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Last week I wrote about the basic principles of cleansing and why this is the ideal time of year for it. Generally, I favor cleanses that consist of reducing food intake and simplifying the diet to things that are natural, non-irritating, and easy-to-digest. This regimen is best accompanied by an equivalent reduction and simplification of physical and mental activity. Virtually anyone can do this form of cleanse without worry of suffering ill effects. Rather than undertaking a more intense cleanse, people can usually get the same benefit from a gentler cleanse over a longer period of time (even a few weeks or months). If you choose to do something more challenging, I recommend you consult with a healthcare practitioner.
Now, let’s look at the details of how to accomplish this housecleaning.
1. Consume Less (on all levels)
This is just basic mechanics. If you want to clean out a sausage machine, you can’t keep stuffing meat into it. Consuming less means less energy is tied up in assimilating what you take in, and more resources can be devoted to removing waste.
Studies have shown that fasting induces organ regeneration, but a total fast (just water) for more than about a day is difficult for most people. Luckily, some of the same benefits can be achieved through “intermittent fasting” – fasting briefly and repeatedly. A study a few years ago showed a correlation between a 13 hour fast each day (between dinner and breakfast) and a reduced rate of recurrence of breast cancer. Subsequent research indicates that a longer fast can provide additional anti-aging benefits.
When a patient is interested in trying intermittent fasting, I have them aim for at least 14 hours, and ideally 16 hours between dinner and breakfast. This means all your meals are consumed in an 8 (to 10) hour window. This window should correspond roughly with the daylight hours (for example, eating only from 9 AM to 5 PM). In this way, when the sun is shining (the main presence of the Fire Element in our lives) there’s a parallel activation of our digestive fire, and when it’s dark, these organs are allowed to rest. This is what both Ayurveda and Traditional Chinese Medicine recommend.
Outside of this window, it’s ideal to have only water. During a cleanse, I believe it’s permissible to also consume plain, non-caloric, unsweetened herbal teas (avoid even non-caloric sweeteners).
Whether or not you choose to limit your window of eating, during a cleanse (and really, always) you should never eat to the point of feeling full. Fullness means the stomach is packed. Perhaps even stretched beyond its normal size. Rather than aiming for a feeling of fullness, the goal should be to simply not be hungry. So, stop eating at the point of feeling no more than 80% full. It may require some mental retraining, but you’ll find if you pause and listen to your body, this is enough. If you’re slow and mindful during the eating process (that is, giving it all of your attention), you may find that you need much less food than you think.
As I explained in the previous article, this reduction of consumption should go along with a fasting of the mind. Avoid media of all kinds – especially anything that involves conflict or pain. It’s just more to digest.
2. Choose Simple & Easy-to-Digest Sustenance
While many people believe a cleanse should involve zero food, and perhaps even substances to cause the body to purge waste, I see a safe and universal cleanse a little differently. Since I can’t assess the suitability of a strong cleanse for a person I haven’t met, I lean again toward gentleness. Rather than starving the body or taking the herbal equivalent of Liquid Plumbr, think of the process as one of satisfying the body’s minimum nutritional needs while replacing waste with nutrients.
In Ayurveda, the main fasting food is kitchari, a porridge made with rice, mung beans, spices, and occasionally vegetables. You can find lots of kitchari recipes online. For the easiest cleanse, you can have a day or several days of kitchari with well-cooked vegetables in it. For a more challenging cleanse, you can work your way from kitchari with vegetables to plain kitchari (just rice, mung beans, and spices). To take it a step further, you can then go to a day of just rice. To go further still, you can follow this with a day of just rice water (the solid rice strained out). To go further still, you can follow this with a day of just water, and then follow the cleanse in reverse – rice water, then rice, then plain kitchari, then kitchari with vegetables.
In Traditional Chinese Medicine, a simple cleanse is achieved through a qing dan diet. Qing means clear, pure, or light, and dan means bland. This means generally avoiding rich (fatty) and foods that have a strong flavor (i.e., very salty, very sour, very bitter, very sweet, or very spicy). It sounds boring, but it’s easy for the body to handle and tends to calm the internal environment. All sweet processed foods would quality as very sweet, all salty snack foods would qualify as very salty, almost anything fermented or that contains vinegar would qualify as very sour . . . you get the idea. Primarily it’s a diet of whole grains, cooked vegetables, beans, and a little fruit. A staple is porridge known as congee (“con – jee”), usually with a base of rice cooked with several times more water than usual, sometimes with bland root vegetables such as yams.
Many American naturopathic physicians recommend Bieler Broth (or Bieler’s Broth) – a bland green soup presented by Dr. Henry Bieler in his 1965 book, Food is Your Best Medicine. The basic idea is to steam or simmer several kinds of chopped green vegetables (ideally organically grown) in a couple cups of water until tender, then puree the whole thing, including the water, and consume warm. It’s best to use little or no salt.
Most recipes utilize some combination of zucchini, string beans, celery, parsley, chard, and spinach. Some cook and puree the whole thing, while others add some of the leafier ingredients (such as spinach and parsley) just for the last two minutes, or even don’t cook them at all. Also, there are differing philosophies on how long to cook the broth. I recommend that if you have very sensitive or weak digestion, you may benefit from cooking the vegetables for quite a while (perhaps 45 minutes on low heat). You can find many variations if you search for “bieler broth” online. Bieler Broth could be your sole sustenance for a cleanse, or something you use as a supplement. It’s rich in minerals and is considered to be alkalizing.
Finally, many people like juice cleanses because the all-liquid diet tends to clean us out well, and juice is tasty. However, fruit and carrot juices are very high in sugar, which is arguably a significant downside (non-sugary vegetable juices would be better in this regard). Second, because they’re raw, they’re not always easy for everyone to digest. If large amounts of juice upset your digestion or make you feel bloated, this probably isn’t the ideal cleanse for you. Third, some people have sensitivities to fruits and veggies that are high in latex or salicylates. And fourth, some people have difficulty digesting certain kinds of sugars found in produce, referred to as FODMAPs, which I’ll discuss in the next section.
3. Avoid Irritants
Any of the above foods, as benign as they may sound to most people, may present problematic substances to a sensitive individual. The best way to figure out your sensitivities is to eat a simple diet and pay close attention to what your body tells you. But sometimes it’s tricky, so here are a few common offenders to consider.
A. The Big Five: The most commonly problematic foods are gluten-containing grains (wheat, rye, and barley), milk products, corn products, soy products, and eggs. Oats technically don’t contain gluten, but they’re sometimes stored with glutinous grains, and some people are sensitive to a gluten-like protein in oats called avenin.
It’s important to remember that although many people have sensitivities to these five groups of foods, there’s nothing inherently bad about them. However, most people would do well to avoid these foods during a cleanse.
B. Common Irritants: Many people have allergies or sensitivities to shellfish, nuts, sulfites, alcoholic beverages, artificial colors, and preservatives. In addition, deep fried foods, charred foods, hydrogenated oils, processed meats, and all sweeteners should be avoided or consumed in moderation by everyone, and are worth cutting out for a cleanse.
C. Nightshades: Vegetables in the nightshade family – tomatoes, potatoes, eggplant, huckleberries, goji berries, and all peppers – can make some people feel bad, especially folks with joint pain. Symptoms may include achy muscles and joints, skin rashes, itching, phlegm, and nausea. It’s probably a good idea to avoid nightshades during a cleanse.
D. FODMAPs: FODMAP stands for “Fermentable Oligo-, Di-, Mono-saccharides and Polyols” – a group of short-chain carbohydrates that are difficult for the body to digest. For most people, they pass through the body without being absorbed and without symptoms. But in some folks, their gut bacteria ferment FODMAPs and produce hydrogen gas, causing gas pain, bloating, diarrhea, constipation.
Anyone with Irritable Bowel Syndrome or longstanding digestive upset should try avoiding foods that are high in FODMAPs during a cleanse. They may be worth avoiding long-term, if you feel better without them; however, some scientists have suggested that FODMAPs play an important role in maintaining healthy gut flora and shouldn’t be permanently removed from the diet. The list of high-FODMAP foods is long, so if you suspect you have a FODMAP problem, I encourage you to read about this diet on the web.
E. High Latex Foods: These are only a problem for people with a latex allergy (usually you would know this from irritation from latex gloves, condoms, or blowing up a balloon) and they tend to cause itching, hives, nasal congestion, or difficulty breathing. Some foods containing the most natural latex are: apple, avocado, banana, carrot, celery, chestnut, kiwi, melons, papaya, raw potato, and tomato.
F. High Salicylate Foods: These foods contain chemicals that are essentially a naturally occurring form of aspirin. Only people with a salicylate sensitivity are bothered by them (more often the case in people with asthma), and they should certainly avoid them during a cleanse. Symptoms of salicylate sensitivity include: nasal and sinus congestion, asthma, gas, digestive upset, diarrhea, and hives. The list of high salicylate foods is long, so it’s best to look it up if you’re concerned.
Okay, I know that’s a lot to process, so it’s worth saying again that most people don’t have sensitivities to all these things, and significant sensitivities to many foods is pretty rare. For most people, rice, millet, wild salmon, sweet potato and cooked squashes make a good, gentle diet for a cleanse. If you need more variety, you could add most well-cooked vegetables to that list (however, it may be worth avoiding nightshades for the reasons listed above and perhaps avoiding cruciferous vegetables if you find them difficult to digest).
I’d love to hear about your cleanse experience – both past and present.
Be well,
Dr. Peter Borten
[post_title] => How to Cleanse, Part Two: The Details
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[post_content] => It’s almost time for the Thanksgiving feast, and I know many people feel it’s a challenge to avoid gorging themselves and feeling guilty. So I’d like to offer some thoughts on the subject, along with a great recipe for a vegetarian gravy that’s (somewhat) healthier than the usual stuff but every bit as delectable.
This recipe came originally from my wife Briana’s grandfather John Moore, passed down by her dad, also John Moore, to her, and by association to me. There’s something special about following these family recipes – even if they change over time. At the start, deliciousness was the only guiding principle. Then Briana wanted to make it vegetarian, and I wanted to make the flavor a bit more complex and add some spices that might even help to balance digestive-overwhelm.
First let’s talk about overeating and feeling guilty. I’ve written about this in the past, and I’ll say it again: the single most healthful change a person can make to how they eat is to stay fully present during the act of eating.
More than keto or intermittent fasting or veganism or any other diet, being totally engaged and conscious while eating will automatically change how you eat, what you eat, and how you feel afterwards. Furthermore, it will teach you what does and doesn’t work for your body, and it will add a whole new dimension of depth and connection to the act of nourishing yourself. I’ve known people to spontaneously abandon unhealthy behaviors like gambling and codependent relationships when they became more awake to their nutrition and allowed themselves to experience all facets of that process – being both the loving giver and the grateful receiver of their own loving care.
I know there’s going to be good conversation and an abundance of excellent food. Staying conscious while eating doesn’t mean you can’t have it all. In fact, you’ll actually have a more fulfilling experience of all of it – both the food and the company – if you stay present. It might take twice as long to eat half as much food, but you’ll be able to walk away from the table rather than hobbling.
Now for the recipe. As it’s presented below, it contains gluten and dairy, but it can easily be modified to have neither.
Ingredients:
- Butter – ¾ to 1 cup (a stick of butter is a half cup) – or ghee, or coconut oil, or vegan butter substitute
- Onion – half to whole, depending on how much you like onion – finely diced
- Mushrooms (optional) – any kind, though I prefer crimini or another variety that isn’t chewy – approximately 1 cup, finely diced
- Garlic – 5 cloves, crushed
- Flour (normal or gluten-free) – ¾ cup to 1 cup – roughly the same amount of flour as the amount of butter you used
- Vegetable broth – 4 cups (have a few more cups on hand). I like the Better Than Bouillon Organic Vegetable Base and Organic Mushroom Base, and I often mix the two together. It comes in a glass jar and one jar makes many cups of broth, so it’s tasty, compact in your fridge, and eco-friendly.
- Soy sauce or tamari (gluten free soy sauce) – 4 tablespoons
- Worcestershire sauce (optional) – 1 to 2 teaspoons – note, it usually contains anchovies
- Rosemary, chopped – approximately 1 tablespoon fresh or 1 teaspoon dried
- Sage, chopped – approximately 1 tablespoon fresh or 1 teaspoon dried
- Fresh ginger – finely grated – approximately 1 tablespoon
- Nutritional yeast (optional) – 1 to 2 tablespoons
- Good quality salt and black pepper
Directions:
In a large deep pan over medium heat, sautee the onion, mushroom (if using), and garlic in the butter (or butter alternative) until it begins to brown (about 5 minutes).
Slowly add the flour, soy sauce or tamari, nutritional yeast (if using), and worcestershire sauce (if using). Work it with a spoon or spatula to form a smooth paste. Stir occasionally, allow it to become evenly browned.
Gradually add the broth, using a whisk or hand blender to blend it with the flour paste.
Add the ginger, sage, and rosemary, bring to a boil, then immediately reduce to a simmer, and simmer low for about 5 minutes.
At this point the gravy should be delicious and an ideal consistency.
If you need to thin it, add more broth or (if you don’t want to make it more salty) hot water.
If you want to thicken it, add more flour to a small amount of broth in a bowl and whisk or hand blend to make smooth, then add and continue to whisk into the gravy until the desired consistency is achieved. If it’s much too thin, this could also be achieved with corn starch or arrowroot powder – mix 1 tablespoon at a time in a small amount of water or broth until dissolved, then add to the gravy and bring to a boil again, stirring constantly. Repeat as necessary to thicken further.
If you want to give it more kick, add extra ginger, garlic, black pepper, or crushed red pepper.
If it’s not salty enough, add either more salt, or (if it needs more body altogether) add more soy sauce or tamari.
If it lacks body, you may add additional nutritional yeast, a little powdered clove, or a pinch of garam masala.
Serve abundantly over virtually everything or drink by the glass. If you make this gravy I’d love to know how it turns out – along with whatever of your own modifications made it even better! And if you experiment with eating mindfully, I would love to know what’s different about the eating process and how you feel afterwards. Also, when you practice mindful eating, what obstacles do you encounter?
Be well,
Peter
[post_title] => Mind-Blowingly Good Vegetarian Gravy – and How to Leave the Table Feeling Good
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It’s been a while since I’ve profiled an herb in our newsletter, and I felt inspired to write about rosemary for the holiday season. I have been drawn to rosemary for many years. When I lived in Portland, I passed huge clumps of it on my daily walks. I couldn’t resist running my hands over each one and smelling the piney resin on my fingers.
Rosemary has a long history of medicinal and culinary use, especially in the Mediterranean region. If I had to summarize its properties using only three words, I would say: stimulating, opening, and protecting. Let’s look at these magical qualities.
Stimulating: Traditionally, rosemary has been used to stimulate the mind, the heart, the digestion, the nervous system, and the peripheral circulation. The oil is applied to the scalp to stimulate circulation to the hair follicles and promote hair growth. The herb can be taken as a tea or steeped in wine to improve overall circulation, especially when there are cold extremities, cool and pale skin, low blood pressure, weak digestion, and cardiopulmonary edema.
Rosemary wreaths were worn on the head in ancient Greece to promote sharp thinking and clear senses, and recent research supports this effect. It stimulates and “awakens” a foggy, unclear mind (for this purpose the essential oil can be used in a diffuser or the dilute essential oils applied to the temples). It can be consumed for a sluggish liver and gallbladder with low energy and a yellowish complexion. Similarly, it’s indicated for individuals with poor digestive secretions. In these cases, it stimulates the digestive organs.11
Opening: Traditionally, rosemary was prescribed for an array of conditions that could all be described as forms of congestion or stagnation. These include congestive heart failure, stagnant digestion, muddled thinking, and phlegmy conditions. Rosemary is considered by herbalists to open the heart and blood vessels; to open the digestive tract by moving its contents along, alleviating indigestion and gas (like other members of the mint family); to open the lungs, ears, and sinuses when there is congestion; to open the head (for headaches, especially when there is weak circulation), and to open the senses when they’re impaired.
Animal studies have demonstrated that rosemary is protective against the brain damage caused by stokes; it appears to help “open” the vessels of the brain, leading to less deprivation of fresh blood.10 (It appears, however, that you would have to consume rosemary on a regular basis to achieve this benefit.)
A study of healthy young adults exposed to the scent of rosemary before taking math tests showed that rosemary improved their cognitive performance.5 This effect was attributed to a compound called 1,8-cineole, but rosemary also contains a large quantity of an aromatic compound called borneol. I learned about borneol (called Bing Pian in Chinese) in my studies of Chinese herbal medicine, which classifies it as a substance that “opens the sensory orifices.” That is, it awakens the senses and restores awareness in someone whose consciousness is impaired. Since the borneol we get comes from China and is a white crystalline powder of unknown origin (perhaps synthetic), Americans are generally hesitant to prescribe it for internal use. But in the rosemary leaves, we have a source of borneol that can be safely consumed.
Protecting:
Rosemary possesses several qualities that allow it to protect health, vitality, and freshness. Long valued as a killer of germs and molds, modern research has confirmed that rosemary has antioxidant and antimicrobial properties. The herb’s antioxidant compounds protect against oxidative damage to our cells (a major factor in aging and cancer) from exposure to things like UV light, smoke, pollution, fried foods, and household chemicals.
These antioxidant qualities, combined with its antibacterial and antifungal compounds, make rosemary an excellent natural preservative.8 In fact, many of the Dragontree’s body care products contain a small amount of rosemary extract to prolong their shelf life. The rosemary extract inhibits mold and bacterial growth and also protects oils from going rancid.
We’ve recently become aware that high heat cooking, especially of starchy foods, can cause the formation of chemicals known as acrylamides which are likely carcinogenic. New research shows, however, that if rosemary is in the recipe, it significantly lessens acrylamide production.3
Another way in which rosemary is protective is through its anti-inflammatory compounds. While inflammation is a necessary part of healing from an acute injury or infection, chronic inflammation is a different matter altogether. It’s not productive; in fact, it’s a likely player in many degenerative diseases. While anti-inflammatory drugs have drawbacks, the ongoing consumption of foods and herbs that possess anti-inflammatory properties is a safe way to gain some long-term protection.
Research also suggests that rosemary can help protect the liver from damage by certain toxins. A 2016 paper entitled, “The Therapeutic Potential of Rosemary (Rosmarinus officinalis) Diterpenes for Alzheimer's Disease,” theorized that compounds from rosemary could be beneficial in the treatment and prevention of Alzheimer’s, apparently by breaking down or interfering with the formation of amyloid plaques in the brain.2 Further, there has been some promising research on the use of rosemary extracts in the prevention and treatment of cancer.4 However, we're admittedly far from knowing how to utilize rosemary extracts in a consistently effective way for these serious medical conditions.
~
Several times above I referred to the essential oil of rosemary, so I want to share a few words about what this is and how to use it. Essential oils – or volatile oils – are the aromatic substances that give many herbs and flowers their characteristic scent. They’re “volatile” because they evaporate and dissipate quickly. They also have medicinal qualities, both through the effect of the scent itself – what’s known as aromatherapy – and through the pharmacological effects of the complex blend of chemicals they contain, which enter the body through the skin, lungs, and (when consumed) digestive tract.
The therapeutic application of pure essential oils is a medical system in its infancy. It’s barely a “system” at all, in fact – but that’s a topic for another article. While essential oils occur in tiny amounts in most of the culinary herbs and spices we regularly consume – rosemary, cinnamon, thyme, basil, oregano, nutmeg, vanilla, sage, lavender, and peels of orange, lemon, grapefruit, lime, and tangerine – the modern extraction and availability of these oils in pure form allows us to be exposed to them in concentrations and quantities that would never naturally occur. As such, they can be potent to a degree that may be unhealthy. The key is, they should be used very sparingly – not only because it’s not healthy to use large amounts, but because it’s unnecessary. The therapeutic effect occurs with just a tiny bit. So, a bottle should last you a long time.
When oily seeds, nuts, and fruits – such as olive, almond, sesame, safflower, coconut, avocado, walnut, jojoba, and grapeseed – are pressed or processed for their oil, this oil can be called a “fixed” oil. Fixed is in contrast to volatile. These oils are oils in the traditional sense – they’re heavy and fatty, they add richness to foods, and are emollient to the skin. Fixed oils are ideal carriers for essential oils. Typically, you need no more than 2 drops of rosemary oil in a teaspoon (or more) of your favorite fixed oil for application to the skin (such as for hair growth). Or you can make your own rosemary-infused oil by taking 1 cup of rosemary needles, adding 2 cups of oil (ideally a filtered oil or one with minimal flavor of its own), and heating in a covered slow-cooker for several hours on its lowest setting. Then strain it and store it in a jar in a cool, dark place. This oil can be used on the skin or in cooking (don’t use the essential oil in cooking).
There’s a great book for aspiring chefs who endeavor to compose their own dishes, called Flavor Bible, by Karen Page and Andrew Dornenburg. It’s essentially a reference guide which tells you which foods and spices combine well. Following is the very long list of foods that go well with rosemary. Bold entries are recommended by several chefs. Capitalized entries are recommended by an even greater number of chefs. And capitalized entries with a star (*) are what the book refers to as the “holy grail” combinations.
Here they are: anchovies, apples, apricots, asparagus, bacon, baked goods (breads, cakes, cookies, etc.), bay leaf, BEANS (esp. dried, fava, white, green), beef, bell peppers, braised dishes, breads, Brussels sprouts, butter, cabbage, carrots, cauliflower, celery, chicken - especially grilled, chives, cream, cream cheese, duck, eggs and egg dishes, eggplant, fennel, figs, FISH - especially grilled, focaccia, French cuisine - especially Provençal, fruit, game: rabbit & venison, *GARLIC, gin, grains, grapefruit juice, zest, grapes, grilled dishes - especially meats & vegetables, herbs de Provence (key ingredient), honey, Italian cuisine, *LAMB, lavender, lemon – juice & zest, lemon verbena, lentils, lime juice, zest, liver, lovage, mackerel, marinades, marjoram, MEATS - especially grilled & roasted, Mediterranean cuisine, milk, mint, mushrooms, mussels, octopus, OLIVE OIL, ONIONS, orange juice, oregano, parsley, parsnips, pasta, pears, peas, black pepper, pizza, polenta, PORK, POTATOES, poultry, radicchio, rice, risotto, roasted meats, sage, salmon, sardines, sauces, savory, scallops - especially grilled, shellfish, sherry, shrimp, soups, spinach, squash – summer & winter, steaks, stews, strawberries, strongly flavored foods, sweet potatoes, swordfish, thyme, TOMATOES, tomato juice, tomato sauce, tuna, veal, vegetables - especially grilled & roasted, vinegar - balsamic, wine, zucchini.
Because of its strong camphorous-piney flavor, it’s natural to think that opportunities to use rosemary are uncommon, but as you can see by that list, it goes well with so many things. I use it at least a few times a week. Combine these culinary occasions with its many medicinal uses and you’ve got a valuable botanical ally. I encourage you to get to know this remarkable plant and use it to spice up your holiday season.
Be well,
Peter
Bibliography
- Eissa, F. A., Choudhry, H., Abdulaal, W. H., Baothman, O. A., Zeyadi, M., Moselhy, S. S., & Zamzami, M. A. (2017). Possible hypocholesterolemic effect of ginger and rosemary oils in rats. African journal of traditional, complementary, and alternative medicines : AJTCAM, 14(4), 188-200. doi:10.21010/ajtcam.v14i4.22
- Habtemariam, S. (2016). The Therapeutic Potential of Rosemary (Rosmarinus officinalis) Diterpenes for Alzheimer's Disease. Evidence-based complementary and alternative medicine : eCAM, 2016, 2680409.
- Hedegaard RV, Granby K, Frandsen H, Thygesen J, Skibsted LH. Acrylamide in bread. Effect of prooxidants and antioxidants. Eur Food Res Technol. 2008;227:519–525. doi: 10.1007/s00217-007-0750-5.
- Moore, J., Yousef, M., & Tsiani, E. (2016). Anticancer Effects of Rosemary (Rosmarinus officinalis L.) Extract and Rosemary Extract Polyphenols. Nutrients, 8(11), 731. doi:10.3390/nu8110731
- Moss, M., & Oliver, L. (2012). Plasma 1,8-cineole correlates with cognitive performance following exposure to rosemary essential oil aroma. Therapeutic advances in psychopharmacology, 2(3), 103-13.
- Murino Rafacho, B. P., Portugal Dos Santos, P., Gonçalves, A. F., Fernandes, A., Okoshi, K., Chiuso-Minicucci, F., Azevedo, P. S., Mamede Zornoff, L. A., Minicucci, M. F., Wang, X. D., … Rupp de Paiva, S. A. (2017). Rosemary supplementation (Rosmarinus oficinallis L.) attenuates cardiac remodeling after myocardial infarction in rats. PloS one, 12(5), e0177521. doi:10.1371/journal.pone.0177521
- Naimi, M., Vlavcheski, F., Shamshoum, H., & Tsiani, E. (2017). Rosemary Extract as a Potential Anti-Hyperglycemic Agent: Current Evidence and Future Perspectives. Nutrients, 9(9), 968. doi:10.3390/nu9090968
- Nieto, G., Ros, G., & Castillo, J. (2018). Antioxidant and Antimicrobial Properties of Rosemary (Rosmarinus officinalis, L.): A Review. Medicines (Basel, Switzerland), 5(3), 98. doi:10.3390/medicines5030098
- Page, K., & Dornenburg, A. (2011). The flavor bible: The essential guide to culinary creativity, based on the wisdom of Americas most imaginative chefs. New York, NY: Little, Brown and Company.
- Seyedemadi, P., Rahnema, M., Bigdeli, M. R., Oryan, S., & Rafati, H. (2016). The Neuroprotective Effect of Rosemary (Rosmarinus officinalis L.) Hydro-alcoholic Extract on Cerebral Ischemic Tolerance in Experimental Stroke. Iranian journal of pharmaceutical research : IJPR, 15(4), 875-883.
Wood, M. (2008). The earthwise herbal, a complete guide to Old World medicinal plants. Berkeley, CA: North Atlantic Books.
[post_title] => Making Friends with Rosemary - A Tremendous Botanical Ally
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Last week I wrote about the basic principles of cleansing and why this is the ideal time of year for it. Generally, I favor cleanses that consist of reducing food intake and simplifying the diet to things that are natural, non-irritating, and easy-to-digest. This regimen is best accompanied by an equivalent reduction and simplification of physical and mental activity. Virtually anyone can do this form of cleanse without worry of suffering ill effects. Rather than undertaking a more intense cleanse, people can usually get the same benefit from a gentler cleanse over a longer period of time (even a few weeks or months). If you choose to do something more challenging, I recommend you consult with a healthcare practitioner.
Now, let’s look at the details of how to accomplish this housecleaning.
1. Consume Less (on all levels)
This is just basic mechanics. If you want to clean out a sausage machine, you can’t keep stuffing meat into it. Consuming less means less energy is tied up in assimilating what you take in, and more resources can be devoted to removing waste.
Studies have shown that fasting induces organ regeneration, but a total fast (just water) for more than about a day is difficult for most people. Luckily, some of the same benefits can be achieved through “intermittent fasting” – fasting briefly and repeatedly. A study a few years ago showed a correlation between a 13 hour fast each day (between dinner and breakfast) and a reduced rate of recurrence of breast cancer. Subsequent research indicates that a longer fast can provide additional anti-aging benefits.
When a patient is interested in trying intermittent fasting, I have them aim for at least 14 hours, and ideally 16 hours between dinner and breakfast. This means all your meals are consumed in an 8 (to 10) hour window. This window should correspond roughly with the daylight hours (for example, eating only from 9 AM to 5 PM). In this way, when the sun is shining (the main presence of the Fire Element in our lives) there’s a parallel activation of our digestive fire, and when it’s dark, these organs are allowed to rest. This is what both Ayurveda and Traditional Chinese Medicine recommend.
Outside of this window, it’s ideal to have only water. During a cleanse, I believe it’s permissible to also consume plain, non-caloric, unsweetened herbal teas (avoid even non-caloric sweeteners).
Whether or not you choose to limit your window of eating, during a cleanse (and really, always) you should never eat to the point of feeling full. Fullness means the stomach is packed. Perhaps even stretched beyond its normal size. Rather than aiming for a feeling of fullness, the goal should be to simply not be hungry. So, stop eating at the point of feeling no more than 80% full. It may require some mental retraining, but you’ll find if you pause and listen to your body, this is enough. If you’re slow and mindful during the eating process (that is, giving it all of your attention), you may find that you need much less food than you think.
As I explained in the previous article, this reduction of consumption should go along with a fasting of the mind. Avoid media of all kinds – especially anything that involves conflict or pain. It’s just more to digest.
2. Choose Simple & Easy-to-Digest Sustenance
While many people believe a cleanse should involve zero food, and perhaps even substances to cause the body to purge waste, I see a safe and universal cleanse a little differently. Since I can’t assess the suitability of a strong cleanse for a person I haven’t met, I lean again toward gentleness. Rather than starving the body or taking the herbal equivalent of Liquid Plumbr, think of the process as one of satisfying the body’s minimum nutritional needs while replacing waste with nutrients.
In Ayurveda, the main fasting food is kitchari, a porridge made with rice, mung beans, spices, and occasionally vegetables. You can find lots of kitchari recipes online. For the easiest cleanse, you can have a day or several days of kitchari with well-cooked vegetables in it. For a more challenging cleanse, you can work your way from kitchari with vegetables to plain kitchari (just rice, mung beans, and spices). To take it a step further, you can then go to a day of just rice. To go further still, you can follow this with a day of just rice water (the solid rice strained out). To go further still, you can follow this with a day of just water, and then follow the cleanse in reverse – rice water, then rice, then plain kitchari, then kitchari with vegetables.
In Traditional Chinese Medicine, a simple cleanse is achieved through a qing dan diet. Qing means clear, pure, or light, and dan means bland. This means generally avoiding rich (fatty) and foods that have a strong flavor (i.e., very salty, very sour, very bitter, very sweet, or very spicy). It sounds boring, but it’s easy for the body to handle and tends to calm the internal environment. All sweet processed foods would quality as very sweet, all salty snack foods would qualify as very salty, almost anything fermented or that contains vinegar would qualify as very sour . . . you get the idea. Primarily it’s a diet of whole grains, cooked vegetables, beans, and a little fruit. A staple is porridge known as congee (“con – jee”), usually with a base of rice cooked with several times more water than usual, sometimes with bland root vegetables such as yams.
Many American naturopathic physicians recommend Bieler Broth (or Bieler’s Broth) – a bland green soup presented by Dr. Henry Bieler in his 1965 book, Food is Your Best Medicine. The basic idea is to steam or simmer several kinds of chopped green vegetables (ideally organically grown) in a couple cups of water until tender, then puree the whole thing, including the water, and consume warm. It’s best to use little or no salt.
Most recipes utilize some combination of zucchini, string beans, celery, parsley, chard, and spinach. Some cook and puree the whole thing, while others add some of the leafier ingredients (such as spinach and parsley) just for the last two minutes, or even don’t cook them at all. Also, there are differing philosophies on how long to cook the broth. I recommend that if you have very sensitive or weak digestion, you may benefit from cooking the vegetables for quite a while (perhaps 45 minutes on low heat). You can find many variations if you search for “bieler broth” online. Bieler Broth could be your sole sustenance for a cleanse, or something you use as a supplement. It’s rich in minerals and is considered to be alkalizing.
Finally, many people like juice cleanses because the all-liquid diet tends to clean us out well, and juice is tasty. However, fruit and carrot juices are very high in sugar, which is arguably a significant downside (non-sugary vegetable juices would be better in this regard). Second, because they’re raw, they’re not always easy for everyone to digest. If large amounts of juice upset your digestion or make you feel bloated, this probably isn’t the ideal cleanse for you. Third, some people have sensitivities to fruits and veggies that are high in latex or salicylates. And fourth, some people have difficulty digesting certain kinds of sugars found in produce, referred to as FODMAPs, which I’ll discuss in the next section.
3. Avoid Irritants
Any of the above foods, as benign as they may sound to most people, may present problematic substances to a sensitive individual. The best way to figure out your sensitivities is to eat a simple diet and pay close attention to what your body tells you. But sometimes it’s tricky, so here are a few common offenders to consider.
A. The Big Five: The most commonly problematic foods are gluten-containing grains (wheat, rye, and barley), milk products, corn products, soy products, and eggs. Oats technically don’t contain gluten, but they’re sometimes stored with glutinous grains, and some people are sensitive to a gluten-like protein in oats called avenin.
It’s important to remember that although many people have sensitivities to these five groups of foods, there’s nothing inherently bad about them. However, most people would do well to avoid these foods during a cleanse.
B. Common Irritants: Many people have allergies or sensitivities to shellfish, nuts, sulfites, alcoholic beverages, artificial colors, and preservatives. In addition, deep fried foods, charred foods, hydrogenated oils, processed meats, and all sweeteners should be avoided or consumed in moderation by everyone, and are worth cutting out for a cleanse.
C. Nightshades: Vegetables in the nightshade family – tomatoes, potatoes, eggplant, huckleberries, goji berries, and all peppers – can make some people feel bad, especially folks with joint pain. Symptoms may include achy muscles and joints, skin rashes, itching, phlegm, and nausea. It’s probably a good idea to avoid nightshades during a cleanse.
D. FODMAPs: FODMAP stands for “Fermentable Oligo-, Di-, Mono-saccharides and Polyols” – a group of short-chain carbohydrates that are difficult for the body to digest. For most people, they pass through the body without being absorbed and without symptoms. But in some folks, their gut bacteria ferment FODMAPs and produce hydrogen gas, causing gas pain, bloating, diarrhea, constipation.
Anyone with Irritable Bowel Syndrome or longstanding digestive upset should try avoiding foods that are high in FODMAPs during a cleanse. They may be worth avoiding long-term, if you feel better without them; however, some scientists have suggested that FODMAPs play an important role in maintaining healthy gut flora and shouldn’t be permanently removed from the diet. The list of high-FODMAP foods is long, so if you suspect you have a FODMAP problem, I encourage you to read about this diet on the web.
E. High Latex Foods: These are only a problem for people with a latex allergy (usually you would know this from irritation from latex gloves, condoms, or blowing up a balloon) and they tend to cause itching, hives, nasal congestion, or difficulty breathing. Some foods containing the most natural latex are: apple, avocado, banana, carrot, celery, chestnut, kiwi, melons, papaya, raw potato, and tomato.
F. High Salicylate Foods: These foods contain chemicals that are essentially a naturally occurring form of aspirin. Only people with a salicylate sensitivity are bothered by them (more often the case in people with asthma), and they should certainly avoid them during a cleanse. Symptoms of salicylate sensitivity include: nasal and sinus congestion, asthma, gas, digestive upset, diarrhea, and hives. The list of high salicylate foods is long, so it’s best to look it up if you’re concerned.
Okay, I know that’s a lot to process, so it’s worth saying again that most people don’t have sensitivities to all these things, and significant sensitivities to many foods is pretty rare. For most people, rice, millet, wild salmon, sweet potato and cooked squashes make a good, gentle diet for a cleanse. If you need more variety, you could add most well-cooked vegetables to that list (however, it may be worth avoiding nightshades for the reasons listed above and perhaps avoiding cruciferous vegetables if you find them difficult to digest).
I’d love to hear about your cleanse experience – both past and present.
Be well,
Dr. Peter Borten
[post_title] => How to Cleanse, Part Two: The Details
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