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What do you like about your anxiety?
This is a question I’ve asked many of my patients. Unsurprisingly, almost everyone’s initial response is “nothing.” But over time (especially in people who are determined to get the most out of their unpleasant experiences) I’ve seen anxiety become a gift that re-orients people in a profound way.
I’ve learned many strategies for managing anxiety directly, some of which I shared in my
last article. They can really help. However, my greatest intention isn’t merely that we can effectively manage anxiety when it arises, but that our basic orientation is to be attuned to what’s good, what’s working, and what we
love about life.
So this time I’m going to share self-care practices to guide you back to the love beneath that fear.
It’s true that fear isn’t usually a
healthy expression of love, but sometimes it is – like when love spurs fear in a parent and they rush into harm’s way to save a child. Most of the time we’re afraid, though, the underlying love is so contorted by the mind that it doesn’t feel like love at all. It just feels nasty and horrible, and we get into a vicious circle whereby the feeling prompts fearful thoughts and the thoughts heighten the feelings, and so on.
But deeper than all of that craziness, we love life, we love ourselves, and we love others. I would like to invite you this week to bring your anxious feelings back to the loving point of their origin.
1) Practice good posture. Having a straight spine automatically helps you to breathe more fully. It also has a subtle effect on your mood. It’s easier to feel threatened, weak, or like a victim when you’re slouching; conversely, when you sit or stand tall, with a straight spine, you’ll naturally feel clearer and more confident.
2) State the facts (in the morning and always). What you do in the morning affects your whole day, so start with a brief and enthusiastic session of truth telling. What is good right now? Are you alive? Are you breathing? Did the sun rise again? Do you have enough to eat? Say it.
Who do you choose to be today? A light-hearted person? A truth-telling person? An emissary of love in the world? A devoted servant to the highest good of the world? Say it.
Pausing, noticing, and stating the facts about what’s good in your life is like hitting the save button. It programs your mind to continue to spot the good stuff. It reconfigures you for peace.
And stating the facts during fearful times is like becoming a warrior with a razor sharp sword. With your loving fierceness, you cut through the collective illusions and emotional fog, reminding yourself and others,
We didn’t jump into the world just so we could cower from life. The truth is bigger (and better) than the story we’re telling each other.
3) Get connected to the elements. Spend time in nature, ideally including some direct contact of skin to earth and natural bodies of water. Some people with anxiety also report that they feel much better with sun exposure. Others feel a benefit from sitting in front of a fire or even several candles. Besides helping to realign you with the rhythm of the natural world, it’s also a nice break from your electronic devices and media.
4) Establish a daily routine and stick to it. Predictability helps stabilize a wayward mind and helps the body get into a consistent rhythm. This means setting a regular bedtime and wake time, having meals at the same time each day, exercising on a regular basis at the same time, meditating at the same time, bathing at the same time, etc. Of course, your routine shouldn’t be strict in a way that generates stress if you stray from it – it’s something you do out of kindness for yourself.
5) Love actively. There’s no use in trying to obliterate fear. That would be like trying to destroy the sound of ‘middle C’ on a piano. Fear is a frequency of energy. No matter how you train yourself to cut it out of your life, you can always call it up again. Instead, focus on the love beneath.
What do you
love that your mind tells you is threatened? Give your attention to loving what you love instead. Love is so much stronger and bigger than fear, and unlike fear, love is a unifying and creative force. If you’re out of practice, find the things that are easiest to love, like kittens and donuts, and feel the love opening your heart. Then practice expanding that love to envelop yourself, your neighbor, your houseplants . . . and your fear. Then go bigger.
All along, keep opening your heart. Just imagine it opening like a golden ring in the center of your chest. Learn to feel when it closes, and patiently open it again and again and again.
Love will prevail. Always.
Dr. Peter Borten
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Back when I was a graduate student doing my internship in Chinese Medicine, I got my first patient whose chief complaint was a lingering cough, and I remember thinking, “This will be easy.” Boy, was I naïve. Even under the guidance of an elder practitioner, it took months of treatment for it to resolve. In the nearly two decades since then, coughs have often proven stubborn. Luckily, they usually run their course within a few weeks – with or without intervention – and I’ve found some herbs that can often speed up the recovery process.
First, a few words on coughs and how they work. The respiratory tract (airway) consists of two main regions. The upper part includes the nasal cavity, sinuses, pharynx (the area where the back of the nasal cavity becomes the throat) and is sometimes considered to include the larynx (“voice box”). This is the site of most common colds, or “upper respiratory infections” (URI’s). Coughs coming from this area are usually due to throat irritation and post-nasal drip, and are pretty responsive to treatment.
The lower respiratory tract consists of the trachea (“windpipe”), the tubes through which it branches into the lungs – the bronchi, the smaller bronchioles, and finally the little sacs called alveoli – and sometimes the larynx. All but the smallest of these passageways are lined with cough receptors, which are highly sensitive to light touch. The presence of phlegm (or dust, or certain chemicals) triggers the cough reflex. Coughing is a cooperative effort between the diaphragm, abdominal muscles, the muscles between the ribs (intercostals), and the structures of the airway – an attempt to forcibly expel whatever’s in there.
Sometimes it’s effective – what we refer to as a “productive cough” – but when the respiratory passages are inflamed and dry, or full of sticky, tenacious phlegm, a cough can go on and on. The hard part is that coughs themselves can be debilitating. We lie down to sleep, the phlegm spreads out, post-nasal drip trickles down, and the cough worsens. It degrades the restorative value of sleep, and the continuous spasmodic contraction of our muscles wears us out, sapping us of the energy to cough in a productive way.
The herbs I’ll discuss here are for these acute forms of cough. Coughs that occur for much longer and those that are due to weakness, asthma, or damage to the lungs fall into the chronic category and they’re beyond the scope of this article because they require more comprehensive treatment.
I have taken and prescribed nearly every Chinese and Western herb that’s commonly used for cough, and they rarely work as well as I hope. That cough reflex is difficult to overcome – and, really, you would only want to suppress it if you were doing something to address the underlying problem. I’ve found that when I’m more accurate about discerning the type of cough (dry / moist, strong / weak, clear phlegm / yellow phlegm), my treatments are usually more effective, but the herbs I’ll introduce today are usually beneficial for most types of cough.
- Mullein: Mullein is a fuzzy, sage-colored plant that grows all over the place in the United States. I see it nearly every day. The leaves and yellow flowers are excellent for coughs. Adults can take an ounce of dried leaves or flowers and steep covered (don’t simmer) in a few cups of just-boiled water. Strain it to avoid drinking the little hairs, and drink it, divided into three portions, over the course of the day.
- Pine, Spruce, and Fir Needles: All of these evergreen needles are useful for coughs and are rich in vitamin C. You can throw a handful of them into a bowl of hot water, put your face over it, cover your head and the bowl with a towel, and inhale the steam. Then you can drink the resulting tea. Or you can just brew a strong tea by simmering a large handful in a couple cups of water. Keep it covered and the heat low, so you don’t lose all the essential oils. I like to chew spruce, fir, and pine needles when I’m out on walks, and the ones that work best for coughs tend to be those with the best, strongest flavor.
- Thyme leaves: Thyme has long been a popular herb in Europe for coughs, and it probably has some antimicrobial effects (one of the noteworthy compounds in the herb, called thymol, is the active ingredient in Listerine and various antiseptic cleaners). The flavor is rather strong, so the usual dose is just one to two teaspoons of the dried herb steeped in a cup of water. I don’t have great faith in thyme on its own, but it can be a useful adjunct herb combined with others.
- Ginger: Ginger’s pungency is good for opening the respiratory tract. The dried herb is considered “hotter” than the fresh stuff, so I use the dried product more for coughs will lots of clear or white phlegm, and the fresh herb more for coughs with yellowish phlegm. You can use approximately a thumb-sized piece of ginger, sliced or grated, simmered for a few minutes in about a cup of water (do this multiple times a day).
- Licorice root: Licorice is a mild herb for coughs, but it’s a nice adjunct with other herbs, especially when the throat and/or respiratory tract feels raw and sore. Licorice is sweet and mucilaginous, and has a calming effect on spasmodic coughs and a soothing effect on mucous membranes. You can use approximately 2 teaspoons per day. Keep in mind that prolonged use of licorice or high doses can cause a temporary elevation of blood pressure (usually not more than about ten points systolic).
- Hyssop leaves: This common garden herb is a member of the mint family and has a longstanding reputation, especially in Europe, as a useful herb for coughs and sore throats. Several times a day, steep two to three teaspoons of the dried herb (or much more of the fresh herb) in a cup of water to make a pleasant tasting tea. Hyssop is mild, and therefore best combined with other herbs.
- Horehound leaves: Horehound also has a longstanding reputation in Europe and northern Africa as a valuable herb for respiratory complaints, and it’s one of the main ingredients in Ricola cough drops. I’ve noticed that it’s not much used in the United States, perhaps because the FDA claims it has no value in the treatment of cough, but I had one profound experience with it about 20 years ago, when I made some horehound tea and it completely stopped a nagging cough in about a day. You can make a tea using about two to three teaspoons of the dried herb in a cup of boiled water.
- Slippery Elm Bark and Marshmallow Root: These herbs are soothing to mucous membranes and especially appropriate for dry coughs. You can add one or both to your cough formula (approximately a teaspoon per cup of tea) to add a “demulcent” effect that will also soothe your throat.
- Nigella Seed Oil: This herb, also known as “black seed” or “black cumin,” has been trendy recently, though perhaps for good reason. A number of studies show it has promise in the treatment of a variety of health issues, and there’s rather robust research on its value in respiratory problems (asthma, in particular). For cough, you can take a teaspoon of the oil at a time, in a cup of hot water. You can also try rubbing the oil on your chest, over your lungs.
- Umckaloabo root: This African relative of the geranium is useful for upper respiratory infections. It’s available in raw, dried form as well as tinctures and homeopathics. The easiest form to take is as the commercial product Umcka. It’s one of very few substances that can legally claim to benefit the common cold. The specific verbiage allowed by the FDA is, “shortens severity and reduces duration of upper respiratory symptoms.” I always have some of the powdered form of Umcka in the house, which I mix into hot teas to add some additional potency.
- Pineapple Juice: I don’t know of any research on pineapple juice for coughs, but it’s a popular folk remedy, often drunk warm and seasoned with cinnamon, cayenne, or black pepper. I don’t know why it would be beneficial in coughs and I haven’t tried it myself, but it may have something to do with the activity of the enzyme bromelain that it contains. In any case, it’s not likely to hurt – especially if it gets you to drink more fluids.
- Water: Speaking of fluids, staying well hydrated is super important when you have a cough, as it helps keep the mucous in a more liquid state so that it can be more readily expelled. Also, immune function just tends to work better when you’re getting enough water. Other than possibly consuming some pineapple juice with it, it’s best to stick to pure water or tea, rather than juice or sweetened beverages.
Choose a few of these substances, use them simultaneously and consistently (like, all day long), and get as much rest as you can. If necessary, sleep in a semi-upright position to reduce nighttime coughing.
Whenever I write articles on herbs I wonder if I’m doing the field of herbal medicine a disservice by simplifying it and presenting it in such a way as to suggest we can choose herbs simply based on the symptoms we want to treat, without respect for the diagnosis. But I feel the need for accessible home remedies is more important. In the case of the herbs above, they are all quite safe and unlikely to do any harm. However, if your cough persists, if it is severe, if you cough up blood, or if anything else alarming happens, or if you intend to use these herbs on small children, please consult with a qualified healthcare practitioner.
Be well and breathe freely,
Dr. Peter Borten
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It’s been about a decade since I wrote a series of articles about the “Chinese clock,” and I’ve been asked about it recently by several students and patients, so I decided it was time to revisit the topic. The “Chinese clock” is a concept of diurnal Qi movement in Traditional Chinese Medicine (TCM) – meaning, the way energy ebbs and flows through the body over the course of the day. There are twelve main organs and each has a two-hour period of the day when its energy peaks. Paying attention to this cycle can help us achieve better health and can also offer clues about where problems may originate.
Before we explore the significance of each two-hour block, it’s important to note that I’ll be discussing the organs from a TCM perspective, which is a bit deeper than our Western understanding. Through this expanded view, each organ has both physical and mental functions, and it encompasses not just the internal organ but an energetic circuit called a channel or meridian.
5:00 to 7:00 AM – Large Intestine Time
According to Edison Research, among people who wake up before 10 AM, 30% are awake by 6:00. Another 23% awaken between 6:00 and 6:30, and 13% more wake up between 6:30 and 7:00. So, 66% of morning-wakers arise during Large Intestine Time. And to put it bluntly, this is the ideal time to poop. If you’re constipated, sometimes you can reset your bowels by simply sitting on the toilet during this period and waiting. (You can improve your chances by drinking a glass of hot water.)
The expanded version of the large intestine is that it represents our capacity to “take out the trash” – that is, to recognize and let go of the garbage we’re carrying around: thoughts, beliefs, habits, and attachments that burden, disempower, or degrade us rather than serving us. Anytime is a good time to let go, but during these two hours, before most of us get busy, before we check our email, get on Facebook, read the news, and start filling our minds with data, we have a special capacity to release.
When you have a bowel movement (regardless of whether or not it’s between 5:00 and 7:00 AM), you can intend that you’re letting go of anything you’re done with, even visualizing that you’re directing it into your intestines. The large intestine also has a close relationship with the lungs, which can facilitate letting go through the breath. Every exhale is a letting go and deepening the breath while relaxing the belly can help promote the wringing (peristaltic) movement of the intestines.
7:00 to 9:00 AM – Stomach Time
The stomach is the organ that first receives the food we swallow, and begins the process of breaking it down so we can absorb its nutrients. In the broader TCM concept of the stomach, it represents our ability to receive and accept nurturing and support, to recognize the fruits of our labors, and to allow ourselves to be mothered.
The peak period of the stomach is from 7:00 to 9:00 AM, which is the ideal time to have a fortifying meal. Your body is most likely to process this meal efficiently, which lends some credibility to the saying that breakfast is the most important meal of the day. In order to make the most of this special digestive mojo, it’s actually a great time to have some vegetables and protein, rather than, say, the empty calories of a bagel and coffee.
Meanwhile, set aside at least a moment in the breakfast process to consciously choose to be nourished and to receive the abundant gifts in your life. Close your eyes, savor the tastes and textures of what you’re chewing and be grateful. Of course, you can exercise your metaphoric stomach at any time by bringing your consciousness to the “harvest” that’s available to you.
9:00 to 11:00 AM – Pi Time
Following the stomach, our food passes into the small intestine where enzymes from the pancreas and bile from the gallbladder further prepare it to be absorbed and distributed. Most of these digestive functions fall under the role of the organ called the pi (pronounced “pee”) in Chinese Medicine. (It’s often mistranslated as “spleen,” an organ that has nothing to do with digestion.) The pi has two main jobs – the transformation of food into something the body can assimilate, and the transportation of these nutrients throughout the body.
To extend this idea beyond nutrition, the pi represents your capacity to nurture and hold the many parts of yourself, your life, and your world – people, projects, career, etc. The pi is associated with the earth element and works for us much in the same way that Mother Earth holds, supports, and feeds everything that lives upon her.
During this time of day, imagine that the energy from your breakfast is making its way into all your cells, fortifying your body, and strengthening and stabilizing your mind. You can facilitate this process by avoiding stress and intense exercise at this time. Consider the whole world, even the parts you dislike or disagree with, as an extension of your own body, and exclude nourishment from none of it.
I’ll discuss the remaining time periods over the next couple weeks, but for now, I wanted to avoid giving you too much new information to digest. Think about just these three time periods in the morning, and see how you’re affected by bringing consciousness to these phases of your day.
Be well,
Dr. Peter Borten
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What do you like about your anxiety?
This is a question I’ve asked many of my patients. Unsurprisingly, almost everyone’s initial response is “nothing.” But over time (especially in people who are determined to get the most out of their unpleasant experiences) I’ve seen anxiety become a gift that re-orients people in a profound way.
I’ve learned many strategies for managing anxiety directly, some of which I shared in my
last article. They can really help. However, my greatest intention isn’t merely that we can effectively manage anxiety when it arises, but that our basic orientation is to be attuned to what’s good, what’s working, and what we
love about life.
So this time I’m going to share self-care practices to guide you back to the love beneath that fear.
It’s true that fear isn’t usually a
healthy expression of love, but sometimes it is – like when love spurs fear in a parent and they rush into harm’s way to save a child. Most of the time we’re afraid, though, the underlying love is so contorted by the mind that it doesn’t feel like love at all. It just feels nasty and horrible, and we get into a vicious circle whereby the feeling prompts fearful thoughts and the thoughts heighten the feelings, and so on.
But deeper than all of that craziness, we love life, we love ourselves, and we love others. I would like to invite you this week to bring your anxious feelings back to the loving point of their origin.
1) Practice good posture. Having a straight spine automatically helps you to breathe more fully. It also has a subtle effect on your mood. It’s easier to feel threatened, weak, or like a victim when you’re slouching; conversely, when you sit or stand tall, with a straight spine, you’ll naturally feel clearer and more confident.
2) State the facts (in the morning and always). What you do in the morning affects your whole day, so start with a brief and enthusiastic session of truth telling. What is good right now? Are you alive? Are you breathing? Did the sun rise again? Do you have enough to eat? Say it.
Who do you choose to be today? A light-hearted person? A truth-telling person? An emissary of love in the world? A devoted servant to the highest good of the world? Say it.
Pausing, noticing, and stating the facts about what’s good in your life is like hitting the save button. It programs your mind to continue to spot the good stuff. It reconfigures you for peace.
And stating the facts during fearful times is like becoming a warrior with a razor sharp sword. With your loving fierceness, you cut through the collective illusions and emotional fog, reminding yourself and others,
We didn’t jump into the world just so we could cower from life. The truth is bigger (and better) than the story we’re telling each other.
3) Get connected to the elements. Spend time in nature, ideally including some direct contact of skin to earth and natural bodies of water. Some people with anxiety also report that they feel much better with sun exposure. Others feel a benefit from sitting in front of a fire or even several candles. Besides helping to realign you with the rhythm of the natural world, it’s also a nice break from your electronic devices and media.
4) Establish a daily routine and stick to it. Predictability helps stabilize a wayward mind and helps the body get into a consistent rhythm. This means setting a regular bedtime and wake time, having meals at the same time each day, exercising on a regular basis at the same time, meditating at the same time, bathing at the same time, etc. Of course, your routine shouldn’t be strict in a way that generates stress if you stray from it – it’s something you do out of kindness for yourself.
5) Love actively. There’s no use in trying to obliterate fear. That would be like trying to destroy the sound of ‘middle C’ on a piano. Fear is a frequency of energy. No matter how you train yourself to cut it out of your life, you can always call it up again. Instead, focus on the love beneath.
What do you
love that your mind tells you is threatened? Give your attention to loving what you love instead. Love is so much stronger and bigger than fear, and unlike fear, love is a unifying and creative force. If you’re out of practice, find the things that are easiest to love, like kittens and donuts, and feel the love opening your heart. Then practice expanding that love to envelop yourself, your neighbor, your houseplants . . . and your fear. Then go bigger.
All along, keep opening your heart. Just imagine it opening like a golden ring in the center of your chest. Learn to feel when it closes, and patiently open it again and again and again.
Love will prevail. Always.
Dr. Peter Borten
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