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[post_content] => Most people’s health goals could be simplified to something like:
a long life and the good health to enjoy it. And long life we have. The biggest-ever jump in life expectancy, which occurred from around the mid 1800s to the mid 1900s, can be mostly attributed to the reduction in deaths by infection. Infectious disease has been well managed by improved hygiene, better quality of food and water, antibiotics, vaccines, and more effective emergency medical care. Now that infection is a relatively minor concern in the developed world, it’s worth looking at the factors that degrade health in our later years. These factors – things like diabetes, obesity, and the cardiovascular disease that goes along with them – can be dramatically influenced by diet.
Unfortunately, the mainstream medical world is plagued by some very significant misunderstandings about human nutrition, and it barely recognizes the profound psychological factors involved in how we feed ourselves. It’s time for a revolution in nutrition … and luckily, it’s well on its way.
A few months ago, Marc David, founder of the Institute for the Psychology of Eating asked me if I would be one of 50 thought leaders to be interviewed for an online conference called The Future of Nutrition. I am honored to be part of this – and in the company of some very impressive researchers. I strongly encourage you to check it out. It’s free.
Note: This is an old article and the recordings of this event are no longer available. However, all of what I discussed in my interview and much more can be found in my online course
How to Eat.
Be well,
Dr. Peter Borten
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Over the past few decades we’ve seen a number of trends in popular supplements and so-called “superfoods.” First there was ginseng and echinacea, then ginkgo and St. John’s wort, then green tea, glucosamine, kombucha, fish oil, chia, maca, bone broth, magnesium l-threonate, vitamin D, and so on. Often, there’s a widespread hope that this substance is going to give us vibrant health, make us happy, perhaps even solve all our problems.
Turmeric has been on the charts for some years now, so I wanted to write about its uses and limitations – and why we need to take a broader view on health and supplements. First, it’s important to state that there’s some value to nearly all of these substances. Sometimes it’s a rather modest value for a fairly small subset of the population (like kombucha, most of which is essentially an overpriced mildly-caffeinated acidic soda with a little probiotic activity), other times it’s a significant value for a larger portion of the population (like vitamin D and magnesium). A food or supplement doesn’t need to be life-changing for everyone in order to be important; the key is that we’re realistic about what it can do and knowledgeable about who stands to benefit from it.
For several years, turmeric has been hot stuff in the West, though it has been used for at least 4000 years in Asia. Native to India, it’s a prominent herb in Ayurvedic medicine, though it’s even better known for its place in Indian cuisine and its use as a dye. Its particular yellowish-orange color is almost synonymous with Indian culture. It probably appeared in Traditional Chinese Medicine (TCM) about 1500 years ago, but has always been a relatively minor herb in that system.
In both Ayurveda and TCM, turmeric is almost never taken as a single herb. Rather, it’s utilized in a formula of multiple herbs that’s prescribed by a trained practitioner, based on the specific constitution and presentation of the person who will be consuming it. However, as with many adopted herbs, Americans generally take it on its own, without any understanding of its traditional application or the diagnostic framework of the systems that have utilized it for so long. Consequently, many probably conclude that herbs aren't very effective medicines.
This is really the crux of what limits Westerners in their use of herbs – lack of context. The systems through which herbs have been historically defined and applied include methods for determining when and how and with whom to use them. One of the things that makes Ayurveda and TCM so special is that their diagnoses and their interventions utilize the same philosophical framework and terminology. That is, there’s a seamlessness between diagnosis and treatment. For example, for a TCM diagnosis of liver Qi stagnation, the treatment is clear because there are herbs and acupuncture points that specifically unblock stagnant liver Qi.
In contrast, knowing the Ayurvedic properties of turmeric – a pungent vipaka, a heating virya, a light, dry guna, which enters the digestive, circulatory, respiratory, and female reproductive srotas – is meaningless if we’re working from a Western biomedical diagnosis such as lung cancer, because the languages and philosophies don’t match. We can only guess at equivalencies.
For any given symptom presentation, there might be half a dozen or more possible diagnoses of the actual cause. When we take an herb without a diagnosis, it has a limited chance of working as we hope, because we may or may not have the underlying disease pattern that this herb addresses. It might even make things worse.
When we take an herb based on properties revealed by modern research – such as antibiotic, diuretic, or anti-inflammatory – it might work if we’ve correctly identified that we have the biomedical diagnosis corresponding to this biomedical terminology. But we miss out on accessing the body of wisdom developed by the traditions that have utilized the herb for centuries. It’s more like taking a brand new, poorly-understood drug, usually with very little human research behind it.
Years of discussion and trial-and-error in traditional plant-medicine systems reveals important nuances, and synergies with other herbs. Without that context, however, scientists were able to discover that turmeric possesses anti-inflammatory properties. Hooray! People started taking turmeric by the handful. But it didn't work as well as predicted. Later research revealed that unless the inflammation was in the digestive tract itself, the herb (specifically a compound called curcumin) wasn't likely to reach its target. Absorption into the bloodstream, it turned out, was very poor.
Eventually, researchers discovered that with absorption-enhancers, they could get more curcumin into the bloodstream. They came up with two main devices. The first is to combine it with a compound called
piperine that helps it pass through the lining of the digestive tract. The second is to attach it to a form of fat known as a
phospholipid, that's what our cell membranes are made of. This helps it move into cells more readily. Interestingly, equivalents of both strategies were utilized for centuries (if not millennia) in India. Piperine is a constituent of black pepper and a similar herb called pippali (long pepper), with which turmeric has been traditionally combined. And turmeric is also routinely taken with ghee (clarified butter) which happens to be rich in phospholipids!
In TCM, turmeric is called jiang huang, which means “yellow ginger.” Based on its primary function, it’s categorized as an herb that promotes blood circulation. Therefore (through that handy-dandy seamlessness of diagnostic and therapeutic terminology), it is used to treat conditions of stagnant blood. When we have a condition of blood stagnation, often the tongue takes on a slightly purple color and the veins on the underside of the tongue become more prominent and blue or purple. The pulse at the wrist feels “choppy” or “wiry.” The complexion often becomes dark. In women, the menstrual blood might be clotty and dark. And most obvious, there is usually pain – often sharp, stabbing pain in a fixed location.
Also, low grade blood stagnation – essentially impaired circulation – is thought in TCM geriatrics to be an almost inevitable part of the aging process. Whenever we see an older person with cold and/or purplish feet, hardened skin of the lower legs and feet, prominent purple and blue veins, and perhaps a history of cardiovascular disease and/or diabetes, it’s likely that a TCM practitioner would make a diagnosis of blood stagnation. Biomedically speaking, it’s probable that such an individual has chronic inflammation, and we could therefore think of the herbs that address stagnant blood as likely possessing anti-inflammatory properties, like those ascribed to turmeric.
In such cases, an herb like turmeric might be utilized, but if we look at the actual practice of TCM, we find it’s not especially popular among the herbs in its category. That’s probably because there are about thirty other herbs in this category, and thousands of years of tradition have shown that other herbs do just as good of a job – if not better than turmeric.
In addition, with a palette of thirty herbs to choose from, we have a great deal of specificity available to us. There are blood movers with an affinity for the head, or the abdomen, or the shoulder (one of turmeric’s affinities), or the legs, or the arms, or the back. There are mild blood movers and strong blood movers. There are blood movers with an ability to break up masses or to heal broken bones. There are blood movers that soften tight muscles and tendons and promote healing of unhealing wounds. And there are ways to combine them in order to make them exponentially more effective; to direct them to certain parts of the body; to prevent side effects, and so on.
Since I’m lucky enough to have all these herbs at my disposal (and the training to know how to use them), turmeric isn’t exceptional to me. It’s just an herb that got noticed by Westerners. There are thousands of others that are equally impressive. But don’t get me wrong – I love it, as I love all herbs, and I do occasionally recommend it.
If you don’t have training in traditional herbal medicine and you don’t have access to a practitioner who can help determine if it’s good for you, at least it’s a very safe herb. You can try it, and if it doesn’t work, you’re unlikely to do yourself any harm (though I still recommend checking with your doctor).
If you’re going to take turmeric, be sure to take it in a form that’s going to be well absorbed (unless you’re meaning to target your digestive tract). That means combining it with black pepper, long pepper, or piperine (and a little ghee may help, too); or using a brand that binds curcumin with acetylcholine (such as Meriva); or a brand that utilizes very small particles (such as Theracurmin).
Because I don’t have the ability to teach you traditional diagnosis through this format, we're actually best off banking on what the research shows. And while there's a lot of hope that it does many things, the only thing that it's been really clearly proven to do (on its own) is alleviate inflammation and some of its expressions. Pain, swelling, arthritis, and even hidden inflammatory processes will usually improve with ongoing consumption of turmeric/curcumin (assuming you’re using an absorption-enhancer). The degree of improvement varies. Sometimes it’s dramatic, other times subtle. Just remember that because you may or may not have the underlying diagnostic pattern that makes you a good candidate for turmeric/curcumin, it might not work.
I’d like to finish by discussing some broader measures for reducing the “stagnant blood” (and accompanying inflammation) that we’re prone to in our elder years. First, there’s exercise. Ideally, this isn’t the exercise of going to a gym and using weight machines (though if that’s what you like, keep doing it) – it’s the exercise of walking to the store, riding a bike to work, digging in the garden, shoveling snow, and above all, playing.
Second, reduce your sugar intake. If there’s one part of our diet that provokes inflammation and thickening of the blood more than any other, it’s sugar. By sugar, I mean caloric sweeteners of all kinds (and also white flour). If you’re up for improving your diet, you’d also do well to reduce or eliminate processed meats, deep fried foods, and margarine. Meanwhile, increase your consumption of fresh fruits and vegetables, nuts (dry roasted or raw), and oily fish. Third, if you smoke, quit. Smoking is terrible for circulation.
Finally, the best way to keep blood (and energy, and life itself) flowing is to be light-hearted. The circulatory system is an extension of the heart, and a light, open, joyful heart is best able to pump blood to all parts of us (much in the way it’s open to people and experiences of all kinds). Meditate (metta or lovingkindness meditation is especially good for this purpose). Laugh. Find ways to de-stress. Breathe deeply. Engage with community. Accept. Forgive. And love. Love yourself, love your family, love your environment, just love as much as you can. Even if you were to drop dead tomorrow, this is the stuff your soul wants you to prioritize.
Be well,
Dr. Peter Borten
[post_title] => I’ve Been Taking Turmeric for a Year But Still Haven’t Found My Soulmate!
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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
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- 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.
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- 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.
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[post_content] => Most people’s health goals could be simplified to something like:
a long life and the good health to enjoy it. And long life we have. The biggest-ever jump in life expectancy, which occurred from around the mid 1800s to the mid 1900s, can be mostly attributed to the reduction in deaths by infection. Infectious disease has been well managed by improved hygiene, better quality of food and water, antibiotics, vaccines, and more effective emergency medical care. Now that infection is a relatively minor concern in the developed world, it’s worth looking at the factors that degrade health in our later years. These factors – things like diabetes, obesity, and the cardiovascular disease that goes along with them – can be dramatically influenced by diet.
Unfortunately, the mainstream medical world is plagued by some very significant misunderstandings about human nutrition, and it barely recognizes the profound psychological factors involved in how we feed ourselves. It’s time for a revolution in nutrition … and luckily, it’s well on its way.
A few months ago, Marc David, founder of the Institute for the Psychology of Eating asked me if I would be one of 50 thought leaders to be interviewed for an online conference called The Future of Nutrition. I am honored to be part of this – and in the company of some very impressive researchers. I strongly encourage you to check it out. It’s free.
Note: This is an old article and the recordings of this event are no longer available. However, all of what I discussed in my interview and much more can be found in my online course
How to Eat.
Be well,
Dr. Peter Borten
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