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Little-known TCM magic (Ⅱ)

Herbal stick pounding
Zhen ting, literally "shaking a stick," is an ancient therapy to relieve pain caused by trauma. It involves pounding the sore area with a small wooden stick.

Yu learned from Dr Wang Yuezhen of Shuguang Hospital and invented her own therapy for sore joints, tendons and muscles, combined with zhen ting, acupuncture,
moxibustion and fomentation (applying warm towels on the affected areas). She opened a clinic in 1986 and claims treatment is 97 percent effective in relieving pain, especially in the neck, shoulders, lower back and legs.

It also relieves pain of rheumatism and joint problems as well as aftermath of stroke.

It involves a small stick 40cm long and 2cm in diameter and herbal liquor that is crucial in the therapy since it enhances the effect of the stick's pounding to dispel pathogenic cold and improve blood and energy circulation.

Dr Yu learned the therapy in 1995 and opened her own clinic in 2007.

To make the liquor infusion she uses white spirit and she soaks 10 herbs in it for a month. They include chuan wu (monkshood), cao wu (radix aconiti agrestis), ru xiang (frankincense) and mo yao (myrrh).

First she uses acupuncture and moxibustion. Then she applies the liquor infusion to the affected area. She then uses the stick to pound (not hard) around 120
times a minute for 10-15 minutes on each painful area - until the area turns red and feels hot.

Then comes fomentation to strengthen the effect.

"Pain comes from blood and energy blockage so the affected area swells. Gently knocking the area and nearby energy channels can resolve stagnation and improve energy flow so pain and swelling gradually subside," says Dr Yu. The herbal liquor of yang, or warm herbs applied in advance enters the energy channels with the knocking and dispels pathogenic energies such as cold and damp.

For acute pain, two or three treatments are used; chronic pain requires long treatment, 10-20 sessions.

"Each therapy has advantages and disadvantages," says Dr Yu, "We found that the effect of stick pounding is multiplied with the alcohol infusion, acupuncture, moxibustion and fomentation."

Festering moxibustion therapy
Suppuration or festering cause by infection is usually a bad sign but not for retired TCM doctor Yan Hua. A sixth generation inheritor of her family's festering moxibustion therapy, Yan says numerous people have been cured or found relief when a festering sore is deliberately created by burning over an acupuncture point.

According to TCM, festering of the skin after burning moxa directly on the skin is a sign that moxibustion is taking effect.

Yan's family improved the moxa piles or cones placed on the skin by compressing them so they burn longer. Only about seven to nine pieces of moxa are needed,
compared with dozens in the old days. To accelerate the festering process and protect the wound from infection, the wound is sealed with an herbal plaster that creates humidity and raises the temperature.

A course of treatment involves three to five acupuncture points; one course a year is usually sufficient. July and August are the best months because the weather is already warm.

Yan says the treatment is especially effective in relieving chronic problems such as asthma, bronchitis and diarrhea.

Her reputation has been spread by word of mouth but Yan retired 20 years and doesn't have an inheritor to carry on. Her only apprentice left for overseas study when TCM was not popular, back in the early 90s.

"Festering moxibustion is much more difficult to master, compared with other methods and we didn't promote it over the years," says Yan. "But I hope the wisdom of our ancestor's doesn't disappear."

Ear acupuncture with herbal plaster
Ear acupuncture is widely accepted as an effective therapy but some people avoid it because they fear possible pain.

The pain problem was solved 20 years ago by an elderly self-taught practitioner - Wang Genfa.

Instead of sharp needles, he uses tiny square herbal plasters on acupuncture points in the ears, usually on the elevated areas.

He says it's as effective as needles to relieve problems such as high blood pressure, gallstones, enlarged prostate, symptoms of menopause, insomnia, constipation, diarrhea, abscessed finger and toenails.

The plasters are those commonly used on joints to relieve pain and inflammation, by unblocking energy channels and improving energy flow.

He uses common patent plasters.

They should not be placed on broken skin and should be used with caution for pregnant women, since some ingredients may cause miscarriage.

Trying to ease the pain of his father who had liver cancer in the 1970s, Wang read widely and practiced on his father.

Though it had no impact on the terminal cancer, it helped his father regain appetite and strength while he was undergoing chemotherapy and radiation therapy.

Wang offered free treatment to friends and neighbors who were delighted with results. His fame spread and he became known as Hua Tuo, a legendary surgeon in
the late Han Dynasty (206 BC-220 AD).

Though he is in his 70s, Wang now still provides free services around his community three times a week. He has four assistants who are carrying on the treatment.

Breast massage for blocked ducts
The technique is used to relieve pain and inflammation caused by too much accumulated milk, usually caused by blocked milk ducts (galatophores). The pain is
excruciating for many young mothers and surgery is usually needed in severe cases. But Dr Zhao Chunying uses her hands.

"Many mothers today prefer emptying their breasts using breast bumps, which leads to more milk secretion and endocrine disruption.

But pumps may also suppress galatophors (milk ducts) and cause blockage and milk build up." Dr Zhao believes the problem is more common today than in ancient
times.

Trained in Western medicine, Dr Zhao is always trying to find ways to relieve mothers' pain without surgery. Inspired by her grandmother's non-mainstream therapy of "massaging breasts with iron comb," Zhao developed her own massage therapy. It's based on the TCM theory of energy channels and on Western anatomy.

It involves only tuina (TCM massage) on breasts and nipples, which helps expand the milk ducts, unblock energy channels and expel accumulated milk.

Dr Zhao says she has successfully treated more than 9,000 cases in the past eight years, with a cure rate of almost 99 percent.

"It is safe, cheap and very effective," says Dr Zhao.