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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
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If we hear a saying enough – especially at an impressionable time and/or spoken by someone we respect – we may accept it without applying critical thinking to determine if it’s actually true. For me, one such saying was, “People don’t change.”
As a young adult I heard it said by a guy I looked up to, and I remember thinking he must be wise. He stated it with triumph and bitterness – as a keen insight that would allow him to never be hurt again.
In writing this article, I googled “people don’t change” and “people can’t change” and got about 4 million hits for each phrase. Clearly this is a prevalent idea. But is it true?
When psychologists Dan Gilbert, Jordi Quoidbach, and Timothy Wilson set out to investigate perceptions of personal change, they discovered something surprising: most people believe that they have gotten all of their changing over with. Interviews with 19,000 participants revealed that young people, middle aged people, and old people all saw themselves as having changed a lot in the past, but believed they had more or less “arrived” at who they would be from now on. The scientists called this the “end of history illusion.” They used the word “illusion” because . . . we’re almost always wrong.
Perhaps this widespread view of ourselves as unlikely to change spills over onto what we expect of others – i.e., that they won’t change either. But we might ask, when someone believes that people don’t change, did it originate as a rational assessment of the likelihood of change? Or did it begin as a way of saving face, as in, “It may look like I got blindsided, but I actually saw this coming – because people don’t change.” Or as ammo for self-punishment, as in, “I’m a fool. I should have seen this coming – because people don’t change.” Or as the basis for blaming others for our pain, as in, “I was relying on you to become different so that I could be happy, but I’m not happy – because people don’t change.”
I happen to be in the business of tracking change. A few folks come to me for health maintenance, but I like to empower people to do most of their maintenance themselves, so the majority of my patient visits are from humans wanting the same thing: change. They want their body to change or their mind to change or their life circumstances to change. Because my task is to help facilitate this change, a significant part of my job is to be a change tracker. As a change tracker, I can assure you, people change all the time, often dramatically. If they didn’t, I’d feel like a charlatan.
But of course, we all have recurring patterns. In Vedic philosophy, these are considered to be expressions of our samskaras – the imprints of past experiences. Samskara literally means “impression” – like a footprint in the sand or a groove cut in the earth – and we tend to fall into them over and over, just as water naturally follows ruts in the land. Likewise, as experiences “flow” through our consciousness, they are manipulated by these contours of our psyche. Our capacity for discernment, called the buddhi, is said to be impaired by the presence of samskaras because they cause us to see things differently than they really are.
Scientists in the field of psychoneuroimmunology discovered that there’s a biological basis for this behavior. The repetition of the same thoughts, feelings, or behaviors strengthens a particular neurological pathway. These neurons “wire together” making a more efficient channel for nerve impulses to flow through, much like a groove in the sand. This increases the likelihood of our continuing to repeat the thought / feeling / behavior and thus to further strengthen the pathway and increase the potential to revisit it.
What can we do about this? There are many useful strategies, most of which amount to the cultivation of clear vision and perspective. Traditionally, this is one of the central purposes of yoga – meditation, specifically – which is said to be like polishing the dirty mirror of the buddhi so that it provides accurate reflections.
Meditation is like walking to the top of a mountain, where we can see the big picture (something impossible to do when we’re stuck in a rut in the ground). Here we can determine our most efficient course of action. Here we see the grooves of samskaras and “fill them in” through forgiveness, love, and acceptance. Here we can see the ways we have changed, and, indeed, see that big change is inevitable for ourselves and everyone else.
Take a few minutes today for a mental fast. Close your eyes and allow yourself to rise above the chattering and judgements, the push and pull of emotions, and perceive what kind of change would bring you into closer alignment with your inner being. Then set an intention to allow this change to happen. Perhaps even ask your highest self to reconfigure you to experience peace more readily. A change is gonna come.
Be well,
Dr. Peter Borten
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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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