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Traditional Chinese medicine encompasses several methods designed to help patients achieve and maintain health. Along with acupuncture, TCM incorporates adjunctive techniques such as acupressure and moxibustion; manipulative and massage. Keep informed on current news in the world of Traditional Chinese Medicine. Home > Diet & Nutrition > TCM Diet TCM and Diet By Victoria Dragon One of the things I most like about TCM is the recognition of individuality. This also extends to dietary There are. Traditional Chinese medicine is an ancient practice that includes herbal remedies, acupuncture, and massage therapy. Check out this article to learn more about the herbs and herbal remedies used in traditional Chinese medicine. Traditional Chinese Medical. Diabetes Spectrum. Abstract. In Brief. Traditional Chinese medicine (TCM) is a system of healing that is thousands of years old. 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Western or conventional therapies for diabetes have been geared toward regulating blood glucose with a combination of diet modification, insulin and/or oral pharmacological agents, weight loss when appropriate, and exercise. Although Western medicine and Traditional Chinese medicine (TCM) share the diabetes treatment goals of reducing symptoms and preventing complications, their approaches to conceptualizing, diagnosing, and treating the disease are very different. This article will outline the key concepts and therapies of TCM that play a role in the evaluation and treatment of diabetic patients. Traditional Chinese Medicine. TCM is a system of healing that originated thousands of years ago. It has evolved into a well- developed, coherent system of medicine that uses several modalities to treat and prevent illness. The most commonly employed therapeutic methods in TCM include acupuncture/moxibustion, Chinese herbal medicine, diet therapy, mind/body exercises (Qigong and Tai Chi), and Tui Na (Chinese massage). TCM views the human body and its functioning in a holistic way. From this perspective, no single body part or symptom can be understood apart from its relation to the whole. Unlike Western medicine, which seeks to uncover a distinct entity or causative factor for a particular illness, TCM looks at patterns of disharmony, which include all presenting signs and symptoms as well as patients’ emotional and psychological responses. Humans are viewed both as a reflection of and as an integral part of nature, and health results from maintaining harmony and balance within the body and between the body and nature. Two basic TCM theories explain and describe phenomena in nature, including human beings: Yin- Yang Theory and the Five Phases Theory or Five Element Theory. Yin and Yang are complementary opposites used to describe how things function in relation to each other and to the universe. They are interdependent—one cannot exist without the other, and they have the ability to transform into each other. The traditional Yin- Yang symbol (Figure 1) depicts the Yin (the dark side) flowing into the Yang (the light side) and vice versa. The dots within each side symbolize that there is always a bit of Yin within Yang and a bit of Yang within Yin; there are no absolutes. All physiological functions of the body, as well as the signs and symptoms of disease, can be differentiated on the basis of Yin and Yang characteristics. The Chinese character for Yin originally meant the shady side of a slope. Qualities characteristic of Yin include cold, stillness, darkness, inwardness, passivity, decrease, and downwardness. In contrast, the Chinese character for Yang originally meant the sunny side of the slope, and qualities characteristic of Yang include heat, movement, brightness, outwardness, stimulation, excitement, increase, and upwardness. Illnesses that are characterized by coldness, weakness, slowness, and underactivity are considered Yin (e. Illnesses that manifest strength, forceful movement, heat, and overactivity are Yang (e. The theory of Five Phases, Wu Xing, is a means of classifying phenomena in terms of five basic processes represented by the elements wood, fire, earth, metal, and water. There exists a dynamic balance and relationship among the elements such that if the balance is interrupted or destroyed, pathological changes may occur. The clockwise movement of one element into the next (wood, fire, earth, and so forth) whereby one element generates, acts on, or promotes the following element, is referred to as the Sheng cycle. The Ke cycle represents an element acting on or controlling another element in a different order (Figure 2). Within the model of Five Phases, each element is associated with an organ. Wood is associated with the liver, fire with the heart, earth with the spleen- pancreas- stomach, metal with the lungs, and water with the kidneys. In addition, other phenomena, such as seasons, cardinal directions, weather, color, and emotions, are associated with each element. Within the TCM model, diagnostic information is gained by finding out patients’ favorite season, color, and predominant emotion(s). Key Concepts Within TCMQi. Qi (pronounced “chi”) is translated into English as vital energy. It is defined in terms of function rather than as a discrete substance, and it is what animates us and allows us to move and maintain the activities of life. The origins of Qi include “congenital”’ (prenatal) Qi—that which is inherited from our parents—and “acquired” Qi—that which is incorporated from food and air. Two major patterns of disharmony are associated with Qi. Deficient Qi occurs when there is insufficient Qi to perform the functions of life. Deficient Qi may affect one or more organs or the entire body. If the latter occurs, then the patient may experience lethargy, fatigue, and lack of desire to move. Stagnant Qi refers to impairment of the normal movement of Qi through the meridians (see discussion below) and may result in aches and pains in the body. Meridians. Meridians are the channels or pathways through which Qi is constantly flowing and circulating throughout the body. There are 1. 2 regular meridians and 8 extra or “curious” meridians. The 1. 2 main meridians correspond to 1. The Chinese concept of organs corresponds only loosely to the Western concept. TCM associates specific functions, symptoms, emotions, colors, and tastes with each organ, whereas the Western view is limited primarily to function. Qi must flow in the correct quantity and quality through the meridians and organs for health to be maintained. Acupuncture, the insertion of thin, solid metal needles, is performed on 1 or more of the 3. Qi. 5 Other techniques may be used to stimulate acupuncture points, such as moxibustion, in which the herb “moxa” (Artemesia vulgaris) is used to warm the acupuncture point either above or on the skin. Applied pressure (acupressure), lasers, and magnets also may be used to stimulate acupuncture points. Jing. Jing, usually translated as “essence,” is the substance that is the underpinning of all organic life. Qi is responsible for the ongoing day- to- day movements and function of the body, whereas Jing can be considered an individual’s constitutional makeup. According to TCM, Jing is stored in the kidneys. Shen. Shen is considered to be the psyche or spirit of the individual. Shen is the vitality behind Jing and Qi in the human body. The three elements together—Qi, Jing, and Shen—are referred to collectively in TCM as the “Three Treasures” and are believed to be the essential components of life. Blood. According to TCM, the major activity of the blood is to circulate through the body, nourishing and moistening the various organs and tissues. Disharmonies of the blood may manifest as “deficient” blood or “congealed” blood. If deficient blood exists and affects the entire body, the patient may present with dry skin, dizziness, and a dull complexion. Congealed blood may manifest as sharp, stabbing pains accompanied by tumors, cysts, or swelling of the organs (i. The key organs associated with blood are the heart, liver, and spleen. Fluids. Fluids are bodily liquids other than blood and include saliva, sweat, urine, tears, and semen. Fluids act to moisten both the exterior (skin and hair) and the internal organs. Disharmonies of fluids may result in dryness and excess heat. The key organs involved in the formation, distribution, and excretion of fluids are the lungs, spleen, and kidneys. Diagnosis in TCMWhen evaluating patients with a chronic illness such as diabetes, TCM practitioners take a detailed, multi- system case history and supplement this information with observations that give information about the state of the patient’s health. These observations include the shape, color, and coating of the tongue; the color and expression of the face; the odor of the breath and body; and the strength, rhythm, and quality of the pulse. Many practitioners will palpate along meridians to detect points of tenderness that may indicate a blockage in the flow of Qi at that point. One of the most common ways of differentiating symptoms and syndromes in TCM is according to the Eight Principles—four pairs of polar opposites: Yin and Yang, Interior and Exterior, Cold and Heat, and Deficiency and Excess. Characteristics of the Eight Principles are summarized in Tables 1 and 2. TCM Classification of Diabetes. The Chinese language includes two terms for diabetes. The traditional name, Xiao- ke, correlates closely with diabetes in most instances. Xiao- ke syndrome means “wasting and thirsting.” The more modern term, Tang- niao- bing, means “sugar urine illness.” Reference to diabetes by the traditional term appears in the earliest texts, including the first medical text in Chinese history, Huang Di Nei Jing, or The Yellow Emperor’s Inner Classic. Diabetes is classically divided into three types: upper, middle, and lower Xiao- ke. Each has characteristic symptoms. Nutrient Density: Establishing a Healthy Dietary Ideal. Most vegetarian diets are low in or devoid of animal products. Vegetarian diets usually exclude meat, chicken and fish. Some vegetarians choose to eat eggs and dairy products, while some exclude these foods too. Decoded for Vegans and Vegetarians! Vegetarian diet: How to get the best nutrition. Planning a healthy vegetarian diet. The key to a healthy vegetarian diet — like any diet — is to include a variety of foods. No single food can provide all the nutrients your body needs. A registered dietitian can help you create a vegetarian diet that's right for you. Healthy vegetarian eating pattern. In the vegan world (and in other dietary perfectionist circles), many produce items, nuts, and seeds are broken down into their pieces and dissected to figure out. Find out how the Nutritarian Diet can help you. The Nutritarian Program Meeting Protein Needs on a Vegan Diet. This is the wrong interpretation of a Nutrient Dense or . A few months back I was debating a student of mine in PerformanceLifestyle training on the. 8 Tips For Losing Weight On A Vegan Diet. Organic food usually comes from nutrient dense soil which results in. Food group. Recommended servings for 2,0. Source: 2. 01. 5- 2. Dietary Guidelines for Americans. Vegetables. 2 1/2 cups a day. Dark green. 1 1/2 cups a week. Red and orange. 5 1/2 cups a week. Legumes (beans and peas)3 cups a week. Starchy. 5 cups a week. Other. 4 cups a week. Fruits. 2 cups a day. Grains. 6 1/2 ounces a day. Whole grains. A vegan diet, for example, eliminates natural food sources of vitamin B- 1. To be sure that your diet includes everything your body needs, pay special attention to the following nutrients: Calcium and vitamin DCalcium helps build and maintain strong teeth and bones. Milk and dairy foods are highest in calcium. However, dark green vegetables, such as turnip and collard greens, kale, and broccoli, are good plant sources when eaten in sufficient quantities. Calcium- enriched and fortified products, including juices, cereals, soy milk, soy yogurt and tofu, are other options. Vitamin D also plays an important role in bone health. Vitamin D is added to cow's milk, some brands of soy and rice milk, and some cereals and margarines. Be sure to check food labels. If you don't eat enough fortified foods and have limited sun exposure, you may need a vitamin D supplement (one derived from plants). Vitamin B- 1. 2Vitamin B- 1. This vitamin is found almost exclusively in animal products, so it can be difficult to get enough B- 1. Vitamin B- 1. 2 deficiency may go undetected in people who eat a vegan diet. This is because the vegan diet is rich in a vitamin called folate, which may mask deficiency in vitamin B- 1. For this reason, it's important for vegans to consider vitamin supplements, vitamin- enriched cereals and fortified soy products. Protein. Protein helps maintain healthy skin, bones, muscles and organs. Eggs and dairy products are good sources, and you don't need to eat large amounts to meet your protein needs. You can also get sufficient protein from plant- based foods if you eat a variety of them throughout the day. Plant sources include soy products and meat substitutes, legumes, lentils, nuts, seeds, and whole grains. Omega- 3 fatty acids. Omega- 3 fatty acids are important for heart health. Diets that do not include fish and eggs are generally low in active forms of omega- 3 fatty acids. Canola oil, soy oil, walnuts, ground flaxseed and soybeans are good sources of essential fatty acids. However, because conversion of plant- based omega- 3 to the types used by humans is inefficient, you may want to consider fortified products or supplements or both. Iron and zinc. Iron is a crucial component of red blood cells. Dried beans and peas, lentils, enriched cereals, whole- grain products, dark leafy green vegetables, and dried fruit are good sources of iron. Because iron isn't as easily absorbed from plant sources, the recommended intake of iron for vegetarians is almost double that recommended for nonvegetarians. To help your body absorb iron, eat foods rich in vitamin C, such as strawberries, citrus fruits, tomatoes, cabbage and broccoli, at the same time as you're eating iron- containing foods. Like iron, zinc is not as easily absorbed from plant sources as it is from animal products. Cheese is a good option if you eat dairy products. Plant sources of zinc include whole grains, soy products, legumes, nuts and wheat germ. Zinc is an essential component of many enzymes and plays a role in cell division and in formation of proteins. Iodine. Iodine is a component in thyroid hormones, which help regulate metabolism, growth and function of key organs. Vegans may not get enough iodine and may be at risk of deficiency and possibly even a goiter. In addition, foods such as soybeans, cruciferous vegetables and sweet potatoes may promote a goiter. However, just 1/4 teaspoon of iodized salt a day provides a significant amount of iodine. Getting started. One way to transition to a vegetarian diet is to gradually reduce the meat in your diet while increasing fruits and vegetables. Here are a couple of tips to help you get started: Ramp up. Each week increase the number of meatless meals you already enjoy, such as spaghetti with tomato sauce or vegetable stir- fry. Find ways to include greens, such as spinach, kale, Swiss chard and collards, in your daily meals. Substitute. Take favorite recipes and try them without meat. For example, make vegetarian chili by leaving out the ground beef and adding an extra can of black beans. Or make fajitas using extra- firm tofu rather than chicken. You may be surprised to find that many dishes require only simple substitutions. Branch out. Scan the Internet for vegetarian menus. Buy or borrow vegetarian cookbooks. Check out ethnic restaurants to sample new vegetarian cuisines. The more variety you bring to your vegetarian diet, the more likely you'll be to meet all your nutritional needs. March 1. 4, 2. 01. Messina V, et al. A new food guide for North American vegetarians. Journal of the American Dietetic Association. Vegetarian diets. American Heart Association. Accessed April 1. Duyff RL. Food choices: The consumer marketplace. In: American Dietetic Association Complete Food and Nutrition Guide. Hoboken, N. J.: John Wiley & Sons; 2. Position of the American Dietetic Association: Vegetarian diets. Journal of the American Dietetic Association. Marsh K, et al. Meeting nutritional needs on a vegetarian diet. Australian Family Physician. Dietary Guidelines for Americans U. S. Department of Health and Human Services and U. S. Department of Agriculture. Nutrition concerns and health effects of vegetarian diets. Nutrition in Clinical Practice. Health effects of vegan diets. American Journal of Clinical Nutrition. S. Vegetarian and vegan diet pyramid. Oldways Preservation Trust. Accessed April 1. The basics of plant food nutrition. Oldways Preservation Trust. Accessed April 1. Vegetarian diet and health. Oldways Preservation Trust. Accessed April 1. Colditz GA. Healthy diet in adults. Accessed April 1. Healthy eating for vegetarians. Department of Agriculture. Accessed April 1. Demory- Luce D, et al. Vegetarian diets for children. Accessed April 1. Le LT, et al. Beyond meatless, the health effects of vegan diets: Findings from the Adventist Cohorts. Nelson JK (expert opinion). Mayo Clinic, Rochester, Minn. April 2. 0, 2. 01. See more In- depth. |
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