Xanthium Sibricum Fruit, Xanthii Fructus or Cang Er Zi, is a potent herb for unblocking the nasal passages in people who suffer from seasonal allergies. Along with its powerful plant partners, Magnolia Flower and Angelica Dahurica Root, this trilogy can un-clog even the most stubborn sinus congestion. Unlike over-the-counter anti-histamines, these herbs drain congestion by moistening and nourishing the sinus passages, and won’t leave sufferers dry and inflamed. While herbal formulas like these can be safely and effectively used to treat uncomfortable symptoms in adults and children alike, Chinese Medicine offers a treatment strategy that can address individual constitution as well – for lasting relief. Find out more about this herbal allergy formula after the jump.

Cang Er Zi

Or, Xanthii Fructus as the Latin’s would call it, is the small fruit that comes from the Cockleburr Plant. It is bitter to the taste, and covered in sharp prickles once dehydrated into herb format. In addition, it can lead to digestive upset if taken in too large of quantities (but this would need to be a LOT of Xanthii Fructus). It ‘s claim to fame is unblocking the nasal passages, but is also good at alleviating itchy skin reactions or sinus headache.

Bai Zhi

Is a form of prepared angelica root, which smells a lot like maple syrup and is soft to the touch. Also a good nose-opener, Bai Zhi really shines in its ability to dry up and expel mucus, leaving sinus passages free and clear. Bai Zhi can also be used to expel pus from sores on the skin.

Xin Yi Hua

Or, Magnolia Flowers, these little puffs of soft buds work very similar to Cang Er Zi. but Xin Yi Hua specifically propels the other herbs to the head. This feature augments the formula’s ability to clear nasal passages, sinus headache and ear congestion.

All Together Now

Chinese Herbal Medicine, unlike Western Herbal Medicine, rarely uses herbs individually in treatment patterns. An example would be three herbs listed above. All are unique to opening the nose, but it is their ability to work together that makes them so potent. The power of Cang Er Zi, the directional movement of Xin Yi Hua and the phlegm-dissolving properties of Bai Zhi make this triad what it is.

When I am treating a patient for seasonal allergies, which I almost always do with herbal medicine in conjunction with some acupuncture treatments, I will most likely add the above herbal combination to a base formula that addresses the patient’s underlying constitutional diagnosis. This way, we can address the root and the branch (symptom). In a pinch, or if the formula is not appropriate for mixing in this group of herbs, there are some great patent remedies that include these guys and others to help allergy sufferers find relief fast and easy…like the one in the photo at the beginning of this post. It is a great addition to any medicine cabinet. Tinctures are also available in pediatric doses for children suffering with seasonal allergies.

]]> http://www.erinhessel.com/2011/03/sinus-allergies-try-xanthium/feed/ 0 http://www.erinhessel.com/2011/01/the-soy-story/ http://www.erinhessel.com/2011/01/the-soy-story/#comments Mon, 24 Jan 2011 21:57:53 +0000 Erin http://www.erinhessel.com/?p=1503

Over the past decade the soybean has been heavily marketed in this country for its healthy effects and as a  low-fat, high protein substitute for dairy and meat products. But recent research is saying that there may in fact be a real case to support “too much of a good thing.” With breast cancer, obesity, thyroid and autoimmune disorders on the rise – some scientists are seeing a relation to these health problems (and more) in connection with excessive soy consumption.

Simultaneously, other reputable experts in the field of health and wellness continue to zealously proclaim the wonderful benefits of soy. What is a consumer to do? Patients are always asking my opinion – to consume or not consume soy – and my reaction is always the same (except on rare occasion): everything in moderation. But that statement doesn’t really answer any questions. So, in this post, I’ve compiled my research and quoted reputable sources for both pros and cons in the soy debate so you, the consumer, can help make an informed and empowered decision for yourself.

The China Study

While I have heard endless recommendations for the book, The China Study (and plan to read it one day), this section is referring to another “China Study” – my own. During my year-long clinical rotation at Zhejiang Hospital in Hangzhou nearly ten years ago, I chose to eat vegetarian. Whether that choice was right or wrong for my health at the time is neither here nor there, but I did create a unique relationship with soy foods in the land from which they came.

Soy is a staple in the diet of vegetarians and carnivores alike across Asian cultures as an inexpensive, healthy and sustainable food. It is not surprising that when low rates of cardiovascular disease and breast cancer were also found amongst this population that the primary differentiating factor was attributed to soy consumption. Somehow, lost in translation, that meant that if everyone the world over consumed more soy we would be healthier and live longer.

How they prepare soy in Chinese supermarkets is so vastly different than here. I remember walking up to the soy counter, much like the deli or dairy counters here, and ordering whatever form of fresh soy I wanted. There was a variety to choose from – from skins to beans to paste to freshly squeezed soy milk. All items were served in small portions, were local and almost always fermented.

Fermented vs. Non-Fermented Soy

Soybeans, like all other beans, contain the anti-nutrient phytic acid, which binds to important minerals in the body and leeches them out. To neutralize this component, and thus elevating the nutritious aspect to soy products, soaking or fermenting the beans must be part of the preparation. Miso, Soysauce  and Tempeh are common forms of fermented soy products that are easily found in our supermarkets. Most tofu and other overly-processed soy products like soy-cheeses, most soy-milks, soy ice-creams, soy burgers and soy “meats” are not fermented products (and are overly processed with non-food ingredients to boot).

In summary, consuming a fermented soy product will decrease toxic effects and increase nutrient absorption…and, in my humble opinion, taste better. If you buy fresh, dry soybeans, be sure to soak them first (see link to recipe below).

The Cons: Genetically Modified and Over-Processed

There is much evidence to support the ill effects of over-processed foods on health and vitality. The anti-soy campaign is more linked to the inappropriate, over-processed and genetically modified soybean vs. an actual attack on the bean itself. The soybean, much like corn, in this country is extremely inexpensive to produce and therefore often over-produced, genetically modified and processed in a way that makes it a common preservative or filler added to many packaged products. In short, you may be consuming a lot more soy (and poor forms of it) than you think you are in  packaged products. Investigate the foods you eat, read labels of packaged foods if you eat them or feed them to your family on a regular basis.

The Weston A Price foundation has done a significant amount of research on the topic, and have published a slue of informative articles. While many in opposition of the Guild’s strong anti-soy stance may read into their articles as radical, they are essentially saying the same thing as the rest of us. Eat whole foods. Eat organic, eat local and (in this case) eat fermented. Check out some of their literature here.

The Pros: Dr. Hyman Presents the Facts

Dr. Hyman, a well-known medical doctor in the field of Functional Medicine, recently published a fascinating read on the Huffington Post about the myths and truths revolving around including soy in the diet. He argues that the research showing that soy is connected to a rise in thyroid disorders and breast cancer is only in cases of excessive consumption of overly-processed soy products. A further case for prudent label-reading. He further continues that when consumed in minimal amounts, and in organic and fermented forms, that soybeans can be included as part of an anti-inflammatory and anti-cancer diet and provide a number of other healthy benefits like: stabilizing blood sugar, promoting hormone balance, mitigating menopausal symptoms and lowering cholesterol.

My Take From a TCM Perspective

I believe in the whole-food way, and since my nutritional education stems from an East Asian approach to foods, soy is most certainly a medicinal food when prepared correctly. For example, we use fermented black soybeans in Chinese herbal formulas and soups to alleviate high fever, vent colds in children and quell emotional irritability.

If you have a chronic health condition or a history of a chronic condition in your family, do not consume processed soy or simply avoid it all together. There is no real health claim to soy that you cannot find in other foods. If you enjoy soy and choose to incorporate it in your diet – do so sparingly, as part of a diet rich in other proteins and consume it with the appropriate preparation. If you can, buy whole and dried soybeans and prepare them yourself by soaking them overnight. You can follow my easy recipe for that here.

Was this helpful? Please comment with more questions or info on the soy debate!

This year has been a tough one for allergy sufferers in NYC, as environmental allergens have been at an all time high. If you are suffering with chronic seasonal allergies, acupuncture and herbs have some wonderful solutions for your symptoms – without the nasty side effects. While many over-the-counter allergy medications can help people through the muck so they can get through their day, there are often side-effects of nasal dryness and low energy that have their own set of downsides. After the jump, see what Chinese medicine has to offer and what you can do at home to optimize your enjoyment this (and every) season.

Immune Boost

Studies have shown acupuncture to not only have a stress-relieving effect on the body, but also boost the immune system. Allergy symptoms, especially adult-onset seasonal allergies, result from a delicate balance of external irritants and internal deficiencies. This is good news! Because the ragweed causing your sneezing fits probably isn’t going to disappear from the planet anytime soon, the stronger the immune system the less likely such an irritant will have its power over you.

Besides acupuncture, some other ways you can boost your immune system at home:

• Increase your daily Vitamin C intake to 1 gram/1,000mg per day for its immune boosting and histamine-lowering effects.
• Increase antioxidant rich foods, which will reduce existing toxicity and inflammation in the system. Such foods include: all berries (especially blueberries), pomegranates, plums, pineapple, kale, peppers, ginger, red beets, dried apricots, dried dates, prunes, nuts and seeds (especially dry-roasted peanuts), and parsley.
• Take a high-quality multi-vitamin/mineral supplement daily to boost cellular nutrition
• Take Fish Oil high in DHA daily to clear inflammation and support health

Drain Phlegm

That ooey-gooey stuff running from your nose, clogging your thoughts and creating all that sinus pressure is phlegm. It is the bodies reaction to the inflammation its experiencing as a result of an allergen – believe it or not, it is trying to help. But with all that inflammation and now with all that phlegm, a vicious cycle is created which must be stopped. Lucky for us again (our health is in our power!), we can have great impact on reducing systemic phlegm and inflammation through some simple remedies:

• Herbal Supplement – tailored for individual constitutions, this is the best and fastest way to quelling inflammation and draining phlegm. Best of all, it will often improve energy and promote restful sleep so you actually feel better all around.
• Acupuncture – local acupuncture points can be life-changing for draining the sinuses, clearing congestion, reducing headache and improving energy. Combine this with your Chinese herbal formula and you’ll be in good shape.
• Avoid Dairy and Soy Dairy Products – they cause more phlegm! If you already have too much stuck in your head, avoid these products during the allergy seasons or when your symptoms are at their worst.
• Avoid Refined Sugar and Flour – for the same reasons as dairy products, plus refined flours and sugars also add a great deal of inflammation to the body – that other factor we are trying to get rid of.
• Drink plenty of water. Phlegm is not created from too much water in the system, but is often a result of the body fearing dehydration – so drink up!
• Netty Pot – a simple device used for centuries in India to effectively clean out the sinus cavities. It looks like a teapot, which is then filled with water and rinsed through the sinuses. Instructions and product information are available at local health stores or online.

Guard Yourself

Be mindful during allergy seasons of reducing exposure to anything that may trigger a potential reaction (even if it is not a typical “allergen” for you). If you anticipate suffering from allergies year to year, implement some of these tips and start a treatment plan before you feel the symptoms – it will set you up for the best season yet!

• Keep windows closed on days when allergy counts are particularly high
• Avoid using products with strong scents and harsh chemicals, which produce inflammation and can magnify allergic responses (cleaning products, shampoos, body washes, laundry soap, perfumes, cologne, air fresheners)
• Although they look great – keep fresh cut flowers out of the house during allergy seasons. If you need their calming effect, try the colorful fake ones and bring the fresh ones back once you are feeling better.

Leaving Your Analytical Mind at the Door

Although receiving a degree and license in traditional Chinese medicine means completing a rigorous four-year masters program, this ancient science is built on a foundation completely different from the one we grow up with in the Western world. Scientific algorithms and molecular biology will not serve to understand the complexities of something like acupuncture. The first step is leaving what we know to be true at the doorstep, in order to open up space for a second foundation to be built – one stemming from such eastern philosophies as Taoism and Confucianism. For this reason, acupuncture can be difficult to understand from a western medicine perspective. It is like trying to understand the flavor of an orange by eating at a pizzeria – an inappropriate model for comparison.

It has been said that acupuncture affects nerve communication, blood flow and conducts electrical impulses within the fascia muscle layer.  But, as I said, try and leave your analytical mind at the door. At the risk of sounding esoteric, acupuncture connects to the energetic pathways in the body known as meridians. These pathways are inherent in nature, and flow through every living thing (much like matter at its molecular level). They are typically unseen, and unfelt, yet ever alive and flowing with Qi – vitality.  Qi is what gives us life. Without it, there is no movement, no fullness and therefore no life. When Qi cannot flow smoothly, we feel it in the form of pain, illness or distress. Acupuncture directly manipulates the flow of Qi by way of the meridians of the body.

It’s All Connected

There are over 400 points on the human body throughout 12 different meridians, each with a specific function. Over the thousands of years that it took to develop Acupuncture, such functions were tested and agreed upon – having shown clinical efficacy based on experiential findings. Such findings were not based on disorders like “diabetes” or the ”flu,” because those labels were not yet invented at that time, but rather on individual pattern disharmony. Chinese medicine asks the question: “what does the person presenting with XYZ discomfort need?” not “what is the XYZ discomfort called so I can treat that.”  The latter form of question is more common within the Western medical model, which is in my opinion a strong case for the need to employ both models of care in public health for optimum results.

Back to the topic: how acupuncture works.  As I said, it is all connected. For example, if a person presents with knee pain it may be very beneficial to place needles at the knee joint to relieve it. However, needles placed on the elbow, low back or abdomen are also commonly used for strengthening the knee and depend on individual pattern differentiation. Likewise, several points around the knee are great for digestive problems, and often those points will be needled on individuals with no inherent knee pain at all. To understand how the energetic pathways run is to go to school for a very long time. To make sense of it otherwise, is to accept that there is plenty happening in life that we cannot see – not all that dissimilar from Western molecular biology.

The Web Around Us

Take cellular phones and the Internet. There are direct, real, pathways of communication between carrier towers and individual devices that are always open and able to travel at instantaneous speeds. We walk around among and through these pathways all day long - without knowledge of their existence except through the end result: our web browser working or receipt of a text message. When this system is slightly out of whack, the connection is lost and our devices malfunction. The pathways need to be re-opened and cleared so that proper functioning can occur. Imagine that the meridians in your body are the pathways and the commander keeping them open is the Qi. It is the job of an acupuncturist to open up such communication within the body, so there are no glitches.

Different People, Different Treatment

Unlike the technical support team looking for the predictable piece to fix an Internet malfunction, the human body is far  less predictable. The acupuncturist must look deep at individual constitutional patterns to develop proper and effective treatment. This takes time, a detailed history, and oftentimes ongoing treatment. Acupuncture works well alongside western medical treatments as it can offer great relief for side effects (as in Chemo Therapy) and without adverse reactions. It is also very beneficial for health maintenance (much like exercise), boosting the immune system, and can be used on a seasonal basis as preventative medicine once uncomfortable symptoms have resolved. Many people find that acupuncture is very relaxing, promoting an almost meditative state, an added bonus. 

To find out more how acupuncture can help you maintain or acheive your wellness goals, please contact me. 

Ever thought that your morning muffin or stir-fry lunch contained not just sustenance, but healing properties? Ancient Chinese medical theory has ascribed certain energetics and functions to many common foods, that still remain true today. Such properties are very different from nutritional values (vitamins, calories, fats, fiber, etc), which came later in the evolution of the nature of food. Let’s take watermelon (Xi Gua) as an example of this idea: our analytical mind knows that this delicious fruit is sweet, refreshing and nutritious with its high water content and fiber. The energetics of this food according to Chinese theory are cooling and damp draining, and therefore can prevent heat stroke on a hot summer day and promote healthy water metabolism by ridding edema. A more relevant example for the winter season would be lamb (Yang Rou), which is warming to the system and promotes optimum functioning. 

Food therapy is considered to be the number one treatment in preventative care and healing therapy. In modern China, there are special restaurants where one can go to receive tailored medicinal meals. After a visit with the Chinese medicine doctor, a pattern diagnosis is ascribed which can then be brought to the chef at such a restaurant. Food will then be prepared in accordance with individual needs – to nourish, eliminate or course any given imbalance. This notion contradicts the idea that one particular diet is best for everyone, but rather tailors nutritional choices based on individual need. What may help one person lose weight and feel energetic, may not be the right fit for someone else. I had the fortune of experiencing this model for myself at the medicinal food restaurant across from the hospital during my one-year clinical rotation in Hangzhou, China.  

Chinese herbal medicine utilizes the combination of roots, barks, leaves, stems and berries to promote health and vitality.  It only makes sense that Chinese Herbal Medicine and Food Therapy often overlap, with many herbal ingredients ending up on typical supermarket shelves. The following is a delicious trailmix you can make at home, as your own “herbal formula prescription.” In addition to curbing hunger between meals, or giving an energy boost before a work-out, this mix is high in antioxidents, essential fatty acids and protein. From the Chinese perspective, it is nourishing to the kidneys; promotes mental clarity, memory function; improves libido, energy and digestion. Enjoy!

Herbal Trail Mix – Common Names with Chinese Names and Functions           

Goji Berries/Wolfberries                                    

Gou Qi Zi -Nourishes the kidney energy, enhances fertility, memory, and sexual function

Walnut Halves                                                          

Hu Tao Ren -Promotes brain function, mental clarity

 Black Sesame Seeds                                                      

Huo Ma Ren -Nourishes blood, improves vision and sluggish digestion.  Black sesame has the additional benefit of promoting lactation in breast-feeding women.

*I like Mrs. May’s Black Sesame Crunch Squares, they are slightly sweetened with honey that provides a great flavor and also aids digestion.

This post is a proud participant in the Kathleen Show’s Prevention Not Prescriptions Blog - a great place for other resources to stay healthy.

Choose Your Support

So, what to do?  First off, find the resources around you and seek help.  Consulting with a health care professional is an important catalyst in transforming your blues into bliss.  It can also help combat the isolation that often accompanies mood changes. It is my experience that with chronic or severe emotional distress, there is no “one” help and calling on a variety of resources yields stronger, more lasting results.  Here are some tools you may want to try:

• Implementing an appropriate exercise routine (which will vary for each individual)
• Tap into your creative expression (such as journal writing, art/music/dance therapy)
• Dietary and lifestyle changes (such as increasing essential fatty acid intake, vitamins and minerals and decreasing sugar and refined food)
• Consulting with a professional psychologist or psychiatrist
• Nourishing constitutional patterns and reducing stress with a holistic modality (acupuncture, herbal medicine, reiki)
• Reduce your stress (yoga, meditation, massage, acupuncture)

How Acupuncture Can Help

Traditional Chinese Medicine (TCM), does not treat “depression” per say, but rather the person who is experiencing depression. Different individuals can experience the discomforts of depression from a variety of causes – or, as we call them, patterns. In treating depression, your acupuncturist first must find your unique pattern diagnosis and from there, begin to strengthen your system and ease discomfort. Acupuncture can help to greatly reduce emotional and physical stress and the somatic pain that often accompanies emotional upset. Best of all, it will not interfere negatively with any other therapy or prescriptions you may be receiving, but complement them by tapping into the root of your constitutional nature.

Herbal remedies may also be a good option for occasional slumps or mood swings.  Unlike acupuncture, which must be administered by a licensed professional and usually done only 1-2 times per week, an herbal formula can follow you home and become a daily treatment.  When prescribed by a licensed practitioner, herbal formulas are completely safe, and can help the body harmonize from the inside out.

For more information on how to incorporate the benefits of acupuncture into your emotional wellness plan, please contact us.

Reduce Cravings

Improve Energy

Alleviate Joint Pain

Reduce Muscle Fatigue

Regulate Blood Sugar Levels

Jump Start Your Metabolism

Regulate Hormone Function

Detoxify the System

Reduce Stress

It is that time of year again…for making those promises to ourselves that we have been putting off through the busy holidays. One of the most common New Years Resolutions is to lose weight, and it is also the least kept. Why? The culprit may be coming from a constitutional level. There are many factors that can cause excessive weight gain and an inability to lose weight such as undetected food allergies, stress, anxiety, depression, unstable glucose levels, or inflammatory responses such as arthritis, chronic fatigue or fibromyalgia. Acupuncture and Chinese Herbal medicine offer time-tested remedies to help strengthen your individual system at the root level so that you can lose weight efficiently, and keep it off for good. Reducing cravings, improving energy, alleviating joint pain and muscle fatigue, regulating metabolism and reducing stress are just some of the added benefits of incorporating acupuncture and herbal formulas into your weight loss resolution.

Reducing Cravings & Addressing Addictions

Food provides us with an enormous amount of nutritional benefits, but also emotional benefits. Over time, dietary habits can be hard to break (mostly due to emotional ties). For this reason, typical dieting tends to lead to a common feeling of insufficiency and can ignite cravings and addictions we didn’t even know were there in the first place. Taking away food that the body (and mind) is used to enjoying often engulfs a person in a cycle of binging and obsession. Acupuncture can help on a neurological level to reduce cravings and stop addictive behavior. In fact, acupuncture is so successful at resolving addictions, many rehabilitation clinics across the country train their staff in auricular acupuncture to alleviate a variety of addictions. Although on its surface weight gain may not seem like “addictive behavior,” it most certainly can be the result of a habitual diet that the system has now become accustomed to and even physically dependent on. Trying to change our diets can be difficult, frustrating and exhausting.  Acupuncture can work at the root level to make this process positive, easy and successful.

Detoxifying the System

Carrying excess weight is often a sign that your body is not processing things efficiently or correctly.  The cause for this could be from a number of reasons, but a good place to start is a simple detoxification to cleanse the body of unwanted toxins and debris. Such a regimen would include Acupuncture to detoxify the liver, herbs to facilitate digestion and reduce inflammation and a diet modification to stabilize blood sugars and eliminate potential allergens. Although this diet modification can initially feel too limiting to maintain, that is because it is!  Detoxification is meant to provide a deep clean so that equilibrium can then be achieved.  For this purpose, our recommendations include whole foods so you feel satiated and a time-frame that is manageable based on individual assessment.

Giving Your Metabolism a Re-Boot

After a simple detoxification, we will help you continue finding the appropriate support  so your digestion can continue working at its best. Our bodies were designed to appropriately digest, distribute and eliminitate the nutrition we take in. The “storage” process that happens is the result of an ineffecient system. Whatever the root cause, acupuncture and herbs will help your digestion and metabolism get back on track and stay there – eliminating the yo-yo effect. Treatments will also help reduce your stress, which is known to cause elevated hormones (like Cortisol) in the body that cause it to hold excess weight. Once your digestion is up and running at its best, frequent acupuncture and herbs will no longer be necessary – your system has been nourished from the root up, yielding lasting benefits.

Emotional Health

Trying to lose weight under any circumstance causes stress. People handle stress in all different ways, and Acupuncture can help release tension in the body, ease feelings of depression and regulate mood swings accompanied by -or preventing you from- losing weight. Exercise will also release important endorphins in the body to help it deal with stress. However, many of the same reasons mentioned in the first paragraph of this post also inhibit many people from working out. Acupuncture and herbs can help help increase energy, promote restful sleep, and alleviate chronic muscle and joint pains that may be preventing you from keeping up with consistent exercise so you can get back on track.

Erin Hessel L.Ac offers time-tested natural remedies to help you lose weight & provide lasting health benefits.  Private, tailored treatments take place in a serene environment for optimum rejuvenation and results.   Call our office today for our 2010 Weight Loss Packages and Specials.

This post is a proud participant in the Kathleen Show’s Prevention Not Prescriptions Blog - a great place for othe resources to start your New Year off right and keep it going.

Winter, Water, Kidneys & You

In Chinese medicine, winter applies to the Water Element in 5-element theory. Although it comes in the form of snow and ice, water is truly an abundant part of the winter landscape. When transcribed to the human body, the kidneys and urinary bladder are responsible for water metabolism (both energetically and physically) and are a pivotal part of the Water element. Yin and Yang are interdependent forces prevalent in all aspects of life, but winter is rooted in a strong sense of yin. In this regard, yin can be understood through the cool and still nature of the season. A teacher of mine once explained the water element as the bottom bedrock on the ocean floor – the deep, dark, solid root of something so powerful and majestic. I like to translate this metaphor to the body, with representation to the powerful root to within each of us – our individual potential.

Aside from the physiologic function we know from Western medicine, the kidneys represent our root essence (genetic makeup) and the urinary bladder has relevance to the nervous system. Memory, brain function, reproductive function, bone growth, and systemic development are also important aspects of kidney energy in the body. The emotion of fear or fright is ascribed to the Water element, and is often a relative factor in someone with constitutional tendencies toward this element. The winter is a perfect time to strengthen and nourish these energetic organs.

Nourishing the Kidneys and Urinary Bladder

Nature gives us the tools we need for nourishing the ascribed element and organ systems, and the number one way to do this in the winter months is to hibernate. Rest, warmth, sleep. This is the time to slow down, and nature forces us to do that with the gifts of cold and snow. The weather change literally forces us to move inward – into our homes, into the warmth, into ourselves. It is a time for introspection, meditation, and conservation of resources.

During winter, the land is frozen and there is no growth or harvest. That which is leftover from the fall becomes nourishment for the winter. Canned vegetables, sauced apples, gourds, squashes and meats for hearty stews are important for building the root aspect in ourselves. There are plenty of herbs and teas for nourishing the kidneys during this time, and depending on individual constitution will depend on the formula focus. Even if you are feeling healthy, the beginning of winter can be a great to time for visiting your acupuncturist to help guide your body into the energetics of the season and promote tonification.

Enjoy the beautiful season of winter. Take a moment to listen to the quietude outside and reflect into the depths of yourself. Use the space provided to cultivate that which satisfies and nourishes you, regenerating the resources necessary for the coming spring and summer.

From breast pain to nausea to mood swings and back aches, such discomforts are more than just a nuisance, but signals from your body that something is out of balance and needs to be addressed. The only physiological components to a menstrual cycle should be moderate blood flow with the same number of days between cycles. Taking the time to address these symptoms now won’t only improve a woman’s quality of life, but also may prevent future reproductive problems. If you would like to take control of your menstrual cycle, understand it (and your fertility – to either prevent or promote pregnancy), Chinese Medicine has a variety of ways to alleviate common discomforts associated with menstruation.

The main cause of PMS according to Chinese medicine in liver qi stagnation, which is a pattern most commonly caused by stress. Some women are more susceptible to developing this pattern than others, and likewise the severity can also vary greatly.  Although the foundation for this pattern is based on a relative excess, or stagnation, in the body, it usually pairs itself with a relative deficiency that needs to be nourished.  The delicate balancing act of simultaneously nourishing and draining can be accomplished through the advice and treatment of a licensed practitioner.  Acupuncture, herbal medicine and dietary changes can help treat the root of cause of many common complaints associated with PMS.

Key Points to Consider when Trying to Reduce PMS

1)  Get plenty of Essential Fatty Acids (EFA’s)

• Fish Oil, Fish, Flaxseeds, Whole Eggs, Raw Nuts, Evening Primrose Oil

• Smooths hormonal function and facilitates ovulation

2)  Eat Organic Produce and Hormone Free Meats

• Meat is necessary for a healthy cycle, but the added hormones can interfere with your body’s natural endocrine rhythm.

3)  Increase Cruciferous Vegetable Consumption

• Broccoli, Cauliflower, Beets, Carrots, Kale, Cabbage, Collards

• Increases the body’s ability to metabolize Estradial, therefore decreasing breast tenderness, weight gain, moodiness, and low libido

4)  Take a High Potency Multi-Vitamin

• Increases bio-available nutrition, strengthening the whole system

5)  Dairy

• Avoid completely for scanty, painful or clotted menstruation

• If consuming, only take in moderation and of high quality (hormone free)

6)  Avoid Coffee, Alcohol, Nicotine

• Depletes nutrients in the body

• Green tea is OK in moderation while trying to alleviate PMS

7) Acupuncture & Herbs

• Regular acupuncture treatments can effectively regulation a woman’s cycle and reduce uncomfortable symptoms

• Herbal formulas safely and effectively address the root cause of imbalance

**Please note that the above suggestions should be tried over the course of 3-6 months before significant and permanent results can be expected. Likewise these are not meant to diagnose or treat any specific condition(s).

If you have ever had difficulty trying to conceive and involved the aid of a Reproductive Endocrinologist (RE), then most likely one of the first tests they ran was a hormone panel on Day 3 of your menstrual cycle.  Specifically looking at:  Follicle Stimulating Hormone (FSH), LutenizingHormone (LH), Estrodial (E2), and Prolactin.  The levels of the aforementioned hormones (among others) and their ratio to each other can give insight into the general quantity of eggs a woman has left to ovulate.  However, hormones are finicky creatures, and can change drastically month-to-month due to other illness (like thyroid disease or poly cystic ovarian syndrome, for example) or just from plain old-fashioned stress.

New findings are showing that the typical Day 3 FSH testing gives inaccurate values of a woman’s ovarian reserve one out of every six tests.  This is to say that every sixth woman to undergo traditional fertility testing may have  false lab results – offering an unnecessarily grim outlook on their hopes of ever conceiving.  How disturbing. (And probably part of the reason that one of the next steps in fertility treatments – IVF – has only a 30% success rate).  Women who are lumped into the “never will get pregnant” category regularly prove that wrong, and others who are in good health are for some reason never are able to fulfill their dream of having children.  A possible reason for this discrepancy is the inability to accurately asses ovarian reserve or egg quality.  At the very least, it is clear that the diagnosis and treatment of infertility must continue to develop in order to understand what is happening at the clinical level.

ReproSource is a lab dedicated to fertility testing and they work with patients and RE’s around the world.  Dr. Ben Leader, a scientist who works for ReproSource, presented in last night’s lecture on their newest test that indexes three specific hormone levels on Day 3: FSH, AMH (anti-mullarian hormone), and Inhibin B.  The index of the three, according to Dr. Leader, will give a much more accurate assessment of a woman’s ovarian reserve.  The results come up on a sliding graph as well, rather than the typical ‘within normal limits’ or ‘out of normal limits’ / ‘you’ll conceive’ or ‘you won’t’ – which is much easier to understand and interpret.  Other experts in the field are finding that AMH can be tested on its own at any point in a woman’s menstrual cycle and will give more accurate and consistent insight to ovarian reserve than even the day-3 FSH test.

The results of all of the aforementioned tests indicate what potential a woman has to work with while trying to conceive – of vital importance to any health care provider helping her on this journey.  We can do all the acupuncture or fertility medicine in the world, but if there simply aren’t any eggs left for a woman to ovulate, that is one thing we cannot create (in this case, donor egg is often offered as a viable option).  A woman is born with all the eggs she will ever have in her lifetime, and depending on the delicate nature of the menstrual cycle, genetics, hormonal balance and other factors will determine at what point she will run out – essentially beginning menopause (with normal onset somewhere in the neighborhood of age 50).

The fact that such testing is more specific for detecting egg quantity, it cannot be used to determine egg quality – the part that we as acupuncturists have the potential to improve.  The best way to consistently determine egg quality is still by a woman’s age: the younger the woman, the better the egg quality -regardless of ovarian reserve (although this is often debated).  It is quite interesting to me that with all the new developments in fertility therapy that they have yet to determine a quantifiable way to detect poor or high egg quality.

This is where we come in.  Acupuncture and herbal medicine have been used for thousands of years to help couples conceive.  By invigorating blood flow to the pelvic area, regulating a woman’s menstrual cycle, and alleviating stress we are able to accomplish the task in question: improve egg quality. If the issue is male-factor, acupuncture and herbs can also help improve sperm quality in addition to sperm quantity due to the simple fact that males regenerate new sperm avery three months (please note that success depends on the etiology of low sperm count, motility, or morphology issues). Depending on a couple’s history, age, lab work and diagnosis, acupuncture and herbs can help couples to safely and effectively conceive – either naturally, or alongside western fertility treatments.

In order for Chinese medicine to have an effect on improving egg/sperm quality, it does take time. To regulate a woman’s cycle can take anywhere from three-six months, and the same goes for impacting a change on male sperm production.  Therefore, I recommend beginning to work with an acupuncturist/herbalist either when you are just beginning to try and conceive or beforehand.  I have personally studied under renowned fertility acupuncturist and herbalist, Dr. Mike Berkley, and seen the amazing power of Chinese medicine in conjunction with modern developments.  Tests like the FSH/AMH/Inhibin B Index are useful to patients, RE’s and acupuncturists alike.  With more accurate clinical findings and continued research, we can all be better internists in this challenging field.

This post is proudly a part of Prevention Not Prescriptions Tuesday @ The Kathleen Show.  For more information and to check out some other great health blogs, check this site.