The Doyo Period - 9 Tips to Support Your Health During Each Seasonal Transition

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

The transitional period between each seasonal change is a very important time to support the health of the body and mind. In Five Element theory, this period is called Doyo and relates to the Earth energy. The Doyo period is an 18-day period consisting of the 9 days before and 9 days after each Solstice or Equinox.

Since this period relates to the Earth element, the organs of the Spleen, Stomach and Pancreas are most vulnerable to imbalance and disease during this time making it important to protect and support these systems.

People who already have problems in their Earth element need to take extra care as cases such as diabetes, ulcers and gastrointestinal issues in general can all worsen during this time if their lifestyle is not supported.

During the Doyo period in particular it's important to eat meals at regular times and without distractions. Staying away from too much sweet food and other damp inducing foods like dairy and fried foods is also important to keep the Spleen and Stomach energies in a healthy balance.

The Spleen as the largest lymphatic organ in the body indicates this is a good time for acupuncture and massage to support lymphatic circulation. If you only get these treatments a few times a year, it's best to do them during the Doyo periods.

The Spleen is an especially important system as it supports immunity during the seasonal transition. In addition, the Spleen is an organ that assists in the transformation of food into energy and thoughts into purpose, so a healthy Spleen will support you to stay focused on your goals and be able to transform your dreams into reality.

Weakness in the Spleen can result in problems with digestion and elimination and 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 our lives through the feeling of being stuck or lacking clarity.  Dampness is also associated with psychological imbalances such as Obsessive Compulsiveness Disorder and hoarding.

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

Here are 9 tips to support you to have greater clarity and a healthier lifestyle during the Doyo Period as we move from the most Yin season of Winter to the first Yang season of Spring, which this year occurs from March 13th until March 30th:

  1. Take time to cook and be present during your meals. Put away your cell phone, turn off the TV and just be - with your meal and people with whom you enjoy spending time.

  2. Eat meals at regular times and without distractions. Avoid eating under stress and eating on the run or while distracted.

  3. Integrate more root vegetables into your diet to nourish your Earth. Root veggies such as sweet potatoes, parsnips, carrots and rutabaga also help anchor your body's energy and calm your mind.

  4. Start to integrate more cooked leafy green vegetables to support the Liver and the Wood element, which are associated with the Spring season

  5. Reduce or avoid coffee, alcohol and refined sugars. All of these substances aggravate the Liver, so this is especially important during the transition to the Liver (Wood) season of Spring.

  6. Take enzymes 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.

  7. Exercise to strengthen your Earth. Calming exercises such as Yoga and Qi Gong are especially important to integrate into your routine. Join us for weekly Qi Gong classes Mondays at 11:45am.

  8. Take more time to meditate or just sit quietly to calm your mind. The imbalanced emotion of Earth is worry, so the more you can quiet your mind the less stress this system will take on.

  9. Get Acupuncture treatment. This is the ideal time to support your core Earth energy and immunity with Acupuncture and Chinese Herbal Medicine. (If you're in our area, you can schedule yourself online here).

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 To Ensure a Healthy Seasonal Transition

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.

While this is a transitional period between Summer and Fall, late Summer is itself a season according to Chinese Medicine. August is the end of the Fire season and moving into the Metal season of Fall. The transitional period, known as late Summer, is Earth.

The Earth element rules the late Summer as well as all seasonal transitions, so it's a most important time to strengthen our Earth - in particular the Spleen and Stomach organs.

The Earth element relates to the digestive system and includes the Spleen, Pancreas and Stomach functions. Restoring health to our digestive system is fundamental to restoring health to our lives. 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 our lives through the feeling of being stuck or lacking clarity.  Dampness is also associated with psychological imbalances such as Obsessive Compulsiveness Disorder and hoarding.

Imbalance in one's Earth can also lead to excess accumulation of heat in the 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 and clear the heat and dampness that causes burnout and creates 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. Join us for weekly Qi Gong classes Mondays at 11:45am. 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. 

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.

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.

Overcoming the Challenges to Healing: Dryness, Heat, Dampness and Cold

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

In Part 2 of this series we covered the topic of Wind with its many manifestations and psychological correlations. Wind is also associated with other pathological factors including Dryness, Heat, Dampness and Cold, which will be introduced in this finale of our three-part series (you can see the first two articles here and here).

Examining a person's tongue is an easy way to get direct insight into the pathological patterns of Dryness, Heat, Dampness and Cold that may be the key challenges for overcoming a chronic degenerative disease. 

The simplified version of tongue diagnosis that I'm introducing will provide great insight into your health status in understanding the factors challenging your ability to heal. To begin, let's take a look at the tongue zones so we know where problems are occurring based on tongue assessment.

Different parts of the tongue reflect different internal organs and systems within the body. The center of the tongue for example reflects the Stomach behind which are the intestines. The sides of the tongue relate to the Liver. The tip of the tongue corresponds with the Heart system. When the tip of the tongue is red it often reflects mental over-activity, anxiety and potentially insomnia. Behind the tongue tip is the Lung zone and when heat is present you often see red dots in this area. The root of the tongue relates to the Kidneys, Bladder and genitals. 

Tongue diagnosis can get quiet complex, so for the purpose of this discussion we're going to look at the overall appearance of the tongue in exploring  the factors of Dryness, Heat, Dampness and Cold which underlie all chronic degenerative diseases.

DRYNESS

If there is simple Dryness due to dehydration, the tongue coating will look dry reflecting a deficiency of thin fluids. These fluids can be restored by simply increasing one's fluid consumption, especially water, and eating hydrating foods such as juicy fruits and vegetables such as celery. Be cautious when hydrating with electrolyte beverages such as coconut water because these elements can increase heat in the body and exacerbate an imbalance if there is already internal heat within the body.

A deeper or more severe level of dryness is indicated when there is no distinct coating on the surface of the tongue. In this case, the tongue body may look like raw meat. When the tongue coating is essentially missing, we call this a peeled tongue, which reflects dryness due to Yin deficiency. Yin refers to the body's substance so we can say this Yin deficiency is an aspect of a hormonal depletion and an actual deterioration of an organ or organs.

Hormonal (Yin) deficiency relates to the thick fluids of the body.

Imagine the thick fluid of oil in your car engine. If your car engine runs without enough oil, the engine will eventually overheat and burn out. In the same way, when the body is hormonally depleted, overheating will often occur. As the body overheats, calcium will be pulled out of the bones to cool down this heat by alkalizing the acid in the blood. This is the mechanism that drives osteopenia and osteoporosis especially in the time of peri-menopause and menopause when a women's hormonal status begins to decline.

When you drive yourself hard and overstimulate your adrenals, heat is generated in the body. If your  status of thick fluids is weakened due to aging, poor lifestyle habits such as insufficient sleep, over-dependency of stimulants or drugs, poor diet or simply being born constitutionally deficient, Yin deficiency problems  of overheating can occur at an early age. Emotionally this heat can show up as anxiety and attention deficit disorders, which we commonly see in many people today. 

Yin deficient dryness can manifest typical menopausal syndrome including hot flushing and dryness symptoms such as the thinning of the skin (collagen breakdown) and drying up of the body's mucosal tissues making the delicate tissues of the body more prone to irritation and inflammation.

In the upper body, dryness can lead to irritation of the eyes, sinus or the lungs. 

In the middle of the body, Yin deficiency dryness can cause mucosal degeneration in the Stomach causing weak digestion and even gastro-esophageal reflux disorder (GERD). GERD often relates to a lack of proper HCL (hydrochloric acid) production due to stomach degeneration that occurs with aging. Yin deficiency dryness in the Large Intestine leads to chronic constipation and in the Small Intestine relates to the very common problem of  leaky gut syndrome caused by breakdown of the mucosal lining of the Small Intestine. Yin deficiency dryness that has lead to leaky gut syndrome causes un-digested proteins to escape the Small Intestine and leak into the bloodstream. These partially digested proteins are pro-inflammatory factors that create systemic problems of inflammation.

In the lower body, Yin deficiency dryness leads to conditions such as vaginal dryness and thinning of the bladder wall causing recurring cystitis (bladder inflammation).

For a chronic health problem, if your challenge to healing is a deep level of Yin deficiency, you must give yourself at least 6 months for sufficient healing to take place and it is usually longer for the body to repair itself after years of degeneration. The more severe the condition and the more depleted the patient, the more time will be required for the healing process.

Inflammation is the key issue when trying to resolve chronic degenerative diseases and the pathological factors of Heat, Cold and Dampness underlie many inflammatory problems.

sunrise.jpeg

HEAT

Heat can manifest from dryness, but often heat is due to toxicity. In this scenario, the tongue coating can be normal but the tongue body is very red rather than the healthy pink of a normal tongue body color. When it becomes red there is too much heat in the corresponding organ associated with that zone of the tongue. Too much heat indicates an inflammatory state is actively occurring.

This type of Excess Heat is due to a toxic body in need of clearing and an alkalizing diet to cool down the acidic terrain.

Excess heat may also present with a yellow cast on the tongue coating. This is a more complex issue because this is a mix picture of Dampness combined with Heat. To keep our discussion simple, a thick tongue coating, either white or yellow, indicates that Dampness is present. This relates to a fungal (Candida) or parasitic issue in the body which we will explore next in our discussion on dampness.

Internal heat can be generated from many factors ranging from mental and emotional stress to an acidic or overly spicy diet as well as allergies and sensitivities to various substances one is exposed. Heat can also be generated from stagnation in the body. Chinese Medicine differentiates 5 types of stagnation which will be the topic of another article. These stagnations are based on Food, Qi, Blood, Fluid and Cold.

DAMPNESS

If the condition of dampness relates simply to a problem of fluid metabolism this is usually not too difficult to get under control. You can see this type of problem when the tongue is overly swollen and wet and often the sides of the tongue are pinched or scalloped. However, when dampness relates to a fungal problem in the body it can take months and even years for a person's health problem to be resolved. 

A damp, fungal problem will be indicated when the tongue coating is thick and white or even yellowish.

Fungal issues are difficult to resolve because they insidiously spread everywhere from head to toe. It takes a very strict diet regimen often requiring the elimination of grains, dairy, alcohol and most sugars to get an aggressive problem of dampness under control. Dampness causes swelling in the body and is associated with arthritis. One of my patients got rid of his Rheumatoid Arthritis condition simply by switching from a vegetarian diet to a Paleo diet. According to Chinese Medicine, over time grains can lead to an infestation of parasites and fungus. After being on a grain-based vegetarian diet for over 40 years, this patient was able to resolve the pathological dampness underlying his Rheumatoid Arthritis by eliminating grains over the period of just two years!

COLD

Internally, cold is generated by diet such as a lot of raw food, including smoothies and Western pharmaceutical drugs especially those which suppress inflammation, pain and the immune system or antibiotics. Western medicine relies heavily on anti-inflammatory and analgesic medications to relieve pain. The problem is that these drugs induce what Chinese Medicine describes as Cold, which is another pathological factor. 

Cold freezes pain and inflammation to bring temporary relief, but Cold also freezes the problem into the tissues and inhibits the circulation of Yang Qi and blood, both of which are needed for longterm healing. Yang Qi is metabolic energy that creates body warmth and supports healthy immunity. Once the Yang Qi is compromised, a person's healing capacity is weakened.

A person with Yang Qi insufficiency will show signs of fatigue, low metabolism, gets sick easily and tends to feel cold. This type of patient will usually present with a tongue that is pale (lacking warmth), swollen and very wet.

Cold leads to the stagnation of circulation and pain and can also be induced by working in a cold environment such as the fish department in a grocery store. I have seen in my clinical practice arthritis conditions develop over long term exposure to cold environments. 

A condition of cold with dampness will show a white pasty tongue coating and this is often the case with the use of medications especially antibiotics which lead to fungal problems. 

A tongue that is overly swollen and pale, shows a system that has fluid stagnation due to a lack of Yang Qi to properly stimulate the circulation for good fluid metabolism.

For any condition of cold, you need to focus on warming your core energy.

The factors of Dryness, Heat, Dampness and Cold must all be considered in the healing of chronic illness. Looking at your tongue can give you an idea of what is going on in your body.


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