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Traditional Chinese Medicine

What Fall Flavor Are You?

The brilliant rationale behind why the ancient Chinese associated certain seasons of the year with certain organs, then certain organs with flavors of foods (and herbs), had to do with the organic physiological responses to temperature and climate, how they align with each bodily system, and the biochemical reactions incited by each flavor in the body. For example:

Acrid goes up and out. Haven’t we all had the experience of sweating or decongesting after spicy food? Bitter goes down and out. Most have also had the experience of drinking coffee or green tea, then having to go to the bathroom. Sour goes down and in, as does sweet, whereas salty goes down and in, but brings enough water into our cells to then vaporize upwards, which is why its mechanism can RAISE blood pressure.

Unfortunately, in (Traditional) Chinese medical schools, due to modern misinterpretations of the medicine we are lucky if we’re taught half-truths of fact—too often we were told objective untruths—though regarding flavors and seasons we at least got the former.

We were taught that the acrid flavor corresponds with the lungs, which correspond with fall, though this is only one of fall’s flavors, and arguably the less significant one, nor was it ever really explained WHY the lungs correspond with autumn.

Fall is nature’s regression and recession, just as the days grow shorter and animals begin their hibernations, gases and blood in the human body sink deeper, as in towards our adrenal glands, where we can reproduce ample hormones and healthy blood to then rise again in spring. The chemical mechanism induced by acrid foods or herbs DOES NOT encourage this movement. So, while less educated practitioners uniformly advise everyone to eat more onions, garlic, and ginger during fall, recall there should never be any one size fits recommendations in (holistic) medicine or nutrition.

Because the chemistry of acridity moves things upward and out in the body it is surely useful for dislodging the phlegm and mucus often accumulated during allergy, flu, and covid season. It can also be useful for patients who find that during autumn and/or year-round, they have a remarkable difficulty with all kinds of rising—whether out of bed in the morning, off the couch to exercise, intellectually, or in sexual engagement.

For the other half of the population, the more calming, descending mechanism of sour is more logical. Especially since along with bitter, another “flavor of descent,” sour is one the more unrepresented ones in most American diets, maybe partially explaining why modern Americans have so much difficulty with grounding, sleeping, and slowing down.

To understand which flavor should dominate your diet and herbal formulas this season, you can try feeling the (second/middle finger) “guan” pulse position on your left wrist. If the artery feels small or weak your body needs acridity! But if it feels big, inflamed, angry, you need LEMONS 🙂 When life gives you lemons, first feel your pulse. Or get your acupuncturist to do it.

As for nature and safer one size fits all advice: ‘tis the season of root vegetables, so cook plenty of carrots, radishes, beets, yams, and brussels sprouts. In fact, a perfect way to roast the latter is with garlic, onions, and lemon (+salt and olive oil), thereby getting the best of both worlds. Really in my house I should separate them on the pan and take the lemon part for myself and allot all acridity for my wife! But who has the time? I’ll just drink my sour herbs.

Small Choices vs. Extreme Diets

 

It is relatively easy for people to follow dogmatic diets, routines, and lifestyles, be it veganism, “paleo-ism,” gluten free, resolutions like never skipping a day of running or their yoga practice no matter the weather. Any of these can be beneficial in certain ways, though rarely are any a one-size fits all magic bullet for long term, full-body health.

As is the case with environmental consciousness, most of us must constantly make small decisions each day, determine what is best for us in the present moment based on what we did or consumed the day before. For example:

If you spend the day sitting at work, obviously it makes sense to stand on the train, take the stairs, and/or walk as much as possible. Physicians wrote in our classical medical texts that “excessive sitting harms the spleen,” which translates as a sedentary lifestyle weakens our digestion. No news there (except how brilliant the ancient Chinese were sans technology)!

Conversely, if you’re incredibly active for a day or two or twenty in a row, as go the lives of parents of young children, you might get more benefit the next day from prioritizing a mid-day siesta instead of a workout.

If your friend cooked a lovely, carnivorous dinner for you over the weekend of grass-fed beef and sausage, as did mine, it makes sense to be vegan or pescatarian for the following 1-2 days after. By all means reap the benefits of the red meat, but give your organs and arteries a reprieve from beef’s heaviness. Hot green tea is also advisable the following day.

On the other hand, if your diet is omnivorous and you haven’t had any red meat during the week you should probably do so, especially if you are a woman on her menses, ideally alongside steamed or sauteed vegetables.

If you eat a bunch of raw, uncooked foods have it with hot tea. If you have a bunch of cooked, spicy foods, STILL have it with hot tea, because hot tea just generally aids digestion, and is therefore perfect, thereby nullifying my one size cannot fit all maxim. Green tea is generally preferable if you tend towards constipation. Black (Pu-Erh) tea highly preferable if you tend towards diarrhea. If caffeine causes excessive urination, it probably means your “yang qi,” or capacity for fluid transformation is failing to descend into the bladder and kidneys. This can often be rectified with some Paleo meals, Chinese herbs, and/or just a good night’s sleep.

Get to bed by 11pm, when the body and brain shift entirely into restoration and repair mode.

Don’t eat (much) after 7pm, and especially not after 9pm, when we are more insulin resistant. If you must drink alcohol do so less nights than not, so as to let your organs recuperate. Sweat from exercise, but not too much, as sweat contains within it vital neurotransmitters and substances that are necessary for metabolism andcirculation.

Socialize. Community is to modern society what food was to the ancient Chinese at the inception of our medicine. For the most part we are figuratively starving, for connection, so make it a priority to meet up with friends, even if you feel awkward reaching out 🙂

Acupuncture for Styes and Eyes

A patient came in recently with the beginnings of a stye. Her left eye hurt and if she pulled her upper eyelid up, she was able to see enough minor inflammation to cause concern. “It always happens around this time of year,” she said. Why? Why?

Why did her eye stye fly (upwards)?

The eyes—especially and specifically the eyelids—are surrounded by the stomach vessel (this is why there are so many ophthalmological complications around diabetes). Insofar as circulatory directionality in the body, it is the stomach’s job (as well as the large intestine’s) to descend gases and fluids down and out; in contrast to its partners, the pancreas and spleen’s functionality to take food, transform it into nutrients, and send them UP. I digress.

In fall fluids and gases naturally want to descend. If we are not metabolically rooted or strong enough our body will fail to attract them downward. If inflammation is hyperactive in the upper portion of the body our body will fail to attract them downward. This is part of the reason fall allergies occur. It was also, in my opinion, the reason for this patient’s stye.

Because she was able to come twice in the same week, we ended up not needing herbs.

Based on pulse and pattern diagnosis this patient fell more into the former category: Digestion and energy were weak, both of which exacerbated by her menses—prone to dizziness and cramping, either implicating a deficiency of blood.

I needled the large intestine vessel’s point on the hand whose neurological pathway connects to the face, as well as the same vessel’s point by the elbow, whose pathway clears inflammatory heat (flaring upwards). These points alone should suffice in clearing the heat above. For the “vacuity below” I used Stomach 36, logically, to engender ample digestive enzymes and acids to attract (potentially) inflammatory gases downward. Since it is the liver vessel’s job to then SEND our manufactured blood UP to lubricate orifices, such as ophthalmologically, I used Liver 3, then finally the third eye point, Yin Tang, for local circulation, plus to calm the understandable anxiety one feels on the precipice of pain or crisis. Between treatments the patient was diligent about avoiding spicy foods and using warm compresses, and by the end of the week, VIOLA! No doctor’s visit or antibiotics necessary.

When gastric acids, enzymes, and/or blood are weak or thinned, it is only a matter of time before some manifestation of inflammatory and/or dry heat flares upwards. Chinese medicine understands this relationship better than most—it is also why a predominantly great diet and lifestyle are imperative.

Had this patient not recovered from her own self-care and our acupuncture, potential herbal ingredients could include chrysanthemum and/or mint flowers, gypsum stone if the eye felt burning or dry and she had thirst for cold drinks, angelica and chuanxiong root at low doses if she experienced much bloating or lack of appetite, but a high dose otherwise; finally, figwort root if there was additional dryness of the throat. If you or anyone you know is dealing with any ophthalmological issues, please consider holistic medicine to treat not just the symptom!

How to Combat the Humidity

Nobody loves humidity, but many people are more perturbed by it than others, determinable of course by what the humidity is encountering at their surface—that is, what it is physically triggering for them.

Humidity is “damp heat,” so if you already suffer from an excess of systemic damp heat type inflammation at the surface of the body, pouring more of the same on top of that will surely feel awful. What can we do about it?

Nutritionally the ideal foods to combat the damp heat of summer are unfortunately not very fun or exciting, but let’s try to all be grown-ups.

Bitter foods like dandelion greens are great for clearing inflammatory heat, while bland foods, such as unseasoned (or very mildly seasoned) potatoes, barley or barley tea, and plain, steamed vegetables are ideal for leaching damp fluid retention. If this sounds too inconceivable for you, I’d recommend entertaining such discipline just once a day.

Additionally, the bitterness of a good quality, hot green tea and its diuretic effect an aid in draining dampness. Then again, if green tea is unsettling for your stomach you are probably too “cold” for it internally, which unfortunately is not mutually exclusive to having damp heat externally. The former refers to pancreatic and gastrointestinal hypofunction, whereas the latter is part of the inflammation as its logical outcome. See also, eczema due to food allergy.

Instead of over-complicating, over-analyzing, and arguably over-prescribing, all of which I have been more than prone to, for this time of year I recommend at the least “dui yao” (dway-yow) teas, or pairings of 2 simple herbs to drink daily to combat the humidity we’re experiencing, mitigate our unique genetic responses to it, and ensure as productive digestion as possible for the upcoming transition to Fall, when we need our immune system firing on all cylinders!

Examples: Pearl barley and raw ginger if you have a weak stomach, Pearl barley and red dates if you get heart palpitations or dizziness or are on your cycle, Pearl barley and tangerine peel for lack of appetite, or pearl barley and adzuki bean for hemorrhoids, sweaty feet and groin. Are you seeing a trend? This is barley season!

What are everyone’s favorite cinematic depictions of gut-wrenching NYC summer humidity? I vote Do the Right Thing and Weekend at Bernie’s

Acupuncture & Chinese Medicine for Nightmares

I’m not sure if what my toddler experiences qualifies as nightmares—she’ll occasionally yell out in her sleep—defiant demands, such as: “I don’t want one! I want TWO!” or, “No, put me down!” which my wife and I imagine are healthy reenactments of infuriating boundaries one of us had to regularly and/or recently hold with her.

For most adults, with greater awareness, a resume of more hardship to induce greater fears, real traumas, and fabricated neuroses, nightmares can be much scarier than being limited to one cookie. Per usual, (in Chinese medicine) they can be the result of a variety of mechanisms (none of which are mutually exclusive to the obvious psychological aspect), however all with one end result: “(Jue Yin) Blood Deficiency.” What is “Jue Yin Blood Deficiency?”

Generally, this means a person is lacking in fluids, such as blood and organ fluids, as well as inhibitory hormones and/or neurotransmitters, such as melatonin, dopamine, or serotonin. Without ample inhibitory substances, excitatory substances have no anchor—they will flare, whether in the form of emotional dysregulation, insomnia, night sweats, or NIGHTMARES.

I read one small study that demonstrated that people who suffer with nightmares also have a blunted cortisol awakening response, which is to say they feel exhausted upon waking, even after a good night’s sleep. Another study showed that specifically ADHD patients are three times more likely to report nightmares. Both instances suggest neuroendocrine disruption due to a deficit of stimulatory hormones, which might seem counterintuitive, as we might suspect that someone in the throes of a nightmare must be overstimulated. In fact, Chinese medicine and modern neuroscience seem to agree that these patients are in fact under-stimulated.

Activating hormones and neurotransmitters do not only activate the mind—they also stimulate the organs, via the hypothalamic pituitary axis, to properly do their jobs, part of which is to produce more substances to harmonize chemical balance in the body.

Stress can dry out these substances, as can poor sleep habits or poor diet. If stress is the cause it is advisable to seek therapy and/or meditation or some kind of spiritual context to reframe one’s suffering. Acupuncture would likely revolve around the gallbladder, liver, stomach, and pancreas vessels. Herbal medicine might revolve around bupleurum, ginseng, licorice, and/or pinellia root.

If someone’s diet is lacking in proper fat or protein this can lead to hypoactivity. Acupuncture might revolve around the stomach, pancreas, and liver vessels, plus the kidney instead of the gallbladder. Herbs might revolve around red dates, rehmannia root, angelica, and/or aconite.

If someone’s diet is excessively fatty or rich, this obviously creates inflammation that suffocates the organs, which causes the illusion of hypoactivity—in fact the organs are working overtime, exhausted as a result. Acupuncture would definitely revolve around the gallbladder and stomach vessels, probably the large intestine, as well as points on the abdomen itself. Herbal medicines might revolve around coptis root, gardenia fruit, and bamboo paper. In call cases points along the scalp above the hypothalamus and/or amygdala can be helpful.

If you or someone you know deals with any kind of nightmares or sleep disturbances, Chinese medicine can absolutely help… unless you live on Elm St. Wishing everyone restful sleep!

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