Hypertension
Chinese Medicine on Fainting, Dizziness
A friend of mine recently expressed having experienced great bouts of dizziness and fainting during the third trimester of her last pregnancy, which was in the dead of summer and was thus not surprising. I felt bad to hear of her struggles, but grateful that it inspired an idea for a new entry, on how Chinese medicine views fainting and dizziness, whether in pregnancy or not, and how we can treat or prevent it.
As with any Chinese medical diagnosis, the specifics get complicated, but we can still relatively easy to simplify into a couple of broad strokes. With any manifestation of dizziness, whether orthostatic, vertigo, passing out, or anything else, we are considering patterns of either blood deficiency, dampness, or a combination of the two, the latter of which obviously being the most difficult to treat. The final one is where your toddler at home forces you to “dance” with her around the house by spinning endlessly, for which there is no cure.
Blood Deficiency: More common in vegans, vegetarians, and pescatarians (most likely descending order), more common in women (especially while pregnant), the elderly, or anyone on long-term medications, which compromise the body’s absorption and capacity to produce blood. There is either a lack of cerebrovascular fluid or its flow and the head becomes faint.
Recommended treatment is herbs and moxibustion (acupuncture not as effective here), red meat or eggs, and earlier bedtimes.
Dampness: More common with obesity, more common in men, and/or people who consume a lot of alcohol, sugar, dairy, or raw foods. The microbiome grows congested with fluid retention, so the pathway by which our cellular energy carries healthy fluids to the brain is obstructed. “The clear yang qi cannot rise,” as we say, and our clarity or stability suffer.
Recommended treatment is minimizing all of the aforementioned foods, herbal medicine for 1-3 weeks to purge fluid retention, and acupuncture, especially along the vertigo line along the scalp located directly above the top of the ears. Note, this point will not be as effective on blood deficiency patterns, who are suffering a pattern of “deficiency,” not “excessive damp,” which responds better to aggressive manual treatment. As for self-care, drink hot ginger tea and black teas until symptoms subside.
Combination Blood Deficiency/Dampness: This is most common in pregnant women and very difficult to treat, because to nourish blood we must generate fluids, but to resolve dampness we must purge it. Not to mention the fact that we must be careful with purging fluid retention in pregnant women, since the fetus is ultimately a form of fluid retention—albeit an adorably magical one.
Dizziness and vertigo are serious conditions, not generally life threatening, although potentially dangerous when leading to the physical risks that accompany fainting. As always, Chinese Medicine can have much to offer in the way of hands-on treatment, internal medicine, and recommended self-care.
When in doubt: red meat, eggs, ginger tea, good rest, and steamed vegetables for the dampness.
Spring is “Shao Yang” Season!
As I made my way this Monday through my ten-block, 2 ½ avenue walk from Penn Station to the office, the 41-degree winds whipping into my face, masquerading as 30 degrees, that lovely sweatshirt-only, spring day of the previous weekend felt like ancient history, only to return like an overdue hug on Tuesday.
Even on these open-air, warm days, I’m cynically aware of what they ares. A tease, a mere foreshadowing of the still relatively distant future, a glimpse into a climate we may or may not experience each year, and for the next several weeks one that will rear its head only sporadically, thereby confusing our wardrobes and forcing us to check the weather app daily.
Spring corresponds with the wood element in Chinese medicine, which corresponds with the gallbladder meridian, or shao yang layer of health and disease.
At their root, “shao yang pathologies,” which can be anything from gastrointestinal to neurological, emotional, autoimmune, or otherwise, are said to be caused by “dry,” or weak guts. Vulnerability in metabolism leads to inflammation that flares upwards, commonly manifesting in symptoms such as chest tightness, throat dryness, eye dryness, most dryness, headaches, etc.
“Heat above, Cold below,” as we call it, which really just means the “cold” or weak microbiome has caused substances that should have descended as stool or urine to rise in the form of inflammation and harass upper portions of the body. One of the most signature symptoms of a shao yang pathology is the experience some have of alternating heat and cold sensations. So, while we can probably blame much of spring’s recently more chaotic, unpredictable nature on global warming, there is systemic logic to it. We might even acknowledge that in spite of our ongoing environmental crisis, spring is still the only season that consistently behaves so erratically. And erratic… is shao yang. Even the “shao yang pulse,” is signified by being ever-changing. One minute it feels wiry and rapid under the clinician’s finger—the next it’s like a slippery little ball. As my teacher would say: “This person is ‘shao yang’.”
How to temper our internal and external shao yang challenges? Simple and same as always really: Warm, easily digestible foods, and early bedtimes.
Soups and stews, congees, eggs, and steamed vegetables are light on the gut. They should generate healthy metabolic fluids and are less likely to create inflammation. This will address the “cold below.” As for the “heat above,” early bedtimes will modulate neurotransmitters and maximize the kind of organ recovery that can be attained only through a good night’s sleep (and/or Chinese herbs).
Err on wardrobe for the calendar more than the forecast, obviously within reason. Our bodies are still considered “cold” from the half year of cold, so all the youthful “heat pathologies” walking around outside in cut-off belly shirts cut low again on top will be more vulnerable to viruses.
Exercise should be consistent, but moderate. Regular enough to quell the heat above, but mindful to not sweat so much as to weaken the cold below. If you’re aiming to have the beach body ready for summer, the best way is by avoiding gluten, dairy, sugar, and raw foods, along with mild core workouts.
Finally, the wood element of spring is most supported by the sour flavor, so this is a good time of year to add foods like lemon and vinegar to your daily intake. Although they are uncooked, pickled foods, such as sauerkraut or kimchi are good to have alongside your warm meal, as they help to prevent the “shao yang stomach.”
Happy Shao Yang Season, everyone!
Studies Show Acupuncture Helps Reduce High Blood Pressure
Those suffering from hypertension, or high blood pressure, are at risk for a host of other health issues including suffering a stroke or heart attack. And for some people, the prescription drugs used to treat high blood pressure either aren’t effective enough or bring on undesirable side effects. In recent years, studies have shown that acupuncture can be an effective and drug free alternative to combating high blood pressure. continue reading
