Exercise *can* work for you. (Here’s how.)

Here at Huwe Acupuncture, we stand with certainty and fellowship in the long line of people, both past and present, who understand that, in fact, movement is medicine. And, just to spell it out, exercise is movement.

We also acknowledge that this fact can be very, very annoying and utterly unattainable. If you have a perfectly attuned, easy-to-manage movement practice that delights and invigorates you on a daily basis, fantastic! We’re happy for you; move your taken-care-of-self right on down to the subsection “Exercise Chinese Medicine Style”.

If, however, exercise is more of a stumbling block than a stepping stone for you right now, we hear you. And in this essay, I’ll share some practical and practicable tips and perhaps a paradigm shift or two, all designed to help you wiggle your way into a movement practice that works for you right now, today, no matter what shape you find yourself in.

Why movement is medicine

Look, I know you’re not clueless. You’re well-aware (thank you kindly) that exercise is a key facet of a healthy lifestyle. You KNOW a regular movement practice amplifies your likelihood for all kinds of excellent outcomes, even if you’re not sure what those outcomes are.

Here’s a link to the CDC’s “Physical Activities Basics” page that can tell you all about such outcomes! But I think we all know, without even looking at it, that said outcomes include things like better mood, better sex, better fat burning, better sleep, more joy, less depression, quicker healing times post-surgery — in short, more bennies than you can shake a stick at!

So, yeah. You know exercise is good for you because you’ve been told it is all your livelong life, you weren’t born yesterday, and you’ve had the practical experience of feeling lots better after you exercise… even if it sucks the everliving life out of you while it’s happening. Even if you’re huffing and puffing and wishing you had enough breath to curse.

But how do you put a healthy movement practice into place for yourself? What do you do when you know better, but you’re not doing better?

When exercise just… isn’t

There are lots of reasons that, despite “knowing better”, you’re not exercising right now.

Maybe you’re in an exercising rut. Perhaps you’re hating it, putting it off, or otherwise feeling like exercise is a dreaded chore.

Maybe you have no movement practice at all, and that reality is nagging at you.

Maybe you know you’d feel better if you could exercise, but you’ve had an injury that has brazenly thrown your movement practice out the window: you wrenched your hamstring and can’t run. Maybe your bicep tendon went on strike and now your shoulder refuses to lift weights.

Or maybe, though I sure hope not, you’ve been diagnosed with a degenerative neurological disease. Maybe you have cancer and can barely hold onto your meals, much less embrace the “movement is medicine” idea.

Though all of these situations vary in their intensity and challenges, my response to them is the same. The best advice I can give, based on my education and experience, is to broaden your interpretation of “exercise”. When you shift from a rigid idea of “exercise” – i.e. it has to be running, swimming, aerobics, at the gym, on the trail, lifting, Pilates, spin classes, Ironman races, hot yoga, in the road-bike saddle – to the more fluid concept of “movement as medicine,” you give yourself a holistic view of your options.

And when you have a holistic view of your options, you can figure out what makes the most sense for you right now. Not you at your ideal weight, or you in your 20s, or what your hard-to-please mother thinks you should be, or what you hope to be in 20 years, but you – as you are, today.

So if your old practice doesn’t feel relevant anymore, you’ve had an injury or a life-altering diagnosis, or you know you’re not moving as much as your body and mind would like you to, consider changing things a little bit at a time.

Exercise Chinese medicine style

There are, of course, lots of different types of movement. When figuring out what kind of exercise your body needs, talk with your doctor. Not sure how to talk to your doctor? Read this handy-dandy article, How to Talk to Your Doctor in 5 Easy Steps, that offers you a direct approach. Remember, your doctor is your health ally. (And if your doctor is not your ally, please find yourself a new doctor.)

Chinese medicine, as usual, offers myriad, customizable movement options for your consideration.

Daoyin

Also understood as “Chinese yoga”, daoyin is ultra portable and can be practiced at home, while on a walk, during work breaks, or many other places besides. It can be done in a chair, standing up, lying down, or hanging from a trapeze. Daoyin is wildly accommodating.

I go into grand detail about daoyin in this article, Everything You Need to Know About Daoyin, if you want to dive deeper.

Daoyin can consist of specific moves recommended by a practitioner, or it can be a more intuitive experience in which you figure out how your body needs to move… or it can be a combination of both.

Internal martial arts

Typically done in certain sequences or specific styles, internal martial arts comprise tai chi and qigong. These types of exercises are highly customizable, and can be altered to protect shoulders and knees. They can be modified for the injured, the recovery, and the wheelchair-bound. Tai chi and qigong can even be useful for bed-bound people.

Tai chi and qigong increase blood flow, improve balance, and build strength. (Don’t be fooled by this description into thinking they’re easy. Internal martial arts can be really hard!)

I wrote about internal and external martial arts in this blog post about tai chi, for the rabbit-hole prone among you.

External martial arts

External martial arts are what most westerners think of as “martial arts” – like jujitsu, karate, and kungfu of all types. Picture Jackie Chan, Donnie Yen, Bruce Lee, and Jet Li and you’ve got it.

These exercises can be learned in a dojo, but also practiced at home. They increase flexibility, build strength, and get your heart rate going.

Jeffrey Yuen, a Chinese-American teacher who shaped the curriculum at our acupuncture school alma mater, learned how to practice acupuncture in the martial arts communities of New York’s Chinatown. Traditionally, martial arts and medicine went hand in hand; this is because you can get super-duper hurt in martial arts. Careful out there, folks!

Moving as a generality

Daoyin and the martial arts are all (more or less) structured forms of exercise. That can be helpful, but it can also be a hindrance if you’re just getting started, are in some kind of rut, or just can’t abide the feeling of following directions at the moment.

A quote card that visually highlights 3 sentences from the essay about simple movements also being exercise.

Here’s what’s nice… Chinese medicine reminds us that moving in general is exercise. Using our bodies to propel ourselves about our world in whatever ways we are able can be enough.

When you’re feeling stuck, sluggish, or some kind of similar malaise, you don’t have to berate yourself into exercising. You don’t have to buy fancy equipment and sweat-wicking britches. You can just move.

Do some laps around your living space, inside and/or out. Put on a ridiculous song and dance wildly. Find a (credible) YouTube Pilates or yoga video and just try it out. Grab a couple of cans from the pantry and use them as arm weights. Touch your toes, or if that’s not possible, reach for your toes.

In short, remember that you have a body; then move it around to reconnect it to your mind. You’ll feel better. (Or at the very least you’ll feel a different kind of irritated, and hey – that’s something!)

Touch is also movement

Now that we’ve covered a variety of ways to exercise, both the conventional and the less-so, I want to toss out another way to think about the concept of medicinal movement.

Movement is also about touch, and that can come from other people. The modalities we use in the treatment room – acupuncture, gua sha, cupping, tui na, moxa, and massage – are all types of therapeutic, medicinal movement. We use them to help move stuck spots, reorient the qi, and effect the needed change.

Now, I’m not suggesting that we can all just outsource our movement practices and get massaged to health… though that would be kind of awesome. No, I’m simply putting forward that bodies need help and input from multiple sources.

And the more broadly we can think of exercise, the easier it becomes to incorporate a balanced, invigorating movement practice, no matter what shape or stage we’re in.


by Mary Beth Huwe

These writings are an exploration of what it means to be human – to be sick, to be well, and to heal – viewed through the lens of classical Chinese medicine. My words aren’t medical advice, and these essays don’t constitute a practitioner-client relationship. They also aren’t meant to be the final word on… well, anything. Rather, I hope they are the beginning of a conversation you have with someone in your life. Thanks for reading!

What even is tai chi? (Hold the AI cheese, please.)

First things first, fearless reader (and/or listener, as the case may be)! Before we dive into what tai chi is and isn’t, let us presuppose a few things:

  • Social media both reflects and shapes society
  • AI-generated ads are here, with the result that some digital content quality has begun circling the drain
  • Human beings have brains, which means we can exercise discernment and choice

Through the words of this humble blog, written imperfectly by me – an actual imperfect human, I aim to help you be more informed and less overwhelmed about your health in this (bonkers!) age of the world.

If you’re spending time on the social media, you have almost indubitably encountered a series of truly bizarre AI advertisements for tai chi. These wonky videos1 feature a silver-haired, ludicrously chiseled “man” or “woman” touting the health (that is to say beauty) benefits of tai chi.

An AI-generated actor with a bare, sculpted chest and a silvery man bun smiles in front of a microphone.

Behold this screenshot of one such ad. If you look super-duper close, you’ll see there’s a tiny line of copy at the bottom.

It reads, “AI-generated actor. Story is provided for entertainment purposes only.”

If you listen to it, you hear that his accent changes completely after 30 seconds or so.

Primarily aimed at people over the age of 50, these ads make all manner of wild claims about simple tai chi that will melt belly fat into abs with very little effort, thus turning the clock back on your physique. Mkay. Sure.

It doesn’t take a terribly critical eye to know these purported benefits are too good to be real.

So, is tai chi a legitimate form of exercise? Or is this a classic case of carpetbagging? Let’s find out!

Tai Chi is a Martial Art

While the “AI-generated actor” making these exaggerated and money-mongering claims is a relatively new phenomenon (at least as of this writing), tai chi is nothing new.

It’s a form of martial arts that originated in China hundreds of years ago. How many hundreds isn’t really clear. Similar to Chinese medicine, the exact origins of tai chi are unknown, legendary, and/or contested. Online sources I found seem to agree that we can be reasonably confident that tai chi became somewhat formalized in the 1500s, but movement exercises in China go centuries back.

Many different styles of tai chi exist, such as the Chen, Yang, Wu, Hao, and Sun schools. For more info on the differences between these forms, I point you to Tai Chi for Health Institute’s very handy history page full of info about the origins and styles of tai chi2.

Suffice it to say, the different styles are exactly what you might think; they teach varying versions of form and movement. Some styles are more or less vigorous, and may – as a result – suit you better than others.

Internal v. External Martial Arts

If you grew up in Western culture, it may surprise you to know that tai chi is, in fact, a martial art. The term “martial arts” might conjure up – depending on your generation – “Daniel-son” getting whipped by the nefarious Kobra Kai in Karate Kid, any number of incredible Bruce Lee moves, Jet Li fighting off a roomful of people in Kiss of the Dragon, or Donnie Yen as Ip Man, just generally killing it.

The fact is, there are two major types or styles of martial arts into which all(ish) specific schools or forms are categorized. These two major types are call internal and external marital arts3. Both internal and external martial arts can be competitive, challenging, beneficial for human health, fun to do, and fun to watch.

And both types, I should say, are considered kung fu (or gongfu). This delightful term is worthy of its own post, and has a much deeper meaning than what we typically encounter in the west. For now, let’s just say that gongfu is more about the way a person does a thing than the specific thing that person is doing. It describes a certain patience, artistry, and engagement.

A professional chef can (and arguably should!) have gongfu, for example. Gongfu tea preparation is a whole thing the internet can tell you about; if you’re interested, check out MeiLeaf Teas (the owner’s dad was one of the first Chinese acupuncturists in Britain!)

But back to the martial arts question at hand: the difference betwixt internal and external martial arts. An internal marital art is more focused on one’s own body awareness, balance, and the cultivation of qi than it is on attacking or fighting. The movements are generally slow, smooth, and involve a fair amount of stance training or isometric movement. Prepare to sink deeper into your horse stance again and again and again in internal martial arts.

External martial arts focus more on speed, strength, feats of physical prowess, and self defense in the form of a good ole fashioned derrière whoopin’, à la Donnie Yen (pardon my French).

As you’ve probably ascertained by now, tai chi is an internal martial art. During our training in Chinese medicine school, we learned that tai chi developed out of daoyin and qigong. Indeed, the movements and styles are traceably similar. Other internal martial art forms, if you’re interested, include xingyi and bagua.

Most other forms of martial arts – karate, taekwondo, jujitsu, and judo – are considered external martial arts.

An infographic that sorts daoyin, qigong, and tai chi into a column labeled "internal martial arts", while karate, taekwondo, and jujitsu are in the column labeled "external martial arts".

I say “most other” forms are considered to be external because, as this astute blog post points out4, the Japanese martial art Aikido and the Chinese style of Wing Chun (Ip Man and Bruce Lee’s style) are “on the fence” between an internal and external martial art.

And, as ever in Chinese medicine and philosophy, these seemingly different styles freely share elements. In other words, internal martial arts contain aspects of the external styles, and vice versa.

The (Legit) Health Benefits of Tai Chi

Practitioners and students of tai chi cite varied benefits: increased balance, stamina, joint stability and flexibility, lower levels of pain, greater mind-body connection, better and stronger breathing, improved digestion, fewer headaches, and a generalized sense of well-being.

Biomedicine also by and large documents and discusses the health benefits of tai chi. In the US, the Department of Health and Human Services oversees the National Institute of Health, or NIH. Within the NIH is a division called the National Center for Complementary and Integrative Health.

This branch has all kinds of interesting info, and is one of my go-to sources5 for essays like this one. If you hop on over to the page I’m linking you to, you’ll find information like:

Tai Chi Has Similar or Greater Benefits Than Aerobic Exercise for Fibromyalgia, Study Shows

Study Shows Tai Chi and Physical Therapy Were Equally Helpful for Knee Osteoarthritis

This is, of course, great to see and hear. It helps spread the word, which in turns helps improve quality of life for more people. And it’s also no surprise to people who’ve been practicing tai chi for ages.

If you’re interested in trying tai chi out for yourself, there are loads of qualified folks out there making excellent DIY and intro-to-tai chi videos on YouTube – just find yourself one led by an actual human being.


Sources and addenda:
  1. @Beach4Head2 has several lovely little playlists of these incredibly odd ads. Check out the channel here: https://www.youtube.com/@Beach4head2 ↩︎
  2. https://taichiforhealthinstitute.org/history-of-tai-chi/ ↩︎
  3. Some people say “soft” for internal and “hard” for external. I don’t love this distinction because I think it creates confusion and bias. ↩︎
  4. https://www.zing-zang.com/what-are-internal-and-external-martial-arts ↩︎
  5. https://www.nccih.nih.gov/health/tai-chi-what-you-need-to-know ↩︎

by Mary Beth Huwe

These writings are an exploration of what it means to be human – to be sick, to be well, and to heal – viewed through the lens of classical Chinese medicine. My words aren’t medical advice, and these essays don’t constitute a practitioner-client relationship. They also aren’t meant to be the final word on… well, anything. Rather, I hope they are the beginning of a conversation you have with someone in your life. Thanks for reading!

What’s that supposed to mean?! Common Chinese medicine terms, demystified.

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(because sometimes it’s just nice to be read to)

Wind-Heat invasion? Phlegm harassing the heart? Damp, with a capital D? If you’ve ever scratched your head at (or dismissed outright) these Chinese medicine terms, you’re not alone. Fear not! This post is all about demystifying these commonly used terms within most styles of Chinese medicine.

I’ve written this before, but it bears repeating: Chinese medicine terms are, as we say around here, a little different. There are a few reasons for this.

Firstly, Chinese medicine terms and diagnoses are all translated from Chinese into English. (This one’s huge. It’s a leap! And it’s a big ole leap. The roots of the Chinese language and the English language are not exactly twinning.)

Additionally, the medicine has evolved over millennia, right alongside the people it treated. (This one’s equally huge. Culture and language affect each other deeply. Because Chinese medicine is cumulative, it keeps track of its versions and updates… and terminology.)

Furthermore, Chinese medicine is phenomenological in nature — which means it’s about being able to synthesize the myriad aspects of our lives. (This one is huger than the other equally huge ones combined. It’s a paradigm shift that’s multiversey in its same-but-very-different viewpoints.)

Though it may jangle your ear at first, Chinese medicine terminology is simply a different way to calculate malfunction and our role within healing.

This type of language and naming can help you connect with what your body needs. And when you understand the nature of what you need, you can help yourself become adaptive — which is really just another way of saying healable.

To help you get comfortable with it, we offer you this brief glossary of our most commonly used terms.

Acupuncture Channels — detailed mapping of the body’s functions, the relationships between its parts, and the relationships between the body and the pathogens that create disease.

Acupuncture Point – place on an acupuncture channel where we can affect the functions governed by that channel. Acupuncture points are living anatomy, openings into deeper layers of the body. By treating a point, we can gather or disperse Qi.

Cold — factor that causes constriction and blockages in the body. It tends to stop function and makes us hunker down. Cold is considered the opposite of Wind. Wind is an excess of change; cold makes you feel like nothing can change and you should just give up.

Cupping — a therapeutic technique to help relieve muscular tension, as well as help draw pathogenic factors from the body during the onset of sickness. Using suction, a cup is adhered to the body over a certain area – very often the back, although it could be on the limbs, face, or neck. Cupping often leaves circular marks on the skin that look like bruises, but very rarely produces pain or soreness.

Damp — factor that bogs down motion. Damp creates a buffer when the body is unable to resolve the challenges it’s facing. Damp can insulate from Cold or slow down Heat, but in doing so can bog us down, create confusion, and/or make us more cautious.

External Pathogenic Factor (EPF) — problematic forces that originate outside the body. Examples include temperature, pressure, radiation, allergens, and infectious agents. EPFs challenge the body’s integrity, requiring us to change and adapt in their presence.

When you understand the nature of what you need, you can help yourself become adaptive -- which is another way of saying healable.

Gua Sha (gwah-sha”) — therapeutic scraping technique whose goal is to break up adhesions, unlocking previously stiffened or numb areas. 

Heat — factor that expands and accelerates. Heat can be a way to try to counter Cold, dry Damp, and to go faster than the Wind. Because it moves quickly, Heat can create urgency in a health condition. Heat can also be a response to Damp as the body attempts to dry up the Damp by turning up its thermostat.

Internal Pathogenic Factor (IPF) — problematic forces that originate from inside the body. The IPFs that most affect our health are our emotions, responses to food we digest, and our desires.

Latent Heat — unresolved pathogenic factors that become lodged in the source level. A viral infection like chicken pox can lie dormant in the spine and some day come out as shingles. We call these factors Latent Heat because, like a smoldering coal buried in ash, they only need the right conditions to flash back up into flame.

Moxibustion (moxa) — herbal heat therapy. Made from dried and prepared mugwort, moxa comes in several forms. Regardless of the type, we light it and use it to warm acupuncture points and/or channels.

Phlegm — pathogenic factor that can be literal, like lingering mucus after a cold, or metaphorical. Metaphorical Phlegm could apply to dizziness or confusion. Phlegm is typically considered to be advanced Dampness. Phlegm represents how disease—through our habits and blindspots—can get knotted up in our sense of identity.

Qi (chee”) — describes the activity and change that occurs between the opposites of yin and yang. Qi is not a thing; it’s the relationship between two polar opposites. For example Qi describes the spark of static electricity that shoots from your negatively charged hand (yang) as it comes into contact with your positively charged car door (yin).

Wei Qi (“way chee”) —aka Defensive Qi — provides the body’s ability to adapt to our external environments and deal with challenges to homeostasis presented by EPFs. Wei Qi governs many autonomic functions such as circadian rhythm, sweating, skeletal muscle tone, and smooth muscle contractions.

Wind — a symbol for all change. In Chinese medicine, Wind blows illness into the body. Wind can also become lodged in the body, creating disturbances like pain and dizziness. Wind is considered an opposite of Cold. Cold makes you feel like nothing can change; Wind is an excess of change.


Yin & Yang (“yawng”) —the insight that the poles of change are interdependent, and that opposites are part of a whole. Yin refers to qualities related to receptivity and rest — e.g., dark, down, heavy. Yang refers to the qualities related to activation and movement — e.g., bright, up, light.

In medicine, Yin and Yang help us to understand movement and change and to classify and describe all aspects of the body. For example, if your temperature is too hot (Yang) in relation to your cooling fluids (Yin), you risk drying out and developing more Yang properties, such as convulsions.

Ying Qi — aka Nutritive Qi — provides the body’s ability to create an internal environment and deal with IPFs. Ying Qi governs digestion, nourishment, and the functions of the mind.

Yuan Qi (“you on”) — aka Source Qi — forms the foundation and catalysts for all other processes in the body (Wei Qi and Ying Qi). It also deals with Latent Heat. Examples of Yuan Qi include hormone functions such as growth and aging, pancreatic function, and the production of blood from the bone marrow.

by Mary Beth Huwe


These writings are an exploration of what it means to be human – to be sick, to be well, and to heal – viewed through the lens of classical Chinese medicine. My words aren’t medical advice, and these essays don’t constitute a practitioner-client relationship. They also aren’t meant to be the final word on… well, anything. Rather, I hope they are the beginning of a conversation you have with someone in your life. Thanks for reading!

Magic Wands, Silver Bullets, Hacks, and Chinese Medicine

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Ever wonder what people are wondering? I sure do. In answer to that question, I sometimes have a little fun with search engines. I type in an intro query without actually completing the search term. I want to see what suggestions pop up based on what other people have previously searched.

Photo Infographic: Magic Wands, Silver Bullets, Hacks, and Chinese Medicine

In general, what I find is that we want the search engine oracle to pronounce something good or bad, forever and ever, amen. This applies to all manner of things, and is especially true when it comes to health. We’re obsessed with placing value judgments on every health tactic, routine, and/or food under the sun. We want the magic wand, the silver bullet, the health hack, the shortcut, the easy way, the trapdoor, the smoke, the mirrors, the abracadabra of it all.

Today I’d like to make a case for not hacking up our lives in quest of magic bullets. And how (it probably goes without saying) that relates to Chinese medicine.

The Compounding Difficulty of Aggravated Evasion

Sometimes, running away is 100% a safe, sober, and sane move. But other times, running from something is just running toward it in another aspect of life. Let’s suss these out.

When it comes to predatory behavior, deals with the devil, and imitation vanilla extract, just get yourself away! In these cases, it’s often best to depart forthwith! Doing so may be called “running away,” but it’s the self-preservation type of running. Setting healthy boundaries, declaring no admittance to deal-breaking shenanigans and relationships is not avoidance. It is assertive assurance that you won’t have those things in your life, or at least that you’ll have them a lot less.

So when is running from something the quickest way to get more of that exact thing? When we quit a situation that’s not good for us without dealing with it. Avoiding dealing with deal-breaking shenanigans risks repeating that same pattern.

Infographic: Magic Wands, Silver Bullets, Hacks, and Chinese Medicine

I’ve made up a term for this type of sustained avoidance; I call it generalized avoidance or aggravated evasion.1 If we go through life solely operating on shortcuts and evasive maneuvers meant to avoid for avoidance’s sake, we lose resiliency, adaptability, and humanity. The more we avoid discomfort, the more uncomfortable it will be, and the more terrifying and derailing discomfort becomes.

The running from/avoidance spectrum shows up all over life, and it cannot be solved by a shower of magic bullets. Chinese medicine talks about such spectra as feedback loops — a dynamic interaction of interdependence. When we allow ourselves to experience life fully without trying to reduce it into tidy silos, we get a lot more out of it, and we’re far less fragile. What can I say? This is just science. You gotta feel it to heal it.

You Gotta Feel It to Heal It

Seeking “magic bullets” as an evasion tactic complicates things for us because following each new trend splits our understanding and learning capacity. IS coffee good? ARE blueberries good? IS weight-bearing exercise good? These questions reveal an assumption that an absolute value of goodness exists. Thinking in such terms is one of the ways we trip ourselves up. Those questions also beg another question: Good for what?

Around 20 years (or so) ago, I attended a small-town solo concert of a now famous musician who was playing his as-yet-unknown-to-the-world originals. When introducing one song, he said something that stuck firmly in my mind. It went along these lines, “This song’s about busted-up friendships: one of those things that’s good for songwriting, and bad for — well — just about everything else.”

Exactly! Good for one thing, bad for another.

If that musician had avoided or buried the discomfort of busted-up friendships — a pain we all experience at some point — he wouldn’t have written that song. Instead, he wrote about it, which not only processed his discomfort, but also turned it into art.2 That’s how art is a healing process: It shows us the stuff of life.

Quote Card: Magic Wands, Silver Bullets, Hacks, and Chinese Medicine

Conclusion

The truth is, the stuff of life is nuanced, influenced by context, and more multi-faceted than many of us would like to believe.

Chinese medicine, however, revels in facets. As such, it excels at treating the individual who shows up in real time. And while health history is important, illuminating, and a strong contributor to any health picture, it’s not a complete predictor of where a person is, or where they’re heading. Aggravated evasiveness, or the absence of it, is a far greater predictor.

Regardless, though, what’s good or bad for any individual is going to vary, depending on lots of things.

Let’s take this back to the coffee question: Coffee might be good for concentration, but bad for the adrenals. The extent to which that matters depends highly upon the individual context. Part of being human is to use our intelligence, awareness, experiences, and relationships to help us discern the context of our lives. There are no true short-cuts or arrivals; the journey is always under our feet.

by Mary Beth Huwe


These writings are an exploration of what it means to be human – to be sick, to be well, and to heal – viewed through the lens of classical Chinese medicine. My words aren’t medical advice, and these essays don’t constitute a practitioner-client relationship. They also aren’t meant to be the final word on… well, anything. Rather, I hope they are the beginning of a conversation you have with someone in your life. Thanks for reading!

Footnotes:

  1. I have no idea if generalized avoidance is already a recognized term in psychology, but it should be. Goin’ with it. Added aggravated evasion because it has a nice ring to it, and because it demonstrates the dogged premeditated intent of evasion that governs this kind of approach. ↩︎
  2. Fifteen or so years later, he co-wrote his third number-one hit, a song about the importance of “cry[ing] when it hurts and laugh[ing] when it’s funny.” Pretty solid medical advice, really, and something that seems like an extension of learning what to do with the natural discomforts life brings. ↩︎

Tongue Diagnosis Chart (Plus How to Read It)

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When you go to an acupuncturist or Chinese herbalist, chances are the practitioner will ask you to stick out your tongue for their inspection. That’s because one of our diagnostic techniques is tongue diagnosis. We’re looking for the color, size, coating, moisture level, and any bumps, lines, cracks, or divots.

What the what, and why is your acupuncturist so interested in the looks of your tongue?

There are many reasons Chinese medicine practitioners are interested in their clients’ tongues, which I’ll tackle below. Moreover, odd though it may sound, you can inspect your own tongue. I’ll give you a tongue diagnosis chart so you can next-level your at-home self-care moves like a boss with all those hyphens. Let’s go down the rabbit hole!

Diagnosis in Pre-Modern Times

These days, if we want to know what’s going on inside our bodies, we have many modern options at our disposal.

Physicians can order a lipid panel, connect you up for a nerve conduction test, stick a camera into many a nook and cranny, check kidney and liver functions, pop you into an MRI tube, snap a quick X-ray, and/or choose from any other number of diagnostic tests. Not only can they do these things, they can do most of them before lunch on a Tuesday. NBD.

But what happened before these types of tests were available? Were people bumping around in dark caves, completely unaware of their insides right up until the moment Prometheus stole the liver panel tests from the gods? Of course not. Everything we have today was built incrementally — and, yes, sometimes exponentially — by the brilliant people who came before us.

As we’ve covered in a previous post, Chinese medicine is, to use a technical term, super-duper OLD. Ergo, its diagnostic tools developed without the convenient benefits modern imaging affords us. Let’s pause here for a moment to think about that.

The radical changes that modernity has wrought upon the human experience are staggering to try to conceive of. It’s like thinking about the formation of the Grand Canyon, or trying to understand the distance between the sun and Alpha Centauri.

If you, like me, were alive pre-internet, you have an experiential, practical memory of how different life was before that thing showed up. I’m not here to yap either way about the internet’s pros and cons; rather I want to point out that the internet was a sea change. Love, hate, or love/hate it, the internet redefined how we interact with ourselves, our minds, each other, and our collective. Humans had a lot more room for reflection and downtime before the internet made incessant productivity, busyness, and reachability not only available, but expected.

The internet is just one example of a radical shift brought by a technological innovation, but there are lots more: cars, faster cars, guns, machine guns, electricity, major home appliances, TV, and mobile phones — just to name a few. Imagining life on Earth before these things is challenging and beyond the scope of these words.

Safe to say, pre-modernity, people had a different relationship to time. On the one hand, we might think they had less time because so much was tied up in the labor of daily life: starting a fire, boiling the water, curing the meats, et cetera ad infinitum. On the other hand, we might think they had way more time because (a) they had fewer distractions and (b) they had fewer demands outside daily life.

For the purposes of this essay, I’m going with the tried-and-true idea that privileged people had more freedom of movement and schedule than the people toiling in manual and domestic labor. I’m also going with the idea that privileged people in those days had fewer distractions, and as a result were likely to either go stark-raving unpleasant, or to go stark-raving interesting.

What was it like, then, all those years ago, for the people of privilege who were developing Chinese medicine? Well, I don’t actually know. It’s easy to romanticize or disparage a time I can barely contextualize in reasonable terms.

My most neutral sense is that such folks had a lot more time on their hands to pay attention to stuff, and that their capacity for observation and contemplation was likely superior to ours. Because there were fewer distractions, they were well-practiced observers and contemplators. Also, shorter life spans and different types of health problems may have meant that cause and effect were more proximally related in days of yore.

Anthropological musings and realities aside, the people studying medicine made connections between the inside and outside, and these findings were based on their observations. And sure, many of them were probably wrong or bunk. But many were not, and held up to the tests of time and scrutiny.

One such diagnostic technique is tongue diagnosis.

Quote: Tongue Diagnosis Chart (Plus How to Read It)

Tongue Diagnosis: Straight From the Source’s Mouth

Tongue diagnosis shows up in some of the very old aspects of Chinese medicine. This article by Chen Ze-lin1 says depictions of tongue diagnosis can be found on bones and tortoise shells from the Shang dynasty (circa 1600–1050 BCE).I can barely wrap my mind around walkie-talkies and ear crystals, so please excuse me if I simply goggle at that.

Sometime in the Qin and Han dynasties (221 BCE–220 CE), the Neijing, a medical classic of Chinese medicine, was written. The Neijing, as the Library of Congress succinctly states, is “a summation of Chinese medical knowledge up to the time of the Han dynasty.”

The Neijing mentions the tongue as a consideration in medicine, name-dropping it here and there in diagnostic terms. For example, “Patients… feel chilly, have cold limbs… the tongue has a yellow coating, and the patient is feverish.” This type of talk continues throughout various texts in the subsequent centuries, but without the full-on tongue diagnosis charts and detailed inspections we know today.

Sometime in the 13th century (Song or Yuan dynasty), a practitioner named Ao Shi made the first illustrated books about tongue inspection. These books, Golden Mirror Extracts and Every Point Is Golden, weren’t terribly popular, which I find somewhat baffling. I don’t know if you’ve ever looked at tongue pictures, but they are fascinating.2

A little bit later on, another practitioner (Du Qing Bi) added more illustrations to Ao Shi’s. About 100 years or so after that, a practitioner named Xue Ji included the tongue pics in his own book, and they took off in popularity and recognition. So in comparison to the deep history of Chinese medicine, tongue inspection as a specific diagnostic tool is somewhat recent, having become more specifically studied and absorbed into the mainstream in the 1200s–1400s. Subsequent centuries have seen tongue diagnosis become even more enfolded into the medicine.

These days, as Dr. Nancy Holroyde-Downing3 states in her 264-page thesis about tongue diagnosis (bravo!), the inspection of the tongue is very prominent in Chinese medicine:

“The inspection of the tongue, initially associated with portents of impending death or with the presence of febrile illness known as shanghan 傷寒 (cold damage), is now a pervasive aspect of a traditional diagnosis, and, as noted above, it is a fundamental part of the curriculum in most colleges of Chinese medicine. It is discussed in diagrammatic and theoretical detail in contemporary Chinese medical textbooks and is a feature of the ‘signs and symptoms’ used in planning or discussing acupuncture and herbal medicine treatment.”

True story! And as with everything in Chinese medicine, there are lots of ways to understand it. You can run a search for “Chinese medicine tongue diagnosis chart” and find pretty different — and nonetheless correct — results.

Open Up and Say Ahhhhhh

The most circulated tongue diagnosis chart, taught in both TCM and classical Chinese medicine, looks something like this:

Infographic: Tongue Diagnosis Chart (Plus How to Read It)

You’ll see that the tongue is a map, with areas of it linked to various internal organs. Over millennia and/or centuries of tongue observation as it relates to states of health, this is the generally accepted orientation guide of what to look for, and where. The heart is at the tip; just behind that is the lungs; in the center of the tongue is the stomach; the far back, or root, is the kidney area; the sides are the liver.

In our estimation, this chart is not useful for the lay person in terms of self-diagnosis. It’s easy to look at it and think either This is ridiculous! or Saints preserve us! I have a sore on my tongue! Is my heart diseased or is it my lungs? HELP.

Not helpful. Connecting the tongue to the internal landscape of the body is much more nuanced than the above italicized sentences suggest. There are many theoretical and clinical underpinnings the practitioner must learn and practice for tongue diagnosis to be meaningful and effective. In fact, it doesn’t even necessarily imply there’s involvement with your organs at all. It’s subtle and layered, which is pretty much another way of saying, it’s Chinese medicine.

So what is useful for you in terms of that at-home self-care I referenced way back at the beginning of this rabbit hole? If you examine your own tongue in the mirror, what would Chinese medicine suggest you look for, and what would it suggest you do about it?

At Huwe Acupuncture, we suggest looking for two main things: scallops and coat. We also find that small dietary changes can change the state of the tongue a good deal.

Scallops

Infographic: Tongue Diagnosis Chart (Plus How to Read It)

The source: A scalloped tongue is the result of the tongue’s sides pushing against the teeth. Now, you might think that’s simply a result of tongue size. And you’d be sort of right — but the tongue’s size changes depending on what’s going on with your digestion.

The main takeaway: A scalloped tongue is typically an indication of sluggish or bogged down digestion. The body’s ability to transform food and drink into energy becomes compromised. We often suggest to clients that they incorporate fresh ginger and cooked scallions to aid in digestion and appetite.

Coat

Infographic: Tongue Diagnosis Chart (Plus How to Read It)

The source: Tongue coat can indicate all kinds of things related to yin and yang — for example, is the situation primarily rooted in heat or cold? Absence of tongue coat is also informative.

The main takeaways:

  1. Lack of coat or thin coat both suggest the need to build fluids. This can be achieved through fluids, probiotics, fermented foods, juicy foods like zucchini or okra, and soups.
  2. Thick coat typically indicates food stagnation. Chinese medicine suggests diversifying the diet in these cases.

    For example, an overabundance of carbohydrates can be mitigated with sprouts. Too much protein can be leavened by a pineapple marinade, which helps break down protein. Excess fat can be aided by spices such as pepper. Or, digestive enzymes can handle any of the above.

Conclusion to Tongue Diagnosis Charts

Because Chinese medicine didn’t disappear with the advent and development of biomedicine, the diagnostic system of tongue inspection remains. While we do caution against oversimplification when applying this system to your own health, it can be helpful to familiarize yourself with your tongue.

Hilarious as it sounds, staring at your tongue in the mirror can help you gain an understanding of how it changes. Check it out when you’re feeling great (energized, well-rested, not stressed, happy, etc.), when you’re feeling not-so-great (hungry, hangry, sleep-deprived, stressed, hungover, etc.), and also whenever you feel like it.

Noticing the change in scallops and coat structure can give you insights into what you need. And knowing is half the battle.

by Mary Beth Huwe


These writings are an exploration of what it means to be human – to be sick, to be well, and to heal – viewed through the lens of classical Chinese medicine. My words aren’t medical advice, and these essays don’t constitute a practitioner-client relationship. They also aren’t meant to be the final word on… well, anything. Rather, I hope they are the beginning of a conversation you have with someone in your life. Thanks for reading!

Footnotes

  1. Ze-lin, Chen 1987, “Brief history of tongue inspection,” Chinese Medical Journal, pp. 38-44, accessed December 2023 from https://mednexus.org/doi/pdf/10.5555/cmj.0366-6999.100.01.p38.01. ↩︎
  2. Also gross! Have you ever looked up black hairy tongue (BHT)? ↩︎
  3. Holroyde-Downing, Nancy 2017, “Tongues on fire: on the origins and transmission of a system of tongue diagnosis, a dissertation submitted to the faculty of University College London,” accessed December 2023 from https://discovery.ucl.ac.uk/id/eprint/10040369/1/Holroyde-Downing_10040369_thesis.pdf ↩︎

Words Matter: How the Language of Chinese Medicine Assists Healing

Listen instead:


As patients of biomedicine in the West, we’re accustomed to a certain kind of language. Diagnoses and terminology are generally based in Latin and/or Greek terms that only sometimes jangle the anglophone ear.

Insomnia,
1 for example, is the inability to experience somnolence (sleep) and is a pretty well-known term. Idiopathic hypersomnia,on the other hand — which means you’re real sleepy and we don’t know why —while decipherable for the word nerds2 among us, is a little wonky.

This type of naming is somehow both very descriptive and not especially illuminating. If you go to the doctor because you’re unable sleep, and they tell you that you have something called inability to sleep, you may or may not be reassured.

It all reminds me of The Voyage of the Dawn Treader by C.S. Lewis. The Dawn Treader is a boat and it’s on, you know, a sea voyage… in another world. As is to be expected under such circumstances, the protagonists meet all kinds of unexpected characters and happenings throughout the voyage. One such protagonist, Eustace, is speaking with one such character, Ramandu.

This part of their conversation is noteworthy:

“In our world,” said Eustace, “a star is a huge ball of flaming gas.”

“Even in your world, my son, that is not what a star is, but only what it is made of.” 3

Well, exactly. Language has the ability to deepen our understanding about the nature of a thing, and the nature of a thing is far more than its label.

Another common naming style in biomedicine is eponymic. An eponym basically means that the thing thus named was named for a person, typically the person who “discovered” said thing.

This is my least favored type of naming, and I find it especially irksome in medical and anatomical terms. Bartholin glands, Haab’s reflex,and Abdallat-Davis-Farrage syndrome4 all tell us absolutely nothing about the thing they are allegedly describing. Also, labeling people’s body parts with one’s own surname is rude. Ew.

When used expansively in a medical context, language can help us understand ourselves and our health better. And in that way, language can augment our capacity to heal. Let’s see how that comes into play with the language of classical Chinese medicine.

Infographic: Words Matter: How the Language of Chinese Medicine Assists Healing

The Medical Language of Chinese Medicine

Language in Chinese medicine is, as we say around here, a little different. Hat-tip to Port Wellness Acupuncture for this acupuncture glossary and explanation: “[A]n acupuncturist commonly uses words in an uncommon way.” Agreeeeeeed.

There are a couple of reasons for that. Naturally, Chinese medicine terms and diagnoses are all translated from Chinese into English. Additionally, the medicine has evolved over millennia, right alongside the people it treated. Furthermore, Chinese medicine is phenomenological in nature — it’s about being able to synthesize the myriad aspects of our lives.

As I don’t speak or read Chinese, I’m uncertain how anachronistic the medical language sounds to fluent speakers. But in my experience, the language of Chinese medicine more often than not connects us to the nature of the thing, rather than offering a surface description or the self-immortalization endemic to the eponym.

Chinese medicine terms include words like qi, phlegm, wind, cold, damp, heat,and fire. Examples of Chinese medicine diagnoses include Wind-Heat Invasion, Phlegm-Fire Harassing the Heart, and Wind-Damp-Phlegm Bi Obstruction.

These terms are delineations of the stuff of life, and these diagnoses describe the root cause of the issue — neither highlighting the resultant symptoms, nor the surname of the dude du jour.

Wind-Heat Invasion could be the common cold or a far more advanced infection. Phlegm-Fire Harassing the Heart could mean fierce anxiety or heart failure. This language isn’t a lack of precision, and it isn’t intended to sugarcoat a bad situation; instead, it’s a different way to calculate malfunction and our role within it.

Diagnosis: Problems, Reworked

A Chinese medicine diagnosis can offer glimmers of understanding into our disease processes, and give us the wiggle room to make small adjustments in our lives that amplify our healing capacity.

Let’s look at three fairly common and challenging diagnoses — insomnia, lupus, and cancer — and how they might be worded in Chinese medicine:

  1. Insomnia in Chinese medicine is considered a consequence of other issues. Wind-Heat Invasion and Phlegm-Fire Harassing the Heart could both cause insomnia — and a slew of other unpleasant symptoms as well.

    Insomnia could be broken down into a variety of roots and branches: is it difficulty falling asleep? Staying asleep? Is it acute? Chronic? Episodic? Depending on the source of your insomnia, you could take different actions to reduce its occurrence and impact.
  2. Lupus could be defined as Latent Heat, which is what happens when the body is no longer able to contain heat — or inflammation. This expression of disease can manifest in a variety of symptoms such as pain and swelling in the joints, low fever, headaches, and pain in the chest upon deep breathing.

    But Latent Heat could also show up as any number of other biomedical diagnoses, including — but nowhere near limited to — rheumatoid arthritis, myasthenia gravis, and Lyme disease. In other words, if you have Latent Heat, you don’t necessarily have what biomedicine would call lupus. But if you have what biomedicine calls lupus, you do have Latent Heat.

    Regardless of specific biomed labels, a person with Latent Heat can reduce their body’s inflammatory load with heat-clearing acupuncture, herbs, and other regenerative tactics prescribed by their Chinese medicine provider.
  3. Cancer, typically considered by Chinese medicine to be Fire Toxins in the Essence, is one of the scariest diagnoses people in the United States face. The biomedical language surrounding it leads to a certain reductive precision that can be very helpful in determining type, stage, and treatment.

    But the language of Fire Toxins in the Essence — especially once unpacked with a practitioner — helps a person with cancer understand the mechanism of what’s happening. When the body is making cancer cells, which are by definition toxic, the repercussions are widespread and taxing. We’ve found that clients with cancer can move forward into the unknown with more steadiness when they focus on replenishing fluids, repairing damaged digestive processes, and thinking about ways to reduce the impact of the “fire.”
Quote: Words Matter: How the Language of Chinese Medicine Assists Healing

Conclusion

Rather than removing us further from our symptoms and healing through confusing or obfuscating terminology, Chinese medicine diagnoses seek to connect people with their experiences.

As always, I’m not insinuating that you can think yourself well with magic words or Chinese medicine language around diagnosis. What I do put forward is that this type of linguistic approach can be a reframe of your experience, and can help you understand the nature of what you need.

And when you understand the nature of what you need, you can help yourself become more adaptive — which is another way of saying healable.


These writings are an exploration of what it means to be human – to be sick, to be well, and to heal – viewed through the lens of classical Chinese medicine. My words aren’t medical advice, and these essays don’t constitute a practitioner-client relationship. They also aren’t meant to be the final word on… well, anything. Rather, I hope they are the beginning of a conversation you have with someone in your life. Thanks for reading!

Footnotes

  1. To be precise — which is what footnotes are all about — insomnia, according to Merriam-Webster, = in (without) + somnus (sleep). ↩︎
  2. You — which is to say, we — are delightful people! ↩︎
  3. Lewis, C.S. The Voyage of the Dawn Treader, p. 209.New York, HarperCollins Children’s Books, 1952. ↩︎
  4. A super fun site — which is the best kind of site — Whonamedit?, lists out medical eponyms. ↩︎

We Believe in Treating People, Not Diseases

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We’re often asked, what does Chinese medicine treat? The answer requires some explanation, because Chinese medicine treats people, not diseases. That means no matter who you are or what you’re suffering from, classical Chinese medicine is an option for you — not just an alternative or a last-ditch effort, but an actual, serious, thoughtful medicine.

We’ve helped people aged one month to 92 years with conditions such as fatigue, headaches, menstrual problems, joint injuries, pain, HIV, digestive complaints, back aches, earaches, nose bleeds, infertility, nightmares, constipation, anxiety, cancer, insomnia, nausea, brain injury, neuropathy, pregnancy complications, depression, lupus, Parkinson’s, diabetes, and smoking.

Yeah, that’s a lot.

And each of those individuals received individualized care — because effective Chinese medicine is specifically tailored for an individual at a certain place in time. Encompassing the different modalities of acupuncture, moxibustion, body work (tui na and cupping), herbal medicine, meditation, and movement, Chinese medicine is deeply comprehensive.

Quote: We Believe in Treating People, Not Diseases

We Treat People, Not Diseases

Let’s take the example of acupuncture. If five people came in today complaining of headaches, they wouldn’t all receive the same acupuncture treatment. Each individual’s point prescription would depend on that person’s detailed picture of pathology: the location of the headache, the type of pain, the time at which it occurs, the triggers, the pulse picture, and the tongue.

Each of these components is significant, both in its own right and in relationship to the others. Furthermore, if the same five people with headaches came again next week, they wouldn’t receive the same points they received today. Each individual is reevaluated each time, and though the treatment may remain targeted toward the same general channels and points, it wouldn’t necessarily do so.

Infographic: We Believe in Treating People, Not Diseases

Is Acupuncture for You?

Of course, we can’t legally guarantee that acupuncture will provide you with a cure, and we wouldn’t want to make such a claim even if we could. What we put forward is that even if acupuncture doesn’t cure your disease, save your life, or remove your symptoms, it will very likely change the way you feel about your disease, your life, and your symptoms.

In this way, acupuncture greatly and profoundly reduces suffering.

Some people wonder whether acupuncture is for them. The short answer is yes. Acupuncture is for anyone who wants it. Maybe you’re in the best shape of your life, or maybe you feel like you’re falling through the cracks of modern healthcare. Maybe you don’t notice your body unless it’s hurting you.

Maybe you have only a vague sense that something is lacking in your health, or maybe you’re very sick. Chinese medicine is multidimensional. It has something to offer every one of those maybes because it’s a medicine that takes the full constellation of the individual — of you — into account.

by Mary Beth Huwe


These writings are an exploration of what it means to be human – to be sick, to be well, and to heal – viewed through the lens of classical Chinese medicine. My words aren’t medical advice, and these essays don’t constitute a practitioner-client relationship. They also aren’t meant to be the final word on… well, anything. Rather, I hope they are the beginning of a conversation you have with someone in your life. Thanks for reading!

How to Talk to Your Doctor (in 5 Easy Steps!)

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At Huwe Acupuncture, we’re grateful to have respectful relationships with several area doctors in various specialties. Many of our clients are referred to us from physicians in primary care, pain management, Lyme, and gynecology, who recognize — even if somewhat bemusedly — the benefits acupuncture provides to their patients’ well-being.

One of the benefits of being outside the mainstream medical model is that we have time to talk to our clients. We know, then, that the physicians who refer to us are some of the best when it comes to doctor-patient communication. They listen to their patients, problem-solve with them, and are open to solutions (like acupuncture!) that exist outside of their own paradigm.

We also know that, unfortunately, some of our clients don’t have functional relationships with their physicians. In fact, it’s not uncommon for doctor-patient communication to hit a number of pitfalls.

Today I want to outline a straightforward and effective method of supporting communication with your doctor. When you see your doctor as a collaborative ally, you can maximize your appointment to get the most out of your time together.

Infographic: How to Talk to Your Doctor (in 5 Easy Steps!)

How to Talk to Your Doctor

Ideally, you and your doctor are collaborative partners in your health, and your relationship is built on mutual respect. Your health is — to use a technical term — a big deal. It affects every sphere and level of your life, and it’s not only reasonable to want a good relationship with your doctor; it’s also your responsibility.

Doctors, despite various tropes or norms that point to the contrary, are people, too. They have their own hang-ups and social difficulties, their own strengths and preferences. In some cases, they’ll be excellent communicators. In others, they may be excellent physicians and not-so-great communicators. In most cases, they’ll appreciate your efforts to enhance the efficacy of doctor-patient communication.

1. Make a List

A couple days before your appointment, write down the items you want to cover. Are there particular symptoms you want to ask about? Is there a screening you’re wondering if you should have? Is there anything weighing on your mind?

Give yourself time to jot down whatever occurs to you. Then reshape it into categories or bullet points. Put the list somewhere you won’t lose it, and add to it if more comes to mind.

2. Read Your List Aloud

Bring that thoughtfully crafted list of yours to your appointment. Tell your doctor you made a list of X items that you want to get through in your time together. Then read from it, making sure you cover everything. If there isn’t time to cover it all in that appointment, make a follow-up appointment before you leave that day.

Sometimes people are concerned that their doctor will think they’re bananas for reading from a list. In our experience, the opposite is true. Physicians — particularly primary care doctors — are balancing staggering numbers of proverbial trays. From time demands to practice dynamics to myriad patient needs to insurance mazes, these humans are busy. A prepared and forthcoming patient is a boon for a physician.

When your doctor doesn’t have to work hard on getting good information from you, they can instead focus directly on the issues themselves. This is what good doctor-patient communication does: it creates the avenues for actual interaction. You don’t have time to spend the entire appointment building the road.

3. Tell the (Whole!) Truth

For a variety of reasons, people often withhold relevant information when they’re talking with their doctors.

Sometimes people have white coat syndrome and forget what they wanted to say. This is where that list comes in handy. Other times they think I won’t mention that; it can’t possibly be related. Instead of making that determination on your own, tell the doctor everything you’re noticing that’s bothering you. Let the doctor decide if something is medically significant.

If you’re intentionally concealing information from your doctor because you don’t trust them, move directly to #5.

4. Collaborate

The exact manner of interaction between you and your doctor will be your own. You might have a back-and-forth conversation as you go through your list. Your doctor might listen to everything and then ask questions. It doesn’t much matter what the doctor-patient communication looks like as long as it’s built on reciprocity, collaboration, and mutual respect.

Whether you’re facing a major disease process or are figuring out how to manage life’s demands in a new season, your physician can help you draw the map.

5. Repair or Replace

If your doctor continually puts you off, rushes you, or doesn’t respectfully acknowledge your concerns, don’t let it slide. Name it. See if you can readjust or recalibrate your interactions. Tell your doctor that you’re not feeling heard, and that feeling heard is important to you.

If you aren’t able to repair your relationship with your doctor, it may be that you need a new one. Some people are reluctant to change doctors. There can be many reasons for this — some better than others.

Remember that it’s your right to have a physician who advocates for and with you. When it comes to primary care medicine, fit is really important. This is a person you’ll be seeing for years, a person who’s the gatekeeper of your referrals and who influences in large part the trajectory of your healthcare.

Sometimes switching doctors is easier said than done. Insurance-based medicine1 is not renowned for its flexible, patient-centric, physician-deferential care. It may be, depending on your level of access and privilege, that you have very little choice regarding what healthcare professionals you can see. In such cases, you can sometimes see a different doctor within the same practice without jeopardizing your insurance benefits.

The point is, wherever you can exercise choice and agency, please do. Your health depends on it.

Quote: How to Talk to Your Doctor (in 5 Easy Steps!)

by Mary Beth Huwe


These writings are an exploration of what it means to be human – to be sick, to be well, and to heal – viewed through the lens of classical Chinese medicine. My words aren’t medical advice, and these essays don’t constitute a practitioner-client relationship. They also aren’t meant to be the final word on… well, anything. Rather, I hope they are the beginning of a conversation you have with someone in your life. Thanks for reading!

Footnotes

  1. Insurance-based medicine is what we call the current, pervasive, US medical paradigm in which the insurance company commonly overrides the physician’s medical decisions. ↩︎