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Gratitude

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My practice.  The love in my life.  Eating ripe cherries off a tree. The internet.  Being able to walk without pain.  Air travel. The roof over my head.  My amazing patients.  Tea. Music.  Sight.  Hot, running water inside my house. That the Earth continues to orbit around the sun without my help. These are just a few things I’m feeling grateful for right now.

In Chinese Medicine, our qi is said to follow our intention or mental energy.  And different mental and emotional patterns do different things to our energy: over-thinking  and worry knot the qi; anger makes it rise up , fear sinks it, sadness dissolves it, and so on. In addition to having directionality, mental/emotional activity also affects the internal organs.  For example, habitual worry tends to affect the Spleen, like a knot in the gut, resulting in digestive problems. Habitual anger tends to affect the Liver, resulting in high blood pressure, tight neck and shoulder muscles in its partner channel, the Gall Bladder.

I have not come across references in the Chinese Medical classics as to what gratitude does to the qi, but in the laboratory of my body, it provides a kind of gentle buoyancy and softening. I have used it to shift out of many less desirable mental/ emotional states. Of course, the so-called “negative emotions”  are part of life, and they are to be fully felt, digested, and integrated. But when any mental or emotional state becomes habitual or excessive, or when it limits our ability to experience anything else, it’s time for an intervention. And gratitude is great one.

  • Gratitude turns scarcity into wealth, whether the scarce resource is time, money, or energy. I remember my father in horrible physical condition after a particularly brutal week of chemo and radiation, tuning into the feeling of the sun on his face and saying “I’m a happy man.” It has turned me from completely broke to among the wealthiest people on the planet without altering my bank account one penny.
  • Gratitude can stuff a sock into the mouth of the shrill inner “to-do” list reciter.  When I tune into what I’m grateful for in my life, I realize that not accomplishing all the stuff on the list usually does not jeopardize any of it. When there is a potential consequence, that becomes the priority, and the rest can be let go.  Clarifying.
  • Gratitude can silence the inner critic.  Is it possible to be critical and grateful at the same time?  I don’t think so.
  • Gratitude makes loss bearable. In coping with loss of loved ones from my life due to deaths or break-ups, I have found that gratitude doesn’t wipe out grief or loss, but coexists with it, walking with it arm-in-arm in a way that allows moving forward.  Celebrating the life of the loved one who has died or the relationship that has ended helps the sadness to recede.
  • Gratitude ends worry. Worry is too much thinking about things that may or may not happen in the future or things beyond our control.  Gratitude reflects the present moment, which is the only moment that counts, or even exists. If I can find something  happening right here, right now that I can truly appreciate, that trumps any hypothetical future that may or may not ever transpire.

I love gratitude and have a few practices that I employ daily.  Before I eat a meal, I take a short moment to tune into gratitude for the plants, sunshine, earth, water, farmers, and cooks that went into creating the food, as well as the people with whom I might be sharing it. I try to thank each patient and student for coming in to see me, thus allowing me to do work I love, and to learn and to grow.  When I stretch out after a workout, I send mental thank-yous to the parts of my body that I am feeling:  the muscles, bones,  my heart pumping my blood, my lungs giving me oxygen.  I do these things because living in gratitude feels great, and that’s how I want to feel.

A Note on the Misuse of Gratitude:  I sometimes hear from patients  “I should just be grateful, because so-and-so has it worse than me” or because “people are starving in other parts of the world.”  These people are often extremely burned-out caregivers, castigating themselves for not being able to feel gratitude, but more significantly, for having any needs at all when they perceive that someone they love has it worse.  Note the use of the word “should” and the implied “I should just shut up.” This person is denying her own needs. What is called for here is acknowledgment  and honoring of the unmet needs, followed by self-compassion. (and perhaps strategizing as to how those needs could be met). Then gratitude can follow.

How does gratitude feel in your body? What does it do for you? I’d appreciate your thoughts.

 

*A photo I took at Cafe Gratitude in Berkeley, CA. That day, I was grateful for being with my sisters, and for  delicious raw vegan strawberry cheesecake.

 

 

 

 

 

Seasonal Allergy Relief

It’s getting to be that time of year where a remarkable number of people here in the Willamette Valley start sneezing, dripping, and itching with seasonal allergies.  Fortunately, there are a number of natural steps you one can take to mitigate or even eliminate allergy symptoms without suffering the drowsiness and other side effects that often come with taking pharmaceuticals.

In Chinese Medicine, we distinguish between two main types of allergies: those where heat or cold predominates.  Wind, joining forces with either heat or cold, invades the body from the outside, causing an acute attack of those symptoms we all know and don’t love: sneezing, nasal congestion or runny nose, itchy eyes, tiredness, and even diffiuculty breathing.

Symptoms of wind-cold type of allergies include very drippy runny nose with clear mucus and fatigue, while the wind-heat type is characterized by itchy eyes, itchy throat and thick yellow or green mucus. Both conditions are made worse by the presence of phlegm.  Phlegm is which is basically accumulated turbid water that the body is trying to throw at what it perceives as a dangerous pathogen: the evil, invading pollen.

So what can you do besides hide indoors?

  1. Use a neti pot to rinse your sinuses to get the pollen out of your respiratory tract. Combine warm water and enough salt so that the water tastes like a teardrop, and rinse your nasal passages twice daily.  Flushing the allergens out of your body gives the body a break from having to perpetually react to them.  Plus, freeing the flow of qi in your sinuses makes it less likely for stuff to percolate there and become infected.
  2. Eat strategically: Making sure that you’re digesting well and therefore not creating more residual crud to hang out in your system as dampness or phlegm is very important.  Keep damp-producing foods like dairy products, refined sugar, bananas, alcohol, and refined flour products to a minimum (Though yogurt and kefir with active probiotic cultures can help the immune system, you may be better off with fermented foods like miso and kimchi — or taking probiotic supplements– which are less mucogenic than dairy.) The taste of bitter helps to transform phlegm, so including lots of leafy greens in your diet can be helpful.  If you have wind-heat type allergies, cooking with spices such as rosemary, oregano, turmeric, and mint can be helpful. For wind-cold type allergies, cook with onions and fresh ginger.
  3. Drink tea:  Both green and black tea are especially rich in quercetin, a component of plant-based foods that has anit-inflammatory properties. Other foods rich in quercetin include red onions, lovage, capers, red grapes, and green leafy vegetables.Tea made from nettles can be highly anti-inflammatory: steep the leaves for 10 minutes in hot water (and handle with care!) Chrysanthemum blossoms (steeped covered for at least 5 minutes) is especially good to relieve itchy eyes.
  4. Take Herbs: Herbs are simply stronger foods. Ready-made Chinese herb formulas like Pe Min Kan Wan, Bi Yan Pian, or Xanthium Pills are all aimed at treating the wind-heat or wind-cold to decrease symptoms of allergies, and many people find to be effective symptom relievers without the side-effects of pharmaceutical drugs. (available at Life in Balance Acupuncture.)
  5. Get acupuncture.  A study published in the Australian Journal of Medicine suggests that acupuncture provides safe, effective treatment for persistent seasonal allergies, even 12 weeks after the course of treatment. But you may already know that!

Let there be space

A colleague showed up at my office yesterday and asked “what are you doing tonight at 7:30?”  For the first time in weeks, the answer was “I don’t have any plans, actually.” She smiled, presented me with a free ticket to the Aviv String Quartet’s performance that her husband wasn’t able to use, and left.

As I sat in the concert hall, listening, the music worked its magic.  It felt as though the sound waves were massaging my brain into a dreamy, peaceful, yet creative and inspiring state.  I came out of it feeling deeply rejuvenated, like an especially deep meditation or trip to “acu-land.”  While feeling deeply grateful that I was there having this experience,  I was reminded of this passage from the Tao Te Ching:

We join spokes together in a wheel,
but it is the center hole
that makes the wagon move.

We shape clay into a pot,
but it is the emptiness inside
that holds whatever we want.

We hammer wood for a house,
but it is the inner space
that makes it livable.

We work with being,
but non-being is what we use.

-Tao Te Ching interpreted by Stephen Mitchell

If there’s no space, nothing happens. We need yin to engender yang.

It’s so easy for me to see space as simply something that needs to be filled up.  This keeps me very busy (usually with things I love!)  but doesn’t allow for a whole lot of spontaneity. What would happen if I left a little more space ?

The One Book I Hope Everyone Reads this Year

Recently, one of my patients recommended I read Anticancer: A New Way of Life by David Servan-Schreiber, M.D., Ph.D (Viking, New York, NY, 2009). I am very grateful for her recommendation, as it seems like the number of people I know, both personally and professionally who are dealing with this brutal disease — and the harsh treatment it so often necessitates — is way too high. And yet, there are many things we can do to make our bodies far less hospitable to cancer.

Written by an M.D. who was diagnosed with a brain tumor 15 years ago and was dissatisfied with his oncologist’s assessment that what he did wouldn’t have any affect on his health, this book is highly readable, peppered with interesting scientific studies, and very practical advice. He considers what makes the ecosystem that is each human body conducive to cancer’s growth? Turns out, food, chronic helplessness and other emotions, and toxins in the environment have a lot to do with it.

Some points I found particularly interesting:
The role of inflammation
Cancer can’t grow without supply lines: blood vessels to get it resources. Blood vessels don’t multiply for no reason — only when the body is in need of tissue repair. Cancer hijacks the body’s inflammation process to create the bloods vessel infrastructure it needs to support its rapid growth. Foods that increase inflammation (like sugar, fried stuff, and pretty much everything else in the Standard American Diet) act as cancer fertilizer, and foods that are anti-inflammatory cut off the supply lines.

The power of synergy

Turmeric, a the bright yellow-orange spice common in Indian cooking that adds color and flavor to curries, has long-been recognized by both Chinese Medicine and Ayurveda as an anti-inflammatory herb. It has been shown not only to prevent tumor growth, but to force cancer cells to kill themselves. But when combined with black pepper or ginger, it becomes 2,000 percent more effective.

2-3 cups of green tea per day provides enough EGCG in the blood to settle on the surface of cells and prevents them from being invaded by cancers. It has been shown to even more effective when combined with soy in food form like tofu or miso (and not from concentrated soy isoflavones).

Studies where 2, 3, and 4 anti-cancer foods were combined together showed greater efficacy than administering only one of the anti-cancer foods. In Chinese Medicine, we combine herbs together for the same reason: the blend is more powerful than the individual parts.

Food as medicine

In Chinese Medicine, every time we eat is an opportunity to promote health, simply survive, or to contribute to a disease process. Servan-Schriber makes this point in the his chapter on “the anticancer foods,” as he outlines the healthful properties of berries, citrus, stone fruits, mushrooms, olive oil, leafy greens, colorful veggies, cruciferous vegetables, the mint family, garlic, dark chocolate, red wine, soy and many other wonderful foods. This chapter could easily be called the “anti-arthritis foods” or the “anti-heart disease foods,” as the recommendations are very similar with an edible cast of characters seen again and again as helpful for different diseases.

Breathing, meditation, yoga, qigong and other active relaxation practices produce coherent rhythms in the body, indicating adaptability and thus resistance to cancer and heart disease, increase the body’s ability to handle stress, and boost the immune system.

Connections

Women with breast cancer who could name 10 friends (location unimportant) had survival rates 4x higher than those who couldn’t, in a large-scale study of US nurses.

Empowerment
What I appreciated most about this book is its practicality in empowering people to take action: specifically, to eat a variety of whole foods, vegetables, fruits, and spices; reduce sugar and refined flour, animal fats, vegetable oils and other foods high in Omega-6s; deal with old emotions, stay connected to loved ones, and avoid toxins in everyday life whenever possible. This is completely in line with Chinese Medical theory that we are connected to our environment, that what we do and consume every day can move us towards or away from health, and that chronic emotions like loneliness and helplessness are just as much of risk factors for disease as cigarette smoking. I also love that someone else has compiled such excellent and digestible research that confirms what Chinese Medicine has known for thousands of years, with such great charts and graphs.

There’s lots of stuff I’m leaving out. I highly recommend reading the book. Or at the very least, eating a little turmeric with black pepper every day.

Harvest Time Reflection

Right now, the abundance of the Earth is being harvested. In Chinese Medicine, this time of year gets its own label “Late Summer,” and corresponds with the Earth element, the Spleen and Stomach, the digestive system. It’s distinct from the fullness of intense heat and activity of the summer, and yet it’s not quite autumn. This is harvest time. Here a few questions for reflection inspired by the season of the Earth element:

1) Digesting your life. A primary job of the Earth element (the Spleen and Stomach) is to produce qi by transforming food into nutrition, to convert input into something useful to the body. There are two aspects to this equation: 1) the quality of the input itself and 2) how you are processing it .What have you been filling your life with? What have you put your energy into that is nourishing you? And what are you having a hard time “digesting” and integrating into your life?

2) Enjoying the fruits of your labor. What have you put your energy into this year, this month, this week, or this day that you can appreciate? After climbing up a mountain, it’s worthwhile to stop, stand back and take in the view.

3) What goes onto your plate? Are you living solely on one dish over and over again, expecting it to provide you with all that you need? Are you sampling from everything that the life’s bounty has to offer? Are you piling your plate too full with “good stuff” that nonetheless is far too much for one person to attempt to consume? Are you happy with the portion sizes? Is what’s on your plate providing a balance of nutrients for your physical, emotional, mental, and spiritual dimensions?

May you feast on your life
!