How World Events Can Impact Your Health: A Chinese Medicine Perspective

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

A few nights before the full moon, I woke up at 1:30 am and after tossing and turning for a while, I simply couldn’t get back to sleep. I finally got up and went to our guest room to do a meditation. At first this settled me quite a bit but within several minutes I felt stricken with a tightness in my chest, difficulty breathing and tension throughout my body.

The anxiety I felt was something I’d never experienced before, and it literally took every tool in my toolbox to get my heart to settle so I could finally go back to sleep.

I woke up exhausted early Monday morning and walked into the kitchen as Salvador read an article aloud about the massacre in Las Vegas. Like most people, I was initially just shocked. But as the reality set in and I read—and bawled over—story after story about the victims, the heroes and their families, a deep sense of grief took over.

Salvador pointed out later that day that there may be a connection between the way I’d been feeling the prior night and the incident. I felt the truth in this right away. 

Even though I didn't personally know anyone involved in the Las Vegas shootings, I felt a deep sense of compassion and empathy for all involved.

The human interconnection is something we all participate in and yet we seem to have lost sight of it lately trying to fit into a race, a gender, a religion, a political party, a certain way of thinking. 

These classifications create a broken nation, a divided world in which brothers and sisters turn against each other and we forget how deeply connected we all are.

But in moments like this, when fear strikes and lives are lost, we realize when other humans suffer, each of us suffer on some level.

Now more than ever, our greatest task is to preserve our health so that we can ultimately begin the healing that the world so desperately needs.

 

How Trauma Impacts Our Health from a Chinese Medical Point of View

All of us feel the same emotions. These emotions are one of our many common threads as human beings, though we may each process what we feel differently.

Li Dong-yuan, founder of the Earth School in Chinese Medicine, 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. 

All of the emotions that Li Dong-yuan mentioned are excessive emotions that can cause pathology to develop in the body. For example, the Earth attribute of yi, or the mind, which is associated with the Spleen and Stomach, has a tendency to worry or become pensive. Nei Jing Su Wen, an important classical Chinese medical text, stated: “Pensiveness harms the spleen” (Unschuld, 2011, 207). If pensiveness 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.

According to Chinese Medicine, emotions are merely the movement of qi, or energy, directed by a certain organ, but excessive or repressed emotions have pathological consequences. 

Trauma shocks the entire system, and eventually sets into the internal organ system.

Trauma initially strikes our Kidneys with fear and fright, affecting our adrenal glands, our willpower, and even our faith.

Our Hearts are also affected and since the spirit resides in the Heart from a Chinese Medicine perspective, the spirit suffers as well. We may lose sleep, becoming restless and anxious.

Grief impacts our Lungs and the resulting weakness can cause shortness of breath, coughing, depression and even infections such as pneumonia. Weak Lungs also affect our ability to let go, which is a virtue of the Lungs.

Anger fires up our Liver causing irritability and even affecting the body’s detoxification and digestive processes, which then impacts our ability to assimilate both our food and thoughts.

Trauma can also stir up Wind as a form of resistance to change. (See more about Wind as a challenge to healing in this article)

 

What You Can Do to Help Yourself

Stress impacts the body and mind on so many levels and tragic events activate our stress response - whether we watch the news, read the paper or hear about it from a friend or family member.

This does not mean you should tune out entirely to protect your health, but it's important not to lose yourself in world events. When it feels like too much, do something nourishing. Cook a warm meal, call up a good friend, or go out and spend time in nature. It's crucial that you learn to consistently take care of yourself.

Self-cultivation and self-care are the only things we can control and the most important way to make a difference in what seems like a wounded, frightening world. 

To do this, we have to take more time alone. Take time to sit quietly, to feel the anger, sadness, fear, hopelessness. As the feelings move through you, you can let them go.

Retreating also allows us to nourish the blood to help open the orifices and eventually make changes in our perception.

Solitude provides space and time to fully process our emotions so we can start to see things more clearly with a greater sense of compassion and less fear. Time alone is important to help the energy of the Heart move back down into the Kidneys so that we feel purposeful and clear. This then calms and pacifies the Wind that stirs us up internally with the changes so that we no longer have the nervousness that prevents us from facing the world and the issues. 

Wearing stones such as Amethyst, Moonstone and Amber help calm the Shen, or spirit, to calm the mind and Heart. Herbs such as biota seeds and jujube seeds help to nourish the Heart. Nourishing the heart means being good to yourself, being kind to yourself and also being kind to the world so that you can develop a greater sense of compassion. 

When we’re healthy and compassionate, we act from a place of love, which allows us to be more available to support others who aren’t as strong or who are going through a difficult time.

Once you calm your Shen and nourish your Heart, you begin to open the orifices to change your perception of the world. 

As we change inside our bodies, the Yang of the Kidneys will support us to move through the difficult changes in our lives. Pacifying Wind through calming practices helps settle the Yang to have the courage to make change.

Only when we’re healthy and empowered can we truly make a difference. As Martin Luther King, Jr. once said: "Darkness cannot drive out darkness; only light can do that. Hate cannot drive out hate; only love can do that.” The more love we cultivate within ourselves, the more this love ripples into the world.

Our fundamental emotions, arguably the only emotions, are fear and love. The opposite of love is fear, not hate. The only way back to love is through a change in the perception of the world and the eradication of all other emotions that represent fear.

The first step to make this change is to recognize what we actually feel. Only then can we move through these feelings and channel their energy toward making positive changes in the world.

Our teacher, 88th generation Daoist Master Jeffrey Yuen has said many times: "The consciousness that brought on the disease cannot be the same consciousness that brings about healing." This goes for our individual healing and for the healing of the world as a whole.

 

A Meditation to Support You

Many years ago, I developed the BEME Meditation, which stands for Body, Emotions, Mind and Environment. Becoming aware of each of these aspects builds a deeper consciousness that connects us to how we truly feel. 

Mindfulness is a powerful tool to help us be more present, and can be profound to help settle the mind during difficult times. A calm mind becomes a clear mind and eventually provides the foundation for guiding the change that brings about healing.

You can practice this 10-minute meditation daily from the comfort of your home.

 

What You Can Do To Help Others

There are so many people who need our help right now. Here are a few ideas on what you can do for the victims and families affected by the recent tragedies:

Las Vegas

Puerto Rico

California


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

Blending Yoga and Chinese Medicine into a Business

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

 I frequently get asked how and why I thought to integrate Yoga and Chinese Medicine, and how I turned this fusion into a thriving business.

Having lived in various countries as a political refugee during my childhood, the desire to learn about different cultures, traditions and people has always come naturally to me. So blending practices from different cultures, including that of my Iranian heritage, was an organic process in some ways.

Turning my passions and interests into a business however was not something I planned, but it's led me to learn, grow and find greater fulfillment than I could have imagined.

A little while ago, my friend Tina Deane Coddington invited me to do an interview for her podcast, the Healing Business Podcast (which you can download through iTunes).

Our conversation led me to share what it took for me to develop a flourishing integrative healing business practice with my husband, Salvador.

In the interview, I share why Yoga and Chinese Medicine create a perfect synthesis, as well as personal insights and habits for success that I think will benefit you.

You can listen to the full interview by pressing play below. And please feel free to share it with anyone you think it may help or inspire.

Once you’ve listened, I'd love to hear what insights you gained in the comments below.

With love and gratitude,

Setareh
 

Special thanks to Tina Deane Coddington and the Healing Business Podcast. Listen to all the episodes on iTunes.


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

Setting Boundaries is Essential to Your Health

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

About a year ago, my husband and I adopted a 1 year old Italian Greyhound mix we named Crystal. When we first brought her home from the rescue, she was terrified of everything. In fact, she'd spend most mornings hiding under our China cabinet shivering when we'd take her out of her crate.

She'd obviously been traumatized and likely been abused, so we decided to hire a trainer to help break her out of her fear.

After some trial and error, we hired Mike, an experienced trainer who would gently force her to stay present each time she got fearful and wanted to run away. By essentially forcing her to move into her fear it didn't take long for Crystal to realize she was safe and there was nothing to fear. Through this initially challenging process, Crystal quickly became loving and trusting of our trainer who created a very strong boundary with her.

Crystal loves to feel contained. Boundaries are essential for all beings to feel safe.

Crystal loves to feel contained. Boundaries are essential for all beings to feel safe.

The training worked wonders and though she resisted the process during many of the sessions, Crystal became more relaxed, more trusting and more affectionate after each session. Mike also helped us learn how to assertively yet lovingly hold boundaries to heal her behavior. 

The stronger we set boundaries around her reaction to fear, the more relaxed she became.

As a result, the anxiety and fear that once ruled Crystal settled down, and she continues to feel more safe and be more present than ever.

Humans have similar behavior patterns. Healthy boundaries between children and parents are crucial to cultivating healthy relationships and to prevent enabling unhealthy behavior patterns. Held with love, compassion and respect, boundaries help create a sense of stability and safety.

In Chinese Medicine, this sense of safety and security is supported by the Earth element as the basis for establishing healthy boundaries. 

The Earth element rules our digestive system and helps us process both food and thoughts. Energetically, Earth relates to all transitions - seasonal and otherwise - and is the ruling element of the late Summer. It's most important to balance and strengthen the Earth element during these times, but since change is a constant in life and we're naturally always going through transitions, cultivating a healthy Earth is essential to all aspects of our health year round.

 

Boundaries and the Earth Element

The Earth Element is the fertile soil that allows plants to grow and flourish to provide nourishment and sustenance; it gives protection and shelter as well as stability and substance. 

Earth contains water, creates boundaries to define continents and carries us through space with stability. Earth represents safety, protection and our home base. 

Being centered, calm, and balanced, feeling at home, and having a sense of harmony and peacefulness are the essence of a healthy Earth energy. Creating a comfortable home and cooking for oneself and one's family are essential factors to nourishing the Earth energy in one's life.

Rice fields from our 2015 trip to China. Earth contains water and provides the fertile soil where nourishment can be cultivated.

Rice fields from our 2015 trip to China. Earth contains water and provides the fertile soil where nourishment can be cultivated.

Cultivating a healthy Earth means understanding and prioritizing our needs. If we pour all of our energy into helping others or work excessively, we'll have nothing left for ourselves. If we don't discipline ourselves around our diet and set boundaries around eating generally healthy foods, our health fails. If we continuously go to bed late because we don't have the discipline to stop working or watching TV at night, we slowly but surely deplete our blood, our Yin, and our essence, which accelerates our aging process.

In other words, strong boundaries around how and with whom we spend our time, what we eat and even when we sleep is fundamental to our health.

In the body, these boundaries are established by the Earth element organs that govern digestion, the Stomach and Spleen.

 

Nourishment and the Earth Element

Earth energy is about transformation; transformation of food into energy and raw material to rebuild the body, and transformation of our thoughts so we're not stuck obsessing about negative things and can have clarity of mind. 

Earth energy is also associated with our relationships with ourselves and others, which begins with our relationship to our family, especially our mothers. As the archetype for the Earth type personality, the Mother represents unconditional love and the nourishing qualities that exist within each of us.

Loving, supportive and nourishing parents help children understand they are accepted for who they are, which gives them a deep sense of security. Starting life with unconditional nourishment both through food and emotional support supports a calm and secure demeanor. It also prevents the development of excessive dependence on others to have one's needs met. 

Our first experience with nourishment comes from suckling at our mother's breast, ingesting the colostrum that activates our Earth energy.

Colostrum is so potent for the digestive system that it's been well established as a supplement to heal digestive disorders. For one thing, colostrum restores leaky gut to normal permeability levels. Serious health syndromes which we can recognize as Earth imbalances are now known to be associated with abnormally increased gut permeability. These include autoimmune diseases such as Crohn’s disease, lupus, multiple sclerosis, scleroderma, and rheumatoid arthritis. Colostrum can also benefit Alzheimer’s, Parkinson’s, chronic fatigue syndrome, hepatitis, fibromyalgia, asthma, and allergies. 

Colostrum contains growth factors and hormones to help repair damage to the intestinal lining, including damage caused by NSAIDS and other medications, and restore gut integrity. Colostrum is high in immunoglobulins to help control harmful fungi, such as Candida, and harmful bacteria, such as H. Pylori, which is known to cause ulcers. Colostrum has also been shown to increase the surface area of the intestinal lining to improve absorption of nutrients. And there are no known side effects from using colostrum.

Colostrum reduces inflammation, protects against irritation from toxins, prevents infection and promotes epithelial growth and repair. It's also a useful supplement to quickly boost the immune system following a strenuous workout or periods of intense stress. 

In this way, colostrum boosts Spleen Qi, which is fundamental for supporting Earth energy and therefore our ability to establish healthy boundaries.

Nourishment begins in the gut first with our mother through breast feeding and evolves into how we nourish ourselves. Thus the connection of the Earth element to our digestive function determines our ability to have healthy, harmonious relationships as well as strong immunity, or Spleen Qi.

 

Earth Element Imbalances

Physiologically, Earth element imbalances most commonly relate to weakness of the Spleen, which manifests as poor digestive function, as well as bruising and hemorrhaging. This is because the Spleen not only transports and transforms food and thoughts, but it is also the organ in Chinese Medicine that's responsible for holding blood in the vessels. A woman who has very heavy flow during her menses for example needs to focus on strengthening her Spleen and blood. Weak Spleen Qi can also cause leakage of Qi, which is a disorder we've discussed in a previous article.

Chronic digestive issues as well as eating disorders are common among people who have imbalances in their Earth element, which may have begun during childhood as a result of lack of nourishment emotionally and physically from one's parents or through excessive consumption of prescription drugs, especially antibiotics, which directly damage the gastrointestinal system.

When there is an Earth imbalance, or weakness in Spleen Qi, dampness or phlegm tends to develop in the body, which leads physiologically to weight gain and psychologically to obsessive thinking. This is why worry and pensiveness are common symptoms of imbalanced Earth energy.

Psychologically, Earth imbalance manifests as neediness, self-absorption, resentment or excessively self-sacrificing and lacking the ability to care for oneself.

A weak Earth also inhibits one's ability to hold strong personal boundaries, making one inclined to meddle in other people’s lives as a distraction from looking at herself or lack the personal boundaries to prevent other people from meddling in her life. 

Earth imbalance often creates a challenging relationship with both food and money, each of which energetically represent a form of nourishment that allows us to feel safe. 

People with an Earth imbalance will not only have digestive issues, but they'll often also have an unhealthy relationship with money management as well as with food, which that may result in eating disorders such as anorexia or bulimia or simply addictions to food for comfort.

Balanced Earth means that we know how time, energy, food and money all fit into our lives. It allows us to feel abundant no matter how much we have. Therefore, an imbalanced Earth will cause us to feel lack, especially with our money and our energy.

 

Balancing Earth to Establish Healthy Boundaries

Having a more balanced Earth element helps us feel more calm, secure and nourished. When we feel more peace within, we can make our needs, and therefore our boundaries, more clear. Strong boundaries and a healthier relationship with ourselves allows us to then cultivate healthier relationships with others.

Here are some tips on how to strengthen the Spleen and your Earth element to help you establish stronger boundaries:

  1. Cook - the physical act of preparing a meal nurtures the mind, body and soul.

  2. Eat a healthy, low carbohydrate diet - carbohydrates and sugars increase the damp or fungal terrain in the body so it's important to reduce these foods and increase the consumption of leafy green vegetables, root vegetables and clean meats to clear this dampness, cultivate clarity and optimize your health.

  3. Eat regular meals - Earth thrives on a regular daily rhythm.

  4. Manage your time and money - Earth is about nurturing and abundance. Keeping track of how you spend your time helps you manage your energy. Managing your finances is another way to help consolidate your Earth energy and is an essential aspect to cultivating the feeling of security in your life. Money is energy which when circulated properly helps balance Earth energy.

  5. Journal to replace worry and obsession with contemplation and reflection.

  6.  Get involved in the community - find what organizations, church groups, charities, etc. interest you and see what role you can play to contribute.

Self-care is therefore essential to rebalance the Earth element. When your food, money, time and energy are properly managed, the mind becomes more clear and you're able to naturally set healthier boundaries that allow you to share the best aspects of yourself with others.


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


Are You Leaking Qi? How to Preserve Your Essence to Slow Down the Aging Process

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

Leaking Qi, or energy, describes the body’s inability to consolidate and hold in any type of fluid substance in the body. Leaking Qi is common because it relates to many different types of conditions.

In order to describe the different types of leakages, I will begin by describing the three divisions of the body according to Classical Chinese Medicine. These divisions are called burners, heaters, or energy centers and are associated in Chinese Medicine with the Triple Heater organ system. 

 

The Triple Heater System

The Triple Heater, also referred to as the Triple Burner, is called in Chinese Medicine San Jiao, meaning three warmers.

According to Chinese Medicine, the Triple Heater system is an organ but it has no form. This is a system that essentially coordinates the organ functions of the body held within these three energetic centers and is responsible for maintaining overall metabolism within the body.

Imbalances in the Triple Heater system can lead to leakage of Qi that can then cause damage to the fluids and essence of the body. 

The three energetic centers controlled by the Triple Heater are the lower abdomen (called the lower heater or Lower Jiao), the middle abdomen (called the middle heater or Middle Jiao) and the chest (called the upper heater or Upper Jiao). 

The Lower Jiao located in the pelvic basin contains the genitourinary system responsible for reproduction and elimination. The Middle Jiao contains the organs of digestion, including the Spleen, Stomach, Pancreas and Small Intestine, and controls digestion and absorption of nutrients. The Upper Jiao contains the Heart, which controls circulation, and the Lungs, which control respiration.

It is through the action of these systems that fluid dynamics are maintained in the body. Depending on the type of leakage one may be experiencing, we can determine what heater, or Jiao, is out of balance and needs support.

Excess Sweating as a Form of Leaking Qi

Sweating easily or excessively is often associated with a weakness in the Upper and Middle Jiao. Sweating too easily is often due to the Qi of the Lungs being too weak to control the skin function to properly contain fluids. A weakness of the Lungs is often concurrent with a weakness of the Spleen since the Spleen supports the health of the Lungs. For example, if the Spleen is weak and overly damp due to a diet high in carbohydrates, sugar and dairy, then the Lung function will suffer and a person may tend to sweat too easily with or without exertion.

Sweating due to hot flashes is a different situation and is related to weakness in the Kidneys and Lower Jiao. Excessive sweating that occurs with hot flashes is usually a hormonal imbalance related to hyperactive adrenal glands and dryness of the sexual organs due to a depletion of Yin fluids. Lack of Yin fluids, coupled with hyperactivity of the adrenals that are trying to produce more Yin as the ovaries decline, generates a deficiency heat which induces sweating. Correction of this type of sweating is different than the Lung Qi weakness issue as it requires nourishment of Kidney Yin to relax the adrenals.

Both of these situations involving excess sweating and the leakage of Qi. If left uncorrected, leakage of Qi will damage one’s Constitutional Essence and accelerate aging.

 

Dietary Tips to Strengthen the Lungs and Reduce Excessive Sweating

From a dietary standpoint, for a weakness of Lung Qi causing excessive sweating, the use of compact fruits eaten on a daily basis are helpful to strengthen the Lung energy.

Compact fruits, including apples, pears, Asian pears, persimmons and quince tonify Lung Qi in Chinese Medicine.

Stewed pears and apples are especially nourishing to the Lungs but be aware that too much can lead to phlegm in the Lungs. For example, if a person has a lot of sinus congestion, eating these foods can exacerbate this condition.

Japanese persimmons are more useful to help stop sweating than Chinese persimmons. Japanese persimmons are higher in tannins which gives them a strong astringency affect on the body to deal with profuse sweating and prevent leakage of Qi.

Citrus fruits are also effective for tonifying Lung Qi.

Citrus is hydrating and high in vitamin C to boost the immune system. More sour citrus fruits are better astringents to stop sweating that causes leaking Qi.

Though lemon and lime are highly concentrated in citric acid, once ingested, they become alkalizing to your body and help balance an acidic terrain so they have a cooling affect on the body.

Too much citrus, however, will induce the opposite effect and induce heat. For example, drinking a lot of orange juice is not a healthy habit as it creates a lot of damp heat in the body in the form of excessive mucous which can then lead to sinus and ear infections over time. Consumption of orange juice during acute infection can cause chronic infection that is resistant to antibiotics.

Overall, since citrus, including oranges, produce a lot of fluid, they are especially good for dryness, but excess consumption can induce phlegm very easily when a person has a lot of dampness.

Infusing or steeping citrus peels in water is an especially effective way to support astringency without inducing the dampness that easily develops from drinking the juice.

Citrus peels are also used to produce essential oils. In Chinese Medicine, citrus oils help regulate Qi to reduce epigastric distention and bloating. These oils can simply be rubbed on the belly for immediate benefit.

Citrus essential oils contain a chemical called limonene, which has a plethora of potent health benefits. Limonene (also called d-limonene) makes up over 90% of orange oil and is found in citrus peels. It helps aid digestion for problems such as acid reflux. Limonene also helps support elimination by reducing sluggish bowel movements especially when Candida is involved. It's also been shown to help reduce cholesterol and improve Gallbladder function to improve bile flow and support fat digestion. In addition, limonene has been found to be helpful for weight loss as it suppresses appetite and regulates blood sugar. 

 

Leaking Qi and the Middle Jiao

Leakage of Qi as it relates to the Middle Jiao, or middle burner, involves how the Spleen is managing blood. In Chinese Medicine, the Spleen’s Qi is responsible for containing the blood in the vessels. A person who bruises or hemorrhages easily likely has a weakness of the Spleen Qi. 

Hemorrhaging can be associated with many conditions so a proper diagnosis is required to establish an accurate treatment protocol. With that said, hemorrhaging can occur in many ways. Hemorrhaging can include mid cycle breakthrough bleeding during menses, excessive menstrual bleeding with long periods, frequent nosebleeds, and can be as serious as gastric or intestinal bleeding or stroke involving bleeding in the brain. 

The saying “Spleen Qi manages the blood” means that the Spleen keeps blood from leaking out of the vessels. Thus, varicosities are associated with weakness of Spleen Qi as well and if there is also edema in the legs due to venous insufficiency, the Kidney Qi may also need support.

Here are a few Western and Eastern herbs commonly used for the purpose of reducing leg edema and varicose veins: 

  • Butcher’s Broom is an evergreen shrub known to contain phytochemicals that are both anti-inflammatory and astringent to tighten up blood vessels and strengthen capillaries as well as reduce edema. Butcher’s Broom is also a folk remedy for hemorrhoids, another form of leakage of Qi due to a lack of vascular integrity,

  • Chestnuts are good for strengthening the vascular system as well and Horse Chestnut seed extract has been known to be especially effective as a vascular anti-inflammatory and to strengthen weak veins and capillaries causing edema due to vascular insufficiency.

  • *Gotu Kola is an Asian herb that has been successfully used to reduce edema and poor circulation leading to varicosities. Studies have also found Gotu Kola to be regenerative to the brain by supporting neuron growth.

  • Gingko Biloba is another super herbal supplement to improve circulation in the brain and strengthen vascular integrity for the treatment of varicose veins which is a common type of leakage of Qi.

From a Chinese Medicine perspective, these herbs strengthen the vascular system and therefore also strengthen Spleen Qi. Herbs that reduce edema in the legs also strengthen Kidney Qi.

A simple dietary tip in Chinese Medicine for weakness of the Kidneys is to eat both toasted and raw sesame seeds as well as pumpkin seeds. And if a person is not urinating completely and this leads to edema, eat the sesame seeds with cucumber. This needs to be eaten at every meal of the day so it’s a big part of one’s diet.

 

Leaking Qi and the Lower Jiao

Incontinence is a common form of leakage of Qi that relates to the Lower Jiao, or lower heater. Getting up during the night to urinate is also a form of leaking Qi related to the Lower Jiao, and is due to deficiency of Kidney Qi.

Acupuncture is highly effective to improve incontinence.

Some of the most useful herbs in Chinese pharmacopeia that treat incontinence are commonly used in cooking. Many of these Chinese herbs are seeds, including lotus seed (Lian Zi), Astragali seed (Sha Yuan Zi), Euryales seed (Qian Shi) and Cherokee Rose Hip fruit (Jin Ying Zi).

From a dietary standpoint, seeds are important to strengthen the Kidneys. The primary seeds that target the Lower Jiao and the Kidneys are pumpkins seeds and sesame seeds. Small amounts should be eaten 3-5 times per day.

In general, foods that are high in zinc strengthen the Kidney system. Zinc is essential for the health of the prostate, which is part of the Kidney genitourinary system in Chinese Medicine. Foods highest in zinc are oysters, lamb, pork and grass fed beef. Toasted wheat germ, pumpkin and squash seeds are also potent food sources of zinc.

 

Conclusion

Leaking Qi is common and while challenging to one's health, it can usually be resolved with proper treatment and dietary modifications. Preventing the leakage of Qi is essential not only to have healthy levels of energy, but also to maintain one's constitutional Essence in order to slow down the aging process to achieve optimal health and longevity.


*I’ve used Gotu Kola with my 91 year old father who has moderate level dementia, swollen ankles and poor kidney function. After a few months of taking Gotu Kola twice daily, his mind is clearly working better, his ankle edema has reduced and his recent blood test showed his kidney function has improved. He is much more mentally alert and present than before he started Gotu Kola.


Please note: The information provided here is for educational purposes only and not intended for diagnosis or treatment. Please contact a licensed health provider for lifestyle, dietary and herbal recommendations specific to your condition.


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, PhD, 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.

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. 

Move Your Body, Transform Your Mood - and Life

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

As an undergraduate at UC Berkeley, I was an anxious young woman. Determined to perform my best in a highly competitive environment, I put constant and endless pressure on myself. 

The pressure sourced in my mind built up in my body. To relieve it, I pushed myself physically, through intense cardiovascular exercise, to release the stress.

But the stress and anxiety only seemed to worsen.

Little did I know that the harder I ran, the more heat I was accumulating, and this heat was obstructing my capacity to process my emotions (more on this later).

I continued to run myself physically and mentally from one accomplishment to the next, collapsing during my menstrual periods and spending the rest of the month trying to recover.

Then one day, my mom suggested: "why don't you try Yoga?"

She said it had helped one of her clients and was becoming really popular throughout the Bay Area. 

"Yoga?" I said as I looked over some information she'd sent me. "I can hardly sit still for a minute. How am I going to stretch for 90 minutes? Besides, I'm the stiffest person in the world."

"I think that's the point," my wise mother replied. "Yoga could probably help you get flexible and calm you down. You can't keep pushing yourself and be so anxious."

Yeah, anxious and depressed, I thought. Depends on the day.

Weeks passed and one night my roommate brought up a list of DeCal (student-organized) classes that would be available for the next semester. One of the classes jumped out at me immediately. 'Yoga for Relaxation,' it read. And then a short description of how it can help reduce your overall stress and anxiety. 

I turned to my roommate and told her that ironically, my mom had suggested I do Yoga.

"Wanna try it together?" she replied. I shrugged my shoulders and decided to say yes. Despite my initial resistance, my roommate's interest somehow sparked mine.

For the first two weeks of the twice weekly Yoga class, I spent the majority of the class asleep.

The beautiful Native American Yoga instructor (I remember this because she had a shamanic, angelic presence about her) started each class in Savasana and for at least the first couple of classes, I never got out of that posture. I laid there sleeping and the teacher didn't even bother to wake me up. Clearly, she knew something I didn't.

As weeks passed, I started to be more active in the class and I began to feel a shift in my life. I started to practice what I learned at home and soon I no longer felt my heart pounding in my chest throughout the day. Having had severe test anxiety my whole life, I found myself so calm during midterms that I hardly recognized myself. And the results were extraordinary.

Not only did I feel more calm and clear, but I also started performing better than I ever had, setting the curve in some of my most challenging classes.

The biggest shift occurred when I stepped out of Yoga class one evening. I could hear the birds singing, the wind blowing, the cool evening air on my face. Were there birds here before? Was the wind always so gentle? I'd never been aware like this before. And I noticed something remarkable within me...my mind was utterly quiet.

This was my first experience with stillness.

As my body became more flexible, I found an unprecedented sense of ease, presence and calm in my mind. Everything in my life started to change for the better, and Yoga became a regular daily practice. You might even say it became an obsession.

I practiced any time I could during the day and started taking all the on-campus Yoga classes I could fit into my schedule at Cal (at that time, Yoga studios were few and far between).

When I went to register for my last semester of classes, I was completely caught off guard - and I honestly credit my daily Yoga practice for this. My advisor reviewed my coursework, closed the book and took off her glasses. She looked up at me and said, "You're done." I couldn't believe it. Somehow I'd already completed all the classes I needed to graduate. She explained that I could either stay on another semester and work on a thesis or graduate early.

The most incredible part of this experience was that I had come this far in the absence of the anxiety and depression that had distracted me in my life for so long. I felt a sense of inner peace that grew stronger each and every day I breathed through a practice. 

I decided to graduate early and commit to Yoga fully. I registered for a one month Yoga teacher training in San Francisco and subsequently started teaching at local studios throughout the Peninsula. Within two years, I co-founded Yoga of Los Altos, the first Yoga studio in Los Altos, California. Soon thereafter I sold the business and began my studies in Chinese Medicine, which in time led me to meet my husband, Salvador, and to co-create the beautiful community at A Center for Natural Healing. To this day, the heart and soul of my work is in understanding the mind-body connection that I was introduced to through Yoga.

Now, I'm not saying that life becomes easy when you practice Yoga.

Challenges will arise whether or not you practice. But having a consistent practice provides you with tools to better deal with the natural ebbs and flows of life. And that makes life a lot more enjoyable.

I'm sharing this story to exhibit the power of a regular Yoga practice, and to empower you to make positive changes in your life.

Moving your body in the right way can transform your life.

What is the right way to move your body? In coordination with your breath. So whether it's Yoga, Qi Gong, Taiji, or any type of moving Meditation practice, activate the breath of life and your life will unfold in ways you never imagined possible. And these changes can be as simple as a more steady mental-emotional state.

The Mind-Body-Breath Connection According to Chinese Medicine

According to Chinese Medicine, the Lungs are in charge of respiration and are the organs responsible for processing grief. When the Lungs are weak, they hold grief and thus increase our experience of depression. 

The Liver governs the smooth flow of Qi and regulates the emotions, especially anger. The Liver channel runs through the diaphragm, which separates the thoracic cavity that contains the heart and lungs, from the abdominal cavity.

The diaphragm is crucial for respiration. As it contracts, the thoracic cavity expands and air is drawn into the lungs. If the diaphragm is tight or constricted, its proper contraction becomes inhibited and thus less air flows into the lungs. 

A tight diaphragm indicates Liver Qi (energy) stagnation and can cause Lung Qi (energy) deficiency. As a result, we may feel angry, anxious and depressed.

Conventional aerobic exercise pumps oxygen into the lungs temporarily but does not demand the mind-body connection of practices like Yoga, which focus on deep breathing to improve the overall health of the lungs.

Deep breathing also regulates the autonomic nervous system so it's not stuck in a hyper-sympathetic stress state. This allows for the Liver to relax so it can smooth the movement of Qi throughout the body. The result is a more calm and relaxed mental and emotional state as well as improved organ function for healthy digestion, elimination, and sleep.

Coordinating body movements with the breath cools the heat that may otherwise build up in the Liver due to excess strain during exercise. As a result, exercises such as Yoga, Taiji and Qi Gong that coordinate breath with movement can transform your mood and improve mental clarity. And since heat drives inflammation and stress, which are both major causes of disease, this transformation improves your health on all levels.

Deeper breaths. Calmer mind. Stable emotions. Better health.

That's the power of Yoga and movement practices done mindfully to coordinate the body with the breath.


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

 

Your Health Depends On Letting Go

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

Have you noticed how your immune system seems to crash after a period of high stress or grief?

It’s very common to develop a cold, a cough or even pneumonia after a period of sadness such as the loss of a loved one, a breakup or divorce. In fact, we make sure to tell our patients as they're going through these periods to be mindful of this potential and support their immune systems as much as possible.

But sometimes, especially when you’re dealing with grief from the loss of someone dear to you, it can feel like your body just can’t take any more. To make sure you actually slow down, the body gets sick as though it’s forcing you to rest.

In Chinese Medicine, sadness and grief and their impact on immunity is related to the Metal element and the energy of the Lungs.

Grief and longterm sadness or depression weaken the Lung energy and stagnate the fluid circulation controlled by the Lungs. Over time, as Lung Qi and fluids stagnate, phlegm, cysts and tumors on the Lungs and related glands such as the breasts and thyroid can develop. 

The Lungs, Large Intestine and skin—the organs that connect us with the environment—comprise the Metal organ systems. Each of these organs allow us to interface in different ways with the world around us. The skin provides interaction with the exterior via sweating and touch, the Lungs through our breath and the Large Intestine through the release of waste to be recycled back into the earth. 

On an emotional level, the Metal element represents the need for self-definition within the world and the need to interact with others.

Thus grieving, mourning and sadness, the emotions generated when we’re separated from someone or something significant, are Metal emotions that impact the Lung's energy.

On an intellectual level, the strength of the Lung's energy, or Qi, supports the ability to separate things or data into categories to support analytical skills and the ability to coordinate tasks to keep one's life in order. 

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The Lung Qi supports us to breathe in and out, and to let go. The struggle to let go of whatever is bothering us from the past is the primary reason why we often have so much trouble with the health of our Lungs during challenging or uncertain times.

When faced with a challenging situation, often our first response is to hold our breath. However, the practice of taking a deep breath supports us to let go and move forward. 

When you’re not able to breathe deeply during times of stress, the Metal organs - the Lungs, Large Intestine and skin - are impacted. You may therefore develop asthma, allergies, and inflammatory flare-ups of the skin and colon such as Irritable Bowel Syndrome (IBS), as well as symptoms of poor digestion with acid reflux (GERD), bloating and gas.  

When you practice self-cultivation through exercises such as Yoga, Qi Gong and Tai Chi, you learn to observe and control the breathing and regulate the flow of Qi throughout the whole body. This supports strong muscles, tendons, skin and hair, as well as all organ and glandular functions.  

Breath awareness pulls you out of your mind and into your body, bringing you more in touch with the present moment where energy flows harmoniously.

Our breath teaches us to be present with what is rather than trying to make it something else; a state that creates resistance and stress. 

When we're stuck in the past or caught up worrying about the future, Qi flow is impacted and dis-ease develops. When we cultivate ourselves through these practices, we become aware that with each breath, we're able to let go and find peace, regardless of our circumstances.  

According to Huang di Nei Jing, one of the most pivotal classical texts of Chinese Medicine, “A person is not sick because they have a disease; they are diseased because they are sick.” In other words, our mental and physical health ensures the prevention of disease. This is why it's so important to protect our Lungs through the practice of letting go.

Try this simple exercise every night before bedtime: When you lie down to sleep, first take a few moments to take an inventory of the key events of your day. Notice what experiences you may have had that caused you to be angry, sad, nervous or numbed out in any way. As your mind reviews the day's events, breathe into each experience and mentally allow yourself to let each one go so you don't fall asleep holding onto the negative feelings.

To "let go" requires acceptance; allowing the situation to be as it is without trying to change it. From this place, we can find peace in the moment, and clarity from which to move forward. In this way, we move without confusion or resistance to change so that we can have a full sense of presence to receive the endless possibilities that life has to offer.


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 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

Why Your Exercise Routine May Be Hurting Your Health

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

As you know, exercise is essential for a healthy life and especially a healthy heart and cardiovascular system. But improper exercise may actually cause health problems.

A condition known as Overtraining Syndrome, or Metabolic Overtraining Syndrome, is more common than you might think.

Overtraining, especially with endurance and anaerobic training such as weight training, accelerates aging as inflammation gets ramped up in the body.

When overtraining is combined with overworking and a lack of proper rest and recovery time, Overtraining Syndrome can impact a person on many levels ranging from becoming injury prone to metabolic disorders involving hormonal imbalances, immune system dysfunction, fatigue, mood disorders and neurological problems.

How to Know if You’re Overtraining

One biomarker that should be considered as a possible result of overtraining is elevated homocysteine. 

Homocysteine is an amino acid that is created by the body from the essential amino acid Methionine. It gets converted with the help of vitamin B6 into an important amino acid called Cysteine. Chronically elevated homocysteine levels are a potential indicator of cardiovascular disease development since homocysteine is an important biomarker for vascular inflammation.  Over time,  elevated levels of homocysteine can increase risk of heart attack, stroke and vascular dementia, the second most frequent cause of dementia in the elderly behind only Alzheimers. 

Stress and caffeine consumption will also increase homocysteine as the neurotransmitters related to stress, epinephrine and norepinephrine, become elevated.

Since the major focus should be to minimize inflammation, maintaining a healthy level of homocysteine is a KEY component for maintaining a healthy cardiovascular system. 

So how much exercise is really necessary to achieve optimal health?

According to Dr. Mercola in his article “Physical Inactivity Costs Global Economy $67 Billion Each Year,” he says "the greatest effect on longevity was found among those who engaged in 150 to 450 minutes of exercise per week, the bulk of which was moderate intensity activities such as walking. Including bouts of vigorous activity can give you an additional boost in longevity.” 

In fact, recent research has shown that just 5 minutes of high-intensity exercise is needed to have optimal health benefits. 

You may consider short periods of High Intensity Interval Training (HIIT) for your routine. With even just five minutes of high-intensity exercise, healthy nitric oxide (eNOS) is released to dilate blood vessels and increase blood perfusion throughout the body. Growth Hormone (GH) is elevated and BDNF (Brain Derived Neurotrophic factor) is released in the brain’s Hippocampus. 

Increased BDFT helps improve stress management and memory while reducing mood swings and depression. Better stress management will prevent your body from overflowing with cortisol, which in excess can lead to weight gain and lowered immune function. 

In general, chronic, long-term stress takes its toll on your health and over-exercising when the body is already maxed out from a stressful day can be very damaging to your health.

So if your busting your behind for 40 minutes on the treadmill, keep in mind that less is more and short-term interval training is a much better option.

If you engage in endurance type aerobic exercise or engage in regular, intensive weight-lifting workouts, I suggest you have your homocysteine levels tested when you have your next blood test. Keep in mind, the standard medical belief is that homocysteine should be below 10.6 for cardio-vascular health. However, some of the leading physicians in the growing field of Functional Medicine recommend a level below 7 for optimal metabolic health overall.

Another important bio-marker to check in relation to inflammation is C-Reactive Protein (CRP). It is advised to keep your CRP level below 1.0 mg/L. Any measure above this point indicates a risk of developing cardiovascular disease.

In addition, check your vitamin B status (especially B6, B12 and Folic Acid) to ensure you are able to maintain healthy homocysteine levels because these vitamins are essential to support  liver detoxification.

Timing Your Exercise for Optimal Health

The final point about exercise relates to the timing of working out.

It's best to avoid excessive and vigorous exercise in the afternoon during the hottest time of the day. 

The early morning between 5am and 11am is the optimum time to work out and ramp up the body’s metabolism. Ideally, focus on the HIIT type workouts for no more than 20 minutes.

Remember, the peak Yang time is midday, so it’s best not to overstimulate the body during the heat of the day.

Midday exercise increases internal heat and burns out the body’s Qi leading to fatigue and exhaustion.

The Yin time occurs during the evening as the sun sets and peaks during the midnight hours, so it’s also best to avoid training hard late in the day.

Late evening exercise, especially exercise that causes a lot of sweating, depletes the body’s fluids and thus dries up the body’s cells and can lead to accelerated aging and the occurrence of wrinkles and sagging skin.

Proper training requires proper rest and recovery time so it's best to avoid daily exhaustive training. With your extra time, take regular 20-30 minute walks to keep your aerobic system active. In the late afternoon and evening try focusing on exercises that improve your flexibility such as stretching, gentle or Yin Yoga, Qi Gong and Tai Chi to keep your body cool and your mind calm and relaxed as you wind down and prepare for deep, restorative sleep. 


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

Cultivating Self-Love and Overcoming Addictions: A Five Element Perspective

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

There are five basic elements categorized in Chinese Medicine: Wood, Fire, Earth, Metal and Water. Each element has its own characteristic features and goes through a generation cycle through which it transforms into another element.

The Five Elements begin with Wood because Wood represents growth and new beginnings. The season of Wood is Spring as new growth begins to sprout forth.

The active energy provided by Wood creates Fire and Fire is about maturity and relates to the season of Summer, the hottest time of the year. 

Fire creates ash as it burns and this ash creates the next element, Earth. Earth is about harvest and corresponds to a period known as Late Summer. Earth also corresponds to a 16 day transitional period that occurs during each seasonal transition. 

The minerals found in the earth are metallic, so the Earth element creates the element of Metal. Metal is about decline, corresponding to the season of Autumn, a time when nature transitions toward a state of dormancy. 

As Fall enters full dormancy, we enter the Winter season, which relates to the element of Water. Water relates to going within, introversion and introspection. Winter is the gestational period that supports the consolidation of energy back into our Kidneys for physical rejuvenation and inner transformation. Through this process, we can blossom forth a resurgence of new growth energy that ensues in the springtime as the 5 Element cycle starts again.

The Summer's Fire Energy can set Addictions Blazing --

 Since we are in the season of Summer, the element of Fire is in its full effect potentially overheating our body, especially our blood.  Hot blood creates an over-stimulated emotional state. If we add hot natured food to our diet such as coffee, alcohol and hot spices such as garlic, rosemary, basil, ginger, peppers and onions, the internal fire can really get out of control during this season causing inflammation, high blood pressure, skin rashes and emotional disorders such as anxiety, irritability and outbursts of rage. 

If we don't make an effort to keep the body cool and calm, patterns of ADDICTION can become more of a problem during this time of year too as the Heart Fire starts to blaze and a person will crave substances such as sugar, medications, alcohol, cigarettes and drugs such as marijuana to numb out.  

One of the very interesting aspects about the Heart is that it is the organ related to us having emotional control in our lives. If we are stuck in patterns of addiction, then our Heart Fire is overwhelming the function of our Earth. The Earth relates to the Spleen and the Mind so one's mental control becomes overwhelmed by their emotions if the Heart Blood gets too hot. The Earth/Spleen energy also relates to the Pancreas so we can see as the emotions get over aroused with Heart Fire, a person will crave sweets and damp-inducing comfort foods to numb out and placate one's restless emotions. Even fruit, which is very high in sugar and prevalent during the Summer when eaten in excess will create a lot of dampness which further compromises a person's mental capacity to control their heart's emotional fire. In addition, as dampness accumulates in the body, it creates a sluggish circulation of Qi energy and a person will reach out for stimulants to get their energy moving which can perpetuate the state of internal heat that is driving  the emotional imbalance and the addictive behavior.  Internal dampness relates to the popular topic of CANDIDA which underlies many health problems from the head to the toes.

Managing the internal fire driven by addictions is a very important issue underlying all Chronic Degenerative Disorders --

Whether the addiction is substance related or other such as an addiction to work, exercise or masturbation, these habits induce a smoldering of internal heat that grows and grows deep in the body. This is a dangerous condition that we call "Latent Heat or Latent Fire"  that becomes suppressed so a person may not be aware of it because they are not symptomatic. However, over time as this suppressed heat that is trapped in the body slowly burns out the body's resources to stay repressed, various symptoms of disease will start to manifest. These diseases are all related to inflammation from this latent heat escaping anywhere in the body and is the underlying cause of chronic diseases such as arthritis, heart disease, diabetes, auto-immune disorders and cancer. 

Breaking the Addiction cycle is about CHOICE --

The more severe the addiction, the more involved a person's treatment may need to be. However, it's ultimately about choice. We've all seen people with longterm addictions to cigarettes who stopped smoking on a dime when they made up their mind to do so for whatever reason. Chinese Medicine is a powerful ally to support a person to clear the fire in the blood in order to reduce the restless emotions and the addictive cravings. Cultivating a daily routine of calming practices such as taking nature walks and doing Qi Gong, Tai Chi, Yoga and Meditation are very important especially during the summer season to help calm the emotions so one can regain mental control of their lives and break the addiction cycle.

From a dietary perspective, eat more of a vegetarian diet during the hot summer months and follow a diet that is cooling and alkalizing for the body. And always remember, those morning protein smoothies that include everything but the kitchen sink, well, they induce a lot of dampness and heat in the body so try to simplify your morning smoothie and have a nice green vegetable based juice instead to alkalize your body.

Green juices have a bitter, cooling nature that effectively drain and clear out the heat in the blood, calm the heart and mind and help you to once again gain mental control over your emotions. 

Calming the Heart supports cultivating Self-Love --

As the blood becomes more alkaline, the Heart energy calms down and this allows the Kidney Jing, also called Essence, to be conserved. Conserving one's Kidney Essence relates to cultivating Self-Love because the Kidney energy relates to one's relationship with oneself.  

Essentially, through the process of calming the Heart, a person becomes more Spiritually oriented as one's desires of the heart begin to settle down and become less important in one's life. This process of detaching from one's desires allows one's sense of Self-Love to grow and expand.

If you find yourself this summer getting a bit overwhelmed, frazzled and feeling "out of control", remember, you have a choice to be calm, to cultivate detachment and embrace yourself with more love as you sit back and sip your tall glass of green vegetable juice. 

Start your day this way and you'll really enjoy your summer with a happy calm heart!


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


Overcoming Spiritual Arrogance

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

When we embark on a spiritual path, many of us think that our lives will suddenly become easier, but in reality the opposite is often true. (If you're wondering what I mean by being spiritual, check out my last article on this topic here). 

Since our newfound awareness equips us to face greater challenges in both our internal and external worlds, the challenges with which we’re faced often grow stronger.

As you learn to face these new challenges, you gain a sense of greater confidence. If you’re not aware of how to process this confidence, the ego kicks in and convinces you that your new way of living life is somehow superior.

The initial excitement that comes with a heightened awareness is unlike any other. There's a feeling of power, peace, and joy you want to share with the world.

What's often difficult during this transition is learning that not everyone is interested in your spiritual growth. In fact, as you grow, many of your best friends may not be able to identify with the new you. Those closest to you may not be ready to make the changes to adapt to the transformed life you're creating or your personal growth.

As you change and let go of old ways that no longer serve you and your highest good, you may find it frustrating that others are comfortable staying the same. 

Wanting to invite your community into a world filled with your new insights and beliefs because you feel they can benefit from this way of life is beautiful. But becoming frustrated by the way others live and believing that your way of life is somehow more significant is spiritually arrogant. 

We may feel that consciousness and spiritual practices help make us better people, but this does not mean we should look down on others for not accepting or integrating these practices into their lives.

In fact, you’ll likely notice that as your spiritual practice deepens, more challenging people enter your life to force you to practice what you’ve been cultivating.

The more you cultivate yourself, the more you encounter people and situations that test your growth.

Being a spiritual person has nothing to do with how much Yoga you do, how often you go to church, or what scriptures you’ve memorized. 

Being truly spiritual means to cultivate a sense of inner peace that allows you to embrace life unconditionally and accept others for who they are - without judgement.

Living spiritually is a lifelong journey, not a destination. And the ultimate spiritual practice is to embrace unconditional love for ourselves and others.

True spiritual living means aligning your actions with your beliefs, and therefore living with integrity. 

A person of integrity isn’t hypocritical and has a sense of compassion for all beings, understanding that we’re all interconnected in the web of life. A person of integrity picks up after herself simply because she cares about the environment, and treats others with kindness and respect because she understands that we’re all interconnected.

We all make mistakes, and we've all had moments where we're dishonest or are unstable with our sense of integrity. So why then, even if we’ve truly changed, do we have the right to judge others who are still struggling with the shadows that we claim to have overcome?

Being spiritual is not about practicing a certain philosophy or religion. It's about being present, loving, and aware.

The awareness that comes from living spiritually creates space for universal compassion. 

This doesn’t mean you don’t get angry, hurt, or act out sometimes. But when these things happen, you’re able to hold yourself accountable and create healing with those you hurt.

Consciousness is a gift that's easy to take for granted. Rather than gloat about how conscious you are, begin to use this awareness to serve others and make greater contributions to your social and global communities. 

As Gandhi stated, “Be the change you want to see in the world.” Live it out, model it and be an inspiration to others. 

Your external world is a reflection of your internal world, so when you see or experience something you don’t like, rather than judge or point fingers, turn your attention more deeply inward and see what in your mind and actions has created the picture that stands before you. Every person and experience that comes into your life is a teacher; the more challenging the person or experience, the greater the potential to enhance your spiritual growth.  

Awareness provides each of us the power to change what we can and wholeheartedly accept the rest.

Paired with humility, it also empowers us to unite with others, even those who are not walking the same path,  through a deeper sense of compassion.

Humility gives us a sense of presence and reminds us that we're all on this journey together.


Setareh Moafi, L.Ac. is Co-Owner and Director of A Center for Natural Healing in Santa Clara, California where she runs a Classical Acupuncture and wellness coaching practice, and teaches transformational workshops that blend the ancient practices of Classical Chinese Medicine and Yoga. More information at www.setarehmoafi.com and www.acenterfornaturalhealing.com

What it Really Means to Be Spiritual

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

What do you think of when you hear the word spiritual?

To many, ancient spiritual practices such as Yoga and Meditation give this word meaning. To others, the word spiritual may represent detaching from the challenges of the world to find a more peaceful existence.

One of the primary misconceptions that seems to turn a lot of people away from spirituality is that it’s always connected with religion.

Another misconception is that to lead a spiritual life, you have to forsake materialism and worldly desires. 

Living isolated in a cave doesn’t necessarily make you spiritual. 

In fact, the ultimate test for a spiritual life is the ability to cultivate that life in the midst of a society full of challenges. And each one of us can learn to live a more spiritual life.

It’s easy to retreat to the Himalayan mountains, meditate daily to center yourself and be (mostly) kind to the people around you. But can you maintain a sense of calm and inner quietude in the midst of morning traffic on your way to work or with a difficult friend or relative?

If the answer to that question is yes – at least more often than not  – then you’re living a spiritual life. And even if you can’t keep your cool but you’re aware of it and consciously trying to better yourself, you’re living a spiritual life.

The spiritual life challenges us each and every day. Can you look someone  in the eyes who’s yelling at you and feel a sense of compassion for him or her? Or do you take things personally and attack back? 

Dedication to a spiritual practice means nothing if you’re not implementing the teachings of those practices in your daily life.

A rise in our consciousness comes from the ability to be present in the moment and fully feel a sense of connection to our environment and others. Spirituality allows us to have a sense of connectedness with the soul, the spirit—our own as well as that of others. 

Kindness, compassion, presence, understanding—these are the pillars of spirituality. 

You can practice Yoga, Qi Gong and meditation every morning or pray in church, synagogue, mosque or temple weekly, but if you come home and yell at your spouse or kids every time you get triggered you’re in no way more spiritually cultivated than the person who doesn’t even believe in God, but can listen and be present with others unconditionally without reacting harshly or imposing their beliefs authoritatively on others. 

Of course, spiritual practices such as Yoga, Qi Gong, Meditation and prayer are powerful tools with which we can deepen our consciousness and sense of presence. 

When we sit quietly and tune into the rhythm of our bodies and minds, we cultivate a deeper sense of connectedness to our own needs, which then allows us to feel into and be present with others.

My father is one of the most spiritual people I’ve ever met. He also happens to be an atheist and is one of the least religious people I know. 

Having grown up in Iran in a very religious family, my father did a prayer ritual known as namaz up to five times a day until he went to college. He used to tell us the story of how things changed for him when he advanced his education and starting reading more. He came to the conclusion that religion was the underlying cause of most of the war and corruption throughout history. So, he stopped praying, gave up religion and became a political activist hoping to change the world, starting with his birth country in Iran through political consciousness.

Unfortunately, the 1979 Revolution in Iran only made matters worse by fully establishing an Islamic Republic that forged the country into a deeper struggle and religious oppression, endangering my family and forcing us to leave as political refugees.

Not only did the new government take away many of the people's basic human rights, but they also executed people who stood up for these rights, including several of my parents' closest friends.

You'd think that with such a traumatic experience my father would become angry, resentful and bitter. But the truth is that my father is one of the most peaceful, loving and selfless people I know.

His sense of compassion and nonjudgmental presence are inspiring and a true testament of what it really means to be spiritual.

When my husband Salvador first met my father, he saw right away how unconditional, kind and loving he authentically is, and immediately admired how my father embodies the spirit of deep patience. After 7 years, my husband's view of my father has never wavered. 

We all can learn to weave more conscious patterns into our lives. Here are 3 simple suggestions:

  1. Listen authentically with a full sense of presence - turn off cell phones, computers and TVs and be there fully when someone is talking to you.

  2. Take a moment at least every hour to breathe deeply and come into the moment - you can set a timer on your watch or cell phone to remind you to pause during every hour throughout the day.

  3. Read ancient texts and philosophical books such as the Tao Te Ching or the writings of Chuang Tze. For a more modern Christian orientation, you can try reading A Course in Miracles. To cultivate living in the moment, the popular book, The Power of Now by Eckhart Tolle is quite helpful. Other influential authors that have written spiritually uplifting books include Marianne Williamson, Wayne Dyer, Thich Nhat Hanh, and Don Miguel Ruiz. These writers cover a variety of traditions and spiritual ideologies that provide wonderful spiritual food for the soul. Reading these synthesized ideas can help you cultivate living in the moment and connect you to the deeper meaning of life every day.


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

Understanding Yin & Yang in Your Body

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

At the core of Chinese Philosophy and Chinese Medicine is the fundamental principle of Yin and Yang. 

The concept of Yin and Yang is often attributed to the philosophical traditions of Daosim. This holds true for the theory of Five Elements as well. These major theoretical concepts were, however, all established by the School of Naturalism that predated Daoism. This school was also called the School of Yin and Yang. The first mention of Yin and Yang are found in the I Ching, a book of cosmology established by this school, dating back to 700 B.C.

The ideas of Yin and Yang and the Five Elements were established as theoretical principles in order to understand the cosmos and man’s relation to the cosmological forces found in nature. Yin and Yang are symbolized by the black and white divisions within a circle, indicating the circle of life and the movement of energy from one basic form into another.

As described in Chapter 1 of the Dao de Ching: "From nothing, came the one, the Ether that was the first Essence of life.  From the one, formed the two and from the two creates the myriad of all things."

This is how Yin and Yang are considered the fundamental principles of life and creation. 

Yin represents the substantial resources of life while Yang is the motivating force that works with these resources. Yang is about action, Yin is about substance. From the Chinese philosophical creation idea, first comes the force, the Qi, the Yang aspect creating a constrictive energetic field. As this constrictive field gathers, the condensation of gas creates the dust that densifies into matter. In this way, Yang initiates the formation of Yin. In other words, function creates form.

Prior to planetary matter were clouds of gas. Yang is the gaseous state, the Heaven. Yin is the state of particles creating matter, our Earth.

As the Earth forms, matter collects together into a sphere with its gaseous state contained within its center. The magmatic core found within the Earth equates to the core energetic center that is called the “Dan Tian” or “Elixir Field” in the body of humans. The Dan Tian, located below the navel, is the most powerful energetic force within the body that maintains optimal function and preserves the integrity of form.

When using the terms Yin and Yang to describe personality types, these definitions do seem contrary. For example, a Yin personality type is more constricted or constrained and in its extreme state an introvert whereas a Yang personality type is very expressive and in its extreme negative state rather manic or belligerent.

The more Yang, the more expressive and the more Yin, the more reserved. 

There are four basic principles of Yin and Yang. 

  1. Yin and Yang are oppositional forces.

  2. Yin and Yang are interdependent and cannot exist without the support of each other.

  3. Yin and Yang are mutually creative as one energetic movement can transform into the other.

  4. Yin and Yang are mutually consumptive forces as each will consume the other as it becomes over predominant.

These are the fundamental aspects of YIn and Yang that form the basis for understanding the forces influencing and shaping our selves and our lives. These principles of Yin and Yang are the basic building blocks that guide us to create balance in body and mind.

Yin relates to contraction and introversion, darkness, coldness, feminity and alkalinity.

Yang relates to expansion and expression, brightness, warmth, masculinity and acidity. 

If a person is too Yang, overactive and overstimulated with work, exercise, sex and drugs such as caffeine, cocaine, or energy drinks, this can lead to excessive heat in the body. Excessive heat or acidity in the body will burn the body out.

Over time, too much Yang will lead excess Yin as overactivity will create fatigue and lethargy. Hypo-metabolism will potentially result with lowered thyroid and adrenal function.

In this way, balancing activity (Yang) with rest (Yin) is essential to creating a balanced, healthy life.


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