The Wilderness First Responder course I took in October has really inspired me to think a lot more about emergency care, especially within the field of Chinese medicine. The written record of this tradition goes back at least 2,500 years to a time when it was the only medical system in that part of the world. Over the ages, it developed into a complex and extensive system, with theories and treatments for every type of common health condition. Though most people know of acupuncture primarily as a treatment for pain, even today those in the field learn how to address a wide range of diseases of the internal organs, as well as emotional imbalances, and yes, even medical emergencies.
In China, hospitals are much more integrated and you will find acupuncture and herbal medicine being used in emergency rooms right alongside modern medical treatments like pharmaceutical drugs and surgery. Here in the United States, we are seeing this type of integration in the military, where “battlefield acupuncture” is being used on the front lines as an alternative to opiates in the treatment of acute pain. In fact, just a few years ago the Defense and Veterans Center for Integrative Pain Management and the Veterans Health Administration National Pain Management Program Office completed a three-year $5.4 million program in which over 2,800 providers were trained in battlefield acupuncture. Below are some examples of points that are used in medical emergencies. They can be stimulated via acupuncture or direct manual pressure (acupressure).
One important thing I learned during my Wilderness First Responder training is that a major priority in any emergency is to stop bleeding. Since the average person only has about five liters of blood, if the injury is severe enough it can take just minutes for them to bleed out. The main way to stop bleeding is with pressure, applying your hand, a wadded-up piece of fabric, or a medical dressing directly to the injury. There is even a special type of gauze available that is embedded with hemostatics, substances that seal injured blood vessels and/or help in the formation of blood clots.
Chinese herbal medicine also offers treatments for severe bleeding, the most famous being Yunan Baiyao. This formula was invented by a Chinese doctor in 1902 and is based on a special type of ginseng (Panax notoginseng) that stops bleeding, reduces pain, and alleviates swelling. The capsules can be taken internally for emergencies like knife wounds, gunshot wounds, traumatic injuries, hemorrhage, bleeding ulcers, and certain types of gynecological conditions. Each box of capsules also comes with a special single red pill that is specifically for severe cases where there has been the type of extreme blood loss that can predispose a person to shock. Yunan Baiyao can even be purchased as a powder and used topically, applied directly to wounds to stop bleeding and prevent infection. These affordable and widely available herbal products belong in everyone's medicine cabinet and first aid kit.
If you don't have anything like Yunan Baiyao on hand, there are other herbs that stop bleeding. These can be found in your spice cabinet (cayenne) or ornamental garden beds (yarrow), growing wild as native plants (cattail pollen, witch hazel bark, oak bark, self-heal), or as non-natives that have naturalized (plantain, mugwort). They are often applied as a powder or, especially in the case of leafy herbs like plantain, mugwort, and yarrow, as a poultice, chopped or chewed fresh and placed directly on the injury site. Any of the herbs listed above can also be taken internally. The traditional way to take most herbs is as a decoction, added to a pot of water that is boiled down over time to concentrate the medicine.
Proper and complete assimilation of food is a result of the action of digestive enzymes, molecules that help break foods down into smaller components so their nutrients can be absorbed through the intestinal lining and into your blood. When too many different types of foods are eaten at the same time, the body is unable to manufacture all of the different types of enzymes needed at once, so some food is then digested by the bacteria in our gut instead. This also happens when we combine foods that digest quickly, like fresh fruit, with foods that take a longer time to digest, like red meat.
Unfortunately, the bacteria in our intestines digest foods by fermentation, excreting toxic by-products such as ptomaines, leucomaines, alcohols, lactic acid, and carbon dioxide. Common symptoms of excessive bacterial fermentation include decreased nutrient assimilation, intestinal gas, abdominal pain, bloating, and heartburn. This process can be minimized or even prevented by what is referred to as food combining, a way of intentionally eating foods in a certain order and in certain combinations that promote the most efficient digestion. The following information is a synopsis on the topic found in Paul Pitchford's book, “Healing with Whole Foods: Asian Traditions and Modern Nutrition,” a book I highly recommend for anyone interested in learning more about the many connections between diet and health.
The most direct translation of chi would be “lifeforce.” Chi is an ancient Daoist concept that refers to the primary force that forms, connects, and powers everything in existence. It is what enables you and everything else to go, move, change, shift, and transform. It flows through everything, including us, traveling within our bodies along established pathways called channels or meridians. These channels form very early in our development, before the organs and structures, and are like the energetic blueprint upon which everything else is laid.
Soy is used medicinally in both the east and the west. Other medicinal plants in this family include red clover, indigo, alfalfa, fenugreek, senna, kudzu, mimosa, and astragalus. Parts of this plant that are used medicinally include the bean, the sprout, and the skin of the bean pod. The most common part used is the bean and it is usually taken as a food, though capsules and decoctions are other ways to benefit from the medicinal actions of this plant. Some of the different ways in which soy can be prepared include edamame (steamed bean pods), tofu (coagulated soymilk), tempeh (fermented soybean cake), miso (fermented soybean paste), natto (fermented soybean condiment), tamari (soybeans fermented in water), and soy sauce (soybeans and wheat fermented in water).
Western herbal medicine uses soybeans for their phytoestrogens and beneficial effects on the heart and circulatory system. Soybeans are rich in estrogenic isoflavones, chemicals that are very similar to human estrogen that our bodies can readily modify to replace or enhance our natural hormonal levels. This makes soybeans a valuable ally for reducing menopausal symptoms, treating reproductive hormonal imbalances, and preventing osteoporosis. It can even reduce the risk of hormone-dependent cancers, like breast and prostate cancer, because it is similar enough to bind to estrogen receptors but different enough to not stimulate cancer cells. Soybeans have also been shown to reduce triglyceride and serum cholesterol, especially the harmful low-density lipoproteins, without adversely affecting levels of the beneficial high-density lipoproteins. Because of this, soybeans are commonly taken for heart disease and atherosclerosis (hardening of the arteries).
In the east soy has a long history as a medicinal herb. There are three different forms in which this plant is used: prepared soybean, soybean sprout, and the skin of the soybean pod. As with other herbs, different parts of the plant have different actions and indications. Take the prepared soybean, for example. This is traditionally made by steaming the beans in a decoction of wormwood and mulberry leaf and then leaving the beans to ferment in the liquid. In this form, soy is used to treat the initial stages of viral infections and the irritability, restlessness, and insomnia following fevers. The sprout, on the other hand, is used for heat-stroke, while the soybean skin is used for dizziness, headaches, and night sweats. Interestingly, all three forms are applicable for different situations in which the body is overheated: the bean for fevers, the sprout for heat-stroke, and the skin for night sweats. What we would say in Chinese medicine, therefore, is that soy is energetically cooling.
As a food, soybeans have certain cautions and contradictions. First, it is the second most allergenic food after peanuts. Second, many people have difficulty digesting soybeans, especially when eaten unfermented, with the most common symptoms being stomachache, constipation, and diarrhea. Third, since soybeans are so high in phytoestrogens, it is necessary to be careful when feeding this plant to developing children, and caution is recommended when utilizing it in baby formulas, especially the soy protein isolate. The high amount of phytoestrogens also means that intensive use by pregnant women can exert hormonal effects on the developing fetus. These phytoestrogens can have anti-thyroid properties as well, so habitual consumption can cause hypothyroidism, low energy, poor mineral absorption, infertility, and may even reduce the absorption of pharmaceutical thyroid medications.
Another important thing to note about soybeans is that, like all beans, they contain phytic acid in their skin, a chemical that prevents them from being digested. Since beans are seeds, this chemical increases the chances that the beans will pass through the digestive tracts of animals whole, distributing them farther afield, both fertilizing the plant with their stool and propagating the species. Unfortunately, phytic acid also binds to minerals in our bodies like calcium, magnesium, and zinc, reducing their absorption. This is bad for small children, who depend on these minerals to build new bone, for those who suffer from osteoporosis, and for malnourished individuals who are already deficient in these minerals. Soybeans also contain an anticoagulant that prevents the breakdown of proteins and vitamin B12, and hemagglutinins that can clump red blood cells together so should be used cautiously by people who have conditions like anemia and clotting disorders.
Fortunately, there is a way to deactivate the phytic acid, anti-coagulants, and hemagglutinins in beans. Cooking and sprouting are somewhat successful, but both are only partially effective. As it turns out, the best way to fully deactivate these chemicals is with fermentation. That's right, only bacterial, molds, and yeast have the enzymes necessary to make soy optimally digestible for us! This is why soybeans are traditionally eaten fermented in the east: as tempeh, miso, natto, tamari, and soy sauce, all fermented forms of soy. (Please note that tofu is not a fermented food, so it is not as digestible. Tofu is made more like cheese, by coagulating the proteins out of soybean milk with calcium sulfate or other salts.) So enjoy your soy but keep in mind that it does have effects on our hormones, it is a common allergen, and it is easiest to digest if it is fermented.