(By Grace Rollins, MS, LAc) Around the New Year is when many of our patients start to talk about “detoxing” in order to get their health back on track. It seems like a natural inclination, especially if the holidays encouraged a freer intake of sugars, pastries and alcohol. However, as a practitioner I feel the use of expensive kits, concoctions and "crash cleanses" are a bit overrated. 

First of all, what does "detoxing" actually mean? The liver uses enzymes to selectively decommission chemicals floating through the blood that you don’t want to have in such high amounts (like drugs, alcohol or caffeine), or you no longer need (like high levels of hormones). By breaking them down and bonding them with other molecules, the liver changes them into a form that can be excreted through the bile and out with the stool, or gets filtered out of the blood via the kidneys or sweating. This is why you are wide awake when you first have that cup of coffee, but a few hours later it "wears off"-- the caffeine molecules have been gradually disassembled by your liver and excreted. 

Our daily exposure to high levels of chemicals is a rather recent phenomenon in history. Just think about the following sources our pre-20th century ancestors were never exposed to: 

• pharmaceuticals (OTC and Rx) 
• exogenous hormones (hormonal birth control, hormone replacement, and hormones that have cycled back to us via water supply, or in industrially produced dairy and meat)
• chemical pesticides and herbicides (found on non-organic produce, accumulated in meat and seafood, and that make their way to us via "drift" in the environment) 
• antibiotics (reaching us the usual way or in factory-farmed dairy, meat and seafood)
• chemicals leached from plastics (phthalates and BPA are just two examples)
• chemical preservatives, flavorings and dyes in processed foods, beauty products and medications 
• synthetic fragrance and perfumes
• caffeine and nicotine (at least in the quantities consumed these days)
• industrial wastes and byproducts in water, soil and air, or imbedded in manufactured goods (furniture, flooring etc)
• chemicals in cleaning products, household goods, yard care and auto maintenance
  
• higher concentrations of mold toxins in modern indoor environments (which have a tendency to trap moisture)
  
• contaminants from medical devices and procedures (e.g. prosthetics, soft plastic catheters, dyes and radioactivity). 

Therefore, our liver detox pathways have to process much more than what they originally evolved to handle, and can get backlogged, causing a build up of substances in the blood and tissues. ​

(By Paolo Propato, LAc) Having suffered from life-long sinus issues, I found myself at age 24 sitting in a dark room in Florence, Italy as a heavy set man with a big mustache burned moxa cones. The room filled with the strange smell of mugwort smoke. My thought was, “I am paying this guy to help with my sinuses and he is making smoke.” After the session he was smiling and said, “I can help you. It may take some time and you have to do some dietary changes but I can help you.” I still don’t know why I made another appointment, but in the end it saved me from my doctor's push for surgery.

Fast forward to a few years later in Bucks County, when I found myself calling every acupuncturist in the tri-state area asking if I could hang out in their office. As fate would have it the only one kind enough to invite me in was close to home. Grace let me observe and eventually took me on as her assistant as I began to attend three years of grad school in northern New Jersey for acupuncture.

The nights studying, long car rides to school, odd jobs for extra cash-- although tiring and stressful, there was never a moment I thought of stopping. All I wanted was to go deeper into this medicine. The more I stood by Grace's side and watched patients heal, the more I was fueled to keep going. The smell of moxa, so strange years ago, had infused into my cells.

(By Grace Rollins, MS, LAc) My studious habits as a kid landed me in an elite boarding school and later on an Ivy League college. In this academic utopia I adopted the habits of overachievers, both healthy and unhealthy. I learned how to put in very long hours to accomplish goals; but at the same time, how to entirely disregard natural circadian rhythms (pulling "all nighters", operating on very little sleep, and eating at highly irregular times). I learned how to make exercise a frequent part of my routine, but also how to "train through pain" and use stimulants like coffee and junk food to keep going.

My lessons in the Type A lifestyle continued when I graduated and began to work long hours in the nonprofit sector, where our work "was never done." The pattern was to fuel ourselves with coffee, pastries and anxiety, work ourselves silly, and then go out for lots of beers at the end of the week to decompress. It's the kind of routine that gradually chips away at your vitality.

I wasn't even half-way through my twenties when I started to feel the way a lot of middle-aged white-collar workers feel: sluggish, unfocused, often sleepy during the day; always in need of stimulants like coffee and sugar; suffering aches and pains from inflammation, poor posture and repetitive strain. I had acne that seemed to be getting worse with age, not better. I was even on three drugs: two different long-term antibiotics a dermatologist had prescribed me, plus birth control pills. So now I was getting side effects like yeast infections, dry eyes and light sensitivity. I didn't have the knowledge in those days to pursue other options.
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I'm pretty sure if I hadn't found a good acupuncturist I would have ended up on more drugs to try to alleviate all these nagging symptoms (or to take care of side effects). A co-worker told me she had seen a local Japanese-style acupuncturist to help with her menstrual cycle--  within a few sessions she had gotten her period back after a several month hiatus. That seemed pretty irrefutable so I decided to give it a try.

(By Paolo Propato, LAc)  The other morning Issa was lost in thought, looking out the window while we sat at the breakfast table. I was drizzling honey on a sliced pear when he turned to me and asked, “Dad, I have a question.” That is typically how every conversation starts with him.

​“What is wood made out of?”

“Trees,” I replied.

“Then what are trees made out of?”

I felt I knew where he was going so I smiled and said, “Wood.”

“WHAT?! That makes no sense. How can wood make a tree and the tree make wood?!”​

(By Grace Rollins, MS, LAc)  You may think that as an acupuncturist my most important duty is to “put pins in people,” as many of my patients like to phrase it. This is true to a degree, but I don’t always use needles to treat people, and when I do there’s something even more basic and arguably more important that I do for each patient that comes in. It sounds simple, but is easier said than done: It’s to get every patient to lay flat, quiet, and still. 
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Hyper-vigilance is common among many of my patients as a consequence of trauma, or a function of our modern over-busy, over-stimulated, over-stressed way of life. It manifests as nervousness, anxiety, muscle tension and guarding, digestive issues, over-sensitivity to pain, sleep disorders, blood pressure issues, hormonal imbalances, cognitive and behavioral disorders, immune imbalances, and even inflammation and poor injury healing. It’s the kind of root cause that most medical doctors are helpless to address, yet relates to so many of our society’s chronic health issues.

Over the years I've observed many different patterns of vigilance in my patients. There are those who, when asked to lay down, stay upright on the table while trying to talk or explain things to me, and need to be told another time or two to lay down so I can start examining. There are those who, upon laying down, seem uncomfortable with stillness, talking a lot (often with the hands), asking a lot of questions, keeping the eyes open and watchful, and tensing up the body.

Hyper-vigilant patients often take shallow breaths at a fast pace, and they tend to be more intolerant of needle sensation. I consider some nervousness to be normal if experiencing acupuncture for the very first time, but I see guarding sometimes in patients I've known for years and whom I know to look forward to their appointments. It’s a clear sign to me that their nervous system is in an over-stressed, over-protective state. 

More of a problem in recent years, I also get patients who delay in putting their phones away or even must have one at their side. I can sympathize with the occasional pending emergency or urgent matter, but for some folks this is a constant need. Being unable to tolerate an hour of isolation is a form of extreme vigilance. 

From fight-or-flight to rest, assimilate and heal
How easily a patient can lay flat, tolerate stillness and endure disconnection from their phone can tell me a lot about the state of their autonomic nervous system (ANS), the branch of our nervous system that controls many of our autonomic functions such as heart rate, digestion and blood pressure. When the autonomics are more sympathetic branch-dominant, the patient is revved up, in fight-or-flight mode. In a sympathetic dominant-state it's hard to sleep, digest properly and repair the body. Blood circulation is impeded, muscles get tight (especially in the neck and back) and the mind tends to feel anxious.