Well after a mere week of lectures, the acupuncture education international group began sending us off in groups of 4 to the clinics…so it would be 4 hours of clinic in the morning, followed by 3 hours of lecture in the afternoon, and the remainder of the day off to have to ourselves. Now in the last post i just showed a bunch of the lectures together, those were not all from one lecture.
But let’s be honest here…given that we usually got out of lecture at around 3 and most of the touristy things in beijing closed by 4 or 5, there were many days that several people in our group (including myself) left lecture early, or didn’t go at all…so clinic is where we got the majority of our learning done, by the hands on method as opposed to learning all the theory behind what we were doing…gotta love sink or swim learning, right?

Tongren Hospital was where i did my rotations, with fellow med school classmates Alex, Soo and Oliver (yes we were elitist and put our whole med school in one group–don’t worry I socialized with the others in separate settings
)

Tongren had both a western medicine and a traditional chinese medicine (TCM) section. I obviously was rotating in the TCM section which was entered via this path

Dr Tan was not only a very knowledgable doctor, but also served as our translator when we were at clinic…telling us what the other doctor said when his gestures were not apparent, or talking to the patients and giving us feedback about their conditions or our performance on them

Here is the hospital ward we spent all our time in….patient privacy was simply a curtain that could be drawn around the bed…not to much different from western hospitals, except that there would be around 6-7 beds to a room instead of 2, giving the place sort of a pre-WWI feel, at least to me…adding to that feel was the fact that new patients would come in and just sit on chairs near the doctors desk waiting until a bed was available. Then when one opened up (the sheets were NEVER changed unless a patient bled profusely on them, which did not happen as much s you might think) the new patient simply went and laid down where the old patient had been. Forget about hospital robes either…you either stayed in your street clothes or stripped down depending on what was getting punctured..
Tangent: Chinese people do not understnd the concept of boxers, and tried to charge me for them as shorts when i went to do laundry…apparently they are a nation of tighty-whiteys

Here are the usual supplies in a typicl day at the clinic…the cups for cupping, the needeles for needling, two containers of cotton swabs, one dipped in alcohol and one dry, some matches, nd forceps. The forceps were for holding the cotton balls to apply pressure to the patient when we were removing needles. You would press the cotton ball down, then as you pushed the bll against the skin, you would pull the needle out, and the patient would usually not feel a thing…added bonus, if the patient began to bleed (which was a normal occurrence for some of the face points where blood vessels are very superficial) then you could tell the patient to keep pressure on the cotton for a few moments to halt the bleeding…handy, no?

Here is one of the patients at the clinic…he was being treated for back and joint pain

After the needling, the patient received cupping, which draws blood and qi to the area that was being treated, and incidentally leaves a large circular looking bruise




In the beginning, our main job was just to remove the needles from the patients, mostly from the extremities and trunk…as we got proficient and the doctors came to know us, we started removing needles from the head and face, and most frightennly from the canthus (corners) of the eyes…definetly need steady hands for that one
Now at Tongren Hospital, Monday, Wednesday nd Friday were the busy days, and tuesday nd thursdy there were very few patients…since we went to clinic every day, we used those off days to practice stuff on each other





That last photo, i am carrying out scrapiing, which involves pouring a few drops of some kind of plant ointment onto the back of whoever, and then using tool called a scraper to literally scrape down their bck nd ner the spine. As you do it, you will notice certain areas take on much more reddish cast than others, and depending where those areas are, you can make diagnoses…now of course we all remember the golden rule, right?

On that lovely close up of my back, the raised reddish areas represent heart and liver fire, indicating to Dr Tan, who came to check on our progress, that I had been drinking a lot in the last couple days (which was very much true)
Next came cupping…again, the trick is to create a vacumn, which sucks up the skin underneath the cup. This is accomplished by lighting an alcohol soaked cotton swab on fire, and then very quickly placing the swab inside the cup and pulling it out to suck all the air with it, then placing it on the patient…in order to do this, both the cup and the lit swab must be fairly near to the patient, further emphasizing the need for speed
Soo was the first to volunteer for such things


As I mentioned, it leaves some marks


Now while those are bruises, they usually fade within 5-7 days. Of course, if you are chinese and get this sort of thing done repeatedly, then the marks, while they will fade, will never competely disappear.
Now there was no way I was gonna let soo be the only one to have all the fun of free chinese medical treatment, So i hopped on the table next and told my classmates to do their worst


That raised skin under the cup looks awesome, doesn’t it? While this might appear painful, I assure you it is not so…basically you just get the sensation of a weight on your back, and the actual placing of the cup is much like putting a vacumn cleaner on a part of your arm or leg…a sense of suction without any real pain
To remove the cups, you gently edge a finger underneath the lip of the cup, and then press down hard to create a gap in between the cup and skin…the air rushes in, and the cup detaches itself with a moderate to loud sucking sound



Now if you leave the cups on too long, or create to much of a suction, the marks will be a little darker and take longer to fade away. Such was the case with the two you can see on my shoulders…now these spots were not more or less tender than the others…which is to say not at all…but they did remain on my shoulders for the remainder of the china trip and only disappeared completely recently, prompting several people to ask why i had 2 perfectly circular tan lines on my back
Videos of several of these techniques can all be located on my VIDEO PAGE which i strongly recommend you go check out…i will figure out how to put them in posts later
Next time, some of our non-class related beijing adventures
-J
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