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.


 

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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


Why It's So Hard to Let Go, and What You Can Do to Make it Easier

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

Your spiritual practice teaches you that suffering comes from attachment. So to end your suffering, all you have to do is become more detached.

Sounds easy, right?

But then the day comes when you get fired from your job, lose a loved one, breakup with your partner, or get into a fight you regret with a friend.

You read your self-help books, your literature on walking the spiritual path and tell yourself not to worry and that it’s not a big deal, but the reality is that you feel worried, that it IS a big deal and that you’re NOT ok.

Logically you know that holding onto the emotions and grievances that come from life challenges don’t serve you. But these struggles are real and inevitable for us all. And sometimes, it doesn’t help to know that to avoid suffering, all you have to do is let go because that’s a lot harder to practice than it sounds.

But why is it that sometimes it’s so hard to let go?

According to Chinese medicine, there are three essential things that need to be supported for you to let go, and if these aspects are not working well you’re likely to have a hard time letting go.

First, you have to breathe through the process and accept it, and this requires Lung Qi. Next, you have to be able to digest or transform whatever’s bothering you, which is a function of the Spleen and Stomach.. And finally, you have to be emotionally settled, which requires that you have a calm mind and Heart.

Let’s explore how the Lungs, Spleen and Stomach, and Heart can challenge your ability to let go, and what you can do to support yourself in the process.

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You Have to Accept to Let Go

The first step in letting go of anything is to come into full acceptance of the challenge or emotion with which you’re dealing. In other words, if you’re angry or scared or sad about something that’s going on in the world or in your personal life, you first have to completely accept and embrace the feeling without judgment. Be fully present with the emotion. Only then do you have a place to move from to process it to release.

The Lungs comprise the organ system that most closely relates to your ability to accept and therefore let go of anything.

Your ability to let go is the virtue of the Lungs in their balanced state.

Your lungs are part of the respiratory system, providing a connection between your external and internal worlds through the breath. Inhalation draws in fresh oxygen and Qi, or energy, while exhalation helps you let go of toxins. 

The Lungs' natural movement is to disperse and descend Qi.

The Lungs disperse, or spread, fluids to support Wei Qi, or Defense Qi, which runs on the surface of the skin to protect you during the day and travels into the body to help you sleep at night. This ensures that Wei Qi is equally distributed under the skin and to the muscles to warm and moisten the skin, allowing for a normal amount of sweating, and to protect you from external pathogens that can cause colds, flus and skin problems (see more about this in a previous article).

As the uppermost organ, the Lungs also descend Qi to communicate with the Kidneys, which are said to 'grasp' the Lungs’ Qi, to allow for deep breathing. Dysfunction in the communication between the Lungs and Kidneys can result in wheezing and asthma.

The health of your Lungs determines your capacity to let go.

Weakness in the Lungs perpetuates sadness and regrets about the past.

Strong Lung Qi provides us with greater endurance and stamina and supports us to take more full, conscious breaths. Conscious breathing allows you to be more present and helps you cultivate a sense of mindfulness to support the process of acceptance.

Only when you fully accept the feelings and circumstances you’re in can you begin the process of letting go, and your breath is the first tool to initiate this process.

One essential way to strengthen your Lungs is through regular exercise. This doesn't have to be extreme like training for a marathons or climbing steep mountains, but a simple daily walk is a great way to keep your Lungs strong and vital.

Key tips to strengthen the Lungs: take deep breaths and keep your body active.

You Have to Transform It to Let It Go

The Spleen and Stomach are the primary organs of digestion and transformation of food and thoughts into energy, or Qi.

The Spleen and Stomach transform and transport food and drink, extract their nutrients for absorption in the body, then send the remaining waste to the colon to release through the bowels.

When the Spleen and Stomach functions are weak or their energy is stagnated in the gut, this process is impeded.

In other words, if Spleen Qi is insufficient, your digestion will be weak and rather than gain energy from food and drink, you’ll feel lethargic, bloated and generally uncomfortable after you eat.

These symptoms indicate that the Spleen is unable to transform the nutrients from your food and drink into Gu Qi, or food energy, that then supports the production of Wei Qi to support your immune system.

The energy of the Spleen also ascends to bring energy and fluids upward to support the Lungs to function optimally.

Furthermore, the energy of the Stomach descends and if this movement is stagnated, the function of the Large Intestine is impeded, resulting in constipation and accumulation of toxins in the body.

If this energy isn’t ascending upward into the brain or descending to release toxic waste, brain fog, mental fatigue and lack of clarity and focus can result.

In addition, if the health of the Spleen and Stomach organ systems is compromised, dampness can accumulate, causing you to feel stuck in your life and thoughts, and even cause you to develop patterns of obsessive thinking.

To let go, you have to release thoughts and feelings that no longer serve you and since the Spleen and Stomach govern the transformation of food and thoughts, you have to strengthen these organ systems to transform your thoughts.

The most essential way to support the organs of digestion is to pay attention to how and when you eat.

Take time to cook your meals and avoid eating under stress and eating on the run or while distracted.

To give your digestion even more support, take enzymes with meals to 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.

Key tips to strengthen the Spleen and Stomach: take time to cook and eat warm, nourishing foods without distractions, and take probiotics and enzymes to support your gut health.


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You Have to Calm Your Mind to Let Go

According to Chinese Medicine, the Heart houses your Shen, or spiritual aspect of your body which is expressed through your mind. Since the Heart is the primary organ of the Fire element, it can easily become overheated with unsettled emotions that can disrupt your mental state.

The type of symptoms that arise with an imbalanced Heart can range from nervousness to insomnia and in more severe situations involve palpitations, shortness of breath, anxiety, and even mania.

Meditation and self-cultivation practices, maintaining healthy relationships, and literally listening to and following your heart’s desires, all help to quell Heart fire and therefore reduce anxiety, supporting your Shen, or spirit, to rest.

Since Fire energy can generally cause restlessness, it’s important to do practices such as Yoga, Qi Gong and meditation regularly to tame the Heart Fire and calm the mind.

One of the best ways to initiate and immerse in these practices is by going on retreat. The time away from day-to-day distractions is a powerful way to shift your perspective and reset your mind.

Since Fire energy needs to circulate freely, it’s also essential to find creative outlets such as painting, knitting, dancing and anything else that feels exciting and playful.

Key tips to balance the Heart energy: meditate/retreat, be creative and play.

Supporting Your Ability to Let Go

One of the the most effective ways to support these organ systems is through Classical Acupuncture. By focusing on a meridian approach, Classical Acupuncture techniques work to help you not only to rebalance the systems that are impeding your ability to let go, but also to specifically free traumas that keep you stuck in the past so that you can be more fully present in your life.

Naturally, your lifestyle choices will always be important for the efficacy of any treatment. By cultivating a state of acceptance and calm, you can transform anything in your life.

And by strengthening and balancing the energy of the Lungs, Spleen and Stomach and Heart, you’ll be able to let go of anything that no longer serves you so you can live a freer, healthier and more fulfilled life.


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

How to Cultivate a Feeling of Enough

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

Let's admit it. We all strive for more of what we love, whether it's a deeper connection to our partner, greater success in our work or finances, a more abundant lifestyle, recognition, and even contribution and personal development.

Whether it's true to our human nature or not, we've been taught that more is better. In addition to our own personal goals, we have social media and television telling us that we should and could have more if only we buy X, Y and Z.

The great paradox is that once we buy and do everything we desire or feel is 'required' of us, the tendency is to still find that something's missing.

So when is it enough?

To be fulfilled means to cultivate a feeling of enough. 

According to Chinese Medicine, the Spleen and Stomach, which encompass the Earth element, are the primary organs of digestion and assimilation. These are the organs that satisfy the feeling of enough on a physical level by transforming raw material from our diet to help the body regenerate on a daily basis. 

The Spleen and Stomach digest and process not just food, but also our thoughts.

If the Spleen and Stomach are harmonized, our digestion is unobstructed and our mind is clear. But when there is an imbalance in either of these systems not only do digestive difficulties manifest, but mental processing can also be disrupted causing problems such as a foggy mind and obsessive thinking. 

When the Earth energy is out of balance there is a tendency to overthink and worry. According to one of the foremost classical Chinese medical texts, Nei Jing Su Wen, “Pensiveness harms the spleen” (Unschuld, 2011, 207) and if it is not properly resolved, it leads to obsession.

The Earth element relates also to our ability to feel completion, abundance and fulfillment.

When you eat a plate of food, the gut sends signals to the brain so it knows that you've had enough. 

Excessive Stomach Fire can create an imbalance in this process, leading to binging, excessive thinking, obsession, and neediness. Stomach Fire most often results from a poor diet with acidic foods, as well as mental overstimulation. This heat in the Stomach ultimately burns out the Spleen Qi and leads to severe fatigue. This pattern is common among students and can cause post-college burnout and Spleen weakness. 

According to Chinese Medicine, the Spleen also plays a key role in producing blood. A weak Spleen therefore impairs one's ability to build blood.

This is especially crucial for women who work or study excessively since mental overstimulation weakens the Spleen, inhibiting it from building back the blood that’s lost during monthly menstruation. For vegetarians, the ability to build blood is even more challenging since animal products help to nourish the blood. 

The key is that not having enough blood causes one to feel empty inside regardless of one's circumstances.

The feeling of not having enough relates therefore to either weakness of the Spleen in its production of blood, or excessive heat in the Stomach system causing obsession and the need for more and more.

Cultivating a feeling of enough brings a sense of security, nourishment and abundance.

Cultivating a feeling of enough brings a sense of security, nourishment and abundance.

Strength in the Earth element via the Spleen and Stomach helps ground us in the present moment. When our energy, or Qi, and blood are strong we feel less vulnerable and more secure in all aspects of our lives.

Furthermore adequate blood reserves provide a sense of comfort and security as well.

In fact, a deficiency of blood can cause one to feel a lack of wealth and prosperity no matter his or her financial status.

A feeling of inadequacy may also result from excessive heat in the Stomach, which not only causes mental overactivity and agitation, but can also lead to addiction, such as to sex, drugs, shopping or alcohol.

Excessive heat in the Stomach system physiologically manifests as inflammation anywhere along the gastrointestinal tract, or the gut. This is how Stomach Heat in Chinese Medicine correlates with the pathology of the brain and numerous mental and emotional imbalances via the gut-brain axis. 

Essentially, the health of the gut determines the health of the brain and therefore our ability to process information, manage stress, and balance our emotions.

When the Stomach is full of heat, it can dump this heat into the Heart. 

When in balance, the Heart stirs a healthy level of creativity, passion and desire. However, excessive heat in the Heart induces excessive desires and passions, and this can overwhelm or disrupt the Shen or spirit of a person leading to different types of neurosis, including anxiety and even Obsessive Compulsive Disorder (OCD). 

Since Heart imbalances can result from excessive heat generated in the gut, it's clear how our gut health influences both our state of mind and emotional well being. 

 

Tools to Cultivate a Feeling of Enough

Since the Spleen and Stomach are the source of Qi and blood in the body, they are also the source of our nourishment and therefore the basis of our ability to feel comfort, security and wholeness. 

We’re all prone to developing a weak Spleen causing blood deficiency through poor diet, irregular eating habits, lack of physical exercise, and excessive mental activity. 

If the Spleen is weak, digestive enzymes can support the breakdown and assimilation of nutrients to produce blood and healthy cells.

Maintaining a clean diet with more alkaline foods will also support your Earth element. Alkalizing foods are especially important for people who tend to be "over-thinkers" as this leads to over acidity in the Stomach. This can lead to Stomach Fire that can over time lead to both gut inflammation as well as imbalances in the Heart.

A person with an especially weak Spleen will experience a lot of fatigue and feel too cold, so in cases like this it may be best to eat less damp producing foods such as grains, dairy and sugar which feed the fungal terrain known as Candida that ultimately suppresses the body's energy.

Eating cooked, warm foods will also support the Earth organs while raw, cold natured foods, especially during colder seasons, can weaken the digestive system and exacerbate Spleen Qi deficiency.

There's a lot more you can do to balance your Earth element, including setting healthy boundaries and being especially mindful of your self-care during seasonal transitions.

The simple yet powerful practice of gratitude can also contribute to a feeling of enough by helping to amplify all that's good in your life now. It's so easy to focus on what's not going right and this is the root of why so many of us feel like we don't have or are not enough. 

A daily and consistent gratitude practice can be done simply by being mindful of and acknowledging things as they flow into your life. It's best to start with the little things so you can easily begin to see how quickly what you appreciate appreciates.

Small and simple changes can provide a great impact to help you restore balance in your Earth energy and bring a sense of comfort and satisfaction to your life.

Only through a healthy Earth element can we truly foster a feeling of enough where nothing feels missing or empty. Through this deep sense of abundance we're able to have a greater capacity to cultivate a prosperous and fulfilled life.


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

Salvador Cefalu, M.S., L.Ac. is the Founder & Co-Director of A Center for Natural Healing in Santa Clara, California. 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.

Sleep and the Gut-Brain Axis

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

Digestive health is fundamental to the health of your entire body. According to Chinese Medicine, the Earth element, which includes the Spleen and Stomach, is considered to be the central element in the Five Element system. Earth corresponds to the late Summer as well as to all seasonal transitions. This is why it's especially important to take care of your digestive health during all transitions, seasonal and otherwise.

The health of your digestive system, or gut health, is the foundation of your ability to properly digest and assimilate food, manage stress and sleep well.

Gut health is directly impacted by stress because of a mechanism known as the gut-brain axis, which explains the biochemical signaling between the gastrointestinal tract and the central nervous system. 

Under stress, the hypothalamus in the brain signals the autonomic nervous system as well as the pituitary gland to produce stress hormones, including epinephrine and cortisol. The production of these stress hormones shuts down the parasympathetic nervous system, which is related to our ability to rest and to digest.

When the sympathetic nervous system, or our 'fight or flight' response, is active, the parasympathetic nervous system is impeded and therefore both our sleep and digestion are impacted.

You probably know from experience that your thought process, especially when you’re under stress, affects your ability to digest food, but this relationship goes both ways.

In other words, what you eat also impacts your ability to think—and sleep. 

 

Sleep and the Gut-Brain Axis

The bidirectional communication between the brain and central nervous system (CNS) and the enteric nervous system (ENS) is known as the gut-brain axis (GBA), an information superhighway of chemicals and hormones that provides constant feedback and informs, among other things, our moods, emotions and sleep patterns.

Recent research on the gut-brain axis (GBA) affirms that an unhealthy microbiome in the gut impacts sleep quality and that poor sleep causes changes to the bacterial community in the gut. This is because sleep deprivation produces an imbalance of the stress hormone cortisol.

Too much cortisol can lead to a proliferation of unhealthy bacteria microbiome that can lead to gastrointestinal (GI) problems. GI imbalances increase the potential to develop sleep disorders.

In addition, research has shown that there is 400 times more melatonin in the gut than there is in the pineal gland where melatonin was traditionally thought to be produced. It appears that stress causes changes both in gut bacteria and in neurotransmitter levels (Beckett, 2015).

The rhythms of gut microbes are affected by diet, both the timing of eating and the composition of foods consumed. A healthy diet helps the body generate more beneficial gut microbes thereby helping to reduce inflammation and optimize gut health.

The health of the gut helps determine the health of the brain and therefore our ability to process information, manage stress, balance our emotions, and digest and assimilate food; all of which affect our ability to sleep.

 

Unbalanced Emotions and Sleep

Li Dong-yuan, Founder of the Earth School in Chinese Medicine and one of the Four Great Masters of the Jin-Yuan period in China, believed that disease pathology manifests as a result of damage to postnatal Qi, the energy that we refine and consume through our environment from food and drink. Postnatal Qi is produced by the Spleen and Stomach through the Gu Qi, or energy that's transformed from food. This process occurs in the gut.

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 that burns the fluids in the body.

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.

During menopause for example, hormone production decreases and, since damage to the gut inhibits the proper production of melatonin and other hormones necessary to regulate stress and sleep, there is a great tendency for a woman to develop insomnia at this time.

Li believed that weakness in the Spleen and Stomach, or Earth organs, is the foundation of disease and begins with unresolved emotions. He stated that "the downward flowing [of the five yang qi] into their confinement with yin fire in kun earth is always due first to damage done by the five thieves -- joy, anger, sorrow, worry, and fright--followed by stagnation of stomach qi. Finally, overtaxation and dietary irregularity succeed in damaging the original qi" (Li, 2004, 203).

The “five thieves” damage the Spleen and Stomach, leading to stagnation of Stomach Qi. Overwork or overtaxation and poor diet further damage the original qi. This pattern is prominent during major life transitions like menopause during which, as Dr. Christiane Northrup has explained, many women’s unprocessed and unresolved emotions cause insomnia and fatigue to accompany “the enormous changes of midlife” (Northrup, 2012).

This internal heat caused by Qi deficiency is called Yin Fire and flares up into heart. This pattern is common among women going through the menopausal transition where stress along with hormonal changes damage the Spleen and Stomach function.

 

Yin Fire: The Impact of Emotions on Your Health

According to Nei Jing Su Wen, one of the foremost classical Chinese medical texts, seven emotions are considered major internal causes of disease - joy, anger, fear, fright, anxiety, pensiveness and sadness. Li Dong-yuan focused on what he referred to as the “five thieves,” or the emotions of joy, anger, sorrow, pensiveness, and fright, any of which in excess become pathological.

The Earth attribute of Yi, or the mind, has a tendency to worry. Nei Jing Su Wen stated: “Pensiveness harms the spleen” (Unschuld, 2011, 207) and if it is not properly transformed, it leads to obsession.

The attribute of the Heart is known as the spirit, or shen. Over-joy, which includes excessive desires and passions, can overwhelm the Heart and disrupt the shen, since the Heart is the organ that manages joy. Over-joy can transform into anxiety and eventually mania.

Yin Fire causes excessive emotions to aggravate the Heart, which then dumps heat into the Stomach. As the abode of the shen, or spirit, the Heart’s disturbance will affect the circulation of blood and thus the shen, inhibiting one’s ability to sleep restfully.

Wei Qi, which determines the body’s circadian rhythm, forms in the Lungs through the Gu Qi that first enters the Stomach via food and drinks. The circadian rhythm, like the circulation of Wei Qi, dips and rises at different times of the day and can be impacted by the pathological process of Yin Fire.

Sleepiness and sleep propensity are strongly influenced by our circadian clock as indicated by circadian rhythms, most commonly by that of core body temperature. Sleep is most conducive in the temperature minimum phase, but is inhibited in a "wake maintenance zone" before the minimum phase, and is disrupted in a zone following that phase. Different types of insomnia symptoms have been associated with abnormalities of the body temperature rhythm (Lack et al., 2008).

Yin Fire results from Qi deficiency heat caused by poor diet, over taxation, and imbalanced emotions (Li, 2004, 86). Over time, Yin Fire creates an internal heat that can burn up the body’s blood, qi and yin and cause insomnia, especially because its ascending quality affects the Heart and Pericardium. It can also inhibit a decline in core temperature, which is essential for falling asleep (NIH, 2005). 

Internal heat can also arise from Yin deficiency wherein insufficiency of body fluids prevents the body from cooling or tempering the heat, or Yang energy, in the body.

Think of Yin Fire as a process of inflammation that slowly erodes the internal membrane of the intestinal wall. As this membrane barrier breaks down, the gut lining becomes hyper-permeable and leads to the problem of Leaky Gut Syndrome. An abnormally leaky gut allows molecules of partially digested food as well as microbial toxins like bacteria, virus and fungus to flow directly into the bloodstream. These foreign invaders lead to overactive immune responses by the body which can lead to a host of serious diseases such as cancer or chronic degenerative conditions like autoimmune disorders. 

If you’re dealing with chronic inflammation of any kind, it's imperative to clean up the toxic terrain within your gut and heal the intestinal lining.

 

Healing the Gut, Brain and Sleep

One effective way to support the process of healing a leaky gut and build back a healthy microbiome for improved digestion and elimination is through the ingestion of bone broth.

Bone broth is a food source packed with substrates to help bind up the intestinal wall, referred to as the Yin of the Stomach in Chinese Medicine. Yin is substance, so we need substance to heal the body's broken down tissues. Bone broth contains the following substances to repair and restore your muscles, skin, joints and gut health:

  • Protein - supplies the building blocks for growth, including the building of muscles, tissues and new cells.

  • Glycine - an amino acid necessary for healthy DNA and RNA that's essential for properly functioning cells.

  • Collagen - holds together our joints, bones, ligaments and tendons. Needs to be supplemented as it starts to diminish as early as age 20.

  • Chondroitin Sulfate - supports joint health and comfort (especially in combination with glucosamine)

  • Glucosamine - a compound that's involved in the creation of molecules that form cartilage.

  • Hyaluronic Acid - a compound contained in the synovial fluid in our joints that serves as a cushion and lubricant in the joints and other tissues. Hyaluronic acid is also a major component of skin, where it is involved in tissue repair and wound healing.

Furthermore, bone broth comes from slowly cooking down bones to provide different types of collagen depending upon the animal source of the bones. In Chinese Medicine, the bones relate to the Kidney system and the Kidney system also supports the brain. So we can see a correlation with how the regular ingestion of bone broth can be very nutritional to strengthen brain function as well.

Other important supplements that support gut restoration include probiotics and digestive enzymes (contact us to learn more about products we recommend that are available at our clinic).

A healthy diet rich in omega fatty acids, leafy green vegetables and limited complex carbohydrates (especially gluten free) will also help to develop a healthy gut microbiome . 

Self-care is also crucial to heal the digestive system, as the ability to care for oneself and others is a virtue of the Earth element. Learning to cook healthy meals at home, receiving regular Acupuncture treatment and taking time for cultivation practices such as Yoga and Qi Gong will help to regulate both the nervous and digestive systems.

With a calm mind and healthy gut, a good night's sleep will naturally become a more regular part of your life.


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References

Beckett, F. (2015). Can’t sleep? Blame your gut bacteria! Retrieved from https://secretsofagoodnightssleep.com/2015/03/03/cant-sleep-blame-your-gut-bacteria/

Lack L.C., Gradisar M., Van Someren E.J., Wright H.R., & Lushington K (2008). The relationship between insomnia and body temperatures. Sleep Medicine Review, 12(4): 307-17.

Li, D.Y. (2004). Treatise on the Spleen & Stomach: A translation of the Pi Wei Lun by Bob Flaws. Boulder, Colorado: Blue Poppy Press.

Northrup, C. (2012). The wisdom of menopause: Creating physical and emotional health during the change. New York: Bantam Books.

Unschuld, P., & Tessenow, H. (2011). Huang Di Nei Jing Su Wen. Berkeley and Los Angeles, California: University of California Press.


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. 

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