Tuesday, December 14, 2010

The role of your spleen in digestion

In Traditional Chinese Medicine, one of the most important organs in digestion is the spleen. The spleen has an incredible ability to adapt to our environment and help us get our needs met. The functions of the spleen are adaptation, nourishment, and support. These are expressed at a physiological, anatomical, mental, emotional, and spiritual level.

At the physiological level, the spleen helps with digestion, converting food into usable substances within our bodies and sending them to where they are needed. This function in Chinese Medicine is known as "transformation and transportation". The stronger our spleen function is, the better we are able to receive nourishment from our food.

At the mental level, the spleen governs our ability to study and concentrate, to process information. The spleen's function is to adapt both food and information into something we can use. Ever heard of the saying, "There's food for thought"? Ever eaten too much and then felt sluggish? Or notice you crave sweets when you are really stressed out or have a huge exam to cram for?

At the emotional level, the spleen in expressed through your ability to obtain and give emotional nourishment and support. When our needs are met, we feel nourished and supported. When they are not, we sometimes turn to comfort foods.

At the anatomical level, the spleen governs the fascia and soft tissue in our body. When our fascia are relaxed and not constricted, body movements and digestion are smooth and easy. Our fascia and tissues become tense or relaxed in direct response to the emotions we hold onto.
Ever lost your appetite when you are worried or anxious about something?

So how to we strengthen our spleen, or better yet, how do we improve how our body absorbs and distributes the nutrients we take in everyday?

First make sure you are eating a broad and balanced diet! Second, consider our you are preparing your food. The process of digestion involves breaking food down into a "warm soup" in the stomach. Our spleen then "transforms and transports" the nutrients to the rest of our body. The spleen has to work extra hard and becomes strained/weakened when the food is very rich, raw, or cold. So to support our spleen in providing our bodies with the most nutrients possible, try to eat moderate amounts of rich food, chew all food well, and avoid too much cold foods/fluids. Raw foods are easier to digest the more finely it is chopped or grated, and when warm, pungent spices are added.

Here are some more general suggestions:

1) Enjoy and take time to eat! If we are stressed, unhappy, worried, or angry when we eat, our fascia and muscles are tense and constricted and our bodies don't digest and absorb all the nutrients from the meal. You might experience cramping, gas, bloating, burping, or diarrhea immediately after eating. Take time to sit down in a quiet place and enjoy the food you are eating!

2) Form a positive relationship with your food! Try not to think of food as "good" and "bad". Try not to eat "good" foods even if you don't enjoy them, but do so because you know you need to, and feel guilty when you eat "bad" foods. Once you have made the choice in what to eat, accept the food lovingly. Our attitude ti the food we eat will instruct our spleen on what to do with it.

3) Chew your food! The more you chew and break down your food in your mouth, the less work your digestive organs have to do! Chewing also warms cold/raw foods that you may eat before it enters your stomach.

4) When you are able to sit, relax, and become more aware of what you are eating, you are better able to assess when your stomach is full! The goal is to stop eating just before you feel full. When you overeat, a temporary line of food waiting to be digested is created (what we call stagnation!) Your body then uses all of its energy digesting food, and as a result, you feel tired and lethargic after eating. Overtime, our spleen becomes overstrained and eventually that stagnation of food becomes dampness and/or heat that accumulates throughout the body.

5) Try not to drink too much fluids during a meal. A little warm fluid with a meal is helpful, but too much dilutes the spleen's action and weakens digestion.

6) The digestive system needs warmth- think of your spleen as a fire- which is going to burn better- wet slaggy wood that has been snowed on or crisp dry wood? Too much raw or chilled foods/fluids overtime will weaken the spleen function to break down foods and can create dampness that accumulates throughout the body.

7) Eat like an Emperor in the morning and a Peasant in the evening. When you wake up, your body is running on empty and needs substantial nutrients to get you going in the morning. If you are already crashing by lunch time and looking for an afternoon siesta, you may need to re-evualte what you are eating in the morning. Try reaching for foods high in protein and carbs that have a low glycemic index. These foods release substantial energy over a long period of time to keep you going. (Oatmeal, whole grain cereals, eggs, peanut/almond butter, nuts, yogurt, etc) One the flip side, when you eat a huge meal at night, not only does your body have fewer hours to digest tar food, but our system is naturally slowing down towards the end of the day. The food ends up sitting in your digestive tract for longer, isn't best utilized in the body, and ends up creating stagnation, dampness, and heat in the body. This can lead to insomnia, increasing weight gain, as well as other things. By only changing the times you eat meals (not the daily calorie intake), you can drastically drop hard to lose pounds and increase your energy!

8) Aim to try to include as much fresh, local, seasonal produce in your diet as possible!











For more information on theTraditional Chinese energetics of food, check out "Helping Ourselves" and "Recipes for Self-Healing" by Daverick Leggett

Sunday, December 12, 2010

Help! I have Seasonal Affective Disorder

Well it seems like an appropriate time to write about this as my friends and I are joking that we live in Mordor. It poured rain for the past 24 hours, nothing but rain in the forecast, and the shortest day of the year is fast approaching- December 21st- 8.5 hours of daylight. So what's a Seattlelite to do? How can we get through it? How did you guess, Traditional Chinese Medicine can help. Acupuncture helps to restore the balance between yin and yang and promote the movement of qi, thus preventing stagnation and its nasty symptoms. Winter is a time of yin stillness and restoration, and while this is an important cyclical aspect of nature, certain individuals struggle with the associated darkness. I will share more information that can help. I have included an explanation of SAD as discussed in Acupuncture Today, followed by some useful lifestyle tips. Hope this helps~

"Seasonal affective disorder (SAD), a type of depression, is a debilitating problem that interferes with the quality of life of thousands of patients, especially during the fall, winter and early spring.

Clinical experience reveals that patients may have other mental problems as well, such as substance abuse disorders, personality disorders and anxiety disorders, which as comorbdid conditions, further exacerbate the degree of the SAD patient's symptoms. Flaws and Lake define SAD as "a variant of bipolar disorder characterized by cyclic manic, depressive or mixed mood states that are somehow triggered by external clues to changing seasons, including principally, increased or decreased day length. Individuals with SAD tend to become depressed during the autumn months and manic during the springtime."1 This is a complicated disorder that may accompany many severe illnesses such as cardiovascular and endocrine disease, and for which a patient should seek qualified professional help. Seasonal affective disorder does, however, respond well to treatment with Oriental medicine." Acupuncture Today, April 2003 by Skya Abbate

As a sun junkie somehow living and thriving in this soggy mess, I can appreciate the challenges of our winters. Here are some things to help get you through:

1) Receive regular acupuncture to boost and balance energy and support mood.

2) Exercise. In whatever way you can manage, and enjoy :)

3) Get outside. Put on your goggles, raincoat, ski boots, snowshoes, or not- and breathe in the fresh air and soak up any daylight you can.

4) If the sun comes out, so do you. Spend some time getting your Vitamin D.

5) Take Vitamin D. We will be adding Thorne Research Vit D to our herbs/supplements at The Pin Cushion.

Vitamin D is also known as the "sunshine vitamin" because the body manufactures the vitamin after being exposed to sunshine. Ten to 15 minutes of sunshine 3 times weekly is enough to produce the body's requirement of vitamin D. However, many people living in sunny climates still do not make enough vitamin D and need more from their diet or supplementation.

The Food and Nutrition Board at the Institute of Medicine recommends the following dietary intake for vitamin D as cholecalciferol. (One microgram of cholecalciferol is the same as 40 IU of vitamin D.)

Infants

  • 0 - 6 months: 5 micrograms per day (mcg/day)
  • 7 - 12 months: 5 mcg/day

Children

  • 1 - 13 years: 5 mcg/day

Adolescents and Adults

  • Males and Females age 14 to 50: 5 mcg/day
  • Males and Females age 51 to 70: 10 mcg/day
  • Males and Females age over 70: 15 mcg/day
6) Do your best to avoid overeating and gaining excess weight, as this will increase fatigue and decrease mental clarity.

7) Rest! Bears do it, so should you. Stay warm, don't expend extra energy to keep your internal fire going. Wear warm layers, take hot baths and showers.

8) Cultivate the relationships and things in your life that bring you joy. Enjoy the warmth of friends and family.

The days will soon be getting longer friends!

Wednesday, November 17, 2010

Chili-Brown Sugar Delicata Squash

Food is regarded as healing in Chinese medicine and can remedy many ailments. Try this roasted squash (or subsitute any pumpkin) with chili to fill your belly and keep you warm this winter.

Ingredients
  • 1 pound delicata squash (about 1 large)

  • 1 tablespoon extra-virgin olive oil

  • ½ teaspoon salt

  • ¼ teaspoon freshly ground pepper

  • 1 tablespoon brown sugar

  • 1 teaspoon chili powder

  • ½ teaspoon garlic powder

Preparation

  1. Preheat oven to 425°F.

  2. Cut squash in half lengthwise; scoop out the seeds. Cut into 1/4-inch slices. Toss in a large bowl with remaining ingredients. Spread on a cookie sheet.

  3. Roast the squash until tender, stirring once or twice, 20 to 25 minutes.

  4. Optional: Roast the seeds on a greased baking sheet for 5-10 minutes, stirring once during cooking. Top with salt for a popcorn-like snack rich in nutrients!

Serves 4 as a side dish

Thursday, November 11, 2010

Blood Deficiency and Diet

In Chinese medicine, blood deficiency is a diagnosis that refers to a set of symptoms. These include:

· Insomnia, poor sleep quality

· Anxiety

· Depression

· Headaches

· Fatigue

· Cold hands and feet

· Constipation

· Light or irregular menses

· Weight gain

Acupuncture and Chinese herbs balance and nourish to relieve these symptoms, but it is also important that our bodies are being supported by our diets to have the building blocks we need. In the perspective of Western medicine, the most common vitamin and mineral inadequacies contributing to blood deficiency symptoms are iron, calcium, folic acid, and essential amino acids.

Iron

In the body, 60-70% of iron is used in the hemoglobin. Hemoglobin is the part of the red blood cell that carries oxygen to the tissues. When the tissues are not receiving sufficient amounts of oxygen, we experience fatigue, headaches, anxiety, and depression. When our iron is low, we have less hemoglobin in our blood. In this circumstance blood isn’t going to be able to do its work as efficiently, including supplying the brain. This leads to insomnia, decreased memory, and difficulty in concentration. Lack of hemoglobin also affects the nourishment of the intestines, which leads to constipation.

Blood Deficiency and Anemia

Anemia is a Western medical term and is defined as a reduction in red blood cells. Many times patients see their MD with the complaint of fatigue. They get a blood test to check their iron and red blood cell count to see if they are anemic. The test comes back negative. So why does their acupuncturist still want to talk to them about blood deficiency? In Chinese Medicine, the term blood deficiency denotes a set of symptoms, as oppose to a number or level that can be tested.

Iron is stored in the liver, spleen, and bone marrow, as well as myoglobin and numerous proteins. These stores are drawn on when the amount of iron in the hemoglobin starts to get low. When this happens blood deficiency symptoms occur, but it will take quite a bit more depletion before anemia is measurable.

Absorption

The body is only able to absorb and utilize an average of 8-10% of the iron we consume.

Heme and nonheme iron

Iron is found in two forms, heme and non-heme.

The non-heme form of iron has to be converted into the heme form to be absorbed. The non-heme is the type of iron that is found in vegetable sources. Because of the extra conversion step, it is not absorbed as readily.

Heme iron is found in meat foods. This iron is already bound into muscle and blood tissues, making 10-30% of intake absorbable.

Other factors contribute to iron’s absorbability.

Increased by:

  • Body needs during growth, pregnancy, and lactation
  • Hydrochloric acid (production stimulated by meat protein)
  • Vitamin C
  • Blood loss or iron deficiency
  • Meats
  • Protein foods
  • Citrus fruits and vegetables
  • Iron cookware
  • Copper, cobalt, manganese

Decreased by:

  • Low hydrochloric acid
  • Antacids
  • Low copper
  • Phosphates in meats and soft drinks
  • Calcium
  • Phytates in whole grains
  • Oxylates in leafy green vegetables
  • Soy protein
  • Coffee and black tea
  • Fast gastrointestinal motility

Calcium

Well known for its responsibility for bones and teeth, calcium is also crucial for muscle contraction, including the functioning of the heart. Calcium is also needed for the nervous system. It has a role in nerve transmission and the releasing of neurotransmitters. Calcium influences serotonin and norepinephrine, whose balance is imperative in warding off depression and irritability. Other symptoms of calcium deficiency include headaches, insomnia, muscle cramps, and fatigue.

Absorption

Increased by:

  • Body needs – growth, pregnancy, lactation
  • Vitamin D
  • Milk lactose
  • Acid environment – hydrochloric acid, citric acid, ascorbic acid (vitamin C)
  • Protein intake and amino acids such as lysine and glycine
  • Fat intake
  • Exercise
  • Phosphorus balance

Decreased by:

  • Vitamin D deficiency
  • Gastrointestinal problems
  • Hypochlorhydria (low stomach acid)
  • Stress
  • Lack of exercise
  • High fat intake
  • High protein intake
  • Oxalic acid foods (beet greens, chard, spinach, rhubarb, cocoa)
  • Phytic acid foods (whole grains)
  • High phosphorus intake

Magnesium

Calcium doesn’t work without his friend magnesium. Magnesium is responsible for the relaxation portion of the heartbeat by dilating the coronary arteries. It also contributes to the production of energy. Low amounts of magnesium can cause increased PMS symptoms.

Absorption

Factors increasing or decreasing the absorption of magnesium are the same as for calcium.

Folic Acid

Folic acid is an important B vitamin. In its active form, THFA, its job is to help red blood cell production and to aid in the breakdown of protein. It also has a part in many amino acid conversions. Folic acid is instrumental in the growth and reproduction of all cells.

The first sign of deficiency is depression. Folic acid deficiency also shows in the skin, with cracks or scaling of the lips and corners of the mouth. Also associated with low folic acid is fatigue and the rapid graying of the hair. Folic acid deficiency has also been linked with cervical dysplasia and cancer.

Absorption

Folic acid is absorbed in the intestines. This can be an issue if one is prone to bouts of diarrhea, or is on antibiotics or tetracyclines that deplete colon bacteria.

Folic acid is mostly found in leafy greens (spinach, kale, beet greens) and is easily lost during cooking or after any sort of processing. Lightly sautéed is best.

Common causes of Folic Acid deficiency:

  • Inadequate nutrition – lack of fresh fruits and vegetables
  • Poor absorption – due to intestinal problems,
  • Metabolic problems from alcohol or drug use
  • Excessive demands on tissues, as with stress, illness, or pregnancy.

Amino Acids

Amino acids are the building blocks for proteins. Proteins have many responsibilities:

  • Growth and maintenance of body structures
  • Enzymes
  • Hormones
  • Immune system
  • Fluid electrolyte balance
  • Energy
  • Blood sugar regulation

There are 21 amino acids the body needs in order to carry out all its functions. There are two categories of amino acids, non-essential and essential.

Non-essential amino acids are supplied by the body.

Essential amino acids need to be supplied by the diet.

Animal proteins provide all essential amino acids. Plant proteins are incomplete and must be combined to achieve all essential amino acids. These are referred to as complementary proteins.

For example:

Grain – HIGH in the amino acid methionine, LOW in lysine

Legumes – LOW in methionine, HIGH in lysine.

Together they make a complete protein, having all amino acids. When all amino acids are present, neurotransmitters are balanced. When neurotransmitters are out of balance, depression, anxiety, and lack of focus are the result.

Susie Fanslow, LAc

Sources

Elson M. Haas, M.D. Staying Healthy with Nutrition. Berkley CA: Celestial Arts

Publishing, 1992.

Monday, November 8, 2010

Herbal Chicken Soup

Fall is here and with it, comes cold and flu season! This is a great time to start boosting your immune system! The single, most important thing that we can do to support our immunity and prevent disease is to eat a balanced, whole foods diet. For most people, this means eating more fruits, vegetables, beans, nuts and whole grains. We have a great chicken soup recipe that includes many tonifying and nourishing Chinese herbs that are available at our clinic! Come in and see us for some acupuncture and chicken soup ingredients!

Nourishing Chicken Soup Recipe
The chicken in the following soup recipe brings out the qi tonifying and blood nourishing properties of the herbs. This recipe has been used by the Institute for Traditional in Portland for many years. It can be used for someone recovering from a serious illness or once weekly as a general tonic.
8 cups chicken stock
Huang qi (Astragalus) 10g
Dang shen (Codonopsis) 15g
Shan yao (Discorea) 10g
Long yan rou (Longyan fruit) 10g
Gou qi zi (Lycium fruit) 15g
Yu zhu (Polygonatum) 30g
Lian zi (Lotus seed) 20g
Hai zao (Hijiki) 3g
Bai mu er (White ear mushroom) 15g (soak in boiled water for 1 hour, discard the liquid, and add
mushroom to soup)
2 cloves of garlic
2 slices of ginger
1 tsp sea salt
2 carrots diced

2 stalks celery, diced
1 tbsp tamari
1 tsp toasted sesame oil
1-2 tbsp mirin or wine

Place the herbs in a large soup pot with the chicken stock, garlic, ginger, and sea salt. Bring to boil and reduce to simmer. Cover and allow to simmer for 4 mins. Add the fresh veggies and simmer for 5 more mins. Remove from heat and stir in tamari, oil, and mirin. All the herbs are edible except Huang qi. Can be stored for 2-3 days. Serves 4-6 people.







Sunday, November 7, 2010

Stress, Weight Gain & Acupuncture

You’re constantly going to the gym and you eat a healthy diet. So why doesn’t the weight come off? Why do you keep gaining? Your level of stress may be contributing.

Stress is a nasty beast and it reaches into every aspect of our health, from digestion to the level of hormones coursing through our bodies. These are the variables that dictate whether we hold onto weight or let it burn off.

Stress stimulates the body to release hormones. Particularly helpful in an emergency situation, these hormones are what kept humans alive in the days of the caveman. It is our response to a “fight or flight” situation and intended for only a short term occurence. What happens when the stress isn’t a tiger chasing us anymore, but is instead years in a high stress job or four years of graduate school?

After our bodies experiences elevated stress levels for over 24 hours, they go into a different mode. Anxiety sets in and the body's coping mechanisms are triggered. Our central nervous systems release more stress hormones, which over time have negative effects.

Cortisol is the big gun of stress hormones. It is directly responsible for weight gain, especially around the abdomen. A lot of cortisol coursing through your system will keep you from building muscle.

Growth hormone is responsible for rebuilding tissues (including muscle) and for burning fat. Stress hormones cause a decrease in the amount of growth hormone being released.

Effects on Digestion:

· There is a decrease in the flora that lives in our gut. This flora is needed to absorb nutrients we need. A decrease in gut flora can also lead to increased or decreased motility (diarrhea or constipation), as well as gas and bloating. Healthy gut flora is important in avoiding digestive distress, which is crucial when talking about the regulation of food in our bodies.

· Stress hormones also decrease stomach acid, which is needed to absorb protein, calcium and iron.

· Salivary gland secretions also decrease with stress hormones. Carbohydrates are first broken down with saliva and then finished in the small intestine. If the salivary glands aren’t able to do their job farther up the line, the intestines are burdened, and we’re back to unbalanced motility, gas and bloating.

· Stress hormones cause an increase in insulin resistance. This causes havoc with blood sugar levels, which leads to moodiness, headaches, dizziness and sugar cravings. With all this fluctuating, the body will hold onto weight.

· Stress hormones also lead to cravings. Sugar is quick energy and that’s what our bodies want in an emergency.

The oxygen moving in and out of our body influences metabolism and calorie burn. With increased stress, there is decreased oxygen.

Another important factor in exercising is having the energy and motivation to do so. Have you ever planned on going to the gym after work, but are too tired by the end of a long day? In our body, energy is made in our cells, in little units called mitochondria. When stress hormones are elevated, fewer mitochondria are produced. Fatigue and sluggishness will set in.

Stress hormones also play havoc with the hormones that influence our mood.

Serotonin, norepinephrine and dopamine are neurotransmitters that affect our sleep, well-being and happiness. Chronic stress disrupts the regulation of when these are released into our system.

Acupuncture is fantastic for reducing stress and keeping the hormones coursing through our bodies at more acceptable levels. The needles move our Qi, (roughly translated as “energy”), releasing it in places where it is stuck, or bringing Qi to areas where it is lacking. When our Qi is flowing evenly throughout our bodies, it creates balance in mind, body and spirit. On a physical level, we are breathing more deeply and evenly. On a spiritual level, acupuncture brings us back to center. We are calmer and more in tune with ourselves. In this balanced state of being, anxiety is reduced and our bodies don’t have the need to release stress hormones. Because whether or not we lose or gain weight isn’t just about which foods we choose and what exercise regimen we’re practicing. It’s also about our well-being as individuals.


Susie Fanslow, LAc

Monday, October 11, 2010

What autumn brings

Fall us upon us, and as we transition into the season I'm noticing more clients coming in with colds and heightened levels of anxiety. This gets me thinking about the affects of seasons on health, and ways to maintain our health by "working with" the seasonal changes. One reason that anxiety might be elevated has to do with pace and exercise. Summer in the Northwest is a precious, celebrated time. The days are long and there are endless opportunities to explore and connect with nature. This provides a grounding effect, and as we exercise our bodies and engage in regular movement, we release stuck and stagnant energy that has accumulated from the previous winter. Our thoughts are reflected outward. When fall arrives, our bodies slow down and our minds speed up. We return to school and work and the general focus becomes inward. Momentum slows. We set our sights toward the coming holiday season and may get into a forward-focused mental pattern which often leads to feelings of anxiety, which then do not have a chance of being released as easily by our more sedentary lifestyle. It then becomes important to embrace what this time of year has to offer, while recognizing how we can keep ourselves physically and mentally balanced. Maintain a regular exercise routine, even if it means simply walking around your neighborhood. Keep your qi moving. If your thoughts have become more reflective, give your mind a break, daily meditations are simple, free and effective! Breathe in the cool autumn air and stay warm and wrapped up when outside. The immune system is adjusting as well. The Lung and Large intestine, or metal organs, are more engaged. We can nourish and support our defensive qi with warm fluids and foods, cook with warming spices, and take warm baths. The days are getting shorter and as our minds turn inward to reflect, so do our activities. Your body might need more sleep, more quiet time alone. It is important to recognize that seasonal changes require physical adaptations. The fluctuating changes in temperature make us vulnerable to colds/flu. To keep your immune system strong it is important to get plenty of rest, take a daily multi-vitamin, and keep your stress level from getting to high!

Saturday, October 9, 2010

Hey Everybody,

Welcome to our blog. In the coming months we will include health tips, related articles, recipes, and all sorts of useful and interesting information about Chinese Medicine and beyond! I also want to take this opportunity to share info about other businesses in the community that we like and want to support, many of which belong to our clients. We hope you will visit often, as we intend to bring many things to the table here.