Traditional Chinese Medicine
Acupuncture Point for Cardiovascular Health
As someone who comes from a family with cardiovascular issues on both sides it is important for me to be attuned to heart health, not only as a practitioner, but also as a patient.
Unfortunately, as is the case with nearly every condition under the sun, in Chinese medicine there is no one size fits all prophylactic prescription, whether of needle or herb, to prevent cardiac issues. We must due our diligence, understand the full body pattern, and treat every part of it, lest the one neglected will eventually find its way to aggravate the one originally targeted.
Lisinopril is the hypertension medication I see most commonly prescribed, and one of its primary side effects is dizziness. While this is preferable to a heart crisis, it should be understood that this kind of dizziness is exemplary of inadequate blood reaching the head, which means inadequate neurotransmitters reaching the head, which over time may bring with it a whole host of more serious neurological complications.
One way to target support in hypertensive patient and/or those looking to wean off of their medications is to regularly bleed the point, “Lung 5,” or “Cubit Marsh,” located at the crease of the elbow, a bit lateral to the vein we’ve mostly come to know as the blood drawing point.
Why would this work?
First of all, in a lot of people it won’t. Lung 5 is known as the lungs “water point,” partially because its job is to unblock fluid retention in the chest to allow it to descend into the kidneys, then in turn be sent back upwards to calm and help control the heart. If fluid retention in the chest and/or lungs are not present—that is if that is not our etiology—then bleeding this point will likely offer little to no help. Further assessment is required to determine which points and vessels can and should. If fluid retention is present we will likely see dark or distended veins, or spider veins, or fluid amassment in the region of the point around the elbow.
Garlic, ginger, and onions might be advisable. As would Chinese herbs such as Pinella Root.
Another cause for a failure for the lungs to “descend” vital substances into the kidneys is just plain weakness. Call it old age or genetics—whatever floats your boat—but the lungs in this scenario are lacking “qi,” or ample functional gases, to enable them to do their job. In this case we’re more likely to use (“earth”) points such as “Lung 9,” “Great Abyss,” and/or “Heart 7,” “Spirit Gate,” and/or dermatomes on the upper back that correspond to these organ systems.
Lemon water and bitter greens might be advisable. As would Chinese herbs such as Peony Root, Astragalus, Cinnamon, or Schizandra Fruit.
As far as I know, the best ways to prevent heart disease are through regular exercise, stress reduction, and cooked, dark, leafy greens. Beyond that, if it’s in your gene pool and you note congestion at your elbow crease, by all means holler, and I promise to not bleed you out.
Spring Scholarship for Free Acupuncture!
It’s that time again! As the winter term comes to a close, a friendly reminder of my quarterly offer of free weekly acupuncture sessions to any one patient who cannot otherwise afford treatment. Please let me know if you, a friend, or family member would be a good candidate to allow me to give back.
As always, stipulations include a relative lack of resources (on the honor system), plus an ability to come on Fridays in the late morning or early afternoon when I have more office space available.
I have been fortunate enough to have a patient base that is generally kind, complimentary, and forgiving of my shortcomings, but I’d also like to take this opportunity to request any constructive criticism or feedback on either my space or treatments. Even if it is something seemingly menial, such as pillow comfort or temperature in the treatment room, if you’ve thought it somebody else probably has as well, and all parties would benefit from your honesty. As clinicians, I believe it is as important to accept such reporting as it is to remain true to our fundamental philosophy and approach.
Happy upcoming spring solstice! If you have trouble waking up in the morning, ’tis the season for acrid and spicier foods to encourage the seasonally organic upward movement of blood and neuro-chemicals. If you tend to wake up too early or feel generally over-stimulated ’tis the season for more sweet foods, such as steak and rice, to mitigate their surge. Refined sugar also works in the short-term, but obviously leaves inflammation in its wake, which leads to perpetually more aggravated surges, henceforth more dependency on sugar!
My favorite bit from James Clear this week:
“The modern world is optimized for convenience, not improvement.
The default path is usually the more convenient path. And I get it. Who wants their days to be a pain in the neck? I like sitting in air-conditioned rooms and watching my favorite shows too.
But the body and mind only grow when placed under a stimulus. If you want improvement, you have to choose something different than convenience.
It can be lovely to have a day where you do not push yourself, but it rarely works out well if you have a life where you do not push yourself.”
Is Coffee Good for the Heart?
I recently read this article from New York Presbyterian on whether caffeine is good for heart health, citing recent scientific research findings that coffee can reduce the risk of heart failure, atrial fibrillation, and type 2 diabetes.
Of course, I have to weigh in… first by thanking NYP for the impetus and content material—even if we come from different paradigms of thought, science, in my opinion, is entitled to nothing if not thoughtful, yet vulnerable debate.
As everyone who adds one, two, or more teaspoons of sugar to their daily coffee knows, coffee is a bitter agent, and in Chinese medicine the directional chemistry of bitter medicines and/or foods is downward—down and out to be specific—evidenced in the bowel movements that are so common after one, two, or more cups of coffee in the morning. Is bitter medicine healthy? Sure, about half the population will gain more physiological benefit than harm from bitter herbs. The other half might experience the short-term benefit of bitters’ ability to reduce local inflammation, but in the long run it may harm their microbiome and ability to absorb nutrients, which in the longer run will create more inflammation.
“Give her more bitters!” the foolish clinician will shout. “Reduce her inflammation!”
But that second time around she is older and weaker—those initially experienced benefits seem inaccessible, and conventional medicine might increase dosages or attempt to potentiate the first medicine’s effect with another anti-inflammatory, and before we know it all gastrointestinal functionality is gone.
According to the FDA about 4 cups of coffee per day is considered safe for most healthy adults. I don’t know about you, but I can say with full confidence if I drank 4 cups of coffee a day for a month, I would develop some kind of health crisis by the end of it.
My opinion is the reason conventional medical research seems to waffle back and forth so much—during one generation coffee’s the villain—next generation it is alcohol—is because of its greatest flaw: Its insistence on attempting to objectify things as healthy or not, good or bad.
Bitter diuretics have a drying effect on the body, so if you are someone who has more pathological biofilms than deficiency of blood and vital enzymes, you may benefit from coffee in moderation. If you are the inverse, it can have the opposite effect. You might mitigate this by having coffee with food, which can provide enough metabolic moisture to offset its bitter diuresis.
A good way to know whether coffee is good for you is to observe how your body responds to it. If it gives you heart palpitations or makes you feel racy, then 2-4 cups per day will likely not benefit your long-term heart health. The same goes for if it causes you soft stool. If coffee is your key to regular, formed bowel movements then its bitter biochemistry likely agrees with you. If it gives you diarrhea it tells us your gut is a bit too lacking in enzymes to properly metabolize it—not to mention the fact that diarrhea further depletes such enzymes, which will inevitably impact the heart over time, ironically.
Many doctors and scientists are brilliant but in my opinion their brilliance is often handicapped by a reductionist lens. If you want to know if coffee is good for your heart one of the best people to ask is yourself. Or a (real) herbalist.
Herbal Profile: Chi Xiao Dou (Adzuki Beans)!
In Mexico black or refried beans are most popular. Caribbeans eat black peas, Indians more lentils, and of course Americans prefer the sweetest of all, baked beans. In China though, adzuki beans are more than just a delicacy—they are an important ingredient in our classical pharmacopeia, often used to treat conditions of the intestines or skin, the latter frequently manifesting pathologies of the former, thereby informing us of the underlying pattern.
For example, while redness around the forehead points to suspected biofilms of the intestines, acne that falls more around the jawline, chest, or upper back suggests biofilms of the stomach. Chi Xiao Dou, or Adzuki Bean, can be used to treat either, provided it is appropriately dosed within the context of an accurate holistic formula. It is also useful for eliminating or minimizing liver spots, pus accumulation around the eyes, and other random skin discolorations.
Listed in our texts as sweet, sour, and neutral in properties, its neutrality allows it to diffuse dampness in the body that is either cold/inhibitory or hot/excitatory in nature. Its sweetness encourages the body to generate a healthy amount of fluids, and its astringency obviously helps our body to hold that which is leaking, or sinking. It is said to gently promote blood circulation between the bowels and the skin layer.
This might explain why it comprises half of the formula, Dang Gui Chi Xiao Dou Tang, most commonly prescribed to treat certain types of hemorrhoids and skin issues around the buttocks.
If the shoe doesn’t fit—that is if this formula does not fit your pattern, but you still suffer with chronic hemorrhoids, it is advisable to regularly consume adzuki beans with your meals to take advantage of its biofilm dissolving properties. By relieving intestinal vessels of inflammation this should take pressure off of the rectum.
Adzuki beans go well with rice and/or Latin or Asian dishes, also within rice congees plus a boiled egg, providing additional protein to an otherwise dish of just white rice. If you don’t love the taste as much you can also do what I do for my daughter, which is mix the adzuki beans with baked beans as a side dish on hamburger and hotdog nights.
To treat skin conditions Chi Xiao Dou is generally paired one way or the other:
- With the aforementioned, Dang Gui to not only help to generate red and white blood cells, but also to courier them to the surface to nourish and lubricate the skin.
- With more bitter, inhibitory, heat clearing medicinals, such as rehmannia root to mitigate the body’s inflammatory response, known to flare upwards in the form of jawline or upper back acne (“Backnee”).
If you think adzuki beans might help you or a loved one reach out—or just go to the store, purchase, and cook them up! Preferably organic, as inorganic legumes can be particularly vulnerable to chemicals and pesticides. Any recipe or preparation questions, let me know!
Alternative Acne Treatments
Acne has many faces. Why does it land on us? Our faces and backs, upper or lower back? Why for some of us is it itchy, while not for others? For some it is painful. Some women get flares on their cycle, or just after. Why?
The Jue Yin-Yang Ming mechanism is one of the most important connections in Chinese medicine. It dictates that our body must have enough healthy fluids and inhibitory substances in reserve, such as estrogen, dopamine, etc., to mitigate inflammatory heat from flaring upward in the body, whether vertically up (to the face and head) or simply upwards from the “organ layer” to the skin.
For those not prone to “heat pathologies” (approximately half the population) this “flare” will likely manifest in different ways—if it does so dermatologically the skin is less likely to be red and/or angry.
If you’re like myself the skin is likely to turn red. If there is itchiness it indicates damp fluid retention (often sebum oil) trapped on the surface—the itching being its attempt to vent (follicular hyper-keratinization)—and/or some central nervous system dysregulation, i.e. a potential stress component. The reason scratching ultimately makes things worse is because the manual aggression ends up pushing the fluid retention a tad bit deeper beneath the surface, no doubt to resurface soon thereafter. Although scratching to bleed is not advisable, it does generally provide longer-lasting relief via its ability to vent some of the pathogenic fluids within the blood. If there is pain at the site, there is probably some degree of local blood stagnation. This often coincides with the week leading up to one’s menses, whereas symptom flares on the heels of one’s menses points more to “Jue Yin” fluid and/or blood deficiency.
Dermatologists often recommend Spirinolactone, which works by stopping aldosterone from signaling the kidneys to reabsorb sodium. This might be a wonderful Band-Aid for some, but unfortunately over time can cause issues as sodium is an essential mineral for transporting nutrients across cell membranes, also for regulating blood pressure. This might explain why two of its most common side effects are dizziness and gastrointestinal issues.
In the treatment of acne it is first important to rule out itching—whether there are oily pathogens beneath the surface and/or an emotional component, that needs our attention. Most important is the Jue Yin-Yang Ming axis. How much heat must our acupuncture and herbal medicines stop from flaring to the person’s skin and how much blood and/or inhibitory substances must we generate to prevent further flares? Dosages or points might be modified on a weekly basis. Striking this prescriptive balance is the key to optimize clinical outcome.
As for self-care, it is advisable in almost all skin conditions to go off dairy for the lifecycle of a red blood cell, or 120 days. Dairy contains the hormone, IGF-1, which increases sebum production. Many people can resume in moderation afterwards. Red meat can go either way as it helps to generate blood and fluids, but can also generate bodily heat. Where one falls along the Jue Yin-Yang Ming imbalance will decide how much steak is advisable. As far as protein goes eggs, fish, and tofu are ideal, as they don’t generate as much heat in the body.
