Showing posts with label Qing Dai. Show all posts
Showing posts with label Qing Dai. Show all posts

Wednesday, August 28, 2013

Chinese Medicine Dietetics Clears Acne & Skin Disorders

Toxicity in the skin leads to conditions such as eczema, hives, rashes and acne. A few changes in the diet help to clear the skin. According to Chinese Medicine principles, skin swellings are often due to damp-heat toxins, Stomach heat, heat in the Blood, Liver heat, Qi stagnation, wind-heat, Blood deficiency and Yin deficiency. Although this is not a complete list of differential diagnostics associated with skin conditions, it represents a vast majority of cases in a typical clinical presentation at an acupuncture office. Today, I’d like to review simple recipes that benefit the skin.
For most acupuncturists, the usual do’s and don’ts apply to patient recommendations. The don’ts are the usual culprits: deep fried foods, dairy products, refined sugar, barbecue dishes, excessively hot and spicy dishes and foods that have a Fa nature. Prof. Jeffrey Pang, L.Ac. and I often review the basics of Fa foods in our online Chinese Medicine dietetics webinars for acupuncture CEU credit. Foods with a Fa nature are those that stimulate pathogenic factors and create disharmonies such as toxicity, phlegm and damp-heat. Fa foods exacerbate inflammatory conditions and have a deleterious effect on skin disorders, wound healing, allergies, tumors and cancer. Regarding wound healing, a diet filled with Fa foods may lead to scar formation.
Fa foods are relative to the patient’s differential diagnosis. 
  • Patients with heat conditions react to foods such as chives, ginger, peppers, goat meat, dog meat, rooster and barbecue items. 
  • Patients with wind conditions react to shellfish such as shrimp and crabs and also fish that do not have scales. 
  • Patients with damp conditions react to Yi Tang, Nuo Mi, Ji Niang, Mi Jiu and tropical fruits such as Mango, Lychee and Liu Lian. 
  • Patients with cold conditions should avoid cooling foods such as pear, persimmon and raw foods. 
  • Patients with Qi and Blood deficiency do well to avoid blood invigorating herbs such as chili peppers and white pepper. 
  • Patients with Qi stagnation or Stomach food stagnation issues do well to avoid potatoes and beans. 

Although many of the aforementioned foods can be a healthy addition to one’s diet, they take on a Fa nature if they are not properly match to the patient’s underlying constitution.
Let’s take a look at some simple food items and recipes that benefit the skin. One Chinese herbal medicine that is available in Asian supermarkets as an instant breakfast cereal is Yi Yi Ren. Simply add hot water to powdered Yi Yi Ren, stir and consume as a porridge. Yi Yi Ren is often labeled as pearl barley, coix seeds or Job’s tears in supermarkets. Yi Yi Ren drains the dampness, promotes urination, clears wind-dampness, clears heat and eliminates pus. Yi Yi Ren is slightly cold, sweet and bland. Yi Yi Ren is often added to herbal formulas for the treatment of edema, dysuria, difficult urination, urinary tract stones, diarrhea, arthritis, joint pain, muscle spasms, lung abscesses, intestinal abscesses, carbuncles, acne, vaginal yeast infections and appendicitis. Yi Yi Ren is very mild and therefore is rarely the chief herb of an herbal formula. However, as a consistent supplement to one’s diet, Yi Yi Ren exerts powerful effects on the skin. It helps to clear swellings, general inflammation and smoothes the skin. Yi Yi Ren adds a clarity and healthy luminance to the skin.
A simple snack to clear heat and toxins from the skin is made with mung beans and seaweed: Hai Zao (hijiki, sargassum), Kun Bu (kelp, Ecklonia kurome Okam.) and/or Hai Dai (kelp, konbu, kombu, Laminaria japonica Aresch.). For frequent use, Hai Zao is not recommended but rather Kun Bu and Hai Dai are better choices. Hai Zao, although more potent medicinally for thyroid disorders and swellings, may contain trace amounts of inorganic arsenic and may not be appropriate as an everyday snack. The source of the seaweed often determines if contaminants have been absorbed. Notably, all three seaweeds are also helpful in the treatment of obesity, hyperlipidemia and arteriosclerosis.
No conversation about benefitting the skin with dietetics is complete without mentioning  jellyfish. Jellyfish dissolves nodules and clears heat and toxins. It can be served as a noodle and lightly sprinkled with sesame seeds for finish. Never sauté jellyfish. This will ruin its consistency and medicinal function. After purchasing jellyfish at your local Asian supermarket, simply boil it for a few minutes to cleanse and prepare it for consumption. Next, add seasonings such as soy sauce or Chinese vinegar. Jellyfish powerfully clears the skin and is an excellent choice for someone wanting to shed a few pounds of fat. Jellyfish also helps to dissolve tumors and phlegm nodules.
That brings me to a simple external application for the treatment of acne. Take powdered Qing Dai (indigo) and add either a little cucumber or bitter melon juice to form a paste. Apply externally to acne and other skin swellings and retain for no less than 20 minutes. Powdered Qing Dai tends to repel water and therefore the vegetable juices are easier to mix. Cucumber and bitter melon juices tend to help Qing Dai form a more usable paste that is easy to manage. If cucumber and bitter melon are unavailable, use Qing Dai with water. Be prepared to work the water into the Qing Dai with a whisk or brush. Warn anyone using Qing Dai that it stains clothing. I recommend wearing an old T-shirt when preparing and applying the paste. This paste is very effective and has the ability to clear deep cystic acne.
Qing Dai enters the Liver, Lung and Stomach channels and is cold and salty. Qing Dai clears heat and toxins and also cools the blood and stops bleeding. Qing Dai is commonly used in the treatment of mouth & tongue ulcers, eczema, boils, skin eruptions, pharyngitis, tonsillitis, laryngitis, epistaxis, coughing with blood and blood in the sputum.
Bitter melon juice is the preferred binding agent for the Qing Dai external application paste due to its powerful function but cucumber is also an excellent choice. Cucumber is naturally beneficial to the skin and clears lung & stomach heat. Bitter melon has a more potent, herbal level, medicinal effect but availability becomes an issue if one does not have access to an Asian market. Bitter melon (Ku Gua) originated in India and it powerfully clears heat and toxins. Research demonstrates that bitter melon has anti-cancer and anti-inflammatory medicinal effects. Bitter melon is an excellent choice for diabetics because of its ability to lower blood sugar levels. Bitter melon is especially potent in treating acne and gum inflammation.
- See more at: http://www.healthcmi.com/blog/749-acnekunbu#sthash.TCwG6pNa.dpuf

Traditional Chinese Medicine Topical for Acne

External pastes for the treatment of acne complement internal herbal medicine and acupuncture. A great external paste for the treatment of acne is comprised of Qing Dai (Indigo Naturalis) mixed with either fresh bitter melon or cucumber juice. This is a handy external paste that has been presented in HealthCMi dietetics and dermatology webinars and online courses for acupuncture CEU & PDA continuing education credit.
Qing Dai enters the Lung, Liver and Stomach channels. Qing Dai clears heat and toxins, cools the blood and stops bleeding. Order Qing Dai in the powdered raw herb form. It is best to avoid raw herbs that have been processed with sulfur and phosphates, please check with your supplier.
If a patient tries to make a paste from Qing Dai with boiling water, the Qing Dai will repel the water. A concerted effort of whisking does make this possible but the process is slightly tedious. The use of bitter melon or cucumber juice makes the mixing process much easier for the patient. Have the patient squeeze the bitter melon or cucumber to produce a small amount of juice to help mix the Qing Dai powder into a paste. Bitter melon is significantly more clinically effective, however, cucumber is more available and its ability to clear Lung and Stomach heat works well with Qing Dai.
The patient takes the paste and generously applies it to the areas where the acne is located. It is best to leave the paste on the affected regions for at least twenty minutes but longer periods are preferred. Next, the patient carefully washes off the paste. It is best to repeat this process everyday until the acne resolves.
Inform the patient that Qing Dai imparts a temporary green color to the skin, which is not permanent. The patient should be prepared to wash thoroughly in order to remove all of the green coloring. In addition, the patient needs to know that Qing Dai stains clothing and that it is often best to wear an old shirt when applying the paste. To learn more about Traditional Chinese Medicine dietetics and the treatment of acnehttp://www.healthcmi.com/blog/749-acnekunbu
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New Research - Chinese Herb & Acupuncture Clear Ulcerative Colitis

New research finds a very powerful Traditional Chinese Medicine (TCM) herb effective in resolving ulcerative colitis. The patients examined in the study published in the World Journal of Gastroenterology suffered from intractable ulcerative colitis and were unresponsive to conventional drug therapy. After use of the herbal medicine, 6 of the 7 patients in the study were able to completely discontinue the use of anti-inflammatory medications. This included the use of aminosalicylates, corticosteroids and azathioprine. Endoscopy and symptomatic responses showed everything from significant clinical improvements to a complete resolution of the condition.
Herbal Powder
The patients orally self-administered 1 gram of Qing Dai (Indigo Naturalis) powder, 2 times per day for 4 months. The results of the herbal program demonstrated significant clinical and objective improvements such that 6 of the 7 patients completely discontinued the use of prednisolone, a corticosteroid used to control ulcerative colitis. The researchers examined Qing Dai to learn more about its effective mechanisms of action. Using electron spin resonance, they discovered that Qing Dai has potent hydroxl radical scavenging activity. This discovery prompted the researchers to recommend further investigation into the mechanisms of Qing Dai’s anti-inflammatory effects.
This research coincides with other recent research demonstrating that acupuncture and herbal medicine are effective in the clearing of chronic ulcerative colitis. Published in the Clinical Journal of Chinese Medicine, the study showed that a combination of herbal enemas consisting of Ku Shen and Bai Tou Weng combined with an acupuncture treatment regime was significantly more effective than taking antibiotics for resolving ulcerative colitis.
The Qing Dai study examined the oral administration of Qing Dai in its powdered form. Qing Dai has received a great deal of attention in modern research. One recent research study found that I3M, synthesized from the indirubin found in Qing Dai, downregulates cancerous tissues when applied topically to oral cancer. This shows great potential for the treatment of oral cancer. Historically, TCM documents Qing Dai as an important herb in the treatment of ulcers in the mouth and tongue. TCM also documents the use of Qing Dai as a topical paste for the treatment of acne and topical ointment for the treatment psoriasis. HealthCMi recently published instructions on how to prepare the anti-acne topical paste in its blog section. Visit the Healthcare Medicine Institute's blog to learn more.  http://www.healthcmi.com/blog/815-qingdaiceu
The I3M study cited the TCM formula Dang Gui Long Hui Wan as an historically important herbal compound for the treatment of chronic myelocytic leukemia. Many sources include Qing Dai as one of the ingredients in this formula that contains Dang Gui, Long Dan Cao, Zhi Zi, Huang Lian, Huang Bai, Huang Qin, Lu Hui, Da Huang, Qing Dai, Mu Xiang, She Xiang and Sheng Jiang. The researchers suggest that the indigo dye found in Qing Dai is partially responsible for the herbal formula’s efficaciousness given the modern research demonstrating that indirubin powerfully inhibits several types of human cancer cells. The Qing Dai researchers noted that modern studies demonstrate that indirubin has anti-inflammatory effects by suppressing interferon-alpha, interleukin-6 and nuclear factor. They added that Qing Dai has been shown to exert anti-inflammatory “effects on human neutrophils based on its ability to suppress superoxide generation.”
Clinical Highlight
The Qing Dai study highlighted specific clinical results of its participants. One patient vignette was of a man suffering from ulcerative colitis with hematochezia, the passage of fresh blood through the anus. This patient had taken antibiotics and prednisolone to control the hematochezia. However, he was unable to reduce the dosage of prednisolone without the return of hematochezia. Over time, the patient needed to increase the drug dosages to maintain clinical results and he showed no clinical improvements in his baseline condition. After 3 years, he began the Qing Dai treatments and after one month the hematochezia resolved completely. Objective testing also showed a marked decrease in serum C-reactive protein levels. The patient was able to discontinue the use of all drugs. Endoscopy revealed that his ulcers completely disappeared. A follow-up confirmed that the therapeutic effect of Qing Dai therapy lasted for more than 2 years.
The researchers note that other related research finds important clinical results from the use of Qing Dai. Yuan, et al, discovered that Qing Dai enemas are clinically effective for the treatment of chronic hemorrhagic radiation proctitis. Given the recent research combining acupuncture with herbal medicine demonstrating that enemas of Ku Shen combined with Bai Tou Weng are effective for the treatment of ulcerative colitis, it may be consistent that adding Qing Dai to the enema will enhance its therapeutic effects.
Distinct from Qing Dai used as a one herb formula for the treatment of chronic ulcerative colitis is its use within herbal formulas within the scope of Traditional Chinese Medicine (TCM). Differential diagnostics within the TCM system recognise Qing Dai’s appropriate application for this biomedically defined disorder in cases of Heat in the Blood, Damp Heat and Heat and Toxins. However, some clinical presentations of chronic ulcerative colitis may be due to cases of cold and deficiency. In these instances, herbal medicines with very different biological functions may exert more effective clinical actions for the treatment of chronic ulcerative colitis.
References:
Suzuki, Hideo, Tsuyoshi Kaneko, Yuji Mizokami, Toshiaki Narasaka, Shinji Endo, Hirofumi Matsui, Akinori Yanaka, Aki Hirayama, and Ichinosuke Hyodo. "Therapeutic efficacy of the Qing Dai in patients with intractable ulcerative colitis." World journal of gastroenterology: WJG 19, no. 17 (2013): 2718.
Clinical observation on treating chronic ulcerative colitis with retention enema by Baitouweng Kushen decoction and acupuncture, Clinical Journal of Chinese Medicine, 1674-7860, 2013.
Lo W-Y, Chang N-W (2013) An Indirubin Derivative, Indirubin-3′-Monoxime Suppresses Oral Cancer Tumorigenesis through the Downregulation of Survivin. PLoS ONE 8(8): e70198. doi:10.1371/journal.pone.0070198.Editor: A. R. M. Ruhul Amin, Winship Cancer Institute of Emory University, United States of America.
Yuan G, Ke Q, Su X, Yang J, Xu X. Qing Dai, A traditional Chinese medicine for the treatment of chronic hemorrhagic radiation proctitis. Zhong De Linchuang Zhongliuxue Zazhi. 2009;8:114–116.
Lin YK, Leu YL, Huang TH, Wu YH, Chung PJ, Su Pang JH, Hwang TL. Anti-inflammatory effects of the extract of indigo naturalis in human neutrophils. J Ethnopharmacol. 2009;125:51–58.
- See more at: http://www.healthcmi.com/acupuncturist-news-online/814-ulcerativecolitis67#sthash.NACbCbI5.dpuf