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When Samuel Thomson (1769-1843) was four years old, he happened upon an herb called lobelia growing near his New Hampshire home. Curious about the seed pods, he chewed some and promptly threw up. “Afterwards,” he later wrote, “I used to induce other boys to chew it, by way of sport, to see them vomit.” By “afterwards,” he meant for the next twenty years.
In his early twenties, he was out mowing a field with a group of men when he was happy to spot some lobelia. He tricked one of his coworkers into eating it, and the man immediately turned pale and began sweating and trembling. As he puked his guts out, the man told Thomson that he believed he was about to die. But after taking a nap, he ate lunch, did a full afternoon of labor, and, “told me that he never had anything do him so much good in his life; his appetite was remarkably good, and he felt better than he had felt for a long time.”1
Thomson went on to become the founder of a system of natural medicine based largely on using lobelia to purge the body of toxins. It had great appeal to the gritty, anti-elitist, and sometimes puritanical sensibilities of many early Americans.
While it may sound trendy and modern to hear that a certain celebrity is “doing a cleanse” it’s actually an old and enduring tradition. About 70 years after Thomson’s death, Arnold Ehret published the acclaimed Rational Fasting, with a similarly empowering do-it-yourself and clean-yourself-out message. 1939 brought Jethro Kloss’s Back to Eden – often regarded as a kind of bible of natural medicine – also focusing chiefly on the idea that disease comes from too much garbage in the body. Such philosophies have even older roots in Europe and Asia.
It’s an attractive idea to consider: maybe you can simply undo all your crappy eating habits. Maybe you don’t need supplements or surgery – you just need to get the evil out of you. Maybe you’re not lacking anything – you feel ill because of something bad that you’re carrying around or keep exposing yourself to. And maybe there’s some crossover with your religious upbringing – you need to repent for your sins and perhaps this is the way to do it. So, does it work?
As with many D-I-Y health trends, there’s a lot of hope that it’s going to fix everyone. But sometimes a cleanse is the right thing and sometimes it’s not; it can be difficult to discern. I’ve had patients report that all their symptoms – pain, insomnia, digestive upset, skin problems, fatigue, ADD, anxiety, depression, and more – disappeared when they did a cleanse. Most of the time, though, people say they aren’t sure if anything useful happened. And occasionally, they tell me they felt bad – achy, tired, foggy, depressed, etc. – which could be part of a healing process, or might just mean the cleanse wasn’t ideal for them.
From the perspective of Five Element philosophy, this would be the most appropriate time of year for a cleanse. We’re emerging from winter – the season of storage, rest, and inertia – and entering the “resurrection” of spring. (There’s a reason Easter was combined with pagan symbolism of spring – the “rebirth” we witness after the “death” of winter – flowers, eggs, chicks, bunnies, etc.) It’s a phase of new plans and rapid growth, and there’s a certain shedding that happens now. If you have cats and dogs, you’re well aware of what’s coming. We humans shed our bulky layers of clothing and extra “insulation.” Symbolically, it’s a good time to release an outdated image of yourself – to shed the limitations of your former life even – so that you can create yourself anew. Given these different expressions of shedding, a spring cleanse might take the form of a physical cleaning out, a psychological release, or a spiritual process (or all three).
We usually think of a cleanse as a deliberate expulsion of the unhealthy – an act of purging, scrubbing, or active detoxification – and it can be this, if necessary and appropriate. But more importantly, I believe it should entail a simplification and reduction of what you’re putting into the body (and mind). The body knows how to get rid of waste, but it may have a hard time doing so if it’s continually struggling to keep up with what you’re adding to it. So, as a general principle, aim to consume less and to reduce your consumption to things that will be gentle and easy to assimilate.
Unless you’re doing a more active detoxification or water fast, it’s enough to just supply your body with its nutritional needs in a simple, digestible format while cutting out anything that might be an irritant or harder to digest. The goal is to cause the body to expend a minimum of energy on digesting the food so that its resources can be dedicated to cleaning house.
During a cleanse, it’s also important to reduce your activity level. Again, the idea is to maximize the resources that are available for the cleansing process. The more intensive the cleanse, the greater the need to be really devoted to it. Besides doing less physically, it’s worthwhile to conserve mental energy. Likewise, while limiting physical consumption, it’s also advisable to limit mental consumption – take a break from news and other media so there’s less to digest on all levels.
Always stay well hydrated during a cleanse. Movement in the body occurs via liquid pathways, and the metabolism and excretion of toxins works better with sufficient water in you. Figure out how many pounds you weigh and divide that number in half. Then aim to drink that many ounces of water evenly over the course of each day. Ideally this water should be room temperature. You can drink more if you wish, but don’t have so much at once that you feel bloated or “sloshy” inside.
Next week I’ll discuss some specific kinds of cleanses and common simple diets for cleansing. Meanwhile, if you’re up for a cleanse, I recommend taking some time to ponder and write about what exactly you intend to release (physical and/or mental) and what will be liberated, revitalized, or birthed through the process. Set a clear intention. If you resonate with moon symbolism, you might consider beginning your cleanse with the new moon (the next one is April 5th).
Be well,
Peter
[1] Thomson, S. (1835). A narrative of the life and medical discoveries of Samuel Thomson: containing an account of his system of practice, and the manner of curing disease with vegetable medicine, upon a plan entirely new. Columbus, OH: Jarvis Pike.
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IF WE’RE NOT SUPPOSED TO EAT ANIMALS, HOW COME THEY’RE MADE OUT OF MEAT?
I saw that line on a bumper sticker when I was about 16, shortly after becoming a vegetarian. I laughed heartily at it; it was a good reminder not to take myself too seriously.
I stopped eating meat mostly because I just didn’t like it. But in the early 1990s I encountered John Robbins’s Diet for a New America, and my reasons for not eating flesh became more numerous. If you aren’t familiar with him, Robbins is the vegan son of the cofounder of the Baskin-Robbins ice cream empire, and he left the ice cream business in part because of his opposition to the mistreatment of cows and his emerging belief that humans shouldn’t consume animal products. In Diet for a New America he explores the ethics of factory farms, the environmental impacts of animal production, and the health effects of consuming dairy and meat. It made sense to me and I felt empowered in my position.
But when I began grad school in Chinese Medicine some years later, my Asian professors were perplexed by the high rate of vegetarianism among the students. They asked us, “Why wouldn’t you eat meat if you can afford it?” To them, vegetarianism was an involuntary choice necessitated by poverty. They pointed to our sharp canine teeth and the place of meat in the history of human diets. They weren’t familiar with any of the issues or fads around meat eating and vegetarianism; they only cared about what’s best for human health. So I decided to set aside my biases and earnestly seek the truth.
When I began my clinical internship, I met numerous vegetarian patients – and even more vegans – who were weak and had insufficient immune function. Their pulses, which should have felt something like a jumping piece of spaghetti at the wrist, were often more like a faintly twitching thread. Often, they were under the impression that not eating meat in itself would make them healthy – even if they never gave much thought to what they did eat instead.
In my practice, ethics and preferences began to take a back seat to biological necessity. When these patients began to eat meat – often because I advised them to experiment with it – nearly all of them felt stronger and healthier. I even met some people who thrived on meat, whose bodies seemed to crave meat over anything else and whose only intolerances were to certain plant-based foods. Eventually I started eating a little meat now and then. (I can’t say I noticed much difference in my health from doing so, but I was already eating plenty of animal protein in the form of eggs and yogurt.)
Coincidentally, meat was making a big comeback. When I first moved to Portland, it had a large selection of vegetarian restaurants. Fifteen years later, many of these had been replaced with restaurants that were unapologetically meat-based with barely a flesh-free dish on the menu. Elk burgers, pork bellies, and lard were so hot. With the advent of Paleo diets, people were flocking back to meat as if it they’d been deprived their whole lives.
Meanwhile, I became a father, I became more connected to the earth, I realized I had never really forgotten all those points that Robbins made 30 years ago, and I found it increasingly difficult to be willfully ignorant of the impacts of my choices of consumption. One of those impacts is that meat production – in the prevailing manner and scale – is devastating to the planet.
Thus, I found myself in the middle of the complex intersection of nutrition, industry, environment, ethics, and politics – and I’ve never again had an easy answer to the question of whether people should or shouldn’t eat meat.
We’ll look more closely at the pros and cons of meat consumption next week. I’d love to hear about your experience with – or without – meat in the comments below.
Be well,
Dr. Peter Borten
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This month’s theme is nutrition, and I started the series by explaining that, while we have greatly improved humans’ odds of surviving childhood, we haven’t made as much progress in prolonging the lives of older people. Old people tend to die of conditions that are long in the making, and there aren’t many ways to intervene in these processes near the end of life. The biggest value in life extension comes from adopting good habits earlier, such as healthy eating, exercise, and a spiritual or meditative practice.
Last week I compared the body to a car, and asserted that fuel quality isn’t everything. We always hear about what we should and shouldn’t eat, but how our fuel is introduced to the body is as important to our health as the fuel itself. (You can read part one and part two.) Previously, we looked at food preparation and the vital role of the mouth; now let’s travel a bit further down the rabbit hole. (Note: the gastrointestinal tract is not an actual rabbit hole; we do not condone swallowing live rabbits.)
Food goes in your mouth, travels down a tube called the esophagus, and pushes through a ring of muscle known as the lower esophageal sphincter (or LES) to enter your stomach. The LES is vital for keeping the top of your stomach closed, so food doesn’t back up and stomach acid doesn’t burn the lining of your esophagus. When you overfill your stomach, at least four bad things happen – it stretches the stomach, it promotes weight gain, it compromises digestion, and it puts lots of back pressure on the LES.
A stretched stomach is a feature of every overweight person. Fullness of the stomach is not a healthy way to gauge when to stop eating. If you routinely fill your stomach to capacity, it will inevitably expand, and you’ll need to eat more to get that full feeling. There’s a perceptible difference between enough and full, and enough is usually much less than full. Okinawans, known for their longevity, have a cultural practice of eating to just 80% of capacity. At 80% full, you will not be hungry, although you may convince yourself that you are, being used to that full stomach feeling. Undereating promotes longer life.
If the stomach is packed, it’s like an overly full washing machine. The clothes don’t circulate – they just get damp and wrinkly. Likewise, we don’t digest our best when the stomach is filled to capacity. A history of overeating tends to deplete the stomach, which can result in insufficient acid secretion. We need lots of acid to digest food (especially protein, minerals, and vitamin B12), to stimulate emptying of the stomach, to quickly dismantle potential allergens, and to kill bacteria and viruses that may have entered the GI tract. Low stomach acid is very common among older adults. I usually give patients hydrochloric acid in a form called betaine hydrochloride, though I’ve encountered many who have gotten good results from using apple cider vinegar in capsules or taken in some water.
If we frequently cram the stomach, the LES tends to become less competent at staying tightly closed. Especially when combined with shallow breathing, low stomach acid, sitting a lot, frequently wearing a tight belt or seat belt, and having a big belly, the result is acid reflux – AKA heartburn or gastroesophageal reflux disease (GERD). I don’t know if you’ve noticed, but a lot more people get acid reflux than in the past. When I began my practice, I didn’t encounter it that much. Now it seems every other patient is on an acid blocking drug. One reason is that portion sizes have increased and mealtimes have gotten shorter and less relaxed, so we eat both more and faster.
Sometimes a person with a history of acid reflux will develop pre-cancerous changes in their esophagus known as Barrett’s Esophagus, and in these cases, an acid blocker might be prudent (though I still recommend fixing the cause of the reflux). For everyone else, they are a bad idea except for occasional use. Over time, all of the functions of stomach acid I mentioned above can be expected to become compromised – nutrient absorption, killing of pathogens, breaking down allergens, etc. We’re already starting to see unusually high rates of uncommon infections in people on these drugs. There are lots of better and more natural approaches for relief, such as d-limonene, which comes from orange peel oil, and soothes and protects the esophagus. But the best thing you can do is to eat less food, do it slowly, prepare it as I explained in the last article, and chew thoroughly. It will not only improve your health, it will also bring you back to specialness that is the ritual of nourishing yourself.
Be well,
Dr. Peter Borten
P.S. After years of teaching people about nutrition, I recently decided to create an online video-based nutrition course called How to Eat. If you’re interested in learning more about nutrition, including both Eastern and Western points of view, I encourage you to check it out. My goal is to have participants gain a lifelong, intuitive understanding of how to feed themselves, and to learn how to eat for optimal energy and weight. You can check it out here.
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When Samuel Thomson (1769-1843) was four years old, he happened upon an herb called lobelia growing near his New Hampshire home. Curious about the seed pods, he chewed some and promptly threw up. “Afterwards,” he later wrote, “I used to induce other boys to chew it, by way of sport, to see them vomit.” By “afterwards,” he meant for the next twenty years.
In his early twenties, he was out mowing a field with a group of men when he was happy to spot some lobelia. He tricked one of his coworkers into eating it, and the man immediately turned pale and began sweating and trembling. As he puked his guts out, the man told Thomson that he believed he was about to die. But after taking a nap, he ate lunch, did a full afternoon of labor, and, “told me that he never had anything do him so much good in his life; his appetite was remarkably good, and he felt better than he had felt for a long time.”1
Thomson went on to become the founder of a system of natural medicine based largely on using lobelia to purge the body of toxins. It had great appeal to the gritty, anti-elitist, and sometimes puritanical sensibilities of many early Americans.
While it may sound trendy and modern to hear that a certain celebrity is “doing a cleanse” it’s actually an old and enduring tradition. About 70 years after Thomson’s death, Arnold Ehret published the acclaimed Rational Fasting, with a similarly empowering do-it-yourself and clean-yourself-out message. 1939 brought Jethro Kloss’s Back to Eden – often regarded as a kind of bible of natural medicine – also focusing chiefly on the idea that disease comes from too much garbage in the body. Such philosophies have even older roots in Europe and Asia.
It’s an attractive idea to consider: maybe you can simply undo all your crappy eating habits. Maybe you don’t need supplements or surgery – you just need to get the evil out of you. Maybe you’re not lacking anything – you feel ill because of something bad that you’re carrying around or keep exposing yourself to. And maybe there’s some crossover with your religious upbringing – you need to repent for your sins and perhaps this is the way to do it. So, does it work?
As with many D-I-Y health trends, there’s a lot of hope that it’s going to fix everyone. But sometimes a cleanse is the right thing and sometimes it’s not; it can be difficult to discern. I’ve had patients report that all their symptoms – pain, insomnia, digestive upset, skin problems, fatigue, ADD, anxiety, depression, and more – disappeared when they did a cleanse. Most of the time, though, people say they aren’t sure if anything useful happened. And occasionally, they tell me they felt bad – achy, tired, foggy, depressed, etc. – which could be part of a healing process, or might just mean the cleanse wasn’t ideal for them.
From the perspective of Five Element philosophy, this would be the most appropriate time of year for a cleanse. We’re emerging from winter – the season of storage, rest, and inertia – and entering the “resurrection” of spring. (There’s a reason Easter was combined with pagan symbolism of spring – the “rebirth” we witness after the “death” of winter – flowers, eggs, chicks, bunnies, etc.) It’s a phase of new plans and rapid growth, and there’s a certain shedding that happens now. If you have cats and dogs, you’re well aware of what’s coming. We humans shed our bulky layers of clothing and extra “insulation.” Symbolically, it’s a good time to release an outdated image of yourself – to shed the limitations of your former life even – so that you can create yourself anew. Given these different expressions of shedding, a spring cleanse might take the form of a physical cleaning out, a psychological release, or a spiritual process (or all three).
We usually think of a cleanse as a deliberate expulsion of the unhealthy – an act of purging, scrubbing, or active detoxification – and it can be this, if necessary and appropriate. But more importantly, I believe it should entail a simplification and reduction of what you’re putting into the body (and mind). The body knows how to get rid of waste, but it may have a hard time doing so if it’s continually struggling to keep up with what you’re adding to it. So, as a general principle, aim to consume less and to reduce your consumption to things that will be gentle and easy to assimilate.
Unless you’re doing a more active detoxification or water fast, it’s enough to just supply your body with its nutritional needs in a simple, digestible format while cutting out anything that might be an irritant or harder to digest. The goal is to cause the body to expend a minimum of energy on digesting the food so that its resources can be dedicated to cleaning house.
During a cleanse, it’s also important to reduce your activity level. Again, the idea is to maximize the resources that are available for the cleansing process. The more intensive the cleanse, the greater the need to be really devoted to it. Besides doing less physically, it’s worthwhile to conserve mental energy. Likewise, while limiting physical consumption, it’s also advisable to limit mental consumption – take a break from news and other media so there’s less to digest on all levels.
Always stay well hydrated during a cleanse. Movement in the body occurs via liquid pathways, and the metabolism and excretion of toxins works better with sufficient water in you. Figure out how many pounds you weigh and divide that number in half. Then aim to drink that many ounces of water evenly over the course of each day. Ideally this water should be room temperature. You can drink more if you wish, but don’t have so much at once that you feel bloated or “sloshy” inside.
Next week I’ll discuss some specific kinds of cleanses and common simple diets for cleansing. Meanwhile, if you’re up for a cleanse, I recommend taking some time to ponder and write about what exactly you intend to release (physical and/or mental) and what will be liberated, revitalized, or birthed through the process. Set a clear intention. If you resonate with moon symbolism, you might consider beginning your cleanse with the new moon (the next one is April 5th).
Be well,
Peter
[1] Thomson, S. (1835). A narrative of the life and medical discoveries of Samuel Thomson: containing an account of his system of practice, and the manner of curing disease with vegetable medicine, upon a plan entirely new. Columbus, OH: Jarvis Pike.
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