We live in a world where, for all of our lives - beauty and status have been paramount: we crave it, we seek it, we spend our extra money on attaining it, seek out jobs that can provide for it, it’s ‘necessary’ for assimilating into social culture or being ‘seen’ … It. Is. So. Important. But… is it?
When we first experienced our ‘lockdown’ in the Spring I was aghast at the level of denial and flat out refusal of some people to follow safety guidelines. It made no sense… Why are people so readily willing to throw common sense out the window for a haircut? Are eyelash extensions really that important? Who benefits from outright denying this pandemic actually exists? Why is there so much hostility over a tiny piece of fabric? As time has passed the deniers and rebels against protocols became louder and more polarized, likely due to the politicization of the entire process. And while doing a little self-care to pump up our self esteem and confidence is an absolutely valid process, it always seemed like something much, much deeper was at play.
In Chinese medicine one of the first diagnostic principles we learn is to differentiate the root from the branch. The branch might be the presenting symptoms a patient walks in with, knee pain, insomnia, headaches, stress, anxiety, you name it - it’s the first thing that the patient complains about when you ask what they would like to work on today. The root is that underlying cause that created the environment for the current symptoms to arise in the first place. We often think of this as a constitutional imbalance, meaning that everyone has their own predisposed weaknesses and strengths, perhaps this is passed on from our parents and ancestors, maybe a result of early childhood illness or trauma or other underlying issues. The root is often extremely complex, and can sometimes be difficult to diagnose, but once we can get to it, or pointed in the right direction we often will see transformative shifts occur in the patient. The knee pain that hardly responded to direct treatment now can begin to release because we’ve found the root of the issue in a deficiency of the Water element and Kidneys due to some repressed fear. As we begin to unpack this root cause, the physical or emotional symptoms start to give way to the healing that is present. I also like to look another step deeper, to the soil, this is the deepest layer, this unseen and usually unnameable force that sets us up to create and experience certain things in our lives, perhaps another name for this is fate or predisposition. Dr David Hawkins, PhD calls it the ‘attractor pattern’, it’s the unseeable pattern that sets up the visible and nameable string of events that eventually leads to the presentation we are looking at in our office.
How’s life going for you?
Do you feel like something is missing? A lack of inspiration perhaps? Feeling closed off from others or even yourself? A sense of despair or an absence of the ‘heart and soul’ of life? Maybe you’ve been having trouble sleeping? Feeling anxious? Restless? Difficulty concentrating?
If this sounds a little too familiar read on… it might be a disruption or disturbance of your Shen.
Let me explain…
In traditional Chinese medicine (TCM) the way we look at our mental, emotional and spiritual health is by looking at the Five Spirits - these spirits are aspects of our complete animation as a human on Earth from our Divine spiritual nature to our animal instincts to the connection with the collective unconscious. These spirits all serve different aspects of the self and our interaction and experience on Earth, as such we can address issues that arise in the psyche by addressing these spirits. As goes with all illness and disorder in TCM these issues with the spirits can be experienced in a range of severity and intensity and also duration - meaning we can have a mild and brief Shen disturbance that lasts a day or two or we can have a more severe and chronic presentation that lasts for months, years or a lifetime, there are many causes and reasons why which I’ll get into later on.
I've struggled with my weight, body image and self esteem for what seems like my entire life. As a 6th grader I attended Weight Watchers meetings with my mom, my own Grandpa teased me about my weight when I was only 10 years old. It's been a lifelong journey that's still ongoing when it comes to my relationship with myself, my body, food and fitness. Even as an active kid in middle and high school I was still overweight - and I felt awful much of the time, I have vivid memories of crying in fitting rooms because clothes didn't fit and wishing I could just cut off all my fat. I tried anything and everything, workouts, diets, excessive exercise, attempts at starving myself. I tried it all and nothing ever worked or stuck if it did. I felt like a failure in every sense of the word, and also that I would never and could never have the life and body I wanted because I was such a failure.
Embody Compassion, Neutrality and Self Awareness in Uncertain Times
Part of life is that we are always going to experience a certain amount of uncertainty, unknowns and great changes - we’re currently having an increased experience of this right now - and it brings up a lot of heightened emotions - like fear, anxiety, worry, stress, anger and grief. It’s important to remember that all of these emotions are completely normal to be experiencing, and by processing them personally we actually help the collective consciousness move through them as well.
It’s when we get stuck in these emotions - where we chew on them over and over and get stuck, where they start to take us away from being present in our lives.
When we aren’t present we tend to experience increased amounts of these emotions but we also have difficulty making clear decisions, focusing on daily tasks and our relationships with our family, friends and ourselves tend to suffer.
Paths to Presence is a brief but in depth dive into different avenues we can take to be more present in our lives - through increased self awareness, embodying compassion and having more neutrality we can experience more peace, ease and grace no matter what we’re facing.
This self guided course offers guided meditations, short exercises and transformational tools to help you cultivate each aspect of presence that you can implement into your daily life and reclaim your personal power!
I'm excited for you to take this next step on your journey!
*PS: This course is donation based! Please feel free to use the discount code that reflects what you are able to afford*
What is TeleHealth?
Telehealth, or remote healing sessions are simply sessions that are conducted via phone or online. You can receive healing, coaching and consultations from anywhere in the World with Dr. Kim, so you won't have to break your consistency with treatments during travel, or if you're not local to Marin County you can still work with Dr. Kim!
We serve patients from all over the World! Read below for more information on specific offerings for telehealth visits.
I hear it often from my patients: ‘sometimes I pee a little when I laugh,’ ‘I wouldn’t dare try to do jumping jacks or it would be a mess,’ and ‘I just know that I have to use the bathroom before I leave to go anywhere or I might pee my pants.’ Overactive bladder, leakage and incontinence aren’t anything new, but in my practice I’ve gotten the impression that patients think that having these conditions is just a part of getting older, from giving birth or prostate enlargement and it’s something you just have to live with. Treatments for overactive bladder (OAB) leave a lot to be desired, patients don’t want to undergo invasive surgery, but medications have high rates of undesirable side effects which leaves most patients thinking there isn’t a viable treatment option and that urinary leakage is just something they’ll tolerate. While kegel exercises may provide some relief and help for many patients, not everyone notices a difference with doing them, pressing the point home again that OAB is just something we live with, untreated.
Overactive bladder (OAB) is a condition that affects adults and children worldwide and can be caused by numerous underlying factors or traumas like childbirth, prostate enlargement, poor pelvic floor muscle control, bladder prolapse and more. It goes without saying that this condition can create a significant psychological burden on patients and symptoms range from urinary urgency to incontinence, while this condition can be incredibly bothersome, surgery often seems a drastic approach and medications may have limited effect and side effects (de Wall, L. L., & Heesakkers, J. P. (2017.) So what’s the good news? Acupuncture is actually an incredibly effective treatment for OAB, working better than most medications with fewer side effects, it is so effective in fact, that medical doctors use acupuncture and electrostimulation in order to address the tibial nerve and improve its functionality which addresses the innervation of the bladder and helps with OAB, they call it Percutaneous Tibial Nerve Stimulation (PTNS). Studies on PTNS have shown improvement in bladder symptoms of over 50% improvement and up to 80% improvement in quality of life studies, this therapy is also minimally invasive and does not pose traditional risks or side effects associated with medications and surgeries (de Wall, L. L., & Heesakkers, J. P., 2017).
In my acupuncture practice in San Rafael, California I provide patients PTNS treatments with acupuncture for with overactive bladder it is a simple adjusted acupuncture treatment to address the innervation of the bladder and improve the regulation of information from the brain to the bladder called Percutaneous Tibial Nerve Stimulation and Sacral Nerve Stimulation. While for some patients, the cause of OAB lies in the musculature of the pelvic floor, for many it can be an issue with the nerves that bring information from the bladder to the brain and vice versa, and no amount of kegel exercises will provide relief, for most it’s a combination of both! In addition to treating the issues of the bladder directly, as an Acupuncturist my aim is to always get to the root of an issue, and that doesn’t mean just what’s going on in the body as a cause of an issue, it also means the bigger picture in the body - mind - spirit connection. Acupuncture treatments for OAB will consist of a direct treatment to address the symptoms of overactive bladder and leakage, but also addressing the patient as a unique individual and their constitution so that they can embody more strength and health throughout all aspects of their life, not just the symptoms at hand.
Published in Acupuncture Today February 2020 Vol 21, Issue 2
What do we think of when we hear the word ‘healing’? For many, the first conclusion is that healing means to get better, or to heal from a disease. But what if this belief and concept about healing isn’t the whole picture? If healing doesn’t just mean to get better, then what does it mean? And how can this help us help our patients?
Merriam Webster’s dictionary defines healing as:
heal - transitive verb
1a: to make free from injury or disease : to make sound or whole // heal a wound
B: to make well again : to restore to health // heal the sick
2a: to cause (an undesirable condition) to be overcome // MEND the troubles … had not been forgotten, but they had been healed — William Power
b: to patch up or correct (a breach or division) // heal a breach between friends
3: to restore to original purity or integrity // healed of sin
Our approach in healthcare focuses on the first 3-4 aspects of this definition - to heal a wound, the sick or overcome an undesirable situation. While it is important to help our patients find recovery from the ailments that bring them into our office, in some cases, this isn’t always possible. Chronic disease, terminal illness or life situations that are permanent are not so simply overcome in the sense that we can erase them from reality entirely. It’s in this case where we have to focus on the last definition of the world healing - to restore to original purity or integrity. And while the sample of being ‘healed of sin’ takes on a different tone, what I believe this definition to point to is simply: to return to our original intention.
Bath bombs have become all the rage, from glittery explosions of sweet scents to ones with goodies stashed inside, we love a good and fun bath time! The obsession with these bath time treats has always perplexed me, while I love to take some time out to chill and treat myself, it seemed to me like we had a real missed opportunity on our hands. A fun colored bath is one thing, but as a trained herbalist I am also aware of the power of the herbal bath, that by using herbs we can treat hundreds of conditions and have been for thousands of years. I wanted to take this self care ritual of a decadent bath to the next level, with quality ingredients in an amount that could actually produce a therapeutic effect. In Chinese Medicine we have been using the herbal bath for thousands of years, but in our modern day sourcing these herbs - in the right amounts, is time consuming and can cause some gunking up of the tub, in short it’s not very convenient at all. This is where my Chinese Medicinal Herbal Fizzing Bath Salts come into play!
Gorgeous skin is a quality that’s been envied for the ages; blemish free, invisible pores and a smooth complexion free of wrinkles, it’s something many people strive for and something a multi billion dollar industry was built from. I always remind my patients that beauty starts on the inside, and this is true of our spirit and heart as well as the health of our body. The first step to True beauty lies in loving and cherishing our bodies just as they are, and part of this self love can be the act of taking care of our bodies and our skin with nutrition, herbs, mindfulness and skincare routines that nourish us from the inside out. Getting Botox, fillers and cosmetic surgery can be drastic and dramatic treatments that might be great for some people, but not for everyone, especially someone who’s wanting to do things a bit more naturally.
In my acupuncture clinic in San Rafael, CA I see a number of women and men for Cosmetic Acupuncture treatments - it’s an amazing way to address the signs of aging naturally and safely. A cosmetic acupuncture treatment alone may help many patients see the results they desire, and truly works from the inside out, but some may need an extra boost or are more committed to making lasting changes and an herbal prescription and supplement protocol can be implemented. For others, cosmetic facial acupuncture may not be a possibility or even an interest, in which case being able to implement dietary, lifestyle and herbal changes are great steps in a holistic beauty regimen. These 7 herbs and supplements are some of my go-to products for great looking skin from the inside out, they help improve the integrity of the skin and it’s appearance through a variety of factors, perhaps one or two might be right for you!
If you're looking for a unique, transformative and chill event to dive into acupuncture, meditation and those relaxed alpha theta brainwave states, then I invite you to join me on Sunday August 11th at 11am or 2pm for my Acupuncture and Guided Meditation event in San Rafael, Marin County at Lion's Heart!
Dr. Kim Peirano, DACM, LAc is the Owner and Acupuncturist at Lion's Heart Wellness, the San Francisco Bay Area and Marin's #1 Cosmetic Acupuncturist and #1 Holistic Healer.
We Would Love to Have You Visit Soon!
Intuitive Traditional Chinese Medicine - Intuitive Acupuncture, Cosmetic Facial Acupuncture and Medical Intuitive Readings. TeleHealth Wellness and Health Coaching, Remote Healing, Reiki, Guided Meditation and Herbal Prescriptions available online! Serving San Rafael, Mill Valley, Fairfax, San Anselmo, Greenbrae, Larkspur, Novato and Marin County with Dr. Kim Peirano, DACM, LAc.