Wild at Heart (Buffy Season 4, Episode 6)

Alas, poor Willow.

In this episode we learn why Oz was fascinated by Verucca, the lead singer of a frequent band at the Bronze.  Verucca, like Oz, is a werewolf.  We initially discover this the morning after Oz escapes from his cage and awakes next to a now human Verucca.  In contrast to Oz, Verucca celebrates her wildness and sees it as core to her own identity in the world.

Seeking to prevent her from doing any more damage, Oz locks Verucca away in his cage on the second night of the full moon.  Willow discovers the two of them naked the next morning.  While she had been nervous about the two of them from the start of the episode, this was more than she expected would have happened.

The third night sees the resolution of the Oz-Verucca relationship:  After tracking Verucca’s scent with Buffy, Oz realises they were thrown off the real trail; Verucca had gone to kill Willow.   Willow had been preparing a spell, but found she couldn’t actually go through with hurting the man she loved; this buys time for Verucca to transform into a werewolf and threaten Willow.  Oz arrives just in time, kills Verucca, and then gets tranquilised by Buffy.  The next day Oz leaves Sunnydale — and the show — in order to come to peace with himself.

What to diagnose?  I’ve already designed a potion to treat Oz’s lycanthropy in a previous post.  While I could advise making peace with oneself, I think I may save that for the episode in which Oz returns from Tibet.  Instead, taking my cue from Oz’s uncanny ability to track by scent even in human form, I will discuss the role odour plays in Chinese Medicine.

Listening and smelling is one of the five means of making a diagnosis in Chinese medicine.  The character for the part of diagnosis concerned with listening and smelling is the same — no distinction is made between the two.  The character contains two parts, the door radical, and within or between the doors, an ear.

This character always confused me.  How can it mean ‘to listen’ and ‘to smell’?  I was accustomed to thinking of the ear as a doorway through which perception comes; but this imagery would apply to other senses as well, particularly sight.  When I began to consider the image as an ear behind a closed door, however, the meaning stuck.  The character, which can also mean to receive news,  is indicative of those sense perceptions which do not rely on either sight or personal contact (e.g. touch, taste) to obtain information about the outside world.  Thus, the character presents the physician as a person inside a house and the patient as a person by outside the house.  News can be obtained by a person on one or the other side of the gate through overhearing a conversation, or catching the scent of what passersby may be carrying — flowers or dumplings (or maybe durrian fruit) — or the scent of whatever the inhabitants of the house might be cooking.

In the same way, a patient’s smell can tell us what is going on inside the house of the body.  What is the smell like, by which we can diagnose patients?  It isn’t quite body odor, and it isn’t always immediately noticeable.  Sometimes the odor is more noticeable after coming into the room for a second time.  Sometimes it is noticed after the patient leaves, and their scent lingers in the room.  Other times, it is quite palpable — to use the metaphor of touch in this case!

The various smells are categorised under five headings, each associated with one of the elements.  They can be used to corroborate other information gained from asking questions and feeling the pulse.  The particular imbalance they point to relates directly to either organ systems or meridian systems, so long as the underlying theory is based on five elements (rather than a strict yin-yang, six stages, or qi-blood-body fluids paradigm).

If someone has an imbalance in the wood element, they might smell rancid.  The smell is reminiscent of oil that has gone off.  I associate it with the smell of an old jar of peanut butter.  (Granted, this is a smell I do not often have the opportunity to encounter, since peanut butter rarely lasts long around me…)  The scent can likewise be associated with wood polishing oil or old linseed oil.  Often those liquids are simply old and spoiled oil.  The scent is not the sort of oil obtained from sandalwood or cedarwood, although those can also go rancid.

A fire element imbalance often shows up unsurprisingly as a scorched smell.  This sometimes smells like burnt toast, but I’ve also smelled it as burned flesh, having a slightly sweet edge.  Another time, I encountered it as more akin to the smell of ozone in the air on a summer day.

The odour of earth is fragrant.  I associate it with the smell of baking bread, a very full and rich scent.  Sometimes other fragrances can be indicative of an imbalance in the earth element — skin which smells like honey, or mangoes, or peaches, slightly musky but slightly sweet.  Diabetics sometimes have a fragrant smell to their skin, especially before they are diagnosed as such by biomedicine.   Diabetes is often associated with a Spleen-Stomach imbalance in Traditional Chinese Medicine.

The rotten smell, often accompanied by a certain acridity, is the smell of metal.  It is quite different from rancid in that it does not have an oily quality; it is much more of a piquant, spicy, dry odour.  It also differs from the putrid scent, because it isn’t really the smell of something decaying slowly.  I suppose one could say it smells like rubbish bins outside restaurants — unpleasant, but not altogether so.

Water gives off a putrid odour, the smell of decay.  It is the scent of something slowly stewing in its own juices, locked into the earth by winter ice, unable to go rotten for the cold, and so it just slowly deteriorates.  I sometimes encounter this smell in dentists’ offices, actually.  I am not surprised that the teeth, although having their own microcosm, are strongly associated with the Kidneys (governed by the element water) and with jing-essence (stored in the Kidneys).  Yet the scent can also be like still water with scum on top, a very green scent; or like an old pool, in which the chlorine has somehow collected and concentrated and turned into some other scent.  The earlier reference to jing makes me wonder if the putrid smell is like an old, used condom, but I’m not going to test this theory… someone else can tell me what they think.

As always, these posts are for entertainment purposes only.  If you think Chinese Medicine may have the solutions to your own body odour imbalances, please see a qualified practitioner.  Happy Slayage!

Beer Bad (Buffy Season 4, Episode 5)

Being both an occasional bartender and a college student (again) has given me a new appreciation for this episode.  In this episode, Xander gets a job as a bartender, part of his efforts to incorporate himself into the college life of his friends.  Buffy goes to his bar in order to taker her mind off Parker, but she sees him picking up yet another woman there.  After lingering for a little bit, Buffy decides to leave, but is invited by some rather arrogant students to join them for a night of beer.  The guys who invited Buffy over had earlier been insulting Xander’s socioeconomic status potential in comparison to their own current social capital and potential future economic status.  Apparently, Xander was not the first to be so insulted, and later we learn that Xander’s boss has been spiking one of the micro-brews so popular with these up-and-coming students.  The resulting potion turned the group — and Buffy along with them — into uncouth, dim-witted paleolithic hominids.

Happily, although I’ve experienced a packed bar, the patrons I’ve encountered have been uniformly friendly.  I’ve had no need to devise any potions with which to spike the drinks.  On the other hand, Chinese medicine has a long tradition of making medicinal wines, and one does not need to be either a warlock nor have a bevy of bottles and bunsen burners in order to make them oneself.

(As a side note, if I needed to treat Buffy with acupuncture, I’d use the shu points, which the Ling Shu indicates are to be used in cases where the pathology fluctuates with time.  Since Buffy appears to have a condition which took her back in time, and this condition is related to her fluid consumption, I would choose SP-3, SP-9, and ST-42.  SP-9 is chosen as a he-uniting point, which the Ling Shu advises for conditions relating to food and drink.  I chose the Spleen because it is responsible for change and transformation; the gallbladder would be my second choice, for a similar reason, but the gallbladder is more associated with changes of spirit/ mind/ affect or the curious organs as a group.)

Chinese medicinal wines can be loosely divided into those made for consumption (not more than a 25ml shot or two per day) and those for external application.  While the latter would more properly be called ‘liniments’, because they are made in essentially the same way as consumed medicinal wines, using rice wine or vodka, I associate them in my mind (though I clearly label them in order to differentiate them in my practice!).

The general process of making a medicinal wine is fairly simple:  take the herbs, wash them, place them in a container which can be sealed, add vodka or rice wine (not more than 30% alcohol by volume, or 60 proof), and leave to soak out of direct sunlight for three months or more.  Periodically shake the bottle during this time, to ensure the herbs become evenly mixed.

Two formulas are included below as examples, both drawn from the martial arts tradition.  Unfortunately, I do not have the bibliographic references on hand…  The first, though, is from A Tooth from the Tiger’s Mouth by T. Bisio, a book i highly recommend for those interested in external medicine.

Trauma Liniment

Take 12 g each of Da Huang, Zhi Zi, Huang Bai, Hong Hua, Mo Yao, Ru Xiang, Xue Jie, Lu Lu Tong, Dang Gui Wei.  Soak in 1 gallon (4.5 litres) vodka or rice wine for 30 days.  use on any contusion, especially to the shins.

Jin Feng Jiu

Take 3g each Sheng Di, Shu Di, Dang Gui, Mai Dong, Di Gu Pi, Yin Yang Huo, and 1.5 g of Sha Ren.  Grind or use whole to make wine.  Add to a fifth (750mL) of 80 proof alchohol or less.  Steep for 60 – 90 days.  Harmonises jing, quiets restlessness.  It is recommended that men refrain from ejaculation during the period when taking this medication.

Lu Rong Ren Shen Jiu

Take 10g each of Lu Rong and Ren Shen.  Steep the powdered herbs in a fifth (750mL) of rice wine for 60 days.  Dose at 1 oz daily to strengthen the bones and sinews.  If the patient experiences too high an increase in libido, add several berries of Wu Wei Zi, to astringe essence.

Of the above formulae, naturally I would recommend using the trauma liniment to treat the characters in this episode.  Except for Parker.  He might benefit from taking the second formula to calm and anchor his passions.

As always, this post is for informational purposes only.  Please do not make your own medicinal wines for consumption unless supervised by a qualified practitioner.  Happy Slayage!

Fear Itself (Buffy Season 4, Episode 4)

On the face of it, this is an episode about fear — or more precisely, a psychological study of each character’s own particular personal insecurities.  Buffy can’t protect the whole group, Oz fears the wolf inside him will overpower him, Xander feels invisible, Willow has her own fears about her ability to produce workable magic, and Anya is focused on Xander.  Like the fear demon who appears at the end of the episode, each person’s fear is only a small thing which gets magnified out of proportion when attention — in this episode, going around in circles in a labryinthine fraternity house; in real life, a perpetual mulling in the mind, heart, or soul — is fixed on it.  A closer look at the script reveals another theme emerging in bits and pieces throughout the episode:  a preoccupation with the face.  This post will therefore treat the topic of Chinese medical facial diagnosis.

(For those interested in fear and mulling, as separate phenomena, please see my earlier posts on Season 3, episodes 8 and 13, and Season 2, Episode 6.)

The episode begins with Xander’s attempt at creating a ferociously scary expression on his pumpkin ending up merely dryly sardonic.  Willow and Oz chip in by noting its mocking eyes and nose of self-loathing.  A perfectly systematic face reading, though geared strictly towards expressiveness, rather than medicine.  Meanwhile, Buffy is going through a post-Parker depression and ‘what’s wrong with me’ self-perception.  (My post on the Season 2 Halloween episode treats comfort with one’s self.)  Buffy’s pumpkin is left as a  “freak with no face”.  Later, Joyce gets “nostalgia face” in a mother-daughter encounter over Buffy’s Little Red Riding Hood costume.   Eyes come back into the picture when peeled grapes turn into literal eyeballs at the now haunted frat house.  After the gang arrives, Willow lashes out at Buffy, saying her face is 50/50.  Xander himself cannot be seen, due to his fear of his own invisibility to his friends, although he does note that bloody face in corner can see and speak to him.  Oz fears his wolf-face, although in this instance ‘face’ isn’t mentioned as such.  Finally, we note the illustration of the fear demon’s appearance (actual size) led Buffy not to want to fight it, if possible.  Of course, once they discovered the demon’s actual size, thoughts changed…

Facial Diagnosis in Chinese medicine consists of two aspects:  quality and quantity.  Quantity is governed by dividing up the face into sections which reflect parts of the body (or life). Several systems emerged during the course of Chinese history, the most popular of which superimposes a figure over the face so that its abdomen covers the nose, the arms wrap the eyes, the legs cross lotus-style around the mouth, and the head is at yin-tang or just above, in the centre of the forehead.  This system therefore treats the nose as the site at which the state of the viscera is ascertained, while the bowels or external areas are viewed along the edge of the nose.  The Lungs are uppermost, between the eyes, below which is the Upper Pivot, then the Heart (some texts place the Heart in between the eyes, and the Lungs in between the eyebrows), a place marked ‘On the Road’, the Liver, the Spleen, and the tip is called ‘wang mian’.  Beside the nose are the stomach; beside the corners of the mouth, the small intestine, and above that and towards the corner of the jaw is the large intestine.  The Kidneys are just in front of the ears, near the ‘Three Silly Geese’ acupuncture points (TH21, SI19, GB3).  Manuscript P. 3390, housed in the Biblioteque Nationale offers some illustrations of medieval physiognomy charts from Dun Huang, and are reproduced in Lo and Cullen’s book treating the Dun Huang medical texts, Medieval Chinese Medicine.

Quality is found by looking at lustre, colour, suppleness, blood (vessels), and blemishes with regard to the skin of the face. While lustre gives an indication of fluid balance in the body, and the presence of spider veins indicates pathology in a particular channel (e.g. along the zygoma would indicate a Small Intestine Luo Vessel issue, dealing with discomfort at or desire for attention from others), by far the most important aspect to look at is the overall colour of the complexion. The colours of the complexion differ from mere skin colour.  Just as the state of blood can be seen as if through the gauze of the skin, so also can the sort of colours described in the classics be seen ‘through’ or ‘reflecting out of’ the facial complexion.

The colours noted in the classics typically follow a five-phase pattern:  cyan indicates wood, red fire, yellow earth, white metal, and black water.  However, facial diagnosis also paid attention to prognosis, and these colours were distinguished into auspicious and inauspicious colours.  For example, if the complexion was black like double lacquered boxes or a crow’s feather, the patient would live; if it was a dull black like coal, the patient would die.  Likewise, cinnabar red or cockscomb red was positive; a complexion of ochre, coagulated blood, and dry red leaves foretold death.  Indigo indicated poor prognosis, but as did the colour of young or wet grass and lichen.  However, cyan like the wings of a mandarin duck, a wheat shoot, foliage, jade, or a blue-green wall were all positive signs of health.  White like quicklime and dried bone was inauspcious, while soft white like a goosefeather, or lustrous white like porkfat and precious jade signified recovery.  Yellow earth like the hearth was a poor prognosis, but that like silk thread or a crab’s belly was better.

Eyes are sometimes looked at, too, for their overall expression, catchlights, and sclera colour.  Glassy or shiny eyes indicate a shen disturbance, usually one needing to be anchored.  Dull eyes indicate that the Heart needs nourishment.  More detailed analysis of the eyes, or specifically the iris, falls into the realm of iridology.

Huang Fu Mi writes, “Complexion,pulse, and cubit skin correspond with one another… So it follows then that a cyan complexion will be accompanied by a wiry pulse; a red complexion by a hook-like pulse; a yellow complexion by an interrupted pulse; white by a hair pulse; and black by a stone-like pulse.  If one observes a certain complexion and it is not accompanied by its pulse but rather by the pulse of its restraining phase, then this portends death.  If by the engendering phase, recovery.”  (Jia Yi Jing Scroll 4, Chpater 2, Part 1, section 1.)

Taking the Jia Yi Jing approach, treatment would then follow a five-phase approach, in which the meridian to be treated corresponds to the facial complexion; points would be selected based on the pulse indications of generating or controlling cycle.  Alternately, a Ling Shu approach could follow the same method of diagnosing an elemental pair of meridians, but the points selected for needling would then nuance the treatment to address whether the illness varied by time of day, whether it was hot or cold, affected the meridian or organs, or was due to some form of blood stagnation.

As always, this post is for entertainment purposes only.  If you feel you could benefit from Chinese Medical approaches to health, please see a qualified practitioner.  Happy Slayage!

Living Conditions (Buffy Season 4, Episode 2)

Ah, the roommate from another dimension.  I’m afraid many of us have been there.  I mean, many of us have been in the position of having a roommate from another dimension, rather than having been to the dimension the roommate happens to be from.  Although, some roommates will just suck you into their world regardless of all your own attempts to maintain your hold on this reality…

In this episode, we learn that Kathy, Buffy’s first college roommate is a demon who escaped her dimension to come to Sunnydale as a student.  Through the use of an arcane ritual involving blood and a scorpion, she attempts to steal Buffy’s soul while Buffy sleeps.  Having Buffy’s soul means that Kathy will not be detected by her home dimension’s ‘missing child’ task force;  instead, Buffy the Soul-less one, will be taken back to the dimension Kathy affectionately calls ‘Nebraska’.  Buffy is only aware that she is having very strange dreams.  Buffy’s friends believe she is over-reacting, and begin to suspect she may be going slightly mad.

So what can Chinese Medicine do for Buffy now?  The ritual offers some clues, actually.  Scorpion, or Quan Xie, is used medicinally to extinguish wind (i.e. tremours, stubborn headache) and goes exclusively to the Liver channel.  The use of blood in the ritual, especially during dream-time, also points to the Liver.  At night, the blood returns to the Liver, where it nourishes the hun, the ethereal soul, and anchors those souls (usually numbered as three) to call them back from wandering about while a person dreams.

The hun can be thought of as that aspect of the soul which involves the person’s personality; it survives for about three generations after a persons death, having exited via the mouth (or the top of the head, depending on one’s tradition).  It is the soul-aspect of an ancestor that is honoured in the household shrines.  (The other aspects of the soul, the shen and the po have been treated elsewhere.  The po return to the earth with the bones, the shen departs to wherever it needs to go next.)

Therefore, from the perspective of Chinese medicine, the ritual being used by Kathy involves taking the hun from Buffy when they are most accessible — during sleep.  They are loosened from Buffy through the use of foreign blood.  In case Buffy’s own lack of blood should give rise to wind — when the vessels are empty of blood, they often fill with wind instead, sometimes leading to madness — a scorpion is used.

It’s all well and good to understand the mechanism of an illness, but what can be done about it?  In this case, I would say we need to anchor the hun by nourishing Liver blood.  For points, I would use BL-47, hun men (“Ethereal soul gate”) and BL-17, the shu point of blood.  I would also consider thread moxa on Du-26, not only a ghost point but also near the mouth from which the hun are being drawn out of Buffy.  (Used as a ghost point, the area is pricked in order to draw a drop of blood.)

Finally, if I were particularly keen on discerning where the hun are located during the day, I would consult with some of the Dunhuang manuscripts on iatromancy, which detail how the hun move from point to point following the waxing and waning of the moon.  (See Lo and Cullen 2005, Medieval Chinese Medicine.  Routledge.)    The Qianjin yaofang notes that the renshen is located in the navel at age 19; and then moves to the heart.  The Wuwei manuscripts from Gansu locate the shenhun in the heart at that time, moving to the abdomen (which I take to mean CV-12, the ST mu) the following year.  Since Buffy is 19 at the time of this episode (using the Chinese system of counting birth as ’1′, and the end of the first year of life as age 2), I would want to address either CV-12 or CV-14 as well.  Note the scorpion seems to be crawling upwards from these areas, past the pericardium-mu point of CV-17, and towards the mouth during Buffy’s dreams.

For herbal medicines, I would use Xi Xian Cao, steamed in wine (jiu zhi Xi Xian Cao) together with Ba Zhen Tang.  Xi Xian Cao (herba siegesbeckiae), can help the Liver bank blood and experiences.  it calms the spirit when there is a tendency for it to rise or not be contained, and is specific for physically restless insomnia.   The Ba Zhen Tang is simply present to nourish the blood overall, and to ensure that the po remain anchored to the presence of qi.  I might think of also using Gui Zhi Long Gu Mu Li Tang for a similar purpose, the gui zhi and bai shao, or the sheng jiang and da zao combinations acting to harmonise the qi and blood (as wei and ying qi), and thus maintain the balance between hun and po, hopefully preventing Buffy from going mad and becoming dominated by the sometimes perverse po.

In the end, of course, Buffy gets her soul back, and Kathy is banished — well, taken by her father — back to the dimension from whence she came.

As always, this post is to entertainingly illustrate the ways in which Chinese medical theories can be applied to various situations.  If you feel that Chinese Medicine may benefit you, please see a qualified practitioner.  Happy Slayage!

Lovers Walk (Buffy, Season Three, Ep 8) — Post One of Two

In this episode, we see Spike return to Sunnydale, miserable and moping over his loss of Drusilla to an antlered demon.  We see Willow and Xander trying desperately to fall out of love, while Buffy and Angel realise the hopelessness of their own relationship.  This is the episode in which Cordelia and Oz walk in on Willow and Xander in a somewhat compromising situation.

It wasn’t until Season Four that I began to realise Spike is a symbol for Buffy’s relationships, an outward manifestation of her own inner demons.  While I’m not certain the writers specifically thought of him that way, he fits into such a deconstruction of the Buffy plotline.

Aside from the lovesickness, the episode offers a number of intriguing diagnoses to follow up on.  Buffy mentions her mother’s head spinning around and then exploding when Joyce saw Buffy’s SAT scores.  (This was a metaphorical head explosion, as Giles sought to clarify.)  Buffy and Spike both reference rashes, pustules, boils, and leprosy.

Falling out of love is the most intriguing , however.  Given all the possibilities offered by this episode, I will split it up into two parts, as I did with the Ted episodes of Season Two.  This post, then, will examine Head Wind and Rashes.

Poor Joyce.  She’s gone through so much (and has yet more to experience).  Let’s examine some of her case history, shall we?

First, we diagnosed her with mild anemia due to falling on a barbecue fork.  We treated her Stomach primary meridian.  Then we treated her for food allergies due to Ted’s scrumptiously laced cookies.  We used the Stomach and Spleen divergent channel.  Most recently, we diagnosed her with age-inappropriate behaviour (also due to over-consumption of sugary foods), and gave her an herbal decoction aimed at levelling her Liver and Kidney channels; we also used a primary meridian treatment focused on the Stomach, Heart, and Triple Heater meridians.  It seems like she has an earth-related deficiency, and her excessive worry about Buffy fits this profile.

If I were actually treating her, and she continued to manifest these earth-related issues, I would want to try a different approach.  I might select a deeper channel to really push out these habituated pathologies.  Keeping that approach in mind, let’s look at her most recent diagnosis, provided by her daughter, Buffy.

Buffy relates that Joyce saw (i.e. read) Buffy’s SAT scores.  Here, we can think of the orifices of the head; we can also think of the Brain as an extraordinary organ.  Channels possibly involved with the eyes would include Stomach (no surprise), Gallbladder, Urinary Bladder, Qiao Mai, and Du Mai.

Then her head spun around. Obviously a wind symptom.  Wind tends to move from place to place.  Turning usually relates to ShaoYang (GB/ TW)) or ShaoYin (HT/KD).  Unfortunately, we don’t know whether this turning of the head was done with flexion or extension of the cervical vertebrae.  However, we know that the GB also has a relationship to the Brain, and the HT/KD also share a relationship to that Extraordinary Organ by virtue of being the seat of perception and the overseer of the marrow.  The Brain is called the Sea of Marrow.

Then her head exploded.

Obviously, the wind was too intense to be expelled properly.  Perhaps her sensory orifices were blocked (the clear yang of the Stomach must have been compromised from her poor diet, and failed to nourish the sensory organs properly).  Maybe she still lacked proper yin substances (such as blood) to anchor that wind and keep it from rising up.  Since her blood and body fluids are compromised, if we were to have treated her in time, we would have to have used a deeper substance in her body:  jing.

Jing is conducted by the Extraordinary Vessels and the Divergent Channels.  Since the last post used the Extraordinary Vessels, let’s use them again.  While previous posts have emphasised the psychological uses of these vessels, they can be used for more than just karmic and deep seated issues.  Joyce’s case provides an excellent opportunity to demonstrate when and how.

I would diagnose Joyce as having (extreme) head wind.

A Ming dynasty treatment related by Jeffrey Yuen in a lecture given on the Extraordinary Vessels is a perfect example of the approach which uses the Du Mai because of its relationship to the Brain and because of its ability to release wind to treat just this sort of case.

SI-3 would be used to open the Du Mai.  Then points which release wind are added:  BL-12, which is the point where the Du Mai forms a diamond on the upper back, Du-14 (which releases the upper back and activates the sinew vessels) and Du-16 are added.  Some people might also select GB-20 on either side of Du-16; or Du-20 can be used if heat seems to be present.  LI-4 is then used to release the wind to the exterior.  Alternately, one could treat the patient side-lying and use BL-1 to open the eyes to release excess wind, while also needling these other points.

A typical herbal formula for head wind is Chuan Xiong Cha Tiao San.  I might add Ju Hua to Joyce’s formula simply to focus on the eyes.

However, the formula Chai Ge Jie Ji Tang composed by Tao Hua around 1445 better fits our acupuncture treatment.  This formula releases the muscle layer to expel wind (cf Du-14) and also clears heat (cf Du-20).  The ingredients as listed in Bensky’s formulary are Chai Hu (tropism for the GB channel), Ge Gen (releases the muscle layer), Qiang Huo (goes to Du-14), Bai Zhi (always good for Joyce’s Yang Ming distress), Huang Qin (I might omit this from Joyce’s formula), Shi Gao (another Yang Ming medicinal), Jie Geng (floats the herbs outward and upward), Bai Shao (ostensibly to preserve the yin; I might use toasted Bai Shao to nourish blood), Gan Cao (to harmonise the formula), Sheng Jiang, Da Zao (the last two together regulate the ying and wei qi).

As for rashes, these never ended up manifesting in this episode.  However, rashes are often attributable to Wind-Heat and treated with insect-based medicinals like Chan Tui to promote their expression.  In prior eras, leprosy was formerly treated with Mu Lan, the bark of Magnolia Obovata, but I doubt this can be found in pharmacies outside China.

On the other hand, rashes due to epidemic pathogens would be treated a little differently, since these pathogens can quickly enter the blood level.  In terms of acupuncture, the Small Intestine channel is key.  We know that the SI helps draw heat away from the Heart physiologically; it should come as no surprise that the SI channel can also help draw heat away from the blood.  SI-3 and SI-8 would be one combination;  so would SI-3 and SI-11, especially when paired with BL-15 or BL-14.

As always, this post is for educational and entertainment purposes only.  If you think you could benefit from the traditions of Asian medicine, please seek a qualified practitioner.

Happy Slayage!

Becoming, Part Two (Buffy, Season Two)

Leave it to Cordelia to clearly state what she exactly what she sees.

Never underestimate the perceptual powers of people who judge by appearance — they can make incredible diagnosticians.  After all, it isn’t the perception of these people which is in doubt, it is their priorities.  With a little reflection or compassion, which may come with experience and maturity, these people can be valuable allies to any practitioner.

Of course, that doesn’t make their offensiveness any more palatable when you’re on the receiving end, as Willow was in this episode.  (Neither is it guaranteed that the shallow and vapid will ever learn from experience, or grow up.)

A quick recap of the episode:  While Buffy is distracted by a false message, Drusilla and her cronies walk into the school library, kill Kendra the Jamaican Slayer (that is, the Slayer who is Jamaican), and steal Giles away to be tortured by Angelus.  In the melee, a bookcase is toppled, knocking Willow unconscious.  (For post-concussion treatments, see my post for Bad Eggs.)  Willow is taken to the hospital where she wakes up, surrounded by her friends and Cordelia.  When Willow suggests trying to cast (or recast) the Soul Restoration spell on Angelus, her friends try to disuade her.  After all, she is in a weakened state — and as Cordelia points out, Willow’s hair is all flat and lifeless, and she looks horrible.

Nothing a little Chinese Medicine can’t fix — both in terms of helping restore vitality and bounce, fullness and luxuriousness to Willow’s hair, and to help promote the growth of facial and eyebrow hair for a little revenge potion on Cordelia.

When it comes to hair, Chinese Medicine makes several distinctions.  Head hair is a manifestation of Kidney energy.  Body hair is ruled by the Lungs.  Facial hair is governed by the Chong Mai (an interesting passage describes why eunuchs can’t grow facial hair).  Tonics can be devised to blacken hair which has gone grey, to make hair growth fuller or thicker, and to regrow lost hair.

Hair loss on the head can be due to excess yang ascending to the scalp and burning the hair (or turning it white), which can be seen in martial artists and men who eat too much meat.  This type of case need not be identical to a LV-yang rising case; red eyes and anger are not necessarily seen here.  Rather, the martial training has built up yang in the body, without a corresponding amount of yin to fully contain it.  Hair loss on the head can be caused by too much heat in the blood, as seen in areas where hot and spicy food is the norm.  thinning hair can also be due to a lack of nourishment.  This can be caused by either not enough blood or not enough jing ascending to the head, or it can be due to blood stasis in the head and scalp.  Finally, it can also be an issue of KD deficiency in general — what we might call “genetics” today.

Alopecia on the body is more complex, but is likely a manifestation of not enough ying qi moving outwards to nourish the skin and body hair.  this would be regulated by the Tai Yin system — Lungs and Spleen.  Incidentally, it is this system which can be called into play when trying to overcome a Kidney-based loss of head hair.  In this latter case, what we would want to do is harness post-natal qi and essence to support pre-natal qi and essence.  However, the real issue is that the prenatal essence isn’t imposing its pattern on the post-natal qi as well as it should, and so the Kidneys still need to be rectified, the minister fire addressed (perhaps via the Du Mai), and the TaiYin system clearly coupled to the ShaoYin channel.  In the case of loss of body hair, the TaiYang system would be called into play, since the TaiYang channel moves things to the exterior — including the nourishment needed by the body hair.

Hair herbs thus come in several varieties.  The Divine Farmer recommends that to prevent hair from turning white, one should consume Lan Shi and Qin Pi.  To blacken hair which has already turned white, use Bai Hao or Hei Zhi Ma (black sesame seed).  For preventing grey or turning hair back to black, He Shou Wu has long been regarded as the supreme tonic.

For baldness, Shen Nong refers us to  Ci Huang and Shi Liu Huang (sulphur).  i’m not certain how to use the latter herb, although I have heard of it being mixed with salt and placed in the navel, where moxa is burned on top of it.  This will strongly warm Kidney fire.  One of my herbal instructors also recommended a combination of Bu Gu Zhi, Gu Sui Bu, and a guiding herb such as Gao Ben to apply topically and take internally for baldness.

For more generalised hair loss, we could use Bai Xian.  Bai Xian Pi is used to relieve toxicity and damp heat, so this might be a very good herb for those undergoing chemotherapy (although I’ve read recent advances in drug technology can block the hair loss effect in chemo therapy).

As for an herbal formula to regrow head hair, Wang Qing-Ren makes a very strong claim for Tong Qiao Huo Xue Wan, so long as it is made with She Xiang, musk.  Since this formula is a very strong blood invigorator and opens the upper orifices to help expel wind cold, we may have another pathophysiology to consider in cases of baldness.

Qin Jiao is also said to help grow hair — whether one is bald or not — and could thus be used to help thicken the hair.  It relaxes the sinews and unblocks the collaterals, in cases where hair is simply blocked from sprouting out.  Together with He Shou Wu, we can regulate the LV and GB channels and a tonify the Kidneys.  Additionally, the two together will move and cool the blood and clear deficient heat.

What about acupuncture?  I’ve heard plum blossom on the scalp helps bring new blood to the area and release old and stagnant blood.  With a nice distal point on the Kidney and Liver channels, we could easily treat above and below, interior and exterior.

And the revenge on Cordelia?

Sang Ji Sheng, the mistletoe like herb which grows on the mulberry tree, is said to make one’s beard and eyebrows grow.  A little of that and Xander might realise he really is attracted to men…

Of course, with our luck, Cordelia with a beard will look like Salma Hayek as the bearded lady in Cirque du Freak, beautiful with or without facial hair.  But high schoolers might not be able to see that!

As always, this post is for theoretical and entertainment purposes only.  If you feel you could benefit from acupuncture or herbal medicine, please see a qualified practitioner.

Happy Slayage!

Becoming, Part One (Buffy, Season Two)

I always love the episodes which have flashbacks to previous times in a vampire character’s life.  I’m often tempted to excerpt them and place them in chronological order as a biopic.  Of course, doing that would show certain inconsistencies.  The case at hand illustrates this well enough.  In the 1950′s, Angel was a rebel-without-a-cause type living in a beautiful Art Deco style hotel in Los Angeles — at least, according to what we see later in the Angel series.  Now we see a 1990′s Angel, living on the streets of NYC, half-crazed, surviving on rat’s blood — and with a very Brendan Fraser haircut.  (Maybe Angel ended up on the streets because he spent all his money on hair product.)  Ultimately, he is discovered by Whistler and brought to Los Angeles again, where he sees Buffy for the first time — and thus begins Angel’s love for her.

When he is discovered by Whistler, we also find out that Angel stinks like dead.  This, then will be our diagnostic guide for this episode.

Body odour is a problem for many people; for practitioners of 5-element acupuncture, however, body odour is actually a valuable diagnostic tool.  “Smelling” is one of the categories of diagnostic procedure, often overshadowed by the other meaning of the character, which is “listening.”

Many people, lay or practitioner are aware that body odour can change just before someone comes down with more visible symptoms of an illness.  I knew a psychiatric nurse who could smell schizophrenia, and I’ve observed similar sorts of smells from people taking psychiatric medications.  Many patients undergoing chemotherapy also complain about how their bodies no longer even smell like they used to.

For the practitioner of Chinese Medicine, body odour can be roughly classified into five main categories, each reflecting an imbalance in one of the five phases of qi.  A fetid, rancid, sour-sweet urine smell is associated with the Wood element.  A scorched smell is easily associated with Fire imbalances, while a fragrant and cloying, sickeningly sweet smell is characteristic of Earth.  I have read that this sweetness is similar to the smell of burning flesh.   The metal element is indicated with fishy or rotten odors.  I find this difficult to distinguish from the Water element, whose scent is likewise described as rotten or putrid; it seems more acrid than urine and more decayed than metal.

So which of these fits for Angel?  Although I usually associate a urine smell with some homeless people in California (one guy who rides the either the 43-Masonic or the 6-Parnassus bus in SF is famous for this smell), Whistler says Angel smells like ‘dead’.  Death has a fragrant smell — Earth — but Dead has a rotten or decaying smell to it.  So, I would have to go with either a Metal or a Water smell here.

Going by scent alone, then, I would use a Japanese 5-phase treatment protocol, and needle LU-5 and KD-7.  I would also add SP-3, according to the control cycle for water.  LU-5 is a water point on a metal meridian; thus we are taking the qi of the mother to nourish that of the child.  (Metal generates Water.)  KD-7 is the metal point on a water meridian — again, following the same concept, accessing the qi of a point which can nourish that of the entire channel.  SP-3 is an earth point on an earth channel, thus strengthening earth’s ability to control water.  it may also help provide nourishment for metal, if later treatments show that Angel does, in fact, have more of a metal imbalance.

In terms of herbal medicine, I would use a reconstructed version of the Tang Ye Jing and compose a three herb formula of Wu Wei Zi, Shan Yao, and Xi Xin.  This combination would actually be used to strengthen the metal element, rather than the water element.  I have chosen this because the acupuncture treatment, although geared to balancing the water phase, actually does so through accessing the qi of the metal phase.  Additionally, these three herbs together in a modern formula would be used to restrain leakage of KD qi and warm the interior — exactly the sort of treatment shivering and homeless Angel seems to need.  Xi Xin, even when used in the recommended 1 -3 gramme dosage, is usually combined with Sheng Jiang, raw ginger, to moderate its toxicity.  This adds another acrid herb to the mix; ultimately, I would choose one or the other — and probably settle for the Sheng Jiang, since Xi Xin is carried by children who attend funerals to ward off ghosts.

On the other hand, the Divine Farmer’s Materia Medica recommends using Gan Jiang, dried ginger to eliminate foul odour.  Therefore, we could substitute the hotter dried ginger for both xi xin and sheng jiang and end up with a substitution which conforms to all our criteria:  acrid, warm, wood-oriented herb which eliminates bad odour.  To this formula (now composed of gan jiang, wu wei zi, and shan yao), I would consider closing off with Ju Hua, chrysanthemum, which is said to level metal and nourish water.  It also has the special property of helping people see things more clearly on a psychological level.  (there’s a reason that chrysanthemum tea is served at mah-jong parties!)

But what about pure B.O.?  Without doing a proper differential diagnosis, I would attribute this to impaired cleansing of the blood and sweat.  Therefore, I would look at herbs which help unclog the Liver (Xiao Chai Hu Tang comes to mind), or which helps a person sweat to clear the pores (Ma Huang Tang could be useful here).

Acupuncture-wise, I would focus treatment on regulating Shao-Yang or Tai-Yang, and see if the person is manifesting other signs of increased turbidity (Small Intestine and Bladder separate the clear from the turbid, and comprise the organs of TaiYang) or lack of internal-external regulation.  Definitely encourage them to avoid air-conditioning in the summer or excessively hot homes in the winter, depending on the season.  Then I would assess the state of the Yin pairs of these levels, particularly JueYin.  Is the JueYin level not properly clearing the blood?  Additional herbal remedies can be built up around these physiological analyses — herbs like Qu Mai and Deng Xin Cao (or the formula Dao Chi San) can be used for impaired SI/BL/HT clearing, while herbs which dredge the Liver can be added to Xiao Chai Hu Tang.

As always, this discussion is for theoretical purposes only.  If you feel you may benefit from acupuncture or herbal medicine, please see a qualified practitioner.

Happy Slayage!

Go Fish (Buffy, Season Two)

Sunnydale has a chance of winning a sports event for once.  The swim team has rocketed to the top of its league.  Unfortunately, the area in which Sunnydale High most excels (its high death or mishap rate) might keep them from that goal.  Luckily for Sunnydale High (or not, considering how the episode resolves itself), Xander decides to step into the rapidly vacating positions on the swim team.

Xander continues to make homoerotic comments in this episode — this time about how great it is to be in a steamroom with a bunch of other guys.  Little does he realise what all that quality time can do to a guy.

The problem seems to be that the top swimmers turn into creatures from the lost lagoon, shedding their skin in the process.  The secret to their transformation lies in the vapours of the high school steamroom.

This is obviously a case of externally contracted summerheat-damp stagnating on the interior. Chinese medicine could have helped release these external channels so that the swimteam’s skin could have been saved. Alas, for their ignorance of the many uses of acupuncture and herbal medicine!

Aside from the more graphic manifestations of this pathogen (scales, fins, increased ability to swim), summerheat damp can stagnate the collaterals of the Lung leading to irritability, purple face (or purple-green in our case), nosebleeds (Buffy surely wouldn’t have struck a fellow classmate hard enough to cause a nosebleed, would she?), laboured breathing (I guess gills don’t work too well on land), and sometimes muzzy headedness.

The treatment principles are obviously to clear summerheat, drain dampness, cool and invigorate the blood.  Since the pathogen has led to a decided change of physiognomy, I would say it has penetrated a touch deeper than the blood level.

The herbal treatment is Qing Luo Yin jia Xing Ren, Yi Ren, Hua Shi Tang.  The herbs in this formula are honeysuckle flowers (jin yin hua), lily pad leaf (he ye), watermelon rind (xi gua pi), apricot kernal (xing ren), talcum (hua shi), loofa gourd (si gua lou), job’s tears (yi yi ren), and bamboo leaf (zhu ye).

Since the problem is obviously due to the skin not releasing the dampness (necessitating its removal by the emergent sea monsters), I would start treatment with the sinew vessels, focusing on finding ah shi points along the ShaoYang channel.  Then I would use the Gallbladder-Liver divergent channel to cool the blood and access the jing level of the body to clear both the heat-pathogen from the blood and prevent it from lodging in the jing level and causing structural changes to the body.

The Gallbladder as one of the extraordinary organs, has a connection with jing, well the GB-LV channel divergence is responsible for using blood to help make a pathogen latent.   The BL-KD channel divergence uses jing to make a pathogen latent, and so it would seem a better choice than the GB-LV CD.  However, these are teenagers, and their reserves of jing prone to variability.   Other reasons also support the use of the GB-LV channel divergence.  In addition to these young men having qi or blood-type bodies (according to the Kanpo method of sorting body types), indicating a reserve of blood, the Channel Divergences are also sometimes seen as the internal trajectory of the primary meridians with which they are associated.  Since the Sinew vessels are the externalisation of the primary meridians, by addressing both we will have strengthened the primary meridian system against this pathogen.

Therefore, treatment would proceed as follows:  Perform sinew vessel releases using Sotai on Du-4 and Du-14.  Find ah shi points along the GB and TH meridians.  Needle these shallowly with a chiselling technique.  Burn one thread of pure moxa at GB-44.

For the points along the channel divergence, I would use a shallow-deep-shallow needle technique, since we want to bring the pathogen out from the jing and blood levels through the now cleared wei qi level.  I would start with one side and angle the needles upwards until GB-1, which I would point towards the other side of the body; then I would needle the rest of the points with the needled pointing towards the jing well point on the strongest side.  Needle GB-30, which is the start of the GB channel divergence and CV-3, which is the confluent point of the GB and LV CD.  I would also choose to needle GB-25, which connects to KD source qi; PC-1 (or LV-14) which store the blood; ST-9 (“Welcome to Humanity”); and GB-1, the closing point of the sequence.  For the weaker side, I would also needle GB-44.  Needles should be retained for at least 20 minutes, and up to 40 minutes.  Treatment should occur every day for three days on, three days off, over a three week period.

As always, this post is for theoretical purposes only.  If you feel you have something stagnating inside you that just wants to break free, and you feel that Chinese medicine may help you, please see a qualified practitioner.

Happy Slayage!

Killed by Death (Buffy, Season 2)

What nightmares we experience in the grip of fever, and how little are these visions accounted in hospitals today.  In this episode, children are being preyed upon by a demon-ghost called “Child’s Death” or “Kindestod”, which sits on their chest and then sucks out their lives.

The Kindestod actually describes something treatable in Chinese Medicine.  While one can experience this sort of chest oppression during the grip of a fever, more commonly, it happens without any obvious febrile signs — though always when the person is asleep.  A sensation of a being sitting on one’s chest and drawing out one’s breath or preventing one from breathing are the cardinal signs.

Unfortunately, no one formula is designed to treat this.  However, the Divine Farmer’s Materia Medica does list three herbs which treat “oppressive ghost dreams.”  These herbs are Ling Yang Jiao, the horn of the Saiga antelope (now endangered); She Xiang, or musk from the musk deer (also endangered), and Mu Xiang, Saussurea root (a type of aster which grows in mountainous areas), the wild form of which is also endangered.

Interestingly, all these herbs go to the JueYin level.  Ling Yang Jiao regulates minister fire as it is conducted by the Gallbladder and Liver.  She Xiang invigorates blood and opens the orifices to regulate the shen and hun.  Mu Xiang, also aromatic, relaxes constraint and regulates the Liver.  If decocted together they would extinguish wind by releasing blood clumping under the heart, that is, between CV-17 and CV-14, the area called the mansion of blood.  (I would decoct the Ling Yang Jiao first, then add the Mu Xiang, and finally dissolve the musk in a little rice wine and mix with the strained decoction.)

The pathophysiology then is that blood has ceased to move outwards as wei qi comes inwards at night.  The blood may have become stuck due to heat (from trapped emotions, perhaps, or from a simple fever), or it may be turning to heat because it is stagnant, or it might become hot when wei qi tries to penetrate through it.  When the blood becomes hot and deficient, wind can be stirred up in the vessels.  This wind will harass the shen which is housed in the vessels, leading to disturbing dreams.  Since the pathogen sits on the mansion of blood, the feeling of someone or something sitting on one’s chest results.

To make the formula more specific, one could look at the overall quality of the blood.  Sometimes the blood is too dry, in which case fluids are needed.  But sometimes the blood becomes turbid from dampness, and then diuretics are needed.  In this latter case, the Kidneys are engaged to drain the water from the Heart — and minister fire is guided back into the Kidneys.

With this physiological aspect in mind, we can devise an analogous acupuncture treatment.

We know that the sinew vessels conduct wei qi during the day via the yang vessels.  At night, wei qi homes into the chest by following the yin sinew channels.  The arm yin meet at GB-22, while the leg yin vessels converge at Ren-3, at the border of the pubic hair.  From here, wei qi travels to Ren-17, where it enters the chest to support the pericardium (JueYin) in protecting the heart from nightmares during sleep.

The problem, however, lies not with this mechanism, but with the inability of wei qi to actually enter the chest once it arrives there.  So we must turn to looking at the mansion of blood.

Blood is sealed by the Heart, held by the Spleen and stored by the Liver.  It originates at HT-1, moves to SP-21 (or, in some traditions, GB-22) the Great Luo of the Spleen, and then is stored at LV-13.  If the blood remains stagnant in these areas, it will eventually sink to the lower warmer — the region of CV-3 and CV-4.  In cases where the slowness of blood is due to Heart insufficiency, Western medicine prescribes diuretics — engaging the Kidneys to drain water from around the Heart.

First, we could bloodlet SP-21 to clear the clumped blood, adding HT-1 and SP-10 as more distal point to ensure that blood moves through the mansion of blood.  Then we can needle both GB-22 and CV-3 to work on sinew vessels and add both LV-13 and CV-17 to guide wei qi through the JueYin level.  We can retain the needles with a little more depth to tonify the lower warmer and prevent any remaining clumped blood from descending to the lower warmer.

This treatment might also be used as an adjunct for other Heart related conditions.  I would be interested in knowing if it has any efficacy for sleep apnea.

As always, this post is for theoretical discussion only.  If you feel Chinese medicine may help dispel your oppressive ghost dreams, please see a qualified practitioner.

Happy slayage!

Innocence (Buffy, Season 2)

I think it was my first year of acupuncture school.  We had a course called diagnostic skills in TCM, and we were invited to bring in a demo patient to assess in small groups.  One of the two patients in my group mentioned in passing that she had just broken up with the person she’d been dating for about a year or so, and she referred to a broken heart once or twice during the intake.

When it came time the students to present the relevant symptoms of the case to the supervisor (who had been present during the entire group intake), we included the broken heart.  It certainly seemed significant to us.  The supervisor,who happened to be from mainland China, disagreed.  We don’t treat broken hearts with acupuncture, she claimed.  Several of us protested, surprised.  Why can’t it?  Because patients don’t come to us to be treated for such things is the reply I recall.

Now, years afterward, I am here to disagree.  Acupuncture and herbal medicine may very well prove useful in helping to heal the broken heart, and I have actually seen in clinic one or two cases where a broken heart was part of the overall picture.

Certainly both Willow and Buffy could use a little help to overcome their broken hearts.  Buffy’s was broken when Angel turned evil and cruelly cast her aside.  Willow caught Xander making out with Cordelia behind the stacks in the library.  I would use slightly different treatments for each — I think Buffy’s experience was the deeper, energetically speaking, or at least more shocking.  Willow at least doesn’t have to kill Xander.

A broken heart most often affects the Pericardium first, as the Heart Protector, and the trauma goes to the blood level.  As a retained pathogen, heartbreak would likely manifest as blood stagnation first, and qi stagnation subsequently.  The qi stagnation impairs the full expression of emotions, while the blood stagnation is the emotional stagnation itself.  Depending on how the heartbreak occurred, it may consume Heart blood or lead to heat in the blood.  Therefore something to nourish blood is in order.

I would compose a simple formula of four herbs: Dan Shen, San Qi, Suan Zao Ren, and Zhi Zi.

Dan Shen goes to the pericardium, nourishing and invigorating blood.  San Qi stops pain, stops bleeding, and also invigorates blood.  The ability to stop bleeding helps close up the wounds the heart has experienced.  Suan Zao Ren is well known for its ability to nourish Heart blood, while also calming the shen.  (An emperor would be prone to disturbance if he discovered his advisers had all nearly been murdered.)  Finally, Zhi Zi is said to be useful for all conditions of vexation to the Heart, and since it goes to the Triple Warmer, it also has an affinity for Minister Fire.  It would also help cool any heat which would result from the stagnation of qi and blood.

For acupuncture, although Luo channels would work well, I would actually use a variation on the Japanese ShaoYin-JueYin protocol.  I reason that the injury was pretty direct, so I would start with the Pericardium channel as the JueYin channel to be treated.  PC-6 actually fits the picture, will its affinity for blood.  ShaoYin in this case would be Kidney, which houses the Minister Fire that was injured.  Physiologically, then, an injury to the Pericardium could spread to the Kidneys through this relationship.  Therefore, tonification of KD-3 would be in order.

If I felt the need to add more points, I would choose either or both KD-24 (“Spirit Ruins”), the front shu point of the Liver and KD-22 (“Spirit Walk”) the front shu of the Kidneys.

As a side note, Angel suffered a rather severe kick from Buffy.  The particular site of the injury leads me to believe he might end up suffering an acute attack of testicular torsion.  This is a condition in which the spermatic cords and the blood vessels which nourish the testicles twist around one another causing incredible pain.  In severe cases, treatment by surgery is required.  In very mild cases, one could try one of several herbal formulae:

Tian Tai Wu Yao San (grind equal parts of the following and take 3g as a draft before meals:  wu yao, mu xiang, dry-fried xiao hui xiang, qing pi, dry-fried liang jiang, bing lang, and chuan lian zi which has previously been dry fried with ba dou until both ingredients turn black; the ba dou is then thrown out).

Ju He Wan (Tangerine Seed Pill), which has too many ingredients to list here, but is noteworthy for also using seaweed among its ingredients.

Acupuncture treatments would focus on warming or moving qi in the Liver channel.  LV-5 has a direct connexion to the genitals.  Since the Liver channel is usually not invaded unless the Kidneys are already weak, KD-10 might also prove useful.  Additionally, it too connects to the “little” or “external” kidneys.  Points on the low abdomen could also be chosen — Ren-3 is the meeting of KD and LV channels, for example, or KD-16.

As always, these posts are for theoretical use only.  If you feel you may benefit from the assistance of Chinese Medicine, please see a qualified practitioner.

Happy Slayage!

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