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When is Stress Actually to Blame?

 

 

I feel like in the 20th century no one was talking about stress as an etiology for disease. Possibly I am guilty of generational egocentricity, having barely reached the drinking age by 2000. Thankfully, I had very few young friends discussing ailments and how they came about.

Still, I think it is more referenced, even over-diagnosed nowadays, especially by western doctors any time they cannot explain a symptom or its etiology, shrugging shoulders and throwing their arms up, citing the most probable suspect. “Might just be stress,” they say, which for its listener might feel an implication that their complaint is a fabrication of the mind, if not something that can only be resolved or improved once everything in life is good, or they achieve spiritual enlightenment, neither of which are in the cards for most of us this go around.

While I’m all for patients having agency over their own health, things happen that are out of our control—an accident, post-viral symptoms, genetic predispositions, or just life—when it helps to have a knowledgeable clinician to provide valuable insight and hopefully effective treatment.

In Chinese Medicine stress is said to have a drying effect on the body. This is why when people “stress eat” they crave “damp-causing foods,” such as cheese, bread, and sugar.

Unfortunately, such foods do not generate healthy fluids, nor is stress-induced dryness the kind that will drain pathogenic dampness. Instead, the drying effect of stress refers to the depletion of mucosal organ fluids, beneficial stomach fluids (anyone get acid reflux or diarrhea when over-stressed?), and/or those that lubricate our orifices, gyri and sulci of the brain. Although hydration is advisable, drinking water cannot replace these fluids.

In early stages or mild cases, the best way I know to restore such fluids is through rest, sleep, and the consumption of eggs, bone broths, or red meats. For the rest of us herbal medicine is necessary. Herbs such as ginseng or licorice for the gut, puerariae root for the head and neck, ophiopogonis for the intestines, atractylodes for the intestines, trichosanthis for the orifices, or rehmanniae for the brain and blood. Always consult a (real) herbalist before taking.

Although extensive periods of stress are never helpful, it is important clinically, to thoughtfully discern between when stress is, and when it is not the primary cause of a particular symptom. Almost everyone in modern society has at least moderate degrees of stress, yet everyone is walking around in enormously different stages of health or discomfort.

From our perspective, when stress directly brings up a symptom, it informs us that dryness is probably at its root of imbalance. The body couldn’t tolerate any further depletion of fluids. Then, and only then, is when stress is to blame—not to mention the fact that most disease is multi-factorial. Systemic dryness is likely only part of the picture, which is why many people “do all the right things”—exercise, meditation, good sleep hygiene—but still experience symptoms. Because it is almost never “just stress.”

 

Posted in Acupuncture, Depression, Emotional/Psychological Disorders, Fatigue, Pain, Pain Management, Self-Care, Stress | Comments Off on When is Stress Actually to Blame?

Acupuncture & Cupping: The Basics

Acupuncture & Cupping: The Basics

Cupping and acupuncture are the winning combination for dealing with chronic pain and muscle strains. Its popularity has grown in recent years, and you’ve probably seen professional athletes and celebrities with the telltale giant red welts all over their bodies. Here’s what you need to know if you are thinking about adding cupping to your acupuncture treatment.  continue reading »

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Happy Lunar New Year!

 

 

Happy Lunar New Year of the Yang Wood Dragon! Although I enjoy the psychological aspects of astrology very much, the forecasts and recommendations always land rather vague or obvious for me. I take them with the same grain of salt I do seven-day meteorological forecasts. For example, when Gemini is advised for the month to stop, rejuvenate, and take care of ourselves, I assign it about as much weight as I do when the News recommends I bring an umbrella next Tuesday.

The dragon is the most revered animal sign in Chinese astrology, so much so that many Chinese families aim to procreate during these years. As an aside, I imagine this might lay groundwork for a child that feels intense pressure to succeed, between the apparently already competitive nature of their parents compounded by the overcrowded classrooms and job markets they likely find themselves in. Nevertheless, the dragon is considered powerful and brilliant, fortunate, and successful.

The wood element is a strong one as well, typically motivated, proactive, angry, and determined. It corresponds with the liver and gallbladder channels, the former of which is yin and responsible for storing our blood and nutrients and sending them to the central nervous system. The latter of which runs up the entire sides of our bodies and acts as “the pivot” between our yin (organ level) systems and yang (immunological and neurological) systems. Neither of these channels, to my understanding, have any direct connection to their biomedical organs of the same name.

Wood is a creative element, which means a year of the wood dragon is a good one to succeed in creative projects by way hard work. But honestly, what year isn’t?

I will share with you from https://www.thechinesezodiac.org/year-of-the-dragon/ that some of the most promising sectors for business this year are in solar energy, cybersecurity, and AI. In my opinion, this does bear systemic logic. We can think of the liver as acting as cybersecurity for our healthy body fluids, and the gallbladder as parallel to the pivot created by solar energy between the sun and our devices. Pretty cool.

Supposedly lucky numbers for this year are 8, 14, and 21, and the auspicious color is emerald green. So, if you have to choose a date for something like a job interview, a performance, or an IVF transfer, maybe you’ll choose the 8th, 14th, or 21st, and wear an emerald green piece of clothing or accessory for it. Although, an emerald green suit on a job interview is likely inadvisable, unless it’s an audition for Broadway or to act as a Disney park character.

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Tips for Resting & Digesting (food)

 

 

It’s nice to eat nice foods—expensive and high quality foods—organic foods, locally grown, homemade, etc. But it isn’t just about what we eat, but how we eat, that will maximize the conversion of our food into nutrients, which will convert into globally good health.

Whether you use your hands or utensils is up to you and your social circle, but across the board everyone advises chewing our food until it is liquefied in our mouths. This is for the same rationale that Eastern medicines recommend warm and cooked foods—they are easier to digest. Whenever I bribe my toddler with dark chocolate, cheese, or bread, she’s suddenly lightning fast at shoveling two handfuls of vegetables into her mouth in anticipation of her treat; my wife and I have to remind her, almost like a cheerleading chant: “Chew, chew, chew!” “Mastica!”

Each organ channel has its many correspondences, to particular seasons, colors, of the five elements, as well as shapes. The spleen and stomach are ruled by circles (and the color yellow), which means the ideal way to eat and digest is at a roundtable (of loved ones), I suppose with a yellow tablecloth. Ironically, such interior design would likely make my wife vomit.

The point is, we supposedly metabolize our foods that much better when seated surrounded by the company of loved ones. This might explain why many cultures that are known more for their tight-knit communities than their health-conscious diets, live late into life before experiencing any ailments or disease.

Finally, and most importantly in my opinion, is the parasympathetic nervous system cliche of “rest and digest.” It’s not in our power to have a big family meal 21 times a week. Most of us are super busy, eating on the go, if not at least shoving the last bite of food into our mouths like my daughter, before standing up to pay the check, throwing our coats on, and rushing back to work. Unfortunately, in such cases, one will likely absorb only about half of the nutrients they otherwise would have had they just sat for 10-20 minutes after finishing. Needless to say, over time this can be dangerous.

My understanding is it should take at least 15 minutes to eat our food, plus 15 minutes afterwards to sit and digest. Depending on our energy levels, this can be followed by either a 15-minute walk or a 15-minute cat nap, as they do in Europe (though theirs’ is more like an hour). My wife told me about a study that contrasted the blood sugar levels in two groups against one another after eating identical meals, where the one that took 20 minutes to eat it showed a much lower glucose spike than the one that ate the same food rapidly.

On my busy days, which is every day, I try to make a habit of looking at the clock after my last bite and not allowing myself to get up until at least 15 minutes later. Although the general consensus is it is bad to look at screens while eating, my opinion is it is better to use the phone for a few minutes to bide the digestive time window than it is to get up and physically rush out.

Work-induced stress and anxiety compromises our health enough without allowing it to directly interfere with our organs and metabolism. I encourage everyone to take the 30 minutes three times every day to properly rest and digest!

Posted in Diet, Digestive Disorders, Herbal Medicine, Mindfulness, Nutrition, Recipes, Traditional Chinese Medicine | Comments Off on Tips for Resting & Digesting (food)

Breathing Exercises for Insomnia

 

 

Everyone has their achilles’ heel—even the most successful or effective clinicians—and one of mine, as I’ve discussed before, is insomnia. On the bright side, mine is not constitutional—I never struggled with sleep as a child or adolescent. Unfortunately, this means by around 30 years old I had created it myself, whether through stress or unhealthy lifestyle, surely with a dash of genetic predisposition. My family tends to be more manic and wiry than sluggish or lethargic, the former of which lends itself to an overactive “yang,” or sympathetic nervous system.

There are many disease patterns that might explain insomnia, but the top 3 are as follows:

  1. Blood deficiency: These people tend to be interrupted and/or have trouble staying asleep more than they do falling asleep. If they wake up and feel hot this might be the “blood deficient yang ming syndrome,” which requires heat-clearing in addition to blood nourishing.
  2. Ben Tun Syndrome: These people tend to have more trouble falling asleep, are subject to ruminating thoughts, anxiety, and heart palpitations. If there are no ruminating thoughts, and they’re just inexplicably lying there awake, good news: This might be the aforementioned “Yang Ming heat” stirring, more than sort of any anxiety condition.
  3. Food stagnation: These often wake in the middle of the night with stomach discomfort, reflux, or phlegm in the sinuses. They tend to benefit greatly from intermittent fasting, where they either skip dinner or eat it very early, around 5 or 6pm. They

In the past Chinese Medicine has intermittently helped with my own sleep issues, although there have been times where neither me nor my own herbalist/teacher have been able to crack the code. Much like a lawyer who represents themselves in court, it is challenging to write your own formula or treat one’s self. With acupuncture, beyond treating the overall pattern, I like to use points on the head, around the prefrontal cortex and pineal gland to modulate the neurological component of the issue.

I’ve used products like melatonin or Doc Parsley also with intermittent success, but obviously one should not be reliant on such supplements in perpetuity, especially since it is impossible to prescribe them holistically, tailored to the patient. They are symptom-managers, admittedly helpful during crises and less aggressive than pharmaceuticals, but still not ideal.

Beyond internal medicine, the best tools to maximize sleep are the obvious sleep hygiene and the breath. Melatonin secretion begins at 9pm and peaks at 10, so this is the best time to get in bed. If you can’t get to bed by 10, the earlier the better. Of course, sleep in a dark, relatively cool room, and spend the last two hours before bed with as little electronic (and digestive) stimulation as possible. If your sleep is interrupted use your breath to try and relax. This works for me about 80% of the time:

The 4-7-8 breath is one I learned from my wife, Dr. Jillian Cohen, and she learned it from Dr. Weill’s fellowship for Integrative Medicine.

Whenever that doesn’t work for me, I move on to this Kundalini yogic breath, defined by its silent mantra, which simply means saying it silently to yourself.

Finally, if that doesn’t work, I bring out the heavy artillery, which is to say God. You don’t have to be religious to believe in a higher power, and I imagine anyone who’s laid awake in bed struggling for several hours is willing to invoke whatever might be available to resolve the crisis. Using another silent mantra and breathing only through the nose I inhale: “I am God,” then exhale: “God is love.” This works almost all of the time, I think calming my central nervous system with the reassurance that no matter how poorly I sleep, no matter how difficult tomorrow is, I am ultimately connected to the source and none of this shit really matters. Hope that helps!

Posted in Emotional/Psychological Disorders, Herbal Medicine, Mindfulness, Sleep, Traditional Chinese Medicine | Comments Off on Breathing Exercises for Insomnia
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