Eating Out the Chinese Way - The History of Chinese Medicine Nutrition

By John Voigt

One should be mindful of what one consumes to ensure proper growth, reproduction, and development of bones, tendons, ligaments and channels and collaterals [i.e., meridians] This will help generate the smooth flow of qi [life energy] and blood, enabling one to live to a ripe old age. 

From The Yellow Emperor’s Classic on Medicine.

The Yellow Emperor’s Classic On Medicine (Huang Di Nei Jing), circa second century BCE, is the most important ancient text on Chinese medicine. In it are the concepts of a balanced and complete diet, and probably the world's first dietary guidelines.

The Thermal Nature of Foods - Warming, Cooling & Neutral

Basic concerns are about Han (“cold”) and Re (“hot”) foods. Han foods such as kelp, wheat, vegetables, and pork possibly may cause diarrhea. Re foods such as ginger, pepper, mutton, and unripened guava possibly may cause heartburn or constipation. Wen (“neutral”) foods such as rice, beans, fish, and beef can help to repair the body’s tissues.  Bu (strengthening) foods such as ginseng, deer velvet, and dates may be healing.

Food Relationships in Chinese Medicine - A Holistic Approach

But this is not about one food by itself being good or bad, it’s about the relationships of food.  Chinese dietetics—as most past and present Chinese thought—is based on holistic concepts, not singularity concerns. For example, with the above foods, vegetables (a Han or so-called “cold” food) is usually cooked with some Re (a so-called “hot”) food such as ginger or pepper. That neutralizes or balances out the “cold” [yin] and “hot” [yang] aspects of each food, and helps create something good for you and delicious as well.

Along the same idea of a food gaining its meaning by its relationships to other foods, in classic Chinese cuisine we most often find the “neutral” food (the rice or noodles) along with the main meal (meat or fish), accompanied by various other dishes usually vegetables. For example, The yang of rare beef is balanced by yin of tofu or cool slices of fruit.

The Healing Nature of Foods

The foods need to be prepared in the proper way, vegetables not overcooked, but not raw either; small portions of meat or fish not fried. In The Yellow Emperor’s Classic we find, “Heavy and greasy food causes a change that may result in serious illness.”

Also from that book, from Chapter 81, section 22 we find: Five cereals (such as rice, sesame seeds, soya beans, wheat, millet) provide our basic nourishment. Five fruits (such as dates, plum, chestnut, apricot, peach) add what the cereals lack. Five animals (such as beef, dog meat, pork, mutton, chicken) give certain advantages that animals possess. Five vegetables (such as marrow, chive, bean sprouts, shallot, onion)  provide a wide range of needed substances. If the food tastes and smells good, then eat it to replenish the body’s needs.

These guidelines are approximately two thousand years old, yet amazingly from that time to today most Chinese people followed them whenever they were able to do so. This article will close on how the tradition is being automatically preserved today without the restaurant or their customers knowing what is happening.

Now to make all this simple for the health (and food loving) reader. After all, the many millions of Chinese who go to their favorite restaurants aren’t bring along any of the ancient treatises on dietetics. Nevertheless, the traditional way of ordering and serving food seems to be right on the mark on what the ancient seers taught about food and good health. All over the world you will see this standard pattern in middle and smaller sized Chinese restaurants—(the more larger ones are becoming more geared to tourists and the new Chinese upper classes who eat like their western counterparts).  Not surprisingly such non-traditional diets have been accompanied with an increase in western styled diseases.

Eating - The Chinese Way

Here’s how the “natives” eat, and how you can do the same.

Begin with those tiny bowls of free sweet and sour pickles, or pickled cabbage, or cooked peanuts, etc. that many restaurants just bring you without you asking for them. Something like an appetizer, but not quite; they prime the digestion. Then order several different vegetable dishes. And some rice. Then some fish (usually with the bones included—be careful don't swallow any); or some meat. And finish it all off with a soup. That will help your digestion. Traditionally the final close is making a big burp to show your appreciation to the cooks and servers, and remove any bad qi—but you might because of western propriety leave out that final gesture—(or is it better described as a bodily function noise?).

That’s it. Now go enjoy such a standard traditional and healthy meal.  Best done in a large group of friends and family with chopsticks.

Postscript: For more about the proper kinds of food for health from both an eastern and western point of view, see my “Color Dietetics – With a Poster to Hang on the Wall. https://www.chinesemedicineliving.com/blog/color-dietetics-poster-hang-wall/

Sources and Further Information

Ho Zhi-chien. “Principles of Diet Therapy in Ancient Chinese Medicine: ‘Huang Di Nei Jing.”  http://apjcn.nhri.org.tw/server/apjcn/2/2/91.pdf

Sun Simiao on Dietetics in the Register of Chinese Herbal Medicine Journal (Autumn 2013, vol. 10, no. 2). https://static1.squarespace.com/static/537fb379e4b0fe1778d0f178/t/5399d890e4b0bcfc5d028d47/1402591376077/Sunsimiao+on+dietetics.pdf

“Chinese food therapy.” Wikipedia.

https://en.wikipedia.org/wiki/Chinese_food_therapy

Some Other Interesting Info (Nerd Facts)...

Sun Simiao (581-682) who was known as “The King of Medicine” - (one of is greatest credentials is that he lived to be 101 years old) - taught that the prevention of disease should come before any medical treatment. However, if treatment was required, he believed that dietary concerns should never be neglected. He wrote, “Proper food is able to expel evil and secure the zang and fu organs [the viscera] to please the spirit and clear the will, by supplying blood and qi. If you are able to use food to stabilize chronic disease, release emotions, and chase away disease, you can call yourself an outstanding artisan. This is the special method of lengthening the years and “eating for old age,” and the utmost art of nurturing life. Sun Simiao,  known as the “King of Medicine,” (581-682). https://static1.squarespace.com/static/537fb379e4b0fe1778d0f178/t/5399d890e4b0bcfc5d028d47/1402591376077/Sunsimiao+on+dietetics.pdf

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Image Credits

The featured image photo by Charles Deluvio on Unsplash

Vegetable photo by David Vázquez on Unsplash

Bok Choy photo by Jodie Morgan on Unsplash

Soup photo by Elli O. on Unsplash


Cooling Cucumber Salad - Summer Recipe

By Emma Suttie, D.Ac, AP

Cucumbers are an important part of Chinese medicine food therapy and are packed with a multitude of health benefits. They are also the perfect food for summer. In Chinese medicine cucumbers are sweet, affecting the spleen, and cooling - helping the body stay cool in the hot weather. They have a high water content and are very moisturizing, helping you stay hydrated in the hot summer months. Cucumbers are also excellent detoxifiers, cleansing the body of impurities which build up no matter how hard we try to avoid toxins in our food and the environment. Cucumbers are great in a salad, delicious pickled, an excellent addition to any juice, and adding a few slices to your water will pack an extra punch of hydration niceness whether you are working out at the gym or on the beach doing yoga. Below is an impressive list of cucumbers health benefits.

Health Benefits

  • Clears heat from the body; resolves fevers from summer heat and helps to prevent heat stroke
  • Detoxifying
  • Anti-inflammatory (most inflammations are due to heat)
  • Cleanses & purifies the blood
  • Strengthens the spleen
  • Relieves thirst
  • Benefits the heart
  • Moistens the lungs
  • Moistens and cleanses the large intestine
  • Strongly alkalizing
  • Reduces cholesterol
  • Treats depression
  • Benefits the skin - cucumbers speed healing in the skin and the juice speeds the healing of burns and wounds
  • Aids digestion
  • Stimulate hair growth
  • Treats kidney and bladder infections
  • Promotes urination
  • Helps with weight loss
  • Anti-cancer
  • Aids constipation
  • Relieves bad breath
  • Promotes joint health
  • Benefits the eyes (placing cucumber slices over the eyes calms hot, puffy, dry or irritated eyes).
  • Kills tapeworms!

Cooling Cucumber Salad - Summer Recipe

Cooling Cucumber Salad : Chinese Medicine Living

Ingredients

  • 2 cucumbers
  • 1 medium white onion (you can also use red onion)
  • 1/4 cup vinegar (2oz)
  • salt & pepper to taste

Cooling Cucumber Salad : Chinese Medicine Living

Directions

*You can make this tasty salad with the skin on or peel it off, its up to you. There are many health benefits to eating cucumber skin but as cucumbers are sensitive to pesticides, always try to buy organic, or soak them in a little apple cider vinegar which will neutralize the pesticides.

  1. Peel and cut the cucumbers lengthwise, then slice into 1/4 inch slices (or thinner if you like)
  2. Slice the onion in half, then slice thin
  3. Add cucumber and onion to a bowl and mix
  4. Add salt (I like pink Himalayan salt) & pepper to taste
  5. Add the vinegar
  6. Mix thoroughly and serve

This dish actually gets tastier the longer it sits, so you might want to make it a couple of hours before you plan to eat it for maximum deliciousness. ;)

Enjoy!

Cooling Cucumber Salad : Chinese Medicine Living

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If you would like a downloadable information sheet that will tell you all about how to live in harmony with the Summer season in Chinese Medicine, you can find it here - The Summer Season in Chinese Medicine.


Are You Yin or Yang?

By Emma Suttie, D.Ac, AP

The forces of yin and yang describe everything in the universe. Everything has its opposite, and yet, each is an intrinsic part of the other. Everything that exists has a yin as well as a yang aspect and health and the human being are no exception. In Chinese medicine, a person is seen to be made up of yin and yang forces. Each of the organ systems have yin and yang energies, and although this is a dynamic relationship and constantly changing, when these forces become unbalanced, illness can result. Below is a list of some of the basic things that are considered yin and yang, but remember, each of these individually also has a yin and yang aspect.

Yin

  • Darkness
  • Moon
  • Female
  • Night
  • Inwards
  • Contractive
  • Passive
  • Rest
  • Earth
  • Flat
  • Space
  • West
  • North
  • Right
  • Back
  • Below
  • Slow
  • Damp
  • Cold
  • Inside

Yang

  • Light
  • Sun
  • Male
  • Day
  • Outwards
  • Expansive
  • Active
  • Brightness
  • Activity
  • Heaven
  • Round
  • Time
  • East
  • South
  • Left
  • Front
  • Above
  • Fast
  • Dry
  • Hot
  • Outside

A human being also exhibits yin and yang energies. Each organ system is striving for a relative balance of its yin and yang forces, but the body as a whole often has a tendency to be more yin or yang. Are you the kind of person who can go out in the winter without a coat? Or do you need to wear socks and jammies to bed even on a hot sumer night? Are you drawn to frozen foods like ice cream, or do you crave hot drinks like tea and hot chocolate no matter what the season? Knowing the tendency of your body to be more yin or yang can help you determine how to bring it back into balance by using all the tools that Chinese medicine has in its impressive tool box.

The Yin and Yang of Foods

The Yin

Food therapy has been an integral part of Chinese medicine for thousands of years. The Chinese understood not only the medicinal properties of foods, but ascribed to each a thermal nature, contributing either a yang, or heating quality, a neutral energy or a yin or cooling energy to the body. This understanding, that all foods are either heating, cooling or neutral in nature helps to rebalance the body when the internal yin or yang energies are out of balance.

As part of my initial patient intake, I ask "are you a hot or cold person?" Most people know right away what the answer is. "Oh, I am always cold!" Or, "I am like a furnace running day and night." This is a clue to someone's relative level of yin or yang. Once you can determine if a person has an overabundance of yin or yang (cold or hot), I usually introduce a list of foods and their heating (yang), cooling (yin) or neutral nature. It is interesting how often a person with an overabundance of yang is actually eating mostly yang or heating foods, and a person with a constitution that is more yin may tend to eat more cooling foods. But this is the wonderful thing about Chinese medicine. Part of the job of the practitioner is to educate the patient and to empower them to participate in their healing. Once they become aware that they have a predominance of yin or yang, they can then take a list of foods and their yin or yang qualities and remove certain foods (that may be exacerbating the condition) and add in others to help the body to rebalance.

Here is a handy chart that lists some yin (cooling) and yang (warming) foods in Chinese medicine - but remember, there are neutral ones too.

Yin & Yang Foods in TCM : Chinese Medicine LivingThis lovely image thanks to rawayurveda.com

Yin & Yang Constitution

There are many clues that you can use to determine if you are constitutionally more yin or more yang. These are generalizations of course, an all of us have both yin as well as yang aspects, but below are some guidelines to help you recognize yin and yang traits in yourself and others.

Yang people tend to speak loudly, be excitable and move quickly (like fire). They tend to be robust, have thinner, stronger bodies, and can be red faced and passionate. Yang personalities are active, expansive and always on the move. They flare up and are changeable, like fire. They can also tend to frustration and anger.

Yin people tend to be quiet, move more slowly and are more grounded. They tend towards weight gain, or in Chinese medicine what is called dampness. They are generally soft spoken and introverted, enjoying to spend time by themselves. Yin personalities often have a rich inner life and live in their fertile imaginations. Yin people may also tend towards sadness and melancholy.

Yin & Yang Conditions

Diagnosis also depends on a deep understanding of yin and yang, and while there are many theories that are used in Chinese medicine to formulate a diagnosis, yin and yang are always a consideration. While each condition has a yin and a yang nature, there are some characteristics that point to weather a condition is more yin or yang.

Yang conditions tend to excess, exhibit heat and symptoms tend to change quickly. They are characterized by redness, swelling, red eyes, bitter taste, fevers, excess type headaches and pain with a sharp or intense nature.

Yin conditions tend to be deficient, exhibit cold or dampness and change slowly. They are characterized by discharges, lumps and bumps (dampness), a feeling of heaviness, slow movements and thinking, and a dull, achey type of pain.

The good news is, that once there has been a proper diagnosis, there are many ways to restore the relative balance of yin and yang in the body, from the foods you eat every day to acupuncture to Chinese herbs. Meditation and martial arts like Tai Chi and Qi Gong are also excellent to restoring health. Once you have an idea of your constitution, you can be aware of when you are swinging out of balance and will be armed with the tools to help yourself restore balance once again. Because the interplay between yin and yang is dynamic and constantly changing, it is helpful to be able to make small adjustments - which is why Chinese medicine works best as a medicine of prevention - rather than waiting until disease develops as the changes needed then are more drastic and generally things take longer to correct.

So... are you more yin, or more yang?? Once you begin to observe your behaviour and the ailments you tend towards, it might become obvious which you are predisposed to. But, hopefully, with the knowledge that there are foods, as well as other simple things that you can do to regain balance, it will help to keep you healthy in the present and long into the future. Yay Chinese medicine!!

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The Best Yin Foods

By Emma Suttie, D.Ac, AP

One of the things that I love about Chinese medicine (and there are so MANY things I love about it) is how practical it is. Staying healthy is really about lifestyle, and a big part is that the foods we eat are the best medicine. Got a fever? Eat some cucumber or watermelon. Have the chills and can't get warm? Try eating some lamb, or a handful of cherries. The ancient Chinese had a vast knowledge of foods and their healing properties which is why nutritional therapy is one of the building blocks of Chinese medicine and still used by practitioners today. Food really is the best medicine.

Each food in TCM is seen to have a thermal property - warming, cooling or neutral. Conversely, the body can also be hot, cold or balanced, or neutral and certain illnesses introduce heat or cold into the body, so in Chinese medicine we eat cooling foods for excess heat, or warming foods for excess cold. Today, we will look at foods that nourish the yin / cold / water aspect of the body and are particularly beneficial if you have an excess of yang, fire or heat. But how do you know if you have excess heat? Below is a list of symptoms that point to an excess of heat or yang.  If you have many of these, you might want to introduce some Yin foods into your diet to help clear the Yang and build Yin.

Signs of Heat in the Body

Signs of Excess Yang

  • Fever
  • Aversion to heat
  • Desires cold
  • Redness - swellings, inflammation, rashes, sores
  • Bloodshot eyes
  • High blood pressure
  • Extreme or uncontrollable anger or frustration
  • Constipation
  • Dark, yellow urine
  • Desire for cold drinks
  • Extreme thirst
  • Blood in stools or urine
  • Stools with a strong odour
  • Red tongue with deep cracks
  • Dry skin and hair
  • Chapped lips
  • Nose bleeds
  • Canker sores
  • Bad taste in the mouth

Other Factors that Contribute to
Foods Thermal Nature

raw

There are several widely accepted factors that also affect the thermal nature of the foods we eat.

  • Growing Time - Plants that take longer to grow (potatoes, carrots, cabbage, squash) are generally considered to be more warming, and those that grow quickly (lettuce, radish, cucumber, summer squash) are considered more cooling.
  • Raw - Raw foods are more cooling that cooked foods.
  • Refrigeration - Food that is chilled and eaten cold is more cooling.
  • Fertilizer - Foods that are chemically fertilized because it is forced to grow quickly is considered more cooling. This includes more commercially grown fruits and vegetables.
  • Colour - foods that are blue, green or purple in colour are considered cooler than foods that are red, orange and yellow. This even applies to the same foods, for example, a green apple is considered cooler than a red one.
  • Cooking Methods - Foods that are cooked for longer periods of time, at higher temperatures are considered more warming. But cooking food on low heat for a longer period is more warming than cooking it at a high temperature for a shirt time.
  • Chewing - Chewing food thoroughly helps the Spleen to digest it (because we love our Spleens, right?) and creates warmth. Even cooling foods can be warmed by chewing them thoroughly. Chewing also helps to break down the food more thoroughly before reaching the Stomach and the action of chewing releases saliva that helps break the food down further which helps assimilation and absorption and we want as much of that as possible!

The Best Yin Foods

Green Tea

Green Tea Yin Food

Kelp and All Seaweeds

seaweed yin food

Tofu

tofu yin food

Goat Milk / Yoghurt / Cheese

goat

Sardine

Sardines Yin Food

Alfalfa Sprouts

Sprouts Yin Food

Bok Choy

Bok Choy Yin Food

Cilantro

cilantro yin food

Banana

banana yin food

Watermelon

watermelon yin food

Blackberries

black berries yin food

All Citrus Fruits

citrus fruits yin food

There are many yin foods, and these are only a few. Introducing yin foods into your diet is not only a good idea when you are suffering from an excess of yang like a fever, they are also good to eat in hotter months like the peak of summer to keep us hydrated and cool. So, next time you feel overheated or come down with a case of excess yang, reach for one of these yin foods (or many) and you will be amazed at how quickly you feel relief. :)

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