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Open Source Practice Recommendations Resource Page 

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Diet recommendations for existing patients

 

Its very common for patients to find  practitioners of the Chinese Medicine to be zealots for nourishing, balanced, seasonal cooking and eating. The digestive system is our earth element, its often at the root of what causes disease and we can't stress enough how important it is!  The digestion of food, from a Chinese perspective, happens within the same system of the digestion of everything else we take in with our senses. That means, its very likely that your system is overloaded with input.  Most of us need to slow down, regulate and simplify.

 

Presented below are the broad health guidelines that almost everyone that walks through my office door can use. 

 

 

 

 

1. To Boost the Qi overall. Eliminate cold drinks and most raw and cold foods (for the time being at least)  in the winter sip warm beverages in the pm, always start the day with a glass of water and or warm tea or lemon water. I know this can be a big shocker to cut our cold drinks, but trust me! If you're seeking care, its likely that you're deficient in Qi, and these are the baseline recommendations for building it back. 

 

2. Get Nourished. Eat seasonally and locally, consider growing your own garden! Eat a variety of all 5 essential flavors, sweet (found in grains and vegetables) bitter, sour, pungent and salty

 

a. When healing the gut or other aspects of health, eat primarily cooked vegetables, soups and stews. When you go shopping really take the time to look at the produce, think about the season and choose what makes you feel alive. Drink fresh home made meat broth. Powdered collagen is good to have on hand to put into warm drinks, but nothing beats the collagen from real broth.

 

b.Please check this study if you've been on oral contraceptives long term "It has been shown that the key nutrient depletions concern folic acid, vitamins B2, B6, B12, vitamin C and E and the minerals magnesium, selenium and zinc. Most research has focused on the levels of these vitamins and minerals in the blood of women who take OCs compared to women who do not" Please note that if you are trying to get pregnant in your 30s, after long term OC use, a nourishing diet is crucial. 

 

c. Choose vegetables in a wide variety of colors. In Autumn and Winter go for earth element orange and yellow veggies like roots, squashes in the spring and summer, especially sauteed and steamed green veg. Year round consume cruciferous veggies like cauliflower, brussel sprouts, collards and broccoli, as they do a lot of work to help the liver process. Make a list of veggies you like, haven't tried and want to try and explore new recipes. If you eat meat, continue to, eat a mix of beef, chicken, pork and fish. 

 

d. Eat raw salad in late spring or summer only, after healing has happened if digestion is great. Consider soup for breakfast and consider adding fermented vegetables to your regular weekly meal planning. 

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3. If I’ve said you are blood deficient, in addition to the above, also add beets and dark leafy cooked greens and consider adding more red meat, liver and a strong source of gelatin, like bone or meat broth, or a high quality pasture raised beef liver supplement.

 

Get enough water, about 8 glasses a day, add minerals to it. Look at sources of magnesium, zinc, iron, vitamin b and d, try a liquid multivitamin, they absorb better, I like Floradix products. Hide chicken liver chopped up into meatloaf. 

 

4. If you eat meat, or I’ve asked you to eat meat, look for locally sourced, organic and pasture raised, the less corn an animal consumes, the less inflammatory it is.

 

5. If I’ve said you have dampness, eliminate damp causing foods, that means no dairy, processed white flour, sugar, shrimp, banana, juices especially, please note, butter doesn't count as dairy, usually a little cream in coffee is fine unless you have an extreme case. Try adding in daikon (its usually available at Whole Foods) and try pearl barley as a cooked grain, they both diminish dampness and congestion in the digestive system. 

 

6. If I’ve said eat yin tonifying foods, or you’re menopausal,  add dark berries, avocados, yams, eggs, nuts, especially walnuts, black sesame paste,  dairy (if not too much if dampness or allergy present). Look for cleanly sourced deep sea fish (tuna, snapper, mahi), but especially oysters. Drink warm tea at night. 

 

7. If you have constipation, add seeds, and focus more on getting enough water and fiber as well as exercise, the lung activates the large intestines, they are an organ pair in Chinese medicine, so try to walk at least daily. Green peas are a great source of fiber. Using the bathroom daily is crucial in balancing hormones.

 

8. If you have thyroid issues, cut gluten and limit cruciferous vegetables, if those thyroid issues are autoimmune, cut sugar and do an autoimmune diet.

 

9. If you have anxiety, depression, metabolic, endocrine or hormone imbalances, especially, this next section on blood sugar balancing, is for you:

 

a.Eat a savory protein rich breakfast, if you have coffee, have that with or after breakfast, not before, because on an empty stomach, coffee causes a spike in cortisol. Eat the same few foods every day for breakfast, think staples

 

b. Eat to lessen blood sugar spikes by having a teaspoon of apple cider vinegar 30 minutes before a meal, this reduces sugar spikes by 30%. Remember high stress causes sugar cravings, so go into stressfull meetings with protein in your tummy and have some more on the way out of them.

 

c. Eat meals this order: salads/pickled veggies and cooked veggies first, then meats/fish/proteins, then leave carbs for the end. Only have fruit or dessert, after a meal.

 

d. Always put a fat or protein on a carb, if you eat one as a snack. 

 

e Make half your plate veggies, a quarter meats and a quarter carbs, if you have a highly inflammatory condition, I usually suggest limiting or foregoing most carbs for a period of time.

 

10. If you have an inflammatory or autoimmune condition I may ask you to take some time away from grains and legumes. Consider either Gaps or Whole 30 for a month or two when we first begin our work together, you may need to continue that. In general grains and legumes are an important part of any balanced diet! 

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11. Move your body every day, walk, swim in the eno, dance, stretch, do Yoga or Qi gong (ask me for recs!) do Pilates (I also have recs).  

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12. Go to sleep by 10-10:30, be fast asleep by 11, get 7-9 hours of sleep. Make up for it with naps if you miss sleep. 

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13. In this practice eggs are a superfood, the best bread is home made sourdough, we have soup for breakfast, culinary and medicinal herbs are a weekly part of a healthy diet, water is filtered, we try to chew until food sweetens a bit, and dinner parties are great exercise, an essential part of life and food for the spirit~

Working with Pain

We follow the addage "Bu tong ze tong, tong ze bu tang”. This translates to “if there is no free flow, there is pain; if there is free flow, there is no pain.  Feel free to come see me immediately within 24 hours of an injury to get treatment and a plaster of herbal ice poultice, which is more effective than applying ice. The sooner we treat an injury the better and the less likely you are to have a better recovery

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In Chinese medicine, we treat injury in terms of the phase its in, phase 1, 2 and 3. If you have pain, and its not from a new injury or recent surgery, its likely you are in phase 3 and should be working with heat therapy. 

 

After the first 24 hours of an injury, there is NEVER a reason to use ice, even if it helps you feel better, in fact, it will make your injury worse because its cutting off your body's natural anti inflammatory healing processes, prolong your injury and drive it deeper into the body, possibly causing arthritis later.

 

It may feel good, but it does not help you heal. The MD who invented RICE has now retracted his recomendation, please look at that data here. 

 

Chinese medicine is different from western medicine in this sense, we aren't interested in suppressing symptoms at all costs. We want your body to heal well, with its own intelligence and so we can apply linaments appropriate to the stage of injury

 

 If you want to understand more about the way Chinese medicine treats injury, that goes into detail about the innate intelligence of the inflammatory process and the problem with standard western medical response by injury, check out these articles by Traditioal Chinese medicine injury healing expert Tom Bisio.     

 

Inflammation Part 1 

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Inflammation, Rice and Chinese medicine

 

 

*If you have pain but no break or fracture (even hairline) its useful to continue to move, to keep lymph circulating, just gentle mobilization. 

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*If you have pain at night or during sleep (which is normal as cortisol drops), put a heat pad on the area before bed. If you are stiff and in pain waking up, add heat at that time. 

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We know that heat brings qi and blood and helps nourish regions of the body that are in pain, then we can use, hot epson salt baths, heat packs and infrared lights and saunas, to treat pain, 1-2 times a day if acute and regularly, weekly or monthly as a preventative. 

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If you are using topicals that are good in phase 3 when things are chronic, please do a skin test first and don't add heat on top or use concurrently, as this could cause burns or irritation on your skin. Zheng gu shui or Tiger balm are great for stage 3, chronic muscle level injury, dit dat jiao linament is great for immediate bruising on a new injury during stage 1 or 2. I also have other topicals in the clinic to discuss using.  

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Supporting Yin, balancing with Yang

Sometimes in the office, I talk about the dark cool material parts of ourselves, the heavy vitamins and minerals of our blood, our adrenals and sex hormones, this is all part of our “yin.” In a society that is hyper yang (go go go)  Yin deficiency signs arise  when the yang can take over, so they are hot and dry signs in the body, as well as aspects of hormone imbalance, exhaustion, waking easily from sleep, and hot flashes. Almost everyone in the US, has a little bit of yin deficiency, since our culture is so yang, during the colder months, these recommendations are essential. 

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  • Fall asleep by 10:30 pm

  • Sleep in a very dark room on an empty stomach

  • Wake without an alarm clock every day

  • Limit screen time during the day, avoid it after 7pm

  • Avoid rushing

  • Take a nap every day

  • Hydrate the body with water, add minerals to filteredwater, limit caffeine, avoid coffee, forget soda exists

  • Eat a fattening diet (full fat organic dairy, avocado, good oils, nuts, organic and local meats)

  • Surround yourself with people you love

  • Limit fearful moments (ie. caution around scary movies, driving in intense weather, being in crowded or loud places

  • Commute by walking or riding your bicycle

  • Grow some of your own food

  • Be (in) nature every day,so deep you can’t hear road noises as often as possible

  • Be out of cellphone range as often as possible

  • Participate in slow moving or still activities

  • Meditate

  • Create moments without any activity at all to just experience stillness

  • Try not to think about work when not at work

  • Stay fully in the present moment

  • Practice gratitude

  • Stay at home in the evening hours

Sleep Hygiene from a Feng Shui Perspective

As we all know good sleep is crucial. It can make all the difference with our healing, our mood, everything. Take these tips one step at a time, it may take you a month or so to make the shifts necessary for optimal sleep and every little bit helps. Go slow if you’re going the distance. 

 

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1. Turn off media/electronics at least an hour before bed, try to leave tv/computer/cellphones out of the bedroom. Avoid stimulating (political/emotional) social media or tv programs before bed.

 

 

2. Go to bed on an empty stomach, try to get your water in during the day and avoid drinking a lot in pm except to take herbal sleep aids. Avoid heavy and spicy foods if you have insomnia. Avoid charged emotional conversations with family after 8pm

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3. Be in bed by 9-9:45, lights out by 10-10:30, fast asleep by 11. If you take melatonin, avoid staying on it for long periods of time. 

 

4. Declutter bedroom, use soft colors choose a solid headboard, declutter under bed, don’t hang mirrors in bedroom. Plants and books are debated amongst Feng Shui experts, one or two plants are fine but not a lot, same with books. 

 

5. Place your bed in the “command” position, so you can see the door but aren’t directly in line with the qi that enters the room. Don’t place bed under a window, try to place the head of bed towards the north. (These are ideals in Feng Shui)

 

6. Fully darken the room, get blackout curtains or shades if needed.

 

​7. As you are falling to sleep say I’m awake in my sleep and I dream during the day” keep a sleep journal by your bed and take note of your dreams, look for patterns and let me know what you find!

 

8. If pets are waking you too early, seek help with a trainer to troubleshoot.

 

9. The Feng Shui jury is out on windows open or closed, important is that you keep the room cool, dark and smelling good

 

10. If you struggle with sharing covers with your partner, get separate blankets, this is more common than you’d think!

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11. Get sun on your face first thing in am, get enough exercise during the day, it helps a restless body

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How to maintain normal qi, from a Daoist perspective.

 

​1. Herbally cleanse (smudge) your house and place of work after new and full moon

2. Use a rough cloth or brush when bathing, keep your hair clean

3.Eat less in the evening. Always eat a hearty breakfast

4. Walk or exercise routinely. Get massages

5. Enjoy a constant state of emotional responsiveness, be delighted and dissapointed

6. Be curious and funny. Avoid being dogmatic or morbid. Learn stuff

7. Keep your bed and sleeping area clean and uncluttered

8. Keep your fridge clean. Cleaning is good exercise.

9. Do not be too reclusive or too social

10. Think of others with kindness and gratitude. Be generous- its great medicine! 

 

~ Liu Ming, Da Yuan Circle

Durham Integrative Health and Acupuncture Center

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819 Broad Street, Durham, NC 27705

 

Please park on Broad St. and come to the back entrance.

The number to text is in the confirmation emails.

 

 tarabiancaacupuncture@gmail.com

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This practice is a 501c3 charity organization 

Federal ID #933732628

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