The Commercial Appeal

Tai chi’s benefits felt in 8 ways

- By Anthony L. Komaroff, M.D.

Dear Doctor K: I have heard that tai chi can have a profound impact on the body and mind. What gives this exercise so much power?

Answer: Tai chi is a Chinese martial art made up of a series of graceful movements, one transition­ing smoothly into the next. Tai chi is said to be good for both body and mind; in fact, it has been called “meditation in motion.”

My Harvard Medical School colleague Dr. Peter Wayne, with Mark Fuerst, has written an informativ­e new book about tai chi called “The Harvard Medical School Guide to Tai Chi.” (You can learn more about this book at AskDoctorK.com.)

Wayne discusses the “Eight Active Ingredient­s” of tai chi. He explains how, individual­ly and in concert, they influence the body and mind. These active ingredient­s are the following:

Awareness. The slow, deliberate movements and attention to breath, body positions and sensations foster i ntense self-awareness. This is a prerequisi­te to all other ingredient­s of tai chi. Emphasis on moment-tomoment awareness promotes mindfulnes­s and improved focus.

Intention. Imagery and visualizat­ion contribute to the healing and physiologi­cal effects of tai chi; they involve creating a calming mental image of a very peaceful place (like a quiet seashore or snowfall in a forest).

Structural integratio­n. Viewing the body as a whole, instead of as a collection of independen­t parts, underlies tai chi’s healing effect. For example, you’re aware that your right hand is reaching forward and then turning sideways, but you see the arm as just one part of your body, working in concert with your body as a whole.

Active relaxation. Tai chi’s circular, flowing motion helps shift the body and mind into deeper levels of relaxation. Many exercises, and especially many other martial arts, involve great self-awareness and focus, but are not relaxed.

Strengthen­ing and flexibilit­y. Tai chi has an aerobic component. The integrated movements improve balance. The slowness of the movements, and the weight-bearing required to perform them, i ncreases lower- body strength and promotes strong bones. Slow, continuous, relaxed and repetitive movement enhances flexibilit­y. In contrast to some other exercises, tai chi is very easy on your joints.

Natural, freer breathing. If you put a monitor on our chests during the day, you’d find that a lot of our breathing is shallow and jerky. The long, slow breaths that are part of tai chi resemble the way we breathe when asleep and generate a sense of peace.

Social support. In ongoing tai chi classes, students develop a strong sense of community. Being part of a group has therapeuti­c value for many medical conditions.

Embodied spirituali­ty. Tai chi creates a framework for living with a more holistic philosophy that integrates body, mind and spirit.

If you’re interested in tai chi — what we know about its medical benefits, and how it is done — you’ll find the book by Dr. Wayne to be an excellent guide. To send questions, go to AskDoctorK.com, or write: Ask Doctor K, 10 Shattuck St., Second Floor, Boston, MA 02115.

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