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Between Heaven and Earth: A Guide to Chinese Medicine Paperback – June 30, 1992
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The promise and mystery of Chinese medicine has intrigued and fascinated Westerners ever since the “Bamboo Curtain” was lifted in the early 1970s. Now, in Between Heaven and Earth, two of the foremost American educators and healers in the Chinese medical profession demystify this centuries-old approach to health. Harriet Beinfeld and Efrem Korngold, pioneers in the practice of acupuncture and herbal medicine in the United States for over eighteen years, explain the philosophy behind Chinese medicine, how it works and what it can do.
Combining Eastern traditions with Western sensibilities in a unique blend that is relevant today, Between Heaven and Earth addresses three vital areas of Chinese medicine—theory, therapy, and types—to present a comprehensive, yet understandable guide to this ancient system. Whether you are a patient with an aggravating complaint or a curious intellectual seeker, Between Heaven and Earth opens the door to a vast storehouse of knowledge that bridges the gap between mind and body, theory and practice, professional and self-care, East and West.
“Groundbreaking . . . Here at last is a complete and readable guide to Chinese medicine.”—San Francisco Chronicle
- Print length448 pages
- LanguageEnglish
- PublisherBallantine Books
- Publication dateJune 30, 1992
- Dimensions6.11 x 0.88 x 9.2 inches
- ISBN-100345379748
- ISBN-13978-0345379740
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Editorial Reviews
Review
“Groundbreaking . . . Here at last is a complete and readable guide to Chinese medicine.”—San Francisco Chronicle
From the Publisher
Leslie Meredith
Executive Editor & Divisional Vice President
Ballantine Wellspring
From the Inside Flap
From the Back Cover
About the Author
Efrem Korngold and his wife, Harriet Beinfield, were among the first Americans to be trained at the College of Traditional Acupuncture in England and to be licensed in California. The couple maintains a private practice at their San Francisco clinic, Chinese Medicine Works.
Excerpt. © Reprinted by permission. All rights reserved.
OUR JOURNEY EAST: EXPLORING FOREIGN TERRITORY
Lying motionless, gazing at a chart on the wall showing streams of force connecting the little toe with the corner of the eye in a web of continuous loops, I feel my breath soften and my vision sharpen
Delicate pins protrude from my elbow, ankle, and knee. My arms and legs are flooded by tiny rivulets of current. It’s not like a hypodermic needle that injects a foreign substance—what I’m feeling is simply more of myself. It’s strange, in the sense of odd and unfamiliar, but as a sensation not unpleasant. In fact, the edges of my mouth are cradling a silly smile.
The skin is stretched less tightly over my bony frame as my pores relax. I sense movement as I lie quiet, aware of impulse within my mind at rest. Thoughts tumble into consciousness, roll over, and shuffle off.
With my eyes closed, and perception directed inward, simultaneous layers of activity play like instruments in concert with each other. I am the composer and the composed, the musician and the listener, the instrument and its player.
SUBTLE YET PALPABLE, MY INITIAL ENCOUNTER WITH ACUPUNCTURE LEFT me tantalized by mystery and promise. Mystery, in that tiny needles could extend my field of awareness and completely alter the state of my being. Promise, in that by burrowing into the conceptual soil of this system, I could deepen my self-understanding.
As the daughter of a surgeon and the granddaughter of two surgeons, my early life was steeped in the cauldron of medicine brewed over several generations. Enthusiasm for healing was contagious, and I became infected. As a child I was impressed by my father’s devotion and satisfaction. He rushed to the hospital day or night to operate on a man lacerated in a motorcycle accident or a child threatened by a ruptured appendix. Lives would have been lost without his heroic intervention.
The role of doctor and the appeal of medicine came naturally—but why Chinese medicine? The ideology of Chinese medicine immediately captivated me by its stark contrast to the perspective of Western medical science. I had never been comfortable thinking of myself in my father’s language of electrolytes and blood-gas ratios, a collection of quantities and statistics. The Chinese medical vocabulary contained metaphors from nature like Wood, Fire, Earth, Metal, and Water, Heat, Wind, and Cold.* This cosmological description of human process confirmed what I knew intuitively to be so—that what moves the world outside moves within me—that subject and object are two aspects of one phenomenal world. As peculiarly outside my cultural context as it was, Chinese medicine felt familiar. What enticed me even more than my sense of continuity with family tradition was the affinity I felt with its concepts, and I wondered if the ancient wisdom embedded within its construction of reality could untangle some of our modern predicaments.
When Efrem and I were first introduced to acupuncture at a seminar at Esalen in the spring of 1972, there was tremendous upheaval in the world. The Chinese were in the midst of a cultural revolution, and so were we. During the sixties the concerns I wrestled with were more social than medical. Many of us were seeking to antidote the toxicity of racism in the American social body and heal the wounds inflicted by a decade of violence in Vietnam. I struggled to understand and reconcile how Western civilization, having achieved some outstanding accomplishments, could so often contribute to rather than alleviate human suffering. How could it perpetuate vast environmental insult and the threat of nuclear disaster and yet be building a better future?
To remake the world it seemed we needed to rethink it. After all, solutions depend on how problems are framed, the context within which they exist. At issue for me was in part how we defined reality—and the reality assumed by Chinese medicine made sense.
Chinese medicine echoes the logic of quantum physics, which suggests that we exist in a relative, process-oriented universe in which there is no “objective” world separable from living subjects. The essential questions cannot be resolved by measuring static “things”; rather, answers become stories about interactions and relationships. Within this paradigm contradictions are not only sanctioned but prevail, and truth is purely contextual. In contrast with our conventional Western tendency to draw sharp lines of distinction, Chinese thought does not strictly determine the boundaries between rest and motion, time and space, mind and matter, sickness and health. Chinese medicine transcends the illusion of separation by inhabiting the reality of a unified field, an interwoven pattern of inseparable links in a circular chain.
THE ANCIENT CHINESE WORLDVIEW
The ancient Chinese perceived human beings as a microcosm of the universe that surrounded them, suffused with the same primeval forces that motivated the macrocosm. They imagined themselves as part of one unbroken wholeness, called Tao, a singular relational continuum within and without. This thinking predates the dissection of mind from body and man from nature that Western culture performed in the seventeenth century.
From when I first encountered it, this fusing of the mind with the body and people with their world had a magic, seductive lure. I was eager to imagine myself as integrated and interrelated, an active participant in a system in the continuous process of transforming itself. I learned that Chinese philosophers and physicians have studied nature over thousands of years, divining how to interact with it to cultivate and guide Qi (pronounced “chee”), life’s animating force and substance. The Chinese concept of Qi symbolizes life in all its forms: thoughts and emotions, tissue and blood, inner life and outer expression. I wanted to reap and share the benefits of their knowledge.
I was startled to find that my father considered Chinese medicine quackery. Even though I could appreciate that surgery and antibiotics were often necessary, my father could not entertain the value of acupuncture and herbs. Though I could appreciate the worth of a microscope to identify tissue alterations and bacteria, my father could not fathom the notion of Qi. It probably should not have surprised me, since Chinese medicine does not rest solely upon the tangible, measurable phenomena upon which his medicine relies. That I was drawn to a system outside his Western conceptual framework unsettled and offended him. Yet I recognized the Chinese view as inclusive, not exclusive. Within that view the subtle, ephemeral, and invisible were as significant as what could be seen, touched, and counted, and caring for the human spirit was no less essential or real than caring for the human structure, nor separate from it.
THE MODERN PREDICAMENT
Western philosophy was more akin to Eastern until the Renaissance of the seventeenth century, when our civilization revolutionized its thinking. It was then that the scientific philosophy of the 1600s began to consider people as independent of the living systems that surround them and assumed that we could dominate and exploit nature without being affected by it. We escaped from dependency on and attachment to the natural world, pursuing invulnerability, invincibility, and immortality. Four hundred years later many of us regret this stance, aware, as anthropologist Gregory Bateson puts it, that “an organism that destroys its environment destroys itself.”
The long-term survival of our species has been placed at risk by an unbridled lust for short-term gains coupled with a false postulation of civilization’s autonomy from nature. Human beings have befouled their own nest, a sure sign of either madness or disease when observed in the rest of the animal kingdom. Contamination of rivers and seas puts fish in peril and threatens our potable water supply, the ozone layer is nibbled by fluorocarbons, rain forests perish so that cattle can graze, soil depletion and pesticides diminish the quality of our food, urban horizons shimmer with heavy ocher air … The litany seems endless. The disruption of our global respiration seems the consequence of burning fossil fuels (which fill the air with carbon dioxide and other gases, trapping heat) and of denuding forests (whose trees release oxygen, consume carbon dioxide, and attract water vapor to cool the earth’s surface). Known as the “greenhouse effect,” this upset in the relationship between the primal elements of heat and cold, fire and water, produces a fever of land, sea, and air with disastrous repercussions—upon weather conditions and marine, animal, and human life as we know it.
The gravity of issues like this has motivated burgeoning numbers of us to re-form our consciousness about who we are and how to live with each other upon the earth. We are being obliged to see how that which appears to be separate affects and fits within a pattern, and we are seeing, as Bateson points out, that “the patterns connect.” Reluctantly we are entertaining the idea that it may be necessary to transcend thinking of ourselves solely as entities with private interests (nation-states, corporate bodies, individual persons) and instead view ourselves and our world as one organic system.
Today many of us seek to reclaim the sense of connectedness that existed universally in ancient culture, when human fate was wholly entwined with nature. The ecological assumption within these cosmologies held that all things were inextricably bound together. The world was seen as a symbiotic entity in which each living system interacted with and mutually supported every other. The growing popularity of Chinese medicine, which embodies these values, is itself part of a pattern. Chinese medicine instructs us to perceive the way the world functions and re-create harmony within the context of the whole.
Product details
- Publisher : Ballantine Books (June 30, 1992)
- Language : English
- Paperback : 448 pages
- ISBN-10 : 0345379748
- ISBN-13 : 978-0345379740
- Item Weight : 2.31 pounds
- Dimensions : 6.11 x 0.88 x 9.2 inches
- Best Sellers Rank: #11,734 in Books (See Top 100 in Books)
- #2 in Chinese Medicine
- #5 in Acupuncture & Acupressure (Books)
- #53 in Healing
- Customer Reviews:
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Customers find the book's information quality great, efficient, and non-biased. They also say it makes everything in their life journey clear. Readers describe the language as creative and not technical.
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Customers find the book's information quality excellent. They say it provides great explanations and descriptions of concepts that aren't always easily understood. Readers also mention the book is informative, non-biased, and makes everything in their life journey clear. They appreciate the narrative and detailed information. Additionally, they say it dispels myths and elucidates the difference between Western and Eastern medicine.
"...things I love most about Chinese medicine is that it's a holistic approach to healing. It doesn't just focus on treating the symptoms of a disease...." Read more
"This book is fantastic. It is so well written and gives legitimately accurate information about Chinese medicine. It's very thorough...." Read more
"...of Chinese Medicine to humans born into a western mindset with wonderful clarity. It was a joy to read...." Read more
"...it easily and efficiently helps understand the basis of the elements and more.Highly recommend to those who want to deepen this understanding" Read more
Customers find the book easy to read and understand. They appreciate the creative language and personal experiences from the authors. Readers also say the medicine philosophy is simple and beautiful.
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"This book is fantastic. It is so well written and gives legitimately accurate information about Chinese medicine. It's very thorough...." Read more
"...Nonetheless, I feel the authors did a very solid job of opening dialogue about their understanding of potential differences between left/right, east/..." Read more
"...The metaphor used to explain the Chinese medicine philosophy is simple and beautiful. I am doing my Doctoral program in Chinese Medicine...." Read more
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Chinese medicine practitioners use a variety of techniques to restore balance to the body, including acupuncture, herbal medicine, massage, and dietary therapy.
Chinese medicine is often used to treat a wide range of conditions, including pain, digestive problems, allergies, and emotional issues. It's also used to support overall health and well-being.
One of the things I love most about Chinese medicine is that it's a holistic approach to healing. It doesn't just focus on treating the symptoms of a disease. It also addresses the root cause of the disease and helps the body to heal itself.
Chinese medicine can be a bit overwhelming for beginners, but there are a number of resources available to help you learn more. I recommend starting with a book or website that provides an overview of the basics of Chinese medicine. You can also find a qualified Chinese medicine practitioner who can help you to develop a treatment plan that's right for you.
If you're looking for a natural and holistic approach to healing, I encourage you to learn more about Chinese medicine. It's a powerful system of healing that can help you to achieve and maintain optimal health and well-being.
Despite the inward aching of "De Qi" when I felt them hit a potentially true weakness in western medicine and the times when I felt they were perhaps a little further off the grain -- overall I found the book refreshing, hopeful and ripe with wonderful possibilities for strengthening the role of the client or patient in their own healing. The latter is something severely weakened in our third-party system of western medicine whereby someone elses pays for something to be done to me by procedure or pill, but yet I don't really have to nor am I inspired to change much about how I rest, recreate, eat, exercise or relate to my fellow earthwalkers or environment.
In eastern medicine these issues are all part of a larger concept of healing that has been sadly drained out of western medicine. Why this problems exists is complex and obviously western practitioners have their blind spots and exaggerations which have contributed to some but not all of the flaws. I especially think that it is not because most of us do not care as physicians. Nor is it because we have never spent time struggling with the passivity of the western model. There is no simple answer, but part of the accelerated dilemma lies with our institutionalized and bureacritized systems of delivery, now so heavily laden with other agendas that the essence of what we hoped for has sometimes been left out. Instead our "essence" became commercially packaged for mass production and profit mostly by people and corporations who never touch or sit face-to-face with the the real person made of flesh and blood (and qi) who came seeking healing.
Wholeness as glimpsed here could also be lost to the practice of eastern medicine, if the painful lessons in the evolution of western medicine are not studied with more thoroughness and heart than the authors exemplify in some of their superficial cliques -- such as doctor as mechanic. Science and medicine have moved on in the lives and practice of many if not most physicians.
I would point out that China in the early days of its exposure to western "materialistic science" likewise seemed to have become "intoxicated" with the grand idea that one could systematize, categorize, control and demystify nearly everything -- the tools becoming grandiose in their promise for mass production, delivery and speed. But at the end of the day, we and I believe they also ultimately realize that individual humans and complete living biological systems are always more than ... more than the micro by itself, more than a logical linear string of mechanisms, more than the isolated part, more than the quantity that is measurable by current standards and represented in group averages. Furthermore, healing done in harmony with the body's inate wisdom takes time.
Everytime I prescribe a medication I do so with some appreciation for what seems to be known about it and some hesitancy also realizing that for the person sitting in front of me it may have a somewhat different effect that than promised by the manufacturing drug company. Thus, my limited experience with Chinese medicines prescribed by L.Ac. colleagues and what I read between the authors lines tells me they understand the same -- there is great variation among individuals and their response to a given preparation will vary. Some of these differences may be explained by liver enzyme systems for metabolism, renal clearance, variations in biological half-lifes, and interactions with other medications in western medicine. They might be explained by season, time of day, age, gender, and propensity toward the expression one of the 5-Elements patterns in Chinese medicine. However, all our systems of explanation are imperfect in the face of life, its diversity and its wounds.
Nonetheless, I feel the authors did a very solid job of opening dialogue about their understanding of potential differences between left/right, east/west, yin/yang and ultimately eastern and western medicine. I would love to see that dialogue continued with a deeper respect between both sides -- for the greatest benefits of all of those who feel they are born and driven to be healers and who pursue with great diligence the expression of one or more healing arts and sciences from their own point of entry into the great mandala of wholeness. Such a healing of the split between healers seems likely to do even more for those who come to them for healing.
There are many strong sections of this book -- I felt most drawn to the initial sections on theory, 5 elements, and the adaptation of archetypes to explain differences between people incorporating the physio-spiritual-pyschologic dimensions of the elements. I appreciated the balance in presentation of these types -- all of which have significant strengths and vulnerabilities for injury or illness. Unlike some texts I've read in which I felt the author might obviously like one type of person better than another; instead I felt a deep respect and appreciation communicated by these authors for every type of human, a recognition of equality or equilibrium between them and that all are needed to complete the human species. I also felt the emphasis on the positive side of each archetype, creating for the individual who possesses it a very important image of what it could look and feel like to be healthy. Sometimes that is greatly needed after a person has endured months or years of criticisms (even well intentioned) and chronic illnesses.
I do not know enough about chinese herbal medicines to speak to those sections. I definitely carry a fear for my particular group of patients/clients who have marked kidney insufficiency and who already have to take many western medicines; I am concerned that the additional burden of interactions with herbs and just more "stuff" for their already threatened filters to manage could overwhelm them. In this situation even the foods we would normally consider healthy (fruit, whole grain breads, nuts) can become toxic or lifethreatening by overdosing phosphorus or potassium. Thus I just don't go there with the population I serve. I am unable so far to speak to how this works with other groups. Nonetheless, I find much of interest in the book -- plenty to feed my imagination in the potential use of acupuncture and qi gong for assisting with pain and the de-spiriting aspects of chronic illness.
I was able to tie a lot of loose ends after my acupuncture training.
it easily and efficiently helps understand the basis of the elements and more.
Highly recommend to those who want to deepen this understanding
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Reviewed in Australia on February 18, 2024










