Tuesday, September 22, 2009

The Autumn Season in Chinese Medicine

The Autumn Season | Chinese Medicine

Within the cosmology of Chinese medicine, human beings are regarded as microcosms of the natural universe. We are subject to the same cycles that occur in nature. Autumn follows on the tail of the harvest, signaling that it is time to prepare for winter. The sap of trees settles into the interior, sinking down toward the roots. With fall comes a sense of gathering in, stocking up, mingled with a sense of loss as the light begins to fade and the air chills. It is a time to eliminate what is unnecessary and become aware of what is essential.

The organ system that shares the power of this season is the Lung. Corresponding to the temperament of autumn, the Lung pulls in and refines the Qi, (energy) sending it downward to nourish our roots. Ruling the skin, the outer limit of the human body, the Lung protects against external invasion and safeguards internal resources. Since autumn is a dry season, we need to protect ourselves from cold air evaporation of moisture from our skin. Moistening, softening, and nurturing foods for this time include white rice, white beans, pears, radishes, sea vegetables, potatoes, cabbage, turnips and parsnips.

The Lung is also responsible for our capacity to discern and discriminate, defining and refining our sense of what is right, morally and ethically. It is the Lung that nourishes our capacity to be analytic, critical, methodical, efficient and disciplined. Autumn reminds us that we reap what we have sown, that all of our actions have consequences. The clarity that comes with autumn enables us to distinguish between the things that contribute not only to our own well being, but also the benefit of others, reminding us that we live in an interdependent world. This capacity will serve us in this election season as we choose leaders who represent our higher aspirations for a peaceful world that equitably shares resources, and a natural environment that can sustain us all.

This article is borrowed from a blogpost by Harriet Bienfield, L.Ac., author of Between Heaven and Earth: A Guide to Chinese Medicine

Autumn Rituals

Someone sent me a lovely article on the Autumn Ritual of Americans as well as in those cultures around the world, and I thought I would pass it along. I will soon post a Chinese medicine note about Autumn, but this gets us to think about today, the Equinox, as well as the descending of the yearly cycle:

Autumn Rituals

In almost every corner of the world, autumn is a time for harvest, reflection, and reverence for our ancestors, and many fall holidays reveal those very themes.

One of the purposes of the changes of seasons is to notice changes we might not have if everything stayed the same. Each season prompts us to reflect and go inward. It is a time to pause and review our lives. As we take the time to stop and honor the life changes we are experiences, we build a bridge between our everyday existence and the sacred.

Whether we’re aware of their deeper significance or not, even our most simple and commonplace autumn traditions, such as apple picking and dressing up for Halloween, reflect the ancient themes of harvest and ancestor worship.

In Melanesia, people make rice dollies out of the last plants of the harvest; in England, they make corn dollies. Both practices represent the belief that the spirit of the grain will stay alive, thereby ensuring another good harvest.

This year on Oct 3rd the Chinese will celebrate the Harvest Moon Festival by eating special moon cakes and catching the moon’s refection in a bowl of water. A similar holiday is observed in Vietnam-the mid-fall festival of Trung Thu-where people celebrates the beauty of the moon by eating moon cakes, lighting incenses, and making special star lanterns. And in Korea it is called Chu Suk- Korean Thanksgiving.

Fall is also a tie for honoring the connection between the living and the dead, as well as the natural order of life, death, and regeneration. It’ no accident that after the Jewish New Year, Rosh Hashana, comes by Yom Kippur, the day of atonement and also a time when the deceased are honored, and then Sukkot, the harvest festival.

Autumn Equinox (September 22nd)

The Equinoxes are the two days out of the whole year when the northern and southern hemispheres receive the same amount of sunlight and the days and nights are the same length. It represents balance and a pause between the summer –a time of lots of activity—and winter-a time of hibernating and slowing down. From now on the days will be getting shorter and the nights longer.

This is also the time when the ancient Greeks celebrated the sacred Eleusian rites – a time when the Goddess descends into the underworld. This was the most important goddess festival in all of Europe

Celebrate the Harvest:

Get together with friends and family to create a special meal using food of the season: use corn, squash, root vegetables, and grains

Decorate your home with symbols of autumn: colored leaves, Indian corn, cranberries, apples.

Dunk for Apples

Create an altar and fill it with symbols of what you have personally harvested at this time: your new script, a miniature car or home, a picture of you in vibrant health, money. Let your children participate and acknowledge their successes even if they are small.

Give Back: Make sure to take time to make a contribution to your community for the blessings you have this Fall season. The more we give the more we receive. Give to the local food bank, volunteer you time to tutor a child, donate clothes, books or toys to your Temple, Church or local community center. It is important to appreciate what we do have and not focus on lack. Life is a precious gift and we need to value every moment.

Thursday, September 10, 2009

Chinese Medicine's Approach to Cold and Flu

Chinese medicine has great advice to offer when it comes to enhancing immunity and keeping the body strong against external pathogens (including flu viruses). Because the Ancients didn't have electron microscopes to differentiate viruses and bacteria, the focus is less on the pathogen (the virus or bacteria) itself and instead considers the body's ability to protect and heal itself. The weaker person will receive the pathogen and generate "cold," while the robust person will generate "heat." (See a further explanation, below.)

Here are some ideas gleaned from the Chinese medicine tradition to consider incorporating in order to stay strong and healthy this fall and winter:

Avoid being exposed to cold temperatures and wind when possible. This includes central air conditioning and fans that may blow on you at work or in your sleep. The perspective is that a sudden and stressful change in temperature can lower our body's defenses. (Grandma was right about this one!)

Avoid wearing wet clothes. Change into dry clothing at the gym, don't go out with a wet head after a shower or after sweating, don't expose open pores (sweaty skin) to cold temperatures.

Avoid over-work and exhaustion. This one should come as no surprise. Seems every medical tradition can agree that fatigue makes you more susceptible to illness.

Decrease your dairy intake. Dairy (as well as sugar and oily foods) is thought to create a thick phlegm environment in the body, which makes fighting a cold or flu an uphill battle. If you feel you are getting sick it is a good idea to eliminate dairy altogether.

Get Acupuncture. Acupuncture can be very effective at warding off a bug if caught early (usually within the first day of onset of symptoms). The point selection will vary for different people. Acupuncture is a great to way to support your immune system before cold and flu season.

Keep certain Chinese Herbs on hand. Chinese herbs are an incredibly effective way to combat a cold or flu. It's interesting to note that different people exposed to the same pathogen may react with different symptoms based on the person's constitution and the stage of the illness. In Chinese medicine the person's symptoms are the guideposts to the way to treat. They are thought to have either a "cold" or "hot" quality and the "vehicle" of delivery is seen to be the wind:

Wind-Cold (This reaction to a pathogen is typical of a weaker immune system, often seen in middle aged or older adults, and weaker children):
Characteristics: mild fever, chills, inability to get warm, achy joints, no thirst, nasal or sinus congestion with clear mucus, runny nose with thin mucus, cough with clear mucus, stiff neck and shoulders, headache [usually back of head]).

Remedies for Wind-Cold:
Diaphoretic (sweating) therapy is often recommended for this condition, since it warms the body and pushes the pathogen out through the pores. Hot liquids and foods, including miso soup and ginger tea (using minced fresh ginger)

Wind-Heat (This reaction to a pathogen is typical of younger children, adolescents--especially males--and robust young adults):
Characteristics: the fever is worse than the chills, sweating, swollen and sore throat, headache [usually top of head], irritability, and thirst. If there is a cough, it is usually dry or nonproductive, with occasional expectoration of yellow mucus.

Remedies for Wind-Heat:
Avoid sweets and stimulants (such as caffeinated beverages). They aggravate the condition by feeding the pathogen.
Drink Chrysanthemum and/or peppermint tea (both are cooling).

In my next post, I will give you a recipe from the Chinese Kitchen school of flu and cold remedies. (I made up that name; don't go Googling it!)

CDC Advice for This Flu Season

The CDC has posted the following recommendations on their site as ways of staying healthy against the H1N1 flu virus this year:

Influenza is thought to spread mainly person-to-person through coughing or sneezing of infected people:
*Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
*Wash your hands often with soap and water, especially after you cough or sneeze. *Alcohol-based hands cleaners are also effective.
*Avoid touching your eyes, nose or mouth. Germs spread that way.
*Stay home if you get sick. CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them.
*Follow public health advice regarding school closures, avoiding crowds and other social distancing measures.
*Find healthy ways to deal with stress and anxiety.

Stay tuned for more news from my office on how to stay healthy during cold and flu season!

Tuesday, September 8, 2009

Getting Rid of Yesterday: Constipation and Its Remedies

Constipation is a common complaint that I hear from clients in my office. I have learned to ask clients what they mean by constipation, because it is not always immediately obvious that we are using the same definition. Many years ago, I had quickly skimmed over asking a client about her elimination when she said that she had “regular” bowel movements. Much later, I found out that “regular,” to her, was at least once every two weeks! THAT is constipation! By not getting out the residue from yesterday, we are setting ourselves up for a toxic today. We should eliminate feces at least once per day in a well-formed, easy-to-pass bowel movement. There should be no undigested food observable in the bowl, and the shape should be a “gentle S” curve, mimicking the shape of the intestine.

In this article, I want to spend a few minutes talking about the types of constipation, and what we can do about each kind. There are 4 main kinds of constipation:
1. Not enough fluids
2. Not enough fluid absorption
3. Not enough fiber
4. Not enough motility


1. Not enough Fluids: Sometimes, we just don’t take in enough fluid to make the waste in our systems “passable” in our intestines. The symptoms of this condition are constipation (non-daily stool) and sludgy, hard, dry, tarry-consistency stool that is hard to pass, requiring strain and effort. If you think you are drinking a lot of fluid, let’s just review some basics about fluids so that you will be able to determine if what you are drinking is the right kind of fluid, and enough of it to boot:

a. List your body weight in pounds. Divide that number in half and write it down. Now add 8 for every caffeinated beverage you drink each day; add 8 for every carbonated beverage; add 8 for every alcoholic beverage you drink in a day. (Each of those kinds of fluids is DE-hydrating, so you lose fluid when you drink those, and end up with a net deficit.) The resulting number (after all those additions) is the net number of fluid ounces of fluid (water) you need to drink daily.
b. The best fluid to drink is water, but sometimes it’s hard to down that much water, especially if you are carrying excess poundage. To make it easier, you can flavor the water (with decaffeinated tea, fresh lemon or lime juice, non-sweetened flavored additives, etc.). You can also add in the soup you “drink” (brothy, not creamy).
c. This strategy should loosen up the stool considerably to help it pass easier.
d. Beware, however, that at first, you will urinate A LOT before the water stays in the intestine long enough to fully moisten the stool. The water first will be claimed by all the cells in your body to help rid the cells of toxins that have been building up through your period of dehydration. Once you get re-hydrated on a cellular level, the water will stay in the intestines and work to soften the stool. This can sometimes take a few weeks.

2. Not enough Fluid Absorption: Sometimes you drink a lot and your intestines simply don’t absorb the fluids enough to help the stool move. This is akin to watering a dried out plant, where the water is simply not being absorbed by the dirt and roots, while it drains out the bottom of the pot. Fluids will make you urinate but won’t ever loosen the stool in the intestine. If this is the case, then you might have to help yourself absorb the liquid by using products meant to keep the water in the intestine. Possible products are Mira-Lax or similar, non-flavored powders that you add to drinking water, so that water is absorbed INTO the intestine. The hitch here is that you must drink a lot of water, so that your cells are not left dehydrated when the body’s fluid goes into the intestine to moisten the stool.

3. Not enough Fiber: Most of us do not get anywhere near the 25-30 grams of fiber per day that is recommended for the adult diet. Before you assume that this is the case for you, however, take a count of how much fiber you are getting. If you are not eating enough daily fiber, seriously consider changing your diet, because in addition to not getting the requisite fiber, you are most likely not getting the vitamins and minerals that you need either. After a diet change, if you are still having constipation issues, then you might have to add a fiber supplement to your diet. Products such as Metamucil, Benefiber, Citrucel, or similar products or their store-brands might help. Some of these products create uncomfortable gas for some people, so you might want to try a couple of brands to see which is right for you. It has been the experience of my own clients that Citrucel capsules (or its store-brand equivalent) don’t have the same gas-potential that some of the other products have. The caveat to be heeded however, if you take fiber supplements, is that you MUST take them with a LOT of water. If you take a fiber supplement and do not drink enough water, then it will be like adding cement to your system—and you will create painful, hard-to-pass feces.

4. Not enough Motility: Sometimes, your intestines just don’t move. We naturally have a gentle “wave” of movement in our guts (called peristalsis) that causes food to descend and waste to pass through our intestines in a smooth, even way. For some people, this “wave” doesn’t have a lot of energy (or qi) behind it, and as a result, the stool can’t move. Often, this is where things like acupuncture, massage (including self-massage), and exercise come in. Your acupuncturist can discuss these techniques with you and show you how to employ them.

Motility of the intestine is also what gets “moved” with many laxatives. Laxative dependence can be a huge problem, however, so you might want to discuss the other, more drug-free, natural ways to “get moving” with your healthcare provider. And don't think that "herbal laxatives" are free of risk--some of the most addictive laxatives on the market are "herbal" or "natural."

If these strategies don’t describe your issue, or if applying these strategies doesn’t work, there might be something serious going on (like an obstruction or intestinal paralysis), which might warrant a visit to your gastroenterologist.

An acupuncturist can work with you to help you with determining which of these strategies (together or in combination) can help stimulate the movement potential of your intestines, and can help with a re-balancing of the fluids in your system so that all the organs are working smoothly to get you feeling better—cleaner, healthier, more robust and ready for your life.

(*Note: This article is not intended to endorse any product. The reader is responsible for applying any advice listed herein. A visit to the appropriate healthcare provider may be warranted before taking any of the advice listed here.)

Thursday, September 3, 2009

Free Class at the Acupuncture Institute in Laurel

This week, I'm posting an announcement of a free class being taught by a colleague of mine at Tai Sophia Institute. It's free; all it takes is "just showing up." To learn more about it, go to the school's website:http://www.tai.edu/IntroPrograms.aspx
You can register online at that web address.

Here's the Announcement:
Bring more wellness into your life with FREE wellness classes. Join us the week of September 14 to sample practical wellness information and wisdom from Tai Sophia’s exceptional graduate programs and Natural Care Center wellness clinic. The week of September 21, preview a selection of our popular movement, bodywork, and meditation class series.



FREE — Powerful Practices for Everyday Living
Monday, September 14, 2009
6:30 PM - 8:00 PM
Learn three simple practices to unleash profound change in your work, your home, and yourself. Participants in this course will gain practical tools to take effective action, let go of unnecessary suffering, find vast possibility in all situations, and create greater ease in relationships with work colleagues, friends, and family.

Join us for an evening class rooted in over 45 years of training and experience. Author, educator, and acupuncture practitioner Tom Balles teaches in all three of Tai Sophia’s master’s degree programs and has practiced acupuncture for 25 years. Co-Program Manager for Tai Sophia’s Workplace and Organizational Wellness programs, Cheryl Walker, has 20-plus years of experience as a business owner, educator, and leadership coach.

Instructor(s): Tom Balles LAc, MAc (UK), and Cheryl Walker, ML, MCC