I.

Nature or Background of the Alternative Treatment TAI CHI - State of mental calm and clarity - Stress management - Internal Chinese martial art often practiced for health reasons - Tai chi chuan's training forms are well known to Westerners as the slow motion routines - The oldest documented tradition is that of the Chen family from the 1820s

t'ai chi ch'uan (Mandarin)literally is “supreme ultimate fist""boundless fist""great extremes boxing" Taoist and Confucian Chinese philosophy represents Yin and Yang by Taijitu symbol - Tai chi theory and practice evolved in agreement with many of the principles of Chinese

philosophy including both Taoism and Confucianism - A form of traditional Chinese martial arts of the Neijia (soft or internal) branch –it is considered a soft style martial art — an art applied with internal power - Medical studies of tai chi support its effectiveness as an alternative exercise and a form of martial arts therapy - The physical techniques of tai chi chuan are described in the tai chi classics (a set of writings by traditional masters) as being characterized by the use of leverage through the joints based on coordination in relaxation, rather than muscular tension, in order to neutralize or initiate attack
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Opens the internal circulation (breath, body heat, blood, lymph, peristalsis, etc.)

Tai chi is typically practiced for a variety of reasons: 1. soft martial techniques

2. demonstration competitions 3. health 4. longevity Three Aspects in the Study of Tai Chi: HEALTH - An unhealthy or otherwise uncomfortable person may find it difficult to meditate to a state of calmness or to use tai chi as a martial art. Tai chi's health training therefore concentrates on relieving the physical effects of stress on the body and mind. For those focused on tai chi's martial application, good physical fitness is an important step towards effective self-defense. MEDITATION - The focus and calmness cultivated by the meditative aspect of tai chi is seen as necessary in maintaining optimum health (in the sense of relieving stress and maintaining homeostasis) and in application of the form as a soft style martial art. MARTIAL ART - The ability to use tai chi as a form of self-defense in combat is the test of a student's understanding of the art. Tai chi chuan martially is the study of appropriate change in response to outside forces; the study of yielding and "sticking" to an incoming attack rather than attempting to meet it with opposing force. II. Scientific Basis of Treatment The concept that sickness and disease arise out of imbalances in a vital energy field (here, qi) is part of some other CAM therapies, such as Reiki therapy in which practitioners seek to transmit a universal energy to a person, either from a distance or by placing their hands on or near that person. The intent is to heal the spirit and thus the body (in which the energy field is called ki). Within CAM, tai chi is a type of mind-body medicine Practices that focus on the interactions among the brain, mind, body, and behavior, with the

intent to use the mind to affect physical functioning and promote health. Examples include meditation and yoga. Generally, mind-body medicine focuses on:
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The interactions among the brain, the rest of the body, the mind, and behavior. The ways in which emotional, mental, social, spiritual, and behavioral factors can directly affect health. Some people consider tai chi to be part of the CAM domain of energy medicine

therapies that use energy fields with the intent to affect health. Some fields, such as magnetic fields and light, have been measured while others, such as biofields, have not. Examples of energy therapies include magnetic therapy and Reiki. People practice tai chi for various health purposes, such as:

For benefits from exercise:
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Tai chi is a low-impact form of exercise. It is a weight-bearing exercise that can have certain health benefits—for example, to the bones.

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It is an aerobic exercise.

To improve physical condition, muscle strength, coordination, and flexibility. To have better balance and a lower risk for falls, especially in elderly people. To ease pain and stiffness—for example, from arthritis. For health benefits that may be experienced from meditation. To improve sleep. For overall wellness. Massaging the internal organs. Aiding the exchange of gases in the lungs.

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Helping the digestive system work better. Increasing calmness and awareness. Improving balance. Indication and Contraindication

III.

INDICATIONS Like most moderate physical activities, tai chi can improve stamina, muscle tone, agility, and flexibility. The practice of breathing exercises may serve a meditative function to reduce stress. Recent reviews of clinical trials show that tai chi practice has many benefits that include improved quality of life, alleviation of pain, and improved flexibility and strength. A clinical study showed that tai chi is effective in slowing bone loss in early postmenopausal women and improved physical functioning in older women with osteoarthritis. There is also evidence that tai chi improves the range of motion in the lower limbs in patients with rheumatoid arthritis. But a systematic review found the evidence insufficient to establish this. Studies also showed that tai chi exercises improved aerobic capacity in sedentary adults, reduced hypertension and lipid profile in hypertensive individuals, and improved sleep in elderly individuals. In another study, patients with fibromyalgia reported significant improvement in symptom management and quality of life following a tai chi exercise program. Tai chi also improves the quality of life in patients with chronic heart failure. Tai chi can be practiced by people of all age groups as the movements are gentle and it puts minimal stress on the body. Preliminary data indicate that tai chi improves quality of life in breast cancer survivors. A randomized controlled trial showed that aerobic exercise maintained erythrocyte levels during radiation treatment in breast cancer patients. Physical activities through tai chi movement can improve stamina, muscle tone, agility, flexibility, and cardiovascular function. Tai chi is effective in slowing bone loss and improving physical functioning in patients with osteoarthritis and rheumatoid arthritis. The practice of synchronized breathing can improve respiratory function, aerobic capacity, and reduce hypertension and lipid profile in hypertensive individuals. The meditative aspect of tai chi can promote stress reduction. It also improves sleep in elderly individuals. In summary, it is for people with

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Arthritis Balance Fibromyalgia Hypertension Osteoporosis Pain Strength and stamina Poor stamina, muscle tone, agility, flexibility, and cardiovascular function. Stress and sleeping problems

CONTRAINDICATIONS Patients who suffer from musculoskeletal injuries should consult a physician before starting tai chi IV. Method/Procedure Feel the connection between the movements. Feel the openings and closings, the contractions and expansions, the separations and joining. The whole body is connected as it moves through the form. Feel the connection between the hands stretch as they move apart, and condense again as they circle back together. The movement begins in the belly, and propagates outward. If you feel the form in the abdomen, you’re on the right track. 1. 2. Sinking of Shoulders and Dropping of Elbows Relaxing of Chest and Rounding of Back

3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13.

Sinking Chi down to Dan Tien Lightly Pointing Up the Head Relaxation of Waist and Hip Differentiate Between Empty and Full: Yin and Yang Coordination of Upper and Lower Parts of the Body Using the Mind Instead of Force Harmony Between Internal and External Connecting the Mind and the Chi Find Stillness Within Movement Movement and Stillness Present at Once Continuity and Evenness Throughout the Form

Yang Bow Stance

Chen Bow Stance

Wu Bow Stance

Yang Palm

Chen Palm

Wu Palm

Yang Hook

Chen Hook

Wu Hook

Yang Brush Knee INSTRUCTIONS

Chen Brush Knee

Wu Brush Knee

1. Begin with regular meditation. Stand with your feet parallel, at about shoulders' width apart. Relax your entire body and calm your mind. 2. Inhale and exhale deeply, breathing from your diaphragm. Imagine fatigue and tension escaping as you exhale, and fresh air and energy entering your body as you inhale. 3. Concentrate on the rhythm of your body. Sense the blood flow, your breathing and so on until you can feel the body's natural rhythm. 4. Bring up your spirit or awareness to the top of your head (crown point) by imagining a string pulling you up. The "lift" of this erect posture will keep your spine aligned while letting your body relax.
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Push your breathing lower until you reach an area about 3 inches below the navel and 2 inches inward (the tan t'ien, known as the center of your chi). This means your breathing is centred in your diaphragm. Your focus on the tan t'ien keeps your weight going downward, moving with gravity instead of fighting against it.

6. Meditate every day. After several weeks or months, you'll begin to sense the rhythm of your internal energy without the assistance of deep breathing. At first you may experience chi as intense tingling or electric energy. In time this feeling will fade into a natural energy flow.

7. Begin to practice the tai chi form in a meditative manner. Allow your chi to flow with your mind and body, keeping your posture erect while keeping your center of gravity focused at the tan t'ien. Your movements will begin to flow with little or no effort.

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