Transitioning into Winter: The Doyo Period & Your Family Relationships

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

winter heart

As we approach the Winter Solstice, we find ourselves once again in the transitional period between seasons, known as the Doyo period. The Doyo is the period that is ruled by the Earth element, which encompasses the Spleen and Stomach organ systems.

Chapter 29 of one of the foremost classical Chinese Medicine texts, Huang Di Nei Jing Su Wen, states: “The spleen, that is the soil. It governs the center. Throughout the four seasons it tends the four depots. In each [season] it is entrusted with government for eighteen days.”

Since Doyo is related to the Earth element and the Spleen represents Earth energy, according to commentary on this classical text, this Earth energy dominates for eighteen days at the end of each individual season.

Earth elemental energy relates back to your digestive system and the primary organs involved are the Spleen and Stomach. These organs are the fundamental producers of Qi, Blood and Body Fluids within the body.

We’re all familiar with Blood, but the concepts of Fluids and Qi are quite unique to Chinese Medicine. For example, from a Chinese medical point of view, Fluids include the fluids of your sweat, saliva and tears as well as your body’s hormonal secretions.

The focus of this article is on the concept of Qi as it relates to the element of Earth.

The Earth organs generate Qi in the body from the food and drink you consume. So in this sense, Qi is energy. If you have strong Qi, you have good energy or stamina, and healthy immune system function.

Our Daoist teacher, Jeffrey Yuen, a world-renowned expert in Classical Chinese Medicine, has a different perspective about Qi and likes to consider the concept of Qi in the context of relationships.

Water which is the element of Winter is associated with the Kidney organ system which stores the Essence of one’s being, called Jing. Therefore, with this understanding we can see that the strength of your Kidney’s Qi will reflect the strength of your relationship to yourself and influence the level of self-esteem you bring into your life.

In terms of the Earth element, Earth energy is about nurturing others especially in terms of family. So the Qi of Earth relates especially to family relationships, and the health of your Earth energy (digestive health) relates back to how you were nurtured by your parents and your ability to be caring and nurturing of others as an adult.

The holiday season often includes a lot of interaction with family, making it common to experience a resurrection of unresolved emotional issues relating to family. These emotionally challenging times can take a great toll on your gastrointestinal system and potentially lead to flare-ups of symptoms that may have been lying dormant.

Many people are easily triggered simply with the idea of having to spend time with family or particular family members, let alone having obligatory direct personal interaction in general. If this is the case for you, it indicates that the Qi of your Earth is in an imbalanced state.

If you have a hard time with your family, especially for a protracted period, the health of your Earth suffers and your ability to digest and assimilate nutrients becomes compromised leading to a lack of Qi in your life.

If you lack Qi, oxygen is not properly circulating throughout your system and this will compromise the function of every single cell of your body. With this said, the function of all your organs and glands will be compromised which will impact your immune system, cardiac system, endocrine system, reproductive systems as well as your brain system.

This is why digestive health is considered the cornerstone to your well being.

In previous articles on supporting your Earth energy, we’ve shared how Earth corresponds with the digestive organs, so supporting your gut health through proper diet and eating habits is fundamental to heal your body.

Since healing your body, especially your digestive system, is closely tied to the health of your family relationships, below are some tips to support you in healing these issues as well.

How to Begin the Process of Healing Your Relationships

Healing these relationships will not be an easy task if you expect someone else to change. What you can do however is begin to change yourself. You can start by:

  1. Practicing forgiveness and letting go of the past to free up the energy that may be keeping you stuck in old patterns.

    You can learn practices to support you to let go here and here.

  2. Creating healthy boundaries.

    There are cases in which your relationships with certain family members may never be good, healthy or rewarding. This is why sometimes the best solution is to completely disconnect from a toxic relationship regardless of if it’s a family member. However, this should be done with compassion and unconditional love which again requires that you work on yourself to let go of past resentments and bad feelings that can make you ill as well.

    Boundaries are an important part of cultivating healthy Earth energy. Click here for ways to strengthen your Earth and create strong, healthy boundaries.

In the end, the process of healing your relationships with others begins by healing your relationship with yourself. Focusing on your Spleen and Stomach organ systems and your gut health in general will initiate the changes within you so that you are more readily available to heal your relationships with your loved ones. In that way, you can enjoy a healthy and nourishing holiday and Winter season.


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, Ph.D., 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.

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 your body and mind. In Five Element theory, this period is called Doyo and relates to the Earth energy, which encompasses the Spleen and Stomach organ systems.

According to Chapter 29 of the Classical Chinese Medicine text Huang Di Nei Jing Su Wen: “The spleen, that is the soil. It governs the center. Throughout the four seasons it tends the four depots. In each [season] it is entrusted with government for eighteen days.”

This classical text is essentially telling us that this 18 day period at the end of each season corresponds to the Spleen’s energy and since it is an Earth element organ, it needs to be given extra care and support during this transitional time. Furthermore, the Earth organs, which include the Stomach and Pancreas as well, are more vulnerable to imbalance and disease at this time. With that said, paying extra attention to our diet and eating habits is key to maintaining one’s overall health during this transitional period between seasons.

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 of every seasonal change:

  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).


Never feel overwhelmed by what to eat again.

Join the waitlist for our one-of-a-kind-nutrition course.


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, Ph.D., 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.

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. Dr. Moafi offers clinical services and transformational workshops that blend the ancient practices of Classical Chinese Medicine and Yoga. More information at www.setarehmoafi.com and www.acenterfornaturalhealing.com