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The 5 Elements of Chinese Medicine for Knicks-Mania

For the first time in 53 years and the first time in my life it looks like the Knicks can do it. I never thought this would happen. Even in the past few years, as they improved and made progress in the playoffs, my non-expert understanding was that we were a second-tier team. We’d make some runs, it’d be exciting and interesting for the first time in a quarter century, and that was enough to stoke the passion of hometown fans. But we’d always fall short of the top tier.

Now here we are, atop the mountain, two games to win to be considered the best, and I’ve already lost sleep over it. Like a kid on Christmas, but instead of sugar plums, visions of dancing in the streets with strangers, causing a ruckus, crying tears of joy in embrace with old friends who I watched the Knicks of the 90’s with as a kid.

It only happened once, but last week I tossed and turned for hours, intermittently frustrated but also laughing at how ridiculous I was, a victim of my own “heart fire,” an over-stimulated central nervous system, hyper-secretion of serotonin, and/or cortisol. So how do we treat this?

“Excessive joy,” as it is referred to in the Yellow Emperor’s Inner Classic, which sounds almost paradoxical. Why should any amount of joy be labeled “excessive?” What it means is over-excitement. Excessive indulgence, as in intoxicants or sexual pleasures, manic behaviors, and/or over-celebration, as in if your team should win a title for the first time in half a century. Of course, keep in mind for purposes of practicality, that none of these overt examples are requisite to induce heart fire. Some of us are just more so inclined—more prone to anxiety, insomnia, ruminating thoughts, or panic. For heart fire patterns, the following is advisable:

Avoid spicy foods, which induce upward surging of chemicals, the last thing they need. Prioritize bitters: green tea, coffee, and cooked leafy greens. Herbal formulas must be customized by a licensed clinician, but will revolve around medicines such as coptis root, gardenia fruit, scutellaria root, and/or rhubarb root. Keeping in mind that excessive consumption of bitter foods and medicines can weaken metabolism. It can be mitigated by exercise and foods that are mildly bland or sweet, such as yams, rice, and steamed vegetables.

Conversely, what if the Knicks lose? Then the stages of grief, beginning with anger, or “liver fire.”

Liver fire—that is uncontrollable fury—can be calmed by consuming sweets. Not sweet by modern American standards, although plenty of us have reached for junk food in moments of stress and can attest to having felt temporary relief. Instead, foods like rice or yams, even breads, butter, honey, or fruits can behave accordingly functional and are advisable for PMS cravings. Herbal formulas revolve around licorice, red dates, longan fruit, and/or rehmannia root. Keeping in mind that excessive consumption of sweet foods can also weaken metabolism by creating fluid retention in the gut. It can be mitigated by exercise and foods that are mildly bland or acrid, such as ginger, cooked onions, and steamed vegetables.

Finally, we have grief. Logically the opposite patho-mechanism to heart fire, grief causes vital substances to plummet in the body. Fluid metabolism is impaired as a result and we feel heavier, lethargic, depressed if you will. The body requires the opposite of bitter: Spicy, when appropriately dosed, can help metabolize fluids and bring our energy back up. Ginger, garlic, onions, turmeric, and even moderate doses of chili pepper. Herbal formulas might revolve around dry-fried ginger, Sichuan peppercorn, aconite, cinnamon, or ephedra. Keeping in mind that excessive consumption of “acrid” foods can weaken metabolism by dehydrating the gut’s mucosal fluids and digestive enzymes. It can be mitigated by exercise and foods that are mildly sour or sweet, such as yams, rice, and lemon water.

Clearly, and unlike my daughter, we are rooting for BITTER! Sleepless nights, heart palpitations, and a touch of anxiety, are symptoms any die hard Knicks fan would sign up for a few days of in exchange for a title. So get your green tea, kale, and dandelion greens ready. GO KNICKS!

Posted in Acupuncture, Anxiety, Blood Pressure, Depression, Digestive Disorders, Emotional/Psychological Disorders, Heart Disease, Herbal Medicine, liver, Mental Health, Stress & Anxiety, Traditional Chinese Medicine | Comments Off on The 5 Elements of Chinese Medicine for Knicks-Mania

How 9/11 Caused Bladder Cancer

While smoking cigarettes is the leading cause of lung cancer, only about 10-20% of smokers actually contract the disease, reminding us that there is almost never a 1:1 correlation between some objective disease and etiology, logically implying that nor should there exist any 1:1 prescription for cures.

Smoking is also the leading cause of bladder cancer, and maybe not coincidentally there have been nearly 1,200 recorded cases of bladder cancer from the 9/11 attacks’ residual toxins.

From a Classical Chinese medicine perspective, this makes perfect sense.

The bladder vessel was originally named the “Foot Tai Yang,” meaning it ascends from the lower limbs and the bulk of its oxygenated blood, or “Qi,” exists closer to the surface of the body (most Yang) than all other organ vessels. The lung vessel was originally named “Hand Tai Yin,” meaning it ascends from the upper limb and the bulk of its oxygenated blood exists closest to the surface of the three Yin layers, but still inferior to the three Yang layers.

The Foot Tai Yang bladder and Hand Tai Yin lungs share in a mutually interdependent relationship of fluid exchange. The lungs’ job is to descend vital substances downward to imbue the organs located beneath them with ample blood and energy. The bladder’s job is of course to excrete urine, but then from a Chinese medical perspective, take those vital fluids that are not excreted and circulate them upwards to imbue the central nervous system, upper orifices, and musculature with ample blood and energy. In Chinese medical school we are taught that a point along the wrist, “Lung 7,” is used to treat neck pain. What was never explained to us (unless I was absent that day) is that this dynamic is the reason why it works—also that it is logically most effective for neck pain located close to the center, that is along the bladder vessel. “Neck pain” located closer to the trapezius is a result of a different mechanism.

Whenever we treat urinary issues, from UTI’s to enlarged prostate, it is important confirm optimum functionality of the lungs and their corresponding vessels. It is also why exercise and deep breathing exercises can greatly benefit urinary dysfunction. Common Chinese herbs that share a common tropism for both vessels include plantain seeds (Che Qian Zi), schizandra fruit (Wu Wei Zi), and of course cinnamon branch (Gui Zhi).

Acupuncture that treats this “Water/Metal” dynamic of Kidneys and Lungs includes Lung 5 at the crease of the elbow or Kidney 7 just above the inner ankle, a point pair that is as useful for treating asthma or sinusitis as it is urogenital conditions—especially when the two coincide.

The inverse is less common. While some respiratory ailments are due to a failure of the urogenital microbiome to effuse fluids upwards, they are more commonly a result of GI issues, as seen in the coinciding of obesity with asthma and/or sleep apnea, or even rudimentary snoring at night. Urinary dysfunction tends to be further along down the domino effect. Commonly used herbs to drain dampness from the bladder and at the same time strengthen the gut include poria mushroom (Fu Ling), bitter tangerine (Chen Pi), or again, cinnamon branch (Gui Zhi), making cinnamon branch, per usual from Han Dynasty thought, the grand winner!

Posted in Acupuncture, Allergies, Asthma, Men's Health, prostate health, Qi Gong, Traditional Chinese Medicine | Comments Off on How 9/11 Caused Bladder Cancer

Why Would You Have Anxiety & Diarrhea?

The question shouldn’t be why WOULD you have anxiety and diarrhea? The question should be why WOULDN’T you have anxiety and diarrhea?

The cause of loose stools can be over complicated and analyzed, replete with fancy biochemical terminology, citing the benefit or particular bacterial strains, such as Lactobacillus rhamnosus GG, Saccharomyces boulardii, and Bifidobacterium, but from a Chinese medical perspective it comes down to one of two fundamental pathologies, and/or a combination of the two.

Either we have too much unhealthy bacteria in the gut (“dampness”), putting excess strain on our stomach, causing excess poop—or not enough good bacteria (“dryness”), which leads to the production of more inflammation than nutrients and again, excess poop. Over time, one pathology inevitably engenders the other and we’ll almost literally poop our brains out, as the gut produces most of the body’s serotonin, which acts as a signaling molecule to the nervous system.

The modern coined “Gut-Brain Axis,” first outlined by Zhang Zhong Jing as “Tai Yin” system in his masterpiece, Discussions on Cold Damage 2,000 years ago—it stands to reason that we should feel some type of emotional dysregulation as the cause or result of chronic diarrhea.

Two of the best ways to manage this are, you guessed it! Diet and exercise!

Warm, cooked vegetables and moderate protein strengthen the microbiome and exercise unburdens it, specifically and especially strength training, as the muscles classically exist in a mutually interdependent dynamic of engenderment with the pancreas and stomach. Strong muscles can equal a strong gut (though there is such a thing as “too strong,” where a person’s weightlifting addiction over-burdens their organs’ fluid and bacterium reserve), or vice versa.

When lifestyle doesn’t seem to do the trick, Chinese medicine has a great deal to offer.

For a gut that is overburdened with damp, harmful bacteria, we offer herbal formulas that revolve around Poria Mushroom if there are accompanying heart palpitations or insomnia, Atractylodes if there are accompanying thirst or joint pain, Magnolia Bark and/or Bitter Tangerine for bloating and/or chest tightness, or Pinellia root if nausea, thirst, or dizziness.

For a gut apparently deprived of healthful bacteria we recommend eating more white rice, especially if the patient is prone to loose stool. Chinese herbs include licorice root if there is acid reflux or low blood pressure, ginseng if there is thirst or fatigue, wheat for anxiety and depression, or Gypsum Stone if the person feels over-heated, manic, and craves cold drinks.

When bodily fluids plummet, as in diarrhea (or excessive urination, excessive menstrual bleeding, excessive any form of loss) it gives rise to the Chinese metaphorical concept of “Wind,” that is too much heat and/or energy (Yang) rising to the head as a result of a lack of fluids (Yin) in the lower portion of the body. This “Wind” can manifest in any way, from unsettling symptoms of the gut, chest, head, or mind. Anxiety is a proclivity near and dear to me, and throughout my thirties (combined with organic maturity) Chinese medicine helped me enormously. Please reach out if you or anyone you know is dealing with this familiar pattern!

 

Posted in Anxiety, Digestive Disorders, Herbal Medicine, Weight Loss | Comments Off on Why Would You Have Anxiety & Diarrhea?

What (the HECK) Should We Eat?

It may seem ironic that the most foundational Chinese medical texts harp on diet and nutrition almost as moderate and infrequently as do modern western medical schools. Part of the reason is in ancient times they did not have to navigate the “paradox of choice” of today. They ate what was available and needn’t concern themselves with overindulgences such as refined sugars or heavy seasonings, as neither one yet existed.

How to eat was apparent and matter of fact. Cooked rice and whole grains were encouraged in moderation to support stomach fluids and absorption. Cooked vegetables were mandatory in every meal and animal protein was highly encouraged, however not in nearly the quantity non-vegetarians consume it in today.

How to translate this into modern lifestyles:

For BREAKFAST we recommend any form of porridge and/or eggs with cooked vegetables—preferably the latter. The former can be oatmeal with nuts and fruits or rice, quinoa, or millet congee, either with nuts and fruits or pickled vegetables. The latter can be a baked sweet potato with butter, roasted sweet potatoes with olive oil, roasted zucchini with olive oil, sauteed collard greens, steamed brocooli, roasted carrots with butter… truly anything that one finds delicious and practical for those busy weekday mornings.

For LUNCH we recommend leftovers or a soup or some kind of cooked meal with vegetables. Raw foods, such as salads or smoothies are ok in moderation for some, but raw foods are more difficult to digest. They tend to cause gas and bloating and inflammation in their wake.

For DINNER a homecooked meal of whole foods. Not everyone has time every night to cook, and I am no exception to that, but we encourage everyone do their best to prioritize metabolic health, say over a clean house or even a clean kitchen, google some recipes you like, and just do it! It’s all good: Steak, fish, chicken, pork, tofu, tempeh, beans, pasta once in a while… it’s all good! So long as it’s homemade and warm 🙂 Personally speaking, many of my own long-term chronic ailments forever abated in my early thirties after I started finally cooking for myself at home. The rest of them improved when I quit eating refined sugar.

Never in human history have sweets been as sweet as they’ve been in the U.S. in the past 50 years. I encourage all of my patients to find as best alternatives as possible for their cravings (coconut yogurt, any yogurts, almond butters, any nut butters, dark chocolates, some honey or maple syrup if necessary, hummus, anything but American junk!) and recondition their minds to making things like packaged candy that doesn’t expire relatively invisible to their eyes.

Needless to say, it also benefits metabolic health to not eat late at night, by the same token to not skip breakfast, not consume alcohol on most nights, and DO consume hot tea daily

This is not about shaming anyone. It’s about encouraging, educating, and empowering us to navigate an environment that is obviously not designed for long-term health.

Posted in Acupuncture, Allergies, Diet, Digestive Disorders, Nutrition, Recipes, Traditional Chinese Medicine, Weight Loss | Comments Off on What (the HECK) Should We Eat?

Chest & Breast Pain & Chinese Herbs

Geography is significant in Chinese medicine. Not just the label of a symptom or disease, but its location, for acupuncturists, strongly informs our diagnosis.

When I ask patients whether they experience chest pain or tightness I am not necessarily concerned for some respiratory or cardiovascular disease. The chest is the “domain of Shao Yang,” “Lesser Yang,” that is relative to the head, neck, and face, described more often in our literature as “Tai Yang” or “Yang Ming,” respectively

The Shao Yang system harbors the end result of our body’s “pivot,” from metabolic production to the distribution of vital substances around the body. Soreness around the ribs, tightness in the chest, cough or even shortness of breath can be a result of our organs failing to produce adequate substances to engender functionality above.

The textbook pulse quality at the radial artery in such patterns is a “wiry one,” illustrating a microcosm of the fluids in our torso beginning to stretch thin. Needless to say, the best way to avoid this mechanism is with a diet that produces ample fluids and exercise to clear heat. If you don’t succeed, and eventually none of us do, what is the flavor of your chest pathology?

Sharp pain that is better with exercise, first of all obviously bodes well from a biomedical perspective, but also indicates some subjective blood stasis in the chest—most often a lack of blood movement due to an inadequate quantity of metabolic fluids giving rise to inflammatory heat, which tends to dry out the diaphragm and everything that includes it. Best remedies are moderate exercise and deep breathing. Best acupuncture points are Pericardium 6, which fires into the brain’s insular cortex, subsequently down the vagus nerve.  Herbal formulas include platycodi bark, immature tangerine peel, and peony root.

If the chest feels hot, it suggests further aggravation of inflammatory heat, which might include sequelae such as insomnia, anxiety, and/or irritability. This may be difficult to treat with acupuncture alone, although local points such as Ren 17, Lung 1, and Liver 14 may help. Herbal medicine will be more effective, including the very bitter coptis root or gardenia fruit to additionally clear heat from the stomach, otherwise prunella spike, lily bulb, and/or if there is notable phlegm in the lungs, trichosanthis, or “gua lou pi.”

If your chest pain is worse after eating it clearly suggests some degree of food stagnation—that is indigestion. Steamed and bland foods are advisable until it resolves, as is drinking Pu-Erh tea, and performing manual stomach circles around one’s abdomen.

Best acupuncture points are Large Intestine 4, which fires into the brain’s periaqueductal gray matter, then into the abdomen. Herbal formulas include magnolia bark, rhubarb root, tangerine peel, ginger, and bupleurum root, to comprise the majority of “Da Chai Hu Tang,” or Major Bupleurum Decoction. Alternatively, if one is more prone to diarrhea and lack of appetite, more advisable would be the simple, four-ingredient digestive aid, “Li Zhong Wan,” or Regulate the Middle Decoction, containing ginseng, dry fried ginger, atractylodes root, and licorice.

Persistent chest pain should be taken seriously, especially if coinciding with shortness of breath, and one should see their medical doctor to rule out any danger. Once structural ailments are ruled out come see us to address the root of the issue!

Posted in Acupuncture, Anxiety, Asthma, Blood Pressure, Heart Disease, Traditional Chinese Medicine | Comments Off on Chest & Breast Pain & Chinese Herbs
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