Will nutritional supplements improve our health? January 20, 2012

Do we benefit from taking nutritional supplements?   Do we need nutritional supplements?  Why can’t we get the nutritional support that we need from just our food?  These are some  of the most common questions we get asked.

After all, people have historically gotten all their nutrition from their foods, and in many environments and eras people were able to lead long and healthy lives.  What is different about now?

Part of the  answer is that today’s food is not the same food that our great grandparents ate.  Today’s food is generally grown on deficient, chemicalized soils, so there is less nutritional content to start with.  To make things worse, the food is often stored for long periods before we are able to eat it, losing nutritional value each hour.  Finally the food is often heavily processed and this causes additional nutritional losses.  One more obstacle:  our factory farmed food is bred and grown for ease of bringing to market and ease of storage rather than for nutritional content.  Much of the food we eat today is genetically modified or excessively hybridized, and so it may have far less nutritional content than the food our great grandparents ate.

The other side of the equation is that we generally live in a much more toxic environment than our great grandparents.  We may need additional nutritional support to help us process these toxins.  The toxins are found in the foods we eat in the form of herbicides, fungicides, or insecticides.  In addition to these toxins in our foods, other toxins such as heavy metals or industrial chemicals are  found in our air, water, and building products.  Finally, some of the chronic stresses of modern life may produce additional toxic burdens in our bodies.

So even though in most ways are lives are much superior to our great grandparents, in the question of food and nutrition we are not necessarily better off, even though we can get relatively fresh foods from all over the world simply be going to our local grocery store.  The food looks good, but the nutrition we need may not be there.

In practice, most of our patients benefit greatly from some moderate nutritional supplementation of their diet.  As with most therapies, we are looking for the balance point of not too little and not too much.  Too much supplementation can lead to imbalances also!   We often have patients who come in with grocery bags full of supplements and they often benefit when we help them identify what they really need–more is not necessarily better!

In general, supplements that are too refined and concentrated often don’t test well.   Plant based enzymes and herbs often do test well.  Vitamin and mineral supplements may or may not test well.  More on the topics of nutrition and nutritional testing in future blogs….

And remember, supplements can not take the place of a good diet!

Stress and digestion: how they interact and simple ways to make improvements June 24, 2011

In our practice we find long term chronic stress and poor digestion to be the two health conditions at the root of most other problems.  Furthermore, long term chronic stress and poor digestion interact to make each other much worse.

We find that up to 80% of the symptoms that people initially present with are improved when stress and digestion are dealt with first.  We also find that the patient’s remaining symptoms become much easier to alleviate:  we see less pain, less fatigue, better sleep, improved fertility, moods improved, and reductions to allergies when we deal with stress and digestion first.

How does stress impair digestion?

Stress initiates the “fight or flight” syndrome—our body energy goes to where it is needed for “fight or flight”: energy goes to the arms, legs, and short term mental functions.  Consequently our energy goes away from digestion, immune system and all of the body’s other “repair and restore” functions.  This has great survival value for short term “ fight or flight” type stresses; however, long term chronic stress is what most of our patients experience—rather than a short term “escape predator” situation, we experience days of unrelenting deadlines or other forms of work, relationship, or financial stresses.  In addition to impairing digestion, long term chronic stress has also been shown to raise blood pressure, stiffen arteries, suppress the immune system, and heighten the risk for conditions as diverse as diabetes and depression.

When stress is reduced, immune system function and digestion are automatically improved.  Good digestion in turn gives us the energy to heal. Also, we feel less stressed when we have more energy. This is why simultaneously reducing stress and improving digestion results in improvements to so many other symptoms.

What can be done about stress?

One of the simplest and most profound ways to reduce stress and improve your health is with the practice of Long Deep Breathing.  I teach almost every patient this very simple technique and those who practice it benefit tremendously.   Long Deep Breathing is a wonderful relaxation technique and counteracts many of the negative effects of stress.

Long Deep Breathing is the simplest of all yogic breaths.  Simply inhale and exhale through the nose.  Fill the bottom of the lungs first, then the middle, then the top.  Hold the breath in for a second or two and then exhale:  top first, then middle, and then bottom.  You can do this breath while sitting on the floor, while sitting in a chair, or while lying down.  It is excellent to do before bed to help with sleep difficulties.

When we are stressed our breathing becomes short and shallow.  Likewise, when we are relaxed our breathing is naturally deeper and slower.  By cultivating the practice of Long Deep Breathing, we can induce a more relaxed state in our bodies.  It is when we are in this relaxed state that healing and rejuvenation of the body can take place.

Long Deep Breathing is easy to learn and easy to practice. Benefits come with very small amounts of practice.  Five minutes at a time is usually ample.  Five minutes, three times per day will have wonderful clinical effects.  In addition to a feeling of relaxation, there will be other effects such as lowered blood pressure, better ability to clear body toxins, and increase in energy levels.

Many of our patients have been able to reduce or eliminate their blood pressure medications simply from this practice of Long Deep Breathing.  If Long Deep Breathing could be packaged in pill form and patented by a pharmaceutical company, you would see it heavily advertised on TV!

There are of course many other stress reduction techniques, many of which we utilize in our practice, but none are as easy to do on your own as Long Deep Breathing.

What can be done to improve digestion?

Reducing stress is one key; eating in a pleasant environment in an unhurried way is another.  Beyond that, digestion can be improved by avoiding highly processed foods and by avoiding foods grown on soils with heavy fertilizer and pesticides use.  These food production practices result in nutritionally deficient foods.  Our bodies have to work harder to draw nutrition from these foods.

In our practice we also frequently recommend supplementing with digestive enzymes:  Digestive enzymes are what our bodies use to break down the foods we eat.  As we get older our bodies produce fewer enzymes; supplementing can result in great improvements to digestion.  In clinical practice, there are many additional steps that can be taken.

I hope that these simple suggestions can help you reduce your stress and improve your digestion.  Your personal health condition may be very complicated, but by starting with the basics great improvements can be made to your health, happiness, and longevity.

Sunlight, Vitamin D, and Heliotherapy May 4, 2010

It is well established science that our bodies manufacture Vitamin D when exposed to sunlight and that Vitamin D serves many important health functions with our cells and organs. It is becoming well established science that supplementing with Vitamin D has numerous benefits. It is not yet established science (but I believe that it someday will be) that receiving sunlight is far superior to taking Vitamin D supplements.

First some background: Vitamin D does not meet the technical definition of a vitamin as something that is essential to human health but that cannot be produced by the body. Vitamin D is essential to our health (used in calcium and phosphorous metabolism, a strong role in the immune system, anti-cancer properties, and much more); however it can be produced by our bodies when we are exposed to the UVB rays of the sun. This role of sunlight was not known when the substance was first discovered and named. Once something is named, the name usually sticks, so Vitamin D it is and will remain.

Cholecalciferol or Vitamin D3, is the natural form of vitamin D for humans. Vitamin D3 is produced in the skin with sunlight exposure. Vitamin D2, known as ergocalciferol, is a compound produced by irradiating yeast with ultraviolet light. As a supplement, Vitamin D3 is much easier to metabolize than the D2 form.

There is some controversy over the optimal amounts of Vitamin D. The 400 IU amounts of Vitamin D found in many multiple vitamins are usually sufficient to prevent severe deficiencies but are usually not enough to provide optimal amounts. 2000 IU is usually taken as a safe optimal daily dose when supplementing; the only way to know for sure is have your Vitamin D levels tested. Blood levels of Vitamin D less than 20 ng/ml (nanograms per milliliter) is considered deficient while somewhere between 40 ng/ml and 70 ng/ml is considered optimal

Now for sunlight: 30 minutes of summer sunlight can produce up to 20,000 IU of Vitamin D for someone exposed to the mid-day sun while wearing a bathing suit without sunscreen. However, at our latitude, little or no Vitamin D will be produced by sunlight exposure from November through March. I had my Vitamin D levels tested in early April which should be somewhere near the annual low—mine was at 17 ng/ml which is just below the minimum recommended 20 ng/ml. Now it is May, and sunlight is abundant so I expect my levels by the fall will be quite high again. I think I’ll get retested then just to see…

The latest research shows that the dangers of too little sunshine exposure with subsequent low Vitamin D levels far exceed the dangers of too much sunlight exposure. (Don’t get sunburned though!) This leads to the following question: Why not simply supplement with vitamin D3 and not worry about getting sunshine? To me, this is similar to the question of why not just supplement with vitamins and ignore what we eat. I think that just as we are discovering that there are many previously unknown micro-nutrients that our bodies need in foods, we will discover that sunshine helps our bodies produce far more than simple Vitamin D.

Science is beginning to show this. Here’s a link about a study showing that the effects of sunlight were greater than the effects of Vitamin D in reducing the incidence of multiple sclerosis symptoms: http://www.eurekalert.org/pub_releases/2010-03/uow-sel032210.php

Over time, I think that many other studies of this nature will be performed. In the meantime, heliotherapy (therapy with sunshine) has a long and successful history of promoting wellness and curing disease. Sunshine is cheap and abundant this time of year, so get out in the sun! Start with 15 or 20 minutes at a time with no sunscreen, but don’t let yourself get sunburned. For most of you, 90 to 150 minutes per week of direct mid-day sun should be sufficient. You will feel so much more relaxed!   In October, when the sun starts to get lower in the sky, I’ll recommend some vitamin D3 supplementation for many of you.

Another Long Deep Breathing Newpaper Article! February 26, 2010

This article form the Fairfax Times actually came out in December, 2009.   In addition to talking about the Long Deep Breathing App, it talks  about our practice.

Here’s the link:

http://www.fairfaxtimes.com/cms/story.php?id=779

Here’s the article:

Software application teaches benefits of deep breathing

by Gregg MacDonald | Staff writer

Shamus Ian Fatzinger/Fairfax County Times

Darshan S. Khalsa, of Reston’s Khalsa Integrative Medicine, LLC, displays the iPhone application he helped design to lead users through a series of deep breathing exercises.

A Reston alternative healer has teamed up with a Herndon software developer to create an iPhone software application that helps people practice holistic deep breathing techniques — and it is selling all over the world.

Darshan Khalsa, 61, and his wife Carol O’Donnell Khalsa are Reston-based alternative medicine providers whose Khalsa Integrative Medicine practice centers on holistic care, including Oriental medicine, acupuncture, herbal and enzyme therapy, nutrition, yogic breathing, detoxification, sound therapy and fertility medicine.

The practice has been in existence since 2003.

“In holistic medicine we take a logical, step-by-step approach to discover what is out of balance and bring people back into balance,” Darshan Khalsa said. “Stress is the catalyst for 70 percent of other problems, and getting it under control is a logical first step.”

Khalsa achieves this in part by having patients utilize the Kundalini Yoga technique of long, deep breathing that he has practiced since converting to Sikhism more than 30 years ago.

“Sit with your spine straight or lay on the floor with your spine straight,” the application instructs. “All inhaling and exhaling is through the nose …”

“Stress creates short, shallow breathing, much like a fight-or-flight response,” Khalsa said. “By controlling breath, you induce a more relaxed state in your body and enable it to lower blood pressure, increase blood circulation and aid in digestion.”

“Every form of yoga has its form of breathing practices,” agreed Suzanne Leitner-Wise, founder of U.S. 1. Yoga Teacher Training Academy in Alexandria.

“Scientific study has shown that breathing practices are extremely beneficial to health as they help to release toxins from the body, and can lower high blood pressure and help asthma sufferers,” she said.

Carol Khalsa attributes the original spark that led to developing the iPhone application to President Obama.

“When we went to President Obama’s inauguration, we were inspired by the president telling people to go out into their communities and ‘do some good,'” Carol Khalsa said. “So we thought, ‘Why not figure out a way to tell more people about the benefits of long deep breathing exercises?'”

It turns out that the Khalsas already had the means to make their vision into a reality.

Jeanne Churchwell is a patient of Darshan Khalsa. She is also half-owner of Herndon software company Tech 2000 Inc.

When the Khalsas related their desire to get the deep breathing technique out to a wider audience, Churchwell knew exactly what to do. “I told them, ‘You need to make that into an app!'” she said.

“As soon as I saw an iPhone, I wanted one,” Darshan Khalsa said. “I’m a little bit of a techie, so the idea appealed to me.”

Tech 2000, which employs about 15 people, has been in business since 1984 but only began developing iPhone applications this year.

The Khalsas and the Churchwells collaborated and came up with the Long Deep Breathing application that launched last month. “The Khalsas really hit a niche market,” Churchwell said. “We were amazed. It began selling in Great Britain and Australia the day it came out.”

The application, which sells for 99 cents, has both an informational component that lists the benefits and history of the deep breathing technique, and a feature that allows you to set the pace and duration of your breathing exercise regimen. An optional verbal prompt can assist users as they perform their breathing.

A visual aid helps the user to inhale and exhale correctly by following a moving vertical scale and keeps track of time, so that the user can perform the exercises for the correctly allotted period.

Although the application is currently selling at a rate of about 20 a day and their costs are expected to be recouped in about six months, the Khalsas insist that they did not create the application for the money.

“This is our gift to the community,” said Carol Khalsa. “In our office, we can reach at most a couple of thousand people a year to let them know about this technique.

“With the application, we can reach untold millions.”

Today’s front page in the Washington Business Journal is about the new Long Deep Breathing iPhone App December 4, 2009

Today’s Washington Business Journal put us on the front page!  Here’s the link:

 

Holistic medicine practice puts deep-breathing app on iPhone to draw in new customers and revenue – Washington Business Journa

 

The link takes you to a partial posting of the article, the rest is behind a subscription wall.  Here’s the entire article:

Friday, December 4, 2009

Holistic medicine practice puts deep-breathing app on iPhone to draw in new customers and revenue

Washington Business Journal – by Melissa Castro Staff Reporter

Joanne S. Lawton

Dr. Darshan Khalsa has launched a “Long Deep Breathing” mobile application to spread holistic medicine techniques.

View Larger

A Reston-based alternative medicine practice is launching ancient spiritual concepts into the frenetic world of iPhone apps, in yet another sign of technology’s steady march into pretty much every fiber of our existence.

Dr. Darshan Khalsa and his wife, Carol O’Donnell Khalsa, went live this month with their first app, “Long Deep Breathing.” It’s a stress relief technique that is part of the Kundalini yoga that Darshan Khalsa has practiced since the early 1970s.

The Khalsas’ collaborative project hints at the limitless opportunity behind smart phones and the app craze, a no-barriers-to-entry industry that has made millionaires out of entrepreneurs peddling everything from flatulent noisemakers to imaginary farms that sell imaginary seeds for genuine money.

If expelling air can make big bucks, there has to be a market for inhaling.

“Apps,” or applications, are tiny software programs that give smart phones the power to find a restaurant, hail a cab and identify the song playing on the cab’s radio.

Khalsa, a quiet Sikh convert whose gentle hazel eyes and impossible stillness of being inspire healing in his 1,500 or so patients at Khalsa Integrative Medicine, is an unlikely prophet for technology and social media. He rises at 4 a.m. to do yoga and pray for world peace, then tends to 10 or 12 patients a day.

If Khalsa were left to his own devices, “I’d have just four or five patients — she’s the one who brings in the patients,” he said in his Reston office, surrounded by Chinese herbs, maps of the body’s energy meridians and dozens of certificates affirming his training in alternative and Oriental medicine.

O’Donnell Khalsa handles the marketing for her husband’s practice with a muscular New York brassiness that grabs you by the collar and demands your attention. She has her own long history with alternative medicine, but that’s not the contribution she makes to their relationship. “My background is health care marketing, yours is healing the world and together we co-create that,” O’Donnell Khalsa said to her husband.

Thanks in part to his wife’s tenacity, Khalsa could soon have millions of patients from around the globe, although none will pay more than a dollar for his advice.

In just five days — despite snafus in the initial launch — the breathing app had already been downloaded 46 times. Without a single act of marketing by either Khalsa, iPhone users from as far away as Australia have downloaded the breathing app.

Even the app’s developer, George Churchwell, the president of Herndon-based Tech 2000 Inc., was surprised by its early success. “If they had asked me my opinion, I would have said, ‘Eh, I don’t know. Do people really need to learn how to breathe?’” Churchwell said. “But Darshan hit on something that resonates with many people.”

While Long Deep Breathing is no iFart Mobile — which has been downloaded half a million times since December 2008 and has frequently pulled in as much as $10,000 a day — it’s a reminder of the app craze’s unlimited opportunity for entrepreneurs.

“This is the third wave,” said Churchwell, who launched Tech 2000 as a software and computer training company in 1984. (The company started writing apps in January.)

Before Google’s search engines, Churchwell says, most companies were invisible on the Internet. After Google took over the Web and began charging for prominent placement in its search results, “the big guys crawled to the top and owned the Internet again,” Churchwell said.

But Apple Inc.’s App Store has leveled the playing field once more, creating a space where placement is based on the number of downloads and the level of positive feedback an app has received.

If you’re creative and already tech-savvy, it could cost you as little as $99 to write your own app and put it in the App Store. Last summer, Churchwell’s Tech 2000 trained high school students at Woodson High in Northeast Washington to create a basic

iPhone home page for their schools.

Not only does Churchwell believe anyone can write an app, he’s also developed a business model to prove his own theory true. By creating engines that can easily program apps for any sort of educational content, Churchwell is now willing to develop any well-conceived app for anyone, free of startup costs. Instead, Tech 2000 takes a 50 percent cut of all sales revenue left over after Apple takes its own 30 percent slice of total revenue.

“We’re like mini-venture capitalists,” Churchwell said.

The Khalsas’ breathing app didn’t fit into the existing templates offered by Tech 2000, so it was built from scratch and paid for on a flat-fee basis. (The Khalsas declined to say how much the app cost to develop.)

The Khalsas are already working on developing their next two holistic health apps, including a wellness assessment that will be a free download.

At its current sales clip, the Churchwells expect that Long Deep Breathing will pay for itself within six months. But that’s hardly the point.

It’s more about seva — the Sanskrit word for selfless service. “The cost is irrelevant — it’s about putting our energy into something,” O’Donnell Khalsa said. “The goal of our relationship is to transform the health of as many people as we can.”

 

 

To Vaccinate or Not Vaccinate? October 16, 2009

Patients have been asking me lately about whether or not they should get the flu vaccinations, both regular seasonal flu vaccination and the H1N1 swine flu vaccination.

I think the short answer for most of my patients is no.  However, this is not a simple question, so I’m going to take a round about way of answering it, and first discuss vaccinations in general.

Even if every bad thing you have ever heard about the effect of vaccinations on individuals is true: (vaccinations contribute to autism in children, they can cause auto-immune disorders, people often get sick immediately after getting vaccinated, some of the additives in vaccines can contribute to cancer or neurological diseases); even then, from a public health perspective, vaccinations are still often beneficial. The benefits to the general public of not getting epidemics outweigh the individual negatives. Over the course of the 20th century vaccinations have apparently helped reduce the incidence of infectious diseases such as smallpox, whooping cough, and polio. At the same time, for most individuals there seems to be very little immediate negative effects from getting vaccinated.

So what we have to do is find a reasonable balance between the severity of the epidemic threat, the effectiveness of the vaccine against the epidemic threat, and the potential harm to the individual from getting vaccinated.

At this time, for the regular seasonal flu vaccine, there is little or no evidence that the flu shot is even effective at reducing the incidence of flu. You can see a very interesting article in this month’s Atlantic magazine, titled “Does the Vaccine Matter?” (Available online at: http://www.theatlantic.com/doc/200911/brownlee-h1n1 ).  The years that the flu vaccine has been a good match for the seasonal flu have no difference in outcomes from the years in which the flu vaccine has been a poor match. No large scale double blind testing has ever been done. There is a widespread belief that flu shots reduce the incidence of flu, but very little evidence that this is true.

For the H1N1 swine flu vaccination (now just starting to be available) here is the situation: While the virus spreads easily, the sickness itself is so far relatively mild and most people have developed no lasting problems. At the same time, the effectiveness of the vaccine is unknown and the risk of potential harm from a new, relatively untested vaccine is higher than normal.

So it seems that for both seasonal flu and H1N1 swine flu, there is very little benefit from getting the vaccinations and very little risk incurred from not getting the vaccinations.  This is why I have been recommending that patients not get flu shots and that patients instead take other steps to build their immune systems naturally.

Aside from the lack of benefits, there are potential downsides to getting the flu vaccinations. These downsides apply to most other vaccinations as well, and that is why vaccinations should be individually evaluated for benefits and risks.  There is no effective treatment that doesn’t potentially cause some problems.

Here is a partial listing of some of the potential downsides of vaccinations:

Mercury in the form of Thimeresol is used as a preservative in many vaccines. Mercury is a known neurotoxin and can combine with other factors to induce neurological and auto-immune disorders.

If you are already sick, getting a vaccination may throw your immune system further out of balance and cause long lasting problems. Never get a vaccination when you are feeling sick. This is a particular problem with young children since their immune systems are not fully developed. Likewise, receiving multiple vaccinations at once is not a good idea. Children in this country receive far more vaccinations than in other countries with some evidence that their overall health is worse.

Introducing an infectious agent directly into the blood stream means that it is not mediated by the normal immune protections. In addition, some vaccines contain aluminum, formaldehyde and other toxic substances. These substances can cause allergic reactions that can lead to auto immune disorders in those who already have compromised health. Even non-toxic vaccine additives such as squalene or egg whites can induce allergic reactions when introduced directly into the blood.

There are many more potential downsides. Some people will develop either immediate or long term problems after getting vaccinated. Of course, most relatively healthy people will have no problems whatsoever with the vaccines.

In the case of the seasonal flu or H1N1 flu vaccinations, the risks of getting the vaccine are not balanced by the potential rewards.

The answer for other diseases or for future pandemic diseases could be different.

Energy Medicine September 7, 2009

Underlying the material structure and physiology of our bodies is an energetic level.  Our sensory perceptions of the material forms of our bodies and our surroundings are somewhat illusory:  to our senses everything seems very solid and distinct, but actually what we are perceiving is mostly empty space with energetic connections.  Our understanding from modern physics and ancient spiritual teachings is that what we term matter is interchangeable with energy and that matter is simply a more dense form of energy.  Clinically we can view the material form of our bodies as a lower frequency version of our energetic nature. 

Disease begins at the energetic level long before it can be detected physically, and healing usually begins at this same energetic level.   When body energy is flowing correctly and in the right quantities, the chemical/structural aspects of the body come into alignment with the body energy and healing proceeds rapidly.   We see this over and over in the clinic. 

Our understanding is that chronic disease or pain states usually occur on an energetic level first; when these imbalanced states persist for periods of time ranging from weeks to years, a physical change occurs that reflects this.  It is at this point that the Western Medicine diagnostic methods can usually identify the problem. 

So many times patients have gone to Western medical doctors with various symptoms and been told that the lab tests do not show any problems.   However, as time passes and the patterns become frozen into physically detectable forms, treatment becomes much more difficult.   If imbalances are treated in their earlier energetic phases, balance is much easier to restore and most physical symptoms can be avoided.  It is these energetic imbalances that we focus on discovering and correcting with our WholeHealth Wellness^TM techniques.

Coming soon:  The four predominant historical  systems of Energy Medicine.

Preventive measures for H1N1 Swine Flu August 25, 2009

Yesterday the President’s Council of Advisors on Science and Technology issued their estimate of the possible impact of H1N1 swine flu on the American population:  Up to half the population infected and up to 1.8 million hospitalizations required!  This is much more than a normal flu season—we’ll find out in the next few months how accurate their estimate is.  This H1N1 flu variety is relatively new and people have built up less immunity.  Unlike most influenzas, predictions are that older people will have more immunity and that this flu will disproportionately infect younger school age people. 

Here’s a link to the Center For Disease Control’s H1N1 Swine Flu site with lots of good information:  http://www.cdc.gov/H1N1Flu/

I’m certain the mainstream media will be sufficiently alarmist so the real issue becomes what should we do to prepare for the impending flu season.  Disease is always an interaction between the strength of the pathogen and the strength of our immune system.   How can we strengthen our immune systems to better resist these new pathogens?

The vaccine which may help prevent infections won’t be ready until the flu season is well underway.  Vaccines have their own problems as well, and I’ll discuss these in a future blog post.

 The basic recommendations for strengthening the immune system are still primary:     stress reduction,   regular acupuncture,    good diet along with steps to improve digestion,   good hygiene (frequent hand washing, etc…)

I also teach patients various acupressure techniques that are effective for immune building and disease prevention.  In addition, I’ve been dispensing two different supplements to patients to help build their immunity and one supplement to keep in reserve at home in case a cold or flu starts.  We dispense only to current patients since no formula is indicated for everyone.

Two supplements that we often give to patients to boost the immune system:

The first supplement is a Chinese Herbal Formula called Yu Ping Feng Wan, “Jade Wind-Screen Pills”.  This is a very old formula in continuous use at least for the last 700 years in China.  It contains Huang Qi (Astragalus), Fang Feng (Siler), and Bai Zhu (Atractylodes).  The action of this formula is to build up your immunity, hence the name:  create a precious (Jade) Screen around your body to shield you from pathogenic influences (Wind).  Yu Ping Feng San is a good formula for almost everyone to take as we enter cold and flu season. 

We also sometimes give patients another good modern formula that combines enzymes, Chinese Herbs and Western Herbs called ProSol™ Immune.  Here are some of the ingredients of this formula:  PHysioProtease™ is an enzyme blend that activates the immune system to promote healing and seeks out areas of inflammation and tissue damage.  Astragalus root extract – An antioxidant that helps protect the liver, has many known immune stimulating properties.  Goldenseal root – Contains several alkaloids shown to have anti-microbial and antibacterial properties. Echinacea angustifolia root – Has antiviral, anti-fungal and immune-stimulating effects

What do we do when our immune boosting preventive measures are not adequate and we feel ourselves starting to get a cold or flu? 

I’ve been recommending to patients a Chinese Herbal Formula called Gan Mao Ling to keep on hand for just that time.  This formula has antibacterial and antiviral properties and can be very effective at helping the body overcome an initial disease onset.  This formula is not as effective at building the basic protections as Yu Ping Feng Wan or ProSol™ Immune, but is more effective for initial disease onset.  Here are the ingredients of Gan Mao Ling Wan: Ge Gen (Pueraria Root); Da Qing Ye (Baphicacanthus Leaf); Bo He (Mint); Ju Hua (Chrysanthemum); Jie Geng (Platycodon); Xing Ren (Apricot Seed); Lian Qiao (Forsythia) Gan Cao (Licorice).  Gan Mao Ling Wan, if taken at the onset of a cold or flu, can often help your immune system throw the disease off quickly.

Be prepared for flu season!   If you wish to maintain optimal health through this coming flu season, please schedule an appointment.  We dispense only to our patient base, so if you are not already a patient, you will need to make an initial appointment.  Our best wishes for your good health this flu season!

Healthcare Policy from a Practitioner Standpoint August 16, 2009

Healthcare legislation is presently being considered by Congress and the White House and some policy reforms are expected within the next few months.  I expect that the details will be highly complex and the final thousand page proposals will probably contain many surprises.  We are all familiar with the unsustainable growth in the cost of health care and health insurance, so some changes are necessary.  In addition, the present system produces a lot of unnecessary anxiety which drives up overall health care costs.  Our present per capita health care costs are higher than any other country, and our average outcomes put us well behind most other advanced countries.

I am by no means an expert but I’ll give my simple take on the basic problem:  There are no major institutional parties in this country that have a real interest in health.   Treating acute or chronic disease is the focus of our healthcare system.  Indeed it would better be called a sick-care system than a health care system.   Western medicine is wonderful at treating acutely ill cases and trauma, but not particularly effective at preserving and expanding health.

Individual people are of course interested in promoting their own health, but the major institutions involved in health care are not interested in promoting good health.   The private insurance companies pass on all their costs and make extra profits by denying claims and cherry picking only healthy customers; the hospitals make their money doing acute care; individual MD’s generally mean well but are not reimbursed for time spent on educating patients and are themselves focused on acute care; and the pharmaceutical companies main interest is to have people take their drugs for long periods—healthy people are not good pharmaceutical customers.

I am hoping that the final legislation will include a strong “public option” and that this will eventually lead to outcome based standards determining which medical procedures are cost effective.  These outcome based standards could in turn create a motivation to do more preventive medicine:  “ A stitch in time saves nine” and “an ounce of prevention is worth a pound of cure” are two common proverbs for good reason:  with more preventive care, the country could achieve much better health outcomes at a lower cost.  If true outcome based standards are put into place, the utilization of alternative and integrative healthcare will increase, and overall health care costs will decrease.  Right now the institutional incentives are all working the other way.  There was an interesting article in the New Yorker recently discussing local health care differences and some of the institutional pressures driving up health care costs. http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande 

Of course, the real change that needs to happen is in the overall consciousness and understanding of people regarding wellness.  For now, there are many individuals interested in health and wellness, but many Americans are still looking for the quick fix, the magic pill that will fix everything.  After a few years, they come in to see us because they are taking six or seven pharmaceutical medications and feeling terrible.  It would be far less costly to change behaviors and avoid the problems in the first place.

On a public policy level, most people want unlimited acute health care for a limited cost, and this is barely being addressed in the current proposals.  It will be interesting to see what comes out of the legislative process with all the competing interest groups contending.  I’m hoping for some improvements, even if the improvements are minor.

We definitely do need to transition from our present sick care system to a true health care system.

Chinese Herbal Medicine August 7, 2009

One of the most effective modalities within WholeHealth Wellness^TM is the use of Chinese Herbal Medicine.  The term “Chinese Herbal Medicine” describes formulas which are made mostly from plants but can sometimes include mineral or animal products.  Depending on the herb, the roots, stems, bark, leaves, seeds, or flowers of plants both wild and cultivated may be used.  There are many hundreds of herbs and other medicinal substances that have been commonly used for almost two thousand years.  In school we learned about 400 of the most commonly used, but there are hundreds more. 

Chinese Herbal Medicine is very safe when properly applied, and usually much gentler in action than most pharmaceuticals.   When the right formula is used in the right way to correct imbalances, good results are often felt in days.  However, as with anything else, care must be taken.  For instance, a powerful purgative formula used on someone with a weak constitution would probably do more harm than good.  One of the great strengths of Chinese Herbal Medicine when properly applied is that the formula is individually fitted to the patient’s constitution as well as to their symptoms.

Herbs are generally decocted into teas or prepared in pill form.  For some conditions, they may also be used on the skin in the form of liniments, ointments or plasters.   For convenience, I mostly dispense herbs in pill form.  A few people receive bulk herbs to be prepared into teas.  Preparing herbal teas is actually the most effective way to take herbs and a way to tune the formula to a person’s very individual condition.  This is the traditional way that the formulas were prepared.   Ask to see some of the herbs we use the next time you are in the practice for an appointment.

While single herbs are sometimes used, usually an herbal formula will be composed of ten or more herbs carefully blended together to synergistically combine for very specific purposes.  One herb may be the principal herb, and other herbs may help guide that herb to specific areas of the body.  Over the two thousand year written history of Chinese Herbal Medicine some formulas have been used so often that they have been named and are commonly available in ready made pill form.   These are what we usually dispense. 

Some of these have very colorful names and poetic names.   Here are some of my favorites:

Bu Zhong Yi Qi Tang — Tonify the Middle, Increase the Qi Decoction

Jin Gui Shen Qi Wan — Kidney Qi Pills from the Golden Cabinet

Xiao Yao Wan — Free and Easy Wanderer Pills  

Tian Wang Bu Xin Tang — Heavenly Emperor’s Formula to Tonify the Heart

Shi Quan Da Bu Tang — Ten Flavors Great Tonification Decoction

Si Jun Zi Tang — Soup of the Four Gentlemen

Yu Ping Feng San — Jade Windscreen Powder

More on each of these and many other formulas in future postings.