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Metarobics and Arthritis

7/19/2018

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PictureCase Story from "Mindful Exercise: Metarobics, Healing, and the Power of Tai Chi."
Many people assume that arthritis is an inevitable part of aging. But it can be a complex disease, which can affect children, teens, and young adults as well. With over 100 types of arthritis, causes and treatment can vary.

By improving physiological function and health, Metarobic exercises can help with many if not all forms of arthritis. The following goes over factors related to Metarobic effects of tai chi and qigong for two of the more common forms of arthritis – osteoarthritis, and rheumatoid arthritis. According to the Arthritis Foundation, there is no cure, but if untreated, it can lead to permanent joint damage. The studies below, on the effects of tai chi and qigong on arthritis, do show that although the disease itself may not be cured, it is possible to eliminate all symptoms of arthritis.
 
As one ages, normal wear and tear of the joints can result in inflammation, causing osteoarthritis. Rheumatoid arthritis is the result of an immune system attack on the body, affecting the soft tissues in your joints. Why this occurs is currently unknown. Rheumatoid arthritis can eventually lead to the destruction of the bone and cartilage within the joints. The primary goal of treatment is to reduce the pain associated with arthritis, and prevent additional joint damage. As noted in research on tai chi, reduction of pain is uniform across studies for various conditions, including arthritis.
 
Like many other chronic conditions (including heart, lung and kidney disease, cancer, diabetes, compromised immunity, asthma and many other conditions), arthritis is also aggravated by hypoxia (oxygen deficiency reaching the tissues). Metarobic theory and research supports that one of the primary factors in the benefits of tai chi for arthritis is its effects on hypoxia. This also includes benefits of other breath-focused relaxation exercises, including forms of yoga and qigong. One of the hallmarks of rheumatoid arthritis is the development of new capillary blood vessels (or angiogenesis) in the joints. Research suggests that this may be a result of increased hypoxia (oxygen deficiency).
 
Dr. Konisti and colleagues reported new research which indicates that inadequate oxygenation (hypoxia) in the joints results in an increase in new blood vessels (which may be an attempt by the body to reduce hypoxic areas), resulting in inflammatory cells. Doctors. Taylor and Sivakumar noted that new blood vessel formation results in a dysfunctional vascular networks, which being dysfunctional, do not restore tissue oxygen and results in hypoxia. Inflammation also plays a role in Osteoarthritis, which occurs when the cartilage that cushions the joints wears away. Dr. Pfander and colleagues, in their research on the role of hypoxia in osteoarthritis, state that strongly decreased oxygen levels are hallmarks of osteoarthritic cartilage.
 
From a Metarobic perspective, all of the case stories reporting significant benefits for various forms of arthritis may be due to effects on reversing hypoxia. The Metarobic effect is the increase in blood oxygen saturation, diffusion, and oxygen metabolism, which occurs during slow breath focused exercises. This includes mindful exercises such as tai chi, qigong and forms of yoga.  Preliminary evidence suggests that Metarobic effects may reverse or reduce hypoxia. Enhanced blood and oxygen circulation and diffusion may also affect and reduce (or eliminate) formation of excessive blood vessels,  and the resulting synovial angiogenesis. This would explain the reversal of arthritis symptoms in the case stories presented on the Metarobic Facebook page, and documented in my book. Further research would need to confirm this link, but from a theoretical perspective, it would explain the large number of people reporting benefits from tai chi and related exercises (including people confined to a wheel chair, who regained the ability to walk – see my book Mindful Exercise: Metarobics, Healing, and the Power of Tai Chi for more research, case stories, and details).
 
Last year I posted studies on tai chi which reported significant benefits for those with arthritis. Following are some studies related to qigong. Drs. Chen and Liu, with the University of Medicine and Dentistry in New Jersey, and the Beijing University of Chinese Medicine, conducted a review of 11 studies which used qigong for arthritis. The authors note that from a Traditional Chinese Medicine perspective, arthritis is caused by blocked qi flow. This makes sense, since the literal translation of qi is “air” or “oxygen.” The doctors noted that qigong practitioners have more efficient oxygen metabolism and a slower heart rate than non-practitioners.
 
The authors note one particularly large study in which qigong therapy was provided to 295 rheumatoid arthritis patients who had not responded to conventional treatment (drugs). Participants practiced standing qigong every day, and also underwent acupuncture treatment. Two months, later 192 patients reported complete recovery from all arthritis symptoms (pain, impaired joint function, erythrocyte sedimentation rate (ESR), and rheumatoid blood factor) They were still symptom free at the sixth month follow-up. Eighty-three patients experienced significant improvement in symptoms (no pain, but joint function was still slightly limited and ESR was still elevated). Fourteen patients reported some benefits for pain relief and movement. The authors also cited other studies with smaller numbers of patients which supported these benefits. Metarobic theory presents an evidence-based explanation of benefits. It can be hoped that with time and further research, Metarobic exercises can be maximized to result full relief of arthritis and other conditions. Dosage may be a key factor, and it would need to be addressed if the 192 patients who reported total elimination of arthritis symptoms were more diligent in their practice.  
 
Primary References
 
Henrotin Y, Pesesse L, Lambert C. Targeting the synovial angiogenesis as a novel treatment approach to osteoarthritis. Ther Adv Musculoskelet Dis. 2014 Feb; 6(1): 20–34.
 
Pfander D, Cramer T, Swoboda B. Hypoxia and HIF-1α in osteoarthritis. Int Orthop. 2005 Feb; 29(1): 6–9.
 
Chen KW, Liu T. Effects of Qigong Therapy on Arthritis: A Review and Report of a Pilot Trial. Medical Paradigm. 2004: 1(1): 1-14
 
Konisti S, Kiriakidis S, Paleolog EM. Hypoxia--a key regulator of angiogenesis and inflammation in rheumatoid arthritis. Nat Rev Rheumatol. 2012 Jan 31;8(3):153-62..
 
Taylor PC, Sivakumar B. Hypoxia and angiogenesis in rheumatoid arthritis. Curr Opin Rheumatol. 2005 May;17(3):293-8.
 
Arthritis Foundation. Rheumatoid Arthritis Causes. https://www.arthritis.org/about-arthritis/types/rheumatoid-arthritis/causes.php
 
Butler N, Macon BL, Reed-Guy L. Arthritis. Healthline.com https://www.healthline.com/health/arthritis.

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SHAMBHALA – The Path of the Warrior Paraphrased- PART ONE

7/12/2018

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With the focus on health in my work with Metarobics, I thought it might be nice to take a break and touch on the philosophical side of mindful exercise. The below is from one of my workshops, touching on the philosophical and mindful part of tai chi and related exercises, as a form of kung fu training. It is adapted and heavily paraphrased from Chogyam Trungpa’s book SHAMBHALA – The Path of the Warrior (Available from Shambhala Books)  related to my own experiences with mindful practices. Shambhala (or Sham-Bha-La), is a place of enlightenment, tranquility, and oneness, and is the bases of mythical kingdom of Shangri-La, from the book “Lost Horizon.”
 
SHAMBHALA – The Path of the Warrior by Chogyam Trungpa (Heavily paraphrased with commentary by Dr. Tony Gryffin)  - PART 1

The key is in not being afraid of who you are.
Warrior in Tibetan is pawo – literally, one who is brave.  Being brave enough to take flight in your dreams is being a warrior in the Shambhala tradition.
To make a change in the world we must discover what it is we have to offer.  Despite all our problems and confusions, our emotional ups and downs, there is something basically good about our existence.  Shambhala is waking up to the goodness in our lives.
Otherwise, life tends towards never feeling satisfied with what you have, always feeling you need something more, something else. A mad shopping or relationship frenzy which never ends until you become satisfied with your basic goodness and your gifts, and are psychologically able to use them.
The essence of warriorship, of bravery, is refusing to give up on anything, no matter how lost the cause may seem. This is one of the goals of kung fu training, including tai chi, to strengthen and prepare the mind.
To help yourself and the world you must make a personal journey, not just read or speculate. Action as kung fu, excellence through effort.
A great deal of chaos in the world occurs because people do not appreciate themselves.  We have to appreciate and take responsibility for uplifting ourselves, rather than sinking into depression and feelings of devaluation. Zen/Mindfulness can create an awareness of how we self-sabotage, and of our weaknesses, and leave an empty space from which to grow into strength and appreciation.
JUST BEING
By meditating on a problem or question we can find the solution to it, arising from mushin, or no mind, beyond consciousness.
By sitting, by just being, you begin to feel that your life can become workable, even wonderful. This is true in doing tai chi, kung fu, or any mindful practice as well.  You realize that you are capable of sitting like a king or queen on a throne, confident and full of power. If you practice tai chi or kung fu, imagine you are already a master. A black belt, the number of techniques you know, are all superficial – mastering your situation and your self is key to mastering life, and happens in the moment. What are you doing/thinking in this moment? Is it empowering, or self-sabotaging?
In meditation (and mindful exercise.) an upright posture is extremely important.  Having an upright back is not an artificial posture – slouching is.  Slouching is a sign of giving into neurosis.  When you sit erect, you proclaim to yourself and the rest of the world that you are a warrior, a fully human being.
In meditation (this includes moving meditation such as tai chi/kung fu) – when a thought pops into mind, mentally state “thinking” and go back to your breath (or the focus on the leading hand in tai chi/kung fu).  This gives you tremendous leverage over your mind.

The ideal state of tranquility comes from experiencing the body and mind as one, which is the purpose of  meditation, as well as traditional martial practice. and mindful exercise.
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Celebrating Tai Chi and Mindful Exercise in the Battle for Life

7/3/2018

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Picture
Fourth of July celebrates a time of independence, the battle of those who suffered under oppression. So it seemed fitting to share the story of one of the many people who became a teacher of tai chi, due to their own battle with chronic conditions. I will also be posting case story excerpts for over a dozen of these teachers on the Metarobics Facebook page over the next month.  Many of these teachers faced imminent death, before they started tai chi and/or qigong in a last-ditch effort for life. T.T. Liang is one of the more well-known teachers who started tai chi, when given a death sentence by his doctors.
​
T.T. (Tung Tsai) Liang was a government official in charge of all British controlled ports of China’s eastern seacoast during the 1940’s. He had been living a hard life involving drugs, alcohol and sexual activity, which was associated with the life of a high-ranking government official in Shanghai at that time. This lifestyle eventually caught up with him. Liang fell seriously ill, and was eventually hospitalized with pneumonia, liver infections, and severe gonorrhea. At age 45, his doctors gave him about two months to live. Not wanting to die, Liang immediately began learning tai chi. Within six months he had recovered most of his health. He realized that his wealth and position resulted in a lifestyle which negatively affected his health, so he resigned. Reforming his ways, he became a teacher of tai chi. After moving to the United States, T.T. Liang became one of the most famous masters of the last century. He went on to live another 57 years, passing away at the the age of 102 years old, which he attributed to his tai chi practice. He remained vibrant and healthy throughout the second half of his century long life.

T.T. Liang’s book “T’ai Chi for Health and Self-Defense” (Vintage Press, 1974) was the first book on tai chi which I had read on the subject. It was a nice overview of the philosophy and theory from a traditional perspective. I also appreciated his integration of music into the performance of the form. In many ways, tai chi is much like a beautiful dance or ballet, which can be enhanced by music (although there are some mental benefits to doing tai chi in silence, which I will be discussing in my forthcoming book “Mindful Exercise: Tai Chi for Mind, Body and Spirit”). Traditionally tai chi was performed in silence, in part for martial training, and in part as a meditation. T.T. Liang was told that doing tai chi to music was not traditional. He replied that in the old days, teachers did not have CD players. One of his early teachers was kung fu and tai chi teacher Wei Hsiao Tang, who had been a disciple of Yang Lu Chan (the father of Yang style tai chi, over 150 years ago). Wei Hsiao Tang was also one of Duke Y.M. Cheng’s teachers (my instructor in the arts of tai chi and kung fu). Wei Hsiao Tang featured many traditional elements related to tai chi as a powerful martial art.

Returning to the effects of tai chi on Liang’s health, traditional perspectives focus on harnessing and nurturing Qi, translated by Traditional Chinese Medicine practitioners as “Vital Energy.” This also ties into Metarobic theory, as described and documented in my book “Mindful Exercise: Metarobics, Healing, and the Power of Tai Chi” (YMAA Publications, 2018). Directly translated, the first definition of Qi in most Chinese/English dictionaries is “air” or oxygen. And it is from the metabolism of oxygen from which we get our energy. T.T. Liang was dying from pneumonia, liver infections, and severe gonorrhea. Research documents and supports a Metarobic effect on the production of t-lymphocytes which battle infection, as well as for enhancing physiological function and efficiency. This enhanced physiological function can help maximize all aspects of the healing processes of the body, explaining why mindful forms of exercise focused on relaxation and the breath can benefit so many chronic conditions. For full citations and research on my work with Metarobics, as well as over 50 case stories, please refer to my book. Aside from research on an understanding of the measurable and scientific basis of how and why these exercises work (not to discount traditional perspectives), I also discuss dosage – the importance of pace and the amount of time spent doing these exercises, which is also an important factor. To go from a death sentence of two months at age 45, to living to 102 years of age, supports the dramatic health benefits of tai chi. And T.T. Liang is but one of many who faced imminent death, and reversed their condition using tai chi and/or qigong. See the Metarobics Facebook Page for their stories. Some of these teachers had been given as little as two to three weeks to live before they turned to tai chi, in a last-ditch effort to live. And it worked!

​- Dr. Gryffin
(For more information on the life of T.T. Liang, see "Steal My Art: he Life and Times of T'ai Chi Master T.T. Liang" by Stuart Alva Olsen, and the Victoria Taiji Academy. Photo credit:The Victoria Taiji Academy).


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