
The Question Mainstream Medicine Is Finally Asking
Sixty percent of American adults are interested in spiritual support from their health care providers. The 2021 study reported that spiritual needs among seriously ill patients are common, rarely addressed, and that when left unaddressed, quality of life suffers.
3 Three Patients With the Same Pain–3 Outcomes
I once treated three patients who had the same complaint: chronic, debilitating lower back pain. Each took a different path toward healing.
The First Chose Surgery
The surgeon identified a herniated disc pressing on the nerve and performed a spinal fusion. The surgery was technically a success. The patient’s pain improved—for a few months—then returned at an adjacent level of the spine—a recognized complication in which mechanical stress shifts to the next spinal segment.
The Second Chose Acupuncture and Psychotherapy
Acupuncture addresses energetic blockages in the lumbar meridians—channels through which energy flows. The needles opened the flow. Then psychotherapy uncovered that her pain had flared during a period of serious marital conflict, alongside unprocessed grief from her mother’s death. Chronic stress elevates cortisol, drives inflammation, and tightens muscles—the biochemistry of suffering was literally compressing her spine.
The Third Went Deeper
The third patient was a woman of deep faith and a practitioner of Falun Dafa. We ruled out anything dangerous. Her primary approach to healing was spiritual: meditative exercises and, most importantly, an honest examination of her own heart and character—resentments, fears, and attachments she hadn’t released. Like Wang, she wasn’t trying to fix her back. She was practicing cultivating herself. The pain resolved completely and did not return.
5 Questions to Ask Yourself
Before you see another specialist or try another treatment, sit quietly and answer these five questions. Write them down and be honest. Your answers may reveal more about the root of your suffering and the path to your healing than any lab test.
1. What Is My Meaning and Purpose in Life?
Being unable to answer the question of our meaning and purpose in life clearly is not a personal failure; it’s a clinical finding. A life without felt purpose is a life under existential stress, and that kind of stress is physiological. It shows up in your immune function, your inflammation markers, and your sleep. Reconnecting with purpose is not a luxury—it’s medicine.
2. What Is My Relationship With Myself, the People I Encounter, and the Universe or Nature?
Are you at war with your own body? Resentful of the people around you? Disconnected from nature? These relationships are not abstract—they regulate your nervous system. When there is harmony, your brain signals your nervous system to lower stress hormones and stabilize your heart rate—shifting you from a state of fight-or-flight to one of physical calm and recovery.
3. Is There a Creator? If Yes, What Is Your Relationship With the Creator?
Whether you call it God, the Dao, the Source, or something you can’t name, your relationship with the creator shapes how you carry suffering, how you face uncertainty, and how much inner peace is available to you. Trying to answer the questions honestly will open something.
4. Is There a Past Life, a Future Life, and an Afterlife?
What you believe about the continuity of existence profoundly affects how you live this life. If this life is all there is, suffering has one meaning. If it’s part of a longer journey, it has another. Both perspectives are valid. What you believe will affect how you make choices in life.
5. What Is Your Understanding of Hardship, Tribulation, Aging, Illness, and Death?
This question is the big one. Do you see illness as punishment, as random bad luck, or as something that carries meaning? How you frame suffering determines whether it crushes you or transforms you. Every patient I’ve seen who experienced deep healing—including Wang and my patient whose back pain vanished—has found a way to relate to their suffering that gave it meaning rather than letting it steal meaning away.
What to Do Next
If You Are a Patient
Answer the five questions above. Add a daily contemplative practice—even five minutes of prayer, meditation, or quiet reflection. Look honestly at your character—grudges, avoidance, unkindness—these create real physiological stress. Don’t abandon your medical care—faith and medicine are not opponents. The goal is to treat all four dimensions, not to replace one with another.
If You Are a Clinician
Here’s my simplest trick: I ask patients what they do on Sundays. That’s it. No one feels interrogated, but the answer tells you almost everything. From there, the two screening questions from the recent Neurology Clinical Practice article are a natural next step: “Is spirituality or faith important to you in thinking about your health and illness?” and “Do you have, or would you like to have, someone to talk to about spiritual or faith matters?”
The Fourth Dimension of the ACES Framework
In classical Chinese medicine, the Shen—the spirit—governs the body. When the spirit is at peace, the qi (energy) flows, the organs harmonize, and disease struggles to take root. Modern psychoneuroimmunology is beginning to confirm what ancient physicians knew: The spiritual dimension is not separate from the physical one; it precedes it.












