Your Health Depends On Letting Go

by Setareh Moafi, Ph.D., L.Ac. & Salvador Cefalu, M.S., L.Ac.

Have you noticed how your immune system seems to crash after a period of high stress or grief?

It’s very common to develop a cold, a cough or even pneumonia after a period of sadness such as the loss of a loved one, a breakup or divorce. In fact, we make sure to tell our patients as they're going through these periods to be mindful of this potential and support their immune systems as much as possible.

But sometimes, especially when you’re dealing with grief from the loss of someone dear to you, it can feel like your body just can’t take any more. To make sure you actually slow down, the body gets sick as though it’s forcing you to rest.

In Chinese Medicine, sadness and grief and their impact on immunity is related to the Metal element and the energy of the Lungs.

Grief and longterm sadness or depression weaken the Lung energy and stagnate the fluid circulation controlled by the Lungs. Over time, as Lung Qi and fluids stagnate, phlegm, cysts and tumors on the Lungs and related glands such as the breasts and thyroid can develop. 

The Lungs, Large Intestine and skin—the organs that connect us with the environment—comprise the Metal organ systems. Each of these organs allow us to interface in different ways with the world around us. The skin provides interaction with the exterior via sweating and touch, the Lungs through our breath and the Large Intestine through the release of waste to be recycled back into the earth. 

On an emotional level, the Metal element represents the need for self-definition within the world and the need to interact with others.

Thus grieving, mourning and sadness, the emotions generated when we’re separated from someone or something significant, are Metal emotions that impact the Lung's energy.

On an intellectual level, the strength of the Lung's energy, or Qi, supports the ability to separate things or data into categories to support analytical skills and the ability to coordinate tasks to keep one's life in order. 

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The Lung Qi supports us to breathe in and out, and to let go. The struggle to let go of whatever is bothering us from the past is the primary reason why we often have so much trouble with the health of our Lungs during challenging or uncertain times.

When faced with a challenging situation, often our first response is to hold our breath. However, the practice of taking a deep breath supports us to let go and move forward. 

When you’re not able to breathe deeply during times of stress, the Metal organs - the Lungs, Large Intestine and skin - are impacted. You may therefore develop asthma, allergies, and inflammatory flare-ups of the skin and colon such as Irritable Bowel Syndrome (IBS), as well as symptoms of poor digestion with acid reflux (GERD), bloating and gas.  

When you practice self-cultivation through exercises such as Yoga, Qi Gong and Tai Chi, you learn to observe and control the breathing and regulate the flow of Qi throughout the whole body. This supports strong muscles, tendons, skin and hair, as well as all organ and glandular functions.  

Breath awareness pulls you out of your mind and into your body, bringing you more in touch with the present moment where energy flows harmoniously.

Our breath teaches us to be present with what is rather than trying to make it something else; a state that creates resistance and stress. 

When we're stuck in the past or caught up worrying about the future, Qi flow is impacted and dis-ease develops. When we cultivate ourselves through these practices, we become aware that with each breath, we're able to let go and find peace, regardless of our circumstances.  

According to Huang di Nei Jing, one of the most pivotal classical texts of Chinese Medicine, “A person is not sick because they have a disease; they are diseased because they are sick.” In other words, our mental and physical health ensures the prevention of disease. This is why it's so important to protect our Lungs through the practice of letting go.

Try this simple exercise every night before bedtime: When you lie down to sleep, first take a few moments to take an inventory of the key events of your day. Notice what experiences you may have had that caused you to be angry, sad, nervous or numbed out in any way. As your mind reviews the day's events, breathe into each experience and mentally allow yourself to let each one go so you don't fall asleep holding onto the negative feelings.

To "let go" requires acceptance; allowing the situation to be as it is without trying to change it. From this place, we can find peace in the moment, and clarity from which to move forward. In this way, we move without confusion or resistance to change so that we can have a full sense of presence to receive the endless possibilities that life has to offer.


Setareh Moafi, Ph.D., L.Ac. is Co-Owner and Director of A Center for Natural Healing in Santa Clara, California, a health and wellness clinic that specializes in Classical Chinese Medicine and Traditional Japanese Acupuncture. Setareh offers clinical services and transformational workshops that blend the ancient practices of Classical Chinese Medicine and Yoga. 

Salvador Cefalu, M.S., L.Ac. is the Founder and Co-Director of A Center for Natural Healing in Santa Clara, California, a wellness clinic that specializes in Classical Chinese Medicine & Japanese Meridian Therapy, a rare non-insertion form of Acupuncture.

More information at www.acenterfornaturalhealing.com

Why Your Exercise Routine May Be Hurting Your Health

by Salvador Cefalu, M.S., L.Ac.

As you know, exercise is essential for a healthy life and especially a healthy heart and cardiovascular system. But improper exercise may actually cause health problems.

A condition known as Overtraining Syndrome, or Metabolic Overtraining Syndrome, is more common than you might think.

Overtraining, especially with endurance and anaerobic training such as weight training, accelerates aging as inflammation gets ramped up in the body.

When overtraining is combined with overworking and a lack of proper rest and recovery time, Overtraining Syndrome can impact a person on many levels ranging from becoming injury prone to metabolic disorders involving hormonal imbalances, immune system dysfunction, fatigue, mood disorders and neurological problems.

How to Know if You’re Overtraining

One biomarker that should be considered as a possible result of overtraining is elevated homocysteine. 

Homocysteine is an amino acid that is created by the body from the essential amino acid Methionine. It gets converted with the help of vitamin B6 into an important amino acid called Cysteine. Chronically elevated homocysteine levels are a potential indicator of cardiovascular disease development since homocysteine is an important biomarker for vascular inflammation.  Over time,  elevated levels of homocysteine can increase risk of heart attack, stroke and vascular dementia, the second most frequent cause of dementia in the elderly behind only Alzheimers. 

Stress and caffeine consumption will also increase homocysteine as the neurotransmitters related to stress, epinephrine and norepinephrine, become elevated.

Since the major focus should be to minimize inflammation, maintaining a healthy level of homocysteine is a KEY component for maintaining a healthy cardiovascular system. 

So how much exercise is really necessary to achieve optimal health?

According to Dr. Mercola in his article “Physical Inactivity Costs Global Economy $67 Billion Each Year,” he says "the greatest effect on longevity was found among those who engaged in 150 to 450 minutes of exercise per week, the bulk of which was moderate intensity activities such as walking. Including bouts of vigorous activity can give you an additional boost in longevity.” 

In fact, recent research has shown that just 5 minutes of high-intensity exercise is needed to have optimal health benefits. 

You may consider short periods of High Intensity Interval Training (HIIT) for your routine. With even just five minutes of high-intensity exercise, healthy nitric oxide (eNOS) is released to dilate blood vessels and increase blood perfusion throughout the body. Growth Hormone (GH) is elevated and BDNF (Brain Derived Neurotrophic factor) is released in the brain’s Hippocampus. 

Increased BDFT helps improve stress management and memory while reducing mood swings and depression. Better stress management will prevent your body from overflowing with cortisol, which in excess can lead to weight gain and lowered immune function. 

In general, chronic, long-term stress takes its toll on your health and over-exercising when the body is already maxed out from a stressful day can be very damaging to your health.

So if your busting your behind for 40 minutes on the treadmill, keep in mind that less is more and short-term interval training is a much better option.

If you engage in endurance type aerobic exercise or engage in regular, intensive weight-lifting workouts, I suggest you have your homocysteine levels tested when you have your next blood test. Keep in mind, the standard medical belief is that homocysteine should be below 10.6 for cardio-vascular health. However, some of the leading physicians in the growing field of Functional Medicine recommend a level below 7 for optimal metabolic health overall.

Another important bio-marker to check in relation to inflammation is C-Reactive Protein (CRP). It is advised to keep your CRP level below 1.0 mg/L. Any measure above this point indicates a risk of developing cardiovascular disease.

In addition, check your vitamin B status (especially B6, B12 and Folic Acid) to ensure you are able to maintain healthy homocysteine levels because these vitamins are essential to support  liver detoxification.

Timing Your Exercise for Optimal Health

The final point about exercise relates to the timing of working out.

It's best to avoid excessive and vigorous exercise in the afternoon during the hottest time of the day. 

The early morning between 5am and 11am is the optimum time to work out and ramp up the body’s metabolism. Ideally, focus on the HIIT type workouts for no more than 20 minutes.

Remember, the peak Yang time is midday, so it’s best not to overstimulate the body during the heat of the day.

Midday exercise increases internal heat and burns out the body’s Qi leading to fatigue and exhaustion.

The Yin time occurs during the evening as the sun sets and peaks during the midnight hours, so it’s also best to avoid training hard late in the day.

Late evening exercise, especially exercise that causes a lot of sweating, depletes the body’s fluids and thus dries up the body’s cells and can lead to accelerated aging and the occurrence of wrinkles and sagging skin.

Proper training requires proper rest and recovery time so it's best to avoid daily exhaustive training. With your extra time, take regular 20-30 minute walks to keep your aerobic system active. In the late afternoon and evening try focusing on exercises that improve your flexibility such as stretching, gentle or Yin Yoga, Qi Gong and Tai Chi to keep your body cool and your mind calm and relaxed as you wind down and prepare for deep, restorative sleep. 


Salvador Cefalu, M.S., L.Ac. is the Founder and Co-Director of A Center for Natural Healing in Santa Clara, California, a wellness clinic that specializes in Classical Chinese Medicine & Japanese Meridian Therapy, a rare non-insertion form of Acupuncture. More information at www.acenterfornaturalhealing.com

Cultivating Self-Love and Overcoming Addictions: A Five Element Perspective

by Salvador Cefalu, M.S., L.Ac.

There are five basic elements categorized in Chinese Medicine: Wood, Fire, Earth, Metal and Water. Each element has its own characteristic features and goes through a generation cycle through which it transforms into another element.

The Five Elements begin with Wood because Wood represents growth and new beginnings. The season of Wood is Spring as new growth begins to sprout forth.

The active energy provided by Wood creates Fire and Fire is about maturity and relates to the season of Summer, the hottest time of the year. 

Fire creates ash as it burns and this ash creates the next element, Earth. Earth is about harvest and corresponds to a period known as Late Summer. Earth also corresponds to a 16 day transitional period that occurs during each seasonal transition. 

The minerals found in the earth are metallic, so the Earth element creates the element of Metal. Metal is about decline, corresponding to the season of Autumn, a time when nature transitions toward a state of dormancy. 

As Fall enters full dormancy, we enter the Winter season, which relates to the element of Water. Water relates to going within, introversion and introspection. Winter is the gestational period that supports the consolidation of energy back into our Kidneys for physical rejuvenation and inner transformation. Through this process, we can blossom forth a resurgence of new growth energy that ensues in the springtime as the 5 Element cycle starts again.

The Summer's Fire Energy can set Addictions Blazing --

 Since we are in the season of Summer, the element of Fire is in its full effect potentially overheating our body, especially our blood.  Hot blood creates an over-stimulated emotional state. If we add hot natured food to our diet such as coffee, alcohol and hot spices such as garlic, rosemary, basil, ginger, peppers and onions, the internal fire can really get out of control during this season causing inflammation, high blood pressure, skin rashes and emotional disorders such as anxiety, irritability and outbursts of rage. 

If we don't make an effort to keep the body cool and calm, patterns of ADDICTION can become more of a problem during this time of year too as the Heart Fire starts to blaze and a person will crave substances such as sugar, medications, alcohol, cigarettes and drugs such as marijuana to numb out.  

One of the very interesting aspects about the Heart is that it is the organ related to us having emotional control in our lives. If we are stuck in patterns of addiction, then our Heart Fire is overwhelming the function of our Earth. The Earth relates to the Spleen and the Mind so one's mental control becomes overwhelmed by their emotions if the Heart Blood gets too hot. The Earth/Spleen energy also relates to the Pancreas so we can see as the emotions get over aroused with Heart Fire, a person will crave sweets and damp-inducing comfort foods to numb out and placate one's restless emotions. Even fruit, which is very high in sugar and prevalent during the Summer when eaten in excess will create a lot of dampness which further compromises a person's mental capacity to control their heart's emotional fire. In addition, as dampness accumulates in the body, it creates a sluggish circulation of Qi energy and a person will reach out for stimulants to get their energy moving which can perpetuate the state of internal heat that is driving  the emotional imbalance and the addictive behavior.  Internal dampness relates to the popular topic of CANDIDA which underlies many health problems from the head to the toes.

Managing the internal fire driven by addictions is a very important issue underlying all Chronic Degenerative Disorders --

Whether the addiction is substance related or other such as an addiction to work, exercise or masturbation, these habits induce a smoldering of internal heat that grows and grows deep in the body. This is a dangerous condition that we call "Latent Heat or Latent Fire"  that becomes suppressed so a person may not be aware of it because they are not symptomatic. However, over time as this suppressed heat that is trapped in the body slowly burns out the body's resources to stay repressed, various symptoms of disease will start to manifest. These diseases are all related to inflammation from this latent heat escaping anywhere in the body and is the underlying cause of chronic diseases such as arthritis, heart disease, diabetes, auto-immune disorders and cancer. 

Breaking the Addiction cycle is about CHOICE --

The more severe the addiction, the more involved a person's treatment may need to be. However, it's ultimately about choice. We've all seen people with longterm addictions to cigarettes who stopped smoking on a dime when they made up their mind to do so for whatever reason. Chinese Medicine is a powerful ally to support a person to clear the fire in the blood in order to reduce the restless emotions and the addictive cravings. Cultivating a daily routine of calming practices such as taking nature walks and doing Qi Gong, Tai Chi, Yoga and Meditation are very important especially during the summer season to help calm the emotions so one can regain mental control of their lives and break the addiction cycle.

From a dietary perspective, eat more of a vegetarian diet during the hot summer months and follow a diet that is cooling and alkalizing for the body. And always remember, those morning protein smoothies that include everything but the kitchen sink, well, they induce a lot of dampness and heat in the body so try to simplify your morning smoothie and have a nice green vegetable based juice instead to alkalize your body.

Green juices have a bitter, cooling nature that effectively drain and clear out the heat in the blood, calm the heart and mind and help you to once again gain mental control over your emotions. 

Calming the Heart supports cultivating Self-Love --

As the blood becomes more alkaline, the Heart energy calms down and this allows the Kidney Jing, also called Essence, to be conserved. Conserving one's Kidney Essence relates to cultivating Self-Love because the Kidney energy relates to one's relationship with oneself.  

Essentially, through the process of calming the Heart, a person becomes more Spiritually oriented as one's desires of the heart begin to settle down and become less important in one's life. This process of detaching from one's desires allows one's sense of Self-Love to grow and expand.

If you find yourself this summer getting a bit overwhelmed, frazzled and feeling "out of control", remember, you have a choice to be calm, to cultivate detachment and embrace yourself with more love as you sit back and sip your tall glass of green vegetable juice. 

Start your day this way and you'll really enjoy your summer with a happy calm heart!


Salvador Cefalu, L.Ac. is the Founder & Co-Director of A Center for Natural Healing in Santa Clara, CA, a wellness clinic that specializes in Classical Chinese Medicine & Japanese Meridian Therapy, a rare non-insertion form of Acupuncture. More information at www.acenterfornaturalhealing.com


Overcoming Spiritual Arrogance

by Setareh Moafi, Ph.D., L.Ac.

When we embark on a spiritual path, many of us think that our lives will suddenly become easier, but in reality the opposite is often true. (If you're wondering what I mean by being spiritual, check out my last article on this topic here). 

Since our newfound awareness equips us to face greater challenges in both our internal and external worlds, the challenges with which we’re faced often grow stronger.

As you learn to face these new challenges, you gain a sense of greater confidence. If you’re not aware of how to process this confidence, the ego kicks in and convinces you that your new way of living life is somehow superior.

The initial excitement that comes with a heightened awareness is unlike any other. There's a feeling of power, peace, and joy you want to share with the world.

What's often difficult during this transition is learning that not everyone is interested in your spiritual growth. In fact, as you grow, many of your best friends may not be able to identify with the new you. Those closest to you may not be ready to make the changes to adapt to the transformed life you're creating or your personal growth.

As you change and let go of old ways that no longer serve you and your highest good, you may find it frustrating that others are comfortable staying the same. 

Wanting to invite your community into a world filled with your new insights and beliefs because you feel they can benefit from this way of life is beautiful. But becoming frustrated by the way others live and believing that your way of life is somehow more significant is spiritually arrogant. 

We may feel that consciousness and spiritual practices help make us better people, but this does not mean we should look down on others for not accepting or integrating these practices into their lives.

In fact, you’ll likely notice that as your spiritual practice deepens, more challenging people enter your life to force you to practice what you’ve been cultivating.

The more you cultivate yourself, the more you encounter people and situations that test your growth.

Being a spiritual person has nothing to do with how much Yoga you do, how often you go to church, or what scriptures you’ve memorized. 

Being truly spiritual means to cultivate a sense of inner peace that allows you to embrace life unconditionally and accept others for who they are - without judgement.

Living spiritually is a lifelong journey, not a destination. And the ultimate spiritual practice is to embrace unconditional love for ourselves and others.

True spiritual living means aligning your actions with your beliefs, and therefore living with integrity. 

A person of integrity isn’t hypocritical and has a sense of compassion for all beings, understanding that we’re all interconnected in the web of life. A person of integrity picks up after herself simply because she cares about the environment, and treats others with kindness and respect because she understands that we’re all interconnected.

We all make mistakes, and we've all had moments where we're dishonest or are unstable with our sense of integrity. So why then, even if we’ve truly changed, do we have the right to judge others who are still struggling with the shadows that we claim to have overcome?

Being spiritual is not about practicing a certain philosophy or religion. It's about being present, loving, and aware.

The awareness that comes from living spiritually creates space for universal compassion. 

This doesn’t mean you don’t get angry, hurt, or act out sometimes. But when these things happen, you’re able to hold yourself accountable and create healing with those you hurt.

Consciousness is a gift that's easy to take for granted. Rather than gloat about how conscious you are, begin to use this awareness to serve others and make greater contributions to your social and global communities. 

As Gandhi stated, “Be the change you want to see in the world.” Live it out, model it and be an inspiration to others. 

Your external world is a reflection of your internal world, so when you see or experience something you don’t like, rather than judge or point fingers, turn your attention more deeply inward and see what in your mind and actions has created the picture that stands before you. Every person and experience that comes into your life is a teacher; the more challenging the person or experience, the greater the potential to enhance your spiritual growth.  

Awareness provides each of us the power to change what we can and wholeheartedly accept the rest.

Paired with humility, it also empowers us to unite with others, even those who are not walking the same path,  through a deeper sense of compassion.

Humility gives us a sense of presence and reminds us that we're all on this journey together.


Setareh Moafi, L.Ac. is Co-Owner and Director of A Center for Natural Healing in Santa Clara, California where she runs a Classical Acupuncture and wellness coaching practice, and teaches transformational workshops that blend the ancient practices of Classical Chinese Medicine and Yoga. More information at www.setarehmoafi.com and www.acenterfornaturalhealing.com

Hope for CTE Part II: Healing our American Warriors with Classical Chinese Medicine

By Salvador Cefalu, M.S., L.Ac.

In Part I of this CTE series, I discussed how the pathology of brain degeneration found in patients with CTE is similar to those with Alzheimer’s disease. Part II is presented to further establish the legitimate benefits of Classical Chinese Medicine in the treatment of CTE and other types of dementia.

As we explore treatment options for CTE through the use of Classical Chinese Medicine, keep in mind this information is also useful for maintaining healthy brain function in general and addressing the issues of age related dementia and Alzheimer’s disease in particular. 

First, let’s consider the conventional medical treatment options available today for CTE.

From a Western medical perspective, treatment for these types of brain degenerative diseases is not yet established. A quote from the Mayo Clinic’s website regarding standard medical treatment for CTE at the time of this writing clarifies this fact.

CTE is a progressive, degenerative brain disease for which there is no treatment. More research on treatments is needed…” (Mayo Clinic website)

The best treatments western medicine offers today are 1) medications to try and control the severe headaches, seizures and mood disorders related to CTE, 2)  two medications (Aricept and Memantine) that support cognition but do not help regenerate brain neurons or treat the pathology driving the brain degeneration and 3) simple suggestions such as: reduce physical activity, get plenty of rest and write things down to compensate for one’s loss of memory.

Furthermore, one needs to tread the pharmaceutical path with caution since relying on today’s modern drugs has its own risks. Studies are now indicating that excessive usage of a common family of anti-anxiety medications called Benzodiazapines (including Xanax, Lorazapam, Valium/Diazepam) are associated with causing dementia.

So while the symptoms of anxiety are being addressed, brain degeneration is being accelerated. This is the risk/benefit that needs to be considered when taking such strong drugs over the long-term.

Sometimes symptoms, however, are so severe that pharmaceutical drugs are necessary to help a patient cope with life and this is where Chinese Medicine can help not only reduce the side effects of these medications, but also help a person reduce the need for these strong medications as well over time.

In terms of treating dementia however, Western medicine falls way short and individuals suffering with CTE continue to degenerate because there is no prescription medicine to control the progression of this brain diseases or restore brain neuron function.

Do we need to sit idly watching ourselves or loved ones wither and suffer with the progression of brain diseases such as CTE, Alzheimer’s and age related dementia? 

One thing I have learned in almost 30 years of practicing alternative medicine is that there is always hope.

Here’s the good news…

Over more than 20 years of clinical research in Japan, China and Korea has provided extensive proof supporting the use of herbal medicine for the treatment of various types of dementia.

In fact, Chinese herbal medicine has been clinically proven to help restore brain function even after degeneration has developed due to the amyloid and tau protein plaques found in CTE and Alzheimer’s disease. 

But time is of the essence. 

The sooner treatment is started to address the pathological process damaging the brain, the easier it will be to restore normalcy to one’s brain function and to one’s life.

As discussed in my first article on CTE, a primary factor underlying the pathological plaque buildup in the brain that occurs with CTE and Alzheimer’s is due to inflammation from abnormal oxidative stress. The question is what is driving this inflammatory process in the brain.

In Chinese Medicine, brain plaque due to inflammation/oxidation correlates to the pathology of Phlegm-Heat and research shows Chinese herbal medicine can reverse this condition and the related problems of amyloid and tau protein plaques causing the neurofibrillary tangles associated with symptoms of CTE and Alzheimer’s.

Furthermore, it has been clinically proven that Chinese herbal medicine can stimulate regeneration of brain neurons to restore brain function that has been lost as well.

Now that’s exciting!

Classical Chinese Medicine covers all the bases in treating the syndrome of CTE. Through reversing the progression of the disease to restoring the damage done to the brain, Chinese medicine can achieve the ultimate goal of enhancing one's capacity to think and perform daily life activities. 

There’s also plenty of anecdotal evidence, too. An article in the 2009 issue of Traditional Chinese Medicine featured Dr. Qiu, a medical doctor with over 40 years of experience, who has successfully treated many patients with advanced dementia using Chinese herbal medicine. 

Though there are a multitude of factors underlying the inflammatory process according to Chinese Medicine, I suggested in my first CTE article that according to Classical Chinese Medicine (CCM), the brain degeneration found in CTE and Alzheimer’s disease is going to be likely rooted in an excess of dampness and heat generated in the Stomach. This is described as both Spleen and Stomach Damp Heat pathology in CCM.  

According to Western medicine, this association is gaining scientific traction in terms of Insulin Resistance and Type 2 Diabetes where elevated blood sugar and insulin levels have been found to be involved with changes in brain chemistry that create the plaques in Alzheimer’s disease. 

In fact, the incidence of Alzheimer’s among diabetics is 70% higher than the non-diabetic population.

Keep in mind that according to CCM a person does not have to be diagnosed with diabetes to have an extreme problem of dampness and heat in the Stomach and Spleen systems. Diagnosis for this pathological imbalance can be determined via traditional diagnostic parameters by assessing the tongue, the pulse and the abdomen in Chinese Medicine to evaluate the extent damp-heat is driving the brain degeneration. 

If a patient is having a lot of symptoms such as headaches, irritability and confusion, there is likely too much dampness and heat in the the Stomach and Spleen that is moving into the Heart which is the domain of the mind in CCM. This damp-heat pathology can be reduced via diet, herbal medicine and acupuncture.

In Summary

Chinese Medicine offers a plethora of strategies to address the complexity of pathologies associated with CTE through the modalities of Acupuncture and herbal medicine.

In CCM, for example, one of the key herbs to address damp-heat pathology in the Stomach and Heart systems is Scutelaria Baicalensis. Called Huang Qin in Chinese Herbal Medicine and commonly known as Baikal Skullcap, this potent brain detoxifying herb has been found to modulate GABA receptors to reduce anxiety as well as support brain neuron regeneration. This is one of many herbs that are used in combination with other potent plant and mineral based substances to break up hot-phlegm and support brain detoxification in order to restore and normalize cerebral neurological function.

So keep in mind, there are many viable alternative medical options to empower yourself and restore your health and Chinese Medicine provides a rich history to draw from.

But you need to be proactive and I suggest seek the advice of an alternative medical professional to deal with the complex issues involved with Traumatic Brain Injuries (TBI) and CTE to begin your journey to healing and regenerating your brain… so you can once again live life with clarity of mind and a peaceful heart. 


Salvador Cefalu, M.S., L.Ac. is the Founder & Co-Director of A Center for Natural Healing in Santa Clara, CA, where he specializes in Classical Chinese Medicine & is one of the leading US practitioners of Japanese Meridian Therapy, a rare non-insertion form of Acupuncture. More information at www.acenterfornaturalhealing.com


References

  1. Yang Y, Liu Q.Therapeutic Effect of Therapy of Warming Yang and Tonifying Kidney, Removing Blood Stasis and Phlegm for Alzheimer's Disease. Journal of New Chinese Medicine. 2014-10.

  2. Liu S, Pan B, Cheng T (Department of Integrated Chinese and Western Medicine, Second Hospital of Xi'an Jiaotong University, Xi'an 710004, China). Effects of various traditional Chinese medicinal prescriptions on learning and memory disorders in model mice with vascular dementia. Journal of Xi'an Medical University. 2002-04.

  3. Koh Iwasaki MD, PhD, Seiichi Kobayashi MD, PhD, Yuri Chimura MD, Mayumi Taguchi MD, PhD, Kazumi Inoue BS, Shigehumi Cho, Tetsuo Akiba MD, Hiroyuki Arai MD, PhD, Jong-Chol Cyong MD, PhD and Hidetada Sasaki MD, PhD. A Randomized, Double-Blind, Placebo-Controlled Clinical Trial of the Chinese Herbal Medicine “Ba Wei Di Huang Wan” in the treatment of dementia. Journal of the American Geriatric Society. 2004-10.

  4. Akhondzadeh S, Noroozian M, Mohammadi M, Ohadinia S, Jamshidi A, Khani M. Melissa officinalis extract in the treatment of patients with mild to moderate Alzheimer’s disease: a double blind, randomised, placebo controlled trial. Journal of Neurology, Neurosurgery and Psychiatry 2003;74.

  5. Jimbo D, Kimuro Y, Taniguchi M, Inoue M and Urakami K. Effect of aromatherapy on patients with Alzheimer’s disease. Psychogeriatrics. 2009; 9: 173–179.

  6. Mizukami K, et al. A randomized cross-over study of a traditional Japanese medicine (kampo), yokukansan (Yi Gan San) in the treatment of the behavioural and psychological symptoms of dementia. International Journal of Neuropsychopharmacology. 2009 Mar;12(2):191-9.

  7. Watari H, Shimada Y and Tohda C. New Treatment for Alzheimer’s Disease, Kamikihito (Jia Wei Gui Pi Tang), Reverses Amyloid--Induced Progression of Tau Phosphorylation and Axonal Atrophy. Evidence-Based Complementary and Alternative Medicine. Evidence-Based Complementary and Alternative Medicine. Volume 2014 (2014), Article ID 706487, 10 pages. Article ID 706487.

  8. Terasawa K, et al. Choto-san (Gou Teng San) in the treatment of vascular dementia: a double-blind, placebo-controlled study. Phytomedicine.1997 Mar;4(1):15-22.

  9. Hagino N. An overview of Kampo medicine: Toki-Shakuyaku-San (Tang Kuei Shao Yao Tang). Phytotherapy Research.Volume 7, Issue 6, pages 391–394, November/December 1993.

  10. Santos, Rebeca et al. Involvement of GABAergic non-benzodiazepine sites in the anxiolytic-like and sedative effects of the flavonoid baicalein in mice. Behavioural Brain Research,Volume 221, Issue 1, 1 August 2011, Pages 75-82

What it Really Means to Be Spiritual

by Setareh Moafi, Ph.D., L.Ac.

What do you think of when you hear the word spiritual?

To many, ancient spiritual practices such as Yoga and Meditation give this word meaning. To others, the word spiritual may represent detaching from the challenges of the world to find a more peaceful existence.

One of the primary misconceptions that seems to turn a lot of people away from spirituality is that it’s always connected with religion.

Another misconception is that to lead a spiritual life, you have to forsake materialism and worldly desires. 

Living isolated in a cave doesn’t necessarily make you spiritual. 

In fact, the ultimate test for a spiritual life is the ability to cultivate that life in the midst of a society full of challenges. And each one of us can learn to live a more spiritual life.

It’s easy to retreat to the Himalayan mountains, meditate daily to center yourself and be (mostly) kind to the people around you. But can you maintain a sense of calm and inner quietude in the midst of morning traffic on your way to work or with a difficult friend or relative?

If the answer to that question is yes – at least more often than not  – then you’re living a spiritual life. And even if you can’t keep your cool but you’re aware of it and consciously trying to better yourself, you’re living a spiritual life.

The spiritual life challenges us each and every day. Can you look someone  in the eyes who’s yelling at you and feel a sense of compassion for him or her? Or do you take things personally and attack back? 

Dedication to a spiritual practice means nothing if you’re not implementing the teachings of those practices in your daily life.

A rise in our consciousness comes from the ability to be present in the moment and fully feel a sense of connection to our environment and others. Spirituality allows us to have a sense of connectedness with the soul, the spirit—our own as well as that of others. 

Kindness, compassion, presence, understanding—these are the pillars of spirituality. 

You can practice Yoga, Qi Gong and meditation every morning or pray in church, synagogue, mosque or temple weekly, but if you come home and yell at your spouse or kids every time you get triggered you’re in no way more spiritually cultivated than the person who doesn’t even believe in God, but can listen and be present with others unconditionally without reacting harshly or imposing their beliefs authoritatively on others. 

Of course, spiritual practices such as Yoga, Qi Gong, Meditation and prayer are powerful tools with which we can deepen our consciousness and sense of presence. 

When we sit quietly and tune into the rhythm of our bodies and minds, we cultivate a deeper sense of connectedness to our own needs, which then allows us to feel into and be present with others.

My father is one of the most spiritual people I’ve ever met. He also happens to be an atheist and is one of the least religious people I know. 

Having grown up in Iran in a very religious family, my father did a prayer ritual known as namaz up to five times a day until he went to college. He used to tell us the story of how things changed for him when he advanced his education and starting reading more. He came to the conclusion that religion was the underlying cause of most of the war and corruption throughout history. So, he stopped praying, gave up religion and became a political activist hoping to change the world, starting with his birth country in Iran through political consciousness.

Unfortunately, the 1979 Revolution in Iran only made matters worse by fully establishing an Islamic Republic that forged the country into a deeper struggle and religious oppression, endangering my family and forcing us to leave as political refugees.

Not only did the new government take away many of the people's basic human rights, but they also executed people who stood up for these rights, including several of my parents' closest friends.

You'd think that with such a traumatic experience my father would become angry, resentful and bitter. But the truth is that my father is one of the most peaceful, loving and selfless people I know.

His sense of compassion and nonjudgmental presence are inspiring and a true testament of what it really means to be spiritual.

When my husband Salvador first met my father, he saw right away how unconditional, kind and loving he authentically is, and immediately admired how my father embodies the spirit of deep patience. After 7 years, my husband's view of my father has never wavered. 

We all can learn to weave more conscious patterns into our lives. Here are 3 simple suggestions:

  1. Listen authentically with a full sense of presence - turn off cell phones, computers and TVs and be there fully when someone is talking to you.

  2. Take a moment at least every hour to breathe deeply and come into the moment - you can set a timer on your watch or cell phone to remind you to pause during every hour throughout the day.

  3. Read ancient texts and philosophical books such as the Tao Te Ching or the writings of Chuang Tze. For a more modern Christian orientation, you can try reading A Course in Miracles. To cultivate living in the moment, the popular book, The Power of Now by Eckhart Tolle is quite helpful. Other influential authors that have written spiritually uplifting books include Marianne Williamson, Wayne Dyer, Thich Nhat Hanh, and Don Miguel Ruiz. These writers cover a variety of traditions and spiritual ideologies that provide wonderful spiritual food for the soul. Reading these synthesized ideas can help you cultivate living in the moment and connect you to the deeper meaning of life every day.


Setareh Moafi, Ph.D., L.Ac. is Co-Owner and Director of A Center for Natural Healing in Santa Clara, California, a health and wellness clinic that specializes in Classical Chinese Medicine and Traditional Japanese Acupuncture. Setareh offers clinical services and transformational workshops that blend the ancient practices of Classical Chinese Medicine and Yoga. More information at www.setarehmoafi.com and www.acenterfornaturalhealing.com

Hope for CTE Part I: Healing our American Warriors with Classical Chinese Medicine

by Salvador Cefalu, M.S., L.Ac.

The recent publicity around the apparent pandemic of brain injury and the resulting problem of Chronic Traumatic Encephalopathy (CTE) has raised questions regarding how to help these individuals suffering with this progressive disease.

While Western Medicine has very limited treatment options, there is much evidence to indicate that Classical Acupuncture and Herbal Medicine can contribute greatly in the reduction of symptoms and disease progression of Chronic Traumatic Encephalopathy (CTE).

The Impact of CTE on our American Warriors

Since the time of ancient Western civilization, society has been entertained and fascinated by the strength and exploits of the gladiator. Today, the persona of a gladiator can be found in our modern day athletes.

Historically, boxers were a strong representation of the gladiator and today the sport of cage fighting is the quintessential gladiator experience. Football, the most popular of all sports in the U.S., emulates men in battle. Football players garbed in armor and prepared to fight can also be viewed as today's gladiators.

These types of impact sports all share a risk; the risk of repeated trauma to the head. We've known about a fighter becoming "punch drunk" from repeated blows to the head and if the problem is chronic and progressive, the term Dementia Pugilistica was coined to refer to conditions of dementia following a boxing career.

Today medical science correlates "punch drunk" syndrome with the condition of Chronic Traumatic Encephalopathy that many former athletes of these sports are developing.

Afflicted individuals suffer with a progressive pattern of symptoms ranging from severe headaches, to brain fog, memory loss, dementia, mood disorders, anxiety and depression, motor impairment and even suicidal tendencies.

Brain research has shown that one of the reasons for the symptoms of CTE is related to lesions called neurofibrillary tangles that develop from denatured tau proteins due to hyperphosphorylation. A second type of brain lesion has been associated with CTE as well. These lesions called amyloid plaques form on neurons from denatured amyloid protein. The microtubules of nerve axons become damaged by these lesions. A nerve microtubule serves as a conduit for vital circulating substances involved in nerve transmission and also for transport of waste material back to the cell body for recycling.

As this mechanism of transport within the neuron’s microtubules degrades, so does the neurological function of the brain.

CTE is a progressive disease as lesions spread along these neuronal pathways and over time, in the late stages of this disease, the brain becomes noticeably shrunken due to a lack of circulation of vital nutritive substances.

War Veterans also Suffer from CTE

CTE can also develop without direct impact to the head. Autopsies have found CTE in WWII veterans who were likely exposed to repeated concussive impacts from artillery blasts. Some of today's war veterans suffering from similar brain deficits have also been found to be accumulating tau protein clusters associated with CTE.

Research using PET scans which now view the brains of living individuals has provided these insights. Dr. Geoffrey Ling, director of the Biological Technologies office at DARPA (Defense Advanced Research Projects Agency) recently commented on research done on living brains of 14 former athletes thought to have CTE and compared them with 2 former soldiers. The results were similar with tau protein clusters present in both types of subjects (LaMotte 2015).

There is one paradox with CTE patients. Not all people with a history of concussions and noticeable accumulations of tau protein in their brain are symptomatic.

It is unclear why some people are symptomatic and others are not. Research to further understand CTE is still in the early stages and treatment involving pharmaceutical drugs to reduce the damaging effects of tau protein lesions in the brain are still being developed as well. 

Hope for CTE with Classical Chinese Medicine

Considering Western medicine is still in the process of Research and Development for the treatment of CTE, the time is now to open our minds and look beyond conventional medicine for immediate solutions.

Having had personal success using Classical Acupuncture and herbal medicine for the treatment of brain injury following brain surgery, I have no doubt that Classical Chinese Medicine (CCM) can serve as a viable system of treatment for CTE.

Herbal Medicine (including Essential Oil/Aromatherapy) is an important modality of Classical Chinese Medicine to help CTE. There are many plant substances that can penetrate the blood-brain barrier to help resolve plaques and improve microcirculation of blood and fluids. In addition, recent research from Japan by Jimbo, et al. (2015) shows the profound benefits of essential oil therapy for reversing Alzheimer-related dementia.

Another important modality of CCM is Acupuncture as it can stimulate brain neurological function and potentially reduce the oxidative stress believed to be involved in the development of tau protein and amyloid protein accumulation. In this way, Acupuncture may help to reduce the progression of neurofibrillary tangles from developing.

A study by Parka, et al. (2003) showed that Acupuncture supports restoration of dopamine pathways which can potentially benefit both depression and motor deficits related to CTE.

The tremendous benefits of Acupuncture for post-stroke motor deficits due to brain ischemia is already well established. Research by Liu, et al. (2013) supporting the benefits of Acupuncture for Alzheimer's has also been established via a study in China that shows results were even better when Acupuncture was combined with eugenol. Eugenol is a chemical component of some essential oils that have shown significant benefit for cases of dementia.

Diagnosing Brain Pathology with Chinese Medicine

Classical Chinese Medicine has a complex methodology for diagnosing pathological processes in the body. One component of this system is based on differentiating the 6 Exogenous Causes that may be presented in each case. These are described as Wind, Heat, Cold, Damp, Summer Heat and Dryness.

There are also two other causes that need to be considered in the context of CTE which are Phlegm and Blood Stasis. An additional assessment is based on whether the condition is based on a Deficiency or Excess and in any chronic disorder there are mixed presentations where some factors are depleted (deficient) and other factors are in excess.

From a Western medical point of view, CTE is rooted in an excess of tau and amyloid protein accumulation. Since CTE develops from the spreading of these protein lesions in the brain, this pathology is an excess accumulation described as Phlegm in CCM.  It is also understood that the protein lesions are related to oxidative stress and the activation of enzymes that stimulate the hyperphosphorylation process. In CCM, this can be seen as a problem of Excess Heat. Since we know the substance of these abnormal accumulations is denatured proteins spreading throughout the neuronal network, we can surmise that CTE is ultimately rooted in a condition of Excess Hot Phlegm in the brain.

Where does this Heat and Phlegm come from and how is it generated? 

From a treatment standpoint, this is the most important question. In CCM, any excess heat pathology damaging the brain is coming from heat in the Stomach and/or the Liver and Gallbladder systems. 

The brain lesions found in CTE are likely formed from the body's innate compensation to control the excess heat (oxidative stress) with dampness and this response creates the pathology of phlegm. The combination of these factors creates the Hot Phlegm lesions. It is important to note that from this medical model, the greater the heat factor, ie. oxidative stress, the faster the progression of the disease. Furthermore, heat as an expression of a acidic terrain indicates the need of an alkalizing diet to control the inflammatory process underlying the spreading of brain lesions found in CTE.

Classical Chinese Medicine focuses on treating the person, not the disease.

Treatment protocols for Hot Phlegm in the brain have been well established for Acupuncture and Herbal medicine over many centuries of practice. It is important to note, however, in CCM, each individual needs to be assessed and treated independently based on their specific needs and diagnostic patterns. Even though Hot Phlegm may be diagnosed as the pathology, treatment for resolving the Hot Phlegm disorder will vary from person to person. With this said, standardized treatment protocols are best implemented with modifications to properly support a patient's unique clinical presentation. Otherwise, positive results will be compromised as well as a patient's health.

In conclusion, CTE is a disease Western medicine is still in the early stages of understanding and developing treatment. However, we need to find answers today as many people are suffering and lives are being traumatically impacted with some ending in suicide.

It’s time we explore alternative solutions  beyond conventional medicine.

Classical Chinese Medicine is a viable option with extraordinary healing potential. CCM offers a comprehensive system to treat the symptoms as well as the root causes underlying CTE to slow down its progression and improve quality of life today when it matters most.

Click here to read Part II of this series on CTE. 


Salvador Cefalu, M.S., L.Ac. is the Founder & Co-Director of A Center for Natural Healing in Santa Clara, CA, where he specializes in Classical Chinese Medicine & is one of the leading US practitioners of Japanese Meridian Therapy, a rare non-insertion form of Acupuncture. More information at www.acenterfornaturalhealing.com

References:

1. LaMotte S. Could Veterans Have Concussion-Related CTE? CNN. Tue April 14, 2015. 

2. Jimbo D, Kimura Y, Taniguchi M, Inoue M, Urakami K. Effect of Aromatherapy on Patients with Alzheimer's Disease. Psychogeriatrics - The Official Journal of the Japanese Psychogeriatric Society. December 2009. Vol 9(4): 173-179.

3. Parka H, Lima S, Joob W, et al. Acupuncture prevents 6-hydroxydopamine-induced neuronal death in the nigrostriatal dopaminergic system in the rat Parkinson's disease model. Experimental Neurology. March 2003. Vol 180(1).

4. Liu Z, Niu W, Yang X, Wang Y. Effects of Combined Acupuncture and Eugenol on Learning Memory Ability and Antioxidation System of Hippocampus in Alzheimer disease rats via olfactory system stimulation. Journal of Traditional Chinese Medicine. 2013 June 15; 33(3): 399-402.

Understanding Yin & Yang in Your Body

by Salvador Cefalu, M.S., L.Ac.

At the core of Chinese Philosophy and Chinese Medicine is the fundamental principle of Yin and Yang. 

The concept of Yin and Yang is often attributed to the philosophical traditions of Daosim. This holds true for the theory of Five Elements as well. These major theoretical concepts were, however, all established by the School of Naturalism that predated Daoism. This school was also called the School of Yin and Yang. The first mention of Yin and Yang are found in the I Ching, a book of cosmology established by this school, dating back to 700 B.C.

The ideas of Yin and Yang and the Five Elements were established as theoretical principles in order to understand the cosmos and man’s relation to the cosmological forces found in nature. Yin and Yang are symbolized by the black and white divisions within a circle, indicating the circle of life and the movement of energy from one basic form into another.

As described in Chapter 1 of the Dao de Ching: "From nothing, came the one, the Ether that was the first Essence of life.  From the one, formed the two and from the two creates the myriad of all things."

This is how Yin and Yang are considered the fundamental principles of life and creation. 

Yin represents the substantial resources of life while Yang is the motivating force that works with these resources. Yang is about action, Yin is about substance. From the Chinese philosophical creation idea, first comes the force, the Qi, the Yang aspect creating a constrictive energetic field. As this constrictive field gathers, the condensation of gas creates the dust that densifies into matter. In this way, Yang initiates the formation of Yin. In other words, function creates form.

Prior to planetary matter were clouds of gas. Yang is the gaseous state, the Heaven. Yin is the state of particles creating matter, our Earth.

As the Earth forms, matter collects together into a sphere with its gaseous state contained within its center. The magmatic core found within the Earth equates to the core energetic center that is called the “Dan Tian” or “Elixir Field” in the body of humans. The Dan Tian, located below the navel, is the most powerful energetic force within the body that maintains optimal function and preserves the integrity of form.

When using the terms Yin and Yang to describe personality types, these definitions do seem contrary. For example, a Yin personality type is more constricted or constrained and in its extreme state an introvert whereas a Yang personality type is very expressive and in its extreme negative state rather manic or belligerent.

The more Yang, the more expressive and the more Yin, the more reserved. 

There are four basic principles of Yin and Yang. 

  1. Yin and Yang are oppositional forces.

  2. Yin and Yang are interdependent and cannot exist without the support of each other.

  3. Yin and Yang are mutually creative as one energetic movement can transform into the other.

  4. Yin and Yang are mutually consumptive forces as each will consume the other as it becomes over predominant.

These are the fundamental aspects of YIn and Yang that form the basis for understanding the forces influencing and shaping our selves and our lives. These principles of Yin and Yang are the basic building blocks that guide us to create balance in body and mind.

Yin relates to contraction and introversion, darkness, coldness, feminity and alkalinity.

Yang relates to expansion and expression, brightness, warmth, masculinity and acidity. 

If a person is too Yang, overactive and overstimulated with work, exercise, sex and drugs such as caffeine, cocaine, or energy drinks, this can lead to excessive heat in the body. Excessive heat or acidity in the body will burn the body out.

Over time, too much Yang will lead excess Yin as overactivity will create fatigue and lethargy. Hypo-metabolism will potentially result with lowered thyroid and adrenal function.

In this way, balancing activity (Yang) with rest (Yin) is essential to creating a balanced, healthy life.


Salvador Cefalu, M.S., L.Ac. is Founder & Co-Director of A Center for Natural Healing in Santa Clara, CA, a wellness clinic that specializes in Classical Chinese Medicine & Japanese Meridian Therapy, a rare non-insertion form of Acupuncture. More information at www.acenterfornaturalhealing.com

What it Means to Be Healthy (and why it's easier than you may think)

by Setareh Moafi, Ph.D., L.Ac.

“The first wealth is health.” – Ralph Waldo Emerson

The topic of health can instigate a variety of feelings and responses. If you’ve ever struggled with your health, the word alone can be a trigger. 

You may even feel shame and guilt about your choices with your health or think that being healthy may be too costly. 

And quite frankly, with all the information that’s available about the topics of health and wellness, it can be challenging to know what to believe or even where to begin. 

By definition, health is “the condition of being well or free from disease.” But to be healthy means “enjoying health and vigor of body, mind, or spirit.” 

So, to be healthy is to be free from disease and have vigor of body, mind or spirit.

Note that the spirit is embedded in this definition, which is why we’re going to look at why being healthy is fostered through a deeper relationship with yourself. 

Having a healthy lifestyle does not mean letting go of all the fun and pleasure in life and it certainly doesn’t mean making healthy choices all of the time.

Being healthy simply means doing things that keep you feeling good physically, mentally and spiritually. 

The World Health Organization’s definition of health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” illuminates just that.

We are all comprised of a physical body, a mind and a spirit. So why is it that most of us forget about at least one of these parts of ourselves throughout the day?

The most complicated element of the human experience is the mind—and it’s also the most difficult to condition. Luckily, if you notice that your mental state is imbalanced early on, you can use your physical body to reshape your thinking. Ancient practices such as Yoga, Qi Gong and Meditation are designed to help with this.

The ‘monkey mind’, as many of these ancient traditions call it, needs to be trained. Otherwise, the mind will run in all directions and lead you to the demise of both your physical body and your spirit.

But what if you have a problem with your body physically, perhaps as a result of an illness, an injury or some type of chronic pain? 

When your body suffers, you have two choices—you can dwell on the pain or dwell on the process of healing.

When you’re able to change the station that’s playing in your head to focus on healing, you can more effectively uplift your spirit to then help your body recover. This can be done through a variety of spiritual practices and very simply through the daily and routine practice of gratitude. 

Gratitude creates space for positivity and joy to flow into your life. 

The more you focus on the good you have, the more you magnify those things and begin to cultivate better things to come into your life. This is the fastest way to heal your body, which is a reflection of the health of your mind and spirit.

To be healthy then does not necessarily mean eating the right foods, exercising and sleeping well.

In its very essence, health is cultivated through a sound, peaceful and positive body, mind and spirit. 

Health is the state of ease you cultivate through an intimate relationship with your body and mind.

This means that you care about and pay close attention to both the body and mind. 

To pay close attention, you have to be fully present. 

When you’re present, you feel what you need and want in each moment and are therefore far less likely to make decisions based on impulse. 

When you’re present, you often choose nutritious foods because you’re in tune with the impact of food on your body and mind. 

When you’re present, you’re more more mindful of the people with whom you spend your time because you want to feel nourished by your relationships. 

When you’re present, you listen to the cues to exercise not because you feel you have to, but because you actually enjoy it. 

Paying close attention to your body and mind means being present with how you feel moment to moment, and this cultivates self-love. Self-love brings ease to the body, mind and spirit and prevents disease manifestation.

Self-love means that you care enough about yourself that you fill your life with the people, things, foods and activities you enjoy

It’s more important to have your life be fullfilling than to have it be full

For many of you this may mean that you do less, rest more and spend time in fewer yet more nurturing relationships and surroundings.

Tips on what foods will give you energy, which exercises are appropriate for your body, element and age, and which practices will help recondition your mind are certainly helpful.

But the truth is, no matter what I or anyone else tells you, the choice to be healthy must authentically come from you. 

And once you really slow down and pay close attention to yourself, the realization of a truly fulfilling life simplifies making healthy choices.


Setareh Moafi, Ph.D., L.Ac. is Co-Owner and Director of A Center for Natural Healing in Santa Clara, California, a health and wellness clinic that specializes in Classical Chinese Medicine and Traditional Japanese Acupuncture. Setareh offers clinical services and transformational workshops that blend the ancient practices of Classical Chinese Medicine and Yoga. More information at www.setarehmoafi.com and www.acenterfornaturalhealing.com