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Healing my Acute Ankle Sprain Overnight!

 

 

Every once in a while I am reminded, by way of my own personal suffering, of the incredible power of our medicine when we “nail it,” usually thanks to the healing hands of others, but sometimes even by “representing myself in court.”

Thursday mornings are generally the most challenging at home. I have to leave a bit earlier to get to the school downtown and teach, which means I have to prepare breakfast and the baby’s things a bit faster, and often times endure her expressions of raging heartbreak when I must break out of the house shortly after she wakes up. Last week was one such morning.

As Jillian scrambled to get ready upstairs and I to prepare to leave downstairs, Peyton found herself in a “Daddy mode,” wanting me and only me, as my wife attempted to dress and brush teeth in hyper-speed so as to not leave our very mobile, curious toddler alone downstairs. Finally, it was 7:55, my hard out. I picked up the baby, carried her upstairs in hysterics, kissed her, set her down in front of my flustered wife, scrambled down the steps, and WHAM! Rolled my left ankle inward and exclaimed in pain in lieu of shouting “I love you,” on my way out.

I’d gotten lucky. On my walk to the train I realized the sprain or strain, or whatever had just happened must have been mild, as I felt only a mild twinge of pain at the ankle. I figured this should be a quick fix while watching TV later that evening.

But over the course of the day, I observed the pain grow gradually worse, and it wasn’t because I was standing or pounding on it excessively. To the contrary, supervising student clinic shifts is mostly sedentary and physically undemanding. By the end of the shift I was truly limping, to the point that it was difficult to get down the subway steps. By the time I got off the subway it was difficult to drag myself through the tunnel at Penn Station, requiring manual use of a wall to support my limp. And by the time I got off New Jersey Transit a half hour later I was in pain even at rest and could not apply any pressure to the foot whatsoever. In all of my youthful years skateboarding and playing soccer this was easily the worst sprain I’d ever had. I hopped down the stairs one step at a time and needed a ride home from the station.

As most of you know, I am a big believer that painkillers of any form should be relegated for pain—not discomfort—as my opinion is the laissez faire way in which they are ingested likely contributes over time to malabsorption in the gut, which is a primary etiology for many diseases. However, they do have their place, and this was one of them. With both sides of my ankle now throbbing, even while elevated on the couch, I ate some soup and took the max dosage of ibuprofen. From there the pain subsided and I returned to Chinese Medicine.

San Huang San is an empirical treatment for the first stage of such injuries. Nicknamed “herbal ice,” it reduces inflammation even more powerfully, but instead of constricting local blood circulation it enhances it, and I desperately wish all professional athletes knew about this ancient cure. I hopped into the kitchen, cracked an egg into a bowl, removed the yolk, and poured the herbal powder in with the white part to make a poultice. Stirring, stirring, stirring furiously, while my ankle pounded, pounded, pounded furiously with pain, I was determined to get back to the couch and begin this healing process as soon as possible.

 

Step 1: Bleed the “jing wells.” Jing well points are the first on each meridian, which means ends of the fingers and toes. It’s not always the most pleasurable experience, but pricking these points with a lancet to drain stagnated blood along the channel of physical trauma is a great way to begin the anti-inflammatory process by making space for new blood to come in. It’s a bit psychologically challenging to do on one’s self, but I managed, on the ends of both the big and fourth toes.

Next I used a spoon to apply my brown pasty, egg-white-based poultice to the entire ankle and wrapped it all up with bandages from our medicine cabinet. When the ibuprofen kicked in, I was no longer in pain at rest, but still was unable to put any weight whatsoever on the foot. That night I chose to sleep on the couch downstairs, as opposed to thunderously hopping up the steps and surely waking the baby.

Before bed I did acupuncture: Two points along the posterior tibial nerve pathway that innervates the medial malleolus (inner ankle), and two points along the peroneal longus and brevis respectively, which innervate the lateral malleolus (outer ankle). 15 minutes on each side, a protocol I was about to great practice in performing in the week to come.

I canceled my entire workday on Friday (sorry everyone), just praying that things would be manageable by Monday. When I woke up the next morning I was not in pain at rest, which meant I could put the Advil away for now. Before choosing to hop to the bathroom I thought I’d give a very light limp a try. I braced myself by my arm up against the living room wall and put the gentlest pressure I could muster onto the floor. No real pain. “Heyyy, that’s at least some improvement!” I took another step, this time cautiously applying even more pressure, and again noticed zero to minimal pain.

In my 20 years as a patient of Chinese Medicine, that walk from the couch to the bathroom was one of the most awe-inspiring, amazed experiences I’d ever had. With every step I applied more pressure and with every step I felt more gratitude and disbelief. I knew the reputation of San Huang San powder. I’ve used it on patients as well as on myself before, but I’d never seen it work at this speed with this degree of efficacy. My ankle was 80-90% better literally overnight. I almost thought twice about calling my patients to reschedule the afternoon, but with the help of a more level head from my better half I thought better of it and took the day to rest. Instead, and to satiate my Type A workaholism I purchased an online webinar by one of my mentors and spent the day studying. I am now one week removed from the sprain and feel 100% better.

 

Most people are aware of Chinese Medicine’s efficacy at treating chronic pain and injuries, but don’t realize that many such protocols, powders, formulas, and treatments were created and developed to treat injured soldiers in the ancient times of China’s warring states. Instead of the western RICE method, which even its creator, Dr. Gabe Mirkin, has conceded as wrong, please don’t hesitate to reach out the next time you sprain an ankle, break a bone, or tear a ligament. Like the smartphone saying, “There’s an app for that,” in Chinese Medicine we might echo, “There’s a treatment for that.”

Posted in Acupuncture, Arthritis, Neuropathy, Self-Care, Sports injury | Comments Off on Healing my Acute Ankle Sprain Overnight!

The Importance of Bland, Sour, & Bitter Foods

 

There are three flavors that are resoundingly unrepresented in the typical, daily, western diet, whose void is arguably part of the cause of our leading all first world nations in major disease. Sour foods, bitter, and bland foods all induce important healing mechanisms in the body that can only be fully understood through Chinese herbal medicine.

Sour foods have an astringent effect, which makes it very curious why so many Americans drink lemon water or tea when they have a cold or virus, which we want to do anything but astringe. From our perspective foods like lemon, pickles, (apple cider) vinegar, and sauerkraut might be great for improving immune function to prevent contracting colds, but once we are sick, acrid foods such as cinnamon, ginger, and garlic are more advisable.

Sour foods help to conserve (by astringing) the body’s cellular energy and healthy fluids. If we are completely burnt out, or experiencing symptoms such as muscle cramps, or getting a second wind late at night that prevents a healthy bedtime, these might all be requests from our body for more astringing of resources. Personally, I enjoy lemon water, or sprinkling it on kale, broccoli, and/or asparagus. Tomatoes are great this time of year and sauerkraut is especially balancing with spicy foods. Since the spice will naturally bring fluids up and out, we can use the kraut to counteract this effect and keep nutrients inside. Of course, sauerkraut is generally taken raw, so it is important to eat in conjunction with cooked foods or hot tea to fully digest.

The bitter flavor must be hands down the most unpopular in America, and the reason I figure it to be healthy is because my 2-year-old hates it more than anything—while obviously preferring sweet to anything. In Chinese medicine the bitter flavor clears heat (or inflammation) from the body, which is especially important for the next two months of the year. Scutellariae root clears heat from the lungs, Coptis root from the microbiome, and phellodendron from the urogenital microbiome.

These make up the “three yellows,” and if I’ve ever put them in your herbal formula you’ve likely complained to me the following week. Instead, regular consumption of unsweetened green and/or dandelion tea, most leafy greens, and cabbage can help to mature your palette all while reducing the kind of systemic inflammation that tends to rise eventually into the chest or central nervous system later in life. If you must have sweets after dinner, do so with either hot dandelion or barley tea to counter their effect.

The bland flavor is the toughest for me, because like most people with “damp heat” internal body types, I love spices and flavors, and especially love cooking vegetables in a way that is delicious and not so boring. But while there is a time and place for culinary creativity and indulgence, plain steamed vegetables were a staple in the diets of most human beings for centuries prior, which happened to be centuries of much fewer diseases. Sure, people weren’t living as long, but chronic illness in 40-year-olds was much rarer than it is today.

Poria mushroom is one of our most commonly used bland herbs for draining dampness from the gastrointestinal and urogenital microbiomes. Its bland flavor helps to modulate urinary function and reduce pathogenic fluid retention, and by doing so it has the additionally desirable side effect of calming our minds and spirit. How does this work? By reducing the proverbial internal traffic jams of unwanted fluids, our healthy fluids can then more easily circulate up to and from the central nervous system without diversion or congestion. If spicy foods ramp us up, it should be pretty deductive that bland will calm us, and who couldn’t use more calm?

One idea to incorporate this all into a meal is steamed or boiled broccoli (dress with olive oil if you like), sauteed leafy greens with garlic, salt, and pepper, any tofu or animal protein prepared to taste, and a glass of lemon water, and/or sauerkraut on the side; followed by a hot cup of dandelion or barley tea, with honey if you must.

Posted in Acupuncture, Blood Pressure, diabetes, Diet, Herbal Medicine, Traditional Chinese Medicine | Comments Off on The Importance of Bland, Sour, & Bitter Foods

Three Reasons to Add Deep Breathing to Your Daily Routine

Three Reasons to Add Deep Breathing to Your Daily Routine

You might think breathing is second nature, right? You’re doing it right now as you are reading this. But did you know that there are different kinds of breathing and that what is called deep breathing can have important health benefits? Read on to learn just three of the most important reasons you should add deep breathing to your daily routine. continue reading »

Posted in Meditation, Mindfulness, Sleep, Stress & Anxiety, Traditional Chinese Medicine | Tagged , , , , | Comments Off on Three Reasons to Add Deep Breathing to Your Daily Routine

Arthritis: What is the Cause & Cure?

I can’t tell you how many times patients have either inquired to me about a cure for arthritis or informed me that there is no cure, that the cause is objectively unknown, and of course I must laugh to myself at the obtusity of the latter in the context of our dynamic.

First I want to reiterate, I am not one of those (alternative) medicine clinicians who believes biomedicine has no place, nor that my own paradigm of medicine can cure all. If someone has a brain tumor or stage 3 liver cancer they need a biomedical doctor—not me (though they’re best advised to utilize someone like me for complementary support).

I am, on the other hand, absolutely one of those alternative medicine clinicians who believes that biomedicine’s understanding of the human body is limited to structural and literal objectivities, wholly in neglect of its intangible dynamics of physiological substances. This is what Chinese Medicine is almost entirely predicated on, and more relevant to arthritis.

Synovial fluid surrounds our joints. Healthy body fluids surround everything, in perfect illustration of our microcosmic embodiment of the world we exist in. When fluid circulation is impaired it coagulates, like a traffic jam in the body, and equally frustrating to our global agendas. First fluids stick and accumulate, then to the point that they obstruct the thinner, healthy fluids from doing their job of lubricating the joint, creating the ironic illusion of dryness. We hear cracking and feel dry, and label arthritis as a “dry condition,” when in fact it is the opposite. Stress and fatigue, along with sugar, alcohol, dairy, gluten, raw/cold foods and drinks, all induce fluid accumulation, so is it any wonder how arthritis is rampant in the modern world?

Arthritis is very personal to me, as it was the first condition I attempted and failed at treating in my father, as an acupuncture student many years ago. Dad was a great dad, but his diet was poor, stress was high, and he drank daily for a very long time; not to mention that he had a son and student as his practitioner. I think we peaked at temporary relief of symptoms each week.

Conversely, I take great pride in my own management of the gout disease that I inherited from Dad. I was diagnosed with the men of our family’s condition at the premature age of 25, and after suffering several painful attacks many doctors told me that I should live on Allopurinol, or whatsoever was the drug being presently recommended. Instead, I went on to learn Chinese Medicine. I all but completely abstained from refined sugar (exceptions for holidays, birthdays, and Paris) and obviously follow a very Eastern diet. My stress and fatigue inevitably wax and wane, as goes life. I know gout is something I’ll always have to be mindful of, but the fact that I’m now 45 and have never lived on medications or with annual attacks is a feather in my cap.

Without dietary modifications arthritis cannot be cured, in my opinion. That doesn’t mean one has to be completely abstinent from all of the aforementioned usual suspects. Just that the diet should be highly impressive 90% of the time.

Without internal herbal medicine arthritis cannot be cured, in my opinion. Acupuncture is fantastic, but it is rarely powerful enough to break down fluid accumulations or deposits, or adequately restore metabolic function the way herbs can. As always, with herbs there is no one size fits all prescription, no “herbal allopurinol,” nor even one prescription that one would take throughout a course of treatment. As the body changes, the formula changes and adapts to the patient’s evolving presentation.

While organ function is being restored through internal medicine, acupuncture can be invaluable to pain relief and improving local circulation. Committed patients must come for regular treatments for 3-6 months and modify their diets. In the first month acupuncture and moxibustion should be used twice a week. In subsequent months, once a week, and eventually every other week is fine so long as we are consistent and accurate with herbal formulas.

 

There is my best explanation for the causes and cure for arthritis.

 

Posted in Acupuncture, Arthritis, Herbal Medicine, Qi Gong, Traditional Chinese Medicine | Comments Off on Arthritis: What is the Cause & Cure?

8 Benefits of Practicing Regular Meditation

8 Benefits of Practicing Regular Meditation

Meditation has a reputation for several health benefits but here are the top eight reasons establishing a regular meditation routine can improve your overall health and wellbeing. But first, what is meditation? It is defined as the regular process of training your mind to focus and redirect your thoughts. continue reading »

Posted in Meditation, Mental Health | Tagged , , , | Comments Off on 8 Benefits of Practicing Regular Meditation
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