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[post_content] => For the past couple weeks, I’ve been writing about the “Chinese Clock” – a principle from Traditional Chinese Medicine (TCM) whereby each of twelve internal organs has a two-hour period in the day when it’s considered to be strongest. By following this clock, we can coordinate certain activities with appropriate organs and experience better health and a sense of alignment. Also, an issue that consistently occurs at the same time of day may give a clue about the organ involved. Last week, we left off with the end of Kidney Time at 7:00 PM, and today we’ll pick it up from there.
7:00 to 9:00 PM – Pericardium Time
The pericardium is a double-layered sac that encloses and protects the heart. Perhaps it’s a bit odd that this is one of the twelve primary organs and the brain isn’t, but it speaks to the primacy of the heart in Daoist thought and TCM. The heart is so important – it must be spared damage at any cost – that it has its own “Heart Protector.”
If the heart is the Empress living in her palace, the pericardium is the drawbridge that allows or blocks access to her. It governs intimacy. When we let someone “into” our heart, or shut them out, we’re exercising our pericardium. And when someone with access hurts us, the pericardium often takes the brunt of the blow. Such blows can damage this mechanism. A big enough trauma may lead us to adopt a policy of “No one gets in. Ever. No matter what” – sometimes excluding even ourselves. Alternatively, the pericardium may get stuck in the open position if we decide, “What’s the use? Everyone gets in. Walk all over me.”
Pericardium Time is optimal for intimacy – sexual and otherwise – with both others and yourself. If you’re in a healthy love relationship, this is a good time for a mutual lowering of drawbridges to experience a meeting of the portals of your consciousness. This is also a good time to contemplate and repair the Protector of your heart, to recognize that scars needn’t impair its function. Thank it for its service and remind it that it can still respond intelligently on a case-by-case basis to requests for intimacy.
9:00 to 11:00 PM – San Jiao Time
San Jiao means “triple warmer” and it’s the last of our four fire organs. It consists of three virtual compartments that contain and “warm” our organs. It functions as something of a communication network and thermostat – allowing the internal organs to talk to each other and keeping the internal environment comfortable. The closest physiological equivalent is our endocrine (hormonal) system, which also sets our body temperature and distributes chemical messengers.
Metaphorically, the San Jiao presides over our social behavior. It’s the social thermostat that enables us to “feel out” a situation and present ourselves in a way that’s appropriate and effective. Whereas the pericardium is a yin organ that relates to deeper, more intimate forms of communication, the San Jiao is its yang partner, governing communication on a more external level.
If your endocrine system is taxed, this would be a good time to go to sleep so all your resources can be directed toward restoring these functions. Otherwise, this time period is ideal for light social interaction, playing games, or watching something funny or heartwarming.
Next week, I’ll wrap up this series with the final three organs – gallbladder, liver, and lungs. Meanwhile, I invite you to spend the week being mindful in your moments of connection – both social and intimate. How does your presence affect the interaction? What’s possible through this union?
Be well,
Dr. Peter Borten
P.S. If you missed them you can click here to read Part One, and click here to read Part Two.
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[post_content] => The other day, my 81-year-old neighbor told me that he was taking a shower when, over the sound of the rushing water, he suddenly heard a combination of yelping and snarling noises. He immediately knew what it was: coyotes attacking his little dog. He ran outside, scared the coyotes away, and started tending to his dog’s wounds. Then his wife came outside. “She tapped me on the shoulder and said, ‘Honey, you’re standing naked in the front yard.’ Oops! So I was!”
A few months ago we moved to a rural area. It’s the farthest I’ve ever lived from other people. While I looked forward to having more land to do things like raise chickens and grow our own food, I was also concerned that I would feel isolated and lonely. Then I met this gentleman. A few days after we moved in, he introduced himself with an armload of tomatoes and zucchini from his garden. He noticed that we hadn’t mowed our lawn yet, so a few hours later he returned on his tractor and mowed it for us. He’s a master gardener and woodworker, and offered unlimited horticultural advice and the use of his tools.
Many times I’ve said to myself, “What an absolute treasure.” The same goes for many of my other neighbors, most of whom are at least a generation older than me. I’m reminded of my earliest studies in psychology, when I was attracted to the developmental theory of Erik Erikson.
Erikson theorized that humans move through eight stages of psychosocial development. At each stage, he said, we are presented with a challenge or “crisis” between two conflicting qualities. One of these qualities supports our growth and evolution while the other thwarts it. If we choose to adopt the former, we develop a
virtue associated with that stage.
In the first stage (Oral-Sensory), roughly from birth to age two, all of our basic needs are met by our parents and other caregivers. We are utterly dependent on others, and we are faced with the crisis of Trust versus Mistrust, which Erikson characterized with the question, “Can I trust the world?” If our parents are consistent, kind, dependable, and loving, we are likely to develop trust in others and a fundamental trust in ourselves. This leads to the virtue of hope, which helps us navigate the upcoming stages. If not, we are likely to become mistrustful of the world – seeing it as undependable and unpredictable.
For the sake of space, I’m just going to give you the nutshell versions of the next handful – until we get to the elder years. The ages given for the following can vary somewhat.
• Stage 2. From ages 2 through 4, the crisis is between
autonomy versus
shame and
doubt. The existential question is, “Is it okay to be me?” And the virtue presented is
will.
• Stage 3. From ages 4 through 5, the crisis is between
initiative versus
guilt. The existential question is, “Is it okay for me to do, move, and act?” And the virtue presented is
purpose.
• Stage 4. From age 5 through 12, the crisis is between
industry versus
inferiority. The existential question is, “Can I make it in the world of people and things?” And the virtue presented is
competence.
• Stage 5. From ages 13 through 19, the crisis is between
identity versus
role confusion. The existential question is, “Who am I and what can I be?” And the virtue presented is
fidelity.
• Stage 6. From age 20 through 39, the crisis is between
intimacy versus
isolation. The existential question is, “Can I love?” And the virtue presented is
love.
Now we come to the age ranges of my amazing neighbors. From age 40 through 64, the crisis is between
generativity versus
stagnation. The existential question is, “Can I make my life count?” The virtue presented is
care. Erikson felt that during middle adulthood, the main task is to contribute to society and help guide and support future generations. Embracing this mantle makes us
generative whereas a self-centered life leads to
stagnation.
From age 65 to death, we face the crisis of
integrity versus
despair. The existential question is, “Is it okay to have been me?” As we become less productive and perhaps feel less useful to society, it’s possible to slip into despair, especially if we look back at our life through a lens of negativity, regret, or criticism. Alternatively, if we’re able to look back at the goodness we’ve enjoyed and shared, the ways we have served and accomplished, we experience
integrity and the virtue of
wisdom emerges.
Several years ago, as I witnessed the decline of some older patients who became bitter and sad, I began to recognize one of the primary fears of the elderly: to have nothing that the rest of the world values – being useless, wrinkled, irrelevant, confused, and a burden on others. And I thought, “What a horrible way to end life.”
But as I enjoy the company of my new neighbors, feeling anything but isolated, grateful to have healthy
elders as friends, I know such a course isn’t inevitable. These folks have clearly chosen
generativity and
integrity. They share their wisdom and worth with the world. And I believe they would continue to do so even if they were disabled and unable to help out, because it’s a state of mind, really. It’s inspiring and encouraging to know that such choices are available to me as I age, and that such individuals are available to help us navigate the way.
What has your experience of elderhood been? Are you an elder? What are your struggles and triumphs? Share your wisdom with our community!
Be well,
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
[post_title] => Tips for Kicking a Cough
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[post_content] => For the past couple weeks, I’ve been writing about the “Chinese Clock” – a principle from Traditional Chinese Medicine (TCM) whereby each of twelve internal organs has a two-hour period in the day when it’s considered to be strongest. By following this clock, we can coordinate certain activities with appropriate organs and experience better health and a sense of alignment. Also, an issue that consistently occurs at the same time of day may give a clue about the organ involved. Last week, we left off with the end of Kidney Time at 7:00 PM, and today we’ll pick it up from there.
7:00 to 9:00 PM – Pericardium Time
The pericardium is a double-layered sac that encloses and protects the heart. Perhaps it’s a bit odd that this is one of the twelve primary organs and the brain isn’t, but it speaks to the primacy of the heart in Daoist thought and TCM. The heart is so important – it must be spared damage at any cost – that it has its own “Heart Protector.”
If the heart is the Empress living in her palace, the pericardium is the drawbridge that allows or blocks access to her. It governs intimacy. When we let someone “into” our heart, or shut them out, we’re exercising our pericardium. And when someone with access hurts us, the pericardium often takes the brunt of the blow. Such blows can damage this mechanism. A big enough trauma may lead us to adopt a policy of “No one gets in. Ever. No matter what” – sometimes excluding even ourselves. Alternatively, the pericardium may get stuck in the open position if we decide, “What’s the use? Everyone gets in. Walk all over me.”
Pericardium Time is optimal for intimacy – sexual and otherwise – with both others and yourself. If you’re in a healthy love relationship, this is a good time for a mutual lowering of drawbridges to experience a meeting of the portals of your consciousness. This is also a good time to contemplate and repair the Protector of your heart, to recognize that scars needn’t impair its function. Thank it for its service and remind it that it can still respond intelligently on a case-by-case basis to requests for intimacy.
9:00 to 11:00 PM – San Jiao Time
San Jiao means “triple warmer” and it’s the last of our four fire organs. It consists of three virtual compartments that contain and “warm” our organs. It functions as something of a communication network and thermostat – allowing the internal organs to talk to each other and keeping the internal environment comfortable. The closest physiological equivalent is our endocrine (hormonal) system, which also sets our body temperature and distributes chemical messengers.
Metaphorically, the San Jiao presides over our social behavior. It’s the social thermostat that enables us to “feel out” a situation and present ourselves in a way that’s appropriate and effective. Whereas the pericardium is a yin organ that relates to deeper, more intimate forms of communication, the San Jiao is its yang partner, governing communication on a more external level.
If your endocrine system is taxed, this would be a good time to go to sleep so all your resources can be directed toward restoring these functions. Otherwise, this time period is ideal for light social interaction, playing games, or watching something funny or heartwarming.
Next week, I’ll wrap up this series with the final three organs – gallbladder, liver, and lungs. Meanwhile, I invite you to spend the week being mindful in your moments of connection – both social and intimate. How does your presence affect the interaction? What’s possible through this union?
Be well,
Dr. Peter Borten
P.S. If you missed them you can click here to read Part One, and click here to read Part Two.
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[is_month] =>
[is_day] =>
[is_time] =>
[is_author] =>
[is_category] => 1
[is_tag] =>
[is_tax] =>
[is_search] =>
[is_feed] =>
[is_comment_feed] =>
[is_trackback] =>
[is_home] =>
[is_privacy_policy] =>
[is_404] =>
[is_embed] =>
[is_paged] =>
[is_admin] =>
[is_attachment] =>
[is_singular] =>
[is_robots] =>
[is_favicon] =>
[is_posts_page] =>
[is_post_type_archive] =>
[query_vars_hash:WP_Query:private] => 29aa0998ecab9d2a15029aa84058b4de
[query_vars_changed:WP_Query:private] =>
[thumbnails_cached] =>
[allow_query_attachment_by_filename:protected] =>
[stopwords:WP_Query:private] =>
[compat_fields:WP_Query:private] => Array
(
[0] => query_vars_hash
[1] => query_vars_changed
)
[compat_methods:WP_Query:private] => Array
(
[0] => init_query_flags
[1] => parse_tax_query
)
)