Ageing gracefully with TCM Hong Hai The Renhai Clinic - - PowerPoint PPT Presentation

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Ageing gracefully with TCM Hong Hai The Renhai Clinic - - PowerPoint PPT Presentation

Ageing gracefully with TCM Hong Hai The Renhai Clinic www.renhaitang.com.sg 24 March 2013 A talk sponsored by the Council for the 3 rd Age What is the secret of vitality and longevity as we reach our middle years and beyond?


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Ageing gracefully with TCM

Hong Hai

The Renhai Clinic 仁海堂

www.renhaitang.com.sg 24 March 2013 A talk sponsored by the Council for the 3rd Age

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 What is the secret of vitality and

longevity as we reach our middle years and beyond?

 Are TCM methods compatible with those

  • f Western medicine for promoting health

and vitality?

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彭祖 Peng Zu, longest-lived man in history

 Legend has it that Peng

Zu (Shang era, circa 1500 BC) to age of 800 years (130 by modern count). He was famed for his attention to diet as a means to longevity.

 The

“Hall of Longevity” in Sichuan dedicated to him.

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The world’s oldest showgirl, age 86

At 71, Dorothy Dale Kloss had a new career with the Palm Spring Follies

 Just half a dozen years

earlier, she had overcome a bout with colon cancer. When the doctor started to warn her, “Now, Dorothy, in five years…,” she answered, “I don’t want to hear about that…When the time comes, that’s it.”

 “Good times and bum

times, I’ve seen them all and, my dear, I’m still here.”

Guinness World Record 2005

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Shigeaki Hinohara, 100

One of the world's longest-serving physicians and educators. Since 1941 at St. Luke's International Hospital in Tokyo

 “We all remember how

as children, when we were having fun, we

  • ften forgot to eat or
  • sleep. I believe that we

can keep that attitude as adults, too.”

 “All people who live

long regardless of nationality, race or gender share one thing in common: None are

  • verweight.”
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Hinohara at 100 (Oct 2011)

News

Shigeaki Hinohara marked his 100th birthday on October 4 by contemplating the potential for celebrating his 110th. "Now I have a major goal on what to do towards 110 years old and would like to stay healthy to see a spiritual world and a nuclear-free world realised while teaching children [about the significance of life and peace]," said Hinohara, honorary president and chairman of the board of trustees of St. Luke International Hospital in T

  • kyo. "We can endure any sufferings if we always have an attitude to walk

looking up.” "The fact that Japan experienced the earthquake disaster made me feel even more that I would like to live ten years more. I want to live on to see Japan recover," wrote Hinohara in his latest book, "Shigeaki Hinohara, 100 Years Old."

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What did these three persons of extraordinary vitality have in common?

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 A zest for life  “Mind over matter”  Spirit strong – manage their

emotions well

 Disciplined life routine

The Answers…

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Is there such a thing as the “elixir of life” that enables us to beat mortality and live forever?

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Life span is limited by two main factors

1.

Critical illnesses that eventually cause death

1.

Limited life of body organs and the ability of cells to multiply and regenerate in the body

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Chinese secrets of longevity

 Qinshi huangdi 秦始皇帝 tried to find the “elixir

  • f life” after he conquered all of China and

became the most powerful man on earth

 He thought he could also conquer death, and

sent his physicians everywhere to find the magic potion that would give him eternal life.They came up with a pill that contained mercury. He died prematurely at the age of around 50.

 The elixir of life has never been found

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The Chinese on Life Span

The Chinese classic Huangdi Neijing 黄帝内

经 recorded 2000 years ago that man’s natural

life span is about 100 years, unless he does not take care of himself and dies earlier unnecessarily of illness

 Most men fall short of that because

they do not live healthy lives

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Health Cultivation 养生

from the Yellow Emperor’s Classic 黄帝内经

上古之人,其知道者; 法于阴阳,和与术数。 饮食有节,起居有常; 不妄作劳,故能形与神俱 The ancients knew the tao and understood the

way of yin and yang, and how to cultivate health: moderation in food and drink, regularity in living habits, avoidance of over-exertion, the body and spirit in harmony

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Health Cultivation 养生

虚邪贼风,避之有时; 恬淡虚无,真气从之 精神内守,病安从来。

Know when to avoid climatic stresses,

live a placid life with plain needs,

maintain the defensive forces in the body

keep yourself in good spirits:

How then could one fall ill?

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Moderation in diet

 Eat 80% full  Moderate quantities of various kinds of

food

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The Use of Herbs

Herbs and other natural materials in the Chinese medicine can help to:

 balance the body for health and longevity  improve flow of qi, blood and body fluids

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Tonics (restoratives)

T

  • nics can make up for deficiencies or

excesses in the body.

 Yang tonics,  yin tonics for the kidney, liver, heart, lung

and digestive system These must be customized to your current body state constitution

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Tonics

In TCM, one man’s meat (tonic herb) is truly another man’s poison:

 Ginseng: Korean ginseng, Chinese ginseng人参 and

American ginseng 西洋参are all different and can cause harm if used incorrectly

 Cordyceps 冬虫夏草 is a “kidney yang” and lung

tonic, but there are better (and much cheaper) alternatives for most people

 Wolfberry seeds 枸杞子are mild yin tonics for the

kidney and liver, hence also good for the eyes

 Huang qi (astragalus) 黄芪 is an excellent qi and

blood tonic suitable for most people

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Chinese herbal supplements

 The pi 脾 and shen 肾 are the organs most

directly related to cultivating longevity

 Pi vulnerable to si 思 (contemplation, or anxiety)

and irregular/oily diet.

 Decline in pi leads to deterioration of qi and

shen

 Shen is vulnerable to fear, overstrain and a

detriorating pi

 Tonics for qi, shen and pi are the most

commonly used in TCM

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Common Qi tonics

 American ginseng

西洋参

 Chinese ginseng

人参

 Dangshen

党参

 Astralagus

黄芪(北芪)

 Shanyao

山药(淮山)

 Sheng mai san

生脉散

 Buzhong yiqi tang

补中益气汤

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Some common pi and shen tonics

Pi 脾

 Si jun zi tang

四君子汤

 Xiangshi yangwei wan

香砂养胃丸

 Shen lin baizu san

参苓白术散 Shen 肾

 Cordyceps

冬虫夏草

 Wolfberry seeds

枸杞子

 Liuweidihuang wan

六味地黄丸

 Shen qi wan

肾气丸

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Regularity

Be in harmony with natural (yin-yang) cycles in the body. Go to bed and rise at regular times, but sleep longer in winter and less in the summer (follow the sun)

During the morning, yang is rising – the body can put in the most physical and mental activity In the afternoon, yang is declining; activities should gradually slow down Evening is a time to relax as yin rises: no strenuous physical mental activity Evening Noon Morning Yin Yang Night

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Avoid over-exertion

 Work stresses  饮食男女 “eat drink, man woman”  Retention of essence

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Prevention of life-threatening diseases

 Coronary heart disease, stroke, cancer,

diabetes

 Peace of mind, diet and exercise are the

keys to reducing chance of serious illnesses (common to both Chinese and Western medicines)

 Differences in emphasis, and on what

constitutes good exercise and diet, and how to achieve peace of mind

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What kind of diet ?

 Meat versus plant-based food (vegetables,

fruits, cereals)

 TCM prescribes balance  But balance depends on the person’s

constitution

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What kind of diet ?

In Western nutritional science, there are many schools

  • f thought, most directly conflicting

 “Atkins diet” suggests diet low in carbohydrates and

high in protein, including meat proteins

 Mediterranean diet  Vegetarian diets (Dean Ornish, Colin Campbell, and

Caldewell Esselstyn) – are recommended as the best protection against heart disease, stroke, cancer. TCM diet is guided by the person’s constitution

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TCM Classification of Constitutions

1.

Balanced and Peaceful 平和体质

2.

Qi deficiency 气虚体质

3.

Yang deficiency 阳虚体质

4.

Blood deficiency 血虚体质

5.

Yin deficiency 阴虚体质

6.

Phlegm-Dampness 痰湿体质

7.

Damp-Heat 湿热体质

8.

Qi stagnation 气郁体质

9.

Blood stasis 血瘀体质

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Examples

 Qi deficiency: weak (shortness of) breath, fatigue, less desire

to speak, sweating, tender and swollen tongue with tooth imprints

 Qi stagnation: often emotionally-induced. Appears

introverted, slight depression, sensitive, usually thin in physique, irritable, fullness in chest, poor sleep, excessive sputum, lightly red tongue with thin fur

  • Yang deficiency: cold body and limbs, weak muscles,

aversion to cold, preference for hot food, pale lips, sweating, loose stool and excessive urine, impotence.

  • Yin deficiency: can be induced by overwork, loss of blood,

excessive sex. Marked by body thinness, internal heat, feverish sensation in palm and soles, dry mouth, preference for cold drinks, red tongue with scanty fur

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What kind of exercise?

 Cardio-vascular exercises (vigorous

jogging/swimming) – can improve quality

  • f life (more alert and feeling of well

being) but effect on longevity and prevention of serious diseases

 Walking

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Chinese exercises

 Less emphasis on vigorous cardio-vascular

exercises

 Taiji and qigong analogous to engine

tuning for your car

 Balancing mind and body  Hua Tuo – the door that is opened

regularly does not rust. “Use it or lose it”

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Chinese exercises for the mind and the spirit

 Calligraphy, painting, qin (plucked

stringed instrument), and chess

 Mahjong  Qigong (c.f. yoga)

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Preventative Medicine - Western

 Regular medical examination to detect early

signs of cancer, cardio-vascular disease, diabetes

  • etc. Everyone over 40 should undergo a yearly

check up

 Of particular importance are colonoscopy for

detection of colon cancer or pre-cancer, chest X-rays, blood tests for cancer markers, cholesterol and triglyceride levels, sugar level test for diabetes, breast and cervical examination for women, prostate gland examination for men

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Preventative Medicine - TCM

 Detection of imbalances by

TCM diagnosis

 These imbalances may not have manifested

themselves in clinical disease symptoms, but a person may not feel in the best of health (sleep and digestive problems,, tiredness, etc)

 Sometimes known as “sub-health”; sub-clinical

illness might be a better term(亚健康)

 In old Chinese tradition, pay your doctor less

money if he treats you for illness and more if he finds you healthy

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Western ways of slowing ageing

 Eating less (70-80% full) (Chinese medicine

recommended this thousands of years ago)

 Difficult to practise this in Singapore  People in farms and rural areas who eat plain

food have found it more feasible - and live longer

 A new drug Resveratrol is in the market –

claims to achieve similar effect as calorific restriction to promote anti-ageing

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How we age

 Recent advances show that human cell

has a portion called the teleomere which is the cap of chromosomes

 Cells have limited lives and must divide

and reproduce themselves to continue

  • living. As the body ages, the teleomere

gets shorter.

 When they become too short, they stop

reproducing themselves, and begin to die

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Teleomerase – the elixir of life ?

 Scientists from Harvard medical school

discovered that an enzyme in the human body, teleomerase, slows down the shortening of teleomeres.

 As we age, the amount of teleomerase

decreases, and ageing progresses to death

 Stress can depress teleomerase levels in

human beings, hence accelerate ageing

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Rediscovering past wisdoms

A drug T

  • 65 containing teleomerase is now in the
  • market. Under clinical trials.

The common Chinese herb Astralagus contains the teleomerase molecule Further research may well reveal that other Chinese herbs and prescriptions – and some Chinese exercises -- can also increase teleomerase levels

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Advances in Western Medicine versus TCM common sense

 Advances in medical research, esp. molecular biology,

discover immediate causes of disease

 Challenge is how to translate that into promoting

vitality and longevity

  • Eg. Singapore scientists discovered that plaque in the brain

causes Alzheimer’s*. But what caused those to appear in the first place?

*Nature Cell Biology Journal (March Reported in the Singapore Straits

Times, 13 March 2008, H6.

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Conclusions: Back to Basics

 Both Chinese and

Western medicine agree on stress as a major cause of coronary heart disease, strokes and cancers

 The most important factor for vitality and longevity

is the one you need to spend least money on: cultivating your mind and spirit, and being in harmony with your environment

 Appropriate diet, supplemented by herbs, is also of

prime importance

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Living Habits and Cancer

 Pancreatic cancer are related to living style and smoking.

Irregular meals causes the irregularity in pancreatic secretions; nicotine from smoking can enter the digestive track and reach the pancreas.

 Some fermented foods related to esophagus and nose-throat

cancer

 Stress is a strong causal factor for all cancers  Foods rich in fats thought to increase risk of prostate and

breast cancer For more information, refer to Yu and Hong: Management of

Cancer with Chinese Medicine

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Selected slides from the presentation may be viewed in the near future at the website of the Renhai Clinic 仁海堂:

www.renhaitang.com.sg