(by Rick Leskowitz MD) I went to medical school over 40 years ago, and its conceptual foundation was pretty straightforward: it was all about anatomy and physiology. First we learned about all the organs and cellular structures (it was called gross anatomy because the organs are so solid and tangible, not because dissecting them is unpleasant!), and then we learned how these components functioned together in health and illness. And not much has changed since then – doctor as auto mechanic, now upgraded to include regular maintenance checks (ie, lifestyle advice).

In many ways, the set-up is the same for energy medicine: subtle anatomy and energy physiology are the keys. Many people are aware of the three main energetic structures of our subtle anatomy: the biofield, the meridians and the chakras (in layman’s terms, the aura, the energy pathways and the energy centers.) Traditional Chinese Medicine states that the mind directs this energy (qi), and the blood (ie, the body) follows the qi. But how, exactly? 

This is where energy physiology fits in, by way of two key interfaces: the places where energy psychology and energy medicine techniques affect our subtle anatomy, and the places where energy-induced energy shifts impact our biology. For better or worse, energy psychology (EP) research overlooks qi by seeking to explain its effectiveness in terms that conventional medicine will understand (ie, fMRIs). But if energy is real, we should be able to make these EP-to-qi-to-body connections. So here are some next steps.

With respect to the first interface, each energy psychology and energy medicine modality has its own unique subtle anatomic target. One size does not fit all, because Reiki, EFT, TFT, TAT and EMDR each impact different layers and components of the energy body; see the reference below for a detailed map of how and where these interactions happen.

Regarding the second interface (energy-to-body), remember that biology and DNA can’t explain cell growth and differentiation – how stem cells decide to become, say, neurons, and grow over there – but the biofield can. Just as iron filings align to a magnet’s invisible lines of force, so will cells go and grow where and how the biofield tells them to. Consider post-amputation phantom limbs – many practitioners have palpated the invisible phantom with their hands. That’s possible because the phantoms are not illusory creations of the brain, but independent energy fields that exist in empty space, even when their corresponding physical structure (e.g., the iron filings) has been cut away. The body follows the qi’s template.



Another form of energy/biology interaction happens when strong emotions stir up sensations in our body. Feelings like being “choked up” or getting “butterflies in the stomach” aren’t just randomly located perceptions, but the results of specific chakra activations. Each of the chakras has an emotional function that is associated with a commonly felt bodily sensation (Figure 1).