Friday, November 30, 2012

Benefit of a healthy person taking multivitamins

There're numerous reports on the ineffectiveness of multivitamins taken by healthy individuals even though millions of people still do. There's no point in repeating what those research papers say. But if I see one research that points at even modest benefit of taking multivitamins, I'd like to save that link on my blog, because it's so rare! According to an Oct 17, 2012 article by Consumer Reports, the magazine that habitually cools down healthy people's enthusiasm on taking supplements, a large cohort study conducted recently shows about 8% fewer people who took multivitamins were diagnosed with cancer than those who did not. The study is published in Journal of the American Medical Association.

Two minor points. One is that research that shows positive effect of multivitamins on healthy people is far less than otherwise. On the other hand, discouraging people from taking supplements should not exagerate the ineffectiveness to the extent that they are all harmful. For example, I've read articles that list all kinds of adverse effects of vitamin overdose, while the fact is that it's very hard or impossible to overdose on vitamin C, which is very different from vitamin A in this regard.

Friday, October 26, 2012

Is "Chi Nei Tsang" Chinese?

According to Wikipedia, Chi Nei Tsang (气内脏; 氣內臟) is "a hands-on holistic health practice of ancient Chinese Taoist tradition, rediscovered and further developed by Chi-Kung... involves the application of Chi-Kung in the manual treatment of the viscera (Nei-Tsang) and the deepest internal structures of the body... The contemporary form of Chi Nei Tsang, as being taught by Master Mantak Chia and his disciples worldwide, is deeply rooted in three different traditions: Classical Taoist Chinese Medicine, Traditional Internal Medical Thai Massage, and Western holistic medicine." Dr. Andrew Weil says "Chi Nei Tsang (CNT) is a centuries-old variety of healing touch therapy from China. It focuses on deep, gentle abdominal massage in order to 'train' the internal abdominal organs to work more efficiently, which in turn is said to improve physical and emotional health." In addition, the most prominant master of Chi Nei Tsang is Mantak Chia, a Thai born to a Chinese family. Earlier in his life, he followed a number of masters to study Thai boxing, Qi Gong, Kung Fu, Daoism. His most important teacher is said to have a name "Yi Eng (White Cloud)" of the Dragon's Gate sect of the Quanzhen Daoism (道家全真龙门派).

I'm no stranger to traditional Chinese medicine, not as a professional, but as a twenty plus year amateur in reading and occasional practice on myself. Honestly I've never heard of "气内脏" before. So I searched on the Internet, for both English and Chinese content. Almost all documents on this topic are in English. Three web pages in Chinese mention this term, none citing ancient Chinese sources. Since my knowlege of Daoism (Taoism) is limited to reading only a few books and browsing online once in a while, I posted a message to a Chinese forum asking for any Chinese source on this term. So far no ancient Chinese document is identified to have made the first use of this term. The three Chinese web pages that mention Chi Nei Tsang (see the first part of the message I posted to the forum) call it abdominal massage, detoxifying massage, and detoxifying and pressure reducing, respectively.

Then I searched for "Yi Eng" or with keywords "yi eng white cloud" or their Chinese equivalents, even though "yi" is unlikely to be a Chinese character meaning "white". None was found. But one Chinese page reports a conversation or an interview with Mr. Chia, and uses the Chinese words "一云" (pronounced yi1 yun2 in Mandarin pinyin), literally "one cloud", not "white cloud", to refer to Mr. Chia's Daoist master.

So, if no Chinese source claims to be the origin of this practice, why call it "practice of ancient Chinese Taoist tradition"? The only answer I can think of is a false attribution to ancient Chinese source to capture attention and admiration of prospective students or practioners, as if any health-promoting exercises must have originated from a haloed Oriental culture, obviously China being a reputable one. If this term was coined in recent decades, why not clearly say so, and happily become the originator of this exercise, the health benefit of which, by the way, I do not doubt?

Thursday, October 11, 2012

Steve Jobs and apples

Medscape article Will an Apple a Day Keep Pancreatic Cancer Away? published on 09/07/2012 may be best read to Steve Jobs, the Apple co-founder and CEO, who died of pancreatic cancer this time last year. Note the title of my posting here has "apples", taken literally, not "Apple". (If you don't have an account, which is free, on Medscape, you can find the same article duplicated by other web sites.)

Saturday, September 8, 2012

Heavy eyelids when tired, and upward eyeball movement

A 2008 Scientific American article Why do our eyelids get so heavy when we are tired? tries to explain "heavy" eyelids when tired with fatigue of the levator muscles that open the eyelids, combined with general physical fatigue of the whole body. It drew very well educated critique, particularly from a second year medical school student. Whether fatigue is a major factor in "heaviness" of the eyelids is arguable. I'd like to make another point not mentioned by anybody. I'm sure you've seen or at least heard of a person showing white of the eye (sclera) when he's fast asleep and you force open his eye. In fact, with some training such as that in meditation, you can relax your body so much as to simulate the sleep state, and now if you feel it, your eyeballs tend to "float" up toward the upper eyelids. This is a spontaneous reaction in the sleep-like state, not done by intentionally moving your eyeballs up in full consciousness; the upward movement of the eyeballs is a natural reflection. Note that the direction is really toward the upper eyelids, not necessarily up toward the sky, because when your head is lying on the side, it's no longer up literally.

I believe this natural eyeball movement is related to the levator muscle relaxation, although I don't know the details nor can I prove this connection. In fact, it sounds counter-intuitive because the up-moving eyeballs are more likely to push open the eyelids. But maybe the balls are actually moving further into the orbit (cavity in which eyes are situated), in effect relaxing instead of contracting the levator.

By the way, if you have learned to reach the half-sleep state, not only are your eyeballs moved up (precisely, toward your upper eyelids), but you'll also feel heavier breathing, with absolutely no facial expression (contrary to advertisement pictures showing a fake "sound" sleep child or lady with a pleasing smile), exactly like a person in real sound sleep. A short nap like this after lunch, even when you sit in your chair, is particularly refreshing!

Friday, July 6, 2012

How to not read an article

It's a good idea to read articles of various opinions, pros and cons, about an idea, new technology, advice on health, or anything, including a person or organization. I closely follow Dr. Andrew Weil, a well-known scientist on preventive, integrated or alternative medicine, on Facebook and through his newsletters. So it was refreshing to read Doctor Andrew Weil: Whose Side Is He Really On?, an article on healthwyze.org. The article reveals the business practice of Dr. Weil, his contract with the advertisement company, the nutrition supplements he's promoting, and the non-profit organization he founded and chaired. It's good to know a little of these details about the person and his organization I regularly follow. I personally never bothered to click the sales links in Dr. Weil's newsletters and never intend to buy the vitamins he recommends (sorry! I buy them from a local store, just to be lazy).

The author of the article may be at an age of vigor overwhelming reason. The numbers in her investigation or quote from somebody else's investigation may be OK. But if the tone of the language is strong, that's a sign that the article could be biased. Then I scroll down to the middle where I read "Cancer is a disease for which the alternative medical community has found cures, and it never recommends either radiation or poisonous 'treatments'." Wow! Cancer can be cured by alternative medicine! I'm sure those regularly reading medical science articles know that a serious health scientist is cautious in saying almost anything, "may help", "may have the effect", "is a risk factor",... I once read that about the only thing that we can definitively say is the cause of cancer is radioactive exposure, and everything else is a risk factor or may cause cancer. Unfortunately, that attitude is absent in this critique of Dr. Weil.

From that paragraph down, I pretty much glanced through to the end. Here's another big difference between it and Dr. Weil's articles: there's no reference to any published research. Single or double blind control studies are the gold standard in medical science. Published research is generally trustworthy. Almost all Dr. Weil's articles mention a publication by who in what journal in what year, delivered to us in a soft, "sage"-like tone. Who do you trust more?

As I said somewhere else, a scholar differs from a lawyer in that while both cannot tell lies, a lawyer can select evidence in favor of his argument, but a scholar cannot. A true, honest, scholar can select evidence that is relevant, but among all the relevant pieces of evidence, he cannot leave aside those against his point of view. Dr. Weil's articles almost always have a caution or caveat near the end apparently mitigating his advice stated in the main part of the article. This does not reduce, but instead add, weight to his persuation.

In short, a convincing article especially on a health science topic, should

* reference published research (indicate journal title, issue, and for our convenience, the authors and their affiliations)
* evaluate not just one side, but both pros and cons, of anything proposed or discussed
* speak in a professional tone (no vehement, over-zealous words, no pumped-up certainty on something the latest research is not certain about)