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Digestive Disorders

Treatment for Loss of Voice

As we approach an exciting Yankees first World Series appearance in 15 years, Halloween, and an even scarier Election Day, there’s a good chance a lot of people will be losing their voices, as a result of screaming and shouting, hopefully for joy. Couple that with the dry autumn season, which corresponds with Chinese medicine’s lung channel, and many will be more prone to hoarseness and/or dry, hacking coughs.

Aphonia, or loss of voice, can happen for one of two reasons in Chinese medicine:

  1. The adrenals that secrete hormones, such as estrogen are weak and/or weak in reserves and there just isn’t enough fluid to lubricate the throat. For this, the best self-care recommendations are eating good quality pork and beefs and getting plenty of rest, with early bedtimes. Herbal medicine is preferable to acupuncture, namely formulas that help strengthen the kidneys and generate systemic fluids.

 

  1. Dryness exists more around the pancreas and stomach organs, subtly impairing digestion and giving rise to dry, inflammatory heat that tends to flare up into the chest and throat, then drying out the fluids up top and creating a vicious cycle. Labeled a “Shao Yang” pathology, this is common in singers and teachers, and can be treated with acupuncture and/or herbal medicine. Best self-care recommendations are possibly a bit more exercise, white rice, and/or congee and sweet potatoes, red date tea, and again, early bedtimes.

Of course, there are other causes, other etiologies and contributing factors, such as being on one’s menses, which dries out the internal blood, which in turn dries out either the kidneys or digestive organs, exemplifying these patterns as primary suspects to target in treatment.

Peppermint tea with honey is another fine option to treat, although if you are prone to bloating, loose stool, or lack of appetite, honey might not be the best thing for you.

On the other hand, ginger tea is likely to aggravate this situation due to its drying nature. While potentially very healthy, ginger has earned itself an undeserving reputation as unconditionally so, especially when treating people suffering from anemia or any chronic dryness.

When navigating any form of soreness or dryness from the chest up it is advisable to avoid hot sauce or spicy foods, as they can obviously aggravate the inflammation. Ironically, it is equally advisable to avoid iced cold drinks, which constrict vasculature around the throat and further impede the arrival of healthy systemic fluids to lubricate the region

Wishing everyone a lubricated throat and organs in these highly anticipated events!

I’m predicting Yankees in 7.

I’m predicting Kamala.

And in a group family effort, I will be Olaf from Frozen for Halloween. Pics to come!

Transitioning from Summer to Fall

Although it remains deftly hot and humid, according to the traditional calendar and evidenced in the shorter days and longer nights, we now find ourselves in the transition between summer to autumn.

Summer corresponds with the heart and central nervous system, autumn with the lungs and immunity, but each quarterly transition of the seasons corresponds with the gut and microbiome, thereby further underscoring the importance of digestion in engendering all other organ systems. This one might be most directly significant, as in Chinese medicine’s cycle of the five elements earth is “mother to” metal, which is to say the stomach is primarily connected to pulmonary health. Anyone who’s ever suffered with an asthma attack due to dairy consumption or sleep apnea due to a weight problem can attest.

To compile the challenges posed by American diets and grocery options, we are simultaneously confronted with the humidity, which might further aggravate pre-existing dampness in one’s gut, depending on their constitution, diet, and body type. As always, I recommend going gluten, dairy, sugar, and alcohol free as much as possible.

To avoid gluten, there is always rice or great gluten free pasta brands now, such as Glutiniete. To avoid dairy, you can occasionally sprinkle nutritional yeast on foods and/or make vegan parmesan cheese with this simple recipe:

To avoid sugar I recommend increasing your tolerance for dark chocolates, and/or eating spoonfuls of nut butters with a touch of maple syrup or honey. If you must have alcohol, then vodka, tequila, mezcal, and organic wines are preferable. People often forget (especially when seeking a buzz) that grapes are always on the dirty dozen list, which means their inorganic versions are ridden with pesticides.

Those are a lot of DONT’s, I realize. As for DO’s:

  • Eat a warm breakfast with protein: Eggs, oatmeals, congees, etc.
  • Sweet potato, sweet potato, sweet potato! An excellent digestive aid and coming into season in fall. I like to roast them either with salt, pepper, and garlic, or cinnamon and maple syrup. For the latter I add sliced apples for my toddler in the last 15 minutes.
  • Small amounts of fermented pickled foods, such as kimchi, sauerkraut, or pickles for their naturally occurring probiotics.
  • Pu-Erh tea instead of green in the morning, also for its naturally occurring fermentation. Green tea, even when consumed hot, has a cold quality that can harm weak stomachs.
  • Hot ginger, licorice, and/or barley tea in the evenings.

Finally, in our classical texts it is said that excessive standing harms the kidneys, excessive celebration harms the heart, and excessive sitting harms the stomach. What is meant by the latter is something the ancient Chinese understood and has only in recent generations become common knowledge in the west: sedentary lifestyles compromise metabolism. No matter how well we eat, it won’t much matter if we never get up and move.

Which Sparkling Waters are Safe?

I don’t know many adults who don’t love sparkling water. I don’t know whether bubbles are having a generational popularity surge, or I’ve just reached that age where friends are enjoying it as a preferable vice in lieu of soda, beer, or other intoxicants we’ve all but ditched for better health. I’m pretty sure it’s both factors, and especially ever since the quieter life of parenthood and middle age, my wife and I both anticipate with great pleasure, our respective “sparklings” once our toddler is finally asleep for the night.

First, the obvious: Is sparkling water healthy?

Yes and no. My teacher, Dr. Suzanne Robidoux, suggests that people who gravitate incessantly to sparkling water probably suffer with a great deal of dampness in their stomachs. The carbonation causes gases to move, which helps to temporarily dissolve the dampness, and beyond being delicious, they feel better. Take note of what you’re eating when you have a strong craving for these gases—it is probably a damp-causing food. Conversely, people who feel bloated or uncomfortable in drinking the bubbles probably suffer with a “dry stomach,” one that is lacking in healthy fluids and/or digestive acids, and can’t handle the gases as well.

This informs us that (the gases in) sparkling water has a drying effect, which is not the worst thing if taken in moderation, but if over-indulged in over time, can have deleterious effects. Let’s be honest: Nobody actually believes these often flavored, commercial sparkling waters could possibly be as clean and neutral for our organs as plain, room temperature water, right? My opinion is as long as we limit ourselves to 1-2/day and are additionally giving to our bodies plenty of plain, clear water, we should be fine.

With that said, there are recent reports that many sparkling waters are laden with PFAS, or polyfluoroalkyl substances, which are manmade chemicals that have been around only since the 1940’s. Nicknamed, “forever chemicals,” they are thought to not break down in the human body and accumulate over time, potentially causing a wide array of serious diseases. These chemicals are found on non-stick pans as well as pizza boxes, as if the white bread, mozzarella, and inorganic (nightshade) tomato sauce wasn’t inflammatory enough.

Knowledge is power, and fortunately these same recent reports have informed us of which major companies’ waters tested positive for such chemicals, and which tested negative. Apparently, brands to avoid include Perrier, La Croix, Poland Spring, Bubly, Polar, and Topo Chico, once topping the charts with levels of 9.76! So, if you go to a Mexican restaurant, you’re probably better off with tequila than a fresh bottle of Topo Chico water.

Safe brands include Spindrift (which uses real fruit to flavor!), Mountain Valley (which has previously been ranked the cleanest water in the country, bubbles or not), Pellegrino (the classic!), Waterloo, and Sound.

I would post a link to some of the articles I referenced to get this information, but there are so many that are so easy to search online. I recommend doing so if you love your daily bubbles and wish to read more. Hope all are enjoying the summer!

Breakfast Congee Ideas

For anyone who is vegan, sensitive to eggs, or just dislikes them, here is a breakfast idea I’ve been experimenting with, both for the sake of variety and, well… experimentation.

In China, (white) rice congee is a common breakfast, often with egg and pickled vegetables, although I realize in the States rice is rather vilified for being a simple carb and high on the glycemic index. While this might be the case, it is also a food that is very gentle on the stomach and internal organs, which from our perspective aids in absorption and digestion, and in the proper dosages can be beneficial. However, for those who can’t get past the glycemic index, I recommend using quinoa, millet, or amaranth.

1 cup of your grain of choice

5 cups of liquid (if you’re going to make the sweeter, I recommend some kind of dairy-free milk—if you’re going for the probably healthier, more Oriental style I recommend just water or either vegetable, beef, or chicken broth) Oils don’t mix as well with the sweet flavors so if you’re making the sweeter version be sure to stir often so as to avoid sticking to the pot.

Boil and simmer about 15-25 minutes, or until it is the consistency of porridge.

Treat the sweet version like you would oatmeal: Top with berries, granola, as little maple syrup as you can discipline yourself to, cinnamon, and/or nuts if you like.

For the Asian version I recommend leftover vegetables and/or pickled cabbage or kraut. Plus, an over-easy or boiled egg if you want the best of all worlds.

Enjoy warm if possible! For those of us with babies or toddlers, we long for the days when we will return to eating hot food.

Whatever you eat, EAT BREAKFAST. I cannot stress this enough. They said breakfast is the most important meal of the day because it is, not because grandma said it, but because science and biology do. Here is a link to an NIH study correlating the skipping of breakfast with increased insulin resistance and risk for diabetes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246451/

I like coffee as much as anyone, but coffee alone (or with a piece of toast) is not breakfast. Protein and/or fat should be consumed, preferably in great quantity.

Nor do I doubt the potential benefits of intermittent fasting, but it is more biologically aligned to skip dinner—not breakfast. If this is impossible, maybe a later breakfast, like 9am? Supposedly, any longer than 2-3 hours after waking constitutes “skipping breakfast,” which is to say the insulin resistant mechanism is set in motion by that time.

If you have no appetite for breakfast this probably indicates your dinner being not fully digested and some metabolic syndrome at work. Please reach out—or try licorice and/or ginger tea 🙂

Tom Brady & Nightshade Vegetables

If he isn’t universally considered the greatest football player of all time, he’s at least objectively the most successful. Supposedly, one of Tom Brady’s secrets to success was an extremely strict diet, which was about 80% plant-based, organic, paleolithic, with abstinence from sugar, alcohol, soy, condiments, frozen foods, gluten, and nightshade vegetables.

Nightshade vegetables include white potatoes, tomatoes, eggplants, and bell peppers, and although all of these contain nutrients, they also contain a compound called solanine, a natural pesticide that can be toxic in high concentrations. People with irritable bowel, autoimmune, and/or arthritic conditions can be more vulnerable to solanine’s adverse effects—in Chinese medical terms, it creates dampness, or inflammation in the gut, which gets sent “outwards” to our joints. As someone who has battled gout disease off and on for twenty years, I’ve recently decided to experiment with nightshade abstinence. When it comes to self-experimentation, I generally recommend and adhere to the rule of the life cycle of a red blood cell, which is 120 days, or about four months, so I’ll let you know how things are when I reach the finish line.

Potatoes are an easy workaround, since sweet potatoes are safe, not to mention healthier overall, and delicious. I’ll miss French fries, but I’m an adult, and let’s be honest, they’re probably one of the worst things we can possibly eat. Eggplant and peppers are generally easy to avoid, but tomatoes will be tough. I love sauce and meatballs, not to mention a good caprese salad as we approach the season, however I do not love any of these things as much as I do my internal organs. Potential workarounds in said Italian realm are sauceless meatballs (+olive oil), pesto sauces, or garlic and oil primaveras, the latter of which sans peppers of course.

In playing with diet, I’ve found the same benefit I once did when imposing creative restrictions on myself as a comedian many years ago. For example, at one point I chose to not do or write any jokes about race anymore, simply because they’d become so ubiquitous and hacky on the circuit. I got so bored of hearing them that I couldn’t bring myself to perpetuate the problem, no matter how unique I thought a particular idea of mine was. By “censoring” myself in this way I think I became a superior writer, forced to think harder and write more imaginatively. Similarly, when we omit certain foods from our diet, we might be forced to broaden our horizons (just use Google!), expand our minds and at-home menus, and probably discover new foods that we love, and more importantly love us in return.

If you suffer from any chronic joint pain, autoimmune, or intestinal condition I would invite you to join in my self-experiment and see how your body feels. You/we don’t have to commit to forever. Just four months to intelligently reassess. If you prefer to wait until after tomato season you can enjoy throughout the summer, begin after Labor Day, and resume nightshade indulgences again for the winter holidays. As humans go, it seems the second most common time of year to clean up our acts after New Year’s is the end of summer, in the wake of vacations, ballgames, beers, and barbeques.

None of us can become Tom Brady on the football field, but it would be nice if our internal organs and systems could be as close as possible to the Tom Brady’s of our bodies. As we weaken with age, I believe the most logical antidote is strength in discipline, in hopes of maximizing physical freedom through restrictions or subtraction. Less is more, as they say, a fine maxim to default to under the spell of American food.

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