Setting Boundaries is Essential to Your Health

by Setareh Moafi, Ph.D., L.Ac.

About a year ago, my husband and I adopted a 1 year old Italian Greyhound mix we named Crystal. When we first brought her home from the rescue, she was terrified of everything. In fact, she'd spend most mornings hiding under our China cabinet shivering when we'd take her out of her crate.

She'd obviously been traumatized and likely been abused, so we decided to hire a trainer to help break her out of her fear.

After some trial and error, we hired Mike, an experienced trainer who would gently force her to stay present each time she got fearful and wanted to run away. By essentially forcing her to move into her fear it didn't take long for Crystal to realize she was safe and there was nothing to fear. Through this initially challenging process, Crystal quickly became loving and trusting of our trainer who created a very strong boundary with her.

Crystal loves to feel contained. Boundaries are essential for all beings to feel safe.

Crystal loves to feel contained. Boundaries are essential for all beings to feel safe.

The training worked wonders and though she resisted the process during many of the sessions, Crystal became more relaxed, more trusting and more affectionate after each session. Mike also helped us learn how to assertively yet lovingly hold boundaries to heal her behavior. 

The stronger we set boundaries around her reaction to fear, the more relaxed she became.

As a result, the anxiety and fear that once ruled Crystal settled down, and she continues to feel more safe and be more present than ever.

Humans have similar behavior patterns. Healthy boundaries between children and parents are crucial to cultivating healthy relationships and to prevent enabling unhealthy behavior patterns. Held with love, compassion and respect, boundaries help create a sense of stability and safety.

In Chinese Medicine, this sense of safety and security is supported by the Earth element as the basis for establishing healthy boundaries. 

The Earth element rules our digestive system and helps us process both food and thoughts. Energetically, Earth relates to all transitions - seasonal and otherwise - and is the ruling element of the late Summer. It's most important to balance and strengthen the Earth element during these times, but since change is a constant in life and we're naturally always going through transitions, cultivating a healthy Earth is essential to all aspects of our health year round.

 

Boundaries and the Earth Element

The Earth Element is the fertile soil that allows plants to grow and flourish to provide nourishment and sustenance; it gives protection and shelter as well as stability and substance. 

Earth contains water, creates boundaries to define continents and carries us through space with stability. Earth represents safety, protection and our home base. 

Being centered, calm, and balanced, feeling at home, and having a sense of harmony and peacefulness are the essence of a healthy Earth energy. Creating a comfortable home and cooking for oneself and one's family are essential factors to nourishing the Earth energy in one's life.

Rice fields from our 2015 trip to China. Earth contains water and provides the fertile soil where nourishment can be cultivated.

Rice fields from our 2015 trip to China. Earth contains water and provides the fertile soil where nourishment can be cultivated.

Cultivating a healthy Earth means understanding and prioritizing our needs. If we pour all of our energy into helping others or work excessively, we'll have nothing left for ourselves. If we don't discipline ourselves around our diet and set boundaries around eating generally healthy foods, our health fails. If we continuously go to bed late because we don't have the discipline to stop working or watching TV at night, we slowly but surely deplete our blood, our Yin, and our essence, which accelerates our aging process.

In other words, strong boundaries around how and with whom we spend our time, what we eat and even when we sleep is fundamental to our health.

In the body, these boundaries are established by the Earth element organs that govern digestion, the Stomach and Spleen.

 

Nourishment and the Earth Element

Earth energy is about transformation; transformation of food into energy and raw material to rebuild the body, and transformation of our thoughts so we're not stuck obsessing about negative things and can have clarity of mind. 

Earth energy is also associated with our relationships with ourselves and others, which begins with our relationship to our family, especially our mothers. As the archetype for the Earth type personality, the Mother represents unconditional love and the nourishing qualities that exist within each of us.

Loving, supportive and nourishing parents help children understand they are accepted for who they are, which gives them a deep sense of security. Starting life with unconditional nourishment both through food and emotional support supports a calm and secure demeanor. It also prevents the development of excessive dependence on others to have one's needs met. 

Our first experience with nourishment comes from suckling at our mother's breast, ingesting the colostrum that activates our Earth energy.

Colostrum is so potent for the digestive system that it's been well established as a supplement to heal digestive disorders. For one thing, colostrum restores leaky gut to normal permeability levels. Serious health syndromes which we can recognize as Earth imbalances are now known to be associated with abnormally increased gut permeability. These include autoimmune diseases such as Crohn’s disease, lupus, multiple sclerosis, scleroderma, and rheumatoid arthritis. Colostrum can also benefit Alzheimer’s, Parkinson’s, chronic fatigue syndrome, hepatitis, fibromyalgia, asthma, and allergies. 

Colostrum contains growth factors and hormones to help repair damage to the intestinal lining, including damage caused by NSAIDS and other medications, and restore gut integrity. Colostrum is high in immunoglobulins to help control harmful fungi, such as Candida, and harmful bacteria, such as H. Pylori, which is known to cause ulcers. Colostrum has also been shown to increase the surface area of the intestinal lining to improve absorption of nutrients. And there are no known side effects from using colostrum.

Colostrum reduces inflammation, protects against irritation from toxins, prevents infection and promotes epithelial growth and repair. It's also a useful supplement to quickly boost the immune system following a strenuous workout or periods of intense stress. 

In this way, colostrum boosts Spleen Qi, which is fundamental for supporting Earth energy and therefore our ability to establish healthy boundaries.

Nourishment begins in the gut first with our mother through breast feeding and evolves into how we nourish ourselves. Thus the connection of the Earth element to our digestive function determines our ability to have healthy, harmonious relationships as well as strong immunity, or Spleen Qi.

 

Earth Element Imbalances

Physiologically, Earth element imbalances most commonly relate to weakness of the Spleen, which manifests as poor digestive function, as well as bruising and hemorrhaging. This is because the Spleen not only transports and transforms food and thoughts, but it is also the organ in Chinese Medicine that's responsible for holding blood in the vessels. A woman who has very heavy flow during her menses for example needs to focus on strengthening her Spleen and blood. Weak Spleen Qi can also cause leakage of Qi, which is a disorder we've discussed in a previous article.

Chronic digestive issues as well as eating disorders are common among people who have imbalances in their Earth element, which may have begun during childhood as a result of lack of nourishment emotionally and physically from one's parents or through excessive consumption of prescription drugs, especially antibiotics, which directly damage the gastrointestinal system.

When there is an Earth imbalance, or weakness in Spleen Qi, dampness or phlegm tends to develop in the body, which leads physiologically to weight gain and psychologically to obsessive thinking. This is why worry and pensiveness are common symptoms of imbalanced Earth energy.

Psychologically, Earth imbalance manifests as neediness, self-absorption, resentment or excessively self-sacrificing and lacking the ability to care for oneself.

A weak Earth also inhibits one's ability to hold strong personal boundaries, making one inclined to meddle in other people’s lives as a distraction from looking at herself or lack the personal boundaries to prevent other people from meddling in her life. 

Earth imbalance often creates a challenging relationship with both food and money, each of which energetically represent a form of nourishment that allows us to feel safe. 

People with an Earth imbalance will not only have digestive issues, but they'll often also have an unhealthy relationship with money management as well as with food, which that may result in eating disorders such as anorexia or bulimia or simply addictions to food for comfort.

Balanced Earth means that we know how time, energy, food and money all fit into our lives. It allows us to feel abundant no matter how much we have. Therefore, an imbalanced Earth will cause us to feel lack, especially with our money and our energy.

 

Balancing Earth to Establish Healthy Boundaries

Having a more balanced Earth element helps us feel more calm, secure and nourished. When we feel more peace within, we can make our needs, and therefore our boundaries, more clear. Strong boundaries and a healthier relationship with ourselves allows us to then cultivate healthier relationships with others.

Here are some tips on how to strengthen the Spleen and your Earth element to help you establish stronger boundaries:

  1. Cook - the physical act of preparing a meal nurtures the mind, body and soul.

  2. Eat a healthy, low carbohydrate diet - carbohydrates and sugars increase the damp or fungal terrain in the body so it's important to reduce these foods and increase the consumption of leafy green vegetables, root vegetables and clean meats to clear this dampness, cultivate clarity and optimize your health.

  3. Eat regular meals - Earth thrives on a regular daily rhythm.

  4. Manage your time and money - Earth is about nurturing and abundance. Keeping track of how you spend your time helps you manage your energy. Managing your finances is another way to help consolidate your Earth energy and is an essential aspect to cultivating the feeling of security in your life. Money is energy which when circulated properly helps balance Earth energy.

  5. Journal to replace worry and obsession with contemplation and reflection.

  6.  Get involved in the community - find what organizations, church groups, charities, etc. interest you and see what role you can play to contribute.

Self-care is therefore essential to rebalance the Earth element. When your food, money, time and energy are properly managed, the mind becomes more clear and you're able to naturally set healthier boundaries that allow you to share the best aspects of yourself with others.


Setareh Moafi, Ph.D., L.Ac. is Co-Owner and Director of A Center for Natural Healing in Santa Clara, California, a health and wellness clinic that specializes in Classical Chinese Medicine and Traditional Japanese Acupuncture. Setareh offers clinical services and transformational workshops that blend the ancient practices of Classical Chinese Medicine and Yoga. More information at www.setarehmoafi.com and www.acenterfornaturalhealing.com


Practices for Late Summer & Healthy Seasonal Transitions

by Setareh Moafi, Ph.D., L.Ac.

Dr. Setareh Moafi offers simple step-by-step guidance to do Dragon Pose. This Yin Yoga posture is important to open and release the Stomach Meridian and improve digestion. Benefits of the posture and its relationship to the Earth element and Stomach channel in Chinese Medicine are explained.

The Earth element rules the late Summer as well as all seasonal transitions — all important times to strengthen your Earth and its corresponding Spleen and Stomach organs.

The Earth element relates to the digestive system and includes the Spleen, Pancreas and Stomach functions. Restoring health to your digestive system is fundamental to restoring health to all aspects of your life.

The digestive system creates Qi to support a strong immune function and fluids to support the hormones and healthy endocrine function.

Digestion is about transformation; transformation of food into energy and substance to build the body. Having a strong Earth energy also supports transformation in our lives as well so we can create the life we want to live. And perhaps most importantly, creating a strong Earth energy in our lives helps support having healthy relationships especially within our family.

Weakness in the Earth organs can lead to sweet cravings which then cause the body to accumulate dampness. Dampness is a fungal terrain, often resulting from a diet heavy in carbohydrates, fried foods, dairy and sugar (even in the form of fruits).  

A fungal terrain can also develop from using various drugs such as antibiotics, sulfa drugs, chemotherapy, birth control pills, corticosteroids, antacids and acid blocking medications.

Dampness is reflected in feeling stuck or lacking clarity.  Dampness is also associated with psychological imbalances such as Obsessive Compulsiveness Disorder and hoarding.

Imbalance in your Earth can also lead to excess accumulation of heat in your Stomach causing acid reflux, indigestion, excessive appetite and even anxiety as the Stomach dumps the overflow of heat into the Heart. 

The Earth element thrives on a simple diet based on unprocessed foods, a calm mind, and a regular daily rhythm with meals, exercise and rest.  

The following tips will help strengthen the Earth energy to help bring clarity in your life as well as to clear the heat and dampness that can lead to burnout and a sluggish body and mind.

6 Tips for a Healthy Earth:
1) Eat meals at regular times and without distractions. The digestive system thrives on eating with a relaxed state of mind. Try also to not skip meals and eat snacks if low blood sugar is an issue.
2) Cut back on sugar, including fruit. Even 'healthy' Summer fruit have a high sugar content that can create dampness and lead to immune suppression and Fall colds and flus. 
3) Eat more root vegetables. Root veggies such as sweet potatoes, parsnips, carrots and rutabaga help anchor your body's energy and calm your mind. 
4) Take enzymes and probiotics daily. Enzymes taken with meals will help break down food and prevent stagnation and heat accumulation in the Stomach. Along with a balanced probiotic supplement, enzymes are essential for your gut health, which is the core of your immune function and brain health. Not sure what to take? Call us at 408-244-8565 or stop in and pick up a bottle of our favorite probiotics and enzymes. 
5) Exercise to strengthen your Earth. Calming exercises such as Yoga and Qi Gong are especially important to integrate into your routine. Here’s an archive of Yoga classes to practice from the comfort of your home. You can also do the short late Summer Yin Yoga practice with Dr. Setareh Moafi in the video at the top of this article :)
6) Go to bed a little earlier - before 11pm is optimal. It's also helpful to go to bed and wake up around the same time every day.

The transition toward the cooler Autumn season through this late Summer period allows us to harness our energy and create a calmer, more regular rhythm for optimal health during the upcoming Yin seasons of Fall and Winter. 


Setareh Moafi, Ph.D., L.Ac. is Co-Owner and Director of A Center for Natural Healing in Santa Clara, California, a health and wellness clinic that specializes in Classical Chinese Medicine and Traditional Japanese Acupuncture. Setareh offers clinical services and transformational workshops that blend the ancient practices of Classical Chinese Medicine and Yoga. More information at www.setarehmoafi.com and www.acenterfornaturalhealing.com.

Are You Leaking Qi? How to Preserve Your Essence to Slow Down the Aging Process

by Salvador Cefalu, M.S., L.Ac.

Leaking Qi, or energy, describes the body’s inability to consolidate and hold in any type of fluid substance in the body. Leaking Qi is common because it relates to many different types of conditions.

In order to describe the different types of leakages, I will begin by describing the three divisions of the body according to Classical Chinese Medicine. These divisions are called burners, heaters, or energy centers and are associated in Chinese Medicine with the Triple Heater organ system. 

 

The Triple Heater System

The Triple Heater, also referred to as the Triple Burner, is called in Chinese Medicine San Jiao, meaning three warmers.

According to Chinese Medicine, the Triple Heater system is an organ but it has no form. This is a system that essentially coordinates the organ functions of the body held within these three energetic centers and is responsible for maintaining overall metabolism within the body.

Imbalances in the Triple Heater system can lead to leakage of Qi that can then cause damage to the fluids and essence of the body. 

The three energetic centers controlled by the Triple Heater are the lower abdomen (called the lower heater or Lower Jiao), the middle abdomen (called the middle heater or Middle Jiao) and the chest (called the upper heater or Upper Jiao). 

The Lower Jiao located in the pelvic basin contains the genitourinary system responsible for reproduction and elimination. The Middle Jiao contains the organs of digestion, including the Spleen, Stomach, Pancreas and Small Intestine, and controls digestion and absorption of nutrients. The Upper Jiao contains the Heart, which controls circulation, and the Lungs, which control respiration.

It is through the action of these systems that fluid dynamics are maintained in the body. Depending on the type of leakage one may be experiencing, we can determine what heater, or Jiao, is out of balance and needs support.

Excess Sweating as a Form of Leaking Qi

Sweating easily or excessively is often associated with a weakness in the Upper and Middle Jiao. Sweating too easily is often due to the Qi of the Lungs being too weak to control the skin function to properly contain fluids. A weakness of the Lungs is often concurrent with a weakness of the Spleen since the Spleen supports the health of the Lungs. For example, if the Spleen is weak and overly damp due to a diet high in carbohydrates, sugar and dairy, then the Lung function will suffer and a person may tend to sweat too easily with or without exertion.

Sweating due to hot flashes is a different situation and is related to weakness in the Kidneys and Lower Jiao. Excessive sweating that occurs with hot flashes is usually a hormonal imbalance related to hyperactive adrenal glands and dryness of the sexual organs due to a depletion of Yin fluids. Lack of Yin fluids, coupled with hyperactivity of the adrenals that are trying to produce more Yin as the ovaries decline, generates a deficiency heat which induces sweating. Correction of this type of sweating is different than the Lung Qi weakness issue as it requires nourishment of Kidney Yin to relax the adrenals.

Both of these situations involving excess sweating and the leakage of Qi. If left uncorrected, leakage of Qi will damage one’s Constitutional Essence and accelerate aging.

 

Dietary Tips to Strengthen the Lungs and Reduce Excessive Sweating

From a dietary standpoint, for a weakness of Lung Qi causing excessive sweating, the use of compact fruits eaten on a daily basis are helpful to strengthen the Lung energy.

Compact fruits, including apples, pears, Asian pears, persimmons and quince tonify Lung Qi in Chinese Medicine.

Stewed pears and apples are especially nourishing to the Lungs but be aware that too much can lead to phlegm in the Lungs. For example, if a person has a lot of sinus congestion, eating these foods can exacerbate this condition.

Japanese persimmons are more useful to help stop sweating than Chinese persimmons. Japanese persimmons are higher in tannins which gives them a strong astringency affect on the body to deal with profuse sweating and prevent leakage of Qi.

Citrus fruits are also effective for tonifying Lung Qi.

Citrus is hydrating and high in vitamin C to boost the immune system. More sour citrus fruits are better astringents to stop sweating that causes leaking Qi.

Though lemon and lime are highly concentrated in citric acid, once ingested, they become alkalizing to your body and help balance an acidic terrain so they have a cooling affect on the body.

Too much citrus, however, will induce the opposite effect and induce heat. For example, drinking a lot of orange juice is not a healthy habit as it creates a lot of damp heat in the body in the form of excessive mucous which can then lead to sinus and ear infections over time. Consumption of orange juice during acute infection can cause chronic infection that is resistant to antibiotics.

Overall, since citrus, including oranges, produce a lot of fluid, they are especially good for dryness, but excess consumption can induce phlegm very easily when a person has a lot of dampness.

Infusing or steeping citrus peels in water is an especially effective way to support astringency without inducing the dampness that easily develops from drinking the juice.

Citrus peels are also used to produce essential oils. In Chinese Medicine, citrus oils help regulate Qi to reduce epigastric distention and bloating. These oils can simply be rubbed on the belly for immediate benefit.

Citrus essential oils contain a chemical called limonene, which has a plethora of potent health benefits. Limonene (also called d-limonene) makes up over 90% of orange oil and is found in citrus peels. It helps aid digestion for problems such as acid reflux. Limonene also helps support elimination by reducing sluggish bowel movements especially when Candida is involved. It's also been shown to help reduce cholesterol and improve Gallbladder function to improve bile flow and support fat digestion. In addition, limonene has been found to be helpful for weight loss as it suppresses appetite and regulates blood sugar. 

 

Leaking Qi and the Middle Jiao

Leakage of Qi as it relates to the Middle Jiao, or middle burner, involves how the Spleen is managing blood. In Chinese Medicine, the Spleen’s Qi is responsible for containing the blood in the vessels. A person who bruises or hemorrhages easily likely has a weakness of the Spleen Qi. 

Hemorrhaging can be associated with many conditions so a proper diagnosis is required to establish an accurate treatment protocol. With that said, hemorrhaging can occur in many ways. Hemorrhaging can include mid cycle breakthrough bleeding during menses, excessive menstrual bleeding with long periods, frequent nosebleeds, and can be as serious as gastric or intestinal bleeding or stroke involving bleeding in the brain. 

The saying “Spleen Qi manages the blood” means that the Spleen keeps blood from leaking out of the vessels. Thus, varicosities are associated with weakness of Spleen Qi as well and if there is also edema in the legs due to venous insufficiency, the Kidney Qi may also need support.

Here are a few Western and Eastern herbs commonly used for the purpose of reducing leg edema and varicose veins: 

  • Butcher’s Broom is an evergreen shrub known to contain phytochemicals that are both anti-inflammatory and astringent to tighten up blood vessels and strengthen capillaries as well as reduce edema. Butcher’s Broom is also a folk remedy for hemorrhoids, another form of leakage of Qi due to a lack of vascular integrity,

  • Chestnuts are good for strengthening the vascular system as well and Horse Chestnut seed extract has been known to be especially effective as a vascular anti-inflammatory and to strengthen weak veins and capillaries causing edema due to vascular insufficiency.

  • *Gotu Kola is an Asian herb that has been successfully used to reduce edema and poor circulation leading to varicosities. Studies have also found Gotu Kola to be regenerative to the brain by supporting neuron growth.

  • Gingko Biloba is another super herbal supplement to improve circulation in the brain and strengthen vascular integrity for the treatment of varicose veins which is a common type of leakage of Qi.

From a Chinese Medicine perspective, these herbs strengthen the vascular system and therefore also strengthen Spleen Qi. Herbs that reduce edema in the legs also strengthen Kidney Qi.

A simple dietary tip in Chinese Medicine for weakness of the Kidneys is to eat both toasted and raw sesame seeds as well as pumpkin seeds. And if a person is not urinating completely and this leads to edema, eat the sesame seeds with cucumber. This needs to be eaten at every meal of the day so it’s a big part of one’s diet.

 

Leaking Qi and the Lower Jiao

Incontinence is a common form of leakage of Qi that relates to the Lower Jiao, or lower heater. Getting up during the night to urinate is also a form of leaking Qi related to the Lower Jiao, and is due to deficiency of Kidney Qi.

Acupuncture is highly effective to improve incontinence.

Some of the most useful herbs in Chinese pharmacopeia that treat incontinence are commonly used in cooking. Many of these Chinese herbs are seeds, including lotus seed (Lian Zi), Astragali seed (Sha Yuan Zi), Euryales seed (Qian Shi) and Cherokee Rose Hip fruit (Jin Ying Zi).

From a dietary standpoint, seeds are important to strengthen the Kidneys. The primary seeds that target the Lower Jiao and the Kidneys are pumpkins seeds and sesame seeds. Small amounts should be eaten 3-5 times per day.

In general, foods that are high in zinc strengthen the Kidney system. Zinc is essential for the health of the prostate, which is part of the Kidney genitourinary system in Chinese Medicine. Foods highest in zinc are oysters, lamb, pork and grass fed beef. Toasted wheat germ, pumpkin and squash seeds are also potent food sources of zinc.

 

Conclusion

Leaking Qi is common and while challenging to one's health, it can usually be resolved with proper treatment and dietary modifications. Preventing the leakage of Qi is essential not only to have healthy levels of energy, but also to maintain one's constitutional Essence in order to slow down the aging process to achieve optimal health and longevity.


*I’ve used Gotu Kola with my 91 year old father who has moderate level dementia, swollen ankles and poor kidney function. After a few months of taking Gotu Kola twice daily, his mind is clearly working better, his ankle edema has reduced and his recent blood test showed his kidney function has improved. He is much more mentally alert and present than before he started Gotu Kola.


Please note: The information provided here is for educational purposes only and not intended for diagnosis or treatment. Please contact a licensed health provider for lifestyle, dietary and herbal recommendations specific to your condition.


Salvador Cefalu, M.S., L.Ac. is the Founder & Co-Director of A Center for Natural Healing in Santa Clara, California, a health and wellness clinic run by he and his wife, Setareh Moafi, PhD, L.Ac. that specializes in Classical Chinese Medicine. Salvador is a leading U.S. practitioner of Japanese Meridian Therapy, a rare form of non-insertion Acupuncture using Gold & Silver needles. More information at www.acenterfornaturalhealing.com.

Is It Time for a Brain Detox?

By Salvador Cefalu, M.S., L.Ac.

While we've all heard of or experienced a colon or liver detox, we rarely hear about detoxifying the brain. A decline in brain function is a common complaint many people have and the multitude of related symptoms can be due to both brain weakness and brain toxicity.

Abnormal brain function symptoms can vary between hyper and hypo-activity. Both conditions can be rooted in the accumulation of excess toxicity in the brain or a deficiency of adequate nutrition to properly feed the brain's neurons. When the brain’s neurons are overstimulated, symptoms such as epileptic seizures or Attention Deficit Hyperactivity Disorder (ADHD) can develop. When the brain is under active, symptoms such as brain fog, brain fatigue, poor memory and weakness in critical thinking can develop.  

Brain dysfunction can arise from the condition of systemic inflammation and systemic inflammation is often rooted in poor gut health. In addition, poor brain nutrition is not just the result of a poor diet but also due to poor digestion and poor assimilation of nutrients.

Anything that involves the function of the gut and digestion in Chinese Medicine relates to the Earth element organs, the Spleen and Stomach. Restoring balance in our Earth organs is always going to be a fundamental issue to restore function in our brain.

From the point of view of Western medicine, as we age, the production of hydrochloric acid and digestive enzymes declines significantly, making it more difficult to properly break down and assimilate the nutrients we consume. Furthermore, the combination of toxic food, toxic medications and toxic thoughts all contribute to inflammation of the gut.

Toxicity that brews in the gut due to imbalances in the microbiome, or gut flora, can lead to 'leaky gut syndrome.' A 'leaky gut' causes improperly digested proteins and unwanted microbial agents to pass through the intestinal wall and enter the blood stream. This dysfunctional process can then trigger a cascade of inflammatory responses throughout the body. This is one of the main causes underlying the degenerative process of systemic inflammation which can create a "brain on fire" and lead to many of the brain disorders we commonly see today.

Treatment of degenerative brain disorders therefore requires the restoration of healthy digestion and elimination so the brain can be properly nourished and detoxified.

 

A Classical Chinese Perspective on the Brain

In Classical Chinese Medicine (CCM), the brain is considered one of the six Extraordinary Organs and also called the “Sea of Marrow.” The Jing, or Essence, corresponds to the body’s constitution and relates to our genetic material. The Kidney system stores the Jing which supports the brain, so maintaining the health of our Kidneys is fundamental in Chinese Medicine to establishing a healthy, long life. It is the Marrow that comes from the transmutation of Jing Essence which creates the substance to form the brain, the spinal cord, as well as the bone marrow. 

As we age, Jing declines, so there is naturally a decline in brain function with aging resulting in shrinkage of brain mass and decline of memory and other mental functions as well as sensory decline such as hearing, taste and vision. This process relates to our cells dying off with aging and the decline of our genes' ability to replicate and rebuild tissue as efficiently as they did in youth. In Chinese Medicine, this reflects the natural decline of our Water element.

The brain needs blood to function properly as blood brings oxygen and nutrients to support its structure and function. Some of the nutrients transported from blood comes from water. As we seeing clearly in the elderly, a lack of proper hydration through water consumption has a dramatic impact on reducing brain function.

According to Chinese Medicine, building and storing blood in the body is a function of the Spleen, Heart, Lung and Liver. Supporting the brain is therefore a function of all five primary organ systems found in the Five Element Theory of Chinese Medicine. The Spleen and Heart combine to produce the substance of blood, the Lung’s provide the Qi or oxygenation to complete the blood production, and the Liver stores the blood and helps send it up into the brain to support proper neurological function.  

 

The Brain's Built-in Detoxification System

We learned only five years ago through a major medical discovery that the brain’s waste disposal system is far greater than what had ever been known.

It was discovered that the brain has an independent and unique drainage system, called the Glymphatic System that's far more efficient and powerful than the cerebrospinal fluid system we had previously thought was the only drainage system in the brain. The reason for such a late discovery of the Glymphatic System is that technology just recently developed the capacity to study the living brain in action. Prior research was done on dead brains and the Glymphatic System works through live cellular action and not through a structure of its own.

The glymphatic drainage system was actually discovered in the process of researching amyloid protein circulation and its abnormal accumulation in the brain in the form of brain plaques thought to be associated with Alzheimer's disease. 

The Glymphatic System is, in fact, much more proficient in moving nutrients and waste in and out of the brain than the cerebrospinal fluid system. It is like comparing a system that works on a drip process versus a system that is activated by the powerful pumping force under the pressure of blood flow. 

To make a theoretical correspondence to Chinese Medicine, I would say the Glymphatic System is under the functional domain of the Liver and Gallbladder systems.

The Liver meridian ascends blood into the brain for nourishment and the Gallbladder meridian is the main drainage system of the brain to support detoxification. 

Both the Liver and Gallbladder are Wood element organs established in Five Element Theory. According to Five Element Theory, the Wood energy is strengthened by the Water element and this makes the connection how the Kidneys (Water) support the Liver (Wood) for healthy brain function, especially in memory retrieval.

More specifically, long term memory is supported by the Liver and short term memory is supported by the Spleen which brings us back to the Earth element and gut health. If you find yourself having difficulty with memorization, than this is a weakness of the Spleen often due to dampness from excessive sugar in the diet. Dampness or a fungal terrain can also be attributed to excessive use of antibiotics, birth control pills or corticosteroid medications. So any of these medications can impact one's brain health in a negative way.

You may notice that your brain gets fuzzy, lazy and tired after eating too many sweets. This is often due to blood sugar quickly dropping with the consumption of simple sugars and the resulting dampness that impedes brain function. A damp terrain is a fungal terrain. Just as chronic sinusitis is now recognized to be associated with fungus, the same fungal pathology can seep into the brain to down-regulate brain neuron function.

Sugar in any form feeds fungus in the body so it's easy to see why the condition of dampness is a very sticky, stubborn pathology to clear up.

Dampness therefore, according to Chinese Medicine, essentially needs to be dried up or drained out of the brain to support proper function and impede the disease process that leads to brain disorders like dementia and Alzheimer’s.

It is imperative for those suffering from these disorders to eat a very low carbohydrate and low sugar diet. If you've known anyone with these disorders, their diet is usually heavy on carbs, sugar and dairy -- the exact foods that feed the fungus in their brain.

 

Inflammation, Inflammation, Inflammation

You may find you can't recall things as well as before, or perhaps you easily get tired while reading. These everyday occurrences that people brush off as aging can be early stage signs of a brain inflamed with toxicity. 

Inflammation is associated with most chronic degenerative conditions and what we have now realized in modern medicine is that systemic inflammation is often rooted in poor gut health. The problem is that Western medicine protocols are not addressing this fundamental issue and rely on toxic drugs to try and ameliorate symptoms without addressing the underlying problems. All the while, the medications are tearing apart the very system that is already inflamed and deteriorating.

 

Chinese Medicine Offers Clues to Evaluate Subtle Indications of a "Brain on Fire"

Based on the associations of the organ systems and brain function as outlined above, we can make some direct correlations you may find helpful to evaluate your own brain health.

If you're suffering from inflamed joints not due to an injury, then it’s time to consider healing your digestive system in order to cool down inflammation that's likely also occurring in your brain. Hip inflammatory problems relate to the Gallbladder system and knee inflammation relates to the Kidneys. Since these systems are directly related to healthy brain function, if you are suffering from any systemic inflammation or, specifically, these large joints are chronically painful and stiff, your brain is also likely inflamed. 

 

Beginning the Process of Brain Detoxification 

Chinese Medicine offers some of the most potent medicine available today to restore brain function which has been damaged. 

Chinese Medicine is a comprehensive medical system that looks to restore healthy brain function in a holistic way by addressing the other supporting organ systems involved in the brain's function. 

The brain can be directly targeted therapeutically through Acupuncture and herbal medicine, which can provide nutrition and support the flow of nutrients into the brain. In addition, these modalities can stimulate the dissolution of brain plaque and the clearance of toxic debris. 

Acupuncture can stimulate the Gallbladder Meridian to detoxify the brain. 

The Gallbladder Meridian system offers direct access to drain toxicity from the brain and support the removal of debris such as denatured amyloid proteins that cause plaques that lead to Alzheimer’s disease and dementia. Acupuncture can essentially stimulate the Gallbladder system to flush the brain and help reduce toxicity leading to brain inflammation. Acupuncture as a form of manual therapy is a critical part of detoxification because it is very common for the body to form blockages internally which impair detoxification and interfere with the recovery process. These blockages can be efficiently released through Acupuncture, Cupping and Gua Sha (a type of scraping therapy).

It is imperative to note: for acupuncture and herbal medicine to work optimally, a person's diet must support the healing process that is being instigated by these modalities. Otherwise, you may be disappointed with your progress and blame the medicine for failing. You must clean up your habits for healing to take place, there is no way around this fact. We cannot continue the same lifestyle habits that created our problems. We must change in order for change to occur.

 

Chinese Herbal Medicine: An Important Component for Restoring Brain Function

Some Chinese herbs target the Gallbladder system to decongest and move the lymphatic circulation for detoxification. Some herbs are specific to break up amyloid tissue and plaques that block the brain neurons from functioning optimally. Other herbs support the nutritional aspect and provide nutrients for the brain to work better as well as the different organs involved in its function. There are herbs to strengthen the Qi energy of the Spleen to improve overall energy and others provide nourishment to help the Spleen build up the blood. These benefits support healthy brain function.

Other herbs specifically nourish the blood of the Liver to improve memory retrieval and vision. In addition, there are Chinese herbs used specifically to increase the Qi of the Lungs which improve oxygenation of the brain in order to quicken brain function and reduce brain fatigue. Perhaps most importantly, there are herbs to strengthen the energy of the Kidneys which as we now know has a direct correlation with the brain and is fundamental to maintaining the health of one's hearing and brain function overall. 

What is most exciting, is that many herbs have been shown to reduce brain inflammation and amyloid plaque deposition which interfere with brain circulation and neuron function.  And perhaps most importantly, herbs such as Turmeric, Gotu Kola and Bacopa Monnieri have been found to stimulate the regrowth of brain neurons to restore lost function as well. In fact, these three herbs support all of these critical actions for restoring brain health. There are a number of studies to support these claims, mostly international studies from China, Japan, Korea and India.

 

Healing the Brain Takes Time

Keep in mind, when working on the level of the constitution which includes anything related to the brain, it takes a minimum of three months of treatment before one can evaluate the progress of one's condition. Usually results are noticed right along, sometimes quickly, but studies show it takes a few months to regrow brain neurons to improve brain function. Older, weaker individuals and those with more serious brain dysfunction will require longer periods of time to restore brain health.

Healthy brain function allows us the awareness to experience a more full and meaningful life. Awareness is important to put us on the path of healing. My hope is that this information brings you awareness that there is always opportunity to heal and improve your health. Depending on your situation, the path may be easy or challenging, but if you persevere, you may find yourself living in greater health with an active, lively brain for many years ahead.


Salvador Cefalu, M.S., L.Ac. is the Founder & Co-Director of A Center for Natural Healing in Santa Clara, California, a health and wellness clinic run by he and his wife, Setareh Moafi, L.Ac. that specializes in Classical Chinese Medicine. Salvador is a leading U.S. practitioner of Japanese Meridian Therapy, a rare form of non-insertion Acupuncture using Gold & Silver needles. More information at www.acenterfornaturalhealing.com.

 

 

Feeling The Heat? The Impact of Chronic Inflammation on your Heart Health

By Salvador Cefalu, M.S., L.Ac.

Cardiovascular diseases in the form of heart attacks and strokes are two of the top five leading causes of death in the U.S. Assessing how these conditions can be rooted in inflammation is therefore critical. In this article we will examine how any form of chronic inflammation is a stress on the heart and can potentially lead to cardiovascular disease.

In Chinese Medicine, the pathology of Heat is a primary factor of disease in the same way that inflammation is associated with many health problems according to Western medicine.

Pathological heat can be clearly identified because of either an acute infection or inflammation or chronic inflammation in the form of common problems such as allergies, diabetes, arthritis, autoimmune disorders, gastritis, and intestinal issues including Irritable Bowel Syndrome (IBS) or colitis. Furthermore, chronic infections such as Lyme disease, Hepatitis, Epstein Barr and mycoplasma can all involve pathological heat according to Chinese Medicine. 

Inflammatory heat can go unnoticed for months and years brewing slowly in the body like fermentation in a barrel. Heat can combine with Dampness (called Damp Heat) and lurk in latency for a long time before it rears a host of symptoms and pathology.

According to Chinese Medicine, Dampness is a fungal terrain and the root of many chronic health problems that today we associate with inflammation. Damp Heat is commonly created by a diet of processed foods, high in carbohydrates and toxic chemicals. Sugar in any form can induce inflammation as it feeds yeast to support a damp terrain and creates heat through its acidic nature.

Sugar is the perfect Damp Heat toxic bomb for the body. This point is well established medically with the way sugar feeds cancer cells so efficiently.

A Damp Heat fungal terrain can also be attributed to the use of antibiotics, oral corticosteroids and estrogen based drugs such as hormone replacement and birth control pills. It seems practical to say the incredible increase in pharmaceutical drug consumption is a huge factor for creating the toxic Damp Heat environment within the body that Chinese Medicine associates with the creation of chronic degenerative disease, including cardiovascular disorders. (If you'd like to learn more about Dampness and Heat pathologies according to Chinese Medicine, you can read my article here.)

 

It's Just About Summertime 

Summer is the season when the sun kisses our palate with an abundance of fruit. However, even this natural sugar can induce serious health problems if there is a Damp Heat problem. Year round consumption of fruit sugar is a key trigger for a Damp Heat toxic environment in the body.

Historically, fruit was eaten seasonally when it was available, especially in the Summer, when the increase in ingested fruit sugar triggers the body to store fat for Winter energy. But today, with year round access to a variety of fruits, the body's gene stimulation to store fat is a year round event as well. Sugar in all forms, from fruit to breads, cookies, chips, pies, cakes, Big Gulps, ice cream, and let's not forget frozen yogurt, all contribute to obesity as the body is overwhelmed with sugar. 

Blood sugar problems such as diabetes and obesity often go hand-in-hand. 

 

The Critical Link Between Obesity and Chronic Inflammation 

Medical science now recognizes that excess body fat causes continuous low levels of chronic inflammation in the body. The cause is due to inflammatory cells called cytokines that are released by fat cells. The more excess fat is held by the tissues, the greater the systemic inflammation with these cytokines wreaking havoc all over the body as they distribute through the blood and lymphatic circulation. The process of systemic inflammation can therefore be stimulated simply by being overweight. 

In Chinese Medicine, obesity is considered a condition of excess Dampness, which is why it's important to reduce foods that create Dampness in order to lose weight and thereby reduce inflammation in the body.

Dairy or carbohydrate-based food are the big Damp producers. Grains, starchy vegetables, fruit (especially tropical fruits and melons with high glycemic load) and nuts are some of the key foods that create Dampness. If a person has a very swollen tongue or thick tongue coating, this indicates a body burdened by Dampness, which means it is imperative to limit these food groups until the tongue body and coating normalize. The clearing process can take months for some individuals heavily burdened by the condition of Dampness.  

The other consideration in examining the roots of chronic inflammation and cardiovascular disease relates to excess Heat in the body.

People with excess heat can be overweight or excessively skinny. Heat can dry up one's Yin fluids so people who are skinny can be types with excess heat as the heat burns up the body's reserves.

The key indicator of a person with excessive Heat is that they will tend to have a very red tongue body and if it has sections that are bluish, then Blood Stasis has developed as well. Blood that gets too hot thickens and becomes sluggish, and therefore impacts the cardiovascular system. Reducing foods and exposure to toxic environments that cause excessive Heat in the body is required. This can relate to ending a bad marriage or any toxic relationship as well.

Pathological Heat can be generated from over exposure to "dirty electricity" in the form of electromagnetic waves (EMFs) or "dirty" chemicals in the form of anything chemically toxic, be it natural or man-made. Pathological Heat is induced in the body by many common chemicals found in our daily lives. Chemicals ranging from medications, to pesticides, herbicides, cleaning products, facial makeup and hair spray have been associated with many types of inflammatory diseases and cancers.

Many individuals involved in the devastation of war have been exposed to man-made chemicals that have created many forms of chronic degenerative disease never seen before. In the Iraq and Gulf wars and as recent as 2015 in Syria, the United states employed nuclear waste material in the form of DU (depleted uranium) weaponry. This highly radioactive material was the pathological factor of Heat that caused numerous birth defects, Gulf War syndrome, and many cases of cancer among soldiers and civilians who were exposed to these toxic gases. 

The herbicide, Agent Orange, used by the U.S. in the Vietnam War is another example of chemically induced toxic heat that continues to cause many health disorders decades later. Agent Orange was used extensively to burn the dense foliage off of the jungles of Vietnam. Even today medical doctors suggest that the toxic effects of Agent Orange are being felt as some Vietnamese people suffer from an unrecognized syndrome similar to leprosy with their body disintegrating as it eats away at itself. The Guardian reported back in 2003 that 650,000 Vietnamese people suffer from an array of baffling chronic diseases which can be attributed to the toxic exposure to Agent Orange. 

 

How to Cool the Body on a Daily Basis

Limiting our exposure to EMFs and toxic chemicals in any form can have a big impact on preserving our health. Other measures to reduce internal Heat in the body can be even more basic than this. 

It's not just what we eat, but how we cook that influences the temperature of our body. If you ingest a lot of moist or hydrating food created from steaming, soup, broth and juices, your body will tend to cool down.

In the Summer, people tend to barbecue on a regular basis, but this is the type of cooking that induces a lot of Heat. In addition, meat, especially beef, lamb, bison and wild game are very hot natured foods. Barbecuing beef and bison burgers will therefore induce a lot of internal Heat. Add to this meal some alcoholic cocktails followed perhaps with coffee, a sugary dessert and a cigarette and this smoking hot combination will inflame any body burdened with excessive Heat.

Roasting is another cooking method that dries up the Yin of the food and induces a lot of Heat. So take it easy with roasting, baking and barbecuing if you are trying to lower your internal heat and reduce systemic inflammation.

Source: Scientific Animations, Girish Khera (http://www.scientificanimations.com/), via Wikimedia Commons

Source: Scientific Animations, Girish Khera (http://www.scientificanimations.com/), via Wikimedia Commons

Heat and Cardiovascular Disease

Arterial plaque, or a condition called atherosclerosis, is a product of excessive heat in the blood system.

A theory that is accepted by many medical professionals is based on the idea that cholesterol levels increase in the body to plug up bleeding arterial vessels that are inflamed. Bad cholesterol is essentially a bandaid for wounding in the vessels. An elevation of LDL can therefore suggest there is a constant wounding in the vessels stimulating the calcification of cholesterol to patch it up. 

According to Chinese Medicine, blood circulation through the vessels is controlled by the Heart and Percardium. The Heart relates to self-love and life's passions and the Pericardium serves as the Heart protector, which stores the unresolved traumas of our lives. From a philosophical point of view, this "wounding of the blood vessels" can be rooted in the process of "self-wounding" resulting from a negative self image, self-hatred, or a lack of forgiveness or acceptance. High LDL cholesterol and rigid arterial calcification can therefore reflect a self wounding process that results from these types of unresolved psychological and emotional factors.

Pathological internal Heat can be created in many ways and stress is a tremendous factor. Simply cultivating a life of peacefulness in one's relationships, environment and in one's heart goes a long way to keeping you cool and unimpaired by the blistering heat found in our every day world. 

Practicing daily Meditation, Yoga, Qi Gong and Tai Chi are very useful tools to return a body and mind from the chaotic state of excess heat to a calm and cool state of peace.

What you cultivate is what you become.

Are you cultivating a chronic state of stress with constant high levels of cortisol flowing through the body or are you cultivating relaxation, ease and strength within a state of calm?

The good news is that it's your choice.

May you have a Cool Summer!


Salvador Cefalu, L.Ac. is the Founder & Co-Director of A Center for Natural Healing in Santa Clara, California, a health and wellness clinic run by he and his wife, Setareh Moafi, L.Ac. that specializes in Classical Chinese Medicine. Salvador is a leading U.S. practitioner of Japanese Meridian Therapy, a rare form of non-insertion Acupuncture using Gold & Silver needles. More information at www.acenterfornaturalhealing.com.

Food as a Mirror

by Setareh Moafi, Ph.D., L.Ac.

We’ve all heard the saying “you are what you eat” but what may be more true is that what you eat is a reflection of how you feel about yourself. 

When we make healthier food choices, we're also making choices about the quality with which we want to live our lives.

A healthy lifestyle comes from knowledge through the proper resources but also through tuning in with the self. Adapting a healthy lifestyle means looking at all aspects of your life – your work, relationships and your diet.

Proper nutrition is one of the primary pillars of healthy living and, for a lot of people, it’s also one of the most challenging. My hope is to empower you to be more conscious of your diet because it is one of the most impactful aspects of your health over which you have total control.

 

Food and Digestion According to Chinese Medicine

According to Chinese Medicine, the Spleen and Stomach are the primary organs responsible for digestion. Everything you eat and drink has to be digested and transformed into Qi, or energy, with the help of these organs.

There are two major kinds of Qi in the body - the essence Qi, often referred to as the prenatal Qi, and postnatal Qi, which is produced from food and drink (Gu Qi), in the Stomach. Prenatal Qi is the constitutional essence with which we're born and postnatal Qi is our basic daily energy that we cultivate through our diet and lifestyle. The healthier the diet, the better quality Qi we can extract and therefore the greater our endurance.

The Gu Qi, or “grain” as it is often called in the classics, that enters the Stomach, is transmitted to the Lungs to produce the defense or “guard Qi,” also known as Wei Qi, which is essential for maintaining one’s circadian rhythm.

Wei Qi forms in the Lungs through the Gu Qi that first enters the Stomach. As Chapter 21 of Nei Jing Su Wen stated, “Beverages enter the stomach. Overflowing essence Qi is transported upward to the spleen. The spleen Qi spreads the essence, which turns upward to the lung” (Unschuld, 2011, 375). 

The Spleen sends Gu Qi up to the Lungs, where (with the help of Kidney Qi) it combines with air and transforms into another form of energy known as Zong Qi, which is often referred to as "gathering Qi." 

Zong Qi is formed from the combination of Gu Qi extracted through food and drink and Lung Qi extracted through the breath. Therefore, the more nutritious your diet and the better your capacity for deep respiration, the better quality Qi you'll have to support the various organs' Qi in the body.

Since Gu Qi is also used to produce Wei Qi, which controls circadian rhythm and supports immunity, a healthy diet also supports sleep and healthy immune function. 

An unhealthy diet that's high in sweet, spicy, fried and processed foods taxes the digestive system and over time will make us not only feel lethargic but also can damage the gut, or the Spleen and Stomach terrain, and lead to chronic inflammation.

In Western Medicine, the impact of nutrition on overall health has been confirmed through recent studies on the gut-brain axis (GBA).

Eating healthy can be so simple (and beautiful!) - Sprouted quinoa, lentils and adzuki beans with brussel sprouts, arugula and beet salad, avocado, butternut squash and baked sweet potatoes. We dressed the salad, grains and brussel sprouts with orga…

Eating healthy can be so simple (and beautiful!) - Sprouted quinoa, lentils and adzuki beans with brussel sprouts, arugula and beet salad, avocado, butternut squash and baked sweet potatoes. We dressed the salad, grains and brussel sprouts with organic olive oil, black and cayenne peppers, and lemon juice from Meyer lemons in our garden.

The Gut-Brain Axis

Recent studies have revealed that the enteric nervous system (ENS), which is a system of neurons within the gastrointestinal tract and often referred to as the ‘second brain,’ may be linked to immune function, hormonal regulation, psychological disorders, and even autism. The bidirectional communication between the brain (i.e. the central nervous system) and the ENS is known as the gut-brain axis (GBA), an information superhighway of chemicals and hormones that provides constant feedback and influences - among other things - our moods, emotions and sleep patterns.

The vagus nerve is the longest cranial nerve in the body. It passes through the neck to the abdomen and interfaces with parasympathetic control of the heart, lungs and digestive tract. Evidence indicates that the communication between the microbiota in the gut and the brain involves the vagus nerve, which transmits information from the luminal environment of the gut to the central nervous system (CNS). 

Important hormones and neurotransmitters such as melatonin, which regulates sleep, and serotonin, which affects mood, are produced in the gastrointestinal tract. In fact, about 90% of serotonin, which can affect mood and social behavior, appetite and digestion, sleep, memory and sexual desire and function, is produced in the gut. 

The health of the gut therefore impacts the health of the brain and our ability to process information, manage stress, sleep, balance our emotions, as well as digest and assimilate food.

 

Chinese Medicine Perspective of Digestion, Emotions and the Gut-Brain Axis

Li Dong-yuan (1180 – 1251 c.e.) was a Chinese medical scholar who is considered to be one of the Four Great Masters of the Jin-Yuan period of Chinese Medicine. As founder of the Earth School, Li believed that the health of the Spleen and Stomach was the foundation for disease prevention. He developed the concept of Yin fire, which he believed is produced by excessive emotions and poor diet, both of which damage the original Qi and overwhelm the Spleen and Stomach. Excessive emotions engender heat internally. This heat, accompanied by weakness in the Spleen and Stomach, eventually flares upward into the Heart causing symptoms such as restlessness, anxiety and insomnia.

The gut-brain axis dynamics discussed earlier parallel Li Dong-yuan’s emphasis on the pivotal role of the Spleen and Stomach, or gut health, for all human functioning. Li believed that disease pathology manifests as a result of damage to postnatal Qi, the source of which is the Spleen and Stomach. 

The Spleen and Stomach is responsible for creating the Gu Qi, or energy that is transformed from food. Excessive or unbalanced emotions and stress weaken the Spleen and Stomach and therefore the gut. According to Li Dong-yuan, this weakness leads to stagnation of Stomach Qi that eventually turns into heat or Fire. This pathological heat relates to any inflammatory or infectious condition within the gastrointestinal tract.

We can therefore surmise that heat accumulation in the gut eventually affects the brain and interferes with the harmonious interplay between the gut and brain. Furthermore, pathological heat in the gut burns out the Stomach Yin which correlates to the destruction of the intestinal mucosa.

Over time, as the mucosal lining of the gut deteriorates, "leaky gut" syndrome develops allowing for undigested proteins to leak into the blood stream and begin the cascade of inflammation throughout the body. This is one of the fundamental pathological processes underlying a host of autoimmune diseases.

 

Diet and Your Health

Some argue that to eat healthfully is too costly or a less convenient option. But we can’t be short-sighted. The long-term return on your investment is quite high, even if in the short-term it is a little more expensive to cook healthy foods at home rather than eat processed foods, for example.

Nothing is worth more than the health of your mind and body. And nothing will give you as great a return on your investment.

Your health is the pillar of your future success, happiness and fulfillment. Nothing is possible without health, and in health anything is possible.

So it should naturally be the number one place where we put our resources.

In Chinese Medicine, diet can be used as a modality in and of itself to heal chronic illness.

Diet is also the most important self-care tool we all have. Our diet provides an opportunity to feel empowered because we're able to have a say in our self-care and well-being through the choices we make with food.

What we eat is a mirror for how we feel about ourselves, and the choices we make with what we eat also allows us to choose how we want to feel and what we want to create in our lives.

If you’re interested in learning about Classical Chinese nutrition in greater depth, you can learn more and join the waitlist for my upcoming program.

Once you've finished reading this article, I'd love to hear from you on any or all of these questions in the comments below --
* How does what you eat reflect how
you feel?
* Do you eat better or worse under stress?
* What's one change you could make in your diet to better reflect what you want to create in your life?


 

Want to know how to
heal yourself with food?

Learn to use Classical Chinese Dietetics to create your custom nutrition plan so you can let go of overwhelm with food for good. Join the waitlist to get free insights & be the first to know when enrollment opens for my one-of-a-kind course.

 

Setareh Moafi, Ph.D., L.Ac. is co-owner and Director of A Center for Natural Healing in Santa Clara, California. The Silicon Valley-based health and wellness clinic specializes in Classical Chinese Medicine and Traditional Japanese Acupuncture with a clinic and studio where Dr. Moafi offers clinical services and transformational workshops that blend the ancient practices of Classical Chinese Medicine and Yoga. More information at www.setarehmoafi.com and www.acenterfornaturalhealing.com

Is Your Skin Driving You Mad? A Classical Chinese Medicine Perspective on Psoriasis and Eczema

By Salvador Cefalu, M.S., L.Ac.

Skin problems are some of the most challenging health disorders to resolve. Here we will examine two of the most common types of skin disorders we see in our clinic: psoriasis and eczema.

As with most skin disorders, flareups can often be associated with an increase in stress.

However, simply trying to relax is not going to cut it as a treatment option. We need to understand the factors driving these inflammatory conditions in order to begin resolving these problems from the inside out.

It is my hope that you will be empowered through understanding a Classical Chinese Medicine perspective on these often challenging health conditions so that you can seek a path to healing and resolution rather than suppression.  

According to Western medicine, the key difference between psoriasis and eczema is that psoriasis is an autoimmune over-reaction of the skin and eczema is rooted in an allergic, inflammatory reaction of the skin known as dermatitis (derma = Greek for skin, itis = inflammation). Both of these skin conditions can become chronic and often require the use of toxic internal and topical medications. These medications are designed to either suppress the immune response or the inflammatory heat, both of which can lead to other more serious diseases. 

Though the healing process can be challenging and require lifestyle changes, with patience and perseverance, eczema and psoriasis can be treated safely and very effectively through Chinese Medicine.

A Classical Chinese Medicine Perspective on Psoriasis and Eczema

According to Classical Chinese Medicine, there is a distinct difference between the pathogenesis of these two skin disorders.

Psoriasis is an outward expression of pathological heat emanating from the deep bone level of the body which is correlated with the Kidney system.

Eczema, on the other hand, manifests as an allergic response to something either internal or external that initiates the skin reaction. It may be triggered by food or an environmental chemical that irritates the skin and causes the inflammatory reaction which can spread as long as the allergic reaction continues.

Both psoriasis and eczema can be disorders with hereditary predispositions that have been passed along genetically.

According to Classical Chinese Medicine, both conditions are associated with heat in the Lungs which over time will weaken the Lung Qi, or energy. 

Weakness of Lung Qi causes weakness in the immune system as well. This is why chronic sufferers of eczema or psoriasis become prone to secondary infections on top of their skin sores. Furthermore, since patients with either psoriasis or chronic eczema can develop weak Lungs, it is also common for these patients who chronically suffer from either of these skin disorders to develop asthma.

Both eczema and psoriasis can present with sores that form clusters on the skin. This clustering indicates that the root cause is likely related to diet. In Chinese Medicine, clustering indicates internal dampness that is exuding out to the skin level.

Dampness in the body and is often rooted in overconsumption of foods that are very sweet, oily, or processed, as well as heavily dairy or carbohydrate based. These clustering type of skin diseases may also be associated with some form of food sensitivity or allergy such as gluten or lactose intolerance.

Another common problem associated with eczema and psoriasis is a history of gastritis, which in Classical Chinese Medicine terms can be associated with excessive Stomach Fire. 

In Western medicine, gastritis is often rooted in the presence of the bacteria Helicobacter Pylori (aka H Pylori) in the gut. From a Classical Chinese Medicine point of view, both Dampness and Heat are major pathological factors in this case. The Dampness creates the clustering sores, and the Heat creates the Wind/itching, the redness and causes the condition to spread more rampantly.  

If Dampness is present with eczema or psoriasis, this suggests that there is also some problem involving the bowels likely with excessive Heat trapped in the large intestine causing constipation, Irritable Bowel Syndrome or colitis. Heat and Dampness can also get trapped in the bladder causing recurring urinary tract infections or interstitial cystitis that creates cramps and pain in the lower abdomen often following urination.

There is a close relationship between the Lungs (skin) and the Large Intestine in Chinese Medicine. If excessive inflammatory heat overwhelms the gastrointestinal system, it cannot eliminate the heat sufficiently through urination and defecation, and therefore the body will try to release it out via the skin creating inflammatory skin issues.

Gluten sensitivity is one of the factors commonly at the root of gut inflammation which underlies both eczema and psoriasis problems. 

Heat from chronic gut inflammation can spread anywhere throughout the body. In psoriasis, as the heat tries to penetrate the deepest organ level, which is the Kidneys in Chinese Medicine, the Kidneys will push it away. If this process continues, the body will inherently push this inflammatory heat into the bone level at the joints to protect the Kidneys. This is how psoriasis can become psoriatic arthritis, a related autoimmune problem. This is also the mechanism for how gout develops.

In these cases, the body is basically overwhelmed with metabolic heat rooted in an imbalanced diet and gut inflammation. Over time, this heat gets pushed into the joints as a way to try suppress and control it.

If Stomach Heat is part of the Chinese Medicine diagnosis, it is essential to identify if any foods are causing the inflammatory reaction. Stomach Heat (gut inflammation) can also be created by an imbalance in the intestinal micro-biome due to a fungal or bacterial overgrowth including what is becoming a far too common problem, Lyme's disease.

From a Western medical perspective, psoriasis, as an autoimmune problem, is much more complex than eczema. 

From a Classical Chinese Medicine point of view, Psoriasis is created from heat coming out of the body's deepest energetic level, the KIdney or bone level. When heat comes out of this deep Constitutional level it is called a "Steaming Bone Syndrome."

"Steaming Bone" suggests that the Kidney system is pushing excessive metabolic heat away from itself in order to protect the Jing, or Constitutional Essence, that it stores. Jing corresponds to our cellular genetic makeup, so protecting our genes from heat invasion is a fundamental survival mechanism of the body. Toxic heat can create genetic mutations on a cellular level leading to more serious problems such as cancer. If heat is not being sufficiently cleared through the elimination channels of urination and defecation, this heat gets pushed upwards and prevents the Lung energy from properly functioning.

If the Lung Qi cannot descend properly because too much heat has weakened the lungs, asthma can develop. 

Furthermore, if the Lung energy cannot descend properly, then the Lung's action of diffusion out to the skin becomes overactive and this process pushes heat outward to the skin resulting in overstimulation of the epidermis and the development of psoriasis.

Early stage psoriasis will first manifest on the scalp, palms and soles of the feet.

As the condition becomes more chronic, the psoriasis moves toward the joint regions of the elbows and knees as the Dampness and Heat migrate closer to the center of the body and the trunk, where the psoriasis makes its way around and down to the base of the spine.

 

The Causes of Heat that Underlie Eczema and Psoriasis

The heat that gets penetrated to the deepest aspect of the body (the Kidney system) can come from emotional trauma, hereditary factors, diet, vaccinations, and exposure to environmental toxins such as pesticides and herbicides, especially in the farming industry.

Vaccinations induce tremendous heat directly into the blood. Diet can also contribute to inflammatory heat in the body, especially a diet heavy in processed foods, bad fats such as hydrogenated oils, sugar and hot, spicy foods such as caffeine and alcohol. 

Lifestyle can create inflammatory heat that eventually explodes out via the skin. Unhealthy habits including excessive mental stress, smoking, drugs, and even excessive exercise and sex can generate too much heat in the body and consume the blood reserves needed to cool down this heat pathology.

As we age, our blood reserves decline so it is imperative to keep our systems cooler. As our blood declines with aging, our vision declines, our memory decline, and our skin and muscles dry up. Adequate blood reserves also keep inflammatory processes of exorbitant heat under control as blood cools the fire in the body. Once blood weakens with aging, inflammatory disorders begin to express themselves and latent heat can begin to surface on the skin with dark skin pigmentations, liver spots and moles. These are all indications of heat that has been trapped in the body, now being released.

Constitutionally, we are all born with different levels of strength. However, all children are deficient of Yin and Blood. If a child's Jing, or Essence, that is stored in the Kidneys is particularly weak, he or she will be prone to early onset of diseases. This is especially true when aggressive vaccinations are administered at an early age. Vaccinations put toxic heat directly into the blood system and in general children have very vulnerable immune systems, which is why a lot of chronic diseases begin at a very early age.

From a Chinese Medicine perspective, childhood onset of psoriatic arthritis arises when inflammatory heat penetrates to the level of the bones or joints. Excessive inflammatory heat at an early age is likely created from some type of stress (vaccinations, birth trauma, a stressful pregnancy of the mother or food sensitivities) that compromise the child's Jing, or Essence, and prevent him or her from properly dealing with it. The child's body with its innate wisdom traps this toxic heat in the joints to protect the vital organs, and this creates arthritis. If the skin gets hyped up as a way of venting the heat, this leads to the painful chronic autoimmune problem of pediatric Psoriatic Arthritis.

According to the Arthritis Foundation, arthritis occurs concurrently with around 30% of the people afflicted with psoriasis.

The good news is that Classical Chinese Medicine has a way to understand the pathogenesis of these complex skin diseases and a systematic way to treat and address both the acute and chronic phases of these disorders. Through the use of acupuncture, herbal medicine, essential oils and diet modifications the often stubborn conditions of psoriasis and eczema can be brought under control safely and effectively to bring healing and a sense of peace to one's life.


Salvador Cefalu, L.Ac. is the Founder & Co-Director of A Center for Natural Healing in Santa Clara, California, a health and wellness clinic run by he and his wife, Setareh Moafi, L.Ac. that specializes in Classical Chinese Medicine. Salvador is a leading U.S. practitioner of Japanese Meridian Therapy, a rare form of non-insertion Acupuncture using Gold & Silver needles. More information at www.acenterfornaturalhealing.com.

Move Your Body, Transform Your Mood - and Life

by Setareh Moafi, Ph.D., L.Ac.

As an undergraduate at UC Berkeley, I was an anxious young woman. Determined to perform my best in a highly competitive environment, I put constant and endless pressure on myself. 

The pressure sourced in my mind built up in my body. To relieve it, I pushed myself physically, through intense cardiovascular exercise, to release the stress.

But the stress and anxiety only seemed to worsen.

Little did I know that the harder I ran, the more heat I was accumulating, and this heat was obstructing my capacity to process my emotions (more on this later).

I continued to run myself physically and mentally from one accomplishment to the next, collapsing during my menstrual periods and spending the rest of the month trying to recover.

Then one day, my mom suggested: "why don't you try Yoga?"

She said it had helped one of her clients and was becoming really popular throughout the Bay Area. 

"Yoga?" I said as I looked over some information she'd sent me. "I can hardly sit still for a minute. How am I going to stretch for 90 minutes? Besides, I'm the stiffest person in the world."

"I think that's the point," my wise mother replied. "Yoga could probably help you get flexible and calm you down. You can't keep pushing yourself and be so anxious."

Yeah, anxious and depressed, I thought. Depends on the day.

Weeks passed and one night my roommate brought up a list of DeCal (student-organized) classes that would be available for the next semester. One of the classes jumped out at me immediately. 'Yoga for Relaxation,' it read. And then a short description of how it can help reduce your overall stress and anxiety. 

I turned to my roommate and told her that ironically, my mom had suggested I do Yoga.

"Wanna try it together?" she replied. I shrugged my shoulders and decided to say yes. Despite my initial resistance, my roommate's interest somehow sparked mine.

For the first two weeks of the twice weekly Yoga class, I spent the majority of the class asleep.

The beautiful Native American Yoga instructor (I remember this because she had a shamanic, angelic presence about her) started each class in Savasana and for at least the first couple of classes, I never got out of that posture. I laid there sleeping and the teacher didn't even bother to wake me up. Clearly, she knew something I didn't.

As weeks passed, I started to be more active in the class and I began to feel a shift in my life. I started to practice what I learned at home and soon I no longer felt my heart pounding in my chest throughout the day. Having had severe test anxiety my whole life, I found myself so calm during midterms that I hardly recognized myself. And the results were extraordinary.

Not only did I feel more calm and clear, but I also started performing better than I ever had, setting the curve in some of my most challenging classes.

The biggest shift occurred when I stepped out of Yoga class one evening. I could hear the birds singing, the wind blowing, the cool evening air on my face. Were there birds here before? Was the wind always so gentle? I'd never been aware like this before. And I noticed something remarkable within me...my mind was utterly quiet.

This was my first experience with stillness.

As my body became more flexible, I found an unprecedented sense of ease, presence and calm in my mind. Everything in my life started to change for the better, and Yoga became a regular daily practice. You might even say it became an obsession.

I practiced any time I could during the day and started taking all the on-campus Yoga classes I could fit into my schedule at Cal (at that time, Yoga studios were few and far between).

When I went to register for my last semester of classes, I was completely caught off guard - and I honestly credit my daily Yoga practice for this. My advisor reviewed my coursework, closed the book and took off her glasses. She looked up at me and said, "You're done." I couldn't believe it. Somehow I'd already completed all the classes I needed to graduate. She explained that I could either stay on another semester and work on a thesis or graduate early.

The most incredible part of this experience was that I had come this far in the absence of the anxiety and depression that had distracted me in my life for so long. I felt a sense of inner peace that grew stronger each and every day I breathed through a practice. 

I decided to graduate early and commit to Yoga fully. I registered for a one month Yoga teacher training in San Francisco and subsequently started teaching at local studios throughout the Peninsula. Within two years, I co-founded Yoga of Los Altos, the first Yoga studio in Los Altos, California. Soon thereafter I sold the business and began my studies in Chinese Medicine, which in time led me to meet my husband, Salvador, and to co-create the beautiful community at A Center for Natural Healing. To this day, the heart and soul of my work is in understanding the mind-body connection that I was introduced to through Yoga.

Now, I'm not saying that life becomes easy when you practice Yoga.

Challenges will arise whether or not you practice. But having a consistent practice provides you with tools to better deal with the natural ebbs and flows of life. And that makes life a lot more enjoyable.

I'm sharing this story to exhibit the power of a regular Yoga practice, and to empower you to make positive changes in your life.

Moving your body in the right way can transform your life.

What is the right way to move your body? In coordination with your breath. So whether it's Yoga, Qi Gong, Taiji, or any type of moving Meditation practice, activate the breath of life and your life will unfold in ways you never imagined possible. And these changes can be as simple as a more steady mental-emotional state.

The Mind-Body-Breath Connection According to Chinese Medicine

According to Chinese Medicine, the Lungs are in charge of respiration and are the organs responsible for processing grief. When the Lungs are weak, they hold grief and thus increase our experience of depression. 

The Liver governs the smooth flow of Qi and regulates the emotions, especially anger. The Liver channel runs through the diaphragm, which separates the thoracic cavity that contains the heart and lungs, from the abdominal cavity.

The diaphragm is crucial for respiration. As it contracts, the thoracic cavity expands and air is drawn into the lungs. If the diaphragm is tight or constricted, its proper contraction becomes inhibited and thus less air flows into the lungs. 

A tight diaphragm indicates Liver Qi (energy) stagnation and can cause Lung Qi (energy) deficiency. As a result, we may feel angry, anxious and depressed.

Conventional aerobic exercise pumps oxygen into the lungs temporarily but does not demand the mind-body connection of practices like Yoga, which focus on deep breathing to improve the overall health of the lungs.

Deep breathing also regulates the autonomic nervous system so it's not stuck in a hyper-sympathetic stress state. This allows for the Liver to relax so it can smooth the movement of Qi throughout the body. The result is a more calm and relaxed mental and emotional state as well as improved organ function for healthy digestion, elimination, and sleep.

Coordinating body movements with the breath cools the heat that may otherwise build up in the Liver due to excess strain during exercise. As a result, exercises such as Yoga, Taiji and Qi Gong that coordinate breath with movement can transform your mood and improve mental clarity. And since heat drives inflammation and stress, which are both major causes of disease, this transformation improves your health on all levels.

Deeper breaths. Calmer mind. Stable emotions. Better health.

That's the power of Yoga and movement practices done mindfully to coordinate the body with the breath.


Setareh Moafi, Ph.D., L.Ac. is co-owner and Director of A Center for Natural Healing in Santa Clara, California. The Silicon Valley-based health and wellness clinic specializes in Classical Chinese Medicine and Traditional Japanese Acupuncture with a clinic and studio where Setareh offers clinical services and transformational workshops that blend the ancient practices of Classical Chinese Medicine and Yoga. More information at www.setarehmoafi.com and www.acenterfornaturalhealing.com

 

Managing Anger & Power: Liver & the Wood Element

by Setareh Moafi, Ph.D., L.Ac.

Springtime brings renewal, rebirth and growth. These qualities can be seen in nature with birds nesting to bring new life, and the blossoming flowers and trees. 

According to Chinese Medicine, springtime relates to the Wood element. The central characteristic of Wood is growth and the related organs are the Liver and Gallbladder. Energetically, the Liver smooths the flow of Qi and thus allows one to create and execute change. The Gallbladder is necessary for the change to occur, as it is the organ responsible for making decisions. 

When the flow of Liver Qi is not smooth, we tend to feel angry, irritable and restless. Over time, this "Liver Qi stagnation" can lead to overstimulation of the sympathetic nervous system, elevated cortisol levels and therefore greater stress, all of which can compromise the immune system.

The emotional and intellectual aspects of Wood can be understood by examining a plant. Starting out as a tiny seedling, it grows and expands and its roots stretch further out. Over time, it needs more space, and thus begins to encroach on the space and feed on nutrients of the neighboring plant. This process stirs up competition and conflict. The stronger or more adaptable plant eventually survives.

The skill to be adaptable can transfer to the intellectual level related to Wood, which has to do with ingenuity, inventiveness, and the willingness to explore something new.

On an emotional level, Wood is represented by the spirit of a pioneer for which one needs to be brave and trust one's own abilities and power. This person is a leader, and leadership serves the community to grow and to expand.

Anger is an integral aspect of the Wood element.

Anger erupts most commonly as a result of two circumstances. First, if an individual violates one's boundaries, attacks one verbally or physically, one will become angry and defensive. The second circumstance that commonly arouses anger is if someone or something stands in one's way, thus hindering one's progress or expansion.

A certain amount of anger can drive one to create positive change, but excessive anger can damage one's health as is often driven by a hunger for power or control.

Wood type personalities are ambitious, focused, and driven. They can be entrepreneurial, decisive and make wonderful leaders. 

When in balance, Wood types are like knights in shining armor: brave, gallant, strong, and always on a mission. When out of balance they can be very controlling, angry, and combative.

The Liver stores the blood, which gives us the fortitude to make decisions and feel supported. Liver blood deficiency often manifests as fatigue, lack of luster and color in the hair and nails, and problems with the eyes. The vulnerability that one can experience as a result of blood deficiency can result in loss of clarity around one’s vision. When one lacks fortitude to face challenges, it’s easy to feel victimized and unable to adapt to changing circumstances.

Women, because they go through menstrual cycles, have a greater tendency to experience Liver blood deficiency. Wood types in general tend to push themselves very hard and thus it’s important that women with these personalities consciously slow down during their cycles in order to avoid burnout. 

The Liver is in charge of detoxification, ridding the body of chemicals, hormones and toxins. It also manufactures all the essential proteins necessary for the body. Wood types therefore need to especially be cautious of taking in substances that burden the Liver’s function, such as over the counter medications, alcohol and drugs. 

Alcohol in particular, which we often refer to as ‘fire water,’ creates a lot of heat in the Liver, which can stir both the heart and liver, intensifying emotions such as anxiety and anger. Ironically, alcohol is one of the main forms of relaxation to which Wood types resort, especially if they are tightly bound through accumulated stress from their hard work. It's vital, however, to be conscious of this tendency and instead turn to more natural methods with which to cope with stress and smooth the Liver Qi such as Yoga, tai chi, or even more active movement and martial arts.

During Spring, the Wood element becomes active both within us and in nature, so it's important to balance its energy.

Here are a few Wood-balancing tips:

1. Exercise daily: practicing Yoga, Qi Gong or Tai Chi or martial arts especially help smooth the Liver Qi. 

2. Meditate or journal daily. Writing is an excellent tool with which to transfer busy thoughts from the mind onto paper so that they feel less burdening. Writing helps us to process our emotions and get clear about our goals, which is especially important for Wood types who are very goal-oriented.

3. Eat lots of leafy green vegetables and berries. Both of these foods help build Liver blood. Leafy green vegetables also help drain dampness, which can accumulate in the sinuses causing headaches and allergies.

4. Avoid alcohol, coffee and recreational drugs, which aggravate and heat up the Liver and impede its detoxification process causing more anger, irritability and restlessness.

5. Try Essential Oils to calm your mind and settle allergic reactions which can be triggered by an overheated Liver: Peppermint, Lemon, Lavender and Roman Chamomile can be very beneficial to relax irritability and nervousness and reduce allergies. You can directly inhale or diffuse these oils in your home. Peppermint is cooling, refreshing and stimulating for your mind and can be used during the day to keep you mentally alert. Lavender and Roman Chamomile are cooling and relaxing, best used in the evening to wind down and rest. Lemon soothes a tight Liver due to toxicity and helps reduce emotional frustration and irritability. As a food, lemon zest can also be put in warm water or steamed with vegetables providing the natural benefit of Lemon essential oil. 

Discipline is key to balance the Wood type personality, so it's important to commit to these habits and practices daily. You'll realize that by making this commitment to smooth the flow of Liver Qi, your life will flow more smoothly as well.


Setareh Moafi, L.Ac. is Co-Owner and Director of A Center for Natural Healing in Santa Clara, California, a health and wellness clinic that specializes in Classical Chinese Medicine and Traditional Japanese Acupuncture. Setareh offers clinical services and transformational workshops that blend the ancient practices of Classical Chinese Medicine and Yoga. More information at www.setarehmoafi.com and www.acenterfornaturalhealing.com


Overcoming the Challenges to Healing

by Salvador Cefalu, M.S., L.Ac.

The purpose of this multi-part series is to present concepts established in Chinese Medicine that explain physiologically and philosophically the many challenges involved in a person's healing. My hope is to empower those  who may be struggling with healing through the insightful wisdom of Chinese Medicine with its history of more than 2500 years.

Chinese Medicine is rooted in ancient philosophy with a human being considered to be a microcosmic expression of the environment in which he or she is created. This philosophy is based on the theories of Yin and Yang and the 5 Elements which were established as an integrated theoretical system by the School of Naturalism during the 5th century B.C.;  the Warring States period in China's history. During this period, these concepts became fundamental elements of Daoist philosophy and Chinese Medicine.

This ancient wisdom can help us understand many of our modern day dilemmas regarding our physical and psychological health.

In a previous article, we examined an often overlooked issue -- scar tissue.

If there are scars with significant adhesions causing tightness and tenderness to the touch, this may be the first factor that needs to be treated and resolved in order to initiate the healing process. Scar tissue if problematic can block the flow of energy in an area of the body that relates to a person's health problem. (You can read the article here for insights on how scar tissue may be a major barrier to your healing.)

Conventional medicine and the use of medication is often the first resort for most chronic sufferers of disease.

While medication often provides quick relief, it usually does not provide a longterm solution to health problems. Most patients of chronic disease seek alternative healthcare to either reduce their need for medication or to get off medication altogether. While medication may bring quick short-term relief, healing chronic problems usually takes time for deep change to unfold on the physical and psychological levels. 

Lifestyle changes are essential to heal chronic diseases in particular, though the healing that comes from these changes takes time to unfold. 

Essentially, a chronically suffering individual must give the body and mind a chance to both integrate these changes in his or her life as well as time to allow deep internal transformation.

The development of a chronic disease does not occur overnight and the longer a condition has been around, the longer it's likely to take to resolve. Often the chronicity of a person's disorder is due to the very treatments used to control it. Western medicine is designed to control the disease process, not necessarily resolve it. This approach can create health complications with side effects that further complicate the disease process and make healing an even greater challenge.

Another barrier to healing we commonly see in our clinic is the simultaneous introduction of too many different healing modalities.

This shotgun approach can send mixed messages that confuse the body, potentially interfering with the healing process. One practitioner may be working to detoxify a patient while another is trying to strengthen and consolidate energy for healing and rejuvenation. These approaches do not necessarily work well together at the same time. If the various healing modalities with which the patient is working are not in alignment with one another, the effects of the various treatments can be counterproductive to achieve the desired result. 

It is therefore important to ensure that your healthcare practitioners' strategies are in alignment and clearly working towards your health goal.  

Some of the greatest barriers to healing a chronic health problem are rooted in a long history of emotional, medicinal, surgical and dietary complications. 

To understand these barriers, the following articles will survey the pathological factors that according to Chinese Medicine underlie chronic health disorders and impair the healing process. These factors include the pathological processes of WindDampness, Cold, Heat, food stagnation, Qi stagnation and blood stagnation. In addition, there may be factors of deficiency such as deficiency of Qi and deficiency of blood.

The material presented in this blog series will help you gain an understanding of these pathological factors  and help clarify, according to Chinese Medicine, why you may be suffering from a chronic health disorder.

Continue reading Overcoming the Challenges to Healing Part II: Wind


Salvador Cefalu, M.S., L.Ac. is the Founder and Co-Director of A Center for Natural Healing in Santa Clara, California, a wellness clinic that specializes in Classical Chinese Medicine & Japanese Meridian Therapy, a rare non-insertion form of Acupuncture. More information at www.acenterfornaturalhealing.com

Your Health Depends On Letting Go

by Setareh Moafi, Ph.D., L.Ac. & Salvador Cefalu, M.S., L.Ac.

Have you noticed how your immune system seems to crash after a period of high stress or grief?

It’s very common to develop a cold, a cough or even pneumonia after a period of sadness such as the loss of a loved one, a breakup or divorce. In fact, we make sure to tell our patients as they're going through these periods to be mindful of this potential and support their immune systems as much as possible.

But sometimes, especially when you’re dealing with grief from the loss of someone dear to you, it can feel like your body just can’t take any more. To make sure you actually slow down, the body gets sick as though it’s forcing you to rest.

In Chinese Medicine, sadness and grief and their impact on immunity is related to the Metal element and the energy of the Lungs.

Grief and longterm sadness or depression weaken the Lung energy and stagnate the fluid circulation controlled by the Lungs. Over time, as Lung Qi and fluids stagnate, phlegm, cysts and tumors on the Lungs and related glands such as the breasts and thyroid can develop. 

The Lungs, Large Intestine and skin—the organs that connect us with the environment—comprise the Metal organ systems. Each of these organs allow us to interface in different ways with the world around us. The skin provides interaction with the exterior via sweating and touch, the Lungs through our breath and the Large Intestine through the release of waste to be recycled back into the earth. 

On an emotional level, the Metal element represents the need for self-definition within the world and the need to interact with others.

Thus grieving, mourning and sadness, the emotions generated when we’re separated from someone or something significant, are Metal emotions that impact the Lung's energy.

On an intellectual level, the strength of the Lung's energy, or Qi, supports the ability to separate things or data into categories to support analytical skills and the ability to coordinate tasks to keep one's life in order. 

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The Lung Qi supports us to breathe in and out, and to let go. The struggle to let go of whatever is bothering us from the past is the primary reason why we often have so much trouble with the health of our Lungs during challenging or uncertain times.

When faced with a challenging situation, often our first response is to hold our breath. However, the practice of taking a deep breath supports us to let go and move forward. 

When you’re not able to breathe deeply during times of stress, the Metal organs - the Lungs, Large Intestine and skin - are impacted. You may therefore develop asthma, allergies, and inflammatory flare-ups of the skin and colon such as Irritable Bowel Syndrome (IBS), as well as symptoms of poor digestion with acid reflux (GERD), bloating and gas.  

When you practice self-cultivation through exercises such as Yoga, Qi Gong and Tai Chi, you learn to observe and control the breathing and regulate the flow of Qi throughout the whole body. This supports strong muscles, tendons, skin and hair, as well as all organ and glandular functions.  

Breath awareness pulls you out of your mind and into your body, bringing you more in touch with the present moment where energy flows harmoniously.

Our breath teaches us to be present with what is rather than trying to make it something else; a state that creates resistance and stress. 

When we're stuck in the past or caught up worrying about the future, Qi flow is impacted and dis-ease develops. When we cultivate ourselves through these practices, we become aware that with each breath, we're able to let go and find peace, regardless of our circumstances.  

According to Huang di Nei Jing, one of the most pivotal classical texts of Chinese Medicine, “A person is not sick because they have a disease; they are diseased because they are sick.” In other words, our mental and physical health ensures the prevention of disease. This is why it's so important to protect our Lungs through the practice of letting go.

Try this simple exercise every night before bedtime: When you lie down to sleep, first take a few moments to take an inventory of the key events of your day. Notice what experiences you may have had that caused you to be angry, sad, nervous or numbed out in any way. As your mind reviews the day's events, breathe into each experience and mentally allow yourself to let each one go so you don't fall asleep holding onto the negative feelings.

To "let go" requires acceptance; allowing the situation to be as it is without trying to change it. From this place, we can find peace in the moment, and clarity from which to move forward. In this way, we move without confusion or resistance to change so that we can have a full sense of presence to receive the endless possibilities that life has to offer.


Setareh Moafi, Ph.D., L.Ac. is Co-Owner and Director of A Center for Natural Healing in Santa Clara, California, a health and wellness clinic that specializes in Classical Chinese Medicine and Traditional Japanese Acupuncture. Setareh offers clinical services and transformational workshops that blend the ancient practices of Classical Chinese Medicine and Yoga. 

Salvador Cefalu, M.S., L.Ac. is the Founder and Co-Director of A Center for Natural Healing in Santa Clara, California, a wellness clinic that specializes in Classical Chinese Medicine & Japanese Meridian Therapy, a rare non-insertion form of Acupuncture.

More information at www.acenterfornaturalhealing.com

Hope for CTE Part II: Healing our American Warriors with Classical Chinese Medicine

By Salvador Cefalu, M.S., L.Ac.

In Part I of this CTE series, I discussed how the pathology of brain degeneration found in patients with CTE is similar to those with Alzheimer’s disease. Part II is presented to further establish the legitimate benefits of Classical Chinese Medicine in the treatment of CTE and other types of dementia.

As we explore treatment options for CTE through the use of Classical Chinese Medicine, keep in mind this information is also useful for maintaining healthy brain function in general and addressing the issues of age related dementia and Alzheimer’s disease in particular. 

First, let’s consider the conventional medical treatment options available today for CTE.

From a Western medical perspective, treatment for these types of brain degenerative diseases is not yet established. A quote from the Mayo Clinic’s website regarding standard medical treatment for CTE at the time of this writing clarifies this fact.

CTE is a progressive, degenerative brain disease for which there is no treatment. More research on treatments is needed…” (Mayo Clinic website)

The best treatments western medicine offers today are 1) medications to try and control the severe headaches, seizures and mood disorders related to CTE, 2)  two medications (Aricept and Memantine) that support cognition but do not help regenerate brain neurons or treat the pathology driving the brain degeneration and 3) simple suggestions such as: reduce physical activity, get plenty of rest and write things down to compensate for one’s loss of memory.

Furthermore, one needs to tread the pharmaceutical path with caution since relying on today’s modern drugs has its own risks. Studies are now indicating that excessive usage of a common family of anti-anxiety medications called Benzodiazapines (including Xanax, Lorazapam, Valium/Diazepam) are associated with causing dementia.

So while the symptoms of anxiety are being addressed, brain degeneration is being accelerated. This is the risk/benefit that needs to be considered when taking such strong drugs over the long-term.

Sometimes symptoms, however, are so severe that pharmaceutical drugs are necessary to help a patient cope with life and this is where Chinese Medicine can help not only reduce the side effects of these medications, but also help a person reduce the need for these strong medications as well over time.

In terms of treating dementia however, Western medicine falls way short and individuals suffering with CTE continue to degenerate because there is no prescription medicine to control the progression of this brain diseases or restore brain neuron function.

Do we need to sit idly watching ourselves or loved ones wither and suffer with the progression of brain diseases such as CTE, Alzheimer’s and age related dementia? 

One thing I have learned in almost 30 years of practicing alternative medicine is that there is always hope.

Here’s the good news…

Over more than 20 years of clinical research in Japan, China and Korea has provided extensive proof supporting the use of herbal medicine for the treatment of various types of dementia.

In fact, Chinese herbal medicine has been clinically proven to help restore brain function even after degeneration has developed due to the amyloid and tau protein plaques found in CTE and Alzheimer’s disease. 

But time is of the essence. 

The sooner treatment is started to address the pathological process damaging the brain, the easier it will be to restore normalcy to one’s brain function and to one’s life.

As discussed in my first article on CTE, a primary factor underlying the pathological plaque buildup in the brain that occurs with CTE and Alzheimer’s is due to inflammation from abnormal oxidative stress. The question is what is driving this inflammatory process in the brain.

In Chinese Medicine, brain plaque due to inflammation/oxidation correlates to the pathology of Phlegm-Heat and research shows Chinese herbal medicine can reverse this condition and the related problems of amyloid and tau protein plaques causing the neurofibrillary tangles associated with symptoms of CTE and Alzheimer’s.

Furthermore, it has been clinically proven that Chinese herbal medicine can stimulate regeneration of brain neurons to restore brain function that has been lost as well.

Now that’s exciting!

Classical Chinese Medicine covers all the bases in treating the syndrome of CTE. Through reversing the progression of the disease to restoring the damage done to the brain, Chinese medicine can achieve the ultimate goal of enhancing one's capacity to think and perform daily life activities. 

There’s also plenty of anecdotal evidence, too. An article in the 2009 issue of Traditional Chinese Medicine featured Dr. Qiu, a medical doctor with over 40 years of experience, who has successfully treated many patients with advanced dementia using Chinese herbal medicine. 

Though there are a multitude of factors underlying the inflammatory process according to Chinese Medicine, I suggested in my first CTE article that according to Classical Chinese Medicine (CCM), the brain degeneration found in CTE and Alzheimer’s disease is going to be likely rooted in an excess of dampness and heat generated in the Stomach. This is described as both Spleen and Stomach Damp Heat pathology in CCM.  

According to Western medicine, this association is gaining scientific traction in terms of Insulin Resistance and Type 2 Diabetes where elevated blood sugar and insulin levels have been found to be involved with changes in brain chemistry that create the plaques in Alzheimer’s disease. 

In fact, the incidence of Alzheimer’s among diabetics is 70% higher than the non-diabetic population.

Keep in mind that according to CCM a person does not have to be diagnosed with diabetes to have an extreme problem of dampness and heat in the Stomach and Spleen systems. Diagnosis for this pathological imbalance can be determined via traditional diagnostic parameters by assessing the tongue, the pulse and the abdomen in Chinese Medicine to evaluate the extent damp-heat is driving the brain degeneration. 

If a patient is having a lot of symptoms such as headaches, irritability and confusion, there is likely too much dampness and heat in the the Stomach and Spleen that is moving into the Heart which is the domain of the mind in CCM. This damp-heat pathology can be reduced via diet, herbal medicine and acupuncture.

In Summary

Chinese Medicine offers a plethora of strategies to address the complexity of pathologies associated with CTE through the modalities of Acupuncture and herbal medicine.

In CCM, for example, one of the key herbs to address damp-heat pathology in the Stomach and Heart systems is Scutelaria Baicalensis. Called Huang Qin in Chinese Herbal Medicine and commonly known as Baikal Skullcap, this potent brain detoxifying herb has been found to modulate GABA receptors to reduce anxiety as well as support brain neuron regeneration. This is one of many herbs that are used in combination with other potent plant and mineral based substances to break up hot-phlegm and support brain detoxification in order to restore and normalize cerebral neurological function.

So keep in mind, there are many viable alternative medical options to empower yourself and restore your health and Chinese Medicine provides a rich history to draw from.

But you need to be proactive and I suggest seek the advice of an alternative medical professional to deal with the complex issues involved with Traumatic Brain Injuries (TBI) and CTE to begin your journey to healing and regenerating your brain… so you can once again live life with clarity of mind and a peaceful heart. 


Salvador Cefalu, M.S., L.Ac. is the Founder & Co-Director of A Center for Natural Healing in Santa Clara, CA, where he specializes in Classical Chinese Medicine & is one of the leading US practitioners of Japanese Meridian Therapy, a rare non-insertion form of Acupuncture. More information at www.acenterfornaturalhealing.com


References

  1. Yang Y, Liu Q.Therapeutic Effect of Therapy of Warming Yang and Tonifying Kidney, Removing Blood Stasis and Phlegm for Alzheimer's Disease. Journal of New Chinese Medicine. 2014-10.

  2. Liu S, Pan B, Cheng T (Department of Integrated Chinese and Western Medicine, Second Hospital of Xi'an Jiaotong University, Xi'an 710004, China). Effects of various traditional Chinese medicinal prescriptions on learning and memory disorders in model mice with vascular dementia. Journal of Xi'an Medical University. 2002-04.

  3. Koh Iwasaki MD, PhD, Seiichi Kobayashi MD, PhD, Yuri Chimura MD, Mayumi Taguchi MD, PhD, Kazumi Inoue BS, Shigehumi Cho, Tetsuo Akiba MD, Hiroyuki Arai MD, PhD, Jong-Chol Cyong MD, PhD and Hidetada Sasaki MD, PhD. A Randomized, Double-Blind, Placebo-Controlled Clinical Trial of the Chinese Herbal Medicine “Ba Wei Di Huang Wan” in the treatment of dementia. Journal of the American Geriatric Society. 2004-10.

  4. Akhondzadeh S, Noroozian M, Mohammadi M, Ohadinia S, Jamshidi A, Khani M. Melissa officinalis extract in the treatment of patients with mild to moderate Alzheimer’s disease: a double blind, randomised, placebo controlled trial. Journal of Neurology, Neurosurgery and Psychiatry 2003;74.

  5. Jimbo D, Kimuro Y, Taniguchi M, Inoue M and Urakami K. Effect of aromatherapy on patients with Alzheimer’s disease. Psychogeriatrics. 2009; 9: 173–179.

  6. Mizukami K, et al. A randomized cross-over study of a traditional Japanese medicine (kampo), yokukansan (Yi Gan San) in the treatment of the behavioural and psychological symptoms of dementia. International Journal of Neuropsychopharmacology. 2009 Mar;12(2):191-9.

  7. Watari H, Shimada Y and Tohda C. New Treatment for Alzheimer’s Disease, Kamikihito (Jia Wei Gui Pi Tang), Reverses Amyloid--Induced Progression of Tau Phosphorylation and Axonal Atrophy. Evidence-Based Complementary and Alternative Medicine. Evidence-Based Complementary and Alternative Medicine. Volume 2014 (2014), Article ID 706487, 10 pages. Article ID 706487.

  8. Terasawa K, et al. Choto-san (Gou Teng San) in the treatment of vascular dementia: a double-blind, placebo-controlled study. Phytomedicine.1997 Mar;4(1):15-22.

  9. Hagino N. An overview of Kampo medicine: Toki-Shakuyaku-San (Tang Kuei Shao Yao Tang). Phytotherapy Research.Volume 7, Issue 6, pages 391–394, November/December 1993.

  10. Santos, Rebeca et al. Involvement of GABAergic non-benzodiazepine sites in the anxiolytic-like and sedative effects of the flavonoid baicalein in mice. Behavioural Brain Research,Volume 221, Issue 1, 1 August 2011, Pages 75-82

What it Means to Be Healthy (and why it's easier than you may think)

by Setareh Moafi, Ph.D., L.Ac.

“The first wealth is health.” – Ralph Waldo Emerson

The topic of health can instigate a variety of feelings and responses. If you’ve ever struggled with your health, the word alone can be a trigger. 

You may even feel shame and guilt about your choices with your health or think that being healthy may be too costly. 

And quite frankly, with all the information that’s available about the topics of health and wellness, it can be challenging to know what to believe or even where to begin. 

By definition, health is “the condition of being well or free from disease.” But to be healthy means “enjoying health and vigor of body, mind, or spirit.” 

So, to be healthy is to be free from disease and have vigor of body, mind or spirit.

Note that the spirit is embedded in this definition, which is why we’re going to look at why being healthy is fostered through a deeper relationship with yourself. 

Having a healthy lifestyle does not mean letting go of all the fun and pleasure in life and it certainly doesn’t mean making healthy choices all of the time.

Being healthy simply means doing things that keep you feeling good physically, mentally and spiritually. 

The World Health Organization’s definition of health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” illuminates just that.

We are all comprised of a physical body, a mind and a spirit. So why is it that most of us forget about at least one of these parts of ourselves throughout the day?

The most complicated element of the human experience is the mind—and it’s also the most difficult to condition. Luckily, if you notice that your mental state is imbalanced early on, you can use your physical body to reshape your thinking. Ancient practices such as Yoga, Qi Gong and Meditation are designed to help with this.

The ‘monkey mind’, as many of these ancient traditions call it, needs to be trained. Otherwise, the mind will run in all directions and lead you to the demise of both your physical body and your spirit.

But what if you have a problem with your body physically, perhaps as a result of an illness, an injury or some type of chronic pain? 

When your body suffers, you have two choices—you can dwell on the pain or dwell on the process of healing.

When you’re able to change the station that’s playing in your head to focus on healing, you can more effectively uplift your spirit to then help your body recover. This can be done through a variety of spiritual practices and very simply through the daily and routine practice of gratitude. 

Gratitude creates space for positivity and joy to flow into your life. 

The more you focus on the good you have, the more you magnify those things and begin to cultivate better things to come into your life. This is the fastest way to heal your body, which is a reflection of the health of your mind and spirit.

To be healthy then does not necessarily mean eating the right foods, exercising and sleeping well.

In its very essence, health is cultivated through a sound, peaceful and positive body, mind and spirit. 

Health is the state of ease you cultivate through an intimate relationship with your body and mind.

This means that you care about and pay close attention to both the body and mind. 

To pay close attention, you have to be fully present. 

When you’re present, you feel what you need and want in each moment and are therefore far less likely to make decisions based on impulse. 

When you’re present, you often choose nutritious foods because you’re in tune with the impact of food on your body and mind. 

When you’re present, you’re more more mindful of the people with whom you spend your time because you want to feel nourished by your relationships. 

When you’re present, you listen to the cues to exercise not because you feel you have to, but because you actually enjoy it. 

Paying close attention to your body and mind means being present with how you feel moment to moment, and this cultivates self-love. Self-love brings ease to the body, mind and spirit and prevents disease manifestation.

Self-love means that you care enough about yourself that you fill your life with the people, things, foods and activities you enjoy

It’s more important to have your life be fullfilling than to have it be full

For many of you this may mean that you do less, rest more and spend time in fewer yet more nurturing relationships and surroundings.

Tips on what foods will give you energy, which exercises are appropriate for your body, element and age, and which practices will help recondition your mind are certainly helpful.

But the truth is, no matter what I or anyone else tells you, the choice to be healthy must authentically come from you. 

And once you really slow down and pay close attention to yourself, the realization of a truly fulfilling life simplifies making healthy choices.


Setareh Moafi, Ph.D., L.Ac. is Co-Owner and Director of A Center for Natural Healing in Santa Clara, California, a health and wellness clinic that specializes in Classical Chinese Medicine and Traditional Japanese Acupuncture. Setareh offers clinical services and transformational workshops that blend the ancient practices of Classical Chinese Medicine and Yoga. More information at www.setarehmoafi.com and www.acenterfornaturalhealing.com