Urticaria (Hives) - How can Acupuncture and Chinese medicine help with wind Skin Condition?

Urticaria, commonly known as hives, can be an incredibly distressing skin condition that often manifests in childhood, only to seemingly disappear, and then resurface once again during adulthood. However, it is not uncommon for urticaria to develop suddenly and unexpectedly in adulthood as well. The condition itself can be categorized into two main types: acute urticaria and chronic urticaria.
Acute urticaria typically lasts for a few days, with recurring episodes over the course of several weeks. It can be triggered by various factors, such as allergies to certain foods, pollen, or even certain types of medication. The symptoms of acute urticaria can include transient, puffy, and intensely itchy wheals, which can appear in different sizes and shapes. These wheals can crop up virtually anywhere on the body, causing considerable discomfort for individuals of all ages who are affected by this condition.
On the other hand, chronic urticaria is defined by reoccurring episodes that last for longer than six months. Similar to acute urticaria, chronic urticaria can present with transient, puffy, and extremely itchy wheals. These wheals may appear in varying sizes and shapes, and they have the propensity to occur on any part of the body. It is worth noting that chronic urticaria can affect individuals at any stage of their lives, adding an additional layer of complexity to diagnosing and managing this perplexing skin condition.

How does Chinese medicine define urticaria?

In Chinese medicine, urticaria is considered a skin condition caused by 'Wind'. It is known as 'Wind dominant papules' (Feng Yin Zhen) pattern. This is because the symptoms of urticaria can appear suddenly and disappear quickly, varying in severity from aggressive to mild the next day. This reflects the nature of wind, which can be both swift and violent, or gentle and almost nonexistent.

Why does urticaria happen?

The cause of urticaria from Chinese medicine perspective is both complex and varied.  However, there are some suggestive ideas

• Wind - Wind, when combined with Cold or Heat, can enter channels through skin causing rash/wheals on body with itching.

• Emotional factors – Feeling stressed, anxious, or irritable can cause urticaria. This happens because these emotions create heat in the body and its pathways/channels/meridians. As a result, urticaria may come and go depending on how you feel on that particular day. When the emotions are resolved, the hives usually disappears.

• Qi and Blood deficiency – A weakened body due to illness, prolonged overexertion, or insufficient rest can result in a noticeable decrease in energy levels. Energy encompasses the vital forces of Qi and Blood, both of which are interdependent and closely intertwined. In cases of weakness, the body becomes vulnerable to Wind invasion, which can further exacerbate the existing health issues. Insufficient Blood supply within the body can potentially give rise to internal Wind, manifesting in various symptoms such as the development of hives on the skin. Thus, it is crucial to address and restore the body's energy levels, bolster Qi and Blood, and safeguard against external influences that may aggravate these conditions.

• Other factors – During hay fever season when pollen is rampant, urticaria can be triggered. Spring, when hay fever allergies are at their peak, often brings unpredictable weather with strong winds and fluctuating temperatures. These rapid changes can wreak havoc for those suffering from both hay fever and urticaria.

How can I manage this condition?

• Antihistamine medications - Zyrtec, Telfast, and Claratyne are commonly used to reduce histamine reactions. Each brand has different ingredients and effectiveness varies. It's a trial and error process to find the right brand for you, especially for acute urticaria. However, they may not be as effective for chronic urticaria.

• Identify triggers – Identify what causes your symptoms to flare up. For example stay away from or reduce exposure to certain foods like shellfish/seafood, spicy food, nuts, alcohol, pollen, dust, and animal fur.

• Weather - Adjust clothing for changing weather to gradually control body temperature in hot or cold conditions.

How can acupuncture and Chinese medicine help?

I understand the difficulties and complexities that come with treating patients suffering from acute to chronic urticaria, a challenging skin condition. However, I have successfully managed and treated several cases, achieving remarkable results. With the unique combination of acupuncture and herbal medicine, this holistic approach can effectively resolve acute conditions swiftly and provide better management and reduction of the appearance of chronic cases. My goal is to provide my patients with the most effective and tailored treatment plan to address their specific needs and help them find relief from the frustrating and uncomfortable symptoms of urticaria. I will guide you towards a path of long-lasting relief and improved skin health.

The treatment plan involves having acupuncture sessions once a week for 4-6 weeks, depending on the severity of your urticaria. You will also need to take herbal medicine regularly. Once your urticaria improves, the acupuncture sessions will be reduced to once every two weeks. Once your skin condition stabilizes, I usually recommend coming in once a month for maintenance. If you are far away, online consultations are available. Herbal medicine alone can be effective for urticaria. The duration of treatment is between 3-6 months, depending on how severe your condition is.

What should I do?

With its unpredictable nature and potential to cause significant discomfort, urticaria can greatly impact the quality of life for those afflicted by it. That's why seeking professional, holistic treatment options, such as acupuncture and Chinese medicine, can be a valuable approach in managing the symptoms and potentially addressing the root causes of this debilitating condition. By taking a comprehensive and individualized approach to treatment, I aim to assist individuals find relief from the symptoms of urticaria, allowing them to lead more comfortable and fulfilling lives. Simply book in for an acupuncture or online consultation via the BOOK ONLINE system. 

acupuncture can assist in freezing embryos

Freezing embryos is increasingly popular among women aged 25-40 to preserve reproductive potential. Chinese medicine highlights changes in the reproductive cycle every 7 years. Peak fertility occurs between 21 and 30 years old, with good embryo quality and ample reserves. Age affects embryo quality and reproductive reserves with older women have higher risks of miscarriages and chromosomal abnormalities. Decline in embryo quality starts at 30 years old and accelerates after 35 years old. Therefore, storing healthy young embryos early is something to consider. This proactive approach mitigates age-related fertility decline and increases chances of successful conception later on.

In my clinical practice, I have helped numerous patients seeking to freeze their eggs.  Their objectives was to increase the number of embryos that are viable for future use.  In this respect, acupuncture and herbal medicine can play a vital role in assisting with this process.

How can acupuncture and Chinese medicine plays a part in this?

Acupuncture and herbal medicine can bring more blood flow to the ovaries and uterus. This increased blood flow can have a positive impact on the quality of the embryos. By nourishing these reproductive organs, acupuncture and herbal medicine help create an optimal environment for embryo development. The enhanced blood flow contributes to improved hormone regulation and ovarian function, all of which are crucial for successful embryo collection. Through their combined effects, acupuncture and herbal medicine offer a holistic approach to fertility enhancement, promoting a higher chance of successful embryo collection.

What do you look at or target during treatments?

Three main Organs that help reproductive functions in Chinese medicine are Liver, Spleen and Kidneys.  These three Organs supports each of their individual functions.  In a nutshell,

• The Liver acts as a traffic controller, directing and regulating the flow of energy throughout the body. It plays a crucial role in determining where this vital energy, known as Qi, should go. However, when stress starts to creep in, it can take a toll on the Liver's ability to facilitate the smooth movement of Qi. This can have a cascading effect on various bodily functions. One area that can be particularly affected is reproductive health. The proper flow of Qi is vital for optimal blood circulation to the reproductive organs, ensuring they receive the necessary support for the production of good quality and quantity of embryos. Unfortunately, stress disrupts this flow, inhibiting the passage of blood and impairing reproductive function.

• In addition to reproductive health, stress can also hinder the smooth flow of Qi to the digestive system, which is primarily regulated by the Spleen. The Spleen plays a vital role in breaking down and absorbing nutrients from food, allowing the body to properly nourish itself. However, when stress interferes with the flow of Qi to the digestive system, it can disrupt this vital function, leading to digestive issues and imbalances. Therefore, it's crucial to address and manage stress levels to ensure the optimal functioning of the Liver and its role in directing the flow of Qi throughout the body. By doing so, we can help maintain a harmonious balance within the reproductive and digestive systems, promoting overall well-being and vitality.

• The Kidneys, known as our vital storehouse, play a fundamental role in preserving and harnessing our inherited vitality from our parents. Moreover, they rely on the Spleen for transforming and transporting essential nutrients throughout the body. With this combined effort, the Kidneys are able to provide us with that much-needed surge of energy when it matters most, especially as we face the inevitable effects of aging. However, it is crucial to be mindful of lifestyles that can exhaust this valuable storehouse. Balancing and managing stressful lifestyles and prioritizing rest, are all vital to preserving the integrity of our Kidney storehouse. Failing to do so may result in a depletion of this energy reservoir, thereby compromising the Kidneys' ability to support the production of healthy embryos.

How can acupuncture and Chinese medicine can help restore these Organs?

Acupuncture and herbal medicine can assist in

• Moderating and reducing stress – calm the Liver to promote smooth flow of Qi and Blood to the ovaries and uterus

• Optimise the digestive and gut function – strengthen the Spleen function for the transformation and transportation of vital nutrients to the reproductive organs

• Strengthening and fortifying the storehouse – improve the function of the Kidneys Qi to assist in the production of good quality embryos

How long is a course of treatment?

Ideally, three months acupuncture sessions are recommended to have a bigger impact on the quantity and quality of the embryos.  This allows the time to enhance, rectify and rejuvenate areas that may obstruct the chances of getting good quality embryos. 

However, if you have only a month left before you start your egg collection journey, acupuncture can have some influence on it.  In this instant, frequent sessions are recommended to boost the body’s function and to address other factors such as stress, sleep, digestion and gut, etc.

Where do I go from here?

At Eastential Acupuncture & Chinese Medicine Melbourne, I support women throughout their fertility journeys. I can provide personalized treatment plans using acupuncture and herbal medicine to optimize the chances of successful embryo freezing. If you're considering freezing your embryos or have any concerns about your fertility, I encourage you to reach out to our clinic for a consultation. Simply BOOK ONLINE and we will take it from there.

Seasonal Allergies

It is the time of the year where hay fever or seasonal rhinitis is the hot topic for those that suffers from it.  This year spring has started earlier.  You may have noticed more sneezing, runny nose, blocked nose and itchy eyes starting to creep up on you.  In addition, you may find, if you suffer from skin problems such as eczema, urticaria (hives) or psoriasis, are flaring ups more often and itching is intensified.  You may also noticed more TV, radio and social advertisements on the sales of antihistamines.  This is when you begin your preparation, both mentally and physically for the incoming festival of hay fever.

I am an advocate of preparing the body now, taking or using any preventive methods to reduce the exacerbation of symptoms during spring.  From Chinese medicine perspective, spring can be quite a chaos transition from winter.  As you can gather from the weather pattern, some days are warm and freezing cold the next.  You will also noticed more windy days which carries with it pollen and dust.  There may be heavy rain to warm sunshine the next.  This is quite typical of Melbourne weather and also why it is knows for the highest seasonal allergic state in Australia.

Here are some advice on how to manage the coming hay fever season

• Build up your immune function

• Improve on sleep quality

• Avoid sugar and dairy – they both generate inflammation and mucous

• Rinse your nose to clear out blockages, pollen and dust – you can get sinus rinse at the chemist

• Vacuum your living and bedroom often

For those that have skin issues, here are some links to that may be helpful

• Eczema - An Approach from Chinese Medicine

• Psoriasis - A Chinese Medicine Perspective and Approach

If you need any help in tackling your hay fever or any skin issues that may be a problem especially in spring, BOOK ONLINE for an acupuncture and herbal medicine consultation. Both acupuncture and herbal medicine are very effective in managing season allergies and also skin issues.

Stages of Acne

All of us have in one form or another have encounter acne.  Let’s break it down by stages

Acne at 12 to 20

Acne usually starts at puberty.  The surging and fluctuation of hormones becomes a bane of any teenager’s life.  Types of acne ranges from a few pimples during, before or after the menstrual cycle to deep cystic, angry acne on the forehead, cheeks, jawline, neck and/or on the back and shoulders.  At this stage of acne, most common prescription from your doctor would be to go on the pill or Roaccutane.  The pill is used as a band-aid solution to hormonal acne, painful periods, endometriosis, polycystic ovarian syndrome (PCOS), severe premenstrual syndromes and etc.  This is also a stressful period for young boys with surging testosterone hormones that can affect their confidence and emotional well-being. As age progresses, the severity of it usually starts declining.  However, some will persist until adulthood. 

Acne at 20-35

Those that were blessed with clear skin throughout their teenage years then suddenly, acne starts popping out in adulthood are due to fluctuation of hormones caused by stress, lifestyle and diet.  Another type of acne that I commonly see in the stage is women with PCOS.  This type of acne are a continuation from puberty where menstrual cycles are irregular that had not been diagnosed until later stage into adulthood.  In addition, women at this stage are thinking of coming off the pill for fertility purposes or a decision to address issues of hormonal changes that affected you in your teens such as hormonal acne, irregular cycles, painful periods, severe premenstrual syndrome, endometriosis and etc. Coming off the pill may cause the hormones to fluctuate as there is no longer a controlled mechanism derived from the pill. The body often revert back to where it was before you started on the pill. As mentioned before, the pill is often a band-aid solution.

Acne at 45+

This stage of acne is commonly seen in women that are peri-menopause.  In addition to typical peri-menopause symptoms such as hot flashes, day/night sweats, irregular cycles, weight gain, insomnia etc, acne and dry skin may be present.  This is caused by increase in luteinising hormones which increases androgen levels.  In addition, stress and poor lifestyle choices may be a contribution to late onset acne.

What is common amongst the stages of acne is the fluctuation of hormones.  This fluctuation can be due to the imbalances of hormones during teenage years, gyneacological problems (PCOS, Endometriosis etc), stress, emotional challenges, lifestyle and diet.  In Chinese medicine, we look at the body holistically in terms of Yin and Yang.  Yin provides softness and cools the body down and Yang provides energy and warmth to the body.  This delicate balance can often be displaced due to factors outlined above.  Can Chinese medicine and acupuncture re-balance this?  Absolutely!

Chinese herbal medicine and acupuncture can reduce and manage the symptoms and the root cause of acne .  In essence, acne from Chinese medicine perspective is caused by Heat or Damp Heat.  The source of Heat or Damp Heat can arise from hormonal imbalances, emotional factors, stress, poor diet of spicy, deep fried, greasy foods, sugar and etc. Organs that affects acne are Lungs, Stomach, Large Intestines, Small Intestines and Conception vessels.  To determine what may cause the breakout of acne, a detailed consultation is carried out.  From my clinical experience, each person presented with acne have different diagnosis and treatment.  Therefore, the treatment is tailored towards your constitution and overall state of your body and health.  To find out how I can help you reduce and manage your flare ups, BOOK ONLINE for a consultation to begin your journey in rectifying the root cause of your acne.

Chilblains

As the cold temperature sets in, chilblains is a common symptom of the skin that affects people with poor circulation and exposure to cold temperature.  It often affects people that are sedentary for a long period of time, usually occurs in women and children and, those with poor circulation to the hands and feet.  Chilblains is an inflammatory skin lesions that will disappear when the weather warms up but may occur the following winter again.

Common places are finger and toes but can also occur on the face and ears.  It looks swollen, feels cold to touch and, the skin changes to white as you put pressure on it. Once the pressure is released, the skin will resume to pink-purple-brownish to deep violet purples patches.  Chilblains can be itchy and slightly painful caused by the inflammation and swelling and, it may cause blisters which can rupture and ulcerate in severe cases.

The good news is, chilblains can be treated with good outcomes with acupuncture, moxibustion and Chinese herbal medicine.  Chilblains is often not limiting and can be resolved quite quickly within three to six weeks of treatments.  My advice for those that suffers from chilblains is to keep yourself as warm as possible with good socks, coat, hat and gloves when you are out and about.  Try to keep your feet warm and invest in good quality woolen socks (double socks if you must).  In addition, if you have a weak constitution and suffers from chronic illnesses, consume diet rich in proteins (a nice slow cooked beef and lamb stew is perfect for winter conditions) and always consume your food warm.  Avoid any cold foods (smoothies, cold salads, raw foods) and beverages.  On top of that, continue to move and exercise to circulate the blood flow to limbs.

If you find that you need some help in managing your chilblains and are struggling to keep it at bay, please BOOK ONLINE for a consultation today.

Fertility with Acupuncture and Chinese medicine - What to expect

Ever wondered when is the best time to start acupuncture and herbal medicine for fertility?  Have you been sitting on the fence not sure if this is the right approach for you?  Here are some of the common questions I get asked often in clinic which I hope answers some of questions about utilising acupuncture and Chinese medicine as part of your fertility journey

What should I expect in my first consultation?

You will be asked questions in detail about your menstrual cycle and general well-being.  This allows me to see a whole picture of where your body is at from Chinese medicine perspective.  I will take a look at your tongue and take your pulse.  Tongue and pulse are used in Chinese medicine to inform me about what is going on internally.  Then acupuncture is given as part of the consultation and, herbal medicine is prescribed.

What does a course of treatment look like?

Natural conception

Normally it would take a minimum of three months to improve fertility outcomes.  However, it all depends on a case by case basis.  In general, if your cycle is regular and general health is good, then a minimum of three months is required for pre-conception health.  If your cycle is irregular, older in age, highly stressful, poor gut health or there are menstrual issues such as PCOS or Endometriosis it may take up to 6 months for a desirable outcome.

IVF and freezing eggs

Similarly to the above, it is highly recommended to start acupuncture and herbal medicine at least three months prior to starting IVF.  While preparing your body for IVF, it is encouraged to continue to try naturally and in some instances, patient do fall pregnant un-expectedly.  Regular acupuncture sessions is encouraged while you go through IVF cycles.  Each phases of IVF comes with different set of challenges.  Acupuncture can address these issues and also improve the outcome.  This also applies to women looking into freezing their eggs for future use.

Multiple miscarriages

While miscarriages are heartbreaking and sometimes unexplainable, acupuncture and Chinese medicine can improve the outcome of pregnancy and prevent further miscarriages.  By looking at your overall and menstrual health, certain details can be identified according to Chinese medicine diagnosis.  Course of treatment can range between three to six months for a positive outcome. I would encourage women that have been through multiple miscarriages to seek treatment as early as possible. The more often this occurs, the weaker the body becomes. Therefore, the more strengthening and re-balancing the body will required to have a successful pregnancy.

PCOS and Endometriosis

Women enduring with PCOS and Endometriosis understands the struggle to menstrual health and the challenge in trying to conceive.  Each condition is different and based on individual menstrual condition, different treatment course are advised.  In general, PCOS and Endometriosis will need a lot of work to re-balance the body with will take at least six months.  If you have mild PCOS or Endometriosis, the course of treatment would be less extensive.  However, in my clinical experience, it is challenging to maintain a regular and healthy cycle conducive for pregnancy but not necessarily impossible. It does require patience and time to re-calibrate the body.

Low sperm count and poor quality sperm

Increasingly, low sperm count and poor quality sperm is the cause of failed pregnancies and miscarriages.  Sperm health is equally as important as menstrual health.  Depending on the degree of the sperm quality and quantity, a minimum of three to six months is needed to improve a positive outcome. I do not often see men in the clinic for this condition however, the few that had come in for treatments has have a positive outcome. It goes to show that by encouraging men to take responsibility in their health, and to seek help when there is an issue early on can make the fertility journey less challenging and heartbreaking.

Can I just do acupuncture without herbal medicine?

My recommendation is to do both acupuncture and herbal medicine together.  In my clinical experience, having both modality yields better result.  However, there are circumstances that only acupuncture is recommended for example if you are on a long list of supplements and medications from your doctor has prescribed and, you are currently undergoing IVF (generally specialist would not recommend any herbal medicine during IVF to minimise any interactions with the drugs prescribed).  My approach is not to overload the body with too many herbs, medications and supplements.

Is Chinese herbal medicine safe to use?

Yes it is.  The powdered herbs I use in my clinic have been tested for toxicity and it is a well-known brand from Taiwan that have been providing powdered herbs for many years.  It is also approved by the Therapeutic Goods of Australia (TGA). Initially you may find the taste a bit ‘interesting’ but you do get used to the taste after a few rounds of it.  I used powdered herbs in my clinic which makes it convenient to adapt into your lifestyle.  It is as simple as adding hot water to a couple of teaspoons of powdered herbs.

Is acupuncture painful?

Head to this link on what to expect for acupuncture

Why a course of treatment takes between three to six months or longer?

It takes time.  Depending on your menstrual and general health, it takes time to re-balance, replenish and strengthen your body to hold and carry your pregnancy to term. I work on regulating your cycle, making sure that the consistency of blood is good, the amount of bleed is neither too heavy of light etc. If the issue is with the sperm, I work on increasing the quantity, morphology and motility of the sperm. In addition, treatments are also aimed at reducing stress, optimising your digestive and gut function and improve your energy and quality of sleep. All of these parameters have a role to play in having a positive and successful pregnancy. “Nature does not hurry, yet everything is accomplished” - Lao Tzu

How would know it is benefiting me?

You will start to noticed that you are less stressful, sleeping more soundly, improvements in gut and digestive health, regulated cycles with good quality and quantity of blood, increase in cervical mucous (stretchy egg white mucous that indicates ovulation) less pre-menstrual symptoms, cramps etc.  All these changes are tell-tale signs that the body is re-calibrating and improving the chances of falling pregnant.

What happens after I fall pregnant?

This would be a wonderful outcome and a new journey begins.  Acupuncture and herbal medicine is still encouraged after a positive result with treatments now geared towards securing and supporting the pregnancy.  As you go through each week of the pregnancy, acupuncture and herbal medicine can assist in symptoms that may arise during pregnancy such as nausea, lower back pain, spotting etc.  As the week advances, everything from your blood test to scans showing the baby is growing strongly and, most importantly you feel confident with the pregnancy, treatments are no longer needed. However, during the course of your pregnancy if you feel that you need support, I am here to assist you whenever you need it.

When should I start?

My recommendation is to start as soon as possible if you know you are wanting to start a family or have been struggling to fall pregnant.  Simply book online for an initial consultation today and we will begin your fertility journey.

Vaginal thrush, candida and yeast infection

Normal vaginal discharge should begin a few days before ovulation than is tapered off a few days after ovulation.  Discharge normally starts out as a thick white sticky mucous gradually transforming into transparent egg white stringy mucous which indicates peak of ovulation.  Then is turns white again and the amount begins to reduce and stops after a few days.

If you continually have discharge throughout your cycle and experience some of these symptoms below, you may have vaginal thrush, which is also called candidiasis or yeast infection. General symptoms of vaginal thrush are

• The discharge may look like cottage cheese to sticky and watery or may sometimes smell fishy

• Colour of the discharge is a variation from white to off white, yellow and sometimes green. 

• Constant bloating, poor digestive function and low energy levels. 

• Pain and discomfort during intercourse

• A burning or stinging sensation during urination

In Chinese medicine this suggest that the body is unable to transform and metabolise the fluids correctly leading to excessive fluids and damp build up in the body. When the body is unable to shift this damp that is over producing, it starts to discharge downwards. This function can be hampered due to constitutional, multiple course of antibiotics, stress, and over consumption of cold drinks and foods.  Intake of diary and sugar are also a to this condition.

In my clinical practice, acupuncture and Chinese herbal medicine have a long term benefits in clearing and rectifying these imbalance in the body that cause vaginal thrush/candidiasis/yeast infection.  The course of treatment normally takes between three to six months depending on the severity of the condition.  If you would like to find out how I can help you with this condition, BOOK ONLINE for a consultation.

Psoriasis - A Chinese Medicine Pespective and Approach

What is psoriasis?

Psoriasis is a skin problem caused by the rapid growth of new skin cells faster than normal.  This new growth overlaps forming a thick scaly skin on top of the old dead cells that is unable to shed.  It is presented as a well-defined demarcated inflamed, scaly, thicken plague lesions.  Psoriasis occurs on the legs, elbows, scalp, under the breast, nails and in severe cases the entire body is covered.  The cause of psoriasis in western medicine is unknown however, there could be a link to genetic predisposition. 

How is it defined in Chinese medicine?

Psoriasis is known as ‘Sliver Scale’ – named after the layers of scales commonly found in this skin condition.  The root cause is due to the pre-existing deficiency in Qi and Blood that failed to nourish the skin.  However, as the skin condition progresses without proper nourishment and replenishment, it can lead to more wide spread, inflamed, scaly lesions that is transformed into Fire or Heat Toxin type of psoriasis.  There are different stages of psoriasis with different presentation of lesions:

Wind-cold - often initial/early stage of the skin problem that is is usually seen in children or adults.  Lesions are pale red with thick white scales that are easily shed upon scratching with minimal itching.  Often occurs during winter months and disappears in summer

Blood-Heat – increase in red macules or papules and rapid proliferation of scales that are easily shed when scratched with occasional intense itching.  This psoriasis is more severe during warmer months.

Blood Dryness – the course of psoriasis is slow with pale red macules and is covered with a thin layer of tightly adhering scales with lesions appearing sporadically

Blood Stasis – this is usually at a chronic stage with dark or hyper-pigmented macules covered by thick, hard and adherent scales.  There may be thicken or leathery skin and lesions starts to overlap like map-like-appearance.  In addition there is pain or fissuring at site of the presentation

Damp-Heat – typically dark red macules with uneven sizes covered with greasy thick, crust like scales.  When scratched, there is moist or weeping exudate.  There may be pustules presented in some cases and condition is worse in humid conditions.

Fire or Heat Toxins – very red macules or pustular lesions that develop and spreads rapidly often merging together.  It is covered by fine scales that shed easily accompanied with itching, burning and pain sensation.

How does Chinese medicine treat psoriasis?

Chinese medicine treat your body holistically, not just the symptoms.  I ask detail questions about your body.  I look for signs and symptoms.  I observe your skin presentation, the degree of inflammation, where is it presented and how is it manifesting.  This gives me clues to where your body is at and, the degree of impact it has on the body systems.  This will form the basis of diagnosis which inform me which acupuncture points to use and herbal formula to be prescribed.  Each psoriasis case that I see are different.  Therefore, there is no ‘one rule fits all’ type of treatment.  The treatments are aimed at clearing out inflammation (Heat and Toxins), replenish Dryness, minimise itching and nourish and rejuvenate overall skin health.  Herbal medicine is a must when it comes to treating any skin conditions as it is considered an internal imbalance.  Using both modalities is encouraged.

How long does it take to reduce and manage psoriasis?

Depending on the severity of the skin condition, it may take a minimum of three months, or up to six months to a year to resolve and manage it.  This correlate to the number of years you have been battling with this.  The longer you have had it the longer it will take for it to be treated.  Patience is key in treating this skin condition.

You can start to see minimal changes to the skin within a month such as less inflammation, scales and healthier overall general well-being.  However, the skin is quite volatile to external and internal exposure, there may be some flare ups during the course of the treatments.  This is not uncommon as the skin and body system begins to re-calibrate itself.  One of the biggest contributing factors in flare ups is stress.  Stress can cause myriad of symptoms that impacts the recovery of the skin.

Will my psoriasis come back again after the treatment?

Generally no however, some circumstances it may flare up depending on lifestyle, stress and diet.  In addition, if the course of prescribed treatments are not followed and is stopped abruptly, there may be some residual inflammation that had not been resolved or cleared.  In order to have a good outcome and to keep the psoriasis at bay, it is advised to keep the recommended course of treatments to see a lasting effect

What can I do in terms of diet and lifestyle to manage my psoriasis?

Firstly, if you are stress, find ways to manage your stress levels such as daily yoga, pilates, meditations, etc.  Exercise in whatever form whether gentle walking to cardio work outs are encouraged.  In addition to exercising, creating health boundaries especially if you are working from home to allow relaxation times.

Secondly, eating a well-balanced diet consisting of protein, vegetables, fruit and grains.  In Chinese medicine, cooking your food and consuming your food warm is paramount in building of good Qi and Blood to treat the underlying cause of psoriasis. A good healthy gut and digestive function ensures a good supply of Qi and Blood.  It provides good nourishment and maintains healthy skin. Try to minimise and avoid raw and cold foods such as smoothies, raw veggies, cold salads, cold beverages, ice-cream etc.  Reduce processed, deep fried and greasy foods and, minimise or avoid sugar as much as possible.

Where do I go from here?

Simply BOOK ONLINE for a consultation and we can start reducing and improving your psoriasis.

Menopause - A Chinese Medicine Perspective

Menopause - a word synonymous with for those reaching fifty. You may have heard awful stories or have witness your aunties or mothers going through this dreadful phase of womanhood.  Symptoms of menopause does not occur straightaway but rather it gradually and subtly increases over time.  There may be occasional hot flushes and night sweats, headaches or migraines that you never used to have, irregular cycles with heavy to light flow, harder to shift the weight, insomnia etc.  These minor changes are often an indication that the body and hormones are beginning to change and shift.  During this phase, it is classified as peri-menopause where there are still regular or occasional menstrual bleed with the added symptoms.  Menopause is defined as the cessation of menstrual bleed for over a year. However, symptoms of menopause can persist for up to three to five years or more.

Symptoms

Hot flushes, vaginal dryness, night and/or day time sweats, insomnia, migraines, anxiety, hair loss, weight gain, mental fog, fatigue and etc

Chinese medicine perspective/cause

Menopause is a natural progression of womanhood.  As we age, Kidney Jing which constitute both Yin and Yang decreases.  Kidney Jing is our source of vitality/reserve.  Depending on your lifestyle, diet, constitution and emotional factors, the reserves of Kidney Jing is there to assist you throughout your journey in life.  If you are burning both ends of the candle with high stress, have poor diet and lifestyle, not looking after yourself after multiple childbirths, etc, your reserve can be used up to help sustain the body to survive.  When you tap into this reserve at an early stage of your life, this can cause an imbalance and disharmony oh both Yin and Yang of Organs that supports the smooth transition into menopause. Can Chinese medicine and acupuncture reverse this process?  The answer is no.  What we can do is to preserve whatever reserve (Kidney Jing) you have left and manage the symptoms via acupuncture and herbal medicine.  This also includes changing lifestyle, diet and addressing emotional factors.

Treatments

Treatment consist of acupuncture and herbal medicine.  The acupuncture protocol and herbal strategy depends on the signs and symptoms of your menopause.  Treatment may take up to at a year or two to manage and reduce the symptoms.  In my clinical experience, the more severe the symptoms, the longer the treatment will take.  I often find patients that get successful results (3-6 months of regular acupuncture and herbal medicine) will stop coming in for treatments to later find that the symptoms resurface again.  My advice is to stick with the course of treatment as menopause may take three to five years or more before it finally settles down and the balance and harmony within the body is achieved.

Prevention

According to Chinese medicine, our lifestyles, diet and emotions can determine the severity of menopause symptoms.  By adopting some changes now, it can minimise symptoms and the transition into menopause smoothly.  Changes that we can do are:

Stress – avoid over working and spending long hours without any breaks or adequate rest in between.  By overworking this can consume your vitality and consume your reserve (Kidney Jing) leaving you feeling burned out way before you hit menopause.  This will have a huge impact on how well your body can handle and manage this transition.

Diet – adopt a moderate diet incorporating adequate protein, vegetables and grains.  Do enjoy a little naughty things in life. Savour each treats such as pastries, cakes, crisps in moderation.  I always advocate a moderate diet that encompasses different varieties of foods, including naughty food. Being too strict with your diet can also cause disharmony to the body.

Smoking – this should be avoided as it consumes and burns the vitality (Jing).  According to Cu Ci Shan (Qing dynasty): “Tobacco is pungent and drying, it burns Jing (Kidneys) and the Fluids, damages the throat, the Stomach and the Lungs… it enters the Heart orifice causing mental confusion as if one were drunk. It makes the tongue coating dark-yellow or black, food and drink have no taste, and the medical texts have no treatment for this.”

Beverage – minimise or avoid black tea, coffee and alcohol.  These drinks are deemed Hot in nature.  By over consuming these beverages, it can add additional Heat into the body therefore exacerbating hot flushes and night sweats. Heat has the ability to dry fluids up. Fluids are considered Yin in nature which assist in nourishing our skin, lubricate the vaginal and supports the cooling function of the body.

Emotions – manage anxiety, fear and anger. These emotional factors that builds up over years can damage the vital organs that supports the smooth transition into menopause. These emotions can also consume reserve.

Menopause should not be something you should dread. It should be celebrated! By looking after your well-being and mental health at an early age, menopause can be empowering and to some extent liberating from what I have seen in my patients. Chinese medicine philosophy believe in preventative measures to avoid or minimise poor health outcomes. However, if you are in the midst of it all and made poor lifestyle choices, do not be dishearten. We can still work on rectifying and re-adjusting the body so that it becomes in harmony again. I encourage you to explore Chinese medicine to assist in managing your menopause symptoms by booking online for a consultation. I look forward in assisting your transition into menopause with ease.

Menopause

Menopause is a natural progression in womanhood when the reproductive system begins to declined and menstrual blood stops permanently for twelve months. This transition leading up to the last period (peri-menopause) and into menopause can last between two to five years or sometimes more. The median age of menopause in industrialised country is fifty-one years old, peri-menopause symptoms can occur between forty-eight to fifty-five years old. However, certain circumstances may bring on early symptoms of peri-menopause for example:

• women that never had children

• smoking (studies have shown that smoking can cause early onset of menopause up to two years earlier than women that do not smoke)

• chemotherapy or surgery that had removed both ovaries

• other health problems (Dutta, C. & Joffe, H., 2019, Office of Women’s Health, USA)

Western medicine in Australia treat menopause using Hormone Replacement Therapy (HRT). It is an effective medication that can ease the transition into menopause however, there are some side effects such as the risk of blood clots, stroke and breast cancer (2019, Australasian Menopause Society).

From Chinese medicine perspective, women’s health has an important part in Chinese medicine for 700 years assisting women throughout their phases. There are seven phases of a women’s life, each within a seven year cycle (refer to info-graph below). Peri-menopause and menopause falls in the sixth and seventh phases of a women’s cycle. As written in the Classic of Suwen, age between 42 to 49, “… the face scorched all over” suggest the beginning of peri-menopause symptom of hot flushes. At the age of 49 and beyond, the extraordinary vessels that supports menstruation (Ren Mai and Chong Mai) is emptied and weaken and, Tian Gui (menstruation) is exhausted, the onset of menopause begins.

Main symptoms are:

• Vaginal dryness

• Hot flushes/flashes

However, there may be accompanying symptoms such as:

• Sweating/Night sweating

• Headache

• Lethargy

• Tiredness

• Irritability/Emotional changes

• Anxiety

• Nervousness

• Depression

• Insomnia

• Poor concentration

• Weight gain

• Diminished sexual desire, low libido

During peri-menopause phase, there may be symptoms of irregular periods with shorter or longer cycles, lighter or heavier flow and symptoms listed above due to fluctuation of estrogen and progesterone and to some certain extend, testosterone levels. These fluctuations from a Chinese medicine perspective is due to the imbalance of Yin and Yang and the decline in Kidney Jing. Can Chinese medicine and acupuncture ease the transition into menopause? Absolutely! To understand how we go about managing and assisting patient with peri-menopause and menopause, head to the next article ‘Menopause from a Chinese medicine perspective.’

Gula Melaka Poached Pear

There’s nothing quite like comfort food as the colder months approach. Minimal effort and versatile, poached pears are great as a light and elegant dessert, or delicious with quinoa porridge to start the day.

To give the poached pears a deeper depth of flavour, try using Gula Melaka, a sweetener derived from coconut palm instead of caster sugar. It’s readily available in most Asian grocers or large supermarkets in solid or liquid form. Everyone’s palate is different, so have a play with the amount of sweetener until you find the perfect measure for you.

Ingredients

4 medium firm pears, peeled (leave stalks on)

Gula Melaka to taste (shaved from a block or liquid. Replace with coconut sugar if you’re unable to find Gula Melaka)

Star anise (1 large one, or 2 small ones)

Cinnamon stick (whole)

4-6 Cardamom pods

1 inch of fresh ginger (sliced)

Instructions

Place all ingredients in a pot and with water, ensuring that the pears are submerged entirely. Taste the poaching liquid and adjust with more Gula Melaka if required.

Bring the poaching liquid to a boil, then reduce to a gentle simmer (the bubbles should just be popping gently on the surface of the liquid). Poach for 1.5-2 hours, depending on the size of your pears. Pears are cooked once a knife spears through the thickest part easily.

Remove from poaching liquid and continue to reduce the liquid until it’s syrupy. Store the pears in the liquid until you’re ready to use them (they’ll store for up to a week, if you can stop yourself from finishing it in one sitting!).

Endometriosis - A Chinese Medicine Perspective

Endometriosis is a condition in which the endometrium lining (interior lining of the uterus) is found outside of the uterine cavity causing inflammation, adhesion and cysts. It is estimated that endometriosis affects 1 in 10 women, which is 200 million women worldwide (1). It is one of the leading causes of school absences in teenager and per-teen girls, and days off work for adults. Endometriosis lesions can be found anywhere and is not limited to only outside the uterine cavity. Lesions can be found in ovaries, fallopian tubes, pelvic side walls (peritoneum), uterosacral ligaments, cul-de-sac, Pouch of Douglas, rectal-vaginal septum, bladder, bowel, intestines, colon and rectum (2).

The most common symptom associated with endometriosis is pain. For many women, having endometriosis is a lifetime challenge in managing symptoms which include but not limited to severe stabbing to dull pain before, during or throughout the menstrual cycle. Endometriosis can disrupt anatomic, hormonal and immunologic environment causing a variety of symptoms such as pelvic pain, dysmenorrhoea (painful period), painful intercourse, difficulty in bowel movements, painful urination, abdominal masses, ovarian cysts and infertility (3 & 4). Treatment for endometriosis are hormone therapy (Gonadotropin-releasing hormone medicine, oral contraceptive pill, Progesterone and progestin pill), pain medication (nonsteroidal anti-inflammatory drugs NSAIDS) and surgery (laparoscopy) (5).

From Chinese medicine perspective, endometriosis falls under the category of Tong Jing (painful period) and Zheng Jia (abdominal masses). As there were no lab tests or ultrasound available back then, physicians of Chinese medicine relied on signs and symptoms, and abbominal palpation to aid in figuring out patterns of disharmony. In my clinic, I have seen a fair few of endometriosis patients. Majority were diagnosed with endometriosis and to some extend, patients that came in for severe period pain managements were told to have have test done by their doctor on the suspicion of endometriosis. Each patients are often presented with different qualities, presentations and location of pain together with other symptoms such as abdominal pain, constipation, bloating, anxiety, depression etc. There are six patterns associated with endometriosis and each patterns are managed differently through acupuncture and herbal medicine. The six patterns are (3):

• Liver Blood Stasis - intense stabbing pain before or during period aggravated by pressure, hard and immovable abdominal masses on palpation, pain is generally relieved after passing clots. Menstrual blood is often dark brown with large clots and is often accompanied with mental restlessness

• Damp-Heat - hypo-gastric pain before the period, sometimes during mid-cycle. There is a burning sensation extending to the sacrum. Menstrual blood is bright red with small or stringy clots with thick and sticky consistency

• Blood Stasis due to Heat - intense, stabbing and possibly burning pain that may be constant or intermittent throughout the cycle. Pain is relieved by passing out clots. Menstrual cycle may be short with heavy bleeding of bright red blood and large clots. Accompanied symptoms are anger, headaches, insomnia and restlessness

• Blood Stasis due to Cold - dull aching pain throughout the cycle and during period. Menstrual blood is dark red with clots, pain is aggravated with pressure and touch but is relieved with application of heat source such as hot water bottle or wheat bags. Accompanied symptoms are cold limbs, sensitivity and aversion to cold

• Blood Stasis and Phlegm - chronic pain throughout the menstrual cycle becoming excruciating painful before and during the period. Menstrual bleed can be hesitant at the start becoming very heavy, sticky and clotted. There may be sticky and heavy vaginal discharge, poor digestion and tiredness

• Kidney Yang Deficiency - painful period with abdominal pain relieved with pressure and heat. Menstrual blood is pale, watery and light. Accompanied symptoms are water retention and bloating before period, dizziness, frequent urination, low libido, feeling cold, lower back pain.

It is believed that 30-50% of women suffering from endometriosis are infertile. There are no evidences that suggest that a combination of medical-surgical treatments significantly enhances fertility (6). Current research on the efficacy of Chinese medicine and acupuncture of infertility due to endometriosis is sparse however, a questionnaire conducted during the World Congress of Integrative of Medicine and Health in 2017 with 133 patients, result had shown that 86.2% of endometriosis sufferers had used complementary procedures, of which 46.9% for the treatment of infertility. The most frequently used complementary therapy was Traditional Chinese Medicine (51.1%) and acupuncture (60.3%). It is suggested that further research and and randomized controlled studies to further investigate the effectiveness of complementary procedures are highly warranted (7).

Chinese medicine and acupuncture is very effective in managing endometriosis if you would like avoid hormone therapy or NSAIDS. It is also very effective in keeping the re-occurrence of endometriosis after a laparoscopy (there is no cure for endometriosis). If you would like to understand how Chinese medicine and acupuncture can help manage your endometriosis symptoms or if you are looking at fertility issues with regards to endometriosis, I would be happy to have a chat with you in my clinic. Simply book online for a FREE 15 minutes Complimentary Consult or book in for a consult and treatment today.

References:

1. About Endometriosis. www.endometriosis.org

2. What is Endometriosis? www.endomarch.org

3. Wu, Y. et al. (2019). Female Infertility & Reproductive Gynaecology: A Comprehensive Clinical Manual of Integrated Chinese Medicine and Biomedicine. The Journal of Chinese Medicine Ltd. UK

4. Vercellini, P. et al. (2014). Endometriosis: Pathogenesis and Treatment. Abstract from PMID:24366116. www.ncbi.nlm.nih.gov/pubmed

5. What are the treatments for endometriosis? www.nichd.nih.gov/health

6. Bulletti, C. et. al. (2010). Endometriosis and Infertility. PMID: 20574791. www.ncbi.nlm.nih.gov/pubmed

7. Grzanna, N et. al (2017). P62 Relevance and Acceptance of Naturopathic and Complementary Medicine in Women Suffering From Endometriosis

   World Congress of Integrative Medicine and Health: Part Two, Berlin, Germany. PMCID: PMC5498867. www.ncbi.nlm.nih.gov/pubmed

Spring Series: Growth and Expansion

Spring is in the air! Daylight feels longer with slightly warmer temperature during the day, flowers are blossoming, and plants that had laid dormant under the soil are sprouting upwards . We are slowly rising from deep hibernation that has rejuvenated and renewed our energy which we begin to gently release it outwardly. The heavy Yin energy (cold, slow and deep) begins to slowly shift and transform into a light Yang energy (warm, growth and light).

In Chinese medicine, spring is the governed by the Liver, belongs to the Wood element, and the flavour that supports the Liver is Sour. Its colour is Green, the climatic element is Wind, and sense organ is the eyes. The energetic organ of the Liver is in charged of the smooth flow of Qi (energy), stores Blood for nourishing Organs, and controls the tendons and sinews in the body.

In an ideal situation, we would have rested and built our energy through winter months to transition into spring. However, life, emotions, illness and work often challenge our intentions, making us feel that there is not much reserve to spring into the coming season. As much as there is growth and expansion in spring, there can also be volatility and sudden movements in the transformation, especially when we are depleted and deficient in Qi. For example, when the Liver is not nourished and anchored, external Wind can stir emotions such as anger, irritability and annoyance outwardly (Liver Qi Stagnation). Internal Wind generated due emotional outburst sending Heat to rise up to the head causing headaches, migraines or sudden outbreak of acne. In addition, we may feel a sense of overall tightness, sluggishness and stagnant energy in the body due to sinews and tendons that are either not nourished by Liver Blood or caused by Liver Qi Stagnation. Here are a few handy tips to help the Liver and body to move forward into spring:

• Squeeze of lemon juice or apple cider vinegar with warm water in the morning before breakfast to get that Liver Qi moving and to kick start the day

• Move, move, move! After long months of winter hibernation and lack of outdoor activities, spring is the best time to go out for walks or to get back into yoga, Pilates or gym. When we move, we stimulate Qi to flow to the body and sending endorphins to the brain therefore, making us feel less lethargic, moody and snappy

• Switch from heavy winter diet such as curries and lamb stews to lighter meals such as sauteed or quick stir fry fresh green vegetables

• Use dry brushing to stimulate Qi and Blood flow under the skin. Starting from the leg, using long gentle strokes, move the brush upwards towards the Heart. This helps to exfoliate the skin, support lymphatic drainage and reduces the appearance of cellulite

• For those that have a roller jade or facial gua sha tool handy, you can use it to help stimulate Qi flow to the face, and lymphatic drainage. This is especially useful for hay fever sufferers or problems with the sinuses

I hope this short list can assist you in transitioning into spring a little easier. However, if you need extra help, we are here to assist you. Simply BOOK ONLINE for either a FREE 15 minutes consult to discuss your concerns or a treatment.

Eczema - An approach from Chinese Medicine

Eczema, also known a dermatitis is a debilitating skin condition that affects 1 in 3 Australasian (Eczema Association of Australia). Eczema can occur in any stages of life starting as young as early childhood from the ages of 2 to 6 months and in adulthood. There are many types of eczema ranging from atopic eczema, to phomphylox eczema, seborrheic eczema and so forth.

Eczema can present in many different forms and symptoms. There may be -

• Moderate to severe itchy skin

• Red rash occupied by either dry, patchy, weepy, thicken, cracked skin, bleeding and/or scales

• Papules, vesicles, crusting

• Areas that are commonly found are on the flexors of the knees and arms however, it can occur on the hands, feet neck, face and any parts of the body

Accompanying symptoms are -

• Fatigue

• Stress, irritability and mood swings

• Depression and Anxiety

• Thirst

• Poor digestive and bowel function

• Insomnia

• Poor concentration and focus

Chinese medicine perspective -

• What cause eczema?

  In Chinese medicine, any skin condition is an indication of an imbalance of yin and yang in the body. The principle of yin and yang is to create an equilibrium between these two polar opposites within the body to function harmoniously. In the case of eczema, there is no one definitive answer to what cause this debilitating skin condition, rather the answer lies within the presentation of the individual itself. The cause of eczema from Chinese medicine perspective are Wind Heat, Damp Heat, Toxic Heat and/or Blood deficiency causing Dryness and Wind.

• How do we diagnose eczema?

  The body, especially the skin is an amazing diagnostic tool. In Chinese medicine, there are four method of diagnosis - observing, questioning, listening and palpating. We observe for signs and symptoms of the skin condition and ask detail questions into the body’s health. This will give us clues to what is out of balance in the body through observation and gathering of information. Therefore, helping us form a holistic diagnosis of the root cause of eczema. For example, itchy skin from Chinese medicine perspective can be caused by Heat, Wind and/or Dryness as a result of an internal imbalance of the body. In addition, we look at what levels the eczema is presented. For example, if the eczema is presented with mild itching with pinkish tones, it would be at a superficial level (Qi level). If the eczema is red, angry, weeping and intense itching with bleeding, it would be at the deeper level (Blood level). We also look at the tongue and perform pulse analysis as part of our diagnostic tool to determine the condition of the body. Thus making it a holistic treatment.

• How do we approach eczema?

  There is no one-size-fits-all approach from Chinese medicine perspective. Each person presented with eczema will most likely be looked at differently in terms of acupuncture and herbal medicine. In eczema, herbal medicine is often prescribed as the symptoms are a result of an internal imbalance. Herbal medicine targets the root cause of the imbalance whilst resolving symptoms derived from it. External application such as ointment or salve made from Chinese herbs may be recommended to aid the skin condition symptomatically.

• When will I see some results?

  Generally, it will take 3-6 months. The duration often depends on the severity of the eczema. However, the skin will see some form of improvements such as reduction of flare ups, itchiness and redness within 3 months of consistent acupuncture and herbal medicine. In addition, accompanying symptoms listed above will greatly improved as well.

• What ingredients do you use in the herbal medicine?

  Majority of the Chinese herbs we use are derived from roots, twigs, leafs and flowers, and occasionally we may use the shells of cicadas which are collected after the cicadas had shed them naturally (the insect is not used).  The shells of the cicadas have a effective anti-itch property. However, if you are a vegetarian or vegan, we have many other anti-itch herbs that are just as effective.

• How does Chinese medicine help with getting off topical corticosteriods?

  We would go through it very gently and slowly. Firstly, the potency of topical corticosteriods will be reduced while taking Chinese herbal medicine and acupuncture to help manage the symptoms. Over time, the use of topical corticosteriods will be reduced and, be completely eliminated, then to be replaced with Chinese medicine and acupuncture. Going off topical corticosteriods abruptly will cause an intense flare up therefore, to manage these flare ups a cautious and sensitive approach is adopted.

• What can you do to help yourself?

  Majority of eczema sufferers find that by avoiding certain types of food and using a natural skin care product can help reduce the severity of their skin condition.

  Foods to consider avoiding are gluten, sugar, dairy, alcohol, processed food, deep fried and greasy food. Warming spices such as turmeric, ginger, cloves, cinnamon, cardamon should be used minimally to avoid adding Heat to the body. Part of the approach and strategy to eczema in Chinese medicine is to clear Heat from the body. Redness and inflammation are seen as Heat. Heat can dry out fluids that moisturise the skin, therefore causing dry, cracked and itchy skin.

  Natural skin care are recommended to keep the skin moist. As there are many natural skin products available in the market today, it is important to read the ingredients used in the product. Ingredients such as shea butter, jojoba oils are good at moisturising dry skin. Avoid any synthetic scent which can cause irritation to the skin, this include perfume and cologne. It is best to go scent free if possible however, some essential oils derived from plants such as chamomile and lavender can be added to sooth the skin, which also has a calming affect on the mind.

• Where do we from here?

  Chinese medicine approach and strategy to addressing eczema is to look at each presenting symptoms individually. There is no “one-size-fits-all” approach. If you would like to find out more about how Chinese medicine and Acupuncture can help with your eczema, we have a Complimentary Consultation or simply BOOK ONLINE for either an Acupuncture or Herbal Medicine Consult. We look forward to hearing from you.

Spiced Lamb with Longan and Goji Pesto and Kaffir Lime and Aubergine Labneh

This dish marries Middle Eastern and Asian flavours to create different layers that pop on the palate. It sounds unusual, but they do work together.

The kaffir lime and aubergine labneh, and longan and goji pesto are also great as condiments on their own which makes them so versatile but they really do take the lamb to another level when served together. The labneh is best made a day ahead so that there is time for the flavours to develop. 

We'd love to hear from you so don't forget to tell us what you think about this recipe in the comments box below!

Serves 2

Kaffir lime and aubergine labneh

30x30cm cheese cloth (also know as muslin cloth)

150gm natural yoghurt 

2 pinches of salt 

1 medium aubergine

1gm kaffir lime leaf

2 tbsp tahini

1 tbsp sesame oil

1 tbsp olive oil

1/2 lime, juice

1 tsp garlic powder

1.5 tsp fish sauce

large bunch coriander 

1.5 tbsp coconut sugar (or brown sugar)

pepper to taste

Spiced lamb

1tsp sumac

2 tsp cumin seeds, ground 

1 tsp fennel seeds, ground

1 tsp green peppercorn, ground

1 tbsp sesame oil

1 tbsp sunflower oil

1 tsp pomegranate molasses

1 tbsp mirin

1 tsp light soy sauce

400gm lamb loin (or any kind of cut that's suitable for grilling)

 

Longan and goji pesto

40gm fresh mint leaves

40gm longan

small clove of garlic

15gm goji berries

400gm cashew and macadamia mix, roasted (plain cashews also works well)  

3 tsp fish sauce

1/4 lime, juice

3 tbsp mild vegetable oil

pepper to taste

 

To plate

Dried tangerine peel powder (if available, but not mandatory)

Finger lime or lime zest

Method:

1. Line the middle of a bowl with the cheese cloth to make the labneh. Stir the yoghurt with two pinches of salt in a separate bowl and pour into the middle of the cheese cloth. Grab two opposing sides of the muslin cloth and tie a knot. Repeat with the remaining two sides until you get a ball of yoghurt. Hang the ball of yoghurt over a vessel in the fridge to drain for 12 - 24 hours; ensuring that the bottom of the cloth does not touch the drained liquid. You should have a thick curd at the end of this process. Keep in the curd in the fridge until required.

2. Pre-heat the oven to 220 degrees celcius. Pierce a few holes in the aubergine with a knife and wrap with tin foil. Place the aubergine on a baking tray and cook the aubergine for 40 - 45 minutes, or until the inside is soft (the skin will be hard, but the aubergine should compress easily when pushed). Remove from the oven and set aside to cool.

3. Remove the central stalk from the kaffir lime leaves with a sharp knife or scissors and place the leaves in a mortar. Crush with the pestle until you get a fine texture, almost like powder if you're using dried leaves; or a fine paste if you're using fresh leaves. You may also use a coffee or spice grinder to do this. Transfer to a food processor. 

4. Scoop the flesh from the cooled aubergine in to the food processor and discard the skin. Add the labneh, crushed kaffir lime leaves and the rest of the ingredients to the food processor and blitz until you get a creamy consistency. Taste and adjust the seasoning if required.  The labneh should be a mix of savoury, a little tangy and sweet, with the freshness of the kaffir lime leaves coming through. Store in an airtight container in the fridge until required. The labneh can be made a day ahead and should keep for 2-3 days. Remove from the fridge 30 minutes before you're ready to plate.

5. Next, prepare the marinade for the spiced lamb. Place all the dry spices and wet ingredients in a bowl and mix well. Place the lamb in a non-reactive vessel or plastic container and spread the marinade over the lamb. Massage the meat well and marinade in the fridge for at least an hour. Remove from the fridge an hour before you're ready to cook so that the meat has time to get down to room temperature.

6. While the lamb is marinating, make the pesto. Rinse the mint leaves and set aside to dry. Chop the dried longan in to small pieces and transfer in to the mortar. Skin the clove of garlic and add to the chopped longan pieces. Crush the garlic and longan well, then add the goji berries and crush well. Add the mint leaves to the rest of the ingredients in the mortar and crush until you get a well mixed paste. Add the roasted cashews and macadamias and crush until you have a mix of fine and medium textures.

7. Add the fish sauce, lime juice and vegetable oil, and mix well. Add a few pinches of pepper. Taste and adjust the seasoning if required. You should taste the sweetness of the longan and goji berries initially, then have the saltiness from the fish sauce and a hint of sourness from the lime hit your palate at the end. Set aside until required. This pesto can be made 1-2 days ahead.

8. Heat a griddle or pan well and cook the lamb on a medium - high heat for about 4 - 6 mins on one side, then flip and continue cook for another 4 minutes (the cooking time will differ, depending on the thickness of the meat. My preference is to serve the lamb medium). Transfer the cooked lamb to a plate and rest. 

9. To plate, spoon the aubergine and kaffir lime leaf labneh onto a plate. Slice the rested lamb on a diagonal and arrange the slices on top of the labneh. Sprinkle some dried tangerine powder and lime zest (or squeeze the finger lime if using) over the lamb.  Spoon some pesto to the side of the lamb and serve immediately.

Rose and Coconut Panna Cotta with Longan and Chrysanthemum Granita and Brown Butter Cashew Praline

Everyone loves a panna cotta with the perfect wobble and this rose and coconut panna cotta certainly doesn't disappoint. The praline adds texture, while the granita lightens the creaminess of the panna cotta. Heaven. 

Sheet gelatine is often confusing as they come in different strengths (also known as bloom) and sheet weight (titanium leaves measure 5gm each, gold 2gm each and bronze 1.5gm each).  Unfortunately, there are very little guidelines on how to interpret both.

Gelatine sets on a scale between 0.6% (still runny) – 1.7% (firm) and after several rounds of testing, I've found that panna cotta is best at ~1.3%. To find out how much gelatine to use, simply mutiply the weight of the liquid with desired percentage, e.g. 400gm panna cotta mix  x 0.013 = 5gm of gelatine. I've used titanium grade gelatine in this recipe, but you can easily substitute it with bronze or gold. Just ensure that you use the equivalent in weight e.g. 2.5 sheets of gold in lieu of 1 sheet of titanium. 

If you're time poor, make the components of this dessert a day or two in advance so that all that's left to be done on the day is to plate. We'd love to hear from you so don't forget to tell us what you think about this recipe in the comments box below!

Serves 2

Longan and chrysanthemum granita:

500ml hot water 

20gm dried longan

10gm dried chrysanthemum flowers

100gm coconut sugar (or muscovado sugar)

 

Rose and coconut panna cotta:

125ml coconut cream

125ml thickened cream

60gm caster sugar

5 gm dried rose buds

3/4 sheet of titanium gelatine leaf  

2.5 tbsp rose water

Brown butter cashew and citrus praline:

30 gm cashews

2 tbsp butter

4 tbsp coconut sugar (or muscovado sugar)

1 - 2 tbsp dried citrus powder

1 - 2 tbsp ground coriander

To serve:

dried rose petals

candied citrus peel

Method:

1. 24 hours before serving, mix the dried longan, chrysanthemum flowers and muscovado sugar with the hot water and stir until the sugar has dissolved. Let the fruit and flowers steep in the warm syrup for a minimum of an hour (a longer steep will impart more flavour). Once steeped, pour the liquid through a sieve and into an airtight container. Place the container in the freezer to set.

2. Make the panna cotta while the granita is setting. Soak the gelatine leaf in cold water and set aside.

3. Mix the coconut cream, thickened cream, caster sugar and rose buds in a small pan over a medium heat. Bring the mix to a gentle boil, stirring occasionally to help dissolve the sugar. Turn off the heat and let the rose buds steep for five minutes. 

4. Remove the gelatine from the water and squeeze out any excess liquid. Add the gelatine to the panna cotta mixture and stir until fully dissolved.  Next, add the rose water and mix well. Strain the mix through a fine sieve in to moulds or your desired vessels and let the mix cool before placing vessels in the fridge to set for a minimum of 5 hours. 

5. Next, prepare the praline. Crush the cashews coarsely in a mortar and pestle or simply chop them with a knife. Set aside. In a non-stick pan, gently heat the butter until it starts to turn brown. You should see the milk solids start to appear at the base of the pan. Remove from the heat and drain the brown butter into a bowl with a sieve. Discard the milk solids. Return the brown butter to the pan and add the sugar. Heat the brown butter and sugar over a medium heat, swirling the pan occasionally to help the sugar dissolve. The liquid should be a dark brown colour when it's ready. The butter may split from the sugar. Stir well to emulsify the butter with the melted sugar.

6. Remove from the heat and carefully mix in the coarsely chopped cashew nuts, ensuring that the nuts are well coated (be careful as the liquid will be very hot). Tip the coated nuts on to a baking sheet lined with baking paper and let the mix cool. Once cooled entirely, break into small pieces. Crush the pieces into coarse grains with a mortar and pestle. Add 1 tbsp of the dried citrus powder and ground coriander and mix well. Taste and add the remaining to your preference. Transfer to an airtight container until you're ready to use. This should keep for a few weeks if stored in a cool, dry place. 

7. To plate, remove the granita mix from the freezer 5 - 10 minutes before you're ready to serve. Loosen the panna cotta by placing the moulds in a warm bain marie (water bath) for 30 seconds and carefully tip on to plates. Scrape the surface of the granita mix with a fork until a pile of ice crystals form. Spoon some granita around the the sides of the panna cotta, and some cashew citrus praline on top of the panna cotta. Decorate with a few dried rose petals and candied citrus peel on top of the praline and serve immediately.

The Emperor Of My Heart

We speak of the Heart as an emotional state of love, joy, sadness or from an anatomical perspective, a vital organ that pumps blood containing oxygen for our body and mind to function normally. From Chinese medicine perspective, the Heart have similar attributes to both as an emotional and functional organ. This dual ability of the Heart is often treated in the clinic for problems such as insomnia, irregular menstruation, amenorrhea, infertility and etc. The Heart:

• Governs Blood - The relationship between Blood and the Heart determines a person’s vitality and strength. If the Heart is strong with ample supply of Blood and circulation is good - this will produce a robust person with good constitution. However, if the Heart is deficient and there is low supply of Blood (low iron or aneamic), this will often equate to a weak constitution with lack of strength and vitality. The quality of the Heart can also be seen in the complexion. Where there is abundance of Blood and the Heart is strong, the complexion is rosy and lustrous. However, if there is deficiency of Blood and the Heart is weak, the complexion will be pale or dull white.

• House the Mind - For the Heart to house the Mind, it needs adequate nourishment from Blood and conversely, the Heart’s function in governing the Blood depends on the Mind. There is a mutual dependence between the Heart and Blood for the vitality of mental activities and consciousness. Therefore, the state of the Heart (and Blood) will affect the mental activities such as consciousness, memory, thinking and sleep. The Heart is called the ‘Emperor’, ‘Ruler’ or ‘Monarh’ of Internal Organs because of it’s ability to control all mental activities of the Mind that other organs do not have. For example, if the Heart-Blood is deficient, it does not anchor the Mind resulting in mental restlessness, depression, anxiety and insomnia. Blood deficiency can manifest from low iron, aneamia, diet lacking in Blood nourishing foods or over exercise.

• Influence Menstruation - We often speak about Heart-Blood indirectly influencing menstruation. This is because the Heart controls the downward flow of Qi and Blood that makes menstruation occur. In other words, when there is emotional disturbances such as depression, over worrying, anxiety etc. it can affect the ability of the Heart to govern blood thus causing disruption to the menstrual cycle. In fertility, we often treat the Heart-Blood to assist in regulating menstrual cycle by calming anxiety, over thinking and worrying by nourishing the Heart.

These are the three attributes of the Heart that we commonly treat in the clinic. We often asked about emotional state in every consult as the health of the Heart, the ‘Emperor’ and ‘Ruler’ of all Internal Organs, is a vital organ to keep the body system and Mind functioning at an optimal level. This in return rewards us with the vitality, emotional balance and mental sharpness in every aspect of life.

Heart Opening Poses For Cultivating Love, Acceptance & Compassion

We are constantly reminded of love, especially in the month of February, thanks to St Valentine’s Day. In the practice of yoga, the centre of the chest is represented by the Heart Chakra (or ‘Anahata’, in Sanskrit). Chakras mean “wheel”, and being the fourth of seven Chakras that sit along the energetic pathway of the spinal column (Sushumna), Anahata is represented by loving vibrations, kindness, self acceptance, empathy and compassion, when energy is flowing freely.

Backbending asanas, be it restorative or dynamic, are often called “Heart Opening” Poses as they create a sense of liberation…physically, mentally and emotionally. Approach them with an open mind, and witness the ebb and flow of physical sensations and emotions that arise. Practise safely, and warm up well with a few rounds of Surya Namaskar (Sun Salutations) and standing asanas. Use props where necessary, and always consult a yoga teacher if you are new to the practice, have a medical condition or are pregnant.

START by rolling out your yoga mat, sit in a comfortable position and be still for a moment. Witness your breathing, and let your focus drop beneath the neurotic chatter of the busy mind, and into the cave of your heart. Set the intention for your practice (for example), “By accepting and loving myself, I am compassionate to others”.

1. Restorative Chest Opener (with blocks) : place one block beneath the shoulder blades and one to support the head. This restorative pose gives a lovely myofascial release of the thoracic area whilst keeping the neck free from strain. A great relief after a long busy day at the office or with the kids. Soften into the space, and release your weight onto the block. Stay for 12 long, deep breaths, or even a few minutes if you can spare the time.

2. Anahatasana (Heart Chakra Pose or Puppy Pose) : From an all-fours position, place your chin on the mat and extend your arms forward. Sink your chest onto the mat whilst keeping the breath smooth. Option to place your forehead on the mat if this variation is too intense for your neck.

3. Setu Bandhasana (Supported Bridge Pose) : Lie on your back, bend your knees, and place your feet hip width apart. On an inhale, lift your hips up, and interlace your fingers, stretching your knuckles towards your feet. Keep your thighs parallel, and feel like you are lifting up to bring the chest towards your chin. Stay for 12 deep breaths, and on an exhale, release your hands, and lower back down onto the mat.

4. Ustrasana (Camel Pose) : Come to a kneeling position with your knees and feet hip width apart. On an inhale, lift the chest up, up and up whilst arching and lengthening the whole spine, and place your hands lightly onto your heels. Tailbone is slightly drawn towards the pubic bone, and only if you are comfortable, drop the head back. Stay for 12 even breaths and enjoy the expansiveness of the front of your body. Option to tuck the toes for a more accessible modification.

5. Chakrasana (Wheel Pose) : From Setu Bandhasana, place your hands by your ears, with the fingers pointing towards your feet, and elbows parallel to one another. On an inhale, lift up into Chakrasana, with your arms straight. Keep your legs engaged by gently hugging your inner thighs to your midline. Breathe well and on an exhale, bend your arms and legs to lower back onto your mat. 

Come into Balasana (Child’s Pose) as a counter-pose, followed by Savasana for a few minutes.

End your practice with gratitude and love, to yourself and to others.

Namaste.

Angeline Liew is a Yoga Teacher-Trainer and Co-Founder of Prana Yoga KL. To connect with her for yoga tips and inspirations, follow her on Instagram @angelineliewyoga or practise with her at www.pranayogakl.com

The Heart of Summer

In Chinese medicine, the season of summer signifies expansion, growth, activity and creativity. It is ruled by the Fire element and governed by Heart.

Summer is considered the most Yang time of the year, meaning there is an increase in outdoor activities, our energy moves upward and outward and, the Spirit feels light and joyful. Summer days are about creating joy and laughter with family and friends, soaking in longer daylight to enjoy al fresco dinning or a nice walk in the park after work and, spending a relaxing weekend on the beach or exploring nature. On the contrary, summer can also cause damage and harm. Continuous days of high temperature and sweltering heat can cause heat-strokes and sleepless nights, taking a toll on the body and mind. And the potential of bush fires that threaten wildlife and people living in areas prone to it.

In Chinese medicine, a person’s constitution is governed by both Yin and Yang. Some will tend towards more one or the other or some will have a good balance of both. A person with a Cold constitution (constant cold hands and feet, takes a long time to warm up, dislikes winter), is more Yin in nature. They are the ones that look forward to summer and gravitate towards heat the most, which is Yang in nature. On the other end of the spectrum, a person with a Heat constitution (loves winter, feels the heat instantly, dislikes heat), is more Yang in nature and tends to struggle in summer. They will find the summer heat unpleasant, there will be lack of interest to participate in outdoor activities and have a preference to stay indoor to avoid the heat.

The Heart, the Organ that belongs to the summer season stores the Spirit (Shen). According to Chinese medicine, the Heart is responsible for ‘appropriate behaviour, timely interactions, being respectful, helpful and thoughtful’ (Kaptchuk, T., (2000). The Wed That Has No Weaver, p.88). As the Heart is ruled by the Fire element, it can be easily agitated by heat, generating Heart-Heat resulting in insomnia, anxiety, inappropriate or bizarre behaviour. Joy is the emotion of the Heart. Enjoying summer festivals with abundance of alcohol and food, laughter and gatherings can increase joy to the Heart. However, too much joy can also damage the Heart especially when we overdo it with without having sufficient rest and recovery in between activities. In Chinese medicine, we always advocate moderation and balance to generate a harmony between Yin and Yang, rest and activities and, excitement and calmness in the body and mind.

The warmer months provide us with produce that are vibrant in taste and colour and are cooling in temperature. Eating with the season is important as nature has a way of providing what is essential for the body to function during the season. Lighter meals are appropriate and suitable for the summer season and, prepared and cooked using simple and fresh produce. Food such as meat, eggs, and excesses of nuts, seeds and grains should be reduced in consumption to avoid sluggishness. Bitter, the flavour of summer is recommended to be consumed in small amount to cool the intensity of Fire/Heat in the body and, to nourish and settle the Heart (Spirit) during the warmer months.

Bitter foods:

Bitter - alfalfa, bitter melon, romaine lettuce, rye

Bitter & pungent - citrus peel, radish leaf, spring onion, turnip, white pepper

Bitter & sweet - amaranth, asparagus, celery, lettuce, papaya ,quinoa

Bitter & sour - vinegar

Summer nourishing foods includes:

Grains & seeds - amaranth, rice, quinoa, lotus seed, pearl barley

Beans - mung beans, bean sprouts

Vegetables - cucumber, asparagus, bamboo shoots, bok choy, broccoli, Chinese cabbage, corn, mushrooms, snow peas, spinach, summer squash, watercress, seaweed, romaine lettuce, celery, lettuce, bitter melon, scallion, radish leaf, wax gourd, lotus root

Fruit - apricot, cantaloupe, rock melon, watermelon, strawberries, nectarines, mango, peach, lemon, papaya, tomato

Protein - fish, prawns, crab, mussels, octopus, scallops, pork, chicken, tofu

Species - mint, coriander, dill, anise, basil

Salmon Ceviche Cups

A simple Asian inspired salmon ceviche by MG Test Kitchen for those lazy summer days or for canapes/starters on Christmas day. Enjoy!

Serves 4-6 people as a starter.

Ceviche marinade

• 2 stalks of lemongrass (only the lower bulbous half of the stalk), sliced and chopped finely

• 2 kaffir lime leaves (available from Asian supermarkets. These leaves may also be frozen for longer storage)

• Small to medium bag of coriander leaves and stalks

• Fish sauce to taste

• Dark brown sugar or palm sugar to taste (palm sugar is available in Asian grocers or in larger supermarkets in a thick liquid format or cylindrical blocks. The latter will need to be grated until you yield the desired amount of sugar)

• Garlic powder and pepper to taste

• 1 tbsp sesame oil

• Juice and finely grated rind of 1 - 2 limes (depending on how juicy the fruit is)

Salmon

• 800gm fresh salmon 

• 2 ripe avocados 

• Small bag of fresh coriander leaves

• Small bag of fresh mint leaves

• 2 tablespoons sesame seeds

To serve:

• 2 baby gem lettuce

• 20gm short or long grain white rice for the Toasted rice (optional)

• Fried shallots (available at most supermarkets or Asian supermarkets)

• Toasted peanuts, fine chopped 

Method:

1. Separate the baby gem lettuce into individual "cups" and rinse well.  Leave aside to dry

2. Make the toasted rice (if using) by dry frying the rice over a medium heat (no oil required). Remove the rice from the pan once it is a light brown colour and has a nutty aroma. Transfer the toasted rice to a mortar and pestle and crush until the rice grains look like grains of table salt.

3. Make the ceviche marinade by crushing the lemongrass, lime leaves, coriander leaves and stalks, and pepper in a mortar and pestle. You may need to divide this into two portions, depending on the size of your mortar and pestle. You may also use a food processor or a blender if you don't own a mortar and pestle, however you will get a much better flavour and aroma if you use a mortar and pestle as it releases the aromatic oils from the lemongrass and kaffir Iime leaves.

4. Once crushed to a fine paste, add the sesame oil, lime rind and juice. 

5. Add the garlic powder, dark brown sugar OR palm sugar and fish suace, all to taste (note: fish sauce is very salty so add a little at a time).  The marinade should be a balanced mix of savoury, sweet and sour flavours, and have viscous consistency. Set the marinade aside.

6. With a sharp knife, gently cut the salmon into 0.5 - 1cm cubes. 

7. Transfer the raw cubed salmon to a large non-reactive mixing bowl (glass, stainless steel or ceramic) and gently mix in the ceviche marinade. Cover with cling film and leave to marinade in the fridge for 20 - 30 minutes (this is longer than a traditional ceviche would call for, but I find that this is necessary for the fish to take on the flavours of this marinade).

8. While the fish is marinating, warm a small pan on a medium heat. Once the pan has warmed, toast the sesame seeds gently (no oil required), ensuring to toss the seeds every few minutes. Toast until fragrant and the seeds turn a light golden colour. Do keep an eye on the seeds as different stove tops will have varying heat. Sesame seeds can burn easily and taste acrid.

9. Clean and remove the remaining coriander leaves from the stalks. Chop finely and set aside. Reserve a small bowl to garnish the dish.

10. Repeat step 9 with the mint. 

11. Separate the avocado flesh from the skin and remove the stone. Gently cut the avocado into 0.5-1cm cubes (same size as the salmon).

12. Gently mix the toasted sesame seeds, chopped coriander, mint and avocado into the bowl of marinated salmon ceviche. Careful not to crush the avocado or salmon whilst mixing. Cover the bowl with cling film and store in the fridge if not serving immediately (it is preferably to serve this within the hour).

13. Arrange the baby gem lettuce cups on a large serving plate or on individual serving plates if serving a la carte. Spoon enough salmon ceviche into each lettuce cup and garnish with chopped mint, coriander, toasted rice (if using), fried shallots and finely chopped toasted peanuts.