Frequently Asked Questions

How does Tibetan Medicine work?

Tibetan medicine is an ancient form of healing which aims to balance the five elements of the body through the three principle energies (often called humors, or doshas). Diet, lifestyle and paying attention to seasonal changes are central in the treatment. The root causes of disease are assessed and directly worked with to bring resulting symptoms into balance.

For some people, treatment emphasizes mostly dietary and behavioral changes, such as what to avoid and promote. Traditionally accessory therapy may also be administered, such as moxabustion, cupping, acupressure/puncture, and various massage therapies.

We currently do not practice acupuncture within the USA. Within the USA acupuncture is strictly licensed and regulated. At this time Tibetan Medicine’s use of acupuncture needles has not been approved by the boards which currently govern acupuncture treatments. Nashalla, who does most of the external therapies within the practice, depends on her many years of acupressure techniques and finds she can obtain the same results needle free.

Once she has completed the national acupuncture boards, she will let everyone know she can use needles.


What is the common duration for Tibetan Medicine treatment?

  1. While it very much depends on the health issue or symptoms one is experiencing and for what length of time imbalance has been present, most people will notice changes in several weeks to a few months or more. If one follows the advice of the practitioner regarding foods and behaviors, the effects of the herbal formulas are greatly enhanced, bringing quicker changes. Tibetan Medical formulas are given according to ones personal elemental balance, imbalance, and how these are influenced by seasons and times of day.

While there are 4 types of treatment in Tibetan Medicine: Diet, Behavior, Medicines and External Therapies, the most important are those which the patient themselves is responsible for – Diet and Behavior.

While the guide is the well trained Tibetan physician who gives advise on what foods and lifestyle choices to accept or reject, if the patient does not rely on such advise, it is like trying to sit on a one legged stool. While indeed, there are 4 legs to Tibetan medicine treatment, a patient can reliably stand and proceed down their healing path on the two legs of diet and behavior. The herbal remedies absolutly can further assist and give stability, (the third leg) and if needed, a fourth leg can be given though the external therapies.

It is therefore essential that the patient adhere as close as possible to the advise the Tibetan physician gives regarding diet and lifestyle. This greatly impacts how quickly one sees changes in symptoms and gets results from a typical Tibetan Medicine treatment.


What can I expect from a traditional Tibetan Medicine treatment?

 
 

Traditionally Tibetan Medicine diagnosis begins with determining the nature of your inner elements and their state of balance or disharmony. This is accomplished through extensive questioning, urine and pulse diagnosis.

Dietary and behavior patterns are accessed, recommendations will be made based on individual circumstances. Traditional herbal supplements and formulas, external therapies may or may not be a part of one’s regime. A follow up visit to read the pulse and observe what changes in the inner microcosm of the person are taking place will be scheduled in a few weeks.

Generally if one has on-going treatment, check up visits will occur every month/s or seasonally to observe what further changes are needed to be made according to seasonal changes, as well as changes in the internal elements and organ systems.


Will Tibetan medicine herbs and dietary supplements interfere with prescription medications or other vitamins and supplements?

Traditional Tibetan Medicines offer a wide rage of treatment for a variety of health issues. While traditional Tibetan Medicine is safe and effective, it is vital to work only with well-qualified practitioners. People may say “natural substances have no side effects” but this is not true. If you miss the subtle aspects on the elements in a a persona system, if the seasons shifts, if their inner elements shift, all these factors can mean what was the right medicine in one time, may not be the right one later on.

Likewise, as with all dietary supplements and herbs, one needs to know the mechanism of action of the supplement on the various organ systems. Because Tibetan Medicine works directly with the body elements and relates to the seasons, times of day etc., one must NEVER self prescribe these supplements. It takes many years under the supervision of experienced Tibetan physicians to understand the complex system. Mail order medicine or off the shelf is not something our clinic supports.

In most cases Tibetan Medicine will not interfere with your current treatment. If you are taking prescription drugs, the Tibetan Medicine practitioner will recommend having a minimum of one-hour gap between Tibetan formulas and other medicines, herbs or supplements. It is however, important to disclose all prescription and non-prescription supplements you are consuming to ensure there are no contraindication for a condition or medicine.

While very rare, there a few compounds that should not be combined with certain prescription drugs. For example, prescription blood thinners (lipid lowering statin drugs) for cholesterol and Tibetan formulas, which also thin the blood for cholesterol, are contra-indicated just as they need to be monitored in western medicine one would never over thin the blood. But if the Tibetan physician knows your on such a drug they will be able to avoid any contra indications.

If you are pregnant, or breast feeding or thinking of conceiving soon you MUST make this known to your practitioner, as certain formulas are not allowed during this time.

If you are going to see a Tibetan Practitioner, in order to properly read the urine sample, prior to your visit vitamins and minerals should not be taken for 3 days. Likewise avoid the foods which are on the forms page for preparing to see a Tibetan Dr.

There are many cases where people can slowly, and only with supervision of their licensed MD’s come off select western prescriptions, replacing them slowly with Tibetan medicine. This very much depends on the disorder, the medication, and the willingness of the MD to supervise your care alongside your Tibetan Medicine practitioner.

The full corporation between allopathic and traditional medicines is to be honored, and not avoided. It is common that a Tibetan practitioner may ask you to go to your Allopathic MD and have certain tests done to check blood, serum levels, blood sugar, and liver enzymes. This means you may need to sign a waver allowing the release of your medical records to your Tibetan Medicine practitioner.


Will working with you interfere with other treatments I am undergoing?

It is best to inform your family practice MD or specialist of the Alternative or Traditional Medicine treatments you are planning to undertake. Likewise one should inform the Tibetan Medicine practitioner or practitioner of other therapies what health care systems you are working with. In this way all health care providers can understand the full scope of your treatment plan, and work together to achieve your goals.

As of yet there are no regulations for the practice of Tibetan Medicine in the USA. We are legally not able to diagnose, prevent, treat, cure or prescribe for any conditions. What we offer is a traditional alternative treatment based on thousands of years study of its effectiveness.  Because Tibetan Doctors are yet to have a regulatory body of our own to sort out truly trained and those without full credentials and education: the patient must take personal responsibility to be sure of the quality of the practitioner they are working with. In addition one must have the understanding this form of healing is taken at your personal choice based on belief of the ancient system of healing and is at own risk; and is NOT a substitute or replacement for treatments under your MD or specialist. Various states have their own recognition of Acupressure and other therapies.

Especially in complex cases such as MS, hepatitis, diabetes, cancers etc. it is necessary to respect both Allopathic systems alongside whatever alternative therapy you are pursuing.  We feel it is a mistake to discount the advances made in Allopathic Medicine, as they can greatly complement any alternative treatments. When all parties work together, understanding what the other is trying to accomplish, you will benefit from the range of experience.

There are many success cases with chronic conditions such as diabetes where over time people seeking care of traditional Tibetan medicine were told by their MD’s that they now had to lower the insulin levels and medications prescribed by their MD’s. The same is true of anti anxiety medicines, or treatments for liver failure. This is why it is essential to involve all of your health care providers, alternative and traditional, so your medicines be they traditional, herbal or prescription be at the correct level for you.

While very rare, there are traditional formulas which are contraindicated with certain prescription drugs. Therefore it is vital your Tibetan physician knows what prescription drugs you are on.

You MUST disclose if you are pregnant, potentially pregnant, breast feeding or thinking of conceiving soon, as certain formulas are not allowed during this time.


How do I learn what foods and lifestyle changes can assist my treatments?

Every person Menpa Tsundu and Menpa Nashalla consult with benefits from the vast experience of Asian Medicine’s understanding of food as medicine. Nashalla also has studied western nutrition, the microbiome and applies that to the principles she learned in Tibetan Medicine.

Our goal is to help you learn what your natural elemental and humoral balance intrinsically are, what foods relate to the various elements in either helping or harming you. When a person is empowered to know themselves and what foods can aggravate or help symptoms, food as medicine becomes a powerful self care tool. This puts the patient in charge of their own health and prevention of minor aggravations.