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After so many newsletters about pretty deep topics, I thought I’d get really superficial this week and talk about skin. Winter’s dryness and cold plus extra clothing, obsessive handwashing, and indoor heating form a combination that can be very hard on our skin. My whole life, I’ve had skin that dislikes winter. Even if your skin doesn’t get flaky or irritated, taking good care of your skin at this time of year may still help it retain its youthful elasticity and luster. Here are eleven self-care recommendations:
Drink plenty of water. Divide the number of pounds you weigh in half – that’s the number of ounces of watacer to drink evenly over the course of the day (ideally at room temperature).
Eat moistening foods. In Traditional Chinese Medicine, certain foods are considered to build vital fluids in the body which are disseminated to the skin and affect skin moisture. Some of these foods include: sesame seeds (especially the black kind), dark leafy greens, berries, pears, oranges, watermelon, string beans, tomatoes, flax seed, hemp seed, tomatoes, plums, mung beans and sprouts, cucumber, water chestnuts, eggs, fish, nuts, seed and nut oils.
Get a humidifier. In our house in Colorado, the usual tabletop humidifiers make very little difference in the moisture of the air, but I’ve heard good things about “whole house humidifiers” and I plan to get one for our home soon. They hook up to your water line (so you don’t need to refill them) and moisten the air that moves through your heating system. The units cost a couple hundred dollars and installation is a few hundred more (or you could do it yourself if you’re handy).
Put oil on your skin. Lotions are emulsions of oil and water, and while they’re moisturizing, they aim to be well absorbed and to feel light and residue-free. As such, lighter lotions may not cut it if you have very dry skin, or they may need to be applied many times a day. If your skin suffers during the winter, you may need something that functions more as a barrier – that impedes water loss through the skin and protects against the elements – such as: pure oil (coconut, jojoba, grape seed, sesame (untoasted), etc.); a thicker lotion that contains more oil or heavier oils (like castor, rosehip seed, or tamanu oil); or a semi-solid lotion with even heavier, waxy ingredients (shea butter, cocoa butter, or beeswax). However, the richest of these (shea butter and wax) are probably too heavy for the face and could clog your pores.
Exfoliate gently before moisturizing and apply moisturizer to still-damp skin. As long as your skin isn’t irritated, gently removing the top layer of dead cells will make it easier for moisturizers to penetrate. I like a coarse cloth, raw silk gloves, or a natural plant bristle brush for exfoliating the whole body. After bathing, you have a window of a few minutes during which moisturizers will work best. Personally, I enjoy the combination of dry skin brushing followed by a shower and then a brisk self-massage with oil (a practice called abhyanga in Ayurveda).
Use less soap. Soap dries out your skin and is usually unnecessary.
If your hands get chapped, dry them thoroughly after washing. Letting your skin air dry slowly usually results in drier skin. This is especially important for people with eczema.
Avoid colors, synthetic fragrances, and other chemicals in your detergents and body care products. Dry winter skin is often extra sensitive to chemicals – and absorbs them more effectively.
Wash in cooler water. If your skin becomes more sensitive in the winter, and especially if you have a rash, hot water will often make it worse. Bathe in the coolest water you can tolerate.
Use sunscreen. I don’t buy into the idea that we should wear sunscreen constantly, but judicious use has some benefits. Sun exposure feels good, activates immune cells, and stimulates vitamin D production in our skin, which is beneficial to our health in numerous ways. But the UV portion of sunlight causes damage to our tissues through a process called oxidation. (It’s the same process that causes oils to go rancid, vitamins to spoil, and meat to turn grey.)
We all know sunburns are bad, but even without burning, extended exposure to UV light tends to cause yellowing, dryness, and wrinkling of our skin. It damages fibers called elastin, which, as you might guess from the name, gives our skin its elasticity. Over the years, this makes our skin saggy and more prone to tearing. UV light also blesses us with age spots or “liver spots.” And finally, it’s a major risk factor in skin cancers, especially the non-melanoma kinds. So, if you like youthful skin, sunscreen is a good idea – especially in the middle of the day – and it’s easy to forget to use it in the winter. Winter sun isn’t usually direct enough to stimulate vitamin D synthesis, but it’s still strong enough to cause skin damage (especially in sunny places).
I don’t like chemical sunscreens, so I steer my patients to mineral-based ones – zinc oxide and titanium oxide. Zinc is the best option: it’s an excellent skin soother and barrier, and it works better than any other sunscreen chemical approved for use in the U.S. It’s the main ingredient in many diaper rash ointments and was responsible for that classic white stripe on lifeguards’ noses years ago.
Nowadays, most mineral sunscreens aren’t quite as opaque – some are completely transparent – probably because manufacturers have gotten better at creating smaller particles of zinc and titanium. However, this presents a big unknown – are these tiny “nanoparticles” entering our cells and doing something bad? In response to initial concerns, some companies now sell “non-nano” mineral sunscreens, but according to the Environmental Working Group (EWG) even the mineral particles in these products would technically be considered “nano” sized.
Yet, EWG still believes they are our best option. A mixture of particle sizes, some nano and some larger, seems to offer the best sun protection, and the evidence so far indicates that they don’t penetrate into the skin far enough to encounter living cells. However, if you were to inhale a bunch of mineral sunscreen in powder or spray form, that wouldn’t be good for your lungs.
See a good skin care specialist. Believe it or not, I was co-owner of a spa for a couple years before I got my first facial. If I was going to take the time to get a spa treatment, I’d always opt for a massage. But one year, on my birthday, Briana scheduled a facial for me, and it was just lovely. Having someone steam and massage oils into your face is deeply relaxing. And I had to admit, my skin was glowing afterwards. I highly recommend it.
I hope these recommendations help you get through the winter with moister, healthier, happier skin.
Be well,
Dr. Peter Borten
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[post_content] => My 12-year-old is always asking me to tell her stories from my childhood, so I recently described the time when I got into big trouble for making long-distance calls to an out-of-state girlfriend. The phone bill was over $500. “Wait,” she asked, “you mean, the phone company charged you more money because the person lived farther away?” It’s such a foreign concept today when we can have a video conversation with someone on the other side of the planet for free! (Moment of gratitude for communication technology . . . Amen.)
Our talk turned to how the world was more culturally insular back then. I explained that many of the Eastern philosophical and medical concepts that are commonplace in our house and community only became mainstream in the past few decades. Global connectedness has allowed us to share the pearls of our cultures with receptive others around the world in an unprecedented way. It’s awesome.
The only downside is that details – and sometimes even the core value – can get lost in translation. One particular “incomplete translation” I’ve been working on correcting for 20 years has to do with the yogic practice of neti – which can be a valuable part of our immune enhancement routine in these crazy times.
Neti – AKA “nasal washing” – comes from the millennia-old tradition of Ayurveda. It cleanses and soothes the nasal passages and is great for people with allergies, crusty nasal mucus, difficulty breathing through the nose, snoring, and frequent colds and flus. By helping to clean and heal our upper airway, it may help the body to more effectively catch and kill airborne viruses. However, traditionally neti has always been prescribed in combination with another practice called nasya – but somehow almost no one knows about it.
While salt water in the nasal passages can clean out the gunk and calm the membranes down, it can also leave them dry and vulnerable. Sometimes the dryness even causes these membranes to respond by producing more mucus. This is why nasya – the practice of lubricating the inside of the nose with oil – is essential. Whereas neti can potentially “strip” your nasal passages, nasyacoats and protects them.
Several years ago, I developed an herb-infused nasya oil called
Dragontree Nasal Oil, and it’s been one of our best sellers. I think it’s been popular partly because of the unique combination of herbs it contains and partly because there just aren’t many products like it out there. One doctor tells me she gives it to all her patients who get frequent colds and flus and says it has helped them tremendously.
Let’s look at the whole neti-nasya practice. A neti pot is shaped like a small tea pot, the spout of which fits comfortably in a nostril. You start with warm, clean water (body temperature is good) to which you add a little salt. The ideal degree of saltiness varies from person to person – about the saltiness of tears is usually good. A standard solution is 1/4 teaspoon of salt per 1/2 cup of water. Try this concentration first, and adjust the saltiness if necessary.
Fill the pot with your saline solution, stand over a sink, and place the tip of the spout in one nostril. Tip your head sideways without leaning your head forward or back. As the pot is tipped, the solution should enter one nostril and flow out the other. It helps to keep your mouth open and try not to breathe through your nose. Pour half of the solution through one nostril and then the other half of the solution through the other nostril. This process cleanses the nasal passages of dust, pollen, bacteria, viruses, and other debris which can cause allergies, colds, and sinus infections. If it causes a burning sensation it’s often because there isn’t enough salt for you. Try a little more. Sometimes a pinch of baking soda in the solution can also help.
Now for the nasya. We have often heard from clients that they feel congested after doing neti. This is probably because they didn’t do nasya. There are two main ways of applying oil to the nasal passages. One is to place oil on your (very clean) little finger and use this to lightly coat the inside of each nostril with oil. The other option, which I prefer because it’s more thorough, is to use an eyedropper to instill 4-5 drops of oil into each nostril while lying on a bed with your head hanging slightly off the edge. With this second method, it is best to relax in this position for a few minutes to let the oil penetrate deeply.
A good all purpose (tridoshic) oil for neti is safflower (which is what we use in the
Dragontree Nasal Oil). If you don’t have any on hand, you can use olive oil or even liquid ghee (clarified butter). Nasya provides lubrication and protection against pathogens in the nasal passageways after being cleansed by neti. If the nasya step is skipped then the process of neti can potentially make our membranes more susceptible to irritation and infection.
I have studied and experimented with many forms of “medicated” nasya oil over the years. Typically these oils are infused with various herbs and/or essential oils to enhance the protective and cleansing effect of this practice (or occasionally to calm the mind or achieve some other therapeutic effect). For my own herbed nasya, I chose herbs and oils that are traditionally used to kill germs and calm irritated mucus membranes.
I know it’s a bit of an unusual practice, and due to the herbs sometimes people experience a bit of stinging and a bitter taste when they use it – especially if they have an early stage infection. But I’ve been told so many times that it rapidly cleared whatever was in there, so apparently the effectiveness trumps the weirdness factor!
If you try it, I would love to hear about your experience with it.
Wishing you clear, full breaths,
Peter
P.S if you'd like to use our Dragontree Nasal Oil in your immunity routine, you can find a bottle here:
Grab a bottle of
Dragontree Nasal Oil
[post_title] => Neti: the missing link in your immune routine
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Over the years, my therapeutic focus has shifted increasingly toward what I would call “expansion.” I continue to see patients for issues as apparently one-dimensional as a sore knee, but what I really want for them is so much more than the disappearance of their knee soreness. My highest intention is that they will have an experience of lasting peace, happiness, and freedom. (I want this also for anyone who reads an article or book I’ve written, or takes one of my courses – and also for everyone else, too!)
The tricky part is that we tend to have these virtuous qualities wrapped up in causes. For instance, we may think, I feel peaceful because my surroundings are safe and it’s my day off. Or, I feel happy because I have good food and friends. Or, I feel free because my country has laws that protect my rights and I just dumped my boyfriend.
Yet, in order to embody these states in a deep, lasting way, they must become uncaused. That is, we find our way to them regardless of what’s happening with our body, our mind, or our life circumstances. And I believe the most likely way to discover such uncaused happiness, peace, and freedom is through an expansion of consciousness.
Limited or narrowed states of consciousness get us into trouble. When we identify with only one facet of all that we are, this sets us up for suffering.
Let’s look at some states of “contracted” consciousness. One of the most detailed frameworks for such an examination comes from the Tantrik tradition, which defines a set of layers of the Being. Although as a human you are all of these layers simultaneously, in any moment you’re likely to be identifying primarily with a single layer.
The center of the being is called cit (“chit”), which means absolute, nondual, nonlocal consciousness. It is consciousness that is completely unbound from a body, a mind, a personality, or any other labels. It is undying and eternal. You experience cit at all times, but it’s very difficult for a human to identify with it because it’s so basic, and so beyond our humanness.
The first layer outward is called sunya, which means emptiness. It is stillness, like what we experience in the deepest, dreamless sleep. It can also be experienced in meditation. Sometimes it feels so right and restful to a meditator that they believe this is what they are. While this is true, if it is worn as an identity to the exclusion of their more human layers – as in, “The human part isn’t the real me,” – then it’s still a contraction of consciousness, and brings problems – such as neglect of the body and inability to relate to others.
The next layer outward, called prana, is our vital energy, like the Chinese concept of Qi. Prana is considered to be an interface between the body and mind. And even though we have an individual experience of prana, like the two deeper layers previously mentioned, it’s a communal layer – we share it with everyone.
The next layer outward is citta (“chitta”), meaning “heart-mind” – or the layer of thoughts and feelings. In Tantra Illuminated, author Christopher Wallis explains that thoughts and feelings are considered essentially one, with the difference that thoughts are vibrations with a greater linguistic or logical component while feelings are vibrations with a stronger affective or “felt” charge. Humans tend to be more identified with this layer than any other. If our consciousness is mainly narrowed to this level, our thoughts and feelings run the show. We might say things like, “I am sad,” or “I am stupid,” as an expression of our identification with this layer. Because the mind and feelings can change so rapidly, when we live in this layer, we attempt to create stability by building repetitive patterns and forging rules for how the world should behave – and this greatly squelches our freedom.
The next layer outward is deha, the body. When we believe “I am my body,” – and especially when we simultaneously forget all the rest that we are, we base our self-worth on it and we feel vulnerable because of it. We know, of course, that it’s bound to age and decay.
Finally, there is a layer so superficial that it’s not even really part of our being. It’s called vastu – our possessions or “stuff.” Our possessions have a way of going along with us through life, they reflect our self-image, and it’s quite common to identify ourselves with them. This causes us to invest a lot of time and energy into accumulating, tending to, and protecting this stuff. We may even feel personally assaulted if our stuff gets stolen or damaged.
It’s important to note that there’s nothing bad about identifying with any of these layers, even the “stuff” layer. As you enter and embody each of these layers, there’s rich opportunity to experience, explore, and play. Again, the trap is in identifying with some small portion of all that you are – to the exclusion of the rest.
So, the simplest instruction I could give is to remember. Remember that you’re more than whatever facet of yourself you’re currently immersed in. The more you are able to expand your consciousness to include a broader, all-inclusive sense of self, the greater your potential to access peace, freedom, and happiness.
Give it a try and let me know what happens.
Be well,
Dr. Peter Borten
[post_title] => Welcoming the Many Layers of YOU
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After so many newsletters about pretty deep topics, I thought I’d get really superficial this week and talk about skin. Winter’s dryness and cold plus extra clothing, obsessive handwashing, and indoor heating form a combination that can be very hard on our skin. My whole life, I’ve had skin that dislikes winter. Even if your skin doesn’t get flaky or irritated, taking good care of your skin at this time of year may still help it retain its youthful elasticity and luster. Here are eleven self-care recommendations:
Drink plenty of water. Divide the number of pounds you weigh in half – that’s the number of ounces of watacer to drink evenly over the course of the day (ideally at room temperature).
Eat moistening foods. In Traditional Chinese Medicine, certain foods are considered to build vital fluids in the body which are disseminated to the skin and affect skin moisture. Some of these foods include: sesame seeds (especially the black kind), dark leafy greens, berries, pears, oranges, watermelon, string beans, tomatoes, flax seed, hemp seed, tomatoes, plums, mung beans and sprouts, cucumber, water chestnuts, eggs, fish, nuts, seed and nut oils.
Get a humidifier. In our house in Colorado, the usual tabletop humidifiers make very little difference in the moisture of the air, but I’ve heard good things about “whole house humidifiers” and I plan to get one for our home soon. They hook up to your water line (so you don’t need to refill them) and moisten the air that moves through your heating system. The units cost a couple hundred dollars and installation is a few hundred more (or you could do it yourself if you’re handy).
Put oil on your skin. Lotions are emulsions of oil and water, and while they’re moisturizing, they aim to be well absorbed and to feel light and residue-free. As such, lighter lotions may not cut it if you have very dry skin, or they may need to be applied many times a day. If your skin suffers during the winter, you may need something that functions more as a barrier – that impedes water loss through the skin and protects against the elements – such as: pure oil (coconut, jojoba, grape seed, sesame (untoasted), etc.); a thicker lotion that contains more oil or heavier oils (like castor, rosehip seed, or tamanu oil); or a semi-solid lotion with even heavier, waxy ingredients (shea butter, cocoa butter, or beeswax). However, the richest of these (shea butter and wax) are probably too heavy for the face and could clog your pores.
Exfoliate gently before moisturizing and apply moisturizer to still-damp skin. As long as your skin isn’t irritated, gently removing the top layer of dead cells will make it easier for moisturizers to penetrate. I like a coarse cloth, raw silk gloves, or a natural plant bristle brush for exfoliating the whole body. After bathing, you have a window of a few minutes during which moisturizers will work best. Personally, I enjoy the combination of dry skin brushing followed by a shower and then a brisk self-massage with oil (a practice called abhyanga in Ayurveda).
Use less soap. Soap dries out your skin and is usually unnecessary.
If your hands get chapped, dry them thoroughly after washing. Letting your skin air dry slowly usually results in drier skin. This is especially important for people with eczema.
Avoid colors, synthetic fragrances, and other chemicals in your detergents and body care products. Dry winter skin is often extra sensitive to chemicals – and absorbs them more effectively.
Wash in cooler water. If your skin becomes more sensitive in the winter, and especially if you have a rash, hot water will often make it worse. Bathe in the coolest water you can tolerate.
Use sunscreen. I don’t buy into the idea that we should wear sunscreen constantly, but judicious use has some benefits. Sun exposure feels good, activates immune cells, and stimulates vitamin D production in our skin, which is beneficial to our health in numerous ways. But the UV portion of sunlight causes damage to our tissues through a process called oxidation. (It’s the same process that causes oils to go rancid, vitamins to spoil, and meat to turn grey.)
We all know sunburns are bad, but even without burning, extended exposure to UV light tends to cause yellowing, dryness, and wrinkling of our skin. It damages fibers called elastin, which, as you might guess from the name, gives our skin its elasticity. Over the years, this makes our skin saggy and more prone to tearing. UV light also blesses us with age spots or “liver spots.” And finally, it’s a major risk factor in skin cancers, especially the non-melanoma kinds. So, if you like youthful skin, sunscreen is a good idea – especially in the middle of the day – and it’s easy to forget to use it in the winter. Winter sun isn’t usually direct enough to stimulate vitamin D synthesis, but it’s still strong enough to cause skin damage (especially in sunny places).
I don’t like chemical sunscreens, so I steer my patients to mineral-based ones – zinc oxide and titanium oxide. Zinc is the best option: it’s an excellent skin soother and barrier, and it works better than any other sunscreen chemical approved for use in the U.S. It’s the main ingredient in many diaper rash ointments and was responsible for that classic white stripe on lifeguards’ noses years ago.
Nowadays, most mineral sunscreens aren’t quite as opaque – some are completely transparent – probably because manufacturers have gotten better at creating smaller particles of zinc and titanium. However, this presents a big unknown – are these tiny “nanoparticles” entering our cells and doing something bad? In response to initial concerns, some companies now sell “non-nano” mineral sunscreens, but according to the Environmental Working Group (EWG) even the mineral particles in these products would technically be considered “nano” sized.
Yet, EWG still believes they are our best option. A mixture of particle sizes, some nano and some larger, seems to offer the best sun protection, and the evidence so far indicates that they don’t penetrate into the skin far enough to encounter living cells. However, if you were to inhale a bunch of mineral sunscreen in powder or spray form, that wouldn’t be good for your lungs.
See a good skin care specialist. Believe it or not, I was co-owner of a spa for a couple years before I got my first facial. If I was going to take the time to get a spa treatment, I’d always opt for a massage. But one year, on my birthday, Briana scheduled a facial for me, and it was just lovely. Having someone steam and massage oils into your face is deeply relaxing. And I had to admit, my skin was glowing afterwards. I highly recommend it.
I hope these recommendations help you get through the winter with moister, healthier, happier skin.
Be well,
Dr. Peter Borten
[post_title] => Eleven Tips for Healthy Winter Skin
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