Pain
Tom Brady & Nightshade Vegetables
If he isn’t universally considered the greatest football player of all time, he’s at least objectively the most successful. Supposedly, one of Tom Brady’s secrets to success was an extremely strict diet, which was about 80% plant-based, organic, paleolithic, with abstinence from sugar, alcohol, soy, condiments, frozen foods, gluten, and nightshade vegetables.
Nightshade vegetables include white potatoes, tomatoes, eggplants, and bell peppers, and although all of these contain nutrients, they also contain a compound called solanine, a natural pesticide that can be toxic in high concentrations. People with irritable bowel, autoimmune, and/or arthritic conditions can be more vulnerable to solanine’s adverse effects—in Chinese medical terms, it creates dampness, or inflammation in the gut, which gets sent “outwards” to our joints. As someone who has battled gout disease off and on for twenty years, I’ve recently decided to experiment with nightshade abstinence. When it comes to self-experimentation, I generally recommend and adhere to the rule of the life cycle of a red blood cell, which is 120 days, or about four months, so I’ll let you know how things are when I reach the finish line.
Potatoes are an easy workaround, since sweet potatoes are safe, not to mention healthier overall, and delicious. I’ll miss French fries, but I’m an adult, and let’s be honest, they’re probably one of the worst things we can possibly eat. Eggplant and peppers are generally easy to avoid, but tomatoes will be tough. I love sauce and meatballs, not to mention a good caprese salad as we approach the season, however I do not love any of these things as much as I do my internal organs. Potential workarounds in said Italian realm are sauceless meatballs (+olive oil), pesto sauces, or garlic and oil primaveras, the latter of which sans peppers of course.
In playing with diet, I’ve found the same benefit I once did when imposing creative restrictions on myself as a comedian many years ago. For example, at one point I chose to not do or write any jokes about race anymore, simply because they’d become so ubiquitous and hacky on the circuit. I got so bored of hearing them that I couldn’t bring myself to perpetuate the problem, no matter how unique I thought a particular idea of mine was. By “censoring” myself in this way I think I became a superior writer, forced to think harder and write more imaginatively. Similarly, when we omit certain foods from our diet, we might be forced to broaden our horizons (just use Google!), expand our minds and at-home menus, and probably discover new foods that we love, and more importantly love us in return.
If you suffer from any chronic joint pain, autoimmune, or intestinal condition I would invite you to join in my self-experiment and see how your body feels. You/we don’t have to commit to forever. Just four months to intelligently reassess. If you prefer to wait until after tomato season you can enjoy throughout the summer, begin after Labor Day, and resume nightshade indulgences again for the winter holidays. As humans go, it seems the second most common time of year to clean up our acts after New Year’s is the end of summer, in the wake of vacations, ballgames, beers, and barbeques.
None of us can become Tom Brady on the football field, but it would be nice if our internal organs and systems could be as close as possible to the Tom Brady’s of our bodies. As we weaken with age, I believe the most logical antidote is strength in discipline, in hopes of maximizing physical freedom through restrictions or subtraction. Less is more, as they say, a fine maxim to default to under the spell of American food.
Unlocking the Ancient Wisdom of Gua Sha
Gua sha is rooted in traditional Chinese medicine. Practitioners of this medicine believe that a person’s qi, or energy, must flow unhindered throughout the body so you can feel your best. When qi becomes stagnant, health problems occur. With Gua sha, your acupuncturist uses a smooth-edged tool to gently scrape areas of your body where inflammation or stagnant qi exist to help improve circulation and promote healing. When done correctly, Gua sha can help you unlock radiant skin and achieve holistic well-being. continue reading
Acupuncture for Orthopedic Pain
Orthopedic pain is a big deal for many Americans, and it comes in many different forms including knee, hip, shoulder, and other joint pain. Acupuncture has been proven an effective tool to deal with orthopedic pain…even Harvard Medical School thinks so. continue reading
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.”
Sprained Ankle Remedy: The Follow-Up
I want to begin this week’s newsletter by clarifying and/or elaborating on the previous. This is just part of the reason I appreciate and enjoy replies and feedback. The latter as it serves keep in touch with old friends—the former as it gives me the opportunity to improve my communication in educating people about Chinese Medicine.
Several people responded to my miraculous sprained ankle healing story with inquiries to whether they could or should use the same topical for their own chronic pain; which told me I fell a bit short in my explanation.
The external application I used for my acute injury, San Huang San, contains herbs that are very blood-invigorating, which can be good for most forms of pain, but also very COLD, which is only advisable in the very first stage of an acute injury. Past that interim, San Huang San would most likely do more harm than good (just like ice), as in contrast to allopathic medicine we offer no one-size-fits-all remedy for a particular symptom, i.e. Pain/Inflammation.
The same principle applies to internal medicine, as people have come into the clinic asking for “the herb for weight loss,” or “the herb for high blood pressure.” There is no such thing, and if an acupuncturist ever tells you or prescribes otherwise, run. From our perspective, either of these pathologies can be a result of different dysfunctions in different organ systems within each person. While in one case we may have to strengthen the lungs’ circulatory function and remove fluid retention from the urogenital microbiome, in another we might have to remove fluid from the gastrointestinal microbiome and sedate pulmonary function. Very different diagnoses and prescriptions.
For chronic pain the best things people can do, in my opinion, are yoga, qi gong, or pilates. Without a daily, or at minimum weekly routine, I can’t imagine how it is humanly possible to live without pain or discomfort. Topically, what I am presently using in the clinic and seeing best results with is a more warming analgesic liniment, nicknamed “Evil Bone Water”—bottles available upon request at my office.
As the weather in the northeast has suddenly shifted from very warm to cold and pouring rain it is common for people to be more vulnerable to viruses or exacerbations of musculoskeletal pain. The warm weather opens our pores and dilates our blood vessels, and we wake up the next morning and must go outside into the cold rain, which has greater opportunity to “enter” and exacerbate pre-exiting “dampness” at the neuromuscular or immunological layers.
This is why during this time of year it is especially important to dress relatively warm (I can’t tell you how many girls I’ve seen in cutoff belly shirts and guys I’ve seen outside jogging topless, both of which just begging for pathological dampness!), avoid raw foods, and eat ginger, garlic, and onions. This past weekend of torrential downpour we made a chicken soup cooked in chicken bone broth, with the typical accoutrement, chopped celery, carrots, potato, onion, garlic, and ginger, with quinoa cooked separately so as to add to the many leftover portions to come. Rice or noodles are a fine substitution here, but as we consume plenty of both in our home, I like to occasionally honor the western nutritional perspective as well.
I hope everyone is now a bit clearer on what San Huang San is, why it worked so well for me, but likely would not for you presently. However, there are other options for chronic pain, such as the now widely renowned in my world, “Evil Bone Water,” as well as the always advisable diet and exercise. Wishing everyone a pain and virus free week, in spite of this proverbial cold, wet rag that temporarily surrounds us.
