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Traditional Chinese Medicine

Breathing Exercises for Insomnia

 

 

Everyone has their achilles’ heel—even the most successful or effective clinicians—and one of mine, as I’ve discussed before, is insomnia. On the bright side, mine is not constitutional—I never struggled with sleep as a child or adolescent. Unfortunately, this means by around 30 years old I had created it myself, whether through stress or unhealthy lifestyle, surely with a dash of genetic predisposition. My family tends to be more manic and wiry than sluggish or lethargic, the former of which lends itself to an overactive “yang,” or sympathetic nervous system.

There are many disease patterns that might explain insomnia, but the top 3 are as follows:

  1. Blood deficiency: These people tend to be interrupted and/or have trouble staying asleep more than they do falling asleep. If they wake up and feel hot this might be the “blood deficient yang ming syndrome,” which requires heat-clearing in addition to blood nourishing.
  2. Ben Tun Syndrome: These people tend to have more trouble falling asleep, are subject to ruminating thoughts, anxiety, and heart palpitations. If there are no ruminating thoughts, and they’re just inexplicably lying there awake, good news: This might be the aforementioned “Yang Ming heat” stirring, more than sort of any anxiety condition.
  3. Food stagnation: These often wake in the middle of the night with stomach discomfort, reflux, or phlegm in the sinuses. They tend to benefit greatly from intermittent fasting, where they either skip dinner or eat it very early, around 5 or 6pm. They

In the past Chinese Medicine has intermittently helped with my own sleep issues, although there have been times where neither me nor my own herbalist/teacher have been able to crack the code. Much like a lawyer who represents themselves in court, it is challenging to write your own formula or treat one’s self. With acupuncture, beyond treating the overall pattern, I like to use points on the head, around the prefrontal cortex and pineal gland to modulate the neurological component of the issue.

I’ve used products like melatonin or Doc Parsley also with intermittent success, but obviously one should not be reliant on such supplements in perpetuity, especially since it is impossible to prescribe them holistically, tailored to the patient. They are symptom-managers, admittedly helpful during crises and less aggressive than pharmaceuticals, but still not ideal.

Beyond internal medicine, the best tools to maximize sleep are the obvious sleep hygiene and the breath. Melatonin secretion begins at 9pm and peaks at 10, so this is the best time to get in bed. If you can’t get to bed by 10, the earlier the better. Of course, sleep in a dark, relatively cool room, and spend the last two hours before bed with as little electronic (and digestive) stimulation as possible. If your sleep is interrupted use your breath to try and relax. This works for me about 80% of the time:

The 4-7-8 breath is one I learned from my wife, Dr. Jillian Cohen, and she learned it from Dr. Weill’s fellowship for Integrative Medicine.

Whenever that doesn’t work for me, I move on to this Kundalini yogic breath, defined by its silent mantra, which simply means saying it silently to yourself.

Finally, if that doesn’t work, I bring out the heavy artillery, which is to say God. You don’t have to be religious to believe in a higher power, and I imagine anyone who’s laid awake in bed struggling for several hours is willing to invoke whatever might be available to resolve the crisis. Using another silent mantra and breathing only through the nose I inhale: “I am God,” then exhale: “God is love.” This works almost all of the time, I think calming my central nervous system with the reassurance that no matter how poorly I sleep, no matter how difficult tomorrow is, I am ultimately connected to the source and none of this shit really matters. Hope that helps!

Does Acupuncture Treat Heart Disease?

Does Acupuncture Treat Heart Disease?

According to the Centers for Disease Control and Prevention, heart disease is the leading cause of death for men and women in the United States. And ethnicity doesn’t matter, as people of all racial and ethnic groups are impacted. With such serious statistics, many might wonder what treatment options are available. Did you know that acupuncture can help with treating heart disease, as well as many of its contributing factors? Read on to learn how. continue reading »

Balancing the Bitter Cold with Chinese Medicine

 

Welcome to the “Bitter Cold.” Holidays are over, New Year’s has passed, viral plagues have not, and single digit temperatures have arrived. Although we do not hibernate, nor could we, even if the more introverted of us might prefer to, in theory we should do so at this time. Instead, how can we compensate for the nature of the present climate?

In Chinese Medicine herbal formulas that contain bitter and cold ingredients, such as coptis root, phellodendron, or gardenia fruit, generally harmonize their harsh properties with more acrid, warm ingredients, such as ginger, dry-fried ginger, tangerine peel, or pinelliae root. This enables the bitter, cold herbs to purge systemically damp/hot inflammation without compromising the integrity of the stomach qi, or microbiome. This is holistic medicine.

Self-care can be “holistic” as well. Ie. If we eat a cold salad or ice cream it should be had with or followed by hot ginger or cinnamon tea (No, it doesn’t help to have ginger or cinnamon flavored ice cream). Conversely, if we eat an especially rich or spicy meal, and/or have alcohol we might accompany it with a few cucumbers or radishes—or follow it with peppermint or barley tea the next day (still hot, as cold beverages can never benefit the gut from our perspective). If we exercise or work out hard on a particular day we should get to bed early that night, in order to properly recover the body fluids used in the workout. If we slept awful the night before we should take it easy. Nap if possible. If we slept and feel wonderful we should exercise and strive for progress. It is said that we should view each day as a lifetime in itself, and try our best to balance it accordingly.

From a climactic perspective, we might counterbalance the bitter cold weather with similar choices. As the low temperatures and more difficult commutes exhaust our cellular energy, which is what engenders our immunological energy, all forms of conservation are advisable: Less exercise, less sex, less work (if possible), and earlier bedtimes as often as possible. All of these, with the exception of less exercise for the “New Year, New Me” crowd, are relatively intuitive in January.

As goes the outdoor environment, it is most advisable to eat like Eastern Europeans for now. Think beef or lamb stews, chicken soups, even sausages and pork chops, all of which paired with roasted or steamed vegetables. Vegetables might be sauteed with ginger, garlic, onions, any warming spices to recover from the bitter cold that surrounds us. Duck is actually considered to have a “cooling” effect on the body, although I am inclined to think that a duck confit roasted with onions and garlic and served with red wine should amply warm the body. While 11pm is the advisable bedtime for summer, 10pm is ideal for winter. Beer and other cold beverages should be minimized, as should raw fruit and all forms of sugar. For my apple-loving daughter, I roast them at 350 or 375 for 10-20 minutes with a sprinkle of cinnamon and a drizzle of maple syrup. For myself I would also add clove powder, but it is too spicy for her.

For my purposes, many of you will notice me doing a lot more moxibustion on the body at this time of year. Whether on the belly, along the spine, or at point, “Stomach 36,” just below the knee, no hands-on modality is more effective at regenerating healthy fluids and moving the blood than “moxa.” My opinion is that acupuncturists who do not use moxa at all are likely doing their patients and the entire medicine a disservice, as at its inception Chinese Medicine was not called “Chinese Medicine,” but “Zhen Jiu,” or “Acupuncture and Moxibustion.” Our classical texts dictate: “Use acupuncture to treat ‘yang patterns,’ moxibustion to treat ‘yin patterns’.” My understanding of this is that acupuncture excels at clearing heat and releasing stagnation, but the mugwort is necessary to dissolve unhealthy fluids and regenerate healthy ones.

Sweet Potato Congee for Winter

Happy New Year, all! As we continue through one of the worst cold and flu seasons in recent memory, 2020 notwithstanding, I’ll begin with a recipe.

Sweet potato congee with red dates, honey added if desired (and who won’t?):

1 large chopped sweet potato

1 cup of rice, rinsed please
8 cups of water
10-30 grams of red dates sliced open (closer to 10g if you have a “damp heat” body type or pathology—closer to 30g if you are the frail and pale type with tendency to insomnia and/or heart palpitations).

Bring to boil and simmer uncovered for about 40 minutes, or until the consistency is as above, like a porridge. In Asia most people take it a bit more watery than this, but either way is fine. Plate and drizzle honey on top to taste.

Although white rice is mostly vilified by Western dietitians, in Eastern Medicine we believe that the gentle support it provides to the internal organs is imperative for optimizing the absorption of all accompanying ingredients, also at generating the healthy stomach fluids needed for digestion. Without strong metabolism we cannot build blood or create nutrients. Without blood we cannot live—more relevant, with subjectively deficient blood all of our parasympathetic functioning may weaken and we may flirt with anemia.

If you are strongly averse to (white) rice, you can absolutely try making this with quinoa, millet, or farro. Risotto or orzo, unfortunately, will not work.

The Eastern Medical diet is somewhat diametrically opposite to that of raw vegans. Besides encouraging at least small amounts of animal protein, we believe the best way to optimize health is through low, slow, and long cooking of foods to extract all nutrients into the dish and make them easy for our guts to process. Anything cold or damp, such as ice, sugar, or alcohol should at least wait until after the food has been consumed and processed for at least 15-30 minutes whenever possible. Which means all of our mothers were correct in echoing the concept of not “spoiling our dinner” by having sweets first. The adult parallel to this might be cautioning to limit drinks before dinner.

Sweet potatoes are an excellent “tonic” for the stomach qi in Winter, and red dates are actually one of the most important herbs in all of Chinese Medicine, appearing in a large percentage of classical formulas, with the intention of protecting the healthy stomach fluids and nourishing blood of the heart. I recommend making this recipe, storing leftovers in the fridge, and eating 2-3 times a week in winter. To reheat just add plenty of water to keep consistency.

Hope all are warm and healthy!

Benefits of Adding Acupuncture to Your Wellness Routine

Benefits of Adding Acupuncture to Your Wellness Routine

This is the time of year when many are looking to start (or restart) their wellness routines. Self-care Saturdays may have fallen by the wayside during the holiday season and now is the time to get back on track. As you examine your health goals and wellness priorities this year, have you considered adding acupuncture to your wellness routine? If not, here’s why you should and some things to consider to set yourself up for success.

Acupuncture provides numerous health benefits from a holistic approach to wellness. It’s a non-pharmacological approach to health and wellness and addresses a variety of health concerns you might be struggling with.  continue reading »

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