Lesley Tierra

Lesley Tierra

 

This spring, plant an herb that is not only an ornamental but also a powerful medicinal: ophiopogon. Known as Japanese turf lily or mondo grass, it is usually planted as a decorative border for its long, narrow, downward pointing and curling leaves. Few know that the tuber, a small white bulb, is filled with a sweet juice that has many healing properties.

In Traditional Chinese Medicine, ophiopogon is classified as a Yin tonic. That means it is cooling and moistening for Heat symptoms due to Dryness and Deficiency, similar to “burn-out,” like running a car low on oil so the engine heats up and eventually burns up. In the body, the person may feel hot or feverish in the evening or night, on and off exhausted, dry burning eyes, dry tongue, mouth and lips (especially at night), a burning sensation in the chest, palms and/or soles of the feet, chronic dry cough, and thirsting and wasting disorders (pre-diabetic and TB-type conditions). I have listed more symptoms of Yin Deficiency here:

Yin Deficiency is a lack of cooling, moistening Fluids with resulting depletion (fatigue, exhaustion, emaciation or thinness) along with specific types of Heat and Dryness signs, including: night sweats, malar flush (redness and burning heat along the cheeks and nose), burning sensation in the palms of the hands, soles of the feet and in the chest, afternoon fever or feelings of heat, restless sleep, dry throat or thirst at night, agitation, mental restlessness, dry cough, dry stools, and scanty dark urine.

Ophiopogon is specifically used as a Yin tonic to promote the secretion of fluids in treating dry coughs (with or without thick or bloody, difficult-to-expectorate sputum), fevers, palpitations, insomnia, constipation, excessive thirst, and dry throat, tongue, mouth, or stools.

I have definitely found it to be the very best herb for a dry cough, either during an acute condition or after. The person usually feels some lung congestion, but the phlegm is difficult to expectorate, or there’s no evidence it’s even present. As well, there’s probably also low energy. Those who have ever experienced Yin Deficient Heat (a dry condition) concurrent with Phlegm (a wet condition) know how tricky treatment of these can be. To have an herb that clears Phlegm while moistening at the same time is a gift indeed.

Ophiophogon works brilliantly in these cases because it cools the Heat that dries the Phlegm, making it congeal so it doesn’t expectorate. It also moistens the stuck phlegm, making it easier to pass through and out. Afterward, the person will experience energy again and their chest will feel normal.

I’ve also used ophiopogon at the first signs of fever in those with Yin Deficiency as well as the aftermath of those fevers. It is classically used for this in the formula, Ophiopogon Combination (listed below). As well, it is given to moisten the intestines for dry constipation, and treats dry mouth, throat, lips, and eyes. However, it has many other valuable uses.

I have found ophiopogon reduces restless leg syndrome, especially at night, to improve low energy (without fever or an acute condition), and to moisten dry, burning eyes (especially at night). It is fabulous for sleep problems as well, when sleep has an “in and out” or trance-like quality so you feel like you’re not asleep and yet you are at the same time. Sometimes it can also help when one wakes at night but has difficulty falling back asleep, particularly if there’s also thirst or a dry mouth/throat present.

Whether or not you need ophiopogon’s specific healing properties, it is a beautiful ornamental to have in your garden and you never know when someone else might benefit from it. So plant ophiopogon this year and enjoy its beauty while knowing it holds potent medicine under the ground for those who need it.


 Ophiopogon Tuber (Ophiopogon japonicus)

Mai men dong (Chinese)                                      Family: Asparagaceae

Also named: Japanese turf lily, turf lily, mondo grass, Ophiopogonis Radix

Energy and flavors: Slightly cold, sweet, slightly bitter

Organs and channels affected: Lung, Stomach, Heart

Chemical constituents: Ruscogenin (steroid sapogenin), B-sitosterol, stigmasterol, B-sitosterol-D-glucoside, ophioside, sugars, mucilage

Properties and actions: Tonic, antibacterial, sedative, antitussive, lowers blood sugar, diaphoretic; tonifies Yin

Contraindications: Loose stools, acute stages of Wind-Cold pathogenic diseases, Cold or Damp conditions


Ophiopogon Combination (Mai Men Dong Tang)

Ophiopogon (mai men dong)                                           15–20g

Rice, Oryza (jing mi)                                                       15–20g          

Ginseng, Chinese (ren shen) or American (xi yang shen)        6–9g

Pinellia (ban xia)                                                             6–9g

Licorice (gan cao)                                                           3–6g

Jujube dates (da zao)                                                      5 pieces

(As pinellia is only available to practitioners, substitute with chickweed aerial parts (Stellaria media) or marshmallow root (Althaea officinalis). Chinese herb substitutes include glehnia root (Glehnia littoralis - bei sha shen) or lily bulb (Lilium brownie - bai he).

Place all ingredients in a pot and cover with 5 cups of water. Simmer until reduced to 2 cups. Strain tea; set liquid aside. Now add 3 cups of water to the cooked herbs and simmer again until reduced to 1 cup. Strain and add liquid to the first 2 cups of tea. Drink 1 cup, three times a day.

This formula treats nausea, vomiting, thirst, dry throat and mouth, dry skin, dry, non-productive cough, spitting of saliva, dry mouth and throat, hiccups, five palm heat, red tongue with no coat, and a weak and rapid pulse.

 

 

 

Do you experience weight gain, fatigue, brain fog, hormonal imbalances, sleep problems, gut imbalances, high cholesterol and/or blood pressure, digestive problems, chronic headaches, regular illness, depression, anxiety, pain, or autoimmune conditions? Have you sought help for these issues and nothing helped, or perhaps even told you were a difficult patient or that your symptoms were “all in your head?”

Chances are you are experiencing adrenal and/or thyroid challenges in what Dr. Aviva Romm calls, SOS, or Survival Overdrive Syndrome. This is a state of being in repeated or chronic stress, which puts the body into “survival mode” to protect itself. Because the brain doesn't differentiate between a perceived danger or threat (that endless to-do list and deadlines) and a real one (life-threatening situations), it instructs the body to react in the same way with both.

The results are chronic inflammation, under-functioning of the internal detoxification systems, poor sleep, dietary allergies, blood sugar imbalances, disruptions in gut health, autoimmune conditions, and even viral infections. Dr. Romm divides these further into SOS-O – being caught in constant activity overdrive – and SOS-E – when you hit the wall and are deeply exhausted.

Whichever it is, when we are stuck in unrelenting stress, our protective mechanisms get stuck, too, causing a mass of symptoms such as those listed above. In time we don't recognize the source problem as being chronic stress but search for other answers. Many find results with herbs and natural remedies but most end up on endless medications.

This and more is dealt with by Dr. Aviva, a 30 year herbalist and mid-wife – and East West graduate – who decided in her 40s to become a medical doctor. Her marriage of Western medicine sciences with herbalism and natural remedies gave birth to her newest creation, The Adrenal Thyroid Revolution, (HarperOne, 2017).

In this book, Dr. Aviva provides a thorough and easy to understand explanation of how the body responds to stress and what to do about it. It also demystifies the crucial roles of the adrenals and thyroid in the stress response and their impact on health. And it shares how to deal with the many symptoms that result, along with even more importantly, their five root causes.

This book is packed with informational charts, questionnaires to decode your SOS types, and multiple solutions for a number of related health problems, all personally tailored to fit your unique symptoms and needs. It takes the holistic perspective of replenishing “cell to soul” to outline in detail a three-week SOS program following the five approaches of reboot, reframe, repair, recharge, and replenish. It addresses the all-important microbiome gut repair along with how to get a good night’s sleep as well as boost immune support, detoxification, and hormone balance.

Written not in a preachy manner but from a very supportive perspective of one woman to another (although I believe this book is important for men, too), it is clear, easy to understand, and thorough in its explanations and resources. It provides a lifestyle approach rather than a “quick fix” plan for lasting health changes and benefits.

List upon list of herbal and natural remedies are provided for different root cause conditions along with multiple day-by-day guides, charts to track your patterns and progress, a self-care repair kit, shopping lists, sample menus, and recipes for all dietary approaches. The entire three-week plan is completely laid out so there is no guesswork. Dr. Romm even provides charts on various lab tests with guidance for how to read and understand them.

Beyond that, there is an entire chapter on how to hit the pause button, one of the hardest things to do when living with chronic stress. As well, her remedies address the root causes for lasting results rather than giving short-term cures. This book is especially for those who want to take charge of their own health and lives, who have not found the final answers from traditional Western medicine, or who want to find natural alternatives to multiple medications.

The Adrenal Thyroid Revolution provides women with a way to think about their symptoms and medical conditions as well within their power to control – not as something beyond their control with life limitations, medications, and the downward decline Western medicine likes us to think is inevitable without dependence on medications. It teaches women to recognize, address, and reverse the five root causes of diseases that affect metabolism, hormones, mind, mood, immunity, and inflammation with natural tools that are within our hands. It also provides a blueprint for MDs and other professional who want to change their approach to be more woman-centered and chronic disease prevention savvy.

I have personally seen in my own over 33 years clinical experience how such a whole-person approach can bring renewed health and change people’s lives. If you follow The Adrenal Thyroid Revolution’s guidance, it can definitely change your health and your life. I give it a highest recommendation!

Introduction from Lesley: If anyone should know how to study efficiently it is Kristi Shapla, who as a mother, teacher, product formulator and producer, and wife is also a doctoral student. She has figured out techniques to help acquire effective study skills so you not only retain information better but also cut your study time down.

As well, she addresses important self care while pursuing intense or long-term studies. Studying long term, or even excess reading in general, consumes Spleen Qi and Heart Blood. To address this Chinese practitioners and scholars take herbs to nourish Spleen Qi and Heart Blood.

Kristi addresses this below, but as well the traditional formula typically used by scholars in China is Tian Wang Bu Xin Dan(Ginseng and Zizyphus Formula), sometimes today called “the Students Formula.” As well, some practitioners eat a handful of longan berries (pinyin, botanical name, “dragon eyes”) after studying or at the end of a long clinic day to replenish Heart Blood. Kristi has other wonderful suggestions for self-care.

What Doesn’t Work

We are finding that there are a lot of similarities in how people approach their lessons.  Reading and highlighting are common, and are the least effective strategies for short term or long term retention (1).  This is because it is a passive method.  You aren’t engaging on a meaningful level.  If this is your typical study protocol, try this method alone, and take the quizzes at the end of the lessons.  Then try the next lesson with the strategies detailed below and compare not only your outcome, but the amount of time spent.  Your goal here is to be able to answer the questions without flipping through the lesson.

Research is also showing that the very popular “learning styles” method is not a valid means of retention either.  If you aren’t familiar, this is a method that requires that you take a test to see which particular kind of learner you are, and then you proceed with your studies according to that style.  Psychologists gave subjects these quizzes, then set up random learning style experiences, and then gave them a learning experience that catered to the “style” that they tested for.  They were unable to show any improvement between random and tested styles of learning (2).

Self Care

Before I even get into effective learning strategies, I want to discuss some self care tips for those embarking on a path of endless learning.  This is, after all, an herb course!  In terms of Chinese Medicine, overthinking, overstudying, and sitting for extended periods of time is harmful for the Spleen.  So let’s look at how we can be kind to our Spleens:

Diet:  The Spleen, in Chinese medicine, involves digestion: turning food into Qi and Blood.  And to do this, it needs warmth and dryness.  Eating cold, dampening foods will only further the stress we are putting on our Spleens.  I like to have homemade chai simmering on the stove while I study, getting a fresh cup during study breaks.  Here is a great recipe from an East West graduate (and one of my dearest friends), Melanie St. Ours.  Sweeten lightly with honey if you must, but don’t go for the instant chai teas at the grocery, unless they don’t have any added sugar.  And of course, if you avoid caffeine, They are usually sweeter than soda, and while a little sweet flavor directs to and tonifies the Spleen, too much sweetness harms the Spleen!  Puerh tea is another nice warm beverage that has digestion-improving qualities.

For a study snack, I like to make a small bowl of goji berries and walnuts at hand.  Don’t walnuts look like brains?  This is called Doctrine of Signatures, where the properties of herbs can sometimes be evident in how they look.  And goji berries are a Chinese medicine to tonify yin and Blood, and brighten the eyes.  Often poor memory is linked with Blood Deficiency.

As far as foods go, limit sweets, cold beverages, and processed foods.  And be sure to get plenty of daily exercise, even if it is a short walk outside before and after study sessions.

For a more thorough discussion on the Spleen, see Lesley Tierra’s blog post

Create Manageable Goals

The main idea here is to not create hurdles for yourself.  Start with small goals, like 10-20 minutes/day.  Usually when I sit down for ten minutes, I decided to sit for ten more.  But maintain achievable goals.  Create an objective for the month, for the week, and for each study session.  For monthly goals, you might want to finish one lesson each month.  Then just get your planner and schedule your study sessions.  Break that lesson down into smaller, weekly objectives, and voila!  you have a manageable system in place.  For each session, it can be something as simple as, “I want to really focus on the properties of shatavari.”  Or, “I want to review 5 flashcards”.   The idea is to never sit down to study without an objective.

If you are really trying to get organized, I suggest a bullet planner (3) or an app like Todoist (4) to help keep you on track with your goals. 

The Study Ritual

I know it is obvious, but I am going to say it anyway.  Get rid of distractions!  Lose the laptop if at all possible, hide your phone, tell the kids or roommates that you are only to be disturbed for emergencies.  Or better yet, arrange for a daily sitter or go somewhere without distraction.  If this proves too difficult, and the timing is never right, just study in 10 minute bursts.  Above all else, keep reasonable goals!  And since our sense of smell is so closely linked to memory (5), I light the same type of incense every time I study to cue my brain that it is time to focus.

Research shows that keeping your study sessions limited to 20-30 minutes is ideal for retention.  If you are lucky enough to have more time, take a 10 minute break and then have another 20-30 minute session.  This is known as the Pomodoro technique.  There are apps that can help you with the timing, but I use a kitchen timer since I don’t want the distraction of a device near me.

“Making it Stick”

This is the title of a book written by Peter C. Brown (6).  In it, he compiles the latest research in making your study time both efficient and successful.  Two of his strategies are self testing and memory retrieval.  The idea here is that you would read a page or two, stop, and retrieve from your memory as best you can what you just read.  The learning happens with this attempt at retrieval, and you will get better at it over time.  Write down what you can remember, then go to the lesson and fill in what you left out in outline form.  Another key concept of this book is to space these retrievals out.  Try and recall the material the next day, but then wait a week before you revisit it.  And then in two weeks.  As you work, also continue to review past material and integrate with the new material to see how it fits together.

If this sounds like a lot of work, there are some shortcuts!  But even without the shortcuts, this type of learning is a lot more efficient than reading and highlighting and not retaining any of it.  One shortcut I couldn’t live without is an App called Anki (7).  This is a flashcard app that is set to the perfect algorithm for memory retention.  What this means is, it will show you a card in perfect intervals to set it in long term memory.  Then you have these flashcards at your disposal when you have a few minutes to review.  The key about using flashcards is to have one fact and one question, not a long list of information.  It should be a quick process to get through a stack.  The best thing about Anki is, you can share these stacks with classmates, and there are a ton of stacks available for free.  It would be fantastic to have an East West Materia Medica flashcard swap on our student forum!

Studying the Materia Medica

Flashcards

Aside from flashcards, I have several different techniques I employ here.  And by the way, the more different strategies you use, the more you will retain the information in a meaningful way.  Flashcards are great for simple questions and answers, but learning the materia medica requires a lot of different facts for one plant.  This is where the memory palace comes in.  A memory palace, sometimes called Method of Loci, is a mnemonic memory strategy, where you use visualizations and spatial memory to effortlessly recall complex information.  This method was developed in ancient Greece, first written about by Cicero. You create these images or scenarios in your mind, and they are proven to build long term memory like nothing else can (8).  Did you know there are memory competitions?  People are given a long list of numbers or facts to remember, and they are able to recite them back in perfect order.  Well, the memory palace is their secret!  What you do is construct a different setting for each type of herb.  You could be at a racetrack for blood moving herbs.  The cool energy herbs have blue jockeys and the warm energy herbs have red jockeys.  The horse itself will represent what the herbs treat.  Below, I will create a memory palace for myrrh, a blood moving herb.

Myrrh, or Mo yao is a bitter herb, so the jockey will have a ‘bitter beer face’.  It is neutral in temperature, so the jockey will be purple (red and blue combined).  It generates flesh on chronic wounds and treats abdominal masses, and so the horse will be old and slow to heal, with abdominal masses and pain.

See number 8 on the resource list for more details about how to construct memory palaces.

Also, there is a set of flashcards that build memory palaces for each herb, called HerbZoo (9), but they only contain Chinese herbs and I think creating your own is where the learning happens.

Songs

The ancient Chinese way of memorizing the materia medica is through song.  Physicians memorized and sang these songs daily to keep them memorized.  My Classical Texts teacher, Sabine Wilms, has translated some of these songs from the Golden Cabinet (10).  A few herbalists are creating modern songs as well (11), go to the Listen tab for a sample song.  And of course, you can create your own songs!

Art

Not into music?  Why not create an album of collages, one collage for each herb?  It would be beautiful to have, and this type of creative expressions is very healing for your Liver.  Whatever you enjoy doing as expression, whether it is poetry, dance, art, or sculpture, can all be applied to learning herbs.  If you don’t have this type of creative outlet, this is a perfect opportunity to get started.  Being creative with your learning internalizes the big picture stuff.

Make Friends with the Plants

One last aspect of learning herbs is to get to know them in real life.  Botanical gardens, woodland hikes, and local plant walks are all opportunities to introduce yourself.  There are also plenty of resources where you can buy plants and seeds and grow them yourself if you have the space (12).  If you need some help getting acquainted with plant identification, this course comes with Botany in a Day (13).  There is also a free online course, with a suggested donation if you have it (14).

And of course, using the plants as food and medicine is the very best way to make them a part of you!

No More Excuses!

If you say you have no time, you won’t.  If you are determined, it will be a priority.

If you say you are too old to learn, you are.  But research suggests that after some practice to get back into learning, you are just as able as anyone.  And being a lifelong learner prevents age-related memory loss.

 

  1. http://www.businessinsider.com/highlighting-a-terrible-study-strategy-2014-11
  2. https://www.psychologicalscience.org/journals/pspi/PSPI_9_3.pdf
  3. http://bulletjournal.com/get-started/ This is the main website that started it all, but there are                  tons of Youtube videos and websites with drool-worthy bullet journal ideas.
  4. https://en.todoist.com/
  5. https://www.psychologytoday.com/blog/brain-babble/201501/smells-ring-bells-how-smell-triggers-memories-and-emotions
  6. Brown PC, Roediger HL, McDaniel MA. Make it stick: The science of successful learning.             Cambridge, MA: The Belknap Press of Harvard University Press; April 25, 2014.
  7. http://ankisrs.net/
  8. http://mt.artofmemory.com/wiki/How_to_Build_a_Memory_Palace
  9. http://www.herbzoo.com/
  10. Chen X, Wilms S, Chen X, Chen X. Chén Xiūyuán's Formulas from the Golden cabinet with songs: Jīn Guì Fāng Gē Kuò, volumes I-III = Chen Xiuyuan Jin gui fang ge kuo. Portland, OR: The Chinese Medicine Database; 2010.
  11. http://www.herbtunes.com/
  12. http://mountaingardensherbs.com/

       https://strictlymedicinalseeds.com/

       https://www.richters.com/

  1. Elpel TJ. Botany in a day: The patterns method of plant identification. 5th ed. Encinitas, CA, United States: HOPS Press; November 1, 2004.
  2. http://www.botanyeveryday.com/online-classes

 

 

 

Kristi Shapla is an East West Certified Herbalist, a registered herbalist with the American Herbalist Guild, and is currently a graduate student of Oriental Medicine at NUNM in Portland, OR.  Check out her book on brewing herbal beers:  Brew Your Medicine

 

I always love to make gifts when I can and especially love to receive handmade ones, too, as do many people I know. If you do as well, or are wondering what to give someone, here are a couple of holiday herbal treats you can easily make that are not only tasty but also healthy – fruit leather and trail mix. Now before you turn up your nose at these seemingly prosaic ideas, read on for they are not made with “normal” ingredients and are extremely nutritious and medicinal.

HERBAL TRAIL MIX

What could be easier than stirring together three items and pouring into a bag? All that’s left is the wrapping! This herbal blend can be eaten anywhere, anytime, even as an afternoon office snack or a dessert. As well, you can add the mix to cereals, soups or cookies. Together this mix replenishes energy and nourishes blood. It is especially good for teachers, students, sales folks, or those who study and/or talk a lot.

Ingredients:

  • Goji berries (lycii berries)
  • Longan berries (long yan rou)
  • Walnuts

Mix together in desired ratio. For an especially tasty mix, first blanch the walnuts for five minutes in boiling water, strain, cool and dry. Then add to mix.

Goji (Lycii) berries

This small, red, sweet berry tonifies Blood, treating anemia, dizziness, poor eyesight, night blindness, blurred vision, sore back, knees and legs, impotence, seminal and nocturnal emission, tuberculosis and peri/menopausal complaints. Very high in beta-carotene, lycii promotes regeneration of liver cells, inhibits fat deposits in liver cells, lowers cholesterol, prevents atherosclerosis, and enhances immunity.

Longan Berries (Euphoria longan)

These delicious berries quickly tonify Heart Blood like no other herb I know, alleviating palpitations, anxiety, forgetfulness, and insomnia, particularly due to overwork or from excessive thinking, studying, reading, or talking (all of which use a lot of Heart Blood and blood sugar in the brain). These berries are high in glucose and sucrose, which quickly replenish blood sugar.

Walnuts

The Chinese use walnuts to strengthen the Kidneys for alleviating low back and knee pain and frequent urination. They also warm the Lungs, treating chronic cough or wheezing (the type that occurs when it’s harder to inhale than exhale, there’s dribbling of urine upon sneezing, or there are accompanying symptoms of low back ache, frequent urination and/or night-time urination).

Walnuts also act as a mild laxative, particularly in the elderly, anemic or those who feel cold. Constipation that doesn’t respond to normal herbal laxatives in people who are tired, anemic, cold, have clear, frequent urination, low back pain, low sex drive, lowered metabolism and/or edema of the legs usually respond to walnuts since they lubricate the intestines and provide enough heat and energy to move the stools.

FRUIT LEATHER

While fruit leathers can be made from all sorts of fruit, this one is made with a fruit that is also quite medicinal and good for you: jujube dates (Zizyphus sativa, da zao). These plump red dates (or shriveled if they’re dried) are high in vitamins A, B2, C, calcium, phosphorous, and iron, and are great for quick energy.

They tonify both energy and Blood, treating poor digestion, weakness, low energy, nervous exhaustion, insomnia, clear watery diarrhea, and poor appetite, digestion and memory. Nourishing to the Spirit, they calm and stabilize emotions when feeling irritable, sad or crying for no reason. They are added like licorice to sweeten and harmonize other herbs in a formula. After cooking the dates in a tea or soup, eat them for their full medicinal value (remove pits first). They help weight gain and help malnourished children thrive.

Ingredients:

  • Jujube dates
  • Water (or desired herbal tea)

Method:

Cook dates with water, covered, over low heat for 20 minutes. Cool. Remove pits from dates. Puree mix. Cook down again if needed to thick pudding consistency. Spread over parchment paper on oven or dehydrator trays about ¼- ½” thick. Slowly dry in oven at 140 degrees for about 12 hours or in food dehydrator for about 8 hours. The fruit leather is ready when it’s smooth and no longer sticky.

For sweeter fruit leather, add honey to taste. If desired, use a strained herbal tea for the water, such as astragalus, to give more energy and boost immunity.

Purchasing ingredients:

Goji berries and walnuts are easy to find as most health food stores carry them now. As well, many health food stores carry jujube dates and longan berries. If not, you can usually find them quickly by going to your local acupuncturist or they may be ordered from the following places:

Ron Teeguarden's Dragon Herbs

Mayway

 

 

There is one kitchen spice most of us could use more of in our lives: cardamom.

While there are different types of cardamom (see end for details), just the plain old spice you have in your kitchen cabinet will do. It is a powerful digestive aid that comes in quite handy, for maintenance or acute distress– which of course the holidays usually generate. But it’s best as a preventative, too.

Cardamom is a very ancient spice. It is the seed of the perennial tropical vine in the ginger (Zingiberaceae) family. In Traditional Chinese Medicine (TCM), it is in the category of herbs called, “aromatic dispel dampness.” This means its aroma plus drying nature help to eliminate dampness in the digestive tract.

Symptoms of dampness include anywhere from a feeling of heaviness or edema to loose stools, diarrhea, poor appetite, nausea, vomiting, acid reflux, abdominal distention, chest fullness or an oppressive sensation in the chest, and lethargy.

Further, when dampness congeals over time it forms phlegm, which in turn creates tumors, cysts, soft lumps, nodules, cancer, numbness, tremors and paralysis.

As well, cardamom alleviates food stagnation, or food that is poorly digested and so congests and collects in the body. This condition may be either acute or chronic. The acute type is similar to the after-effects of over-eating at a holiday meal and can even cause pain in the heart region; the chronic type occurs when digestion becomes impaired and the body can no longer fully digest or absorb nutrients.

When food overwhelms the stomach, it results in such symptoms as sour regurgitation, reflux or vomiting, belching and/or hiccupping, and foul breath, or it passes on to the intestines causing foul gas, loose stool, or foul-smelling diarrhea. The partially digested food then lingers in the body, congesting the organs and channels and slowing the circulation of Qi, Blood and fluids.

Acute food stagnation in the upper part of the body can cause palpitations or stuffiness around the heart and in the epigastric region. Many folks go to emergency care thinking they are having a heart attack, but what they are really experiencing is acute food congestion in the stomach.

In the middle part of the body, acute food stagnation can cause lack of appetite, fullness and distention of the epigastrium relieved by vomiting; insomnia with a full feeling in the stomach region, unrelieved hiccupping, epigastric spasms, nausea, foul breath, sour regurgitation, belching, abdominal fullness, bloating, and poor distribution and/or assimilation of nutrients.

Still wonder if you have dampness? Stick out your tongue in front of a mirror. If it’s swollen and/or has teeth indentations on the sides (called scallops), then you have dampness. If you have a white or yellow coat, that’s also dampness. The thicker and greasier the coat, the more the dampness has turned to food stagnation or phlegm.

So, are you inspired to find a solution?

Use cardamom!

This is the reason I’ve outlined so many symptoms here: cardamom can treat them all. And because the holiday season is upon us, this is one spice to have on hand. It will save you many a discomforting hour and perhaps even a trip to some sort of emergency care.

And yet, cardamom is a great herb to include on a daily basis. Most people include a long list of dampening foods in their diets: iced drinks, cold foods directly from the refrigerator, smoothies, dairy, soy, soy milk, rice milk, oatmeal, cucumbers, flour products (muffins, bagels, bread, pasta, chips, crackers, pastries), excess raw foods, salads, yogurt, ice cream, potatoes, fruit juices, excess fruit in general, specifically bananas, citrus and persimmons – I could go on and on.

TCM uses true cardamom, or sha ren (Amomum villosum, A. xanthiodes, Elettaria villosa, Cardamomum villosum)) for the above symptoms as well as morning sickness and a restless fetus. It is also frequently added to formulas with cloying herbs to aid in their digestion.

Ayurveda also widely uses cardamom. It is given to eliminate mucus and for colds, coughs, bronchitis, hoarseness, asthma, and a loss of the ability to taste.

For those who want all the specifics, here they are:

 

Cardamom Fruit, Round (Amomum cardamomum, Elettaria cardamomum)

Bai dou kou (Chinese)                                                      Family: Zingiberaceae

Also named: cardamom cluster, Amomi Fructus rotundus

Energy and flavors: warm, acrid

Organs and channels affected: Spleen, Stomach, Lung

Chemical constituents: d-camphor, d-borneol

Properties and actions: carminative, stomachic, antiemetic, expectorant; aromatically transforms Dampness, directs Qi downward

Contraindications: Deficient Blood or Yin

Dosage: 3-6g in decoction (added in the last five minutes); 2-5g as a powder; 20-60 drops tincture (1:10 @40%ABV), TID

Cardamom Seed, True  (Amomum villosum, A. xanthiodes, Elettaria villosa, Cardamomum villosum)

Sha ren (Chinese)                                                              Family: Zingiberaceae

Also named: grains-of-paradise fruit, Amomi Fructus

Energy and flavors: warm, acrid

Organs and channels affected: Spleen, Stomach, Lungs

Chemical constituents: 2-8% volatile oil comprising limonene, terpinene, dipentene, camphor, borneol

Properties and actions: antiemetic, carminative, antidiarrheal, aromatic, stimulant, stomachic, antiemetic; aromatically transforms Dampness, regulates Qi

Contraindications: Deficient Yin with Heat signs.

Dosage: 3-6g; Because of its essential oil content, Cardamom is added in the last five minutes of a decoction; 2-5g as a powder; 30-90 drops tincture (1:10 @40%ABV), TID

 

Gui ling Gao jelly by Takoradee via Wikimedia Commons

Gao Jelly is a black, jelly-like substance made from Chinese herbs. Sometimes called Gui Ling Gao Herbal Jelly, it was traditionally comprised of 30-50 herbs. Today it is a popular chilled dessert, obtained from Chinatown shops in cans, plastic containers, or as a powdered concentrate. Because it has a bitter flavor, sugar is often added.

Legends abound around Gao Jelly, the most famous of which concerns the Qing Dynesty Emperor Tongzhi, who ascended to the throne at the age of five upon his father’s death (he reigned from 1861 to 1875). His mother, Empress Dowager Cixi, overshadowed his rule (from “behind the curtain”), and apparently all other aspects of his life as well, for when he had smallpox, he improved by taking gui ling gao but she convinced him to quit. He died soon after and she ruled as regent. (While she apparently used the country’s money for her own lavish desires, she did ban the binding of women’s feet.)

I don't know if gao jelly heals smallpox, but its traditional ingredients do nourish the Yin and Blood and clear Wind-Heat and Heat toxins. These qualities treat red, itching skin disorders, including acne, which is often what gao jelly is now used for. Supposedly its original main ingredient was the Yin tonic turtle shell from the plastron (bottom shell) of the golden coin turtle (the three-lined box turtle).

Instead, herbs such as honeysuckle, chrysanthemum, forsythia, siler, and schizonepeta are included, all of which clear Wind-Heat. Dandelion is added as it clears heat toxins, plus other herbs such as cooked rehmannia, atractylodes, or reishi for their tonifying properties. Pearl may be added, which enhances its skin beautifying properties. After the herbs are cooked, rice and corn flours are stirred in to thicken the mass to a jelly-like consistency.

In China today, gao jelly is prescribed by doctors who practice herbal medicine. At the Shanghai Longhua hospital where our East West group studied in May 2016, the doctors said the jelly is mainly sold in the winter, as that’s the best season to nourish the body. Even then, it is individually prescribed, including herbs specific for each person’s constitutional health needs. According to our Hong Kong graduate, Peggy Zih, there are different gao jellies for Qi, Blood, or Yang deficiencies and the base of the jelly varies accordingly. Usually the hospital makes up a month’s supply at a time and then the jelly may be re-prescribed and possibly changed if so needed. Overall, the turtle shell jelly is still the most popular one in China, as turtle shell nourishes the Yin and Blood.

An acupuncture friend of mine told me a story about a similar substance she found when studying in China in the late ‘70s/early ‘80s. In most food stores she’d see a big pot containing a thick, brownish-black substance. People would come in and get scoopfuls in paper packages and take it home to add to soups and stir-fries. She asked about it and learned that it was made of herbs, bones, eggshells, vegetable cuttings and so forth, all thrown into the pot and cooked a long time.

Rich in nutrients and therapeutic properties, people would use it as a basis for stock, much like an herbally-fortified glace de viande (a concentrated reduction made by boiling meat juices until they are reduced to a thick syrup and used to add flavor and color to sauces, like an ordinary brown stock). She used it herself and upon return to home, made her own and taught her patients to do so as well.

This is similar to old European or pioneer cooking where people kept pots of soup simmering on the stove (or in the stove “well”) for several days. They’d toss in all leftover food scraps, bones, eggshells and so forth to make a rich stock.

You can do the same! Make your own gao jelly by tossing together bones from leftover meals, eggshells, your desired herbs, and cook together on low for a day or so, scraping off any foam as you do so, just as you would make a bone broth (be sure to add vinegar at the beginning to leech the calcium from the bones and eggshells). When it’s done, add rice and corn flour to thicken, strain into a container and cool. Use as soup stock or add to stir-fries or other dishes. In this way you can choose your gao jelly’s therapeutic properties as desired to suit your family’s health needs or to keep you strong through seasonal changes.

 

turmericTurmeric has become increasingly popular over the last decade, first for blood purification and then for joint pain. As it's hit the mainstream, its uses have narrowed at the same time. While turmeric is a fabulous herb with many beneficial applications, it's also quite powerful and can strongly imbalance the body if over-used or misused. Most people aren't aware of this and definitely should be.

First, the good news. While both turmeric tuber and rhizome are considered medicinal, the rhizome specifically is both the spice used in Indian cooking and western herbalism. It has a warm energy with a spicy and bitter taste and enters the Spleen, Stomach and Liver. It invigorates the Blood and Qi and has analgesic, emmenagogue, cholagogue, antibacterial, antifungal and anti-inflammatory properties.

Turmeric rhizome treats amenorrhea, dysmenorrhea, sports injuries, trauma pain and swelling, flank, gastric or abdominal congestion and pain, and eases painful obstruction due to Wind, Cold and Damp with Stagnant Blood, particularly in the shoulders. It's also used for gallstones, hepatitis, wounds, bruises, toothache, hemorrhage, arthritis and cataracts. Further, the rhizome is anti-inflammatory, antioxidant and purifies the blood and liver. It also strengthens digestion, improves intestinal flora, aids in digestion of protein, and treats gas, colic and jaundice.

With all these great uses, what could be harmful about turmeric? Well, now for the bad news. Turmeric is very bitter and so strongly dries the Blood and Yin. If taken for extended periods or overdosed, it can cause dizziness, blurry vision, insomnia, dry eyes, burning in the hands and feet, steaming bone disorder and night sweats.

I have had many a patient come in with such symptoms, uncertain as to what may have caused them. Because they didn't have a typical Yin Deficient constitution, we investigated further and found high doses of turmeric supplements often the culprit.

Because it is so highly touted in the western marketplace for pain relief, people tend to take tons of turmeric. It's not unusual for people to take supplements indiscriminately. If such and so is good for this or that, then people automatically take it and for extended periods of time. As well, they think if some is good or helpful, then more is better. And then they continue to take it preventatively when it may no longer be necessary. While either of these approaches is fine for many supplements, for turmeric it is not.

Turmeric does indeed reduce pain and swelling, but overdosing with it or taking it for prolonged periods does deplete the Blood and Yin. This is even more true for vegetarians, vegans and women during menses and so these folks should be particularly careful with this herb. It takes a long time to nourish Yin again, and the dampening herbs that do so put the digestive system at risk.

When recommending any herbs and supplements, first consider a person's constitution along with all their signs and symptoms before making your choices. Further, it's best to not use most herbs for a single commercial use. This may cause subsequent negative impact on other aspects of the body, which in turn, can give a bad reputation to that herb because it now has dangerous "side effects."

Most herbs are mild in nature and don't have side effects, just improper use. Narrowing an herb's use to one famous commercial application not only loses the knowledge of the herb's other effects and can harm people, but also endangers herbalism for us all. Let's keep our traditional knowledge of herbs alive and use them within the context of the whole person's needs and not just support its one commercial use. This not only benefits people, but also supports herbal medicine for us all.

How to use moxa: If using purchased moxa, remove its commercial paper wrapper first (but not the white inner paper) and light one end. Hold about ½” above the skin over your chosen area, the distance varying with the person’s tolerance and the amount of heat stimulation desired.

There are three methods of using moxibustion:

1) Hold the stick still and move when heat tolerance is reached, returning after a few seconds and repeating the process

2) Move the stick in a circular fashion to warm larger areas – this is especially good for soft tissue injuries, skin disorders and larger areas of pain

3) Rapidly ‘peck' the moxa stick at one small area without touching the skin. This enables the heat to especially penetrate deeply, very beneficial when strong stimulation is desired.

If several areas need treatment, alternate between them with one of the above methods. Continue until each area turns red, about 5-15 minutes.

While doing moxa, it’s extremely important to periodically scrape ashes off the stick into a container, so they don’t fall on the person's skin (or carpet, clothing, etc.) and burn.

How you extinguish moxa is extremely important; otherwise it can easily continue smoldering and cause a fire. To put it out, either gently twist the stick into a small jar of uncooked rice, or place it directly into an empty jar and screw on the lid. Alternatively, you can tightly wrap the lit end into a wad of tin foil. Sometimes the stick fits into a small-holed candleholder and placing the lit end inside that effectively puts it out. Whichever method you choose, do NOT try to put moxa out in dirt as it will continue to smolder, possibly causing a fire.

Cautions

Do not burn moxa:

  • over the liver (the lower right ribcage region)
  • over places of severe inflammation or infection
  • over the lower backs or abdomens of pregnant women
  • during a fever
  • in the vicinity of sensory organs or mucous membranes
  • over areas of numbness, little feeling or poor circulation (unless with great caution and awareness since the person could burn easily).

Take care not to burn the skin. If a burn does occur, immediately apply an herbal salve or aloe vera gel to prevent blistering; if a blister does occur, dress to prevent infection.

More uses for moxa

Moxa ashes very effectively stop bleeding (put 1 tsp. in water and drink for internal bleeding, or apply topically for external – beware, this can tattoo the spot for several months).

Moxa smoke beneficially treats sinus infections and blockages. Close one nostril and inhale the smoke into the open nostril. Alternate this process between both nostrils and continue for 3-5 minutes.

Moxa on ginger: For internal coldness, cut up a root of fresh ginger and place the pieces along the spine. Cut moxa sticks into ½” thick slices and set on mesh screens in boxes or cans (about 1” above their bottoms) with holes punched in the box or can bases. Place these boxes or cans over the cut ginger along the entire spine and light the moxa. After, cover this entire assembly with towels. The penetrating moxa-ginger heat will warm the entire body. Alternatively, this process can be done over smaller areas such as the abdomen. Moxa boxes may be purchased or self-made.

Make your own moxa

Moxa sticks may be made at home by picking and drying mugwort (usually from 7 to 14 years – the older the better - although you may use it within a few months), grinding it into a fine powder, sifting and filtering this to remove coarse materials, and repeating this entire process until a fine, soft, wooly powder results. Tightly roll this resulting “wool” in tissue paper to form a foot-long 'cigar'. A regular stick is about 1” in diameter whereas thunder moxa is about 3” thick.

Other: If moxibustion is not available and heat is needed, a hot water bottle, hair dryer, heated stones, or bags of sand or salt heated in an oven or on a wood stove are useful alternatives, although they can’t be used on inflamed areas like moxa can.

 

Thunder moxa

On our recent trip to China we went to Mr. Wei’s clinic in Hong Kong. There we learned of a new type of moxibustion – thunder moxa. It has many valuable uses and although it’s only available in China that I know of, you can still do it yourself.

But first, what is moxa?
Moxa is a shortened term for moxibustion, the method of burning herbs on or above the skin. This technique alleviates blockages and stimulates the flow of energy, blood and fluids. As well, it warms areas of coldness. Since pain usually results from some sort of blockage (stagnation) in the body such as the improper flow of energy, blood, or fluids, moxa is especially wonderful for sprains, traumas and injuries, although it treats other types of pain such as arthritis, rheumatism, sciatica, menstrual pain, and muscle aches and pains. In addition, depending on where it is used, it can stimulate and supports immunity and promote better organ functioning.

Moxa is generally made from the mugwort plant (Artemisia vulgaris). This herb has a mild heat, burns easily and penetrates deeply. It is generally aged from 7 – 14 years and then processed into a variety of forms, either as loose wool, in cones, or as sticks (often called moxa “cigars”).

Moxa with ginger

Thunder Moxa
Thunder moxa is an exceedingly large stick of aged mugwort, equivalent to about 4-5 regular “cigars.” As such, it covers much larger areas of the body at one time and stimulates more heat.

Thunder moxa may be used like regular moxa by waving it over any site of pain. As well, a thin piece can be cut off the stick, lighted, placed on a slice of fresh ginger, and the unit set over the desired site. The moxa burns to ash, carrying not only the moxa heat deeply into the affected area but also the stimulating and warming energy of ginger.

How moxibustion works
Moxa provides a far-infrared ray heat that deeply penetrates the body. This heat relaxes muscles, dilates the vessels and stimulates the flow of blood, energy and fluids to break up blockages and bring in infection-fighting cell, thus speeding the healing process.

Heat instead of cold?
But why use heat instead of cold as is usually prescribed by western practitioners, you might ask? While ice alleviates pain in the moment, in the long run it causes blood and energy to stagnate, particularly in the deeper levels of the body. This can result in arthritic pain in that area later in life.

As well, ice and coldness decrease circulation and congeal blood and energy, (just as cold turns water to ice), overall slowing the healing process. Heat, on the other hand, stimulates fresh blood and energy circulation, alleviating pain and speeding healing.

Although other heat applications exacerbate inflamed conditions, moxa’s far-infrared ray heat is different and doesn’t aggravate most of these conditions. In fact, it often relieves inflammation because it stimulates circulation instead of blocking it the way ice does.

The only time moxa should not be used is either when the area is very red and swollen, or the application doesn’t feel good. If this occurs, switch back and forth between cold applications and moxa, using ice no more than 20 minutes at a time and ending the session with moxa.

The proof is in the pudding (moxa!)
Using moxa heat may sound doubtful to most Western ears but I suggest you try it to learn for yourself. I’ve personally seen many cases benefit from moxa where ice aggravated the condition. I’ve had people with three week-old knee injuries throw away their crutches after only one moxa session, sprains heal faster than most doctors admit possible and arthritic pain, frozen shoulder and areas of limited movement that even surgery didn’t improve disappear after regular moxa treatment. Next week I’ll describe how to use moxa so you can experiment yourself and see how amazingly effective it is.

A group of 24 East West students, graduates, teachers, and a few of their companions traveled to study herbs in China for 10 days in May. What we found there was most surprising and encouraging. Michael has written much about this in his blog on this topic, so I’ll mention other areas here.

Madeline and Faith, our most senior and junior students!

Firstly, TCMZone, along with Michael and I, developed the specialized herbal training program we attended. They’ve worked with Shanghai University since 2008 bringing groups of acupuncturists, herbalists, and established practitioners to train there. But ours was their first herbal training group, not to mention their largest group as well as including their oldest and youngest students (12 year-old Faith and 88 year-old Madeline Kramer). It was so successful that TCMZone is offering another Chinese herbal studies only program for advanced herbal students again next May.

One of the aspects of this training that impressed me the most was the integration of Eastern Traditional Chinese Medicine (TCM) with Western medicine. Many hospitals offer this in China. In Shanghai, we studied at the Longhua Hospital, associated with Shanghai University. The doctors first train for three years in Western medicine and then continue to 2-3 years of TCM followed by internship and residency. After, each doctor approaches the Western-Eastern medicine integration in their own way, some emphasizing Western medicine and others TCM herbalism or acupuncture.  

We trained in gastrointestinal, respiratory, endocrine, gynecology, oncology, traumatology, cardiology, rheumatoid arthritis, dermatology, and mental disorders specialties. Additionally, we covered digestive disorders, auto-immune diseases and hypothyroidism. We observed doctors treating both in-patient and out-patients. We visited patient in the hospital and the doctors explained their cases and the herbs they were giving. Our group saw 3-5 patients with each doctor in this manner, although other groups may have seen more.

Doctors treating in-patients, however, treated 50-100 in a day. The doctors sat at a desk with a computer and often an assistant. The patients (along with 1 to 5 family members) walked in the door and sat at the doctor’s desk. Often the next patient with their families would be bulging through the doorway awaiting their turn at the same time. The doctors spent around 5 minutes per returning patient and perhaps 7-10 minutes with new patients.

Patients would walk in carrying their own charts in booklet form and handed them to the doctors. The doctor would look at their record and the patient, perform a quick tongue and pulse scan (perhaps 5 – 30 seconds for each), ask questions, and listen to whatever the patient contributed. At the same time they’d inspect the formulas already given on their computer screens (if a returning patient).

In terms of treatment, most doctors would first use Western medicine, typically by requesting lab tests. Then depending on the slant of a particular doctor, they’d either try medications first or go straight to herbs.

As information was assessed or given, the doctor would adjust the herbal formula accordingly, changing dosages of individual herbs or even the herbs themselves, taking some out and adding others in. When done, the doctor handed the patient’s record book back and the next patient (and family) quickly took the empty seat.

A pharmacy attendant prepares a patient's herbal formula.

Behind the scenes, the new herbal formula was sent electronically to the pharmacy on the first floor of the hospital where the patient would next go after seeing the doctor. This is the second thing that impressed me there – the sophistication of their herbal pharmacy. Several pharmacists worked to fill the electronic doctor’s orders, typically using either bulk herbs, if the patient specifically requested teas, or else granulated extracts or actual teas packaged in daily dose bags.

I saw some patients with laundry carts that they’d fill to haul away the huge bags of bulk herbs given. At home the patient would either cook these herbs themselves, or take them to a local factory where they were granulated or made directly into teas.

The hospital also had decoction machines in the basement where they’d prepare patients’ teas to drink. Mainly these were produced for patients staying in hospital but others could take them home, too. Generally, the herbal formula was soaked for a half hour, then decocted for 45 minutes. These were then strained and vacuum-sealed in thick plastic bags. These could be kept refrigerated up to two weeks, although the doctors would typically prescribe formulas in weekly doses.

We also visited Shanghai University’s TCM department where we received our beautiful certificates of graduation in Advanced Chinese Herbal Medicine. This university is almost as big as a city with a fabulous herbal museum finished just 20 days before we arrived. This incredible museum displayed many historical herbal books and items along with an entire floor on herbs.

Samples of rare herbs (plants, animals and minerals) lined walls of cases. There was a room displaying a doctor examining a patient along with its pharmacy. One entire wall held tall glass jars, each filled with an herbal sample. Another display presented pressed herbs while one had dried herbs covered by a plate with holes so one could smell each of them individually. There were also several pulse machines where one could actually feel the varying quality of all the different pulses! That was an incredible teaching tool I wish we had here in the States. A different machine would take a photo of your tongue and give a fairly accurate diagnosis of your health imbalances. Likewise, there were machines for face and body diagnosis pictures and information.

All in all, it was an amazing learning event. I encourage anyone who understands Chinese herbs and theory to attend yourself as TCMZone is offering a similar herbal-training only program again, probably next May. Take advantage of this incredible opportunity!

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