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059 Engaging the channels: learning acupuncture with Dr. Wang Ju Yi • Jonathan Chang
Episode 5920th November 2018 • Qiological Podcast • Michael Max
00:00:00 01:16:31

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The best teachers are perpetual students. They are ones who when things don’t work as expected don’t say the medicine doesn’t work. These people dig into finding out why they don’t yet know how to make it work.

 While aspects of medicine can be taught, there is much more than can only be discovered. Discovered anew within the experience of each generation. And it is those teachers who can help us along in that this kind of learning to learn who set us off on a life-long voyage of discovery.

 In this conversation we listen into one practitioner’s apprentice experience with Dr Wang Ju Yu and the path of practice that it opened up.

Head on over to the show notes page for more information about this episode and for links to the resources discussed in the interview. 

Transcripts

Jonathan Chang:

So like, for example, let's talk about

Jonathan Chang:

the Taiyang channel system.

Jonathan Chang:

Like how do we understand what the system is?

Jonathan Chang:

For example, we say the lung, what does the lung do?

Jonathan Chang:

We say governance cheat.

Jonathan Chang:

And we know that through respiration, like moving sheet outwards and

Jonathan Chang:

downwards helps regulate the movement, outwards and downwards.

Jonathan Chang:

And the same time we say that the, the lung channel like Dr.

Jonathan Chang:

Warren loves to say governance of the rhythms of the body.

Jonathan Chang:

How does it govern?

Jonathan Chang:

The rhythms is probably also through its functions of respiration or like, uh, Dr.

Jonathan Chang:

Allen would have patient centered.

Jonathan Chang:

They would have like, um, heart palpitations, and sometimes he would

Jonathan Chang:

not use the heart channel, but instead if he found a change at lung nine

Jonathan Chang:

and he thought it was related to the lung channel, he might just use lung

Jonathan Chang:

nine to treat the heart palpitations.

Jonathan Chang:

And that's related to the lungs relationship with

Jonathan Chang:

regulating the rhythms of

Michael Max:

I'm Michael max.

Michael Max:

And this is qiological, you know, what's kind of an old song on our business.

Michael Max:

That we learned from our patients.

Michael Max:

And usually I've taken that to mean that we learned from either our successes,

Michael Max:

if we're paying attention or from our failures, which usually means we

Michael Max:

haven't been paying attention sometimes though a patient will say something and

Michael Max:

it completely stops me in my tracks.

Michael Max:

I mean, it totally stops the internal dialogue in my head.

Michael Max:

I catch myself in a moment of surprise.

Michael Max:

I don't know if that's the right word, but it's definitely a

Michael Max:

moment that causes me to pause.

Michael Max:

And I had one of those moments the other day, a patient of mine who had been on

Michael Max:

a whole collection of medications for blood sugar, for pain, for depression.

Michael Max:

You're probably familiar with these kind of lists.

Michael Max:

She came in after a, not short stay in the hospital for some

Michael Max:

completely inconclusive testing.

Michael Max:

And here's something you might not know.

Michael Max:

I know.

Michael Max:

When patients go into the hospital, they're usually taken completely off.

Michael Max:

Most of their medications.

Michael Max:

That's not something that I was aware of.

Michael Max:

You know, a lot of times we hear that you're supposed to titrate down on

Michael Max:

things, but often people go cold Turkey when they take them into the hospital.

Michael Max:

So anyway, by the time I saw her, she'd been off the antidepressant for two weeks

Michael Max:

and off the blood sugar meds as well.

Michael Max:

And here's the interesting thing.

Michael Max:

Her blood sugar was better without the medication, much more stable.

Michael Max:

And while there were some feelings at times of anxiety, it was totally in

Michael Max:

line with what you would expect if you just spent a week plus in the hospital

Michael Max:

and nothing to show for it, except some shrug, shoulders, too much jello.

Michael Max:

But here's what got me, as we dug into it a bit about how she'd been feeling and how

Michael Max:

the issues that brought her into my office are resistant to biomedical diagnosis and

Michael Max:

what all that can do your state of mind.

Michael Max:

She says that.

Michael Max:

Oppression and struggle are not the same.

Michael Max:

Did you get that?

Michael Max:

Can you catch the nuance here?

Michael Max:

Notice how this person does not conflate difficulties with depression,

Michael Max:

that there can be difficult feelings, but they're in line with

Michael Max:

what's actually unfolding in life.

Michael Max:

And then they become part of the landscape.

Michael Max:

It's something to be included, something to be worked with, not

Michael Max:

something to be medicated away.

Michael Max:

I hear things like this from patients and for me, it's a sign of deep health.

Michael Max:

They might be struggling with something that's difficult, maybe even something

Michael Max:

that's life-threatening, but that kind of presence to oneself, that recognition

Michael Max:

that they are in a difficult time in difficult times are not something to

Michael Max:

medicate away, but rather something to be engaged with with a kind of willingness.

Michael Max:

Wow.

Michael Max:

You know, for me, it's a reminder that a person's junkie can be strong.

Michael Max:

Even as they're dealing with complex and troublesome issues, you'll

Michael Max:

probably not find a definition of junky in our books, on medicine that

Michael Max:

described this kind of situation.

Michael Max:

But, you know, I think it's something that you have to learn from your patients.

Michael Max:

And I've got a word here from my buddy, Jason Robertson.

Jonathan Chang:

Hello, this is Jason Robertson, coauthor of applied channel

Jonathan Chang:

theory in Chinese medicine with my teacher Wong GE I have some insights into

Jonathan Chang:

palpation and an area that I find very useful and checking for low back pain.

Jonathan Chang:

And I'll say more about that a bit later.

Jonathan Chang:

. Michael Max: Hey everybody.

Jonathan Chang:

I've got John Chang with me, John Chang from Beijing, China.

Jonathan Chang:

John was a long time student of Dr.

Jonathan Chang:

Warren chewy and unlike many of us who first learned to TCM style acupuncture.

Jonathan Chang:

Dr.

Jonathan Chang:

Wong was John's primary influence.

Jonathan Chang:

We're sitting down today for a discussion that touches on

Jonathan Chang:

his apprenticeship with Dr.

Jonathan Chang:

Wong, along with how he uses palpation in his clinical work and his involvement

Jonathan Chang:

with years of videos and lectures and patient treatments that they

Jonathan Chang:

recorded over the years with Dr.

Jonathan Chang:

Juan John wanting bowel.

Jonathan Chang:

Qiological welcome to qiological.

Jonathan Chang:

Thanks,

Jonathan Chang:

Michael.

Jonathan Chang:

It's great to finally have this discussion, this conversation.

Michael Max:

I know, and I'm in St.

Michael Max:

Louis you're in Beijing.

Michael Max:

Thanks to the internet.

Michael Max:

We're just hanging out and having a cup of tea.

Michael Max:

Phenomenal.

Jonathan Chang:

Yeah.

Jonathan Chang:

And it sounds like you're right beside me.

Jonathan Chang:

Let's just crazy.

Michael Max:

You know, I'm a geek for sound and, uh, fortunately

Michael Max:

there's some pretty good tools that are mostly reliable these days.

Michael Max:

So lucky for us.

Michael Max:

Definitely.

Michael Max:

Hey, what's beaching.

Michael Max:

Like right now

Jonathan Chang:

we had some heavy rain the past few days and it's

Jonathan Chang:

tons of rain, but it all cleared up blue skies like perfect sunlight.

Jonathan Chang:

It's not that hot.

Jonathan Chang:

It's amazing.

Jonathan Chang:

It's amazing.

Jonathan Chang:

Right now the past

Michael Max:

few days on occasion, you see a blue sky in Beijing.

Michael Max:

It is, it is a wonder isn't it?

Michael Max:

It is

Jonathan Chang:

either than the, in the past winter, like the government does

Jonathan Chang:

something amazing with the pollution that they, that we have blue skies for like

Jonathan Chang:

three or four months straight, like just clear blue skies, like perfect weather.

Jonathan Chang:

Like, cause sometimes I was comparing like the air quality to other

Jonathan Chang:

like cities like Paris or like.

Jonathan Chang:

And it was sometimes better than those cities.

Jonathan Chang:

How do they pull that off?

Jonathan Chang:

Well, it's a sad story, but they, um, and the, around the surrounding

Jonathan Chang:

villages around aging, a lot of people usually use coal heating.

Jonathan Chang:

So they got rid of the coal heating and changed it to natural gas, which is great.

Jonathan Chang:

So like there's less pollution, but then what happened is I think they

Jonathan Chang:

ran out of supplies for natural gas.

Jonathan Chang:

So then some people in the villagers were like freezing throughout the

Jonathan Chang:

winter, but for people in Beijing were like, oh, this is amazing.

Jonathan Chang:

But then we always like added another sentence, but it's too

Jonathan Chang:

bad, you know, it's terrible.

Jonathan Chang:

What's happening in the villages, but they stopped that project.

Jonathan Chang:

They stopped like trying to do that.

Jonathan Chang:

So maybe next year I'll get, once again, all the, you know, the facilities set up,

Jonathan Chang:

it'll be a bit better, but they, you know, they've done so much in the city too.

Jonathan Chang:

Just like stopping, like in the hotels, they used to have those coal heaters.

Jonathan Chang:

Um, the stop, those too.

Jonathan Chang:

So everyone has electric heating now.

Jonathan Chang:

That's an amazing, phenomenal.

Michael Max:

Okay.

Michael Max:

Well, anyway, man, it's been a while since I've been to Beijing,

Michael Max:

we can catch up about that later.

Michael Max:

Let's let's get into this here.

Michael Max:

So we all have some kind of inciting event or experience that somehow brought

Michael Max:

Chinese medicine to our attention.

Michael Max:

I'm curious to know what your as was.

Jonathan Chang:

I'm trying to think, thinking about that since like,

Jonathan Chang:

you know, you we've been attached.

Jonathan Chang:

Like I started thinking about it, like, how did I know about Chinese medicine?

Jonathan Chang:

Like, how was I exposed to it?

Jonathan Chang:

Or because I grew up in a small town in Canada, just near Toronto, about 40

Jonathan Chang:

minutes away from Toronto by car at the time, like very few Chinese people in

Jonathan Chang:

our town, like in our school, my brother and I were the only Chinese kids there.

Jonathan Chang:

I wasn't exposed to too much of Chinese culture aside from, with my grandmother.

Jonathan Chang:

Um, I, I guess obviously my parents too, but the only thing we knew when we're

Jonathan Chang:

growing up was just like Chinese food.

Jonathan Chang:

Like that was the only thing we knew about, you know, Chinese

Jonathan Chang:

cultures is driving every weekend to like the neighboring city.

Jonathan Chang:

There's this city there called Markin.

Jonathan Chang:

So we'd go there every weekend.

Jonathan Chang:

And that was our, like going to have this great Cantonese dinner.

Jonathan Chang:

That was our best meal of the week, every week for my childhood.

Jonathan Chang:

So I didn't know much about it, but then, but my dad is a Western medical.

Jonathan Chang:

And he was interested in acupuncture.

Jonathan Chang:

So I think he had studied acupuncture in Taiwan for about a month.

Jonathan Chang:

Like he didn't want those probably like crash courses, like 200

Jonathan Chang:

hours of like medical acupuncture.

Jonathan Chang:

And then he went back to Canada and started, uh, using acupuncture

Jonathan Chang:

in his clinical practice too.

Jonathan Chang:

So we actually used me as a Guinea pig for a while, but I didn't, I forgot about that

Jonathan Chang:

until like, maybe just a few months ago.

Jonathan Chang:

I remember once my dad also, he, he was with all these other Chinese

Jonathan Chang:

Canadian doctors had this own little, uh, medical, like a little

Jonathan Chang:

association of Chinese getting doctors and they, once they invited.

Jonathan Chang:

Uh, doctor from Russia, Chinese medical doctor from Russia to give

Jonathan Chang:

a lecture on Chinese medicine.

Jonathan Chang:

And my dad brought me along.

Jonathan Chang:

How old were you at that time?

Jonathan Chang:

Maybe 12.

Jonathan Chang:

I just remember this maybe like a few months ago too.

Jonathan Chang:

I was just like, oh, I totally forgot about that.

Jonathan Chang:

My dad said a Russian doctor says a Russian doctor, so I was expecting,

Jonathan Chang:

you know, like, like a Russian guy.

Jonathan Chang:

And then we, we show up to this room and like, I guess someone's clinic.

Jonathan Chang:

And it was just a Chinese guy and I was like, what?

Jonathan Chang:

So I guess he was like, I didn't, I didn't click in until maybe now that I've

Jonathan Chang:

been in China, that he's probably, uh, someone from the mainland who went to

Jonathan Chang:

Russia to work as a Chinese medical doctor

Michael Max:

here at Russia's not that far away from there.

Jonathan Chang:

Yeah.

Jonathan Chang:

So he he'd give this lecture on acupuncture and he did

Jonathan Chang:

like some massage therapy.

Jonathan Chang:

And then he did that kind of like the band, like the cracking the neck.

Jonathan Chang:

And then like, he was like any volunteers for this and then

Jonathan Chang:

no one put up their hands.

Jonathan Chang:

And my dad's like, you go ahead.

Jonathan Chang:

And he just pushed me to the front.

Jonathan Chang:

I just ran the doctor, just, I was like, what the hell was going on?

Jonathan Chang:

And he just said, I crack anything on my neck.

Jonathan Chang:

So that's my only exposure to Chinese medicine.

Michael Max:

No.

Michael Max:

Well, no wonder you suppression that memory.

Jonathan Chang:

Yeah.

Jonathan Chang:

And then, uh, I guess I think growing up in Canada, there are two things.

Jonathan Chang:

There's one thing.

Jonathan Chang:

Uh, cause you know, a lot of family members like my dad and my

Jonathan Chang:

grandmother, both medical doctors.

Jonathan Chang:

So part of me was when I was growing up was thinking about becoming a

Jonathan Chang:

medical doctor, but then there's also as influenced by my grandfather.

Jonathan Chang:

Who's from Shanghai.

Jonathan Chang:

And when we were growing up, he'd always tell us this

Jonathan Chang:

fascinating story about China.

Jonathan Chang:

So there's always a part of me that wanted to get back to my roots and just come to

Jonathan Chang:

China, travel, like learn the language.

Jonathan Chang:

Cause there always felt like something was missing.

Jonathan Chang:

Like especially like growing up in a small town, you always feel like

Jonathan Chang:

you're not really part of that.

Jonathan Chang:

Right

Michael Max:

now, did you guys speak Chinese at home?

Michael Max:

Did you pick up Chinese as you were a kid or did that come later?

Jonathan Chang:

My mom is.

Jonathan Chang:

She grew up in Taiwan and Taipei, uh, but her parents are from Beijing

Jonathan Chang:

and then my dad is from Shanghai, so he grew up speaking Shanghainese,

Jonathan Chang:

and then he moved to Hong Kong.

Jonathan Chang:

So he speaks Cantonese and Chinese.

Jonathan Chang:

My mom was like, my mom would sometimes speak to us in a mixture of

Jonathan Chang:

Chinese and our Mandarin and English.

Jonathan Chang:

Well, my dad would just speak to us in English.

Jonathan Chang:

So my brother and I, we just got into the habit of just speaking to

Jonathan Chang:

them in English and then listening to my mom, sometimes speaking to

Jonathan Chang:

Sebastian, very simple Mandarin.

Jonathan Chang:

Like, did you eat today or how was your poo?

Jonathan Chang:

She would ask, actually ask us on a daily basis.

Jonathan Chang:

Of course.

Michael Max:

Yeah.

Michael Max:

Yeah.

Michael Max:

What took you to China?

Michael Max:

Did you go to study medicine or you were just going to like, go check it out?

Jonathan Chang:

Yeah.

Jonathan Chang:

I just finished university and Canada and then I was tired of school.

Jonathan Chang:

I was just like, want to get out.

Jonathan Chang:

I was like for about five.

Jonathan Chang:

Yours.

Jonathan Chang:

I was just dreaming of going to China.

Jonathan Chang:

Like I was just waiting for that time to finish university and just go to China.

Jonathan Chang:

I remember my grandfather, the one I was telling you about who would

Jonathan Chang:

tell us all these stories about his childhood in Shanghai, he was like,

Jonathan Chang:

why are you going back to China?

Jonathan Chang:

Like, why are you going there?

Jonathan Chang:

And he's like, I left China to accept this life where you guys went to Nanjing study.

Jonathan Chang:

Chinese taught some English on the side and I just loved it.

Jonathan Chang:

I just loved being in China.

Jonathan Chang:

What year was that?

Jonathan Chang:

That was 2002.

Michael Max:

Okay.

Michael Max:

So you're not judging, you're studying Chinese.

Michael Max:

How'd you get to Beijing?

Jonathan Chang:

Yeah, that's a good question.

Jonathan Chang:

Do I have some friends in Nanjing and they all moved to Beijing and then

Jonathan Chang:

because my grandparents are originally my other grandparents, my maternal

Jonathan Chang:

grandparents are originally from Beijing.

Jonathan Chang:

So I have some relatives there that I'd never met and there's a draw to Beijing.

Jonathan Chang:

Everyone said, if you wanted to learn Chinese, you should go to Beijing.

Jonathan Chang:

Like it's like, you should go to Beijing because they speak the best.

Michael Max:

Well, if you want to chunk paging plot.

Jonathan Chang:

Yeah.

Michael Max:

If you want to, if you want to talk like a pirate, go to Beijing.

Jonathan Chang:

Yeah.

Jonathan Chang:

I didn't know what I was getting myself into.

Jonathan Chang:

I was like, okay.

Jonathan Chang:

BJ and sheriff.

Jonathan Chang:

So I went there and I loved it.

Jonathan Chang:

Like I fell in love with this city.

Jonathan Chang:

It's it's an amazing city.

Michael Max:

It is, isn't it?

Jonathan Chang:

Yeah.

Jonathan Chang:

I used to like ride my bike from like ding Shan park, like the Gullo

Jonathan Chang:

area, the drum tower area to the forbidden city, like right beside the

Jonathan Chang:

favorite part of city that there's that park, the, um, the junction park.

Jonathan Chang:

I love that bike ride.

Jonathan Chang:

Just like password, all these old, like architectures dating back to like

Jonathan Chang:

the Ching dynasty or Ming dynasty, like the forbidden city and like

Jonathan Chang:

watching Shan pirate bay high, like high, like all those places I love.

Michael Max:

When I was living there, my reward for working hard

Michael Max:

was studying is on Sunday afternoons.

Michael Max:

I would go get myself lost somewhere.

Jonathan Chang:

Where's your favorite place to go to?

Michael Max:

I mean, I would just go to different places.

Michael Max:

I'd like, look in the map and go, where have I not been?

Michael Max:

And I would just like ride there directly and then kind of like wander

Michael Max:

around to get myself a little bit confused and then start writing back.

Michael Max:

And what I thought was the direction of home and stop and continually

Michael Max:

ask people for directions as a way to practice my Chinese.

Michael Max:

Here's what I learned.

Michael Max:

A lot of people in Beijing have a really crappy sense of direction and

Michael Max:

they'd be like, you want to go where?

Michael Max:

And they'd either say, I don't know where that is, which might mean they

Michael Max:

don't know, or, oh my God, there's a foreigner and I'm terrified.

Michael Max:

Or they would just tell me anything to make me go away.

Michael Max:

Right.

Michael Max:

So they give me like, oh, well you go over here and it's over there and over there.

Michael Max:

And sometimes I'd be like, no, that's like totally wrong, but.

Michael Max:

It was, it was always a good adventure.

Michael Max:

Anyway,

Jonathan Chang:

what was your favorite district to walk around it?

Jonathan Chang:

You

Michael Max:

have that whole, whole high area,

Jonathan Chang:

just like getting lost

Michael Max:

and just going and getting lost in the Hutong.

Michael Max:

I mean, I would just like head out to who tongs and take photographs

Michael Max:

and just, just wander around.

Michael Max:

Oh yeah.

Michael Max:

There was an area just south of a tenement

Jonathan Chang:

10 min area.

Michael Max:

Right.

Michael Max:

And, and was like south of it.

Michael Max:

I forget the name of it, but it was, it was old.

Michael Max:

It was like old.

Michael Max:

Right.

Michael Max:

And I would just go wander around in there and then, you know, talking

Michael Max:

to Jason, remember he mentioned a book, uh, midnight in Beijing.

Michael Max:

Oh yeah, yeah.

Michael Max:

Right.

Michael Max:

Which I read fascinating story of a horrific murder and it turned

Michael Max:

out that that area I like to wander around and it was, it was sorta

Michael Max:

close to where that book happened.

Michael Max:

Yeah, but I would just, I mean, I was just walking around to anywhere I would, you

Michael Max:

know, the whole thing was just phenomenal.

Michael Max:

I mean, Beijing's huge.

Michael Max:

And, and I'm going to put in a quick plug for Jason's book.

Michael Max:

Not only because it's got great stuff about acupuncture, but because he talks

Michael Max:

about his wanderings around Beijing as well in that book, I mean, you'll get

Michael Max:

a great tour of Beijing at the turn of the century from a point of view.

Michael Max:

It's pretty

Jonathan Chang:

good.

Jonathan Chang:

Yeah, definitely.

Jonathan Chang:

What year were you living in

Michael Max:

aging?

Michael Max:

I was in Beijing, like 2002 to 2003.

Michael Max:

I think I left in the early part of 2004.

Michael Max:

Something

Jonathan Chang:

like that.

Jonathan Chang:

That's when I just came to, I think I came to Beijing in 2004.

Michael Max:

Uh that's when I was there.

Michael Max:

And then, and then I was back there again for a few months and then,

Michael Max:

uh, you know, back to the states.

Michael Max:

So, but I ended up with a wife in the deal, so

Jonathan Chang:

that's perfect.

Michael Max:

Yeah.

Michael Max:

Yeah.

Michael Max:

I met her in China years ago.

Michael Max:

Anyway, tell us about how you got involved with Dr.

Michael Max:

Wong and got involved in medicine.

Jonathan Chang:

So around the time, I think it was 2005, 2006.

Jonathan Chang:

Around that time, I'd be learning Tai Chi.

Jonathan Chang:

So through that, obviously it got me deeper into Chinese culture.

Jonathan Chang:

Like I was saying earlier, I was interested in studying medicine,

Jonathan Chang:

but then the longer I stayed in China, I started thinking, why

Jonathan Chang:

do I try and Chinese medicine?

Jonathan Chang:

I don't know why I came up with that.

Jonathan Chang:

But it seemed like it was a good blend of like learning about Chinese culture

Jonathan Chang:

and blending some form of medicine.

Jonathan Chang:

Around that time, I was just, I had a roommate and I was just telling her

Jonathan Chang:

about these, this idea of possibly saying Chinese medicine and her first week in

Jonathan Chang:

Beijing, she ended up knowing more people that made she's like very outgoing person.

Jonathan Chang:

So it turns out like she had a meeting, a person who was studying with Dr.

Jonathan Chang:

Wall and they became very good friends.

Jonathan Chang:

So she was like, oh, you should study with my meet my friend's teacher, Dr.

Jonathan Chang:

Wrong.

Jonathan Chang:

And I was like, oh, I'm sure the person who introduced me to Dr.

Jonathan Chang:

Ron is a student from New York.

Jonathan Chang:

She's a Chinese American Sandra.

Jonathan Chang:

And she actually a student of.

Jonathan Chang:

Oh, yeah, yeah, yeah.

Jonathan Chang:

I can't pronounce that.

Jonathan Chang:

Your team's last name.

Jonathan Chang:

So I'll just say your team, your team G he's like, well, I'm Dr.

Jonathan Chang:

Mine's senior students.

Jonathan Chang:

He's a brilliant practitioner is very intelligent practitioner to Dr.

Jonathan Chang:

Rahman would always say, oh, his is a good brain is a good brain.

Jonathan Chang:

So Dr.

Jonathan Chang:

Ron loves, loves your team.

Jonathan Chang:

I end up going to Dr.

Jonathan Chang:

Wong's clinic for treatments, and that was my first exposure

Jonathan Chang:

to meeting doc crawling and.

Jonathan Chang:

Like acupuncture treatments in, in China.

Jonathan Chang:

So I remember walking inside it and like, and the doctor would just send it out

Jonathan Chang:

and feel very comfortable in his clinic.

Jonathan Chang:

Like had a very like warm feel to it.

Jonathan Chang:

He gives you this very comforting feeling.

Jonathan Chang:

You have a lot of confidence in him.

Jonathan Chang:

Like it's very good, I guess, bedside manners as a practitioner.

Jonathan Chang:

So I just have like sat down.

Jonathan Chang:

He's given me the checkup.

Jonathan Chang:

He did the two 19 treatment on me.

Jonathan Chang:

Tell us about the do 19 treatment.

Jonathan Chang:

Do 19.

Jonathan Chang:

There's the point doctor on uses to treat problems with like, uh, neck

Jonathan Chang:

issues or back problems, because it's a very good point to relax all the

Jonathan Chang:

muscles along the, a lot of the spine.

Jonathan Chang:

So doctor says a country problems relate to the Taiyang channel.

Jonathan Chang:

So like the Taiyang channel seniors, but also the duke because they

Jonathan Chang:

do vessel part of its collaterals includes the tie out the fuck.

Jonathan Chang:

Taiyang there's an interesting story of how Dr.

Jonathan Chang:

Aun discovered this point.

Jonathan Chang:

He went to the north Eastern part of China once because a student had just

Jonathan Chang:

opened up a clinic there, invited him to go up there to treat patients over.

Jonathan Chang:

When he went there, there's the patient came in with, he was like using this one

Jonathan Chang:

arm crutch and walked into the clinic.

Jonathan Chang:

He had a really big limp and the, the patients that, that he's working

Jonathan Chang:

from stressful, he had the stroke, but since he's recovered from the

Jonathan Chang:

stroke, but the only issue is that he's, he has, um, sacrilegious

Jonathan Chang:

syrup, like mainly with his walking.

Jonathan Chang:

And he said that it felt like on the bottom of this, it's either

Jonathan Chang:

his right foot or left foot.

Jonathan Chang:

I can remember.

Jonathan Chang:

I felt like there's this nail just stuck in the bottom of his foot.

Jonathan Chang:

So he knew that this patient had received like multiple treatments that other

Jonathan Chang:

acupuncture clinics in, in the Northeast, if you've ever been to a hospital, China,

Jonathan Chang:

you know, like when they it's very common protocols just to stick a lot of needles

Jonathan Chang:

into the patient and like, you know, they just so many different techniques.

Jonathan Chang:

Right.

Jonathan Chang:

So, um, doctor, I think he, because he knew this patient already received

Jonathan Chang:

a lot of probably local noodling noodling along probably legs or

Jonathan Chang:

the Yangming all these points.

Jonathan Chang:

So he was just like, okay, cause he's already doing a palpation by that time.

Jonathan Chang:

So he said, okay, I'll just start palpating.

Jonathan Chang:

The two.

Jonathan Chang:

Cause he knows he was a stroke.

Jonathan Chang:

So he's like, you know, maybe there's something I can find on the head.

Jonathan Chang:

So he's just started popping the scalp, just working his way up, the two vessel.

Jonathan Chang:

And then we're right around.

Jonathan Chang:

Once he got closer to the top of that, he found, felt this really big lump

Jonathan Chang:

at, uh, he later said was two 19.

Jonathan Chang:

By the time he didn't know what it was.

Jonathan Chang:

He said, what is this thing?

Jonathan Chang:

So, and when he pressed on it, he was like, is it sore?

Jonathan Chang:

Is it sore?

Jonathan Chang:

Like Simon sweat?

Jonathan Chang:

And the picture is like, oh yeah, my foot, it feels better.

Jonathan Chang:

But that nail doctor was like, okay, I'll just nail this one and see what?

Jonathan Chang:

So when you need it.

Jonathan Chang:

So whatever doctor needles, Scott points, he kneels like, uh, he takes

Jonathan Chang:

one part of his one thumb to press on the point where the needle was inserted.

Jonathan Chang:

So where the point is acupuncture point is and rubs the scalp downwards.

Jonathan Chang:

It's kind of like massaging the point while the needle is in the point.

Jonathan Chang:

And then at the same time, he asked the patient to do certain movements,

Jonathan Chang:

to like, like for example, strain their back and through that helps like

Jonathan Chang:

relax all the muscles on the do vessel.

Jonathan Chang:

And then the, like the seniors of the vessel, you can say it helps raise the

Jonathan Chang:

young key along the duke festival upwards.

Jonathan Chang:

And through that, you know, Yankees spreads outwards from the duke vessel,

Jonathan Chang:

warming the surrounding muscles and tissues, all that all the way up.

Jonathan Chang:

So then talk to a needle that point you had the patient strain his back

Jonathan Chang:

and he's doing the wrapping technique.

Jonathan Chang:

And he said, okay, stop your foot.

Jonathan Chang:

And so the patient was stomping is like the foot that had like the,

Jonathan Chang:

the feeling of the nail in it.

Jonathan Chang:

And then after doing it, the patient's like, oh my God, the pain is gone.

Jonathan Chang:

Doctor was so busy.

Jonathan Chang:

Like there are all these people lined up to three patients.

Jonathan Chang:

So he said, okay, just go outside and walk around and do a few laps

Jonathan Chang:

and just walk around the yard and then just come back in 20 minutes.

Jonathan Chang:

So he's busy treating all these patients and I'm like, the guy came back and then

Jonathan Chang:

he was like, waving the crushes and aware.

Jonathan Chang:

And it's like, oh my God, I'm fine.

Jonathan Chang:

I'm perfect.

Jonathan Chang:

So then through that, then jump towards like, what is this point?

Jonathan Chang:

So then he had other patients like similar kind of symptoms.

Jonathan Chang:

So we started using it more and more.

Jonathan Chang:

And then over time he's he started treating it, using

Jonathan Chang:

it to treat low back pain.

Jonathan Chang:

So I think at one point he was calling it like the back pain point.

Jonathan Chang:

So he thought it was like a special point, like a, not part of like,

Jonathan Chang:

you know, the normal channel points.

Jonathan Chang:

So an extra point.

Jonathan Chang:

So he started kneeling it on a lot of people and it started getting better

Jonathan Chang:

and better then over time he started to realize, you know what, I actually

Jonathan Chang:

think this point is due 19 holding.

Jonathan Chang:

So then it like, so he goes to this huge discussion on how to properly locate the

Jonathan Chang:

point and how to needle the point and be like stimulus point and how the patient

Jonathan Chang:

should also do that kind of method.

Jonathan Chang:

That kind of technique to also strain their back while he's

Jonathan Chang:

like, uh, massaging the point.

Jonathan Chang:

And he used that to treat a lot of patients from like

Jonathan Chang:

patients with like back pain.

Jonathan Chang:

Uh, but it has to be related to the Taiyang channel or the do.

Jonathan Chang:

So if it's like back pain or neck pain relate to the shaoyang,

Jonathan Chang:

then he might use other points, like on the shaoyang channel.

Jonathan Chang:

So I remember once there's this guy from Columbia and came in and he's like,

Jonathan Chang:

well, I have this back pain for two days.

Jonathan Chang:

I don't know what to do.

Jonathan Chang:

I probably the channel is not talking to changes the needle do 19.

Jonathan Chang:

And then did that stimulate thing, had the patient strain this back and immediately

Jonathan Chang:

he was like, oh, I feel so good.

Jonathan Chang:

And the documents that stand up then, you know, move around.

Jonathan Chang:

And then a guy is like, I guess he's like Columbia, south America

Jonathan Chang:

and started like picking sips.

Jonathan Chang:

And he's like, he was dancing around the room, dancing around and he was loving it.

Jonathan Chang:

And then like, he left his fine after.

Michael Max:

Well, you know, this is such a great example of, you know,

Michael Max:

using your sense of inquiry first, putting your hands on somebody.

Michael Max:

It's like, what do you know, what's here?

Michael Max:

You know, what anything going on here?

Michael Max:

And then finding something and well, you know, Hey, there's something here.

Michael Max:

I wonder what this means.

Michael Max:

I wonder how we might be able to work with it.

Michael Max:

I mean, it's a great way to learn from your patients about how the body

Michael Max:

works and about how things show up.

Jonathan Chang:

I think doctor always says that his greatest

Jonathan Chang:

teachers are ours patients.

Jonathan Chang:

Like I remember there always be students would come here and like talk to him.

Jonathan Chang:

Who did you study with and Dr.

Jonathan Chang:

One and be like, you know, he did there while he was in school.

Jonathan Chang:

He did study with, there were a lot of famous teachers at his school, but he

Jonathan Chang:

always says like, you know, like his greatest teachers were like his patients.

Jonathan Chang:

And then obviously he also did a lot of research of the classics because like

Jonathan Chang:

his patients were his greatest teachers.

Jonathan Chang:

I'm sure a lot of people feel that the same way.

Jonathan Chang:

Right.

Michael Max:

Absolutely.

Michael Max:

That's totally the case.

Michael Max:

You know, the thing that I remember about Dr.

Michael Max:

Wong, that was very endearing and I so appreciate this about him.

Michael Max:

He'd run into things and you go, this, this wasn't working.

Michael Max:

And I remember him talking about like working with different things.

Michael Max:

He'd say, you know, it took me like 15 years to figure out that, you know,

Michael Max:

this, I didn't get good results doing, you know, whatever XYZ, you know, I

Michael Max:

think about it and think about it.

Michael Max:

And I read and you know, and then eventually I started to

Michael Max:

notice something in clinic.

Michael Max:

And realize, oh yeah, actually this is, this is how you use this point.

Michael Max:

Or actually, you know, you don't treat it this way.

Michael Max:

You treat it that way.

Michael Max:

And it would take him years to figure this stuff out.

Michael Max:

Right.

Michael Max:

He was very transparent about that.

Jonathan Chang:

Yeah.

Jonathan Chang:

I loved it.

Jonathan Chang:

I love to have a, he loved the process of learning too, of like

Jonathan Chang:

testing things out, figuring it out.

Jonathan Chang:

But he wanted to have like complete, like, I wouldn't say mastery of

Jonathan Chang:

that point, but like a really strong familiarity of how to use that point

Jonathan Chang:

or how to treat that specific disease.

Jonathan Chang:

And then once they grasped it at a good grasp of it, then he would

Jonathan Chang:

start talking to them about it.

Jonathan Chang:

But he never talked about things.

Jonathan Chang:

If he just had a literal idea, maybe I'd like one treatment and it worked,

Jonathan Chang:

he wouldn't be like, Hey guys, look up.

Jonathan Chang:

And he's like, you would never brag about it.

Jonathan Chang:

Like he wanted to get a really firm grasp of it before actually

Jonathan Chang:

sharing his experiences with.

Michael Max:

So from the beginning for you, you have been working with

Michael Max:

a palpatory based type acupuncture.

Michael Max:

Is that, is that right?

Michael Max:

Yes.

Michael Max:

Yeah.

Michael Max:

Okay.

Michael Max:

So you were, you were learning from Dr.

Michael Max:

Wong at the same time you were going to like regular Chinese

Michael Max:

medicine school at some point

Jonathan Chang:

to backtrack again.

Jonathan Chang:

So I remember when I, after that treatment, like, I really liked the

Jonathan Chang:

treatment doctor one did on two 19 on me.

Jonathan Chang:

I loved it so much that I went weekly for weekly treatments.

Jonathan Chang:

And then I remember just sitting after my treatment, I just sit in the waiting

Jonathan Chang:

room, just listening to lecture to all of these American students that were there.

Jonathan Chang:

So like, I that's, when I met like a FIM, I met Jason, I met Nissa, like all these

Jonathan Chang:

people, like it was a really amazing experience just to hear every lecture.

Jonathan Chang:

And then like, I didn't understand what he was really talking about.

Jonathan Chang:

Like the depth of it, like the theory.

Jonathan Chang:

It was fascinating.

Jonathan Chang:

And so then later I, I remember asking Dr.

Jonathan Chang:

I was like, Dr.

Jonathan Chang:

I'm interested in studying Chinese medicine.

Jonathan Chang:

Do you think I can do it?

Jonathan Chang:

And then he asked me.

Jonathan Chang:

Immediately just asked me how old are you?

Jonathan Chang:

And I said 26.

Jonathan Chang:

And then he said, yeah, you can study it.

Jonathan Chang:

I still don't know what he meant by that, but I was like, okay.

Jonathan Chang:

And then he's like, where do I go?

Jonathan Chang:

Where should I go?

Jonathan Chang:

And he's like, go do that Beijing university of Chinese medicine.

Jonathan Chang:

That's where I went to school.

Jonathan Chang:

So that's what I did.

Jonathan Chang:

And I remember walking into the campus and being like, because it's a small campus.

Jonathan Chang:

Right.

Jonathan Chang:

So I remember walking there.

Jonathan Chang:

I was just like, I can't believe I'm going to be here for like five years.

Jonathan Chang:

I remember he called me once, like before, right around the time the

Jonathan Chang:

school started, he was like, okay, first study, study really hard.

Jonathan Chang:

Your first year, get the foundations of Chinese medicine.

Jonathan Chang:

Like it's about that good foundation, Chinese medicine.

Jonathan Chang:

And then after your first year, then you can come to my clinic

Jonathan Chang:

and start studying with me.

Jonathan Chang:

So that's what I did.

Michael Max:

How lucky for you?

Jonathan Chang:

Yeah.

Jonathan Chang:

I didn't know how lucky I was though.

Jonathan Chang:

Like I'm so like ignorant of Chinese medicine.

Jonathan Chang:

I didn't have nothing because talk about the first real

Jonathan Chang:

Chinese medical doctor I met.

Jonathan Chang:

Right.

Jonathan Chang:

So then I thought everyone did help.

Jonathan Chang:

I thought everyone was like, doctor I'm very meticulous, you know,

Jonathan Chang:

like feel for points, you know, use these point bear combinations.

Jonathan Chang:

I thought that's all, everyone practiced in China.

Michael Max:

So what was it like for you to be in like, you know, a

Michael Max:

regular student clinic at the school where they didn't work that way?

Michael Max:

What was that like for you?

Michael Max:

When

Jonathan Chang:

Dr.

Jonathan Chang:

Ron was going to school like that his major was Chinese medicine, and

Jonathan Chang:

then they studied everything, right?

Jonathan Chang:

Like herbs, acupuncture, massage therapy, everything in a six-year program.

Jonathan Chang:

But now in China, it's differentiated into either you do, herps like

Jonathan Chang:

internal medicine or you do acupuncture in Tijuana for each field.

Jonathan Chang:

You will study everything in Chinese medicine too, but there's

Jonathan Chang:

just more of a focus right.

Jonathan Chang:

In either herbs or acupuncture.

Jonathan Chang:

So I ended up studying Herb's.

Jonathan Chang:

That was my name.

Jonathan Chang:

So in the student clinic was studying with just following a of herbalists like

Jonathan Chang:

in the gory tongue, they weren't like Dr.

Jonathan Chang:

Walter was just like, he's very good at describing what he's doing, explaining.

Jonathan Chang:

He loved teaching students.

Jonathan Chang:

First of all, he loved to explaining the theory why he was doing what

Jonathan Chang:

he's doing and explaining it to them.

Jonathan Chang:

Very clear, my students could learn something.

Jonathan Chang:

So I would go to the clinic and like, you know, they would just do post-diagnosis

Jonathan Chang:

mainly and, and then ask questions.

Jonathan Chang:

And then they see a lot of patients, but they do would leave.

Jonathan Chang:

Like, not really knowing what just happened.

Jonathan Chang:

Like I had no clue what I, what was happening, but I thought it was

Jonathan Chang:

interesting just to see patients, but I don't think I learned much

Jonathan Chang:

those times during the school clinic

Michael Max:

times.

Michael Max:

And you didn't have a huge amount of acupuncture training in this school.

Michael Max:

You were mainly doing herbs.

Michael Max:

You got your acupuncture from Dr.

Jonathan Chang:

Yeah, I really enjoyed my experience at the Beijing

Jonathan Chang:

university of Chinese medicine.

Jonathan Chang:

I thought getting the foundations and Chinese medicine was essential to actually

Jonathan Chang:

understanding Chinese medicine, but then at the same time, like finding as much

Jonathan Chang:

time as I could to spend time with Dr.

Jonathan Chang:

Ron, like I would go to two times a week at first, sometimes three times a

Jonathan Chang:

week, just skip classes just to study with them because I realized, you

Jonathan Chang:

know, like he's a very special doctor.

Jonathan Chang:

That's why I realized that the more I spent time with him.

Jonathan Chang:

So I realized that was a very like unique time.

Jonathan Chang:

And I thought that the time with them would be very limited too.

Jonathan Chang:

So I was like, I got to take advantage of this because in my

Jonathan Chang:

back of my mind, I thought I might go back to Canada eventually.

Jonathan Chang:

So I have to like take advantage of this experience with him.

Jonathan Chang:

But I thought it was a really good balance of like, I thought I needed

Jonathan Chang:

what I was learning in school.

Jonathan Chang:

Also I a study, which I wanted to get, like to understand how to treat patients.

Jonathan Chang:

I like to diagnose patients, you know, this, a central setting with that.

Michael Max:

Well, you know, in, in a student clinic, it sounds like

Michael Max:

you were mostly an urban clinics.

Michael Max:

I was wondering what it would be like to be in an acupuncture clinic where

Michael Max:

maybe they're, they've memorized patterns and they've memorized point protocols.

Michael Max:

And, you know, that's what they do

Jonathan Chang:

when you study Chinese medicine, uh, the universities here, you

Jonathan Chang:

first, like for the first year or two you're at the school click the gray tab.

Jonathan Chang:

So it's like, um, outpatient kind of place, you know, this very

Jonathan Chang:

simple, just, you know, the doc, the patients come in, the herbalist

Jonathan Chang:

writes a prescription and that's it.

Jonathan Chang:

But the last few years of your training, you end up going to the

Jonathan Chang:

hospitals, more the TCM hospitals.

Jonathan Chang:

And that's a completely different thing because then we ended up,

Jonathan Chang:

especially the last year or two were mainly in the inpatient wards.

Jonathan Chang:

So in that case, it's mainly a lot of it.

Jonathan Chang:

It's like Western medicine and some Chinese medicine depending on doctor.

Jonathan Chang:

But then once we, in our final year, once we'd start doing some rounds, like the

Jonathan Chang:

last year and a half, we do rounds in the different departments in the hospitals.

Jonathan Chang:

So I think I spent like maybe two months or six weeks in a acupuncture, outpatient.

Jonathan Chang:

And I thought it was really interesting for me.

Jonathan Chang:

It was interesting to see how they were treating patients, the teacher there, she

Jonathan Chang:

was really nice and she had really good like needling techniques at that time.

Jonathan Chang:

I already spent like three or four years with Dr.

Jonathan Chang:

Wan.

Jonathan Chang:

So I thought it was interesting just to see how she was diagnosing, just

Jonathan Chang:

using more like song food diagnosis.

Jonathan Chang:

How was

Michael Max:

that for you?

Michael Max:

Were there some things that you learned that were useful?

Jonathan Chang:

I just like seeing patients, like, I think it's just

Jonathan Chang:

very useful as the students would be exposed to as many patients as possible.

Jonathan Chang:

And just to see what other people are trying to see if it works or not.

Jonathan Chang:

And I thought it was interesting, but she was like, you know, have a

Jonathan Chang:

patient with, uh, like parsley and then you think it's like, like heart

Jonathan Chang:

and kidney is not communicating.

Jonathan Chang:

Then you use like hard seven kidney three or something like that.

Jonathan Chang:

Or it was interesting from that point of view to use like it's on food

Jonathan Chang:

diagnosis and not using any palpation.

Jonathan Chang:

And, but you know, for if they have patients with facial paralysis,

Jonathan Chang:

they would use points according to the, you know, the child pathways.

Jonathan Chang:

One thing I remember very clearly though, like why.

Jonathan Chang:

You should use a childhood patient and why channel placement for palpation

Jonathan Chang:

is very useful in a clinical setting, because then the hospital is Chinese

Jonathan Chang:

patients, especially the older, like if you're a Beijing or if you

Jonathan Chang:

have the Beijing Cuco, you can get, uh, you have healthcare, right.

Jonathan Chang:

The free healthcare, or it covers like the national health care, which covers

Jonathan Chang:

a large percentage of your treatments.

Jonathan Chang:

So people could come for frequent treatments like daily.

Jonathan Chang:

Some people come every two days, one lady would come every day for her needle.

Jonathan Chang:

And then Bagwat like, thirds are coming on her, but there's this

Jonathan Chang:

one lady I remember she was coming every day for shoulder treatment,

Jonathan Chang:

shoulder vein, like frozen shoulder.

Jonathan Chang:

And for like two weeks for the entire two weeks, I was there like every day.

Jonathan Chang:

And then I thought like, this treatment must be working so well.

Jonathan Chang:

Like she goes, she's coming every day.

Jonathan Chang:

So I asked her like, by like the second week I was like, how's your shoulder?

Jonathan Chang:

Like.

Jonathan Chang:

I was like, you mean it's better?

Jonathan Chang:

Was like, no, it was exactly same as it was when she first went

Jonathan Chang:

there, she had nothing changed.

Jonathan Chang:

And then that floored me.

Jonathan Chang:

I was just like, cause the doctor, like every time the patient would come in,

Jonathan Chang:

like, cause the doctor was really dizzy.

Jonathan Chang:

Right.

Jonathan Chang:

She'd be talking to the patient and then need only the patient,

Jonathan Chang:

like all pretty similar.

Jonathan Chang:

Obviously it was like, like her diagnosis was occurring within

Jonathan Chang:

like a minute or two minutes.

Jonathan Chang:

Like it was so quick, the patient's laying down.

Jonathan Chang:

She was like, oh you have this, this how's, this how's your sleep today.

Jonathan Chang:

Okay.

Jonathan Chang:

How's that?

Jonathan Chang:

And then like, uh, so this patient has shoulder pain.

Jonathan Chang:

I was like, oh my God.

Jonathan Chang:

Cause like, by that time I started like three or four years with Dr.

Jonathan Chang:

I was like, if this was Dr.

Jonathan Chang:

Wong, he would've known within like within two to three treatments.

Jonathan Chang:

If the treatment's not working, he would've repopulated the channels and

Jonathan Chang:

refund because his approach changed his approach and then probably would have

Jonathan Chang:

used other points or other channels.

Jonathan Chang:

So that was shocking for me actually,

Michael Max:

you know, it's useful to get a, a different point of view that way.

Jonathan Chang:

Yeah, it was, I think I was lucky.

Jonathan Chang:

Like the doctor I followed with it at that school hospital was, I

Jonathan Chang:

thought she was actually very nice.

Jonathan Chang:

And it was, I learned a little bit, I think I know there were other doctors

Jonathan Chang:

there that did other techniques where they would just needle points along

Jonathan Chang:

their entire, like, if it's a Yangming channel issue, they would need to

Jonathan Chang:

like the majority of the Yangming channel points, just like a line of

Jonathan Chang:

needles along the yummy channel room.

Jonathan Chang:

But I don't know the theory behind it, but

Michael Max:

I don't know.

Michael Max:

That sounds a little bit like carpet bombing.

Jonathan Chang:

Yeah.

Jonathan Chang:

But then I just, then I, you know, the more I was exposed to other clinical

Jonathan Chang:

practitioners, the more I realized how lucky I was to be sitting with Dr.

Jonathan Chang:

Yeah.

Jonathan Chang:

You sort

Michael Max:

of lucked out.

Michael Max:

How do you go about developing a palpatory language?

Michael Max:

How do you go about getting your hands on people and learning to

Michael Max:

make sense of what you're feeling.

Michael Max:

I mean, this is this, isn't something that you pick up in a book.

Michael Max:

This is something that you pick up in your own experience and being able to pay

Michael Max:

attention in a particular kind of way.

Michael Max:

How do you go about developing that kind of thing?

Jonathan Chang:

So the way I learned it was mainly just through just like

Jonathan Chang:

observation, just spending time with Dr.

Jonathan Chang:

Wrong.

Jonathan Chang:

I think you just, somehow you absorb it over time.

Jonathan Chang:

Like if you see I'm treating so many patients that you absorb

Jonathan Chang:

certain things that you, you realize about, he's paying attention to

Jonathan Chang:

when he's palpating the channels.

Jonathan Chang:

And then like over time, you know, this was like a nine year period of time.

Jonathan Chang:

That things start to make more sense over time.

Jonathan Chang:

And that's when, once you start applying it in your own clinic, then

Jonathan Chang:

things start to click a bit more.

Jonathan Chang:

The first thing first step is to just understand what are channels, right?

Jonathan Chang:

And then once you have understand what channels are, and then you just

Jonathan Chang:

start to Pele in those spaces that Dr.

Jonathan Chang:

Warren talks about, he likes to call them the channels are in the

Jonathan Chang:

folksy, like in the crevices and the spaces between the different tissues.

Jonathan Chang:

So as long as you're palpating in those like channel space, And you've put all

Jonathan Chang:

of your attention into like your, we use our thumbs when we probably aren't

Jonathan Chang:

you, the tips of your thumbs over time.

Jonathan Chang:

Like the more you do it, you will end up quite immediately to a lot of people can,

Jonathan Chang:

you can start feeling changes, right?

Jonathan Chang:

Like novels or like lumps or like sticks or like grainy feelings.

Jonathan Chang:

What's great about Jason's book that he did with Dr.

Jonathan Chang:

Wong is just reading about the channel chief transformation

Jonathan Chang:

and just continuously reading.

Jonathan Chang:

and what happens when there's a pathology and they, you start to

Jonathan Chang:

see different patterns, I think,

Jonathan Chang:

hello, this is Jason Robertson.

Jonathan Chang:

I hope you're enjoying the show.

Jonathan Chang:

As I said earlier, I want to talk a bit about one particular area

Jonathan Chang:

that you can palpate to get some insights into low back pain patients.

Jonathan Chang:

Uh, as some of you may know if you've seen the book that I worked on applied

Jonathan Chang:

channel theory with my teacher wants you.

Jonathan Chang:

You there's a lot in there about palpating, the distal channels

Jonathan Chang:

to get information about things that are upstream in the body.

Jonathan Chang:

And often with low back pain patients for me, I have difficulty

Jonathan Chang:

differentiating between Taiyang and shaoyang type, especially those two

Jonathan Chang:

for low back pain, hip pain patients.

Jonathan Chang:

I think, you know, And so I'm palpating down on the distal foot, you know, between

Jonathan Chang:

bladder 65, going back towards bladder 62.

Jonathan Chang:

And in this area, I want to say just a bit about one point at the moment.

Jonathan Chang:

You'd be 63.

Jonathan Chang:

And on quite a few patients with back pain, you'll find what

Jonathan Chang:

feels like a road bump there.

Jonathan Chang:

Like your thumb will go over a thickening, kind of a with Dr.

Jonathan Chang:

Wong called a law.

Jonathan Chang:

So a collateralized nodule there, but it's a road bump is another way to put it.

Jonathan Chang:

And it will almost always be on the same side as their complaint.

Jonathan Chang:

When you find that, then take your hand up and check their

Jonathan Chang:

sacroiliac joint and that area.

Jonathan Chang:

And if those two are lining up, then you're probably on

Jonathan Chang:

to a Taiyang type back pain.

Jonathan Chang:

So if that kind of information is interesting to you, we have lots

Jonathan Chang:

more like that in the book that Dr.

Jonathan Chang:

Wong and I worked on applied channel theory in Chinese medicine, and that comes

Jonathan Chang:

from Eastland press and you can get it at.

Jonathan Chang:

So I hope you enjoy the rest of the show.

Jonathan Chang:

I love hearing Michael ask his curious questions and let's get

Jonathan Chang:

back to his infectious curiosity.

Michael Max:

Yeah.

Michael Max:

So for those who don't have the benefit of having hung out with Dr.

Michael Max:

Wong, and maybe you want to start introducing some channel

Michael Max:

palpation into their work.

Michael Max:

Talk to us a little bit about how, how they might get started.

Michael Max:

I mean, you were talking about really knowing what a channel is and then

Michael Max:

how you approach it with your hands.

Michael Max:

Could you give us kind of a, a channel palpation 1 0 1

Michael Max:

from, from your point of view,

Jonathan Chang:

like what I've accounted?

Jonathan Chang:

So many students, like people who have been using dark bronze techniques,

Jonathan Chang:

some people would read-write Jason's.

Jonathan Chang:

And then there was started trying it out in their clinical practice.

Jonathan Chang:

And some people are, I think there, it did figure some things

Jonathan Chang:

out about how to do palpation.

Jonathan Chang:

They did a good job.

Jonathan Chang:

Like a lot of people, they end up taking like seminars with Jason

Jonathan Chang:

or like your theme or like Nisa or any of the other students.

Jonathan Chang:

Cause usually when we do seminars, we do like hands-on, our practice is really

Jonathan Chang:

teaching how to feel the palpation, because I think that's very useful.

Jonathan Chang:

Like what I found that when I was studying this, just having Dr.

Jonathan Chang:

Wrong, like tell me like, this is an audio and like, feel it and that you feel it.

Jonathan Chang:

And you're like, Aw.

Jonathan Chang:

Then it makes sense.

Jonathan Chang:

First of the most important thing is to understand what our channels,

Jonathan Chang:

like, we have to understand what are these spaces that we're palpating.

Jonathan Chang:

Cause I think in Chinese medicine, at least when I was in school, I had some

Jonathan Chang:

teachers that said channels do not exist.

Jonathan Chang:

Right.

Jonathan Chang:

They're just a name like recently I met a bunch of doctors and

Jonathan Chang:

I asked what are channels?

Jonathan Chang:

And they're like, oh, they're, you know, this is a place where and blood flows.

Jonathan Chang:

And I said, so, um, can you feel these channels?

Jonathan Chang:

So like, no, no, no, no, no, no.

Jonathan Chang:

You can't feel.

Jonathan Chang:

Then, how do you know that there are places where the blood flows, like

Jonathan Chang:

where is the champ blood flowing?

Jonathan Chang:

And there's just an abstract concept.

Jonathan Chang:

And then I was just starting with, well, you know, based on the doctor wants an

Jonathan Chang:

understanding of the channels, basically, which is based on what he like from his

Jonathan Chang:

readings of the classics, like the aging of the link shoe, you know, you know, we

Jonathan Chang:

say that the chancellor on the spaces.

Jonathan Chang:

So once you get this idea, it's a very simple concept,

Jonathan Chang:

channels are in the spaces.

Jonathan Chang:

So once you start putting your hands or you can use some people like using their

Jonathan Chang:

index fingers, we always use our thumbs, but once you start gliding or into those

Jonathan Chang:

spaces and just going up it and just like, same, like an even pressure, just gliding

Jonathan Chang:

up along the channel space because are feeling certain changes and fascinating.

Jonathan Chang:

Cause over time, like the more you do it, you start to record certain

Jonathan Chang:

patterns like you realized, for example, uh, when you're traveling

Jonathan Chang:

along the London, Like, obviously like people with like lung channel

Jonathan Chang:

changes and they might have problems with like respiratory issues, right?

Jonathan Chang:

Like cough or things like that.

Jonathan Chang:

But some people we find like, if you feel a lump around lung six,

Jonathan Chang:

not everyone, but some people, if they feel a lump around lung six,

Jonathan Chang:

sometimes they have like hemorrhoids.

Jonathan Chang:

Like the patient might never tell you about that.

Jonathan Chang:

But once you feel that lump, sometimes I ask the patient, do you have hemorrhoids?

Jonathan Chang:

And were like, oh yeah, yeah, yeah, yeah.

Jonathan Chang:

I do.

Jonathan Chang:

I just had a patient today where I asked Laura where that happened.

Jonathan Chang:

Like she was like, yeah, I'm like, I'm pretty healthy.

Jonathan Chang:

Overall.

Jonathan Chang:

I just had poor sleep.

Jonathan Chang:

And I had pal theater challenges.

Jonathan Chang:

She had changes on every channel so that once, while you're palpating,

Jonathan Chang:

you start to feel more changes.

Jonathan Chang:

And then you can start asking like related questions and then you get confirmation.

Jonathan Chang:

So it was quite interesting where like that patient, she had all

Jonathan Chang:

these lung channel changes, but you know, this big lump that lung six.

Jonathan Chang:

And I was like, oh, so do you have hemorrhage?

Jonathan Chang:

She was like, yeah.

Jonathan Chang:

Yeah.

Jonathan Chang:

And like feeling changes long are like, for example, pericardium channel

Jonathan Chang:

and like a big lump around TC four.

Jonathan Chang:

I was like, do you have a feeling of pressure in your chest?

Jonathan Chang:

Oh yeah.

Jonathan Chang:

Pressure in my chest.

Jonathan Chang:

So you always feel these really interesting things that I, it really

Jonathan Chang:

makes like the theory of Chinese medicine, but easier to understand.

Jonathan Chang:

That's why I found like he started palpating people because actually you

Jonathan Chang:

feel like a person, I was like spleen deficiency, and then add spleen three.

Jonathan Chang:

You can feel like sometimes it's like a deep, like empty depression.

Jonathan Chang:

Some people might have a little naughty all there.

Jonathan Chang:

And that's fascinating where she

Michael Max:

find that.

Michael Max:

I mean, these are fascinating things.

Michael Max:

And I was talking to Jason the other day and he, he was mentioning how,

Michael Max:

when you're down at the feet, if you palpated around you be 63 and you

Michael Max:

find a, he calls it a speed bump.

Michael Max:

Often there's an issue in the sacroiliac joint.

Michael Max:

Right.

Michael Max:

You can ask about, uh, back pain and that kind of thing.

Michael Max:

So it sounds like you've got a number of places where you'll you'll palpate.

Michael Max:

You'll go, oh, there's something here.

Michael Max:

And for you, that means something right.

Michael Max:

The lung six with the hemorrhoids pericardium, six chest pressure.

Michael Max:

Are there any other, I would say, you know, big, heavy hitter

Michael Max:

things that like stand out to you.

Michael Max:

Oh, if you feel this inquire

Jonathan Chang:

about.

Jonathan Chang:

But Dr.

Jonathan Chang:

Always says when, when we do pal channel palpation, usually we're

Jonathan Chang:

palpating like friends for diagnosis.

Jonathan Chang:

So when we're doing that, we usually are palpating from, for

Jonathan Chang:

example, the arms, like on this, the hand in channels we've helped.

Jonathan Chang:

They usually just from the source points to the Hersey points.

Jonathan Chang:

So from like lung nigh to lung five on the young channels, uh, we usually

Jonathan Chang:

help a further down, for example, from large intestine, uh, three.

Jonathan Chang:

And we'll probably up to the large intestine 11 on the feet.

Jonathan Chang:

Usually we palpate, like for example, the spleen channel from like spleen

Jonathan Chang:

three, up to spleen nine, like the liver channel from liver to up to liberate.

Jonathan Chang:

So usually we go, the furthest, we go is up to the, to the elbows and knees.

Jonathan Chang:

But Dr.

Jonathan Chang:

Wise says, he says sometimes some people try to focus too much on each individual

Jonathan Chang:

change and what he likes to do, he likes to look at things like big picture.

Jonathan Chang:

So for example, say you populate a person's channels and they only have lung

Jonathan Chang:

channel changes and spleen channel changes who sat at the setback and think for.

Jonathan Chang:

How has the challenge he's transformation of the lung explain

Jonathan Chang:

like the TaiYin channel system.

Jonathan Chang:

How is this related to the patient's, uh, condition?

Jonathan Chang:

So I'll give an example.

Jonathan Chang:

Like recently I had a patient who was from France.

Jonathan Chang:

She was a horseback riding coach.

Jonathan Chang:

She's been horseback riding coach for like 30 years.

Jonathan Chang:

And she, she looks like a cowboy.

Jonathan Chang:

Like she had like strong hands, like huge hands, like, and

Jonathan Chang:

like, just the way she walked.

Jonathan Chang:

Like you could tell she like spent a lot of time, spends a lot of time

Jonathan Chang:

outdoors, like really strong lady.

Jonathan Chang:

And then, uh, but she had all these drunk pains, right?

Jonathan Chang:

Like shoulder pain, knee pain, ankle pain.

Jonathan Chang:

So even though I was treating her joint pain, she had, at the same

Jonathan Chang:

time I populated her her channels and she had all these like long channel

Jonathan Chang:

changes and spleen channel changes.

Jonathan Chang:

Like, so I was asking questions that we usually ask like, oh,

Jonathan Chang:

like, uh, do you have bloating?

Jonathan Chang:

You know, like, cause we say the tiny town is related to dampness.

Jonathan Chang:

Right.

Jonathan Chang:

So.

Jonathan Chang:

When I found all these, like, changes, like bloating your stuff.

Jonathan Chang:

It's like, no, do you have heaviness in your legs?

Jonathan Chang:

No.

Jonathan Chang:

Say all these centers, like then what could her problems be?

Jonathan Chang:

Like, why are these she has, why does she have all these like tiny town changes?

Jonathan Chang:

Like, like all these lumps, like from like spleen six, all the way to splay nine.

Jonathan Chang:

So why does she have that?

Jonathan Chang:

So then I asked, because we know that the Taiyang channel is related to, in

Jonathan Chang:

terms of the external climactic T I guess, how do they say it in English?

Jonathan Chang:

So that the little tea, like climactic tea or some people say environmental GTA.

Jonathan Chang:

I think

Michael Max:

you could say it either way.

Jonathan Chang:

Okay.

Jonathan Chang:

So we know that the tiny channels related to deafness, so, which was interesting.

Jonathan Chang:

So that was like, okay, so you you've been living in France all your life,

Jonathan Chang:

so which city are you living in?

Jonathan Chang:

And she mentioned it as like, what's the climate there.

Jonathan Chang:

Like she says, it's very depth.

Jonathan Chang:

She's like, and she said, it's unbearably damp.

Jonathan Chang:

And then she said, and I was like, oh really?

Jonathan Chang:

And they said, when it gets really depth, then all of her joint pain gets.

Jonathan Chang:

I imagine that.

Jonathan Chang:

Yeah.

Jonathan Chang:

So that, for me, that was awesome.

Jonathan Chang:

I was like, that's perfect.

Jonathan Chang:

So then, like, it's just shows that like, you know, the tiny channel, we

Jonathan Chang:

say it regulates stiffness in the body.

Jonathan Chang:

And for me, that just confirms so much of what we, they say in the classics.

Michael Max:

Yeah.

Michael Max:

So, so in this case, it wasn't her digestive system necessarily.

Michael Max:

It's just a systemic issue with dealing with dampness

Michael Max:

happens to settle on her joints.

Jonathan Chang:

Yeah.

Jonathan Chang:

Yeah.

Jonathan Chang:

We have a Facebook agent, Jason shared, uh, one of his clinical cases

Jonathan Chang:

about treating a person with, um, uh, demon, the legs, and then using like

Jonathan Chang:

Yangming child points to treat that.

Jonathan Chang:

But you know, usually when we see people with the demon, the legs, and

Jonathan Chang:

we think it's a tiny channel, it's very clearly related to dampness, right?

Jonathan Chang:

Like it's actually, you can physically feel and see the dampness.

Jonathan Chang:

And if you populate the channels, you can feel changes too on like the tiny towns.

Jonathan Chang:

So that case it can be very clear too.

Jonathan Chang:

Right?

Jonathan Chang:

So like there's so many things with, uh, uh, town hall

Jonathan Chang:

patient that you can find that.

Jonathan Chang:

Uh, once you think like big picture, I recommend, like, if you say, for

Jonathan Chang:

example, tiny jails relate to dampness, like it's related to water metabolism.

Jonathan Chang:

So if you ever see any patients with problems with like water metabolism,

Jonathan Chang:

one of the channel systems that you can consider as the Taiyang

Jonathan Chang:

channel, but we need to confirm is it actually the tiny child that's

Jonathan Chang:

involved and we confirmed through

Michael Max:

palpation because it could be the kidney channel or it

Michael Max:

could be the urinary bladder channel.

Michael Max:

I mean, there's different, right?

Michael Max:

So it's a way of dialing in where is that a DEMA coming from?

Michael Max:

And then

Jonathan Chang:

if you start thinking like what illnesses can be related to deafness

Jonathan Chang:

and it's like a huge range of them, right?

Jonathan Chang:

Like from skin disorders to like Adima to like, you know, like bloating, we

Jonathan Chang:

say to digestion issues to like, um, like so many things I can find like

Jonathan Chang:

gynecological issues, like so many things, but then at the same time

Jonathan Chang:

grasping earlier is that sometimes like over time, the more you palpate

Jonathan Chang:

it, then overtime you, based on your clinical experience, you start to notice

Jonathan Chang:

certain patterns, like certain things, just stick out a bit more at certain.

Jonathan Chang:

I wouldn't say it's like a, like a direct relationship, but sometimes

Jonathan Chang:

you'll find that, oh, for example, Dr.

Jonathan Chang:

Wong says the heart channel is related to the endocardium

Jonathan Chang:

and the valves of the heart.

Jonathan Chang:

So like, like mitral valve and tricuspid valves and also like the,

Jonathan Chang:

um, the conductivity of the heart.

Jonathan Chang:

So sometimes we noticed like people, if they have like, like a problems with

Jonathan Chang:

like the mitrovalve, like mitrovalve like stenosis, or like, it's not like

Jonathan Chang:

regurgitation, it's not closing properly.

Jonathan Chang:

Sometimes you can feel like changes at like the heart seven area or something.

Jonathan Chang:

Yeah.

Jonathan Chang:

I've heard of people

Michael Max:

that do certain kinds of pulse diagnosis.

Michael Max:

They'll diagnose it through the pulse, which is right, right in that

Jonathan Chang:

area.

Jonathan Chang:

So like, those are like, sometimes we'll just help like that.

Jonathan Chang:

And like, the patient might not tell you about this issue with their

Jonathan Chang:

heart, but then once you feel that, and you're like, why do you have

Jonathan Chang:

this like, really thick thing here?

Jonathan Chang:

And then, then you ask, well, do you have a problem with like your heart?

Jonathan Chang:

And like, oh yeah.

Jonathan Chang:

Like, you know, you know, I like rubber, tired, uh, arthritis and like

Jonathan Chang:

the heart, like when I was younger, So it's quite, it's quite fascinating.

Jonathan Chang:

Yeah.

Michael Max:

So you said when you're palpating in that

Michael Max:

area, it's kind of thicker,

Jonathan Chang:

I a counter patient with this issue for a while, but

Jonathan Chang:

yeah, sometimes it felt like a thicker kind of like stick your FEMA.

Jonathan Chang:

Doesn't like to use the word a terminology stick.

Jonathan Chang:

He likes to call it more like spaghetti or a noodle, like

Jonathan Chang:

a thick noodle in that area.

Jonathan Chang:

I actually, my dad who has like, um, the heart muscle, he has like a hole,

Jonathan Chang:

like in between the two chambers to the chambers in the heart muscle.

Jonathan Chang:

So he actually has like that kind of stick, like a fixed

Jonathan Chang:

stick actually on his PC seven.

Jonathan Chang:

And doctor one says the pericardium channels relate to the cardiac muscles,

Michael Max:

especially right there by the wrist is found.

Jonathan Chang:

So like, yeah.

Jonathan Chang:

So I think over time you start to pick up things like, just like, for

Jonathan Chang:

example, some people, uh, specialize more in treating certain issues like Dr.

Jonathan Chang:

Wong has a student here and apprentice here, uh, Dr.

Jonathan Chang:

and she specializes in doing, treating children with a

Jonathan Chang:

channel theory channel system.

Jonathan Chang:

So she has picked up so many, so much, like information, like knowledge,

Jonathan Chang:

just based off of experience of treating patients with, like, for

Jonathan Chang:

example, constipation, we see the different patterns of constipation.

Jonathan Chang:

I think over time you start to feel similar changes on the campus and

Jonathan Chang:

gradually you start to develop and understanding what these changes might.

Jonathan Chang:

So it

Michael Max:

sounds like what's helpful is just put your hands on

Michael Max:

people continually put your hands on.

Michael Max:

People, pay attention, look for

Jonathan Chang:

patterns.

Jonathan Chang:

Yeah.

Jonathan Chang:

And also just continually read about like what channel theory is like, what

Jonathan Chang:

his challenge, his transformation.

Jonathan Chang:

One thing I like to do, like much, whether I have nothing to do, like if

Jonathan Chang:

I'm just walking around or I'm in like the buses or like somewhere, like you

Jonathan Chang:

start to think about, like, we talked about the Taiyang channel system, the

Jonathan Chang:

drain channel system, the shine Genesis and like the Yangming shaoyang Taiyang.

Jonathan Chang:

So when, once you start thinking about the channels, like channel

Jonathan Chang:

systems, and what I like to do is start to start thinking about why

Jonathan Chang:

are there long channels and spleen channels put into the tiny channels?

Jonathan Chang:

Why is the pericardium channel and liver channel paired into the drain

Jonathan Chang:

tile system and so on and so forth.

Jonathan Chang:

And then once you start to understand why they're put together, why they have this

Jonathan Chang:

kind of synergistic relationship, I think things start to make a bit more sense,

Jonathan Chang:

especially clinically and also helping you to interpret what you're finding is some

Michael Max:

health patient.

Michael Max:

So when you talk about channel chief transformation and you're talking, I

Michael Max:

mean, when I hear you say things like the tie in the Dre in the Yangming,

Michael Max:

that kind of thing, I mean, you're basically talking about, you know, what,

Michael Max:

here in English we think of as like the six levels or the six confirmations.

Michael Max:

So when you say you're thinking about channel chief transformation,

Michael Max:

what do you mean by that?

Michael Max:

What do you mean about the transformation between these different levels?

Michael Max:

What are you thinking

Jonathan Chang:

about?

Jonathan Chang:

So just again, I'll go back to the Taiyang channel system.

Jonathan Chang:

So like Dr.

Jonathan Chang:

Mani talks about the, you know, the channels, like he, he says

Jonathan Chang:

the channels can not be separated from their related song or food.

Jonathan Chang:

Right.

Jonathan Chang:

Like they're inseparable, like the, the, the channels help carry out

Jonathan Chang:

the functions of the, the Oregon.

Jonathan Chang:

So the on for Oregon's are the source.

Jonathan Chang:

Whereas the, uh, the channel systems that word, like all the physiological

Jonathan Chang:

processes occur in the body.

Jonathan Chang:

So like, for example, let's talk about the Taiyang channel system.

Jonathan Chang:

Like, how do we understand what the system is?

Jonathan Chang:

For example, we say the lung, what does the lung do?

Jonathan Chang:

We say governance cheat.

Jonathan Chang:

And we know that through respiration, like moving sheet outwards and

Jonathan Chang:

downwards helps regulate the movement of T outwards and downwards.

Jonathan Chang:

And the same time we say that the, the lung channel like Dr.

Jonathan Chang:

Lori loves to say the governance of the rhythms of the body.

Jonathan Chang:

How does it govern?

Jonathan Chang:

The rhythms is probably also through its functions of respiration.

Jonathan Chang:

And I think that's why, you know, like Chico works.

Jonathan Chang:

Because it helps right.

Jonathan Chang:

By all the organs, right?

Jonathan Chang:

Like they're probably people practice, she go and then like, while they're

Jonathan Chang:

doing it suddenly, like, you know, their, their stomach starts to girdle, right.

Jonathan Chang:

It starts to make noises or like, uh, Dr.

Jonathan Chang:

Would have patients and they would have like, um, heart palpitations.

Jonathan Chang:

And sometimes he would not use the heart channel, but instead if he found a change

Jonathan Chang:

at lung nine and he thought it was related to the lung channel, he might just use

Jonathan Chang:

lung nine to treat the heart palpitations.

Jonathan Chang:

And that's related to the lungs, uh, relationship with regulating

Jonathan Chang:

the rhythms of the body.

Jonathan Chang:

Whereas the spleen though, the spleen channel, we say that

Jonathan Chang:

it regulates, you know, the transportation transformation right.

Jonathan Chang:

Takes like the nutrients that the stomach absorbs and helps to spread

Jonathan Chang:

these nutrients throughout the body.

Jonathan Chang:

But then how does it spread these nutrients throughout the body?

Jonathan Chang:

It requires like the lunchy.

Jonathan Chang:

So the lung.

Jonathan Chang:

It helps move all these nutrients throughout the body, to the skin, to the

Jonathan Chang:

muscles, to all the different organs.

Jonathan Chang:

So they have this very close kind of synergistic relationship.

Jonathan Chang:

So what happens if there's something with like lung QI deficiency

Jonathan Chang:

or spleen sheet efficiency?

Jonathan Chang:

So is there a problem with like, um, the water metabolism?

Jonathan Chang:

So probably with like regulating dampness in the body, then that

Jonathan Chang:

can lead to a lot of issues.

Jonathan Chang:

And a lot of, like, for example, we were saying earlier, like at DEMA

Jonathan Chang:

to like eczema, to like respiratory issues, to like bloating to D uh,

Jonathan Chang:

all of these things, even some, uh, gynecological issues like asthma

Jonathan Chang:

amenorrhea, things like that.

Jonathan Chang:

When you palpate you find changes on these channels and then you can regulate

Jonathan Chang:

the tiny channel help with this movement, like moving along T and through that

Jonathan Chang:

also moving like, you know, the spleen nutrients throughout the body too.

Jonathan Chang:

And then once you help the tiny child regain its balance, then you

Jonathan Chang:

know, things seem to fall into place.

Michael Max:

Yeah.

Michael Max:

Any of the channels you could apply this kind of thinking too, you

Michael Max:

could apply this sort of inquiry

Jonathan Chang:

to definitely, definitely.

Jonathan Chang:

Cause then what's like why I find it so useful is that once you start to

Jonathan Chang:

like understand or try to think about it, like why they're in the system

Jonathan Chang:

together and pair together in the system that helps so much clinically

Jonathan Chang:

it's so useful that it takes time.

Jonathan Chang:

Like, I would say that it took me a number of years to actually really understand it.

Jonathan Chang:

And you have to use it on your patients.

Jonathan Chang:

What helped with me actually like, um, like studying with Dr.

Jonathan Chang:

Ron for all the, like the like four or five years at first.

Jonathan Chang:

And then like, we may, we may, and I went to talk to this other American students.

Jonathan Chang:

We helped them on compiling a bunch of his case studies.

Jonathan Chang:

So analyzing those case studies was very useful for me.

Jonathan Chang:

Like once I started actually sitting down writing about

Jonathan Chang:

these case studies, like why Dr.

Jonathan Chang:

Oz selected those boys?

Jonathan Chang:

Why did he select those channels?

Jonathan Chang:

Then things start to click that more.

Jonathan Chang:

Yeah.

Michael Max:

The case studies are great.

Michael Max:

So the jury in channel.

Michael Max:

To me is a little mysterious.

Michael Max:

It's.

Michael Max:

I mean, it's one of those channels where I kind of look at and I, and I kind of

Michael Max:

come up in my head and I kind of go tilt.

Michael Max:

It's one of those things.

Michael Max:

That's just, I don't know.

Michael Max:

I haven't really dialed it

Jonathan Chang:

in.

Jonathan Chang:

And then I know, I totally know what you mean.

Jonathan Chang:

Yeah.

Michael Max:

Yeah.

Michael Max:

So I'd love to get your riff on the Dre in channel in the way that you

Michael Max:

just talked about the tie in channel.

Michael Max:

Of course, granted your idea about it may change as you get more

Michael Max:

clinical experience, but I'd love to get your take on it at this moment

Jonathan Chang:

in time.

Jonathan Chang:

Okay.

Jonathan Chang:

This is also basically, you know, all the discussions with Dr.

Jonathan Chang:

All the lectures from Dr.

Jonathan Chang:

Raza.

Jonathan Chang:

I will simplify it very briefly.

Jonathan Chang:

So Patreon channel, we say it's related to the pericardium and the liver, right?

Jonathan Chang:

It's a pericardial channel of liver channels together.

Jonathan Chang:

So the pericardium it's very important.

Jonathan Chang:

Like how does Dr.

Jonathan Chang:

Wong understand what the pericardium channel or what is the pericardium.

Jonathan Chang:

So, this is also again where it goes back to when you're matching, you

Jonathan Chang:

have to put your hands onto your page.

Jonathan Chang:

It's a feeling things.

Jonathan Chang:

So over time doctor, when I started to realize that the pericarp

Jonathan Chang:

channel is related to the muscles of the heart and also related

Jonathan Chang:

to the coronary heart vessels.

Jonathan Chang:

So that's once he, he started having this understanding of the heart,

Jonathan Chang:

like the pericardium as relates to the heart muscles and related to the

Jonathan Chang:

cardiac heart vessels, that really changed his understanding of how I

Jonathan Chang:

think how the drain channel works.

Jonathan Chang:

Cause then there's another saying in like the chapter 10 of these spiritual

Jonathan Chang:

pivot, the link shoe, where they say that, uh, the pericardium governs illnesses

Jonathan Chang:

related to the vessels in the body.

Jonathan Chang:

So Dr.

Jonathan Chang:

Lime, like he would just say, okay, so the pericardium, we say

Jonathan Chang:

it's really to the heart muscle.

Jonathan Chang:

And then, okay.

Jonathan Chang:

So if it's a pair of garners related to treating problems with the

Jonathan Chang:

festivals, then we could say the pair of comments relate to this whole

Jonathan Chang:

blood vessel system and the body.

Jonathan Chang:

I remember a long time ago, I went to the, in Beijing, there's

Jonathan Chang:

this museum of natural history.

Jonathan Chang:

And they, this whole like, like a warehouse of like, of like just anatomy

Jonathan Chang:

and then what, like specimen, I guess you could call it up like a body

Jonathan Chang:

scan, no muscles, no bones, no nerves.

Jonathan Chang:

And just the blood vessels.

Jonathan Chang:

I just had that picture in mind.

Jonathan Chang:

I was like, oh, and that maybe is that the pericardium channel

Jonathan Chang:

system, does that include that?

Jonathan Chang:

So what is the liver then?

Jonathan Chang:

The liver chances and what is the liver?

Jonathan Chang:

So for him, the liver is a place like, we always say it stores bladder, right.

Jonathan Chang:

But for Dr.

Jonathan Chang:

Ron, it's not like a passive storage of blood.

Jonathan Chang:

What happens when the blood enters the liver and is purified, it's like filtered

Jonathan Chang:

and purified and it's detoxified.

Jonathan Chang:

And then we say the liver, because it's the general acid, then assign

Jonathan Chang:

that blood to all parts of the.

Jonathan Chang:

And how does that blood get transported throughout the body and

Jonathan Chang:

needs the PA through the per card?

Jonathan Chang:

And these, the heart beating of the pumping of the heart, Jesus

Jonathan Chang:

force it throughout the body.

Jonathan Chang:

What is even more fascinating is when document starts talking

Jonathan Chang:

about the San Jiao, right?

Jonathan Chang:

This the shaoyang, why is the shy, unrelated to the drain?

Jonathan Chang:

The drain has more related to, like, we can say the purification by the

Jonathan Chang:

feeling of blood, you know, that re maintain the quality of blood, but also

Jonathan Chang:

moving the blood throughout the body.

Jonathan Chang:

But at the same time, if that's an interior exterior parents trip with

Jonathan Chang:

the shaoyang that want to understand the shaoyang is more late to this

Jonathan Chang:

understanding of this NGO triple burner.

Jonathan Chang:

Right?

Jonathan Chang:

So for Dr.

Jonathan Chang:

Wong, I'll just say very simply that, uh, for him, his understanding of the

Jonathan Chang:

sand gel, that he believes is related to a lot, the memories of the body, like

Jonathan Chang:

all the different connective tissues, all these different membranes, I guess

Jonathan Chang:

people right now are really excited.

Jonathan Chang:

And the TCM world about talking about the interstitium.

Jonathan Chang:

So maybe that's that could possibly be included in the San Diego SIS.

Jonathan Chang:

I don't want to say anything, uh, clearly clear kind about that in Chinese medicine,

Jonathan Chang:

we say that Sandra is also the, like the pathway for source sheet, right.

Jonathan Chang:

And the source she originates from the kidney.

Jonathan Chang:

And then it has two pathways.

Jonathan Chang:

It either goes to the Taiyang to the exterior of the body, or it goes

Jonathan Chang:

through the San Jo and transports throughout the body for Dr.

Jonathan Chang:

Ron, he always says, okay, so the sand gel is related to the membrane.

Jonathan Chang:

And he was like, he always asked the students when they were

Jonathan Chang:

listening to this class, he'd be like, so where are the memories?

Jonathan Chang:

The memories are everywhere, right?

Jonathan Chang:

There are over, around all of them, the muscles around all the

Jonathan Chang:

different tissues of the body.

Jonathan Chang:

So if this is where she's going to get like memories going all

Jonathan Chang:

throughout all the parts of the body, all traps is in the body.

Jonathan Chang:

But at the same time, which are the dreams related to like the pericardium

Jonathan Chang:

is related to the best, right?

Jonathan Chang:

We can say the shaoyang is related to like the cheap movement of tea in the body.

Jonathan Chang:

Whereas the drain is related to like the circulation of blood, but also

Jonathan Chang:

the maintenance maintenance of like.

Jonathan Chang:

So that's why we can say why that drain and ShaoYin are paired together.

Jonathan Chang:

It's kind of like a and blood kind of relationship

Michael Max:

totally makes sense when you listen to it that way, doesn't

Jonathan Chang:

it.

Jonathan Chang:

You know, this is over the countless discussions with Dr.

Jonathan Chang:

Wentz, seeing him using a class, analyzing his cases, and then I'm on my

Jonathan Chang:

own treating patients, not knowing what was going on, but just trusting what I

Jonathan Chang:

was doing with palpation and overtime.

Jonathan Chang:

You gather all this information and you start seeing the patterns you

Jonathan Chang:

start saying, oh, this is a patient.

Jonathan Chang:

You know, like we say, the drains relate to circulation blood, right.

Jonathan Chang:

Main is the blood.

Jonathan Chang:

But then what are some of the main illnesses that we see relate to the drain?

Jonathan Chang:

It's like blood stagnation, right.

Jonathan Chang:

Or blood deficiency.

Jonathan Chang:

Right.

Jonathan Chang:

And what's interesting when we talked about the drain, I forgot to mention

Jonathan Chang:

is that we say the drain relates, which environmental cheat is it

Jonathan Chang:

related to it's related to wind.

Jonathan Chang:

But usually when we talk about wind in the clinical setting, usually when is

Jonathan Chang:

related to like the Taiyang or Taiyang.

Jonathan Chang:

Rarely do we see like external wind relate to the drain?

Jonathan Chang:

I think,

Michael Max:

oh no.

Michael Max:

We think we think of it more as an internal wind that

Michael Max:

comes from the jury yet.

Michael Max:

Right,

Jonathan Chang:

right, right.

Jonathan Chang:

Right.

Jonathan Chang:

So then that's what Dr.

Jonathan Chang:

Is like, but clinically we see that a wind is usually that

Jonathan Chang:

internal wind and the drain.

Jonathan Chang:

So maybe we could say something's bled deficiency.

Jonathan Chang:

Right.

Jonathan Chang:

So people have like ticks or twitches or, you know, things like that.

Jonathan Chang:

Or like moving pain, like that wind pain.

Jonathan Chang:

It's quite interesting.

Jonathan Chang:

So like for the, all, a lot of the illnesses we see relate to the drain.

Jonathan Chang:

A lot of times it could be like blood deficiency or blood stagnation, uh,

Jonathan Chang:

and even like a lot patients, doctors, and also Metro, a lot of patients with

Jonathan Chang:

like varicose veins, he believes that the root of the problem with varicose

Jonathan Chang:

veins is related to the drainage system because of blood stagnation.

Jonathan Chang:

Yeah.

Jonathan Chang:

Like just the blood disaster circulating properly.

Jonathan Chang:

Or he also says that what we're saying early, right?

Jonathan Chang:

Like the pear Carter's were like, let's the pop, like it moves the blood.

Jonathan Chang:

So the blood is not moving properly in the body.

Jonathan Chang:

At the same time, we said the pericardium was related to the vessels

Jonathan Chang:

in the body doctor also pleasing.

Jonathan Chang:

Or like we say that the.

Jonathan Chang:

The liver governance, the sinews and the body.

Jonathan Chang:

So you could kind of almost see like these, these blood vessels kind of

Jonathan Chang:

like us in YouTube, like the varicose veins to like, like the valves in it.

Jonathan Chang:

So he says it's related to the blood sick nation to

Michael Max:

wow.

Michael Max:

How so?

Michael Max:

How would he treat

Jonathan Chang:

varicose veins?

Jonathan Chang:

So the varicose vein patients we've I saw him treated, there may be

Jonathan Chang:

not too many, like three or four.

Jonathan Chang:

Uh, so a lot of people we had they'd have symptoms related to the varicose vein.

Jonathan Chang:

So sometimes they have problems of like swelling in the legs.

Jonathan Chang:

Like the legs would feel very heavy and swelling.

Jonathan Chang:

So Dr.

Jonathan Chang:

Ron was not a proponent of just bleeding the life vessels.

Jonathan Chang:

Cause I think in China is very popular.

Jonathan Chang:

There's some places where they just have people just stand on like newspaper

Jonathan Chang:

and then just bleed all of the varicose veins and Gorge Veys and just let it,

Jonathan Chang:

the blood just trickle down the legs.

Jonathan Chang:

Dr.

Jonathan Chang:

Ron thinks that doesn't treat the root of the problem.

Jonathan Chang:

So for his patients, he would use like depending on palpation and

Jonathan Chang:

again, it goes back to palpation.

Jonathan Chang:

I remember very clear there are two patients.

Jonathan Chang:

So one patient he found based on palpation.

Jonathan Chang:

Yeah, varicose veins for a number of years.

Jonathan Chang:

And doctor will mainly use the drainage channel system or during channel points

Jonathan Chang:

and the patient had drain shallow changes.

Jonathan Chang:

So I think he used points like liver eight and TC three.

Jonathan Chang:

He might've used liver three, two, or liver five.

Jonathan Chang:

I don't remember it, but it was, he would use like a same name, channel

Jonathan Chang:

point pair combinations like PC three and liberate probably is the main point

Jonathan Chang:

pair of combination he would use to help regulate the drain house system,

Jonathan Chang:

help move the blood in the body and the patient over time, he got much better.

Jonathan Chang:

Like he used to like take a plane and you have so much pain in his legs.

Jonathan Chang:

Or he would go to like a place of high altitude.

Jonathan Chang:

He went like Tibet arching high and he had pain.

Jonathan Chang:

Like he wouldn't be able to walk for a long period of time.

Jonathan Chang:

But after those streams, he was fine.

Jonathan Chang:

But like the varicose veins were still there.

Jonathan Chang:

Like you could see that there was still a fair cause phaser.

Jonathan Chang:

And then Dr.

Jonathan Chang:

Ron did say, they said, if this patient continues the treatments,

Jonathan Chang:

cause the patient felt so much better.

Jonathan Chang:

The symptoms bothering them were improved is like, I'll use like funneling.

Jonathan Chang:

Um, firstly, I never saw use that for that another patient, they will also

Jonathan Chang:

add varicose veins and her main issue was also like bloating heaviness in the

Jonathan Chang:

legs, but she had mainly tying and drain channel symptoms or a channel changes.

Jonathan Chang:

So he used like, again, PC three liberate as a main point pair

Jonathan Chang:

combinations, but he added spleen nine.

Jonathan Chang:

And again, her symptoms that heaviness in the lakes also got much better too.

Jonathan Chang:

Um, recently I treated a patient also with varicose things like, and he

Jonathan Chang:

actually had like one of those like, um, ulcers, like varicose ulcers on his

Jonathan Chang:

like ankle around like liver four area.

Jonathan Chang:

And he had it for about two years.

Jonathan Chang:

He was getting Western medical treatment, but then he, it was related

Jonathan Chang:

to like his varicose fancy, like he had varicose veins for a number of years.

Jonathan Chang:

Like he was always going to very cold climate.

Jonathan Chang:

So his blood circulation was really bad.

Jonathan Chang:

So I remember I was just like health patient again has

Jonathan Chang:

made liver channel change.

Jonathan Chang:

He also had signs of like, we would say blood stagnation or like stagnation,

Jonathan Chang:

the drain channel, and one very common symptom of if you have like

Jonathan Chang:

stagnation and like the drain channel, sometimes stagnation can lead to heat.

Jonathan Chang:

If there's heat, it can lead heritability or anger.

Jonathan Chang:

So he had a lot of anger too, like at the tip of his tongue was bad.

Jonathan Chang:

Cause entire tongue was like, purple.

Jonathan Chang:

So I just thought that's like, let's say Ignation.

Jonathan Chang:

So I just use based on validation, I use like PC three

Jonathan Chang:

and liver eight as a main point.

Jonathan Chang:

And I added like liver five to, and over the course of their treatments, like,

Jonathan Chang:

uh, like once a week for a month or two a month or so like six weeks, he's like,

Jonathan Chang:

oh my legs don't feel as bloated anymore.

Jonathan Chang:

They actually shrunk in size.

Jonathan Chang:

Like they used to feel like we were all like, oh my God, am

Jonathan Chang:

I even the color of his legs?

Jonathan Chang:

I changed.

Jonathan Chang:

They're always, at first they're always this kind of like pasty yellow look.

Jonathan Chang:

And then over time it just became a more pale, like as normal complexion.

Jonathan Chang:

And then also he was like, and look at me, look at my foot.

Jonathan Chang:

And we all looked at his face.

Jonathan Chang:

He like in the past, like the veins, like the normal things on

Jonathan Chang:

his feet, like you couldn't see.

Jonathan Chang:

But over the course of the streams, they started to appear.

Jonathan Chang:

So for me, that was an amazing, I was like, oh my God, like Dr.

Jonathan Chang:

Mom is right.

Jonathan Chang:

Like, like gold, like clinical practice now is to like, just

Jonathan Chang:

prove everything I learned with Dr.

Jonathan Chang:

Wong is right.

Jonathan Chang:

And then like just testing it out and testing out.

Jonathan Chang:

And then each time I do that, I'm like, oh my God, like, I'm

Jonathan Chang:

reproducing what Joshua was doing.

Jonathan Chang:

And for me, that shows like this is working, this stuff works,

Michael Max:

works well.

Michael Max:

And then it lays a foundation.

Michael Max:

So as you continue to gather clinical experience, you'll

Michael Max:

find things on your own.

Michael Max:

I mean, we all do, right.

Michael Max:

So things that show up again and again, and we go, wait a minute.

Michael Max:

I, I I've seen this,

Jonathan Chang:

but there are two things.

Jonathan Chang:

I remember when Dr.

Jonathan Chang:

Juan was talking about his clinical practice.

Jonathan Chang:

Like when he first started studying Chinese medicine,

Jonathan Chang:

started using Chinese medicine.

Jonathan Chang:

At first, he was treating patients based on the textbook methods.

Jonathan Chang:

You know, the port protocols.

Jonathan Chang:

Then once he found that it wasn't that effective, he started

Jonathan Chang:

going back to the classics.

Jonathan Chang:

He started memorizing a lot of those acupuncture.

Jonathan Chang:

And then over time, like those, those Poincare combinations and those bones

Jonathan Chang:

were useful, but not always useful, but he's like, there's something missing.

Jonathan Chang:

Like maybe my diagnosis is not correct.

Jonathan Chang:

Then he went further back to the classics and then he started reading

Jonathan Chang:

about, you know, channel theory, channel palpation, all this stuff.

Jonathan Chang:

And then he, he said in the 1960s, early sixties, he published one article

Jonathan Chang:

for his hospital about the treatment of migraines, this one who was like

Jonathan Chang:

in his mid twenties or something.

Jonathan Chang:

But after that, he never wrote for like a 20 year period.

Jonathan Chang:

He didn't publish anything else.

Jonathan Chang:

Cause all he did was he, he just focused up for 20 years just researching and

Jonathan Chang:

developing applied channel theory.

Jonathan Chang:

And then once he had this firm grasp of it, is that okay now I can like,

Jonathan Chang:

I'm confident that this works and I'm going to, I can share this with people.

Jonathan Chang:

So like that's how patient he was to do.

Jonathan Chang:

That is amazing because.

Jonathan Chang:

In modern society.

Jonathan Chang:

I don't think people would do that, right?

Michael Max:

No, I, you know, I think so often you want to go to a weekend

Michael Max:

workshop and then on Monday you're like almost a master, you know?

Michael Max:

I mean, w w when I hear you talk about Dr.

Michael Max:

Wong doing this, and, and I've heard some of these stories too, and some of the

Michael Max:

time that I've sat with him, I mean, for me, it's very inspirational because Dr.

Michael Max:

Wong became a master, but he became a master by being a really

Michael Max:

hardworking journeymen for a long, long, long, long time.

Michael Max:

Your work it in, in, you look at the stuff that doesn't work yet.

Michael Max:

And, and you go back and you try to puzzle it over and you don't get it in a

Michael Max:

weekend and you don't get it in a year.

Michael Max:

In fact, maybe you start to dial it in after a decade.

Michael Max:

This, you know, it takes a long time to learn

Jonathan Chang:

this stuff.

Jonathan Chang:

Definitely does.

Jonathan Chang:

I remember I was talking to Dr.

Jonathan Chang:

Wang's wife recently, we call her Shemu.

Jonathan Chang:

She's just, he always, she always loves telling us, you know, Dr.

Jonathan Chang:

Wan he never watched it.

Jonathan Chang:

One TV show in his.

Jonathan Chang:

The moment you go home, like you would just start reading.

Jonathan Chang:

Like he was always reading.

Jonathan Chang:

He always was reading something.

Jonathan Chang:

And then she said like at night when they put the kids to bed, like if they lived

Jonathan Chang:

in a really small apartment, um, he had two children's has two children and he

Jonathan Chang:

didn't have like an office to study it.

Jonathan Chang:

So he would take this like cutting board and put it over the sink.

Jonathan Chang:

When I pull out his books and just sit there all night, just reading,

Jonathan Chang:

just reading and researching, writing all into like the, you know,

Jonathan Chang:

the early hours of the morning.

Jonathan Chang:

He's like another student.

Jonathan Chang:

She always has retails this story too.

Jonathan Chang:

She's like talk to my mom, always told me that before going to

Jonathan Chang:

bed, he'd have his book and he'd be lying down, reading a book.

Jonathan Chang:

And then first thing you know, is just going to read and then go to sleep.

Jonathan Chang:

And then he read something and he'd get more fascinated, more inches of books.

Jonathan Chang:

So they stood up in the.

Jonathan Chang:

And then gradually he sit onto the edge of the bed and gradually moved to his

Jonathan Chang:

desk and just, just keep on reading until like three, four in the morning.

Jonathan Chang:

And that was his day.

Jonathan Chang:

And then he'd like go to sleep for a few hours to go back to work

Jonathan Chang:

and like, repeat just like that, the curiosity in his wine and like

Jonathan Chang:

never, just always fascinated by it.

Jonathan Chang:

And I think Jason mentioned this also in like, in your discussion with them,

Jonathan Chang:

like even up until then, like he was still thinking about Chinese medicine,

Jonathan Chang:

all like constantly, like that was him.

Jonathan Chang:

That was his life, his passion.

Michael Max:

Well, I appreciate you taking the time today to share some of

Michael Max:

your experience, your clinical experience and your experience, getting to study

Michael Max:

with this amazing teacher that we had.

Michael Max:

It's so sad that he's gone and we're so lucky to have

Michael Max:

the time with him that we did.

Jonathan Chang:

There's one thing I wanted to add was that like, if it's not working,

Jonathan Chang:

like if what I'm doing clinically is not working, I never blame the theory.

Jonathan Chang:

I never blame hesitation or I never blame channel theory.

Jonathan Chang:

I always blame myself for not properly.

Jonathan Chang:

So then what I say is I have to like, maybe my approach was wrong.

Jonathan Chang:

So I reevaluate my approach and they repopulate the channels.

Jonathan Chang:

Now I've realized that if you really stick to it over time with each

Jonathan Chang:

individual patient over time, if they're patient with you too, you

Jonathan Chang:

know, over time, you can figure it out.

Jonathan Chang:

And palpation is like your guide in the clinic.

Jonathan Chang:

Eventually help you figure it out.

Michael Max:

That's great advice, John.

Michael Max:

Thank you so much for hanging out with me today.

Michael Max:

Um, I'm inspired to get to clinic this afternoon and uh, I mean, I always love

Michael Max:

getting my hands on people anyway, but it's just, it's so wonderful to be able

Michael Max:

to have a conversation like this and just be reminded and reinvigorated about it.

Jonathan Chang:

I don't know if you know this, but like in August 5th

Jonathan Chang:

is the one-year anniversary of Dr.

Jonathan Chang:

Rollins passing.

Jonathan Chang:

That's crazy.

Jonathan Chang:

That's already been a year.

Jonathan Chang:

As you know, it's inspiring for me that Dr.

Jonathan Chang:

Williams knowledge can still be passed on to future generations and that people

Jonathan Chang:

are still interested in studying this.

Jonathan Chang:

One of the last few conversations I had with Dr.

Jonathan Chang:

Long is one of his fears.

Jonathan Chang:

He actually has told me that.

Jonathan Chang:

I'm afraid that you're after, you know, but this will not continue.

Jonathan Chang:

Like, like his legacy will not continue.

Jonathan Chang:

Now.

Jonathan Chang:

I kept downtown.

Jonathan Chang:

I was like, don't worry, Dr.

Jonathan Chang:

Long, like, there are people want to study this.

Jonathan Chang:

People will learn this.

Jonathan Chang:

And then he felt, he was like, just not as soon as I go.

Jonathan Chang:

Okay.

Michael Max:

That's great.

Michael Max:

Well, you're part of that and I appreciate your efforts.

Jonathan Chang:

Okay.

Jonathan Chang:

Thanks.

Jonathan Chang:

And, uh, yeah, thanks again.

Jonathan Chang:

It was a good, it was nice talking to you.

Jonathan Chang:

Um, hopefully you're gonna have more conversations in the future.

Jonathan Chang:

I think we're gonna need to do this again.

Jonathan Chang:

Maybe we can do it on the, you were saying at the topos where Badatu,

Jonathan Chang:

we can have like a cup of tea.

Jonathan Chang:

You can bring your microphone and we'll just sit on like

Jonathan Chang:

this temple and just talk.

Michael Max:

I love it.

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