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 organic olive oil, black and cayenne peppers, and lemon juice from Meyer lemons in our garden.

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.

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?


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

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