Nutrition
Red Meat and Foxglove Root as Medicine
In my last weekend roundtable of case discussions with my group in Beijing, my teacher reminded us of the importance of sometimes inquiring how patients feel while digesting red meat. Whether they feel good, bloated, constipated, or otherwise, can inform us of the strength of the microbiome.
Red meat, like all foods in Chinese Medicine, is medicinal, but like any medicinal it is not perfect. Although there is no better food for building and nourishing the blood and body fluids, plus warming the overall gut, red meat is obviously a heavy material, more difficult to digest than most foods, and therefore should be dosed and prescribed mindfully.
This reminded me precisely of how we think of “shu di huang,” a Chinese herbal medicinal that is better known in the west as foxglove root. Foxglove root is one of the most important herbs in our pharmacopeia for building and nourishing blood—especially when the lack of blood has led to internal heat in the body.
The problem is if you look at raw foxglove root it looks like a stale old chocolate brownie. It is dense, heavy, and sticky, invaluable to certain patient patterns, but also difficult to digest; we are continuously reminded to not prescribe unless and until patients’ microbiome functionality is fully, or close to fully restored. It’s a rather simple connection: If someone feels bloated or distended after eating red meat they cannot yet handle foxglove root. If we make the mistake of prescribing it, they’ll likely come back complaining of worse digestive issues and no improvement of symptoms. We always must first rectify the gut before rebuilding blood. This is Chinese herbal medicine in a nutshell—or a stale brownie if you will.
We are now entering the time of year where red meat is most advisable, utilizing its sweet warming properties to balance the bitter cold of winter, as well as its fatty lubrication to counteract the dryness most evidenced on our skin or chapped lips.
However, it is important to dose properly—also whenever possible to intelligently design the remainder of each “formula,” which is to say plate of food. Since something like salmon is relatively easy to digest it can be consumed alongside more carbs and/or potatoes. On the other hand, red meat is better harmonized by cooked greens and light vegetables to aid in its downward movement. Beer and white bread will obviously have the opposite effect.
By all means take the following Eastern recommendations with a grain of salt (or pinch of sea salt atop your filet mignon this holiday season):
- Ideally, red meat should make up the smallest portion of food on your plate. When it doesn’t it’s important the following day to drink plenty of mint, barley, and/or ginger tea to help with its processing and digestion.
- Red meat might be consumed about once a week in summer months and three times a week in winter months.
- Red meat should be consumed more by people over the age of 60, women on their menses, and people with relatively “cold constitutions,” that tend more to anemia, hypotension, hypothyroid, and almost “hypo” anything.”
- People with warmer body types with tendencies to “hyper” conditions, or dealing with serious hemorrhoids or intestinal inflammation should mostly avoid red meat until said symptoms are resolved.
- Red meat can be consumed with reckless abandon by any woman less than six months post-partum and almost any woman trying to get pregnant. If it bothers your stomach I would advise starting with very tiny portions and gradually increasing the dose, as unlike foxglove root, red meat should strengthen the microbiome enough to tolerate more of it.
If you are a meat-eater and have never been to Quality Meats in Manhattan I’d highly recommend! My father always preferred The Palm II on 2nd Avenue, but I believe he was guilty of nostalgic attachment, as it was located a few blocks from his office of several decades.
What Causes Disease? Something New or Something Old?
A common question from health care providers to patients during initial intakes around the inception of their chief complaint is: “Did anything new happen or significantly change in your life just before this started?”
If we are looking at an orthopedic issue this might be in suggestion to some physical trauma or accident. If the issue is more psychological, we’re inquiring clearly more around emotional trauma or incident. Either way, no matter the medical paradigm it is always helpful to know what, if anything, was the final straw, and/or only straw, to induce a present pathology.
Where medicine gets tricky is in approximately half of the times when the patient responds: “Nothing… nothing changed.” Nothing new or bad happened.
In this case it is logical to look at genetic tendencies finally rearing latent heads, but I am more inclined to examine patient habits and lifestyles finally catching up to them. Everyone knows that a few cigarettes, or even a few years of cigarettes, do not cause chronic illness, so why should a short or even medium interim of any harmful pattern under the umbrella of self-care?
How many years does it take for a lack of exercise to cause disease? How many years does it take for nightly desserts, social alcohol use, or haphazard use of pharmaceuticals to?
“The last straw(s)” is an etiology which poses a greater challenge to patients’ self-awareness, curiosity, and/or open-mindedness. Being confronted with what we might have been doing wrong for years, if not decades—where our responsibility lies—poses a threat to our ego, our belief systems, as well as our simple energy in its implicit requisite of critical thought, experimentation, and will power to examine what we could/should change. Nevertheless, scientific logic would dictate this to be at least one irrefutable contributing factor to disease.
When “nothing changed” just prior to onset of symptoms, what percentage of causality can we intelligently assign to genetics alone? Thirty percent? Sixty? Maybe ninety on occasion? I am skeptical it is very often 100%, lest I would personally be relegated to medications for gout disease, eczema, and an anxiety disorder.
I recommend to all patients, myself included, to be open, to the idea that although we probably haven’t been wrong about everything, we are just as likely wrong about some of the things we do, especially whilst in the context of seeking help.
Please don’t get me wrong: As much of a pet peeve it is for me to work with patients who take no responsibility for their conditions and/or wield a particularly narrow-minded arrogance around the infallibility of their choices, it is equally unacceptable when health care providers put the entire onus on the patient. The healing process, in my opinion, is not only a marathon-like process of scientific experimentation, but a team process, that usually requires approximately half of contribution from both parties. I’ve heard many colleagues criticize patients’ desire for us to “fix them.” Obviously, I agree, people must take responsibility for their health. At the same time, most chronic conditions need the outside support and help from professionals as well.
A Healthy Eastern Medicine Breakfast
There is no school of medicine or nutritional paradigm that does not consider breakfast to be “the most important meal of the day.” The reason for this is of course, science: the fact that morning is when our metabolism is strongest and we are most sensitive to our body’s insulin, whose job it is to break down glucose.
Nevertheless, cultural conditionings invariably conflict with scientific evidence, and breakfast remains generally the most neglected. People either don’t eat it at all, cite coffee as “breakfast,” or turn in C- work in the form of the unhealthy toast or bagel, otherwise “healthy” smoothies and yogurt. From a Chinese medical perspective such breakfasts are mostly inadequate in protein or healthy fat, and worse, they’re cold and sweet. As my mentor, Suzanne Robidoux always says: “A smoothie is not a meal.”
Once in a while, such indulgences are okay. But if taken regularly over time the microbiome becomes colder and weaker, and/or encumbered with gluten and sugars. Once this happens it becomes more difficult to digest heartier foods, so when we try introducing them we feel bloated. Instead of nutrients, our food turns to inflammation, our guts get weaker, and so on. This is the vicious cycle that leads people to have little to no appetite in the morning… which is the metabolic equivalent to not feeling tired at night, or not having a libido during the summer. It is an imbalance (of the liver or gallbladder meridians) that must be corrected.
One way to do so is to fake it until you make it. Eat warmer, higher calorie foods for breakfast, but begin with smaller portions, “smaller dosages,” to allow the body to acclimate. In Chinese medicine there are few foods more revered than (organic) eggs. I have no reservation in advising that it is impossible to eat too many eggs—especially of good quality. Start with one egg, ideally cooked a bit runny and over easy, but any way is beneficial (the yolk is thought to nourish our yin and blood, and is used in certain herbal formulas). You may cook with organic butter, avocado or olive oil, and/or dressed with olive oil at the end. Alternately, one can start with roasted vegetables…
“What??? Roasted vegetables for breakfast???” remarks all every American I know.
Yes. I realize this seems very odd in our country, but keep in mind that our country also leads the first world in cancer, autoimmune, and heart disease. Anyone not willing to step outside of the box of our cultural norms, in my opinion, puts themselves at great risk.
Roasting vegetables in the morning is SO EASY. In the winter I’ll throw a bunch of sweet potatoes (another Chinese herbal superfood) or brussels sprouts in the oven—in summer I’ll err more towards asparagus, if not sauteed leafy greens on the stove. Not only is this fast and simple, but also easy to digest, and checks off much of our daily vegetables requirement. My wife and I eat this with eggs literally every single morning, which in my opinion has undoubtedly nourished for our microbiomes a virtuous cycle of having strong morning appetites and putting them to good use by churning through substantial fatty protein. Or in Chinese medical terms, “the qi is strong” with which to start the day.
We’ll never know the diseases we avoid through good habits. We’ll only know those we endure, and quite often we’re left unsure of what caused them. The conditionings of fast-paced capitalism are obviously what has led us to neglect this spectacular source of strength in the day’s first meal. I highly recommend working towards reversing it. As always, acupuncture and herbal medicine can encourage things in the right direction.
To learn more about how the Chinese medical paradigm of self-care can care for you please don’t hesitate to CONTACT US.
