gentle

Spring Energy

Happy First Day of Spring! Spring is when new green shoots rise, tendrils reach out for the next hold, and the world gets a bit warmer and brighter. I hope holding that image in your mind helps you find what the majority of my patients said their goal was for this year: more energy.

I think we're so tired in part because we're expected to come out of the gate of the New Year bursting with energy for new projects and self improvement. I've never been one to make New Year's Resolutions, but this year it felt especially off, setting us all up for failure. It's just not the right time. Winter is when we want to curl up in front of a fire with a good book, a blanket, and a hot beverage. No wonder we fail so routinely at most of our resolution setting and everyone coming in in January was so incredibly fatigued!

Then just when we might have recovered a bit we were hit with the spring forward daylight savings time change and I find myself (and most of my patients) still struggling to adjust ten days later.

Be gentle with yourself as we start to spread out into what should start to be warmer weather (we got quite a taste last week)! Picture the plants that are just opening up. Gently stretch your body. Awaken slowly.

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Spring is a better time energetically for new growth and taking on new projects. If you didn't have the energy for the changes or intentions you set for January 1 or Chinese New Year, don't lose heart. Try again this Spring, or even Summer. Find the time of year when your energy rises.

And of course, if you don’t have enough energy to complete your daily activities, are stressed, overwhelmed, or anxious, and having trouble falling or staying asleep, please come in for acupuncture. That’s not sustainable and I want you to have a great year! Acupuncture has tools to help you regain some of that rest, rebalance with the season, manage your stress and anxiety, and restore a healthy sleep schedule.


FOUND THIS INTERESTING? RELATED POSTS ON A CUPPA QI:

What Autumn Holds for You

Joyful Movement

Stress Relief and the Pantone Color of the Year

ABOUT SHAWNA

Shawna Seth, L.Ac., Dipl. Ac. is a California state licensed and nationally certified acupuncturist focused on promoting women’s health, especially surrounding menstrual health and fertility. She uses the gentlest effective methods possible to guide her patients to balance. Shawna sees patients in her private practice on Sutter Street in San Francisco. Make your appointments online or email contact@shawnaseth.com. To learn more about Japanese medicine and the world of acupuncture, follow her blog A Cuppa Qi.

Header/mug photo: Unsplash

Fatigue photo: Death to the Stock Photo

Can Acupuncture Treat ...?

It's a very common question: "Does acupuncture treat …?" The short answer is YES!, no matter the condition, because acupuncture is a complete medical system.

While it’s tempting to hear that as equivalent to a specific drug being touted as a panacea, it’s really like saying all of medicine can address a wide variety of ailments. We’re much more comfortable with that concept. Western or allopathic medicine can help with lots of things to varying degrees. It’s much the same with acupuncture. That’s one of the reasons it’s more accurately referred to as a complementary medicine, rather than alternative medicine.

Saying acupuncture can treat almost anything is more like saying all of medicine has a lot of answers than that one particular drug is a cure-all.
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Acupuncture and herbal medicine are toolkits based upon a complex theoretical model of the human body as a reflection of the natural world. Primary importance is placed on your symptoms and experience so this is truly a patient-centered approach. For example, it doesn't matter if the thermometer says you don't have a temperature. If you feel too hot, we might call that a fever (and one of a variety of fevers depending on the rest of what’s going on). The practice of this medicine includes asking lots of questions so I can understand as best as possible what's going on for you since I can't feel what you feel for you.

Primary importance is placed on your symptoms and experience so this is truly a patient-centered approach.

I then also "read" your body through palpation (gently touching your body - usually your legs, arms, and abdomen), taking your pulses, looking at your tongue (the only visible muscle in the body), and other diagnostic methods. This helps to clarify the pattern because lots of things can cause cramps, for example, or headaches. What's causing yours?

The goal is to get a complete picture of the pattern at play, as opposed to treating each symptom individually. Something's not in balance, so there are a variety of expressions of that imbalance. Address the issue at the root and multiple signals can fade back or disappear.

When I’m working to combine all your symptoms with your diagnostic readings to form the right acupuncture treatment in an efficient amount of time.

When I’m working to combine all your symptoms with your diagnostic readings to form the right acupuncture treatment in an efficient amount of time.

This is why it sometimes looks like I'm doing mental calculus while I'm working. There’s a lot to think about! This is also why becoming an acupuncturist takes 3.5 years of graduate school (that’s the shortest estimate at full time with no summer breaks), clinical hours (our version of a residency), and rigorous study for a comprehensive licensing exam that includes traditional medicine theory, knowledge of hundreds of acupuncture point locations and functions, medical safety measures along with medical ethics and local laws, plus Western terminology, anatomy, physiology, pharmacology, and standards of care for every major condition from depression to mastitis to stomach cancer, etc. plus mandatory continuing education. I confess I had no idea how qualified my acupuncturist was when I first started as an acupuncture patient!

Lots of things can cause cramps, for example, or headaches. What’s causing yours?

Because everything is placed within a pattern, we can get into all the stuff that you've lived with but never known how to describe or where to go to deal with it. I've heard everything from “I’m phlegmy, but only right after I eat” to "my legs feel like they're going to float away" to "I feel completely exhausted after my period" to "I have this reoccurring dream about a boat on fire and it makes me anxious about getting ready for bed."

This theory helps direct us in our selection of channels and points and methods for stimulating them to change and action, including a variety of ways of needling, some involving insertion. There are also a host of other treatment modalities such as internal herbal medicine, topical herbal medicine, moxibustion, cupping, a variety of forms of massage, and beyond.

Under the umbrellas of women’s health and emotional health, my patients come to me with a wide variety of chief complaints – the big need that brings you in the door. We focus our attention on that main thing, but because acupuncture is a holistic medicine, from there we also keep in mind the whole picture of your health. We discuss how you sleep, your diet and digestion, any aches and pains, etc.

I always smile when I've just seen a patient with anxiety and a fertility patient comes in next and asks hesitantly if I think acupuncture might help for their anxious thoughts. And vice versa! Same thing happens when they mention a family member has shingles (I've seen acupuncture reduce the severity of the immediate flare and any post-herpetic neuralgia). The vast coverage of this medicine is one of the things that allows you to rely on me as a resource as your situation shifts and changes. Because changing is part of life!

So while there are some conditions that we'll definitely want you to either seek Western care for first or create an integrative approach, many health concerns could potentially be handled primarily with acupuncture and/or herbal medicine. Please talk to a licensed acupuncturist like myself to figure out the best way forward for you.

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About Shawna

Shawna Seth, L.Ac., Dipl. Ac. is a California state licensed and nationally certified acupuncturist focused on promoting women’s health, especially surrounding menstrual health and fertility. She uses the gentlest effective methods possible to guide her patients to balance. Shawna sees patients in her private practice on Sutter Street in San Francisco. Make your appointments online or email contact@shawnaseth.com. To learn more about Japanese medicine and the world of acupuncture, follow her blog A Cuppa Qi.

Header image: Death to the Stock Photo
Icons: 
Freepik and Anatoly from Flaticon

Need a Massage? Introducing Tyler

Update: July 2019 – Note that Tyler is now seeing patients on Tuesdays only in this space.

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I’m pleased to announce that Tyler Chamberlain, Certified Massage Therapist is now sharing our San Francisco clinic space at the Sutter Healing Arts Building. He’s seeing clients on Saturdays, Sundays, and Tuesdays.

Tyler’s style is in harmony with my approach to gentle, personalized treatments. He offers time-based appointments that are then tailored to your needs on a given day using his massage skillsets including Swedish, Deep Tissue, Ortho-bionomy, Energy, and Lymphatic/Detox. Having experienced his work myself, I highly recommend his thoughtful, effective, and deeply relaxing care.

His introduction to you in his own words:

I'm fascinated with us humans.

Tyler Chamberlain, CMT

Tyler Chamberlain, CMT

Our anatomy is physically structured to work as a cohesive, singular being. Muscles, tendons, and ligaments can be identified, felt, and touched. But it's the layers within, the unexpected (and often magical) connections between the obvious and the less understood, that really excite me: how gentle stretching can allow the opposing muscle to relax; how non-invasive Vagus nerve work can almost immediately relax the entire body; how unraveling the fascia (the stuff that holds it all in place, and is usually neglected in massage) is so critical to overall muscle health; how simply receiving touch can invigorate the soul.

I've heard my role as a massage therapist described as that of a chameleon, and that resonates. Occasionally, we need to get deep into the muscles. There may be painful trigger points to be released, or a specific injury requiring attention. Or you may be pregnant, have tech-neck, or may be holding stress in your shoulders or abdomen. You may have pain walking uphill (but not down), chronic headaches, or unidentified pain in your back. You likely have some combination of "all of the things", and my passion is to work together to tailor the bodywork specifically for your needs, on that day. Then, ideally, a plan to address your goals over time.

Perhaps most importantly, I firmly believe in the power of human touch. It's OK to want that, to simply receive pleasure, to have a safe place where you can just feel good. To have an energetically clean and soft space to relax. It's fascinating how often I observe clients who simply want to receive a relaxing, pleasurable massage, and are almost embarrassed to say it, as if it's not a good enough reason. IT IS!

It's surprising to me how many massage therapists don't put any thought into the music. It's such a critical part, since we're really working with all the senses. From chamber music if you want to be soothed, to nature sounds if you want to zone out, to underground techno if you want to be energized, we'll find the right fit. 

I'm so thrilled to be sharing a space with Shawna, with whom I immediately felt an energetic & professional connection - it feels like we share a similar mindset within the space, with similar goals (and very complementary styles). There's really such great energy already in the space, and I hope to share in that energy with all of you.

Booking Details

Book with Tyler online on his website: www.tylerccmt.com

Rates (subject to change):

  • 60 min: $100

  • 90 min: $140

  • 120 min: $170

  • Intro offer: I so strongly believe a 90-minute massage is that much better than a 60, that I'd like to offer your first massage at $100 for 90-minutes.

Availability: Saturday, Sunday, & Tuesday from 10am-10pm

ABOUT SHAWNA

Shawna Seth, L.Ac., Dipl. Ac. is a California state licensed and nationally certified acupuncturist focused on promoting women’s health, especially surrounding menstrual health and fertility. She uses the gentlest effective methods possible to guide her patients to balance. Shawna sees patients in her private practice on Sutter Street in San Francisco. Make your appointments online or email contact@shawnaseth.com. To learn more about Japanese medicine and the world of acupuncture, follow her blog A Cuppa Qi.

Treating Stress, Anxiety, and Depression with Acupuncture

Forest of Feelings (Figure out what what you’re feeling)

Positive Vibes Only? Definitely not. Negative emotions are natural and can signal a need to change our relationships, environment, or behavior. It’s when negative emotions become chronic and feel like they arise without cause, that you turn to guiding practitioners like therapists and acupuncturists who can help you figure out what forest of feelings you've wandered into and how you can find your way back out again.

Whether your depression, anxiety, and stress are chronic or not, tamping down negative feelings or denying them in favor of only positive feelings is neither realistic nor helpful. What is helpful and what acupuncture helps facilitate is giving all your feelings a space and distance from yourself to be acknowledged, fully felt, and then allowed to pass. That can be an extended grieving period and or as short as a few minutes to recognize that you're getting frustrated and need to breathe deeper and take a walk.

Understanding what you're feeling, giving that feeling space, and then letting it go is essential in our modern world. With these skills, you can begin to move past the thicket of a bad stretch. And when you have one bad day, you'll realize that's part of being human, not a sign that you're broken.

Negative emotions are natural and can signal a need to change our relationships, environment, or behavior.

A First Step

Simply being aware of what it is that you're feeling is a good first step. Rather than putting a label on it (I have depression, I'm an angry person, that's just who I am), try, "What is this that I'm feeling? Am I angry right now? Is it sadness and frustration at the same time?" Then you can take a step back and say, "that sadness and frustration are not who I am. I am not a sad and frustrated person. I just feel those things right now and there's got to be a reason for it."

Next, ideally with the help of a guide, you can put on your detective hat and figure out why those feelings are coming up so the signal doesn't keep coming regularly while you don't understand what it's trying to tell you (a real recipe for frustration).

Acupuncture and Therapy Work Well Together

I am not a therapist. What I am is an acupuncturist and Japanese medicine practitioner.

I recommend that my patients who find themselves in these patterns for longer periods of time or with frequency see a good therapist. Many of you often are in therapy already when you seek my care. Acupuncture works really well in combination with therapy, especially talk (cognitive behavior therapy and other methods) and somatic therapies. The way I tend to explain it is that acupuncture helps you become more centered and clear – more aware of what it is that you're feeling so you can express it in therapy and to yourself.

What acupuncture helps facilitate is giving all your feelings a space and distance from yourself to be acknowledged, fully felt, and then allowed to pass.

Acupuncture also helps protect against those feelings settling in and becoming something more (pain, stiffness, adrenal fatigue, cardiopulmonary symptoms, etc). Plus, we can treat the already existing symptomatic expression of your anxiety, depression, and/or stress, whether physical (like headaches, insomnia, and palpitations) or mental/emotional (like a racing or foggy mental state).

Japanese and Chinese medicine look at our emotions as expressions of imbalance in the relationships of our different systems (sometimes called channels, meridians, or organs). So the questions above are the same sorts of diagnostic questions I ask in the office to figure out what channels are out of harmony. That information allows us to help them back into their proper relationship so you feel more centered, grounded, balanced, and clear. And this also gives you the opportunity to make small or large changes that might put you in a healthier space and thus treat that signal/feeling at the root of its expression.
 

What kind of treatments do you offer?

Acupuncture: Gentle correction of the relationships of your physical and energetic body. Using the traditional functions of the points and channels plus modern understandings of physiology, acupuncture helps to regulate the nervous system so that the parasympathetic (rest, digest, heal) outweighs the sympathetic (fight, flight, freeze). Patients report feeling more at ease, rested, calm, and grounded after treatment. Many patients fall asleep on the table during in-office treatment and often sleep better at home as well.

Acupressure: Earseeds and self-massage as coping mechanisms between treatments and as regular care for treatment and prevention of symptoms. These methods are often subtle enough to be performed in the workplace or social gatherings without attracting attention.

Qigong: Breathing exercises and gentle movements. Ranging from short and sweet visualizations and meditative practices to healing sounds and simple movements that target the organ systems and channels that are out of balance. Most of the movements can be done while seated or standing and we can adapt them for your body's range of motion.

Herbal Medicine: Personalized prescriptions for herbal formulas and supplements for symptomatic and deep cause treatment. Protect your system against physical effects of emotions on the body (adrenal fatigue, shortness of breath, palpitations) and amplify the benefits of treatment. Taking a herbal formula regularly can decrease the frequency of recommended in-office visits.

Moxa/ Moxibustion: Depending on the causes and symptoms of your emotional patterns, this herbal heat therapy can be very helpful to increase motivation, combat fatigue, and reawaken interest in activities. Patients have described it as feeling like painful or tight spots are melting or unwinding, that they can breathe deeper, and that they feel more awake. If applicable, I instruct my patients on how to do moxibustion safely at home as well as perform moxibustion in the clinic with you.

Essential Oils: Recommendations for home care to combine with acupressure points. Especially helpful for travel and nighttime symptoms.

How long does treatment take? When will I be better?

My treatment plans are personalized for each patient. I see people at various stages of their emotional journeys. Some people come in soon after a crisis (important to note that I am not a substitute for emergency services such as hotlines or the ER - please see information below if you are in crisis). But the short and honest answer is it depends on you - where you are in your relationship to your emotional health and how much farther you have to go to come to terms with what balance is going to look like for you.

Acupuncture is not here to "fix" you. It's medicine, not magic. I often tell patients when they praise my touch that I'm just getting stuff out of the way so your body can do the work it is already trying to do. Our bodies want to get back to homeostasis. Balance.

You are doing the work and the work can take some time. But it's a lot easier when you surround yourself with experts who can guide and support you, and that's where I see myself on your team.

If you are in crisis

National Hopeline Network: 1-800-SUICIDE (784-2433)

If your depression is leading to suicidal thoughts, please call the National Hopeline to connect with a treatment center in your area. Includes live chat feature for anyone who doesn't want to or is unable to call. This hotline can dispatch emergency services to you if needed.

National Suicide Prevention Lifeline: 1-800-273-TALK (8255)

Another resource for anyone dealing with suicidal or other harmful thoughts is the National Suicide Prevention Lifeline. They also offer a chat service1-800-799-4889.

Acupuncture is not an emergency service. When you need the tools I can provide and a new member of your cheering squad, please be in touch. You are worthwhile and cared for.

Additional resources

About Shawna

Shawna Seth, L.Ac., Dipl. Ac. is a California state licensed and nationally certified acupuncturist focused on promoting women’s health, especially surrounding menstrual health and fertility. She uses the gentlest effective methods possible to guide her patients to balance. Shawna sees patients in her private practice on Sutter Street in San Francisco. Make your appointments online or email contact@shawnaseth.com. To learn more about Japanese medicine and the world of acupuncture, follow her blog A Cuppa Qi.

Photo: Death to the Stock Photo

Japanese Meridian Therapy and Traditional Chinese Medicine: A Classical and Clinical Comparison

Japanese Meridian Therapy and Traditional Chinese Medicine: A Classical and Clinical Comparison

A Note From Shawna

This paper was originally titled, "Classic Texts: The Foundation of Japanese Meridian Therapy Assessed Clinically in Comparison to Traditional Chinese Medicine." I wrote it during the final years of my masters program in acupuncture at AIMC Berkeley for a course on classical texts.

This paper presumes knowledge of the medicine so is most appropriate for other practitioners, but as patients often ask about Japanese vs Chinese medicine, a general audience might find it interesting to skim. I'm happy to discuss any questions you may have after reading.

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How can Japanese Meridian Therapy and Traditional Chinese Medicine have come from the same classic texts and yet come to such different conclusions for diagnosis and treatment? This is the question I chose to consider by delving into Chapters Sixty-Nine and Seventy-Five of the Nan Jing, considered the foundation of Japanese Meridian Therapy.

Meridian Therapy was founded in the 1930s out of a desire to “reexamine the classics and to clinically test the knowledge gained therein in order to extract the truth” (Kuwahara, xvii). The principle methods of Japanese Meridian Therapy (JMT or MT) are to palpate and assess the meridians, using the pulse for both diagnosis and continual assessment of the progress of treatment, and to use the meridians in this way to understand the balance of deficiency and excess caused by pathogens, the seven emotions, and the fundamental interaction of the meridians and organs to themselves and each other (the Five Phases). This is fairly different from Eight Principle and Zang Fu Diagnosis as interpreted in Traditional Chinese Medicine (TCM). In the TCM approach, we utilize the four diagnostic methods (asking, looking, listening, and palpating), base our diagnosis on the collection of symptoms and signs based on the chief complaint, and identify a specific pattern based on the organs, yin/yang, and body elements (like blood, body fluids, and qi) in disharmony, all of which determines the course of treatment. Depending on the TCM practitioner, palpation may be used to refine the choice of points (this is common at least in the case of choosing local ashi points) or at the extreme they may only use the trusted points in texts from Chinese Acupuncture and Moxibustion (CAM). I admit this is a gross simplification of the vast differences within the practices of TCM and JMT respectively, but seeing from the extremes can help to highlight the differences between the disciplines.