Acne from a Western and TCM Point of View

Acne from a Western and TCM Point of View



If you are struggling for a solution to your acne, this may shed some light on what you're dealing with and possible solutions to treat it. I am writing this because an adult that I know has recently had an increased amount of acne show up on his face. He has been self conscious and frustrated that he has had to deal with acne again after withstanding a similar battle, in high school. He has searched the internet and found information that says he should drink coconut water, plenty of regular water, wash his face often, try eliminating stress in his life, and possibly see a dermotologist. He isn't too fond of the thought of seeing a doctor to resolve this issue, so that's out of the question, but he does want to try and resolve this issue on his own. As a witness to the aggravation that comes along with each bump that appears on his face I decided to do some research of my own. I hope and pray that he will be receptive to the information that I have found and that he may find a resolution to his issue.

In beginning my search, I first looked at his lifestyle; I know that he has handled what to most may seem like a stressful situation, fairly well, he eats fairly well but does tend to eat fried food a couple days a week, and he is a smoker. I figured that smoking is where the root of the problem lies, and that no matter what other preventitive measures were taken, if the smoking isn't eliminated the acne may be a continual problem, so I asked if he had thought of that and if anything he read mentioned discontinuing smoking to help with acne issues. Unfortunately, he had not seen anything on this subject. Disappointed in that answer my journey begins and some interesting information was found not directly connecting the smoke to the problem, as much as I had hoped, but interesting just the same....

First, we need to know what we're dealing with here, so I decided to look into things from a Western point of view. According to the Merck Manual Home Health Book acne is caused by an interaction between hormones, skin oils, and bacteria, which results in inflammation of hair follicles. Acne is characterized by pimples, cysts, and sometimes abscesses. Both cysts and abscesses are pus-filled pockets, but abscesses are somewhat larger and deeper.

Sebaceous glands, lie in the the middle layer of skin (dermis), and these glands are attached to the hair follicles. Sebum (oily substance that is secreted by the sebaceous glands), along with dead skin cells, passes up from the sebaceous gland and hair follicle and out to the surface of the skin through the pores.
Acne results when a collection of dried sebum, dead skin cells, and bacteria clogs the hair follicles, blocking the sebum from leaving through the pores. If the blockage is incomplete, a blackhead (open comedone) develops; if the blockage is complete, a whitehead (closed comedone) develops. The blocked sebum-filled hair follicle promotes overgrowth of the bacterium Propionibacterium acnes, which is normally present in the hair follicle. This bacterium breaks down the sebum into substances that irritate the skin. The resulting inflammation produces the skin eruptions that are commonly known as acne pimples. Deeper inflammation produces cysts and sometimes an abscess.

General care of acne is very simple. Affected areas should be gently washed once or twice a day with a mild soap. Antibacterial or abrasive soaps, alcohol pads, and heavy frequent scrubbing provide no added benefit and may further irritate the skin. Cosmetics should be water-based; very greasy products can worsen acne. Although there are no restrictions on specific foods (for example, pizza or chocolate), a healthy, balanced diet should be followed.

Mild Acne: Drugs used to treat mild acne are applied to the skin (topical drugs). They work by either killing bacteria (antibacterials) or drying up or unclogging the pores. The two most commonly prescribed antibacterials are the antibiotics clindamycin and erythromycin. Benzoyl peroxide, another effective antibacterial, is available with or without a prescription. Older nonprescription creams that contain salicylic acid, resorcinol, or sulfur work by drying out the pimples and causing slight peeling. These drugs, however, are less effective than antibiotics or benzoyl peroxide. If topical antibacterials fail, doctors use other topical prescription drugs that help unclog the pores. The most common such drug is tretinoin. Tretinoin is very effective but is irritating to the skin and makes it more sensitive to sunlight. Doctors therefore use this drug cautiously, starting with low concentrations and infrequent applications, which can be gradually increased. Benzoyl peroxide inactivates tretinoin, so the two must not be applied together. Blackheads and whiteheads can be removed by a doctor. A large pimple may be opened with a sterile needle. Other instruments, such as a loop extractor, can also be used to drain plugged pores and pimples. Moderate Acne: Moderate acne is usually treated with antibiotics given by mouth. Doctors often combine a topical treatment and an oral antibiotic. People may need to take antibiotics for weeks, months, or even years to prevent a recurrence. Women who take antibiotics for a long time sometimes develop vaginal yeast infections that may require treatment. Severe Acne: For the most severe acne, when antibiotics do not work, oral isotretioin (also known as accutane) is the best treatment. Isotretionoin, which is related to the topical drug tretinoin, is the only drug that can potentially cure acne. However, isotretinoin can have very serious side effects. Isotretinoin can harm a developing fetus, and women taking it must use strict contraceptive measures so they do not become pregnant. Other, less serious side effects may occur as well.
Hmmmm, very interesting, yet some of these treatments seemed harsh, so the next step was to look into things from a Traditional Chinese Medicine point of view.

Traditional Chinese Medicine considers acne as a skin condition that is mainly associated with the pathogenic effects of Heat on the Fundamental Substances, the meridians and the Zang Fu organs. Excessive heat may result from improper diet, stress, fatigue, genetic condition or a natural increase of Yang energy that is typical in puberty.

Heat may have an effect on the Stomach or Lung Meridians and can travel to the facial skin and the skin of the chest where acne’s characteristic inflammation can occur. If the acne appears on the back, it means the Heat escaped from the Small Intestine and Bladder channel. In the Lung Meridian, the External Pathogen of the Wind aggravates Heat may also change into Toxic Heat or affect the Blood and cause lesions. Lastly, emotional wellbeing is also a factor in the formation of acne. Very intense emotions of stress, anxiety, sadness, or anger can disrupt the body’s harmony and lead to Qi stagnation, causing Heat to transmit to the surface of the skin and manifest as acne.

In Traditional Chinese Medicine theory, the Liver also has a close energy relationship with the Stomach—it "controls" the Stomach. This means that when Stomach energy or Qi is in a state of excess, the Liver's job is to bring it back into balance. A red nose is a clear signal that there is excess Stomach Qi and it has stagnated, in turn causing a lot of heat to build up. This heat is then reflected on the face and the nose in particular. People who suffer from this type of acne rosacea might first experience bad breath, heartburn and constipation. Women may experience a menstrual cycle disorder preceding the condition. These are all early warning signs of a Liver function disorder. Stress, anger, or some kind of emotional disorder has impacted the way the Liver works and now prevents Liver energy from flowing freely.

Chinese Medicine perceives that acne and rosacea may be caused by three groups of factors:

• Lung Heat
- the "heat" already residing in the lung that subsequently 'fire' toxin on the face.

Yang Ming- this includes accumulation of heat in the stomach and large intestine, or the excess of rich and fatty food leading subsequently to 'fire' toxin on the skin.

Ren and Chong Channels not regulated

- this occurs in post-adolescent female acne. Typically it involves a mixture of pre-disposition and emotional factors, as well as coming off the contraceptive pill after being on it for a few years. The basic treatment principle for acne in TCM is to clear Heat from the appropriate meridian, Zang Fu Organ, or Fundamental Substance, thus removing the underlying energetic cause of the disease.One TCM method that can be used to relieve acne symptoms is acupuncture but the preferred modality to treat acne is Chinese herbal medication.

To use herbal medicine, a combination of herbs will be prescribed according to the diagnosed type of pathogenic Heat in the body. An individual can take in herbal formulations, which may come in liquid, tablet or powder form, and apply a topical solution to the affected area to reduce inflammation and prevent new acne formation. Herbal medicine also lessens internal dampness and enhances the function of the intestines to prevent toxic buildup that contributes to acne.

Since nutrition plays a significant role in Traditional Chinese Medicine, the TCM physician will also include dietary recommendations in the acne treatment regimen. A low-carbohydrate and high-protein diet is advised while fried and processed foods should be avoided. TCM also stresses lifestyle changes, resulting in not just acne treatment but the restoration of balance in the body.

According to TCM, smoking affects the functions of the heart, pericardium, lung, spleen and stomach, especially leading to disorder of pulmonary Qi. Therefore, it only made sense that although the smoking may not be the "cause" of acne, smoking would definitely aggravate an existing heat disharmony in the body. I also found that the primary areas of his acne fell right along both the stomach (ST-3) and large intestine (LI-19 and LI-20) meridians on his face. This I found interesting because these areas were listed under the Yang Ming factor of causes, which points to diet being a large influence on the recent outbreak, according to Tradional Chinese Medicine, where Western medicine says there are no restrictions on specific foods. This is because in the West it's viewed mainly as a skin problem to be treated symptomatically. From the TCM perspective, good results come from treating the root cause of this condition, and harmonizing these imbalances for true healing to occur.

Eventhough, acne can be stressful and aggravating there are options for treating it and it is worth looking into the best options that work for you. I hope that this information will help him and anyone else that may be experiencing the same issue, whether a Western or Traditional Chinese Medicine approach is taken.

TCM Resources:
  TCM World foundation
  Discovery TCM
  Driftwood Acupuncture and Wellness blog

Recipe: Sweet Potato Chowder, Earth Element

We had a lot of fun in last night's 5-Element Nutrition class on Balancing Your Earth Element.  One aspect of the Earth Element is that if you eat too much of the "sweet" flavor it becomes heavy and damp, so it's important to try and consciously incorporate some of the other flavors to balance it.  These are: salty, sour, bitter, and pungent.

Note that the energetic "sweet" flavor is not just sugar. Sugar is an extreme sweet, so less extreme examples are whole grains, fresh fruits, and veggies like carrots, peas, sweet potatoes, and others that have a natural farm-fresh type sweetness to them.  This category also includes simple carbohydrates that break down into sugar.

As promised, here is the recipe for the Earth Element food we tried. This recipe uses sweet potatoes which are energetically "sweet" and balances them out with celery and green peppers which are both "bitter".  It's super easy to make.  Enjoy!

Sweet Potato Chowder

Place the following ingredients in a crock pot, then turn on for 4-6 hours OR cook in a large pot on the stove top for about 45 minutes.  This makes about 6-8 servings, and yes - you can freeze it and take some to work for lunch here and there :-)

1-28oz can chopped, peeled tomatoes
1-15oz can garbanzo beans (chick peas) drained & rinsed
3 medium sweet potatoes, peeled & chopped
5 celery stalks chopped
1 beautiful green pepper chopped
2 Tbsp millet (I used millet grits)
2 cups broth (vegetable or chicken)
Top off with water to cover vegetables
small spoonful quality sea salt
Spices: 1 tsp Turmeric, 1 Tbsp Cumin, 1 Tbsp Garam Masala (or to taste)

The Way of TCM

Traditional Chinese Medicine has greatly shifted the way that I perceive health and the human body. The basic idea is that the body is part of a togetherness of mind, body and spirit. This trifecta has the innate ability to heal itself. Any 'symptoms' of dis-ease are considered to be the bodies way of helping itself  maintain a sense of homeostasis at that certain point in the persons journey. Rather than seeing the bodies 'symptoms' in a negative way, my way of thinking has changed to a  positive curiosity about the 'clues' of the inner workings of the self, including the 'trifecta' of the bodymindspirit. 

Five Element Theory incorporates this same type of thinking using Fire, Earth, Metal, Water and Wood, which shows us that we as humans are nature. Our body systems correspond in a complex yet simple way to the way of nature. It's an interesting concept to link your preferences of seasons, climates, etc to a sort of body profile of the self. All of this information leads to an awareness of the self, which can help immensely on the road to self discovery and evolution. 

I appreciate this idea of health, especially in a world so full of prescription fixes. The goal is to know your body, your self, loving it throughout, so that you can be on the preventative versus the desperation of 'fixing' an already chronic dis-ease or 'condition'. In the case that you do venture on to an 'alternative' path at the point of disease, oriental medicine chooses to work with the body, rather than against it. Loving it versus, fighting it. In fact, invasive techniques are last on the list according to the Taoist Hierarchy of Methods of Healing, meditation being the first! :)

1)Meditation 2)Exercise 3)Nutrition 4)Astrology 5)Feng Shui 6)Massage 7)Herbs 8)Acupuncture 9)Surgery 

Of course to each her own and everything in life is situational. My favorites on the list are meditation, exercise in the form of a casual stroll, taichi/qigong & yoga, nutrition, massage (of course!), herbs and acupuncture (most recently). 

I am repeatedly amazed at the effectiveness of even the most seemingly simple things. Just breathing properly can do wonders for us humans, we love O2!  Meditation offers me a sense of clarity, peace and connection with my soul. Qigong is just the same with an additional plus of moving energy throughout the body or even storing it for later ;). Time is an illusion with both of these practices, can feel a difference in myself even after 5 minutes and can sometimes be there for an hour and feel like I've just gotten started. Breaking the cycle of the day to day rush and taking the time for the self is key...still working on that one. Massage has helped me to make a connection to my physical body in ways that previously I was completely unaware of. Massage also has a way of putting me in a sedative state where I intuitively know my body is working towards greatness. Herbs and Acupuncture though relatively new to me have brought me some experiences that are progressive towards positive change. 

Am always thoroughly excited to do any sort of Oriental Medicine technique. There is definitely a sense of safety and trust in the way that the person is treated. I really feel like that sense of trust/love is what allows the guards to come down and the real healing work to begin. Am a believer that the healing comes from the heart and soul. When you believe and love what you're doing in any method of healing, that can really make a difference in your health. Am grateful for so many things in regards to my journey at Oriental Healing Arts Center, now Alaska Institute of Oriental Medicine, Acupuncture and Massage Therapy, but the perception of health and self really is life changing <3 

PS- Have to share...have been gaining a connection to my true intuitive self and of course the guides of the universe. Am so excited for progress in this department, that I love to share experiences! Have been reading all about flower essences and just started a journey with one of them. Last night I slept so peacefully and had a dream about this yellow flower with gorgeous little blooms. It had a long stem, that had tiny booms in clusters at the end of the stem that were almost flat looking. 

Just google imaged the essence that I'm taking, Golden Ear Drops and there it was...those yellow blooms, the exact description and image I had seen in my dream! It brought me to tears to have that strong affirmation that yes! you are in the flow of life, you are in exactly the right place at exactly the right time and I am here to help you on your journey of soul evolution! Just gotta say thank you and I love you golden ear drops! 

Lots of Love- Monica*
 

My Dancing Moxa

Recently, one Saturday morning, I woke up irritable and anxious, stressed out by life's everyday struggles of a busy life with family, school, bills, etc. Needless to say, by the time I arrived at the Alaska Institute of Oriental Medicine, Acupuncture, & Massage Therapy for my regularly scheduled clinic shift, I was barely able to hear myself think and wondering how I was going to touch someone else with this negative energy I was struggling to manage on my own. We had been recently introduced to moxa in our senior class, and I had positive results the first time I had used it, with a boost of energy, and an overall feeling of warmth and comforting. One of my instructors recommended I give moxa another try before beginning my interaction with clients, I agreed, but what I had encountered was amazing and unexpected. I layed down in the main class area, alone, and quiet, and placed a belly bowl of burning moxa, just below my belly button. Before, I had closed my eyes and allowed the warmth to overtake me, but this time I had an overwhelming urge to keep my eyes open. As I lay there I watched the smoke rise above my abdomen. I wanted so badly to become that smoke, flowing freely above it "all", able to maintain my "shape" and essence as the subtle wind blew me around, I imagined myself being that very smoke, not allowing any stress or any thing to keep me down, as I continue to float, dissipate, and reform. Then suddenly my smoke transformed into silouettes of women that appeared to be dancing, this drew me in even further and made me want to be the smoke even more. I watched for a few moments and then in my thoughts began to ask if my smoke could take specific form. In class we had been given individual treatment plans for bodywork and QiGong, so I decided to ask if it could do specific Qi Gong moves. First, I thought "Can you Wave Hands like Clouds?" and as the thought was complete, one would pop up and wave her hands one direction and then another would pop up waving her hands in the other direction. Awed and amazed I watched for a few moments more, then asked "Can you Draw your Bow?" as one by one they drew their bows one in each direction. Then, I asked "Can you Row on the Lake?" and again one by one they'd pop up each one moving as if they were rowing on the lake. I was overwhelmed with this gitty feeling from what I had seen, and had a revelation. My desire to become the smoke transformed into the realization that I was the smoke, able to control every move with my thoughts alone. It was empowering and enlightening, knowing that I could float above the stresses in my life, continuing to dance and move, rising above, until it passes, just by thinking it. An experience that I will never forget and can draw strength from whether I'm burning moxa or not. Hmmm, what an awesome feeling! 

Moxa!

Moxa, also known as Mugwort is a Chinese herb that is used in Traditional Chinese Medicine. Moxa is considered the mother herb and is very nurturing in nature. It is used to warm what is cold, free what is constrained and not flowing, to soothe what is frustrated or tense and to eliminate what is damp. On a basic level it strengthens the yang of the body; meaning the strong, powerful, warm and awake. Moxa also has the noted ability to ward off disease, is a very strong immune builder of the body.

Treatment with moxa comes in two methods, direct moxibustion and indirect moxibustion. Direct moxibustion is done on the skin and can be either scarring or non scarring, whereas indirect uses a medium between moxa and the skin. Indirect moxibustion is one that I'm more familiar with and the only one we experienced in class, thank Buddha! 

With indirect moxibustion, it can be burned on top of salt, garlic or ginger to individualize treatment; for example, garlic for immune system and ginger for digestive. There are belly bowls which can be used on the abdomen, when placed above navel it is helpful for digestion and when placed below navel it is good for uterine cramps, cysts or simply to tonify yang. Moxa poles or sticks are larger and can be used to follow over an entire meridian line. Moxa irons are usually used for low back area, to warm kidneys and tonify water element. There are also moxa cones that are small enough to place directly on acupressure points, perfect for making a path for your qi (energy) flow. :) 

As a student, almost graduate, here at Oriental Healing Arts Center I have had the opportunity to try moxa and have had a wonderful experience with it, using the belly bowl, cones and sticks. I feel very comforted while receiving the treatment. It's almost like the big moxa energy mom is giving me a hug! 

My favorite method by far is the belly bowl! When using it my abdomen is filled with warmth. At the end of the treatment, a yellowish brown resin is left on the tummy. It is suggested to rub the resin in...as long as you're not wearing white! I am grateful to have my own belly bowl at home so that I can continue moxa after this school year is over. 

While doing moxa treatments I felt myself more at ease and sort of in this comfort cloud. I remember sleeping deeply and having very meaningful dreams. One of the dreams was definitely linked to an inner wisdom of mine. I was with a little girl and being chased by a wall of fire. I told the girl to hide in the corner of the ceiling and as she did, I proceeded with her. I cocooned myself around her, protecting her from the fire. I can remember thinking, it's coming (the fire) then I woke up with a sinking/shocking feeling in my legs. I realized later that the little girl was my inner child and I was protecting her from an intense fire (heart feeling)...what am I protecting her from? The feeling in my legs screams water element, so there is a connection there that is locked in my consciousness, yet being freed by this warming experience.

So yah, moxa gave me some precious information for my journey of life. Am very grateful to it and look forward to continuing my work with the lovely energy mother herb, Moxa!

Cleansing Vs. Building Foods

In 5-element nutrition consulting we see a lot of people who want to change their health, know that eating better is a way to do that, but find it really difficult to "give up" the food they love.

I know how attached we are to the food we eat, and most people, including me, won't change their habits unless there is a huge motivating factor - like a severe medical diagnosis (diabetes, heart attack) or an emotionally passionate reason (new romantic love, high school reunion).

Pasta is a Building food. Balance it out
by adding a mixed green salad
and cutting the portion size of the pasta.

Here's an easy 5-element nutrition tip to consider:  Foods are either building (Yin) or cleansing (Yang).

Building foods add to your body, make it larger.  These are most foods that are NOT fruits and vegetables. If you exercise a lot that might translate into muscle.  If you don't exercise a lot, we all know that it turns into the "other muscle", fat.  Building foods in moderation are great for someone who needs to put on weight.  BTW, regardless of what congress mandates, pizza is not a vegetable.

Cleansing foods clean your internal organs and make your body lighter. These are mainly fruits and vegetables. Which is better - cooked or raw? From a 5-element nutrition point of view, it depends on what you need, and we suggest both are important.

• Cooked is going to be on the milder side of cleansing, better for someone who tends towards being weak, deficient, feels cold, or has frequent colds/flu.
  
• Raw is going to be on the harsher side of cleansing, better for someone who tends towards being robust, loud, feels warm or hot, has high blood pressure from stress, and may tend to get gall or kidney stones.

The ultimate goal is to find an appropriate BALANCE between cleansing and building foods. An appropriate balance is different for each person, so it depends on what you need in order to reach your ultimate weight goals.

If you want to lose weight, or you love pasta and don't want to "give it up", start by realizing that pasta is a building food. Balance it with a cleansing food of equal or greater proportion and decrease the serving size of pasta you would normally have eaten. Cleansing foods are the only realistic way to lose weight, and you can use them in a way to still enjoy the food you love.

This is going to be the same for all other building foods. If you have pizza, maybe have just 1 or 2 slices and eat a raw carrot with each slice. Yes, that is a whole beautiful raw carrot with each slice.

Steak? Have a nice juicy piece no bigger than the size of your palm, cover it with a medicinal mushroom saute and fill the rest of the plate with lettuce and chopped raw veggies like radishes, broccoli, green peppers, topped with hemp oil and balsamic vinegar & fresh ground black pepper.

This is a good place to start, by adding some balance. Once you get used to doing this and enjoy it - which you will because your body and blood will love more balance - then take the next step and refine what you're eating a little more.  We like lasting changes that are enjoyable, not quick or extreme diets that you can't wait to end.

"Everything in Moderation, Everything in Balance"
~Taoist principle

Blood Building Syrup - Herbal Recipe

If you like this recipe, also try our Blood Building "wine" for Spring and Eyes - it's a lighter version that is not so warming and invigorating.  The syrup below is better suited to Winter and colder months.

Back in March one of my Twitter friends posted this recipe, and finally today I spent a glorious morning making it!  I think it's worth sharing with you - enjoy!

Who needs this?
The original author, Todd Caldecott, lists from an Ayurvedic perspective that this is "an excellent preparation to help build up the blood in anemia, infertility, exhaustion, and immunodeficiency, or when recovering from chronic disease, medical treatments (e.g. chemotherapy) or surgery."

Additionally, from a Chinese medicine point of view I would add someone feeling weak and tired, loud creaky joints, after child birth, pale complexion and feels cold, very dry skin, poor vision, and chronic muscle pains that don't respond to massage.

To explain this very basically, blood is a major resource of our body.  It's one of the main substances that helps to re-build or re-generate our physical being.  We make blood from the food and drink we ingest, however if our diet isn't sufficient or we're so stressed and exhausted that our system is too tired to build blood we can get too low on our resources.  


It's a good idea to also drink lots of water - because our blood is made up of about 83% water. Herbs that build blood will require extra water, and they may even make you more thirsty to ensure you drink some. Please note I did not say drink more liquids, such as tea, soda pop, etc., I said water - pure and simple.


It's also a good idea to add some blood building foods into your diet, such as leafy greens, beets, cherries, blueberries, and strawberries.


Last of all, because this will help you to have more resources, you'll start to feel more energized, get more accomplished, have amazing motivation, and you might want to spontaneously dance or even just walk more outside in nature. Do it!


Disclaimer: It is not recommended to take herbs if you are also taking other herbs or medications, or if you question whether any of the symptoms above apply to you. Please consult a qualified health care provider before consuming this product.

After feedback from people who have tried this recipe, I wanted to make a video demonstration to show some of the nuances that make this really good.  I recommend watching the video first, then following the written directions below.  Enjoy!





Blood Building Syrup - click on title for the original site this is posted on, Food As Medicine


Step 1:  Gather the ingredients.  You will probably need to visit a Chinese herbalist (such as The Oriental Healing Arts Center, or your local acupuncturist), and maybe a specialty spice shop (such as Summit Spice & Tea) for a few items, so take some time to get it all together.

Ingredients:
1/2 cup chopped dried figs
1/2 cup dried goji berries (Chinese herb: Gou Qi Zi)
1/2 cup dried prunes, also called dried plums
1/2 cup Chinese red dates (Chinese herb: Hong Zao)
1 oz. asparagus root (Chinese herb: Tien Men Dong, Ayurvedic herb: shatavari root)
1 oz. prepared rehmannia (Chinese herb: Shu Di Huang)
1 oz. astragulus root (Chinese herb: Huang Qi)
1 oz. American ginseng (Chinese herb: Xi Yang Shen)
2 quarts water
2-3 tbs ghee (Indian clarified butter)
2 tbsp Long Pepper, ground (Ayurvedic herb: pippali powder)
1 tsp cardamom powder
1 tsp cinnamon powder
1/2 tsp clove powder
1/4 tsp pink salt (Himalayan)
1 cup organic molasses (approximately)

This is the Long Pepper (Pippali Powder) I was
lucky enough to find at our local Summit
Spice & Tea. I just ground it to a powder in
a little electric spice grinder.  Taste is peppery,
but much milder and a little earthier than
black pepper.

Directions and my notes:

Dry fruit-herbs

Add the dried fruit and herbs (first 8 ingredients) to a pot along with 2 quarts of water, bring to a boil and simmer until it is reduced to a syrup-like consistency and the fruit and herbs are squishy. (NOTE: the original recipe says this takes about 1 hour, however it took me 2.5 hours - maybe because it's cold in Alaska?)

After reducing to a syrup

Allow the fruit-herb decoction to cool, then mix in a blender until smooth.  Strain the liquid through a mesh strainer into a measuring cup, taking note of exactly how much liquid you are left with.  (NOTE: Per original recipe I was expecting to have 1 cup liquid, however I ended up with about 2 cups still left after straining.  It was quite thick.)

Blended & Strained

In a separate pan, melt the ghee on medium heat and add the pippali, cardamom, cinnamon, clove and pink salt.  (NOTE: The ghee heated up so fast that I ended up turning the heat down to very low because it kept bubbling and popping up.)

MMM....spices - the large pile on bottom
left is the ground Long Pepper.

Spices cooking in ghee

Cook for a minute and then add the fruit herb decoction to this, along with an equal part molasses.  (NOTE: because the recipe called for approximately 1 cup molasses but I had ended up with 2 cups fruit herb decoction, I only added 1 full cup of molasses. When pouring, remember the saying "slow as molasses".... this is where it comes from.)

Cook on low heat for about 10-15 minutes, stirring frequently.  Pour into a clean, dry glass bottle, seal and store in a cool location.  Dose is 1-2 Tbsp twice daily, with warm water.

NOTE: Cooking this smelled herby and delicious! I took a dose when it was finished, and the taste is very spicy but pleasant - not really sweet at all the first day, but developed a really nice sweetness overnight.  The energy was warming, went to the center and spread out. Felt very nurturing. I'm really happy with this recipe!


Cynthia McMullen is certified in Taoist Herbology and teaches the 5-Element Nutrition Workshops at Alaska Institute of Oriental Medicine, Acupuncture and Massage Therapy.  Follow her on Facebook TouchOfTao