Welcome to Chinese Medicine Bristol's official blog! Here, Acupuncture and TCM pracitioner Sandra Arbelaez will share information about Acupuncture and Chinese Herbal Medicine, how they work, and the latest research and developments related to TCM. You will also find knowledge and ideas on how to enjoy a full, healthy life that she has picked up over the course of 15 years of exploring the world of natural health

Sunday 16 July 2023

Fifth visit to Lesvos to give acupuncture at the refugee camp


I have just returned from my fifth trip to Lesvos to give acupuncture to refugees living on the island, hosted by the wonderful local organisation Earth Medicine.

I spent three weeks there, the first two giving treatments at Earth Medicine’s container inside the refugee camp, the last one giving a few treatments and helping my hosting organisation with other tasks that needed doing. This included receiving and supporting the work of two acupuncturists from Switzerland sent by the organisations ASF and MDC to help out for two weeks.

I arrived in Mytilene on Monday 19th June, late at night. I started work at the camp the next morning, and had to get up before 7am - which would be 5am in the UK and in my body clock. Thankfully, I had my planning head on the day before and I had "practised" getting up at this time, otherwise it would have been quite a difficult task. My first day wasn’t too busy which was a blessing, I had time to adapt to the heat and the rhythm. After this, days got steadily busier and hotter.


Earth Medicine's container inside Lesvos refugee camp 



Earth medicine’s container is set slightly higher than the main part of the camp. You get a good view of the camp and the sea as well as some of the sea breeze which feels blissful when you come outside. The container is divided into three spaces, at the entrance there are some chairs which serve as reception and as space to fill in the registration form for new comers. To the right there is a room with a door which serves as the area to treat the men, to the left there is a partition that creates a room to treat the women. On the initial session, we would do a short consultation to find out about the person’s main symptoms, medical conditions, medication and the general workings of their different bodily system. This information would help me determine how best I could treat their symptoms. I had both rooms going at the same time which allowed me to treat two people per hour, although at very busy times on the second week I managed to see three per hour.


There was only one person I had met before, during my last visit six months ago. Everyone else was a new arrival, mostly from the previous 1-3 months. Because our only translators were from Afghanistan, I only treated people from this country. It seems people are still fleeing Afghanistan in droves but I was told there are also many arriving from Sudan, Eritrea, Somalia, and Palestine.


Most people came to the container for help with pain in different parts of the body. Most of them also had additional issues with digestion which included pain after eating, loss of appetite, acid reflux, constipation, and diarrhoea. There was also a lot of fear, anxiety, stress, sadness, memory loss, insomnia, and nightmares in both adults and children. As a practitioner, I have to bear in mind the importance of listening carefully to what people report about their mental and physical condition and I have to know the right questions to ask to refine my treatments. If I were to focus just on treating muscular-skeletal pain without taking into account that the person has been weakened by fear, shock and an exhausting journey as well as not being able to eat or absorb nourishment from food; I could potentially cause more harm to their system. In some cases, when a person was particularly weak, I had to tell them I would first focus on their digestive system for a few sessions to strengthen their body before properly addressing their joint or muscle pain. What often happened was that as the digestion and appetite improved, so did the physical pain which was rooted in a deep weakness rather than a purely wear-and-tear situation.


As usual, I drew from all the techniques I have learned over the years: scalp, ear and body acupuncture, massage, cupping and moxibustion as well as using the TPD heat lamps regularly. Despite the extremely hot weather, there was so much cold lodged into people’s bodies causing physical pain -a left-over of the days and nights spent hiding in cold forests and in the water during the journeys to get here- that a lot of moxa and the use of heat lamps were still necessary and an important part of treatment.


At the beginning of my stay, I could feel how everyone’s body was carrying a lot of fear, stress, and anxiety. I could only imagine this was the result of a journey full of hardships, of leaving everything familiar behind and having an uncertain future in front of them. It was not my place to ask questions about this, which could potentially have made people feel uncomfortable or even triggered in some ways. However, as everyone became more relaxed and comfortable in my presence, the stories started to flow during our sessions without me asking anything. I heard about the ordeal of a 62-year-old woman who is here with her son, and how they attempted to come from Turkey many times over several months and their boat got pushed back to Turkey eight times by the coast guard. Another woman in her 50s told us she lost her husband on the way here, he fell off the boat and drowned, nobody could help as nobody on the boat could swim. Another woman in her 40s who talked about being sad a lot, had lost one of her sons in Afghanistan and another son had stayed back because he’s a doctor and he felt obliged to stay and help. A young 16-year-old boy showed me the scar on his back which was the result of a beating he received by police in Turkey. There are so many stories of abuses by different types of authorities in the different countries people have been through, countries portrayed as “safe” by politicians and media outlets. 

I also met a 7-year-old child whose extremely sad eyes struck me, his mother said he was crying all the time and scared of playing with other children. As he waited for his treatment with one of the Swiss acupuncturists, I got some paper and pens to draw together. We drew mountains, trees, birds, and he drew his family consisting of his parents and two smaller siblings. He was loosening up and then got the black pen and filled the space at the bottom of the page with terrifying blackness. This was his depiction of the sea which he had recently crossed on a flimsy boat with his family.


Earth Medicine's staff and three visiting acupuncturists

By the time I finished giving treatments, most of the people I had started seeing during my first week were showing significant improvement. There was much reduced pain and some were even pain free, sleeping well, with stronger appetite and better digestion. In general, the experience for all of us is a type of communion created by the therapeutic space that we share. We all soften and feel at ease with each other. Beyond the treatments that we offer, it is this human touch and genuine care that makes a difference here. 

Unfortunately, I didn’t manage to say goodbye to anyone as I succumbed to sunstroke in my last few days when the temperature rose sharply so I couldn’t make it to the camp. The camp itself is a sunstroke-inducing place where there is no shade and the white ground burns your eyes even when you are wearing sunglasses. Fortunately, acupuncture treatments continued to be available for another week after I left. It makes a big difference to have continuity of treatment and we hope there will be more practitioners hearing the call from Lesvos.



Since my return from Lesvos early this week, many people have asked me about those I was treating in Greece. Are they mostly single men? Are they thinking of coming to the UK? I am asked these questions without malice, with real concern because the powers that be have successfully implanted in our minds a stereotypical image of the “refugee” or what they call the “migrant” as a single man who comes here driven by greed or a desire to live for free. I think many people I know have similar questions so I will write about this here. All I can do is talk about the flesh-and-blood people I have met during my visits to Lesvos.

 First of all, the refugee camp in Lesvos is not inhabited solely by single men. There are people of all ages including elderly and children. There are whole families, couples with children, sometimes with one set of grandparents, or a grandparent (often a female) with their grandchildren, as well as, yes, some single men and women. Why are they coming to Europe? Because in their countries there is war, violence, famine, and like you or I, they don’t want to die or see their children die.

From what I have seen, no refugee wants to treated like a beggar, like a child, or like a victim, they are not aiming to be fed and dressed for free, and they want to be treated like human beings, with respect. Nobody I have spoken to actually wants to come to the UK. A quick Google search will show you that from the reports by different organisations, those who decide to come here do so because they already have links to this country through family or culture.

 Why are there so many single men? I have indeed met many young men in my visits to Lesvos. Some of them have fled their countries because their lives were directly in danger, like so many from Afghanistan whose work was related to the occupying forces and got  targeted by the Taliban when these forces left. Others are the only male in their family able to find a way to provide for them. The best way I can describe the situation is this: Imagine there is a huge crisis in this country, everything collapses, there is no transport, no money can be taken out of the banks, there is little food, not enough for everyone. Your family is all here, everyone wants to be safe but as there is not enough money or food something needs to be done. The only option is to go to another country but it is very dangerous. Someone needs to try first and hope to be able to find a way to send money back for food or to help other members of the family to follow safely. Who is the best person to go? The grandmother, the grandfather, the wife, the children? Logic would dictate the strongest male will be the one to take the risk as he will have the most chances to survive. I would say, ths is one of main reasons we have lone men coming from countries like Afghanistan, Sudan, Syria, etc. 

 Lastly, I would add that from the conversations I have had with many people, what they mostly hope for is a possibility of rebuilding their lives, the opportunity to work, the ability to be self-reliant and provide for their families and their children. I have no answers as to how this could be achieved, this is for the citizens and politicians of all our countries to work out in open and honest conversations together. What is clear in the refugee camps in Greece, is that people are still coming and they will continue to come. No amount of ill treatment on this end is going to make someone stay in a country where their lives are endangered by war or famine.

The sunrise in Lesvos, a symbol of hope

Every time I go to Lesvos, I feel I understand a little more about what it means to be human. I am clearly shown those human qualities that many of us have forgotten while we're submerged in our rich nation comforts, qualities such as survival, courage, resilience, solidarity, perseverance, and the inextinguishable and unexplainable little flame of hope that can live inside the heart when there is nothing out there actually giving us hope.

I pray that we will have even a fraction of these qualities if we are ever in extreme situations like the ones all they people I have met in Lesvos have been through. I also pray that all our hearts will fill with compassion for all those who are suffering so close to us and that we will be moved to do what we can to help our human brothers and sisters. We live in a world which is on the brink of nuclear war, and where natural disasters are increasing in frequency and potency. It is very possible that if not us, our children and grandchildren generations will be in need of compassion and refuge. Let's plant the seeds that we would like them to harvest tomorrow.

I have deep gratitude to everyone who helped me come again and to everyone at Earth Medicine for their incredible work. Also, I want to give special thanks to Helen Kenny from Balance Healthcare for donating the needles that I used during this trip. Without everyone’s help, this work would not be possible.


With gratitude and love,


If you would like to support Earth Medicine's work please click here

Monday 5 December 2022

My fourth visit to Lesvos to give acupuncture to refugees

I have just come back from a two week visit to Lesvos, where I was giving acupuncture to refugees living in the island hosted by the wonderful Earth Medicine project.

I arrived in the capital Mytilene early on Sunday 13th of November after travelling all night and had the whole day to rest and prepare for the week to come. I was given an update on the changes that had happened since my last visit in July this year. The most important change was that Earth Medicine obtained permission to work from within the camp so I was to spend my two weeks working from their container located inside the refugee camp.

Our days started early, we would usually get to the Earth Medicine house in Mytilene at 8am, have a quick breakfast and from there we would go together to the camp. When I say “we” I mean Sabine, a homeopath from Germany, Sohrab -Earth Medicine’s worker who, amongst other things, drives, translates from the different Afghan languages into English, fixes what needs fixing and buys fresh bread for breakfast-, sometimes Fabiola -Earth Medicine’s founder and director-, and me. Behind the scenes, we had Malvina who works at the office and gets all the administrative things sorted for all of us; and Ali who was cooking food that he would lovingly serve for us when we came back from the camp.

EM's container inside Lesvos refugee camp
Photo by Thomas Rajten
The Earth Medicine container in the camp is beautifully decorated and has been divided into three separate sections. I had use of two of these and the other one served as reception/consultation space for homeopathy. Although I had visited the camp several times in my previous trips, working from there proved to be a very different experience. In contrast with working in the office, where people were brought in the van in groups and we would have 4 or 5 people to treat every hour, here the more limited space meant fewer treatments. However, as 95% of those who came for treatment were newly arrived in the camp, they often required a lot more time and effort from us. We had a constant flow of people who had made appointments for acupuncture since before my arrival, and others who just turned up to ask for help. The main challenge we had was the lack of interpreters. We lacked someone to help us with Somali language, and sometimes also a female interpreter to help us with the Afghani women. Instead, we had to be resourceful and use the universal language of signs and gestures. This meant we were limited in our ability to help but still the treatments we gave, and the human care, resulted in more relaxed bodies and smiley faces. 

Days in the camp went very quickly. During my first week, I gave between 8 and 10 treatments per day, and on the second between 11 and 13 per day. Most of the people I treated were new arrivals, and I saw as many men as women with ages ranging between 5 years and 67. The most common issues were severe back pain and knee pain from over use and exhaustion after very long and dangerous journeys, anxiety and insomnia, abdominal pain, poor appetite and digestion, and severe weakness. Amongst the women, menstrual irregularities were common ranging from very scant irregular periods to extremely painful periods and excessive menstrual bleeding. Most of these symptoms were exacerbated by the conditions in the camp at this time of year. Those staying in tents (usually the most recent arrivals) were freezing cold all the time which increased the severity of their pain. In addition, the heavy rains that we had while I was there easily flooded the camp and meant that going to the toilet or to get food would result in being soaked and cold for the rest of the day.


Scalp acupuncture
Acupuncture for knee painScalp acupuncture
Ear acupunctureAcupuncture for pain

I used scalp and/or ear acupuncture on most people to help with pain, mobility and to calm the nervous system, body acupuncture to address pain and issues with bodily functions, different types of moxibustion for pain and to strengthen the body, cupping on those with severe tension, and massage whenever needed to relax muscles and soothe a person. We also had the heat lamps kindly donated by the organisations Acupuncture Sans Frontiers and Le Mains du Coeur Pour le Cambodge, they have proven a hit with the cold weather and we used them on practically everyone who came for treatment this time. Also thanks to these two organisations, other acupuncturists from Europe have been able to come and work with Earth Medicine this year.  As a result, we have managed to get some continuity in treatments and acupuncture has become a well known treatment amongst the refugees. 

There are two things that, in my view, are quite unique in the work we can do at Earth Medicine: one of them is that we get to treat people every single day which gives us the opportunity to check progress and change strategies if needed to achieve the best results. The other one is the multi-disciplinary approach, getting to work alongside practitioners of other disciplines and finding out how we can combine efforts for the greatest benefit to those we are treating.


Combining acupuncture and physical therapy
Photo by Thomas Rajten

Lesvos abundant veg
From what I have observed, appetite and digestive function amongst refugees is often poor and this leads to other issues including lack of strength and poor general health in the long run. For this reason, I give a lot of importance to enhancing digestion at the same time as addressing their main symptoms. I tended to use a combination of points called the Wheel of life on most people. This combination consists of specific points around the abdomen or on the lower back, which aim to strengthen and activate the function of the digestive system as a whole, increasing appetite and improving the ability to process food and eliminate waste products. The food currently offered in the camp, although most welcome by everyone, is not the most nutritious and not at all like the food the people from Afghanistan, Somalia, or Syria would normally eat. It is all packed in plastic and lacking in freshness and in vegetables. For this reason, many people end up with constipation and acid reflux, which adds to their existing issues. Lesvos is blessed with a gentle climate and with fertile land that produces all sorts of fresh vegetables throughout the year, which are very cheap in the market. It would be ideal if a community kitchen could be set up, managed by the camp authority, where refugees themselves could cook meals which would be much more nutritious and a lot cheaper and environmentally friendly than they are in the current set up. This would also help prevent a lot of health issues. Given the continuing conflicts and natural disasters occurring in many countries,  and the fact that small boats are still arriving in Lesvos with people looking for refuge, perhaps a more sustainable, longer-term set up will be necessary.

I went back to visit the burial ground where the bodies of refugees have been laid to rest by the local authorities. The last time I was there, the grass was overgrown shoulder-high, and it was not possible to see clearly many of the graves. This time, the grass had been cut and the site cleared and I could see clearly the hundreds of graves ( I estimated at least 200). They were mostly marked by wooden sticks with a number, some with white headstones which sometimes had the names and dates of passing of the refugees written in fading letters, and only 3 or 4 graves are done in what I imagine is the proper way, I was told because the family of the deceased was around and could afford to do this. I could also see an area that had been marked and separated for 16 graves, most probably destined for the 16 refugees who drowned in the waters around the island while trying to get to safety, over a month ago. Visiting this place to pay my respects has become an important part of my visits to Lesvos. Nobody knows how many lives have been lost since what is called "the refugee crisis" started, and it’s possible that somewhere, their loved ones are still waiting to hear news from them. It would be even more heart-breaking than it already is, if we left them sink into oblivion.  

Three graves, one of them a child's

Space separated for 16 new graves

 A mother and child

When I asked after all the people I had met before, I was told not many were still in Lesvos. The majority of them had been granted asylum and moved on – mostly to Germany, and some others had been relocated to other camps in mainland Greece. I did manage to say good bye to one family I met earlier this year. The father has an amputated leg and their journey from Afghanistan had been excruciatingly difficult. The mother and the daughters were getting all their things ready to travel to Germany after being granted asylum when I stopped by the container which served them as home for the last 6 months. I felt so happy for them, and for all those I didn’t get to say good bye to. May they all get to feel safe, and have beautiful and prosperous futures. 

Every time I have been to Lesvos, despite all the horrific stories, the pain I see in people's bodies and souls, and the less than ideal conditions they have to live in; I somehow come back full of hope, with my heart expanded with compassion and love for all my fellow human beings. This is partly because I see so much resilience, strength, hope and faith in people there that I think to myself, if they can display those amazing qualities under their circumstances, how could I not? On top of that, it's not like there is only sadness.  Within the difficulties, there are always beautiful moments of laughter, friendship, connection and true sisterhood and brotherhood between us all. May there be a world one day, in which we will all be able to enjoy moments like these with each other.

A joyful moment
Original photo by Thomas Rajten

If you would like to support the Earth Medicine's work in Lesvos, click here

You can also read about my first, second, and third trips to Lesvos.

Monday 1 August 2022

My third trip to Lesvos to offer acupuncture to refugees


I have just come back from my third trip to Lesvos to offer acupuncture to refugees at the wonderful Earth Medicine project.

As times are difficult everywhere and we are all feeling it, this time I didn’t manage to raise the amount of money I aimed for but I was fortunate to collect just enough to make the trip happen thanks to the generosity of friends and family. Another example of how without help from others we can go nowhere!!

I arrived in Lesvos on Sunday July 3rd, wondering if I was up to the task as I had contracted covid two weeks before I was due to fly. I wasn’t feeling 100% when I got there but, as it turned out, I was well enough to do everything that was needed for the following three weeks, and the sun and hot weather seemed to help my body recover.

I was surprised to find that most of the people I met last year were not in Lesvos any more. Some had been moved to other camps in Greece but many of them had actually been granted asylum and had moved on to other countries, mostly to Germany.  This made me very happy especially for the grandmothers and those with disabilities who had endured the bad terrain and poor conditions in the camp for so long and for the children who can now go to school and have a future but it also made me sad as I would have loved to see them one last time to give them a hug and wish them good luck. I hold them all in my heart and pray that they will always be safe and that they will have a beautiful future.


New Arrivals

In contrast with my previous trips, when most of the people I treated had been living in the camp for at least a year, this time practically all of the people I saw had just arrived. This meant that they were still experiencing the physical, mental, and emotional consequences of their long and difficult journeys, of their sudden change of status, of their finding themselves in a place they didn’t know or understand. Amongst them, we had people who experienced rape, torture, who had been shot at, a family who walked over the mountains for days trying to cross borders between Pakistan and Iran and Iran and Turkey without food or drink, terrified of being shot at by police; and a young woman in her early twenties who had had a stroke.

Most people were having difficulty sleeping and could not relax at all when I first met them, many had nightmares about attacks they had experienced and about the night journey on a flimsy boat from Turkey to Lesvos, the mass of water representing a terrifying dark hole where they could die. Everybody’s bodies were solid with muscular tension from the fear that got stuck inside them even before leaving their homes, the wear and tear, the exhaustion and shock from all the difficulties of the journey; and, in many cases, also from the hard labour of many years, were also evident. There were also some very sad faces, and some others with the unmistakable look of chronic pain, both physical and emotional.


Mr A.

We saw men and women from Afghanistan, Syria, Iraq, Somalia, and Sierra Leone. The newest arrivals were mostly from Afghanistan and a few from Somalia.

 Amongst the Somalians I treated from the first day was Mr A. He is in his early 20’s and arrived in Lesvos in 2021, fleeing Somalia after his father and brother were assassinated by paramilitary forces. His family had a business, and he has a young wife and some land but he was forced to escape or he would have been killed too.

 In the last year, he has experienced many health issues including TB, after which he developed polyneuropathy that resulted in a complete loss of sensation in his lower body and rendered him unable to walk or even stand.  He was in this state when he first came to Earth Medicine in February this year and he was also extremely thin and unable to eat due to severe abdominal pains. Initially, his treatment solely consisted of special food made for him to restore his ability to eat and digest so that his body could start to build the strength necessary for his recovery. When his digestion was better and he was absorbing nutrients, physical therapy started to be used to recondition his lower limbs and spine and he had some acupuncture treatments from practitioners who visited in March.


By the time of my arrival, Mr A had already regained strength and was able to eat good meals. Over the months of physical therapy sessions, he has worked very hard showing he is determined to fully regain his mobility. On our first treatment, he was already standing and walking very slowly with aid, his feet stuck to the ground as he was unable to lift them at all. At the end of my first week, he had had five scalp and body acupuncture treatments followed by sessions with the physiotherapist. He made progress every single day and we were all delighted with his spirit and strong commitment to getting better. By Friday, he was able to lift his knees, started to bend his ankles and lift his feet off the ground, and gave a few careful steps all without aids. I nearly shed some tears that day seeing the effects that the team work in this amazing organisation combined with the hard work and zeal of a person can produce. Mr A continued making a lot of progress and by the end of my second week he was playing basketball and walking without any trouble at all! He was so excited he started over exercising and ended up with pain from over using tissues that hadn’t moved for months. We had to stop all the work to allow this to subside but when I left, he was still walking, without aids and looking forward to a bright future if he is granted asylum.

Scalp acupuncture treatment for the lower limbs and anxiety

Acupuncture at four hands!

On my second week Lyna Trinh, a brilliant and very experienced acupuncturist and TCM practitioner from France, arrived to give a hand. We had never met but felt instantly united in our desire to help and everything went very smoothly. We work a bit differently but we managed to combine our knowledge and experience and learn from each other (I was the one who learned the most!!) in order to offer the best we could to people. We used the different systems of acupuncture we knew, between us we had Scalp acupuncture- Yamamoto, Jiao and Lin systems-, Tung acupuncture, Ear acupuncture, as well as the normal body acupuncture, we also did a lot of cupping, different types of massage and loads of moxa as well as using a TDP heat lamp kindly donated by the organisations Acupuncture sans frontiers and Les mains du coeur pour le Cambodge. 

Between Lyna and I we gave around 180 acupuncture treatments in 3 weeks. Dozens of people received treatment and we saw some big changes and sometimes complete relief in mood and sleep, digestion, pain levels, and mobility. We even saw smiles sparkle on previously sombre faces. By the end of my stay, pretty much everyone was smiling, chatting and able to relax, which filled me with joy. 

The stories I hear from the refugees and the conditions they live in always fill me with sadness, but I am also filled with awe and respect of the resilience, strength, dignity, hope, and ability to heal that they display.

To me, as a human being and as a Chinese medicine practitioner, it's a huge privilege to be able to do this work, to receive the trust of people, to be offered their stories, gratitude, and warmth, and to learn so much from every single person. I am humbled and feel more human at the end of each trip. I am also more hopeful despite all the pain and suffering I witness because of the experience of the effects that community, solidarity, and love can have on all of us, no matter who we are. I have great appreciation and gratitude for the work done at Earth Medicine not just because they are doing such an amazing job, but also because they give us all an example of how to create community and hope where there were none.

With gratitude, love and hope,



If you would like to donate to support Earth Medicine's work in Lesvos, please click here