A Comfort Food to Heal Your Gut & Slow Aging

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

In Chinese culture, porridge, known as congee, is an essential food for health and rejuvenation.

Congee is essentially a thick soup that can be made using a variety of different grains and sometimes legumes such as adzuki and mung beans.

Though rice is traditionally the most common grain used for this soup, millet and barley are common substitutes because of their unique therapeutic properties.

Millet has the ability to nourish the Yin of the Lungs and Stomach to support hydration and barley is used to nourish blood, cool the Liver and strengthen the digestive system when there is bloating and a weak appetite. Barley can also help build muscle and drain excessive fluid stagnation.

The History of Congee as Medicine

The popularization of congee for medicinal purposes goes back to the Tang Dynasty, the period between 618 to 907 AD, considered to be one of the glorious and progressive periods of civilization in Chinese history. 

Much later during the Ming Dynasty (1368-1644), one of the most prominent physicians in the history of Chinese Medicine, Li Shi-zhen listed 62 medicinal congees in his classic herbal compendium called Ben Cao Gan Mu, or The Great Outline of Materia Medica.

Today, congee has become a daily staple in Chinese cuisine and an important part of healing regimens for people with digestive disorders and general weakness.


Hydration as a Basis for Yin Nourishment

The Yin aspect of the body relates to the fluids and its structure. Therefore, hydration along with protein dense foods that nourish collagen are critical to maintain your Yin and keep your body’s tissues moist, your joints supple, your skin and muscles firm, your hair lustrous and blood vessels strong. 

The word collagen is rooted in the Greek word '“kolla” meaning glue, denoting the important function of collagen to help maintain the integrity and elasticity of your structure.

As we’ve all experienced, when glue dries up it loses its ability to bind and hold things together. The same thing happens as we age—our collagen dries up and the body gets brittle and flabby.

Your body’s hormones are also a form of Yin.  As Yin declines with aging, the hormones become depleted and along with this development are symptoms of dryness including dry skin, dry joints, dry eyes, and dry mucous membranes.

The decline of Yin is a natural process of aging, but this process of degeneration can be sped up or slowed down depending on your lifestyle.

Yin dries up when heat is generated by the body through any form of excess in your life.

This can be a result of overwork, excessive exercise, excessive exposure to the sun, excessive use of stimulants, alcohol and certain medications, and excessive sexual activity.


How to Support Your Yin

Diet is a key component to support the nourishment of your Yin.

If your diet is moistening and hydrating, your Yin will tend to be healthy. On the other hand, if your diet is too drying which generates heat, this will tend to damage your Yin and lead to accelerated aging.

What you eat thus makes a huge difference in maintaining your constitutional Yin and your exposure to foods that are drying, overheating and overstimulating all contribute to a more rapid deterioration of your Yin.

Since your dietary choices determine to a great extent how you nourish your Yin, this gives you the power to support this critical aspect of your body and your life.

According to Chinese Medicine, the Spleen and Stomach organs are the basis of postnatal nourishment by supporting the production of Stomach Yin.

Stomach Yin equates to the fluids generated by the digestive process that maintain the Yin for all the other systems of the body.

Stomach Fluids as the Basis of Wellness

The Yin produced by the Stomach is called the Jin-Ye which is simply known as the Stomach Fluids.  In Chinese Medicine, however, the Jin and the Ye are different types of fluids that support different structures.

Jin is considered to be the Thin Fluids and Ye is the Thick Fluids.

A western medical association would be the fluids produced and released by the exocrine glands are Thin Fluids and fluids released by the endocrine glands are Thick Fluids.

Exocrine glands secrete fluid through ducts both internally and to the exterior of the body. Endocrine glands, on the other hand, secrete fluids (including hormones) directly into the blood to regulate metabolism, growth, reproduction and other functions.

The Thin ‘Jin’ exocrine fluids moisten the sensory orifices including the eyes, nose, mouth and ears so they can function properly and discharge fluids to the exterior.

The Thin Fluids also nourish the skin to produce sweat and help nourish the skin, the hair and the sinews to keep the tendons strong and supple.  

The Thin Jin fluids also transform into Wei Qi, which is not a liquid but a gaseous state that flows both internally and externally to provide protection as it supports your immune system. Through the transformation of the Thin Jin Fluids into Wei Qi, the thyroid gland also gets supported by the Stomach’s Yin.

The Thick Ye endocrine fluids, on the other hand, condense and become heavy which draws the thick Ye fluids inward into the level of something solid to nourish the organs, the bones, the marrow, and the brain. 

The Thick Ye Fluids are also the basis for the body’s sexual reproductive hormones indicating how diet is key in supporting not only fertility but also regeneration of the body.

Eat Congee to Nourish Your Stomach Yin

Soups and stews are a fundamental way to nourish your fluids and support all of these important systems.

The basic recipe to cook soupy rice congee is as follows:

  1. Preparation: rinse the rice. For long grain and especially brown rice, after rinsing cover the rice with water in a bowl and soak overnight in the refrigerator. Pour the water out then cook. This will allow the rice to break-up more in the cooking process and create a creamier porridge.

  2. Cook 1 cup rice to 5-8 cups of water to create a soupy gruel. The more starchy short-grain rice makes for a more creamy congee but long grain basmati and brown rice can also be used. First bring the water to boil, add the rice and reduce the flame to a simmer.

  3. Add sea salt or pink Himalayan salt to taste. Cook for 2 or more hours depending on the consistency you want to create.

    If you intend to create a soupy congee, put more water and cook longer. If you want a more savory and nourishing congee, substitute Bone Broth for a portion of the water.

Congee can also be prepared in a crock pot overnight.

After preparing the basic soup, you can add meat and vegetables to your taste to enhance the flavor of the congee and add in extra protein and nutrients.

After preparing the basic soup, you can add meat and vegetables to your taste to enhance the flavor of the congee and add in extra protein and nutrients.

Modifications:

Add 5 individual scallions (green onion) chopped with about 1 inch chunk of ginger sliced or diced.

Scallions and ginger are included especially when a person feels an acute chill and body aches with early onset of a cold. If a person tends to just feel sensitivity to cold, a weak appetite, symptoms of nausea, then simply adding ginger is best to warm up the Spleen and Stomach and enhance digestion.

Ginger is also anti-inflammatory and therefore benefits indigestion or gastric upset due to stomach inflammation caused by a deficiency of stomach acid (hydrochloric acid/HCL), or what is called Cold in the Stomach according to Chinese Medicine.

To add more protein to your congee, you can consider stirring in about 5 grams of Collagen Peptides and this can be consumed 2-3 times per day.

And as the photo suggests, you can add in meat and vegetables to your cooked congee to create a more wholesome meal.


When to Be Cautious with Regular Consumption of Congee

Even though one of the great benefits of congee is its hydrating property, the most common grain used for its preparation is rice which is a diuretic. Therefore if you suffer from frequent or excessive urination, known as polyuria, you need to eat rice congee with some caution so as to not overstimulate the loss of fluids. 

Polyuria is often rooted in a Qi deficiency and more severely excessive urination can be associated with a Yang deficiency if a person is also very cold and weak. 

In addition, barley and mung beans are often eaten as porridge for detoxification and these too are diuretics. So extra caution needs to be taken if excessive urination is a problem since diuretics will further drain the Qi and exhaust the Yang making a person colder and weaker.

Therefore, if you want to use congee to build back the strength of your digestive system and polyuria is a concern, I suggest using millet rather than rice or barley to reduce the diuretic effect of your porridge.

In Summary

Nourishing your Stomach Fluids through hydrating foods is fundamental to nourish every aspect of your body.

Congee which is most commonly a rice porridge that is also made from a other grains and some legumes is a staple in Chinese cuisine to nourish Stomach fluids, restore gut health and heal a variety of health disorders.

In fact, there are a plethora of modifications to make congee a medicine to remedy many health conditions. This article is an introduction to this rich and important part of Chinese Medicine cuisine and we’ll be presenting specific recipes used to address many of today’s common ailments in our nutrition program that will be available soon.


 

Want to know how to
heal yourself with food?

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

 

Salvador Cefalu, M.S., L.Ac. is Founder & Co-Director of A Center for Natural Healing in Santa Clara, CA, a wellness clinic he runs with his wife, Setareh Moafi, Ph.D., L.Ac., that specializes in Classical Chinese Medicine & Japanese Meridian Therapy, a rare non-insertion form of Acupuncture using Gold and Silver needles. Learn more 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 a one-of-a-kind form of empowerment coaching, clinical services, and transformational workshops and online courses that blend the ancient practices of Classical Chinese Medicine and Yoga. More information at www.setarehmoafi.com


Umeboshi: The Five Element Superfood

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

A powerful nutritious condiment that’s a staple in Japanese culture, Prunus Mume, is a sour plum commonly known as Umeboshi. Umeboshi, or “salted plum,” is a pickled fruit that sits in salt brine for a year or more and though called a plum it’s actually more closely related to the apricot fruit.

Though acidic by nature with its concentration of citric and phosphoric acids, the effect Umeboshi has on the body is highly alkalizing, which is why it’s so important in the Macrobiotic diet.

The benefits of Umeboshi, however, go far beyond alkalization to bring nutritional and medicinal support for all Five Elemental energies of your body.

It’s no wonder in Japan they have a saying similar to our ‘apple a day’ idea, that ‘an Ume a day’ can keep the doctor away.

Umeboshi or ‘salted plum’ is a staple of Japanese culture and an important part of the Macrobiotic diet due to its alkalizing effect on the body.

Umeboshi or ‘salted plum’ is a staple of Japanese culture and an important part of the Macrobiotic diet due to its alkalizing effect on the body.

How Umeboshi Benefits Each of the Five Elements

Fire Element

Umeboshi becomes a red plum after pickling with iron rich Shiso (Perilla) leaves, so by law of signature, these pickled balls of energy support the Fire Element for Heart health, and provide a tonic for the blood. 

In fact, Umeboshi has been found helpful for anemia and to regulate heart rhythm problems such as palpitations. This may be due due their high concentration of potassium which helps regulate heartbeat. In Chinese Medicine, since the Heart controls the mind and Spirit, it may be through this effect on the heart that Umeboshi is also used to help calm and relax the mind.

Water Element

The body’s structure, i.e. the bones, are under the domain of the Kidneys and the Water Element. By supporting calcium absorption, Umeboshi is considered an important food for bone health in Japanese culture. Calcium absorption is likely a benefit that comes from their high concentration of citric acid as well as the trace mineral manganese. 

Furthermore, phytochemicals in Umeboshi have been found to increase osteoblast activity and the production of collagen to build bone. So these plums are a real boon for bone health and one of the reasons they are considered a longevity food. A 2014 study showed Umeboshi to have anti-osteoporosis benefits.

According to Chinese Medicine, the teeth are also an extension of the bone and therefore relate to the Kidneys. In regards to dental health, Umeboshi has been found to have anti-bacterial properties against Streptococcus mutans, the bacteria involved with dental caries and gum disease and help reduce bleeding gums (which relates to the function of the Spleen and Earth Element).

Earth Element

The trace mineral manganese also helps regulate blood sugar and traditionally in Japan Umeboshi is known to help stabilize blood sugar. In terms of western physiology, the pancreas plays a primary role in blood sugar regulation and in Chinese Medicine we correlate the pancreas with the organ of the Spleen which is an Earth Element organ.

Manganese also helps produce digestive enzymes and metabolize fats, proteins and carbohydrates. These are all aspects of the Earth Element which relates to digestion through the function of the Spleen (Pancreas) and Stomach. So Umeboshi tea is useful to take before and after meals to help strengthen your Earth’s digestive power. 

Umeboshi is also known to reduce fatigue and was used historically by the Samurai for this purpose. In Chinese Herbal Medicine it’s also considered a Stomach Yin tonic as these plums generate fluids to help hydrate the body and reduce thirst. Umeboshi is known to increase salivation and stimulate a weak appetite as well so in this way these pickled plums strengthen the Spleen and Stomach functions to enhance digestion. Umeboshi is also commonly used to benefit mild cases of acute stomach and intestinal pain and known to effectively reduce H-pylori, the bacteria found to cause gastritis and stomach ulcers. 

Metal Element

In terms of the Metal Element and the health of the Lung Qi, which controls both respiration and the skin’s sweating action, the astringent nature of Umeboshi helps reduce excessive sweating. Chinese herbal medicine uses these plums specifically for this purpose as well as to reduce chronic coughing when the Lung Qi is weak or when the Lungs are dry from deficient Yin. 

The Large Intestine is also part of the Metal Element energetics and Umeboshi can help expel roundworm parasite infestation which is on the rise with the increase in sushi and sashimi (raw fish) consumption. Keep in mind that in Chinese Medicine, herbal remedies are normally a combination of herbs so taking Umeboshi alone may not be an effective cure for a case of roundworms.

These plums also have dietary fiber (soluble and insoluble) to help improve elimination as well. In fact, in herbal medicine, they are used medicinally for both diarrhea and constipation. There is special preparation, however, to activate the different effects of Umeboshi. For example, in the treatment of diarrhea, the pickled plums are charred before consumption to achieve this medicinal benefit.

Wood Element

Last but not least is the powerful impact of Umeboshi on the body’s Wood Element energetics which involves the Liver and Gallbladder organs. Known to accelerate the clearance of alcohol toxicity from the Liver, Umeboshi is also considered a food to help detoxify the liver and, in general, protect liver health.

In Chinese Medicine, the Liver Blood nourishes vision, and perhaps it’s from vitamin A that Umeboshi supports vision health. These plums are also high in antioxidants to reduce free-radical damage which can also impair vision over time.

Umeboshi also supports the Gallbladder by aiding fat digestion.

Tips for Consuming Umeboshi

You can simply eat an Umeboshi daily as a snack or with meals. In Japan, Umeboshi is often placed inside the center of rice balls as a dried plum or plum paste. This makes a convenient way to eat rice and get your Umeboshi fix.

In Macrobiotics, it’s recommended to boil a salted plum in one quart of water for 30 minutes then drink the water 30 minutes after exercise to restore electrolytes.

My personal preference is to take Umeboshi in paste form. I use about a 1/4-1/3 tsp in a medium to large glass of warm water. I’ve been drinking this during the day since the beginning of Fall when the weather began to get drier and I immediately started to notice my body rehydrate much better.

Umeboshi plum paste also makes a very soothing tea to drink in the evening that calms my mind before bed. I recommend you give it a try. It’s a bit on the sour side, but I personally like the salty, sour combination and the benefits make me want to keep coming back for more!



 

Want to know how to
heal yourself with food?

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

 

Salvador Cefalu, M.S., L.Ac. is Founder & Co-Director of A Center for Natural Healing in Santa Clara, CA, a wellness clinic he runs with his wife, Setareh Moafi, Ph.D., L.Ac., that specializes in Classical Chinese Medicine & Japanese Meridian Therapy, a rare non-insertion form of Acupuncture using Gold and Silver needles. Learn more at www.acenterfornaturalhealing.com.

Food as a Mirror

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

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

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

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

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

 

Food and Digestion According to Chinese Medicine

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

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

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

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

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

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

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

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

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

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

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

The Gut-Brain Axis

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

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

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

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

 

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

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

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

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

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

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

 

Diet and Your Health

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

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

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

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

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

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

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

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

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


 

Want to know how to
heal yourself with food?

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

 

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