Cold Hands and Feet: A Chinese Medicine Guide to Better Circulation

While having cold hands and feet is a normal physical response to a cold environment, TCM teaches that persistently cold hands and feet are symptoms that may point to deeper health issues resulting from Qi, Yang, and Yin deficiencies. Too much cooling Yin and not enough warming Yang results in cold extremities. Restoring Yin Yang balance through proper diet, exercise, and TCM practices like acupuncture and medicinal herbs will help circulate blood through the body properly, warming chronically cold hands and feet.

Causes

Qi Deficiency:
The health and quality of Qi, which is the energy of all life, is very important in TCM. If there is Qi stagnation, or insufficient Qi, symptoms like cold extremities may manifest. Without the body’s normal energy flow, its ability to generate warmth diminishes, leading to lack of warmth in the hands and feet. Qi stagnation can be caused by stress, poor eating habits, and a sedentary lifestyle.

Blood Stagnation:
If you experience blood stagnation, it can lead to poor circulation, causing cold hands, chest pain, and feelings of oppression. In TCM, blood stasis is the concept that blood flow in the body is not as smooth as it should be, leading to various health issues like cold hands, pain, bruises, and a purple complexion. Good health relies on the smooth, robust flow of blood, so when it is stuck, it leads to discomfort. In order to correct the Qi deficit, it is necessary to incorporate mindfulness, appropriate rest and nourishing diets.

Yang Deficiency:
A Yang deficiency presents as fatigue, chills, and a pale face, resulting from a deficiency in the body’s warming energy. Yang is responsible for transforming and transporting Qi throughout the body. It is the warming principle that counterbalances Yin;s cooling and contracting nature. This harmony is essential for optimal bodily function. Chronic illness, ageing, overexertion, overeating of cold and raw foods, chronic stress, and prolonged exposure to a cold environment causes a Yang efficiency, with cold hands and feet being a noticeable symptom of the body’s inability to circulate warmth. Common symptoms of a Yang deficiency include chronic fatigue, sensitivity to cold, nasal congestion, continuous sneezing, abdominal pain, menstrual cramps and blood clots, and digestive issues.

Excessive Yin:
Yin and Yang need to be in harmony for the body to function at its best. While Yang is responsible for dispersing Qi and warmth throughout the body and limbs, Yin conveys that energy to the organs, and is cooling. If Yin and Yang are in disharmony, they can not connect, causing an inability to circulate energy through the body. This disconnect is called jue, and may result from meridian obstruction or insufficient Yang energy caused by Qi stagnation, blood stasis, and indigestion. An excess of Yin in the body results in cold hands and feet, because there is not enough Yang energy to keep the extremities warm, and the feet are farthest from the heart.

Remedies

Food: To treat a Yang deficiency, avoid consumption of cold or raw foods like salads, raw fruit, or milk. Do eat warm foods like cayenne, walnuts, pistachios, chestnuts, onion, garlic, mutton, leeks, cinnamon, mugwort leaves, jujube tea, and ginger, and medicinal herbs like cinnamon, clove, ginger, nutmeg. To treat blood stagnation, eat foods like apricots, cherries, red grapes, beets, beef, eggs, figs, dates, parsley, dark leafy greens. Include sulphur-rich foods like broccoli, cauliflower, cabbage, kale, and brussel sprouts, leafy greens, lentils, chickpeas, and walnuts for enhanced blood flow.

Foot Soak: Soak your feet in warm water for 15 minutes before bed, or sleep with a hot water bottle at the foot of your bed. Add mugwort leaves, ginger, or prickly ash for extra warmth.

Layering: Being cold can exacerbate Yang and Qi deficiencies, so layering and staying warm can help aid the body’s efforts to circulate blood and warm the extremities.

Exercise: A sedentary lifestyle encourages blood stagnation, so exercises like jogging, tai chi, walking, yoga, swimming, and other aerobic activities that do not cause overexertion are ideal for circulating blood throughout the body. Overexertion causes sweating, resulting in Yang depletion.

Acupuncture: By stimulating specific points along the body’s meridians, Qi and blood stagnation can be relieved. Activation of certain points, especially along the Kidney and Spleen meridians, circulates blood, restores warmth, increases Qi, and restores warmth to the hands and feet.

Cold hands and feet are strong indicators of an imbalance in the body’s Yin Yang relationship. Harmony can be restored through proper diet, exercises that are not excessively draining, foot soaks, warm clothes, and various TCM practices like acupuncture and medicinal herbs.

Supporting the body’s ability to circulate blood is the key to warming chronically cold hands and feet.

Resources

● https://www.commontcm.sg/chronic-illness/tcm-treatment-cold-hands-and-feet

● https://www.yongkangtcm.com/post/chinese-medicine-and-cold-extremities

● https://www.shanghaimedicalclinic.com/cold-hands-and-feet-what-to-do/

● https://sgpaincaretcm.com/understanding-cold-feet-traditional-chinese-medicine-approach/

Combat Wildfire Smoke Issues

With Canada in the midst of an incredibly bad wildfire season, US regions in the Northeast, Midwest (including Wisconsin), and parts of the South have reached hazardous levels and have been issued air quality advisories. Have you started to feel the effects of the smoke?

Wildfire smoke irritates our eyes, nose, throat, lungs, and overall health which can cause us to cough and wheeze and making it difficult to breathe.

Here are tips to help support you during this wildfire season:

+ check air quality reports regularly and keep exposure to a minimum

+ add more vitamin C: foods like amaranth, avocados, tomato and green-leafy vegetables are the most efficient sources of vitamin C

+ take immune boosting supplements: Reishi, echinacea, and astragalus are our top picks. *Note: always stop taking astragalus at the onset of cold or flu symptoms 

+ antioxidants: green tea, ginger, turmeric, strawberries, green tea, black tea, brussel sprouts, beans, onions, and apples

+ get acupuncture to help strengthen the Lungs

+ keep pathways of elimination open: go to the bathroom, sweat, circulate blood and lymph through movement/exercise, breathe, dry skin brushing

+ try a steam with any of these herbs: thyme, oregano, rosemary, mint, sage

+ stay indoors and minimize duration/intensity of outdoor activities. keep house windows and doors closed to keep indoor air clean and fresh

+ use an N95 particulate mask respirator when outside for an extended period of time, especially if you have cardio-pulmonary problems. We will have a few of these in the office starting on Friday, June 30th

+ avoid unnecessarily exerting yourself. Heavy breathing means you’re going to inhale more smoke

+ add purifiers to your home. HEPA filters or even ACs with filters and recirculating air can help cut down on particulate matter in the air indoors. Do NOT use an air conditioner if it does not have air filters (it will only suck in smoke and make breathing conditions worse)

+ stay hydrated

Acupuncture for Menopause

What is Menopause?

Menopause is the period in a woman’s life after menstruation, when she is no longer fertile. As with the start of puberty, menopause brings about many changes in a woman’s body as hormones fluctuate and ovarian follicles become less active, creating different symptoms that are oftentimes uncomfortable. These changes come about around the age 45-55, and generally begin around 4 years before the last period. Menopause officially starts after one consecutive year without menstruating, and symptoms can last for around 4 years. Common symptoms include hot flashes, night sweats, weight gain, insomnia, vaginal dryness, reduced libido, painful intercourse, hair loss, hair growth in new places like the face, neck, chest, or upper back, depression, anxiety, sore or tender breasts, and many others. These symptoms vary from woman to woman, and also vary in severity as well.

While hormone replacement therapy (HRT) is a common treatment for menopause symptoms, acupuncture is another viable option for women who can’t, or don’t want to, use HRT. According to Traditional Chinese Medicine (TCM), menopause is a time when women become Yin deficient, meaning the cooling, moistening, and calming aspects of their physiology are weakening. To treat this, TCM aims to nourish Yin/blood, move stagnant liver Qi, clear heat, calm the spirit/mind, and harmonize Yin and Yang. Menopause can cause stagnation, which leads to heat and Yin deficiency. Acupuncture helps move stagnation, offering relief from many symptoms.

Common Symptoms and Treatment

  • Hot flashes/night sweats: Hot flashes are thought to be a result of hormonal changes and changes in the hypothalamus, which regulates temperature. Studies show that acupuncture affects hormones related to menopause and sleep, such as estrogen and melatonin. One study found that acupuncture decreased the secretion of calcitonin gene-related peptide, a vasodilating neuropeptide that has been shown to affect hot flashes. Acupuncture helps your body function better, and can help bring your body back to homeostasis in times of transition, like menopause. Menopause can cause a Yin imbalance, leading to excess stagnant heat in the body. Acupuncture can move that stagnant heat, offering relief.

  • Pain: By placing needles at pressure points throughout the body, the central nervous system is stimulated to release pain - relieving chemicals like endorphins. The chemicals can help to alleviate aches and pains associated with menopause.

  • Mood swings/ Anxiety: Menopause can cause mood swings because of hormonal changes or imbalances that occur at this time of transition. Acupuncture balances Qi, minimizes the frequency and intensity of mood swings, and increases endorphin, dopamine, and norepinephrine levels, creating a positive mood. Researchers found that acupuncture alters neurotransmitters in the brain, alleviating conditions like anxiety and nervousness. Acupuncture can relax your body and relax your mind as well.

  • Insomnia and Fatigue: Insomnia and fatigue associated with menopause can be caused by fluctuating hormone levels and sleep disturbances, like hot flashes or pain. Acupuncture increases blood flow and lowers blood pressure in your body, reducing fatigue-inducing stress, balances the nervous system, and releases nocturnal chemicals like melatonin, which aids in better sleep.

  • Vaginal dryness: The hormonal imbalances caused by menopause can reduce the natural lubricant created by the vagina, leading to dryness or pain during sex. Estrogen is responsible for creating these lubricants, and with estrogen levels decreasing during menopause, vaginal fluid production decreases as well. Menopause causes a Yin deficiency, which is the moistening energy in the body. Acupuncture can bring the body back into harmony by balancing Yin depletion with Yang energy, restoring natural vaginal lubrication production.

Acupuncture is a safe, non-invasive, natural way to bring your body back into balance during times of transition and fluctuation, like menopause. By releasing various hormones like endorphins, dopamine, increasing blood flow, releasing stagnant heat, boosting melatonin production, and altering neurotransmitters in the brain to reduce feelings of anxiety, acupuncture can help treat many symptoms caused by menopause, and can offer great relief.

Schedule your next acupuncture session here!

Resources

“Acupuncture and Chinese Herbs for Menopause”. Retrieved from https://lotusleafacupuncture.com/tag/vaginal-dryness/.

“Acupuncture and Chinese Medicine for Insomnia”/ Retrieved from https://www.morningsideacupuncturenyc.com/blog/acupuncture-and-chinese-medicine-for-insomnia.

“Acupuncture, as Practiced in Clinical Settings, May Significantly Improve Menopause-related Symptoms”. Retrieved from https://www.nccih.nih.gov/research/research-results/acupuncture-as-practiced-in-clinical-settings-may-significantly-improve-menopauserelated-symptoms.

“Acupuncture for Menopause: How This Alternative Therapy Brought Me Relief”. Retrieved from https://www.healthline.com/health/menopause/acupuncture-for-menopause-how-this-alternative-therapy-brought-me-relief#Acupuncture-benefits-for-menopause.

“Acupuncture Increases Nocturnal Melatonin Secretion and Reduces Insomnia and Anxiety: A Preliminary Report”. Retrieved from https://neuro.psychiatryonline.org/doi/full/10.1176/jnp.16.1.19.

“Acupuncture may ease troublesome menopausal symptoms”. Retrieved from https://www.bmj.com/company/newsroom/acupuncture-may-ease-troublesome-menopausal-symptoms/.

“Acupuncture Treatments for Hot Flashes and Night Sweats”. Retrieved from https://www.redpandaacupuncture.com/single-post/2018/03/08/acupuncture-treatments-for-hot-flashes-and-night-sweats.

“Let's Talk About Vaginal Dryness”. Retrieved from http://www.sweetbeetacupuncture.com/blog/2017/12/11/vaginal-dryness.

“Perimenopause: 5 Ways Acupuncture Can Help”. Retrieved from https://encircleacupuncture.com/perimenopause-5-ways-acupuncture-can-help/#:~:text=Studies%20have%20shown%20that%20acupuncture,energy%20levels%20during%20the%20day.

“Treatment of Mood Swings With Acupuncture”. Retrieved from https://www.amcollege.edu/blog/treatment-of-mood-swings-with-acupuncture#:~:text=Balancing%20the%20energetic%20qi%20flow,recommended%20by%20your%20acupuncture%20physician.