Season of Spring

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“It’s 5am and I’m sitting at the airport and am in complete amazement! I woke up with a full range of motion in my neck and not an ounce of pain. I haven’t even taken any advil yet.  I can hardly believe it! I am one happy girl.”

That is an email I received from a patient who had come in the day before with acute neck pain. Because she was flying the following day, she was desperate to get some relief from pain and the limited range of motion in her neck which had been plagueing her for 3 days. Advil took the edge off, but wasn’t giving her complete relief, and was doing nothing for her inability to turn her head to the right.

Upon palpation I found several very tight areas between her spine and her scapula on the right side, and also in the muscles on the right side of her neck. I did acupuncture locally, and also used a combination of points on her wrists and ankles on the acupuncture channels that traverse the upper back and neck.

The acupuncture certainly contributed to her quick recovery, but I think the key to treatment success in this case was the gua sha which I applied to her upper back following the acupuncture.

Gua sha is an ancient technique in which a smooth-edged tool, usually a ceramic soup spoon, is scraped along the skin in one area repeatedly. The technique stimulates blood flow and produces heat which releases toxins and helps muscles to relax. The feeling is one of a strong massage, and can leave reddish marks referred to as “petichiae”. Using gua sha on the muscles of my patient’s neck and upper back were the key to her relief from pain and return to normal range of motion. I use gua sha quite a bit in the spring when neck pain and spasm are a common phenomenon.

herb_lungqi_lg

This time of year I hear a lot of patients talking about how their kids are coughing constantly. When children catch colds, they often get coughs, sometimes dry, sometimes phlegmy, and especially at night. These episodes are miserable for everyone. Western cough syrups are very strong drugs and many parents don’t want to use them but resort to them so that everyone can get some sleep.

There is a wonderful Chinese Medicine alternative. Blue Poppy Herbs makes a pediatric formula called Lung Qi Jr. that works wonders on those pesky coughing fits. I have been giving it to my children since they were infants whenever they had colds with coughs. Not only does it help to calm the coughing, it has several herbs in it that fight the infection at the source of the cough. It is one of those formulas that I think anyone with kids should have in the medicine cabinet. It comes in a liquid form and contains vegetable glycerin to sweeten it up so that it is more palateable to young tongues. I squirt it directly into my children’s mouths, but it can also be added to juice, milk, yogurt, or anything else.

Postcard front fall 2009

Until January 31, 2010 I am offering 10% off cough syrups, Yin Chiao, Yin Chiao Jr., and Gan Mao Ling to current patients and to new patients who make an appointment for acupuncture.

Don’t forget that acupuncture increases immune function and that these and many other formulas can be used preventatively during this cold & flu season. I have a pharmacy full of herbal remedies to stop colds and flus in their tracks, and at the very least, shorten their duration and the intensity of many symptoms including cough, chills, fever, nasal congestion, headache and fatigue.

huangqi
There many things we can do to help support our body’s natural immune function. Certainly getting enough rest, fluids, and quality fresh food is essential. Acupuncture is also a good option, since one of the proven effects of this therapy is increased immunity, even when this isn’t the focus of treatment. Regular acupuncture helps bring our bodies back into balance, and a body in balance has the ability to fight foreign contaminants such as bacteria and viruses. In Chinese Medicine terms “expel uninvited guests” such as wind cold, wind heat, wind damp, etc.


Aside from acupuncture, many Chinese herbs, including mushrooms, have been proven to increase immune function in several ways. There are herbs that are simply antibacterial and antiviral, helping our bodies to stave off infection when we come in contact with these agents. There are also herbs which increase the number of Killer T and Natural Killer white blood cells which attack microbes preventing us from getting sick, and helping us to recover from illness.

One of the key immune enhancing herbs in Chinese Medicine is Huang Qi, or Astragalus. The root of this plant tonifies the qi and blood of the entire body, especially the Spleen and increases the Wei, or Protective Qi. There are several classic herbal formulas that contain Huang Qi which can be used to prevent illness. There are also formulas, which when taken at the early stages of illness help the body recover quickly and decrease the severity of an illness. These formulas are important to have on hand in order to provide a quick means of protection. That way if you find yourself around people sick people, or if you will be traveling on airplanes, or simply have a tendency towards decreased immune function, you can give your body as much support as possible to keep from getting sick.

stamets_7_extractMedicinal mushrooms have been a part of the Chinese Materia Medica for several thousand years. These mushrooms, including reishi, oyster, maitake, shitake, and many more, have a strong effect on increasing immune function.  For instance, Ling Zhi, or the reishi mushroom, has been studied for its immune enhancing effect, and has been found to increase T cell function. Classically, it is said that Ling Zhi tonifies Lung qi, transforms phlegm, and stops cough and wheeze. Additionally, it has been found to have a carcinostatic effect, meaning that it stops the growth of cancer cells. Nutritionally, mushrooms provide fiber while being low in fat and contain several groups of vitamins, particularly thiamine, riboflavin, niacin, biotin, ascorbic acid and Vitamin D.

Eating raw mushrooms is not advised, since some are toxic uncooked, and most do not break down enough in our digestive systems to offer much benefit this way. Mushrooms should always be cooked when used as food. A stronger concentrated extract (either capsule or liquid) will give you the most benefit for immunity.

Fungi Perfecti is a locally based producer of medicinal mushrooms and is considered the best source of organic, high quality mushroom extracts by most experts, including Bastyr University and Dr. Andrew Weil. Fungi Perfecti has a number of extract combinations that address a number of immune issues. A popular, general immune tonic is their Stamets 7 formula.

fungi perfecti

ears

Several years ago Jake Fratkin, OMD (Oriental Medicine Doctor), made waves throughout the pediatric community by declaring on a radio show that the cause of ear infections was antibiotics. Since that time, several studies have been done which indicate that he was right. The likelihood of a recurrent ear infection during the first six weeks after taking antibiotics is significant. Not only is a child more likely to get another ear infection within six weeks if they are given antibiotics, but the recovery time from an infection is the same whether antibiotics are given or not. Even the Washington State Department of Health has issued a statement that most ear infections clear on their own and that overuse of antibiotics leads to drug resistant bacteria. So why are medical doctors still giving antibiotics to children with ear infections? In some cases, they no longer are. More and more doctors and medical institutions are reserving antibiotic administration for extreme cases of infection as a last resort. Here in Seattle, Dr. David Springer of Wallingford Pediatrics received an award from Premera Blue Cross for his use of “evidence-based best practices” in avoiding and limiting antibiotic use for ear infections.

 

So if antibiotics aren’t the answer, what do we do for ear infections? Chinese Herbal Medicine is an excellent choice for the prevention and treatment of ear infections. There are two key formulas which, when administered correctly, can alleviate pain within hours and eliminate the infection within only a couple of days. They are safe, they are effective, and they are easy to administer. Several companies have created liquid extracts of these classic Chinese formulas adding a touch of glycerin or stevia to mask the bitter flavor of the herbs so that they are more palatable to children. I have used them with my own children and have avoided any antibiotic use so far. In addition to Chinese formulas, I have used garlic ear drops, which kill microbes and dry fluid when placed directly into the ear canal, and probiotics which help the immune system fight the infection. All three can be combined and your Chinese Medicine practitioner can help you determine the best course of treatment so you can avoid unnecessary, and potential harmful antibiotic overuse in your children.

red shoes

Season: Spring

Direction: East

Climate: Wind

Yin Organ: Liver

Yang Organ: Gallbladder

Emotion: Anger

Sound: Shouting

Color: Green

Flavor: Sour

Movement: Upward

Tissue: Tendons

Virture: Kindness

burdock

In Chinese Herbal Medicine, the small fruit of the Burdock plant is used. The root, however, is used in both Chinese Nutritional Therapy and Western Herbalism and this part of the plant can be used in cooking. Western Herbalists use Burdock root to treat skin conditions that are dry, such as dry eczema, psoriasis and dandruff. This root can be found in many asian grocery stores. It needs to be peeled, and soaked in a solution of vinegar or lemon juice to prevent discoloration (1 tea white vinegar or lemon juice to 1 cup water). Use this root chopped in stir frys, soups, or roasted with other root vegetables.

 

Stir-Fried Burdock and Carrot

from the book The Japanese Kitchen by Hiroko Shimbo

makes 4-6 servings as a side dish

2-3 Tb veggie oil

5 1/2 oz burdock, peeled, julienned in 2 1/2-in lengths (about 2 cups) and soaked in 1 c water and 1 tea vinegar

2 oz carrots, julienned in 2 1/2-in lengths (about 2/3 cups)

2 Tb sake (rice wine)

1 Tb mirin (sweet cooking wine)

1 Tb sugar

1 Tb shoyu (soy sauce)

1 tea tamari

2 Tb white sesame seeds, toasted

1/3 tea shichimi togarashi (seven spice powder) or red chili flakes

In a wok or skillet, heat the vegetable oil over high heat. Drain the burdock, and cook it, stirring, until it is well coated with oil. Add the carrot and cook, stirring, for 2 minutes. Add 3 Tb water, the sake, mirin, and sugar. Cook the mixture until almost all the liquid is absorbed, stirring all the time. Add the shoyu, and cook for 30 seconds. Season the mixture to taste with tamari. Add 1 Tb of the sesame seeds, add the seven-spice powder or red chili flakes, and give several large stirs. Transfer the vegetables to a platter, and let them cool to room temperature. The dish tastes better after a few hours, and can be kept in the refrigerator, covered, for a day. Serve at room temperature or chilled, with the remaining 1 Tb white sesame seeds.

windgate

While the name “wind gate” refers specifically to a point on the Bladder channel of the upper back, we often use this term to talk about the entire back of the neck and upper back. This area is particularly vulnerable to invasion by wind leading to symptoms of colds and flus such as chills, body aches, nasal congestion, and cough. In the Springtime when the weather starts to turn warm we can be too quick to pull off the winter layers. Exposing the back of the neck and upper back to the elements, particularly the wind, we increase the likelihood of falling ill. Protect your “wind gate” by wearing a scarf, a high collar, or a turtle neck, and you will increase your chances of making it through the spring in good health.

claychicken

I recently found this recipe on www.epicurious.com and thought it would be a nice one to share. Not only does it utilize the Donabe pot which we have discussed, but it also includes many of the springtime foods from our food list. The only ingredients that may be more difficult to find are the burdock root, wood ear mushrooms and mirin, all of which can be found at Uwajimaya or other Asian markets in the Seattle area. 

 Makes 4 generous (main course) servings

2 1/2 lbs chicken thighs, with skin and bone

½ c wood ear  mushrooms

5cups water, divided

About 2 cups reduced-sodium chicken broth

1stalk burdock root (sometimes called gobo)

1/2 teaspoon distilled white vinegar or fresh lemon juice

1 and one 1/2 tablespoons canola oil

1 large onion, coarsely chopped

1 lb fresh shiitake mushrooms, stems discarded, large caps quartered

1 and one ½ tablespoons finely chopped peeled ginger

1 and one ½ tablespoons finely chopped garlic

1/2 cup mirin (Japanese sweet rice wine)

1/2 cup white miso (also called shiro miso)

1/4 cup soy sauce

1/2 lb mustard greens, tough stems and ribs discarded and leaves coarsely chopped (8 cups)
Accompaniment: steamed rice

Garnish: chopped scallions

Preheat oven to 500°F with rack in middle. Pat chicken dry, then roast, skin side up, in 1 layer in a shallow baking pan until skin is golden brown, 35 to 40 minutes. While chicken roasts, soak wood ear mushrooms in 2 cups water until softened, about 15 minutes. Drain in a sieve, then rinse well and discard any hard pieces. Drain well, squeezing out excess water.

Transfer roasted chicken to a bowl and pour pan juices through a fine-mesh sieve into a glass measure. Let stand until fat rises to top, 1 to 2 minutes, then skim off and discard fat. Add enough stock to bring total to 2 cups liquid. Reduce oven to 300°F and move rack to lower third. Peel burdock root, and, if more than 1-inch-thick, halve lengthwise. Cut crosswise into 1-inch pieces. Transfer burdock root to a bowl, then add vinegar and 1 cup water.

Heat oil in a 7- to 8-quart heavy pot over medium-high heat until it shimmers, then sauté onions until softened and beginning to brown. Add shiitakes, ginger, and garlic and sauté until garlic is golden, 3 to 5 minutes. Add mirin and boil, stirring and scraping up any brown bits, 1 minute. Stir in miso and soy sauce, then stir in chicken, wood ear mushrooms, burdock (drained), stock mixture, and remaining 2 cups water. Bring to a boil, skimming off any froth. Cover pot and braise in oven until chicken is tender, about 1 hour.

Stir in mustard greens and continue to braise, covered, 5 minutes. Serve in shallow bowls over rice.

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