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Please enjoy my blog posts below, or CLICK HERE to go to the new Laurel Acupuncture Clinic website. Thank you!

Welcome

Welcome to the website for Jim Chialtas, L.Ac., and Laurel Acupuncture Clinic of Functional Medicine, located in San Diego.

Click on the tabs above to learn more about what Functional Medicine is, and about many of the health concerns I specialize in. Or scroll down for my blog. You might find it helpful to use the labels in the lower right column to find topics that interest you.

In addition to seeing clients privately in my clinic, I also offer many of the same services remotely to US residents. Please feel free to contact me to set up a consultation or appointment. Thank you!

12/9/09

Vascular Disease: A Holistic Endeavor

The term Holistic Medicine refers to the view that the whole body system must be analyzed in order to properly address any one particular concern. Much in the mainstream theory of medicine works to cut the focus of treatment down to the one key factor believed to be the major player in the problem. Millions of dollars are spent finding this one key factor. Eventually someone will indeed find what they believe to be the one key factor. Usually they are the ones that have the bigger budget. But our bodies don't really work in that way. Life is complex. It is a mish mash of millions of contributing factors. We can't just look at health as a coexisting bundle of singular systems. I feel that doing so is missing the point of our wonderful complexity. Indeed we need to take account for the many variables involved in any given system and how they interplay and depend on one another. When it comes to vascular disease, we can't just blame the dreaded cholesterol. Just like every other system in our body the vascular system depends upon many different variables to remain healthy. I hope through this short article to describe other players involved in vascular disease and help the reader gain more information to protect both themselves and the people in their lives.

So what goes into creating vascular disease? The basic story goes like this... Plaque begins to build up in along the artery walls which gets to a critical point and then rips off causing a downstream blockage. This leads to death of the blood starved tissues and you have your heart attack, stroke, pulmonary embolism, peripheral vascular disease, or something of the like. This is not good. Major debility and death often result. For the most part the mainstream focus has been on lowering cholesterol since cholesterol in part makes up the plaque in our arteries. (So does Calcium mind you, but we aren't told to lower Calcium intake now are we?) But one thing that they don't really address is why the plaque is building up in the first place! The key here is inflammation of the arterial wall. If the lining of the arteries are smooth and slippery the cholesterol will slip right on by without bothering anything. I really don't care if you have a total cholesterol of 150 or 250. If you are not inflamed you probably will not develop vascular disease.

So what then leads to inflamed arteries? The process usually begins when there is poor blood sugar balance. This sets in motion a large cascade of inflammatory processes which works to inflame not only the arteries, but the entire body. The once slick and smooth artery soon becomes rough and abrasive. At some point a small tear opens in the lining of the artery and a small pocket is formed. It is here where cholesterol begins to collect and form a plaque. But that's not all. This plaque stays there and as it builds it becomes rancid and subject to oxidative stress (damage from free radicals) which weakens it and makes for a very dangerous condition. It isn't long until that clot, or a piece thereof breaks free and blocks something downstream. The more free radical damage, or oxidative stress you have, the more likely that you will end up intimately aware of the fallout of vascular disease. So that's the short story. Heart disease is still the leading cause of death in the U.S. despite the ever increasing amounts of cholesterol lowering medications. Not much is really being done to address the increasing oxidative stress our bodies are being forced to manage, or the raging blood sugar epidemic we are witnessing in our country. Statin therapy, as much as they want you to believe, does not address the inflammation in any significant way. Much better to stick to good old fish oil and a well balanced blood sugar!

So what then can be done? How should we be managing these vascular health concerns if we decide to rethink our "need" for medication? Well to do it right you need to consider all of the factors involved:
• Blood sugar regulation
• Oxidative stress (or free radical damage)
• Inflammation
• Cholesterol (both total cholesterol and ratios)
• Hormone balance
• Poor diet/lifestyle
• Lack of cardio exercise
• And yeah, there's more

Considering all of these different pathways associated with vascular disease together makes for a much more powerful treatment protocol than treating just one alone as is seen with Statin drug therapy. For this I turn to the practitioner only formula Triplichol from a leading Nutraceutical company called Ortho Molecular Products. Triplichol contains different compounds like pharmaceutical grade fish oil, niacin and plant sterols which work to balance the cholesterol. It contains the compounds Quercetin and Grape Seed Extract to address blood vessel health. And it contains the compounds Resveratrol and Green Tea Extract which are powerful antioxidants to address any oxidative damage. You just don't find that kind of broad spectrum therapy in many other products. Along with proper diet and lifestyle modifications as well as a cardio exercise program I am confident that this approach will blow the doors off of the mainstream therapies. Remember, according to the Centers for Disease Control roughly 52% of the people who die of heart disease die with normal to low cholesterol. A lot is getting missed if you ask me. I think the numbers speak for themselves.

So call me today and ask me more about how I can help you manage your cardiovascular health and avoid the harsh medications aimed solely on lowering only one type of cholesterol. There are certainly a lot of alternatives out there for you and I look forward to helping you understand ALL of your options. Remember, you are in charge of your own health. I urge you to gather all the information that you can and make the most educated decisions possible.

Wind Invasions and Other Funny Business

Ever wonder what in the world us acupuncturists are thinking when we tell you that you have some kind damp heat accumulation in your lower jiao, or that your liver qi is attacking your spleen? Well how about a wind invasion?

I hope to help you understand a bit better where we are coming from by talking today about wind invasions. After all, it is the time of year for them. By wind invasion I am really talking about colds and flu. So how does what we do for a cold differ from what you might otherwise accomplish at the drug store? Simply put, the methods and herbs prescribed for these illnesses work to both address the symptom as well as fight off the infection. And it does this with specificity in mind as to the particular type of infection. A cold pill only gets you through the week.

Now we all know the basic symptoms of a cold or flu, but not every infection will present the same. Take for example what we call a wind heat invasion. This is the type of cold that creates hot type symptoms such as fever, cough, red/swollen throat, sweats and perhaps a thick green or yellow mucus. This is in sharp contrast to the type of cold that produces chills, headache, stiff neck, and a clear runny nose as seen in a wind cold invasion. Therapy for the two in our system would be different.

Now the over-the-counter treatment for all this would generally be the same. You might reach for a cold pill containing acetaminophen for a pain killer and fever reducer, a cough suppressant even though you may not even have a cough, an expectorant to clear out the mucus and an antihistamine to help you sleep. Everything here is strictly symptom based, and often treats symptoms that you do not even have.

Now something like a flu shot is designed to build immunity to the influenza virus responsible for giving you the flu. But unless you want to inject mercury, aluminum, formaldehyde, and other nasty stuff into yourself when you are trying to stay healthy, I would advise against going that route. There is just too much evidence indicating that flu shots are more dangerous than they are worth. There may be a time for them, but probably not about 95% of the time. But that is really another article.

From the Chinese Medical perspective we reach for herbs that address the particular condition of the patient. For example if there are the cold type symptoms we would prescribe warming herbs like ginger, cinnamon, and some other fun Chinese named herbs that not only warm the system, but have anti-viral properties to address the infection. If there is a heat type infection we would reach for herbs that are cooling in nature like mint for example. We can effectively treat the symptoms by balancing out heat and cold and address the infection by mixing in herbs that have anti viral and/or bacterial properties.

Overall Chinese herbal formulas are a very well balanced and safe way to address many medical conditions. The beauty of such an approach is that it allows the practitioner to take into account not only the patient, but the environment in which the patient is living. The more we can relate to what is affecting us the better we can exist harmoniously with our environment and allow for a healthier experience. Now let me be the first to admit here that it is important to look specifically and scientifically into some issues, but let me also suggest that it is equally as important to be willing and able to take a step back and simplify things a bit. Sometimes it is just easier to call it a wind invasion and treat it with acupuncture points and herbs indicated for wind invasions. There is a lot of wisdom in the Traditional Chinese approach to medicine. The actual science is wrapped up in the symbolism. You would be surprised to know all the things we can treat effectively, even when we do call them something a little odd like "Phlegm Fire Misting the Orifices," for example.

Allow yourself to have an open mind and the world becomes a much bigger place. Allow yourself to contact me and who knows how much better you may feel!