Wednesday, September 16, 2009

The fire season


A lot of people say that there are no seasons in Los Angeles, but of course that's not true. When I got here I was informed that there are two seasons: fire season and mudslide season (back home in Canada we say there are two seasons too: hockey season and road construction season).

As the horrible fires of the past few weeks have shown, we're right into fire season now. Coming soon will be the hot Santa Ana winds, which are known to drive people crazy. What can we do to help cope with the hot desert winds, the dry air, and the smoke?

1. Don't expose yourself to smoke and dust. It's hard, but resist the urge to go for a jog outside. Stick to indoor activities, especially when the air is very polluted and in the heat of the day.

2. Stay hydrated. Check my summer cooling post for a recipe or two, and some products I like for hydration and sore throats are Traditional Medicinal's Throat Coat and ElectroMix, from the Emergen-C people. There is also a Chinese herb called Pang Da Hai, which produces a soothing, slippery drink when steeped. In China the opera singers sip it to keep their throats in tip top shape. Ask for some when you come in for a treatment!

3. Sinus flushing. Keep dust, smoke and irritants out of your nasal passages by using a neti pot or sinus rinse.

4. Eat lung supporting foods: If you are suffering from dry cough, irritation, and fatigue, try adding pears, okra and white fish to your diet. Pears are especially useful. Eat the Asian ones raw, or try poaching them or baking them for a sweet treat.

5. If your lungs are a chronic weak spot, you might consider taking Cordyceps, a traditional tonic herb. Check with me or another herbalist to see if Cordyceps is right for your presentation.

breathe easy!
Kirsten

Wednesday, August 19, 2009

The Importance of Food

In Chinese Medicine, the Qi (energy or life force) we receive from our daily intake of food - called Post-Heaven Qi - is what fuels the activities of daily life. This is in contrast with Pre-Heaven Qi - the life force we are endowed with at birth - often compared to a person’s genetics. The Pre-Heaven Qi is like your savings account – you certainly don’t want to draw upon it to run your daily life. Thus, Post-Heaven Qi – which is determined by the quality of a person’s diet, as well as the digestive health of the person (called Spleen Qi, or Central Qi) is incredibly important to a person’s health and longevity.

As a Chinese Medicine practitioner, I am frequently wary of the various ‘diets’ touted for weight loss or increased health and vitality – often they are recipes for disaster! While the best diet for any individual is determined by the state of their own digestive health or Spleen Qi (e.g., those with weak Spleen Qi require milder and easier to digest foods than those with heartier digestive energy), there are certain dietary recommendations that are relatively universal:

  • Eat regularly – do not under-eat or over-eat
  • Make time to eat – sitting down, not working or otherwise engaged
  • Eat a variety of foods, mostly plant-based (though a completely vegetarian or vegan diet is not advocated in Chinese Medicine)
  • Eat whole grains
  • Eat warm, cooked foods
  • Avoid cold, raw foods – people with strong Spleen Qi can tolerate a couple of salads a week. Those with weaker digestion should avoid salads and raw fruits altogether. Raw foods are more difficult to digest and weaken the digestive energy over time.
  • Avoid processed foods, including refined sugars and flours
  • Minimize fried or greasy foods, alcohol, dairy, and overly spiced foods (chilies)
  • “Fasts” and “cleanses” should be undertaken with caution – the vast majority of people’s digestive energies are too low to tolerate these extreme measures, and their systems can become even more weakened. A more healthy and balanced approach that can work for all constitutions is to consume only organic, home cooked whole grains, legumes, and steamed vegetables (perhaps with some digestive herbs and spices added) for 2 to 4 weeks.
  • Certain spices help to facilitate digestion – ginger, mint, fennel, cardamom, cumin, cilantro, basil, dried orange peels – add these to your cooking, or make these herbs or spices into teas!

Signs of Spleen Qi or digestive weakness include loose or soft stools, bloating or gas, discomfort after eating, poor appetite, low energy or fatigue, being easily bruised, and other symptoms. As our digestive energy weakens, our bodies are not able to transform food into pure energy for daily functioning, and instead creates what we call Dampness. In Chinese Medicine, Dampness is the origin of the “mysterious diseases” – it is a lingering and difficult to treat pathogen that can manifest in numerous ways.

Dampness is also engendered by poor diet – particularly processed foods, including refined sugars and flours; raw and cold foods; alcohol; and greasy foods. Signs of Damp accumulation in your system include lethargy, foggy headedness, dull aches and pains or feelings of heaviness in the body, weight gain, yeast and fungal conditions, among others.

Diet modification as stated above can go a long way to supporting your digestive energy to provide health and vitality for the long-term. Acupuncture and herbal medicine has been shown to greatly improve digestive function for those with troubling symptoms. Remember, however, that food should be eaten with joy and pleasure – if you eliminate what used to be your ‘comfort foods’ because they are harmful to your system, make sure you investigate new comfort foods that are wholesome and nourishing for your body, mind, and spirit.

Tuesday, July 21, 2009

Hot Enough For Ya?

We're having another of our all too frequent heat waves here in Southern California. Just in time I present you with some insights from TCM to help you keep your cool.

1. Don't get too cold. What?! I know - sounds counterintuitive. But when we chill our bodies by sitting in overly air conditioned malls, movie theaters and offices, our metabolisms fire up to compensate and heat us up. End result? When you venture out of the ice box of air conditioning, you're flat on your back from the heat. Keep air conditioning to moderate levels (your power bill will thank you too), and if you have to sit in it, keep a cardi or scarf on to keep the chill off your bare skin.

2. Don't chug a slushee! Even though a gallon of crushed ice may sound like just what the doctor ordered when it's 100F outside, your body won't thank you! Just like the air conditioning, giving the inside of your body the Big Chill will cause it to stoke up the home fires to compensate. In the end you'll be hotter when the momentary chill wears off. You're better to sip cool or room temperature beverages. Here's my favourite cooler:

2 liters of filtered water (about 8 or 9 cups)
handful of mint leaves

Place the leaves in a drinking jug and pour the water over them. Use the handle of a wooden spoon to gently bruise the leaves, releasing their minty flavour into the water. If you tend to stomach upset in the hot weather, add a few slices of fresh ginger. You can do this anyway as it gives a lovely taste.


More cooling recipes can be found in The Tao of Nutrition, a book by Maoshing Ni and Cathy McNease. I took a course with Cathy this weekend and was very inspired to continue using the balancing and harmonizing principles of Traditional Chinese Nutrition in my life and in my practice. I'll be giving a talk next month on TCM and digestion - stay tuned for the date.

Over the next few weeks you'll see more posts from two new authors at LifeMedicine. We'll have more to teach, more to talk about and more fun! Be well, and come and see me for a cool down!

Friday, April 10, 2009

Medicine and bias

A prominent former Harvard researcher has admitted to cooking the books on his studies to prove his hypothesis that there's a direct correlation between obesity and sleep apnea.

Personally, I'm not against the scientific method. Like any tool, it must be used with awareness of its limitations. This story is an extreme example of the major flaw with the scientific method: observer bias. Researchers take many steps to try and weed out bias in their studies and findings (obviously falsifying your data is a whole other level!), but I feel it remains a flaw of even the most well crafted studies. Bias determines what questions are even asked in the first place, as well as how the results are interpreted.

Before I was an acupuncturist, I studied feminist and anti-oppression theory. One of the things I learned is that bias cannot be eliminated. Our perspective and who we are informs everything we do and the conclusions we come to. It's the nature of human existence. The best thing we can do is to know who we are, and where we are coming from, so that the limitations of our perspective do not overwhelm our judgments, or close off the possibilities of other truths.

In Chinese medicine, we learn to see people and their dis-eases in terms of patterns. Patterns of behaviour, patterns of imbalance, patterns of disfunction. Each symptom exists in concert with the whole, and together they create a picture of where the person is and how they are developing.

A key philosophy guiding the practioner of TCM is tong yi bing zhi, yi bing tong zhi: "Same disease, different treatments; different disease, same treatments." In other words, we break with the Western medical style of treating symptoms, rather than a whole person. Two people with sleep apnea, are two different people - how we help them return to health and balance with Chinese medicine will be very different.

The case of the Harvard researcher brings up a current contentious issue of bias in medicine and health: 'obesity' and its health impact. I practice "body-positive" medicine. I feel strongly that health is not something that can be measured and weighed. Simply looking at a person and making judgments about their health is fraught with peril. Humans come in many shapes and sizes, and appreciating and accepting that diversity is a strength of holistic medicine. Mental health and self-love are vital parts of a full, balanced life. Prescribing a certain body size as 'normal' or necessary for health is akin to prescribing certain heights, ages or races as optimal.

Jing shen bu jin, zhi yi bu zhi, bing nai bu yu. "If the psyche is not taken into account, and the mind not treated, disease cannot be cured." This is as true for those of us who heal, as for those of us healing.

Be well!
Kirsten

Friday, January 16, 2009

Health, Stress, Acupuncture... and you!

A new study shows that acupuncture is as effective as cognitive-behavioural therapy in the treatment of Post Traumatic Stress Disorder (PTSD).

PTSD is usually seen in survivors of accidents, violence, or natural disasters and reflects the person's attempt to cope with a sudden, traumatic event or experience. Recently it has received coverage in the news as returning veterans from Iraq are experiencing the sometimes devastating effects of this disorder. (Source)

The study using acupuncture found that acupuncture provided significant relief, and kept symptoms at bay for 3 months even after treatment was stopped.

Of course, this isn't news to those of us in the field. Acupuncturists Without Borders, a great organization, has been using squads of acupuncturists to treat survivors of natural disasters as well as veterans for several years. And I see in the clinic everyday the immediate effect of acupuncture on anxiety, depression and plain old stressed-out Angelenos!

There is no health problem that is not exacerbated by stress. Pain, digestive troubles, hormonal imbalances... all are made worse by the constant toll of major and minor worries. Our bodies were not designed for the constant, unrelenting strain we now subject them to. Chronic stress depresses the immune system, increases risk of cancer and heart disease, and even shrinks the part of the brain responsible for memory. (Source) Add to that the fact that so few of us make time for the activities that still the mind, that allow the adrenal and other stress-hormone producing glands to rest, and you have a recipe for disaster. Stressed out yet?!

I jokingly call my acupuncture treatments "meditation for cheaters." A few needles can push you into deep relaxation, no lotus position required! Western medicine is still undecided as to the mechanism by which acupuncture so effectively calms the body and mind, but of course, we don't have to wait for them to find out. Make time in your day for calm and quiet, and time in your life for the healing benefits of acupuncture.

Read an earlier article about self-care for stress

Tuesday, September 09, 2008

Fatty Acids, Not Cholesterol Drugs, Reduce Heart Failure Mortality

The Lancet online has published the results of a large Italian study aimed at weighing the effects of Omega 3 Fatty Acid supplementation versus statin (a class of cholesterol lowering drugs) therapy for patients with heart failure. Surprise. The drugs lower cholesterol... but don't prevent recurrence of heart attacks or death. (Omega 3 Fatty Acid supplementation has a modest but statistically significant effect in reducing illness and mortality)

"Tognoni said that the prescription of rosuvastatin or any statin to patients with heart failure should not be considered because the use of the cholesterol-lowering drugs does not translate into any clinically meaningful benefit for heart-failure patients." Source

I've long been suspicious of 'numbers drugs'. Those are the ones like cholesterol lowering, blood pressure lowering etc., that treat the numbers in a lab test, not real symptoms. As research progresses, we often find that things thought to be simple equations, like high cholesterol=heart failure, therefore low cholesterol=less heart failure turn out to be far more complex than that. High cholesterol is a created disease. It has no symptoms, can only be detected in a lab, and no one is actually certain of what it leads to. Except that it leads to taking expensive and side effect laden drugs. I am gratified by the results of this study, and reaffirmed in my respect for my profession: TCM sees the person as a whole, and disease and wellness as processes, not a mathematical equation.

Monday, July 14, 2008

Where have I been?

The answer to that question is: studying for the boards!

I will be flying to Sacramento in 3 weeks to write my licensing exam along with a thousand or so other would-be acupuncturists.

Hopefully I will pass (positive vibes happily accepted!) and will get my license to practice acupuncture in California sometime in September. I'll be back writing then, I promise!

be well!
Kirsten