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36     EASTERN HORIZON  |  FACE TO FACE








           from chronic psychotic disorders.   which stresses the indivisible   considered body and mind as two
           People who suffer from psychosis   interdependence of mind, body    separate entities. We now know that
           don't experience the reality like the   and vitality. Can you explain this?  this separation creates problems
           rest of us. They hear voices, they                                  when we try to treat patients with
           have paranoid delusions, mystical   Tibetan medicine is a very practical   psychosomatic disorders. The Sowa
           delusions, or delusions of reference.   medicine, rooted in the local Tibetan   Rigpa approach can give more
           This leads to all kinds of problems   culture, but influenced by medical   appropriate answers to help those
           which makes it difficult to function in   practices from around the known   patients as it is assumed that all our
                                                         th
           daily life. I am very often asked by my   world in the 9  century (Indian,   physical ailments are rooted in one
           patients if I believe they are normal   Persian/Greek, Chinese, local   of those three basic mental poisons.
           or not. My answer is always the same:   shamanic practices). As with all those   In this worldview, it is therefore
           what is normal? Is that average?   other medical practices, the basic   also logical that spiritual practice
           What is average? And then comes   assumption is that what constitutes   is deeply embedded in the medical
           the question: what is reality? If you   our nature is based on the five   practice and not separate like in
           experience psychosis, then what is   elements: wind, fire, water, earth,   Western medical practice.
           reality? And who am I to know reality   and space. This is what constitutes
           better than my patients? How can I   everything around us, and inside of   The Buddha is generally regarded
           possibly know for sure that my reality   us. Those elements create three main   as a teacher who cures our mental
           is truer than their reality?      energies (or nyepa’s) necessary for   defilements such as greed, hate,
                                             life: loong (wind energy, movement,   and delusion. In what ways can
           Buddhism offers a very interesting   creativity), tripa energy (fire energy,   illnesses of the body be treated
           perspective on those questions:   metabolism, transformation) and   through Buddhist teachings?
           for a Buddhist, we are all mentally   beken energy (earth/water energy,
           ill. We all experience reality in a   stability).                   Besides the development of Sowa
           distorted way, that is influenced                                   Rigpa, Yuthok also developed a
           by past experiences and emotions   When those nyepa’s are in balance,   spiritual practice called the Yuthok
           we carry in ourselves. No one sees   then we are healthy. However,   Nyingthik which is a practice of
           reality as it really is. We are all   when there is an imbalance, this   Medicine Buddha. This is especially
           delusional in one way or another.   can make us ill. Those nyepa’s   valuable for doctors, healers and
           Thanks to this perspective, I can   are both physical and emotional   all people who are working in the
           give an answer to my patients.    and are considered as the result   field of helping others. The Buddha
           They experience reality in a very   of the three poisons of our mind:   is seen as a perfect doctor, the
           different way than me. And when   ignorance (beken), attachment     Dharma as the perfect medicine, and
           things get too distorted, this can   (loong) and aversion (tripa). Those   the Sangha as the perfect nurses.
           create suffering. As we are deluded,   three poisons will distort our view   So, in this case, we all suffer from
           we grab on to things we believe   of reality and create all kinds mental   mental illness and the Buddha is
           are real, and we try to detach from   and physical experiences. As such,   the doctor who can help us heal
           things we believe are bad. But the   there is no separation between   from our delusional worldview and
           underlying cause of all this, is our   mind and body, emotional and   the poisonous emotions that go
           ignorance on the nature of reality.   physical symptoms are symptoms   with it. Those three poisons are the
           We believe in our reality as much   of the same basic imbalance of the   basis of all our suffering. Because
           as my patients believe in their   nyepa’s. Buddhist philosophy is   we are ignorant, we don’t see that
           delusions and hallucinations and   therefore very strongly rooted in   we are delusional, and we believe
           this is what creates all this suffering.  this worldview where everything   this is truly the reality. Buddhist
                                             is interdependent and where       practice can therefore help us look
           It is said that Tibetan medicine   there is no separation. This is very   at ourselves in a very honest way.
           is deeply integrated with         different from the modern western   Meditation is a way to look inside
           Buddhist practice and theory      medical approach, which has long   of ourselves and deconstruct this
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