rounds. When the body is dominated by tension,
it loses its chief technician and mechanic, qi. This is when
breakdowns in the system occur: headaches, stiff shoulders,
backache, poor digestion, constipation, sleep disorders, irregular
periods, skin eruptions, and worse.
A Question of Balance
In thirty years of learning and practicing qi medicine, no one has
ever said to me, “Dr. Fromm, I am just too damned relaxed. Isn’t there
anything you can do to put a little tension in my life?” Should I ever
meet such a person, I would treat him for narcolepsy.
Our bodies tense when we inhale and relax when we exhale. If it
were only as easy as breathing to maintain the balance between
tension and relaxation, the health status of most of the world would
improve dramatically. Unfortunately, the balance scales of our daily
lives are heavily weighted in favor of tension. With tension comes a
loss of flexibility and with a loss of flexibility comes an accompanying
loss of durability. As I have frequently written, health is not a matter of
strength or “fitness,” but a matter of flexibility, both mental and
physical. The example I gave above of a clenched fist as a total loss
of flexibility was an extreme one, but I frequently treat bodies that
have reached that extreme, and even more frequently encounter
bodies that are on their way to becoming that extreme.
One easy way to relax a body and clear a mind of tension is to
send qi into the spine. The flow of qi through the spine is a very quick
and effective means of relaxation. This is how I begin most of my
treatment sessions. Though this brief treatment excellent means of
relaxation, it does not go so far as to restore and maintain the
equilibrium of tension and relaxation throughout the body, including
the organs. And I can think of almost no one who would want to see
me daily in order to relax.
The unimpeded flow of qi will restore the body’s tension/relaxation
equilibrium and arouse its latent powers.
But how to achieve that goal? The answer lies in the working of qi
upon the extrapyramidal motor system (EMS) and upon the
autonomic nervous system (ANS).
The Extrapyramidal Motor System
The extrapyramidal motor system and the autonomic nervous
system govern all facets of the balance of tension and relaxation
within the body. The application of qi to the EMS will trigger a flow of
energy throughout that system and throughout the ANS. This energy
flow will bypass the central nervous system and transcend thought
(conscious behavior). It will sweep away blockages and barriers to the
smooth passage of qi. It will remove tension and promote relaxation,
and will restore the functioning of organs to their original integrity. In
Japanese, the exercise promoting the uninhibited flow of qi is called
kiryū, flowing qi.
Kiryū creates physical anarchy in a way we have not experienced
since early childhood. We were then free to respond to the body’s
demands and express its striving for health any way we liked. We
could fart, belch, burp, roll around on the floor, cry, yell and scream,
jump and run, giggle uncontrollably…all with impunity. As we aged
and learned manners and entered society, we learned to suppress a
fart, squelch a belch, curb our physical impulses, etc. In other words,
we repress and suppress all the hundreds of little release
mechanisms designed to rid ourselves of tension.
The universe, like us, is in a constant state of movement. There is
nothing alive that is static. We move at the sub-atomic, atomic, and
cellular levels. Our blood circulates, our breath moves our lungs and
rib cage, the endocrine system never rests, and our brain is in
constant communication with every inch of our body via neural
pathways.
Yet we feel self-conscious about movement. We join movement
classes and dance classes and exercise classes in order to have a
safe and approved environment in which to move in a manner
different from our “everyday” manner. No one seems to notice that
while our minds are in constant motion, our bodies hardly move in
proportion in our daily life.
Social conventions state that the fewer our movements, the more
well-behaved we are. “Children should be seen and not heard.” We
take pride when our young children do not run around and make
noise in a restaurant, but sit with a minimum of movement and talk.
“We are good parents,” we think, “we have taught our children selfcontrol.
Now we can enjoy our meal.”
Looked at from your own physiology, stress can “teach” you selfcontrol.
Stress can impair the movements of cells, nerves, muscles,
and organs so that they sit quietly doing nothing. What you applaud
in your children’s behavior you look askance at in your body’s
behavior. Your palate fails to function and you do not enjoy your meal,
or your digestion fails to function and you do not enjoy your meal, or
your cleansing mechanism fails to function and you do not release
your meal…you would like to get your body “moving again” to
improve your health and enjoyment of life’s little pleasures.
The EMS and ANS, stimulated by qi, use any and all of our original
release mechanisms to promote relaxation and restore our bodies to
a healthy equilibrium.
The body is always adjusting and fine-tuning itself. Kiryū releases
the body’s full potential to adjust and fine-tune.
And just as each person has his own anatomy and quality of qi, so
each person reacts in subtly different ways to kiryū. There are,
however, a number of characteristic responses to kiryū.
1. The most common, indeed universal, response is uninhibited
movement. Your body may begin to twitch spasmodically, shake,
shiver, or sway. You may feel you want to walk or simply lie on the
floor moving your feet or legs. You may feel like flapping your arms or
shaking your wrists or snapping your fingers or all of the above.
The qi will naturally go to any part of the body that is over-tense,
and seek to relax it through movement. If you have bruised your
right elbow, you may expect your arm to shake so that the muscles
relax and the elbow joint gently moves. If you have a headache,
you may expect your head to sway and your neck to swivel in order
to relax the muscles along the 1st and 2nd cervical vertebrae (C1
and C2).
Movements are never violent. They are always pleasurable.
2. Yawning is a typical response. You would be surprised how many
people do not yawn at all. Or cannot yawn at all. Yawning is a sign of
health, a sign that the body is capable of relaxation. People who
cannot yawn are destined to sleep dysfunction and lower back pain.
Kiryū stimulates the body to yawn and to stretch. When you have
done kiryū for some months, you find that you begin to yawn and
stretch just at the thought of inducing kiryū.
3. A release of vocalized sounds is a common response. This could
be laughter or giggling, it could be a moan, it could be humming, it
could be singing, it could be noises pushed out with your breath.
4. A release of fluids frequently occurs. Tears are common in the case
of women, less so in men. A woman may suddenly feel “emotional,”
not necessarily happy or sad, but having an irrepressible desire to
cry, releasing both fluid and sounds at the same time.
As the muscles in the jaw and neck relax, the body may produce a
lot of saliva which fills the mouth.
Another type of fluid is mucus from the nose.
And finally, the body may sweat profusely without becoming
feverish. The sweat may come from the entire body, or it may be
localized, such as from the scalp or armpits.
5. The stomach and intestines may gurgle and rumble as they are
released from their usual bondage of tension.
The effect of kiryū is a release from tension. You feel remarkably
relaxed and clear-headed. Minor aches and pains vanish, and there is
usually a sensible diminution of major aches and pains. The
cumulative effect of kiryÅ«—that is, to make kiryÅ« a daily or thriceweekly
part of your health regimen—is to promote deep, refreshing
sleep, improve digestion and muscle tone, strengthen the body’s
immune system, and keep the cleansing system functioning
effectively.
Ultimately, the effect of qi upon the EMS and ANS will be to
sensitize the organism to fulfill its potential for adaptive power.
Kiryū is the cheapest, easiest, and most effective preventive
medicine measure ever devised. Kiryū is performed naturally in the
womb by the fetus as it swims and kicks and blows bubbles, etc. It
can be self-induced as one ages, even in the very old.
Because kiryū stimulates and strengthens the immune system,
people with artificial body parts should pay attention to side effects
when they perform the procedure. Their bodies may seek to reject the
artificial “intruder.” This is not common, but it may happen.
Artificial body parts include heart valves, pins or screws in bones,
breast implants, pacemakers, artificial joints, etc. Artificial body parts
do not include teeth fillings or other dental work.
Therese and I have been doing kiryū alone and in tandem since
1981, and consider it the core and mainstay of our health regimen. We
teach people how to do kiryū at our clinic, and instructions for selfinducing
kiryÅ« are found in my book “Qi Energy for Health and
Healing”.

ORIENTAL HOLISTIC MEDICINE FOLK WISDOM


Be aware of your body.
Be aware of your perceptions.
Keep in mind that not every physical
Sensation is a symptom of a terminal illness.


Drink tea and nourish life;
With the first sip, joy;
With the second sip, satisfaction;
With the third sip, peace;
With the fourth, a Danish.


Breathe in, Breathe out.
Forget this and attaining Enlightenment will
Be the least of your problems.



Jewish Buddhism:
If there is no self,
Whose arthritis is this?

Deep inside you are ten thousand flowers.
Each flower blossoms ten thousand times,
Each blossom has ten thousand petals.
You might want to see a specialist.


Beyond Valium,
Peace is knowing one’s child
Is an internist.



Accept misfortune as a blessing.
Do not wish for perfect health, 
or a life without problems.
What would you talk about?


Her lips near my ear,
Aunt Sadie whispers the name
of her friend’s disease.
[If you say it out loud it will come to you.]


Buddhists say Life is an illusion without beginning or end. A viable person does not exist.
Christians say a person is viable at conception.
Hindus say a person is a viable person for countless life-cycles.
Jews say is a person becomes viable when he/she passes the medical boards.


[To Combat Anxiety]

Be here now.
Be someplace else later.
Is that so complicated?


The Tao does not speak
The Tao does not blame
The Tao does not take sides
The Tao has no expectations
The Tao demands nothing of others
The Tao is not human


The Torah says, Love your neighbor as yourself
The Buddha says, There is no self
Whew! that let’s us off the hook.


From the Early Han Dynasty ca. 200 B.C.E

A physician was called to a distant village where the headman was gravely ill. The doctor did what he could, but the man died within thirty minutes of the doctor’s arrival. The doctor presented the village with a bill for five gold coins. The villagers were outraged. 
“Did you cure him?” one asked.
“Obviously not,” replied the physician.
“Then did you kill him?” asked another villager.
“Of course not, don’t be ridiculous,” said the physician.
“Well then,” said a third, "if you neither killed him nor cured him, you did nothing at all, and yet you demand five gold coins from us.”
“Yes,” said the physician, “I must insist on my fee.”
At this, the villagers attacked him. The physician was forced to run for his life. He ran through fields and over hills and through small defiles, always with the villagers at his heels eager to catch him. Finally, he reached the bank of a wide river and dove in. Not a single villager could swim, so the physician was able to swim to safety on the other side. It was late at night before he returned to his home.
He found his dutiful son reading a medical textbook by the glow of some fireflies he had captured. The physician was furious.
“Worthless boy,” he yelled, “why do you waste your time reading a medical textbook when you could be learning to swim?!”
[Nowadays doctors learn to drive.]

From the Early Han Dynasty ca. 100 B.C.E

A certain doctor advertised his skill in curing curvature of the spine. Even if a man’s back was bent like a bow, even if the head touched the feet he could make the man straight as an arrow.
A man went to him for treatment, whereupon the doctor put him between two boards, and bound them tighter and tighter together, the man yelling with pain. At last the doctor got him quite straight, but he was also quite dead. When the man’s family made a fuss, the doctor said, “I guaranteed to straighten his back, not that he should live through it.”
[Always enquire about possible/probable side-effects.]

The New New Testament or The Theology of Health

And God populated the earth with broccoli and cauliflower and spinach, green and yellow vegetables of all kinds, so Man and Woman would live long and healthy lives.
And Satan created McDonalds. And McDonalds brought forth the 99-cent double cheeseburger. And Satan said to Man, “You want fries with that?” And Man replied, “Supersize them.” And Man gained pounds.
And God created the healthful yoghurt, that Woman might keep her figure that Man found so fair.
And Satan brought forth chocolate. And Woman gained pounds.
And God said, “Try my crispy fresh salad.”
And Satan brought forth ice cream. And Woman gained pounds.
And God said, “I have sent you heart-healthy vegetables and olive oil with which to cook them.”
And Satan brought forth chicken-fried steak so big it needed its own platter. And Man gained pounds and his bad cholesterol went through the roof.
And God brought forth running shoes and Man resolved to lose those extra pounds.
And Satan brought forth cable TV with remote control so Man would not have to toil to change channels between ESPN and ESPN2. And Man gained pounds.
And God said, “You are running up the score, Devil.” 
And God brought forth the potato, a vegetable naturally low in fat and brimming with nutrition.
And Satan peeled off the healthful skin and sliced the starchy center into chips and deep-fat fried them. And he created sour cream dip also. And Man clutched his remote control and ate the potato chips laden with cholesterol.
And Satan saw and said, “It is good.”
And man went into cardiac arrest.
And God sighed, and created quadruple bypass surgery.
And Satan created HMOs.

USEFUL HEALTH HINT

A journey of a thousand miles begins with a single step.
You are driving to the market.
Life is good.


 AUTUMN SEASON CHANGE, YOUR BODY, GLOBAL WARMING

     Few of us believe that the change of seasons exerts a physiological effect on the body. After all, thanks to thermal technology, we can live and work at a constant temperature throughout the year. New Zealand and Chile provide the Northern Hemisphere with summer fruits and vegetables during our winter months, and I have no doubt that we reciprocate the favor during their winter months.  Refrigerators and freezers preserve food well beyond their natural lifespan. Man-made fibers resist the winter cold with as little weight as summer cottons. Clean drinking water is piped into our homes year-round, and, until recently, we did not have to contend with seasonal droughts or floods for the precious fluid. The length of each day is unvarying thanks to electric lighting. We have just as long a workday during the “short” days of winter as during the “long” days of summer. Neither scorching heat nor arctic blasts prevent us from socializing with our friends thanks to well-equipped automobiles. Movie theaters, playhouses, sports arenas, and other places of amusement and entertainment offer us diversion throughout the year. 
     The list of devices, techniques, and facilities to baffle and defeat the environmental changes of the seasons goes on and on. 
     Stephen Jay Gould wrote that the three greatest factors extending human life were the discovery of sanitation and hygiene, the invention of the X-ray (allowing us to see under the skin), and the discovery of penicillin. Whereas life was once “nasty, brutish, and short,” it is now no longer short. However…
                                      
THE CAVEMAN IN YOU

     Human life was conducted in caves and mud huts for much longer than it has been conducted in centrally heated condos and tract homes with all the modern conveniences. 
     Put simply, we have not yet evolved into our contemporary living spaces.
     You may revel in the fact that you are a Homo Sapien with a university degree and a six figure income, but physiologically, you are still a cave-dweller, and as susceptible to all the physiological seasonal changes as your hairy forebears. 
     There are actually only two primary seasonally induced changes, but each of these induces smaller changes throughout the body in a ripple effect. The body is always adapting/fine tuning itself to the subtle changes produced by season change.  
     The two primary changes are, of course, tension and relaxation. 
      The body is in a constant state of flux as it expands and contracts. It expands (relaxes) in the warm and hot months, and contracts (tenses) in the cool and cold months.  There may be as much as an inch difference in your height between the hot and cold seasons.
     The body tenses from the feet upwards, and relaxes from the head downwards. You may visualize a wave starting from the soles of your feet and working its way slowly upwards, and then, reaching the crown of your head, beginning its descent to the ground. The wave never ceases from the moment of birth until the moment of death.
     The body does not begin to adapt to the season when the season changes, but well before so that it enters the season fully prepared for the environmental change. The body will never be caught off-guard by season change, unless you abuse it to the extent it is unable to change.  Left to its own healthy devices, the body will never have to play catch up or slow down with the change of seasons. 
     So, for example, the body begins its change for winter in late August or early September. The body is always one step ahead of the season.
                                                  
BASIC SEASON CHANGE
  (ANTIPODEAN READERS SHOULD INVERT THE SEASONS)

Autumn Changes (Late August to Mid-October)
     The body needs to contract: skin, hair, teeth, and internal organs all begin to tense. However, we place demands on our body in the form of activities that hinder the contracting process. We work just as long hours; we still attend PTA meetings; we maintain an active schedule to fulfill duties and obligations.
     In order to promote and facilitate the contracting process, the body will become “tired.” We do not feel as energetic as usual, and this forces us to cut back our activities. This tiredness is manifested by tension in  the spine, particularly at T1-4, and weakness in L3 and L4. If the body cannot obtain rest by means of this tiredness, it will next resort to catching colds. 
     The ankles begin to tighten and stiffen at this time. It is important to rotate the ankles in order to keep them flexible.
     The sweat glands, hitherto wide open, begin to close in order to protect the skin. The skin itself begins to tighten as if “battening down the hatches” against the cold of winter. This battening down process accelerates as the air becomes cooler and drier. Women frequently get dry, flaky skin. The dryness begins at the shins and calves, and progresses up the body to the scalp.
     The female pelvis tenses and contracts.  When women get an autumn cold or feel tired, this may lead to menstrual irregularity and/or lower back ache.
     As the body contracts, the pain of old wounds and blows may resurface, and muscle ache, rheumatic-like pain, and other aches and pains arise. 
     Small children are prone to ear ache and nose bleeds at this time.
     The stomach contracts, however most people continue eating the same quantities of food as during summer. This can lead to more tiredness, even to fatigue as the stomach struggles to cope.
        
                WHAT HAPPENS WHEN NATURE CHANGES FASTER THAN WE DO? 
     
     A healthy body is characterized by flexibility and adaptability. We have seen that though humans have superficially adapted to modern technology which marginalizes the seasonal experience, we remain in the thrall of physiological season change. What is now occurring in the natural world is putting that physiological season change out of joint. I am referring specifically to global warming and climate change. This change for the worse is aided and abetted by air pollution, noise pollution, water pollution (thanks to fracking and agricultural/livestock waste discharge), and chronic tension in our daily lives. The tension alone will replace flexibility with rigidity, and adaptability with dullness.
     Our caveman physiology is not capable of adapting to global warming and climate change fast enough to keep us healthy at times of seasonal change. California is now in its fourth year of drought, and has been experiencing record high temperatures. Rather than easing us into Autumn, we are being pushed and pulled between Summer and Fall because of the spikes and drops in temperature and humidity. The fruits of our garden were all a month early this year, and not as succulent or tasty as in years past. 
     I have noticed both in ourselves and those we treat that adaptation to seasonal change has been a start and stop, progress and regress phenomenon for the past year. 
This has led to a significant increase in aches and pains among our clients, especially from old injuries and wounds. We are also seeing digestion problems in people who formerly had none. Finally, and in the long run, the most pernicious problem is a decline in healthy sleep. People are complaining of feeling less refreshed and having less energy despite sleeping the same amount of time. This problem has to do with quality of breath: the shallower the breathing, the less refreshing the sleep. It is becoming less and less what Edward Young, the 18th century British poet, called “Tired nature’s sweet restorer, balmy Sleep.”
     Then there is the tension factor. I was recently in the North Shore of Kauai, the soi-disant paradise. I went “to get away from it all”. The traffic congestion on the only road was, in relative terms, as bad as the congestion on Los Angeles freeways. Lots of honking, barking, and name calling from Mustang to Camaro and back. And this is where people go to relax! Try and find beach parking! I was happy to return to the place where I expect traffic congestion, and it is free.
     Physical tension has increased with the accelerating political polarization of American society. I receive a dozen emails a day from a dozen organizations warning me of Obama’s secret agenda to destroy America (how can it be secret if they know it?), and another dozen petitions to sign each day to stop war, despoliation of the environment, and the careers of mean-spirited, avaricious politicians who oppose Obama. I feel myself tense at the right-wing press’s demonization of foreign countries including Russia, China, Iran, France, Mexico, and every northern European country with socialized medicine. Interestingly, they hardly ever refer to North Korea, which really is demonic. The chasm between corporate aggressiveness and consumer passivity is creating tension as more and more people struggle to climb out of debt. Police behavior in African-American communities creates grave concern among the black male community at large. Finally, there are the people whose tension accrues from worrying about all of the above. 
     Welcome TMJ, neck ache, shoulder ache, lower back ache, acid reflux, gastric ulcers, menstrual irregularities, miscarriages, headaches, and unrelenting worry, frustration, and anger that corrodes the organs and removes our sense of fun. You have come to the Home of Tension, which enlarges by the day.
     What to do?
     I only know what works for me and mine. Turn off the news. Make time for fun alone and with loved ones. Enjoy your food. Eating “healthy” while disliking the food will do you little good. Do exercise that you enjoy. Engage your mind in books, music, and projects outside your work. Do kiryu daily. It is the healthy person’s meditation. Be mindful of when you are tense, and breathe deeply to remove the tension. Be aware of the height of your shoulders and the tension in your neck. Let the shoulders drop. Stay away from anger unless it is justified, and then move on from it. Do not harbor it. Make money, but not at the expense of your health or your intimate relationships. Have good and plentiful laughter. Do not become preoccupied with time unless your are an Olympic sprinter or a chess grandmaster. To unwind, try the Japanese martini: a long, hot bath. And finally.....
     
A MILLION DOLLARS WORTH OF ADVICE FOR FREE!!
     Always greet bad news or an upsetting sight with an exhale. It is “natural” to suck in one’s breath, hold it, and “forget” to breathe. The sudden inhalation tenses the body, and gives trauma a home. The trauma/emotional distress will reside in the rib cage, the upper back, the stomach, and in the scalp. It can linger for years.

     Exhale at bad news, and the body will relax. Emotional distress will be temporary, and you will soon recover from it.

HEALING AND HEALTH MAINTENANCE

     An elderly man, call him Al, was referred to me by his physician. He had a serious complaint. Three years before he had fallen in his bathroom and fractured his three lower vertebrae, L3-4-5. Surgery to repair the damage had left him in such pain that he went to a reputable pain management clinic for relief, but ended up without relief from pain. The clinic did not know what to do for him other than prescribe opioid painkillers, but as is now well-documented and well-known, opioids become counter-productive as the body develops a tolerance, even an addiction, to them. He was afraid to live without the drugs, fearing that he would be overwhelmed by pain.
     What was apparent at first glance was his unhealthy posture. His right side had collapsed, and so he stood and walked listing to the right. He said he had always been weak on the right side, but this chronic listing came from an extreme weakness. I assumed that the invasive surgical procedure had left him with a severely weakened core by damaging the muscles on the right side. The surgery had left him with a damaged core, but not from damaged muscles.
     A simple hands-on examination using qi to detect the location and quality of the vertebrae revealed a sudden and dramatic drop-off from L-2 to the pelvic girdle. In other words, his three large lumbar vertebrae were sunk into the muscles around them, and were receiving no stabilizing support from the pelvis and sacrum. The spinous process of each vertebrae was stabbing the muscle. The pain must have been indescribable and intolerable.
     My dedicate healing self wanted to get away from Al as quickly and as far as possible. For me to undertake his healing would be one of those outrageous ordeals you read about in fairy tales, except without being rewarded with the hand of a fair princess. 
     But he looked at me with big, sad eyes and asked if I thought I could help him. I said that I could, but it would take time. He would have to be patient and consistent in his treatments. He would need an optimistic outlook, and the belief that he could get better. I like to err on the conservative side, so if the process takes less time than I predict, the patient is super-happy. I told him it would take about four months of weekly treatments. In the end, it took less than three months.
     Al was so pleased that he had received a diagnosis of his pain that he agreed to whatever I said with alacrity. In his eyes, however, was a look of some skepticism as this was his first foray into the world of “small” or alternative medicine, as opposed to the hospitals, clinics, and physicians he had grown up with, but could no longer rely on. I suppose it is hard being in your 80’s and meeting someone like me who has no equipment, not even an acupuncture needle.
     I could feel myself making progress with his spine, and little by little it began to move upwards. I knew that he would be in pain until I had completely elevated it to sit snugly on the pelvic girdle. And so at each treatment I acted as cheerleader and thanked him for his confidence in me. To which he would ruefully reply, “I have no choice. You’re all I have.” And at the end of each treatment, I told him we were making progress and he would soon be out of pain. To which he replied with a sigh of resignation, “Your lips to God’s ears.” 
     Okay, he was not yet an enthusiastic fan, but at least he kept coming.
     One day I finally raised the Titanic. His vertebrae floated up, and the concavity in his back was gone. As was his pain. “Mallory for Mayor” was the order of the day.
     We had a small celebration with our wives, and I let him radiate happiness in his sensation of health for a couple of weeks, and then gave him the “bad” news. This was not the end of the process, but the first step. I was not happy that he still listed to the right, though his list was not as noticeable as when we met. I felt that he was putting a strain on his spine, which at his age, could lead to more discomfort, even pain. I told him he needed maintenance to keep the spine where it was, and some therapy to strengthen and bring flexibility to his core. He, however, was pleased with the status quo, and  not interested in maintenance.
     He would come in for treatment from time to time to fix slight aches and pains. His visits became less frequent and finally stopped. When after a hiatus I saw him again, his listing had become pronounced, and he was having back pain. I did what I could, but he still failed to have regular treatments.
     Thirty months after his release from back pain, his back went into major spasms. The spasms and pain started at the lower thoracic vertebrae, around T-11-12, about where the ribs end. He was too pain stricken to leave his bed, much less get in his car and visit me, so I paid a house call. It was what I had feared: the back muscles had been overtaxed by his irregular posture and had seized up like giant cramps. I told him that the spasms would work their way down the spine and out of the body through the legs. He would just have to tough it out. He returned to opioid use,
and decided that traditional medicine was now the way to go.
     To that end, he managed to wangle an appointment with “the top spine guy” at a major hospital. I almost said to him, “Run if he mentions a facet joint problem; it means he doesn’t know what to do,” but I held my tongue, not wanting to influence him in a negative way. Sure enough, the top guy said facet joint problem of the lumbars, and gave him four cortisone injections in the spine. This not only increased his pain, but set his healing process back a month. I wanted to cry, so I could imagine how he felt.
     It took another month, but the pain moved down the spine to the sacral area, then lodged in the hip area, and began a descent down the legs. Not only had he been taking opioids for three years prior to seeing me, but had started again three months before, together with anti-depressants. I had a bad premonition when I checked his liver, but again I said nothing. I didn’t want to scare him, and I hoped that my premonition would prove to be an illusion. It didn’t.
     He went into involuntary detox mode, what the Japanese call gedoku (releasing poisons). This meant uncontrollable and non-stop diarrhea. I explained that this was a healthy reaction to his lengthy use of morphine derivatives, and a precursor to full healing. He insisted on taking anti-diarrhea medications though I told him they would have no effect, which they did not. I am not sure that he believed my explanation of detox, and found incontinence to be emotionally more trying than dealing with back spasms.
     The gedoku lasted a little more than two weeks, and when it ended, he was completely pain free. And here is the best part: his spine was straight, he had a strong core, and he did not list at all. His body had automatically corrected itself. I believe the correction had been set in motion by his many qi treatments. The qi had sensitized him to the point where the muscles would work to heal themselves once they had become strained. I was not about to tell him this, since there was no Mallory for Mayor at this point. Just a huge relief at being “normal” again.
     The story does not end there. Five months of bedrest had caused him to lose strength in his lower body. The muscles in his legs, particularly the right leg, had lost muscle mass and tone. His quadricep muscles were so weak and flabby that they could not support his right knee, which buckled from time to time. He fell a few times, which scared him. 
     I paid frequent house calls, and did a combination of qi and physical therapy with him. Forty years of doing aikido has taught me something about strength and flexibility, and three years of keeping my aged mother upright taught me something about therapy for the elderly. He now walks erect with a cane, and I think he will be able to leave off the cane in a couple of months.
     An odyssey is a journey that begins and ends in the same place. Al’s odyssey has ended. He is now back to where he was prior to his fall five years ago. He is one of my top five fans, and treats my utterances on health and medicine as astute and even oracular.
     I tell Al’s story because the cessation of pain does not necessarily mark the end of treatments. I can well appreciate the relief of someone who has been ridden by pain for so long that he cannot see beyond freedom from pain. I was like that myself once. But I was so scared of lapsing back into pain that I took 

Dr. Matsuura’s advice to heart, and have kept up with maintenance these past 35 years. As Grandma used to say as she clucked her tongue, “An ounce of prevention…” Grandma was wise.  

 A Magic Moment of Ki Healing
     This story happened about twenty-five years ago. I was living half the year in Tokyo. I made friends with a restaurateur/chef named Koichi Yamamoto, whom I called by the diminutive Yamachan. He had a small, gourmet seafood restaurant in Kagurazaka where I dined at least once a week, sometimes more.
     As a Buddhist, Yamachan believed in karma, and was certain that the two of us had been brothers in a former life. He said he had two lucky charms: hearses and me. Business was good on days when he saw a hearse and when I ate at his restaurant.
     The restaurant had a counter that sat five, and three tables that could seat four each. The kitchen was narrow and on the other side of the counter, clearly visible from any part of the restaurant. When I was alone I always sat at the far end of the counter where I could chat with Yamachan’s waitress/wife.
     This incident occurred on a Monday night. The restaurant was closed on weekends, and Mondays were a busy time for Yamachan. He had a lot of preparations to make. I arrived after work at 8:00, and there were six customers. By 9:00, a foursome had entered which made eleven people. The foursome ordered grilled fish. The gas grill was on a shelf above the refrigerator, and Yamachan had to climb on a step stool to light it.
     He ignited the grill, stepped down off the stool, when a mouse who had spent the weekend sleeping in the grill, leapt out of the grill and into the breast pocket of Yamachan’s chef’s jacket. Yamachan cried out in surprise and put his hands over his breast pocket to keep the mouse from escaping. 
     Hearing Yamachan’s startled cry, the customers got to their feet asking what was the matter.
     “My heart, my heart,” Yamachan yelled, and staggered out of the kitchen into the restaurant, where he fell supine on the floor.
     The customers whipped out their cell phones to call 911, but Yamachan stopped them.
     “There’s no time for an ambulance,” he said weakly. “That white guy at the end of the counter, he’s a ki healer. He can save me. Bring him over.”
     Thinking that Yamachan was dying and entrusting his final moments to my care, I rushed to his side.
     “What’s wrong? Where does it hurt?”
     He pulled my ear to his lips and whispered, “Get this f…ing mouse out of my pocket and out of the restaurant without them seeing you do it.”
     I stood up and ordered everyone to stand back and give Yamachan air. I opened the restaurant door to let in a breeze. I knelt over Yamachan so the  customers couldn’t see him, replaced his hands with mine, and went through the motions of a CPR heart massage. Little by little, I got the mouse into my hands. I shouted, “This is the healing moment!”, and ran out of the restaurant into the street where I released the stricken mouse who probably did have a heart attack.
     I returned to Yamachan and knelt over him, continuing my heart massage and mumbling healer-like words. I should have been wearing feathers and shaking a rattle.
     Yamachan opened his eyes and exclaimed, “It’s a miracle. The white guy saved me. Thank you, thank you. I owe you my life. Dinner is on me.”
      He got to his feet and dusted himself off.
     “I haven’t felt this good in years,” he said, and went back into the kitchen.
     The ten customers clustered around me, begging for my business cards.
     That was the magic moment that jump-started my practice.