TCVM Food Therapy for TCVM Food Therapy for Gastrointestinal DisordersGastrointestinal Disorders

IntroductionIntroduction

•TCVM Cooking Pot TCVM Cooking Pot analogy of analogy of gastrointestinal gastrointestinal functionfunction

•Used to emphasize Used to emphasize Warm TransformationWarm Transformation•Cold DamageCold Damage•Moisture and Moisture and DampnessDampness

Cooking Pot and ScienceCooking Pot and Science

• Western Biomedicine and DigestionWestern Biomedicine and Digestion• Mechanical and Biochemical

• Biochemical Digestion• Based upon Enzyme (Protein) Function• Enzymes have Temperature Specificity• Cold Temperatures interfere with

Function

• Cold Foods thus need to be Warmed by the Body

Cooking Pot and ScienceCooking Pot and Science

• Biochemical Digestion• Enzymes have Temperature Specificity• Cold Temperatures interfere with

Function

• Cold Food is Poorly Enzymatically Transformed• Lower rate of digestion and absorption

• Cold Food Challenges the Body to Warm it• Challenge to all, especially Geriatrics• Eventually depletes the body’s Yang Qi

Cooking PotCooking Pot

•Species specificitySpecies specificity•Damp-engendering foods for one may be Damp-engendering foods for one may be adequate for anotheradequate for another

•Age and vigorAge and vigor•Middle burner has more Middle burner has more Yang QiYang Qi in younger in younger animals than older so both environmental animals than older so both environmental temperature and temperature and XingXing of foods should be of foods should be warmer in geriatric animalswarmer in geriatric animals

Introduction to Food TherapyIntroduction to Food Therapy

• Food therapy in Traditional Chinese Food therapy in Traditional Chinese Veterinary Medicine (TCVM) is based Veterinary Medicine (TCVM) is based upon two fundamental principlesupon two fundamental principles

• The first principle is of The first principle is of Food Food EnergeticsEnergetics• This refers to the effect of a food on This refers to the effect of a food on

digestive, metabolic, and physiological digestive, metabolic, and physiological processes of the bodyprocesses of the body

• XingXing or Thermal Nature is essentially the or Thermal Nature is essentially the post-ingestive effect on the body post-ingestive effect on the body

Food and Herb PropertiesFood and Herb Properties

• XingXing or Thermal Nature or or Thermal Nature or TemperatureTemperature• Cold such as SeaweedCold such as Seaweed• Cool such as RabbitCool such as Rabbit• Neutral such as RiceNeutral such as Rice• Warm such as ChickenWarm such as Chicken• Hot such as LambHot such as Lamb

Food and Herb PropertiesFood and Herb Properties

• Flavor Flavor • Sweet benefits SP/ST and strengthens, Sweet benefits SP/ST and strengthens,

moistens and tonifies deficiencymoistens and tonifies deficiency• Pungent benefits LU/LI and disperses Pungent benefits LU/LI and disperses

stagnation and promotes flowstagnation and promotes flow• Salty benefits KI/BL and moistens, softens and Salty benefits KI/BL and moistens, softens and

detoxifiesdetoxifies• Sour benefits LIV/GB and stimulates absorption Sour benefits LIV/GB and stimulates absorption

and contractionand contraction• Bitter benefits HT/SI and drains and counteracts Bitter benefits HT/SI and drains and counteracts

DampnessDampness• Bland is the 6Bland is the 6thth Flavor that drains dampness Flavor that drains dampness

TCVM Food Therapy: A Note on TCVM Food Therapy: A Note on the Sweet Flavorthe Sweet Flavor

• ““Sweet” enters the Spleen and Sweet” enters the Spleen and Stomach and engenders Qi and BloodStomach and engenders Qi and Blood

• TCVM “Sweet” is a property of many TCVM “Sweet” is a property of many foodsfoods• This should be obvious since we eat to This should be obvious since we eat to

make Qi and Bloodmake Qi and Blood

• But modern “Sweet” is an historical But modern “Sweet” is an historical anomaly of refinement and excess anomaly of refinement and excess availability of simple carbohydratesavailability of simple carbohydrates

TCVM Food Therapy: A Note on TCVM Food Therapy: A Note on the Sweet Flavorthe Sweet Flavor

• Modern “Sweet” is an historical Modern “Sweet” is an historical anomaly of refinement and excess anomaly of refinement and excess availability of simple carbohydratesavailability of simple carbohydrates• In fruits this is called “empty sweet”In fruits this is called “empty sweet”

• Natural sweet or “full sweet” is found Natural sweet or “full sweet” is found in almost all whole grains, all nuts in almost all whole grains, all nuts and seeds, most vegetables, and and seeds, most vegetables, and almost all fish and meatsalmost all fish and meats

Basic Food Properties: IntroductionBasic Food Properties: Introduction

• Deficiency conditions are treated Deficiency conditions are treated heteropathically with tonifying foodsheteropathically with tonifying foods

• Tonifying foods strengthen a bodily Tonifying foods strengthen a bodily substance or function and are substance or function and are especially useful for chronic especially useful for chronic disharmoniesdisharmonies• QiQi tonics tonics• Blood tonicsBlood tonics• YinYin Tonics Tonics• YangYang tonics tonics

Basic Food Properties: Basic Food Properties: QiQi Tonics Tonics

• QiQi tonics maintain and improve the tonics maintain and improve the quantity and quality of available quantity and quality of available energy in the bodyenergy in the body

• Palatable Palatable QiQi Tonifying Tonifying foods for foods for carnivores includecarnivores include• Beef, Chicken, Date, Fig, Lentil, Beef, Chicken, Date, Fig, Lentil,

Mackerel, Microalgae, Molasses, Oats, Mackerel, Microalgae, Molasses, Oats, Sweet Potato, Pumpkin and Squash Sweet Potato, Pumpkin and Squash

Advanced Food Properties: Advanced Food Properties: Introduction to RegulationIntroduction to Regulation

• Whereas Tonifying foods strengthen a Whereas Tonifying foods strengthen a bodily function or substance bodily function or substance Regulating Regulating FoodsFoods help remove Excess conditions or help remove Excess conditions or StagnationStagnation• QiQi Circulating Circulating• Blood CirculatingBlood Circulating• Cooling foodsCooling foods• Warming foodsWarming foods• Foods which counteract DampnessFoods which counteract Dampness• Water-drainingWater-draining foodsfoods• Phlegm-resolving foodsPhlegm-resolving foods

Advanced Food Properties: Advanced Food Properties: QiQi CirculationCirculation

• QiQi Circulation Circulation is stimulated by the is stimulated by the sweet and pungent flavorssweet and pungent flavors

• Palatable Palatable QiQi Circulating foods for Circulating foods for carnivores include: carnivores include: • Basil, Cardamom, Carrot, Cayenne, Basil, Cardamom, Carrot, Cayenne,

Clove, Coriander, Garlic, Hawthorn Berry Clove, Coriander, Garlic, Hawthorn Berry and Turmeric and Turmeric

Advanced Food Properties: DampAdvanced Food Properties: Damp

• Dampness is a result of poor Dampness is a result of poor transformation and/or transportation of transformation and/or transportation of fluidsfluids• Dampness is treated by avoiding dampening Dampness is treated by avoiding dampening

foods (e.g. dairy products, pork and rich meat, foods (e.g. dairy products, pork and rich meat, concentrated juices, sugar and saturated fats), concentrated juices, sugar and saturated fats), by strengthening the Spleen and Stomach and by strengthening the Spleen and Stomach and by using bitter foodsby using bitter foods

• Foods which counteract Foods which counteract DampnessDampness which which are palatable to carnivores include: are palatable to carnivores include: • Alfalfa, Barley, Garlic, Green Tea, Job’s tears, Alfalfa, Barley, Garlic, Green Tea, Job’s tears,

Kidney Bean, Mackerel, Mushroom, Parsley, Kidney Bean, Mackerel, Mushroom, Parsley, Pumpkin, Rutabaga, Rye and Turnip Pumpkin, Rutabaga, Rye and Turnip

Bian Zheng or Pattern Bian Zheng or Pattern DifferentiationDifferentiation

• Second PrincipleSecond Principle• TCVM is based upon Pattern DifferentiationTCVM is based upon Pattern Differentiation• Diagnostic systems includeDiagnostic systems include

• Yin/YangYin/Yang• Eight PrinciplesEight Principles• Zang-FuZang-Fu Organs Organs• Four LevelsFour Levels• Six StagesSix Stages• San JiaoSan Jiao• Pathogenic Factors Pathogenic Factors

Bian Zheng or Pattern Bian Zheng or Pattern Differentiation: BasicDifferentiation: Basic

• Treatment is based upon the inverse of Treatment is based upon the inverse of Pattern of Disharmony (Heteropathy)Pattern of Disharmony (Heteropathy)

• Not sure of Herbal Formula?Not sure of Herbal Formula?• Use cardinal signs to choose Food TherapyUse cardinal signs to choose Food Therapy

• For example, a dog with loose stools, For example, a dog with loose stools, weakness, shortness of breath, pale moist weakness, shortness of breath, pale moist tongue and a weak pulse might be tongue and a weak pulse might be diagnosed as Spleen diagnosed as Spleen QiQi Deficient Deficient• The treatment principle is then to Tonify The treatment principle is then to Tonify

(Deficient) Spleen (Deficient) Spleen QiQi

Bian Zheng or Pattern Bian Zheng or Pattern Differentiation: BasicDifferentiation: Basic

• For the Spleen For the Spleen QiQi deficient dog the deficient dog the weakness, pale tongue and the weak weakness, pale tongue and the weak pulse suggest Deficiencypulse suggest Deficiency

• Use Tonifying foods such as Chicken, Use Tonifying foods such as Chicken, Oats, Quinoa, Yam and many of the Oats, Quinoa, Yam and many of the culinary herbs to either add to the culinary herbs to either add to the current diet or create a Food Therapy current diet or create a Food Therapy Formula for this dog Formula for this dog

Bian Zheng or Pattern Bian Zheng or Pattern Differentiation: AdvancedDifferentiation: Advanced

• Treatment is based upon the inverse Treatment is based upon the inverse of Pattern of Disharmony of Pattern of Disharmony (Heteropathy)(Heteropathy)• A diagnosis of Spleen A diagnosis of Spleen QiQi Deficiency? Deficiency? • Treated by Tonifying (Deficient) Spleen Treated by Tonifying (Deficient) Spleen

QiQi

• Classical Herbal FormulaeClassical Herbal Formulae• Already designed to treat PatternsAlready designed to treat Patterns

• ““Elegant” Food TherapyElegant” Food Therapy• May formulate based upon detailed May formulate based upon detailed

analysis of classical Herbal Formulaanalysis of classical Herbal Formula

Spleen Spleen QiQi Deficiency: Introduction Deficiency: Introduction

• General signs of General signs of QiQi Deficiency include Deficiency include lethargy and fatiguelethargy and fatigue

• QiQi Deficiency signs are exacerbated by Deficiency signs are exacerbated by activity and improved with restactivity and improved with rest

• Primary signs of Spleen Primary signs of Spleen QiQi Deficiency Deficiency includeinclude• Loose stoolsLoose stools• FatigueFatigue• Shortness of breathShortness of breath• Reduced appetiteReduced appetite• Pale moist tonguePale moist tongue• Weak pulseWeak pulse

Bian Zheng and Herbal FormulaBian Zheng and Herbal Formula

• Spleen Qi DeficiencySpleen Qi Deficiency• Tonify Spleen Qi with the herbal formula Tonify Spleen Qi with the herbal formula Si Jun Zi Si Jun Zi

TangTang or Four Gentlemen Decoction or Four Gentlemen Decoction• the chief herb Panax ginseng the chief herb Panax ginseng ren shenren shen is sweet, warm is sweet, warm

and tonifies Spleen and tonifies Spleen QiQi• the deputy herb Atractylodis macrocephalae the deputy herb Atractylodis macrocephalae bai zhubai zhu is is

bitter, warm and strengthens Spleen bitter, warm and strengthens Spleen QiQi and dries and dries DampnessDampness

• the assistant herb Poria cocos the assistant herb Poria cocos fu lingfu ling is sweet, bland is sweet, bland and leeches out Dampness and mildly Tonifies Spleen and leeches out Dampness and mildly Tonifies Spleen QiQi

• the envoy Glycyrrhizae uralensis the envoy Glycyrrhizae uralensis gan caogan cao is warm, sweet is warm, sweet and warms and regulates the middle burnerand warms and regulates the middle burner

Si Jun Zi TangSi Jun Zi Tang and Food Therapy and Food Therapy

• A Food Combination that would have A Food Combination that would have similar actions to similar actions to Si Jun Zi TangSi Jun Zi Tang could includecould include• Warm, sweet Chicken which enters the Warm, sweet Chicken which enters the

Spleen and Stomach to Tonify Spleen and Stomach to Tonify QiQi• Warm, sweet Oats to strengthen the Warm, sweet Oats to strengthen the

Spleen and dry DampnessSpleen and dry Dampness• Or neutral, bitter Rye to drain Dampness Or neutral, bitter Rye to drain Dampness

and Water from the Spleenand Water from the Spleen

Si Jun Zi TangSi Jun Zi Tang and Food Therapy and Food Therapy

• A Food Combination that would have A Food Combination that would have similar actions to similar actions to Si Jun Zi TangSi Jun Zi Tang• Cool, sweet Mushroom to leech Cool, sweet Mushroom to leech

Dampness and mildly tonify Spleen Dampness and mildly tonify Spleen QiQi• Neutral, sweet and sour Coriander to Neutral, sweet and sour Coriander to

direct the actions to the middle burner direct the actions to the middle burner and mildly warm the Spleen and and mildly warm the Spleen and Stomach Stomach

• Use acrid, warm, aromatic Cardamom Use acrid, warm, aromatic Cardamom ((Sha RenSha Ren) if there is also Phlegm or ) if there is also Phlegm or vomitingvomiting

Spleen Qi Deficiency with Spleen Qi Deficiency with DampDamp

• Shen Ling Bai Zhu SanShen Ling Bai Zhu San Ginseng, Poria, and Ginseng, Poria, and Atractylodes PowderAtractylodes Powder• Ren shenRen shen ginseng ginseng• Bai zhuBai zhu white atractylodes white atractylodes• Fu lingFu ling poria poria• Zhi gan caoZhi gan cao honey-fried licorice honey-fried licorice• Shan yaoShan yao dioscorea dioscorea• Bai bian douBai bian dou dolichoris lablab dolichoris lablab• Lian ziLian zi nelumbinis nelumbinis• Yi yi renYi yi ren coix coix• Sha renSha ren amomum amomum• Jie gengJie geng platycodon platycodon

• Augments the Qi, strengthens the Spleen, leaches Augments the Qi, strengthens the Spleen, leaches out Dampness and stops diarrheaout Dampness and stops diarrhea

Shen Ling Bai Zhu SanShen Ling Bai Zhu San Ginseng, Ginseng, Poria, and Atractylodes PowderPoria, and Atractylodes Powder

• Ren shenRen shen ginseng, ginseng, Bai zhuBai zhu white atractylodes, white atractylodes, Fu Fu lingling poria, and poria, and Zhi gan caoZhi gan cao honey-fried licorice are honey-fried licorice are Si Jun Zi Tang Si Jun Zi Tang

• Shan yaoShan yao dioscorea tonifies the Spleen and dioscorea tonifies the Spleen and supports the chief herbssupports the chief herbs

• Bai bian douBai bian dou dolichoris lablab and dolichoris lablab and Lian ziLian zi nelumbinis strengthen the Spleen and stop nelumbinis strengthen the Spleen and stop diarrheadiarrhea

• Yi yi renYi yi ren coix strengthens the Spleen and leaches coix strengthens the Spleen and leaches out Dampnessout Dampness

• Sha renSha ren amomum transforms Dampness and amomum transforms Dampness and promotes Qi movementpromotes Qi movement

• Jie gengJie geng platycodon unblocks the flow of Lung Qi platycodon unblocks the flow of Lung Qi

Shen Ling Bai Zhu San Shen Ling Bai Zhu San Food TherapyFood Therapy

• Ren shenRen shen ginseng, ginseng, Bai zhuBai zhu white atractylodes, white atractylodes, Fu lingFu ling poria, poria, and and Zhi gan caoZhi gan cao honey-fried licorice are honey-fried licorice are Si Jun Zi TangSi Jun Zi Tang• Warm, sweet Chicken which enters the Spleen and Stomach to Warm, sweet Chicken which enters the Spleen and Stomach to

Tonify Tonify QiQi• Warm, sweet Oats to strengthen the Spleen and dry DampnessWarm, sweet Oats to strengthen the Spleen and dry Dampness• Cool, sweet Mushroom to leech Dampness and mildly tonify Cool, sweet Mushroom to leech Dampness and mildly tonify

Spleen Spleen QiQi• Neutral, sweet and sour Coriander to direct the actions to the Neutral, sweet and sour Coriander to direct the actions to the

middle burner and mildly warm the Spleen and Stomachmiddle burner and mildly warm the Spleen and Stomach• Yam and/or Sweet potato are neutral, sweet and tonify the Yam and/or Sweet potato are neutral, sweet and tonify the

SPSP• Pumpkin is sweet, neutral and dries Damp in the GI tractPumpkin is sweet, neutral and dries Damp in the GI tract• Rutabaga is sweet, bitter, tonifies SP, circulates Qi, dries Rutabaga is sweet, bitter, tonifies SP, circulates Qi, dries

DampDamp• Aduki bean is neutral, sweet, sour and dries Damp and WaterAduki bean is neutral, sweet, sour and dries Damp and Water• Black pepper is sweet, pungent and hot, and transforms Black pepper is sweet, pungent and hot, and transforms

Damp and PhlegmDamp and Phlegm

Spleen Spleen YangYang Deficiency: Deficiency: IntroductionIntroduction

• Cold from Deficiency in the Middle Cold from Deficiency in the Middle BurnerBurner

• Disrupts Qi MechanismDisrupts Qi Mechanism• Principle signsPrinciple signs

• Epigastric and abdominal distention and Epigastric and abdominal distention and painpain

• FatigueFatigue• Cold extremitiesCold extremities• White, slippery tongue coatingWhite, slippery tongue coating• Slow, deep pulseSlow, deep pulse

Spleen Spleen YangYang Deficiency: Herbal Deficiency: Herbal FormulaFormula

•Li zhong wanLi zhong wan or Regulate the or Regulate the Middle PillMiddle Pill•Actions: Warms the middle Actions: Warms the middle burner and strengthens the burner and strengthens the Spleen and StomachSpleen and Stomach

Spleen Spleen YangYang Deficiency: Deficiency: Li zhong wanLi zhong wan

•Indications: diarrhea with watery Indications: diarrhea with watery stool, nausea and vomiting, little stool, nausea and vomiting, little thirst, loss of appetite, abdominal thirst, loss of appetite, abdominal painpain•Tongue: pale with white coatTongue: pale with white coat•Pulse: thin, deepPulse: thin, deep

Spleen Spleen YangYang Deficiency: Deficiency: Li zhong wanLi zhong wan

• Zingiberis officinalis Zingiberis officinalis gan jianggan jiang warms the warms the Spleen and Stomach Spleen and Stomach YangYang and dispels and dispels interior Coldinterior Cold

• Radix ginseng Radix ginseng ren shenren shen strongly tonifies strongly tonifies the the Yuan QiYuan Qi and reinforces the and reinforces the YangYang

• Atractylodis macrocephalae Atractylodis macrocephalae bai zhubai zhu tonifies SP/ST and dries damptonifies SP/ST and dries damp• One warming, one tonifying, one dryingOne warming, one tonifying, one drying

• Glycyrrhizae uralensis Glycyrrhizae uralensis zhi gan caozhi gan cao augments the middle burner augments the middle burner QiQi

Spleen Spleen YangYang Deficiency Deficiency Food Therapy Food Therapy

• Lamb is sweet, hot, enters the Spleen Lamb is sweet, hot, enters the Spleen and Kidney and tonifies and Kidney and tonifies YangYang

• Sweet potato is sweet, warm, enters Sweet potato is sweet, warm, enters the Kidney and Spleen and tonifies the Kidney and Spleen and tonifies YinYin and and QiQi and dispels Cold and dispels Cold

• Corn is sweet, neutral, enters the KI, Corn is sweet, neutral, enters the KI, LI and ST, tonifies LI and ST, tonifies QiQi and dries damp and dries damp

• Fenugreek seed is warm, bitter, Fenugreek seed is warm, bitter, circulates circulates QiQi and tonifies and tonifies YangYang• Or Ginger as inOr Ginger as in Li zhong wan Li zhong wan

Stomach HeatStomach Heat

• Bai Hu TangBai Hu Tang White Tiger Decoction White Tiger Decoction• Shi gaoShi gao gypsum gypsum• Zhi muZhi mu anemarrhena anemarrhena• Zhi gan caoZhi gan cao honey fried licorice honey fried licorice• Geng miGeng mi nonglutinous rice nonglutinous rice

• Clears Qi-level Heat, drains Stomach Clears Qi-level Heat, drains Stomach Fire, generate fluids, and alleviates Fire, generate fluids, and alleviates thirstthirst

Bai Hu TangBai Hu Tang White Tiger White Tiger DecoctionDecoction

• Shi gaoShi gao gypsum is sweet, acrid and gypsum is sweet, acrid and extremely cold to Clear Heat and Drain Fireextremely cold to Clear Heat and Drain Fire

• Zhi muZhi mu anemarrhena is bitter, cold and anemarrhena is bitter, cold and moistening, Clears Heat and enriches Yinmoistening, Clears Heat and enriches Yin

• Zhi gan caoZhi gan cao honey fried licorice and honey fried licorice and Geng Geng mimi nonglutinous rice benefit the Stomach nonglutinous rice benefit the Stomach and protect the fluids, and protect the and protect the fluids, and protect the middle Jiao from the first two cold middle Jiao from the first two cold ingredientsingredients

Bai Hu Tang Bai Hu Tang Food TherapyFood Therapy

• Crab is cold, salty, enters the Liver and Crab is cold, salty, enters the Liver and Stomach, nourishes Yin and Clears HeatStomach, nourishes Yin and Clears Heat

• Millet is cool, sweet, salty, enters the Millet is cool, sweet, salty, enters the Kidney, Spleen and Stomach and Clears Kidney, Spleen and Stomach and Clears HeatHeat

• Squash is warm, sweet, enters the Spleen Squash is warm, sweet, enters the Spleen and Stomach, tonifies Qi and protects from and Stomach, tonifies Qi and protects from ColdCold

• Coriander is neutral, sweet, bitter, enters Coriander is neutral, sweet, bitter, enters the Stomach and protects from the Coldthe Stomach and protects from the Cold

Food and Qi StagnationFood and Qi Stagnation

• Yue Ju WanYue Ju Wan Escape Restraint Pill Escape Restraint Pill• Cang zhuCang zhu red/grey atractylodes red/grey atractylodes• Chuan xiongChuan xiong ligusticum ligusticum• Xiang fuXiang fu cyperus cyperus• Shan zhi ziShan zhi zi gardenia gardenia• Shen quShen qu massa fermentata massa fermentata

• Promotes the movement of Qi and Promotes the movement of Qi and releases constraint; “Five Stagnation” releases constraint; “Five Stagnation” (Qi, blood, food, phlegm and heat) (Qi, blood, food, phlegm and heat)

Yue Ju WanYue Ju Wan Escape Restraint Escape Restraint PillPill

• Cang zhuCang zhu red/grey atractylodes dries red/grey atractylodes dries Dampness and resolves PhlegmDampness and resolves Phlegm

• Chuan xiongChuan xiong ligusticum releases ligusticum releases constrained Blood to resolve fixed painconstrained Blood to resolve fixed pain

• Xiang fuXiang fu cyperus releases constraint and cyperus releases constraint and disperses Qi Stagnationdisperses Qi Stagnation

• Shan zhi ziShan zhi zi gardenia clears Heat from gardenia clears Heat from Sanjiao, resolves Fire from constraint and Sanjiao, resolves Fire from constraint and acid refluxacid reflux

• Shen quShen qu massa fermentata relieves massa fermentata relieves constraint caused by food stagnationconstraint caused by food stagnation

Yue Ju Wan Yue Ju Wan Food TherapyFood Therapy

• Crab is cold, salty, enters the Kidney and Crab is cold, salty, enters the Kidney and Stomach and circulates BloodStomach and circulates Blood

• If crab is unavailable, Chicken is warm, If crab is unavailable, Chicken is warm, sweet, enters the SP/ST and circulates sweet, enters the SP/ST and circulates BloodBlood

• Carrot is neutral, sweet, enters the Liver, Carrot is neutral, sweet, enters the Liver, Lung, and Spleen and circulates QiLung, and Spleen and circulates Qi

• Wheat germ is cold, sweet, enters the Heart Wheat germ is cold, sweet, enters the Heart and Stomach and circulates Bloodand Stomach and circulates Blood

• Garlic is hot, sweet, pungent, enters the Garlic is hot, sweet, pungent, enters the Heart, Liver, Lung and Stomach, resolves Heart, Liver, Lung and Stomach, resolves Damp, Phlegm and circulates QiDamp, Phlegm and circulates Qi

Megacolon: Dryness due to HeatMegacolon: Dryness due to Heat

• Ma Zi Ren WanMa Zi Ren Wan Hemp Seed Pill Hemp Seed Pill• Huo ma renHuo ma ren cannabis seed cannabis seed• Xing renXing ren apricot seed apricot seed• Shao yaoShao yao peony peony• Zhi shiZhi shi immature bitter orange immature bitter orange• Hou poHou po magnolia cortex magnolia cortex• Da huangDa huang rhubarb rhubarb

• Moisten the Intestines, drains Heat, Moisten the Intestines, drains Heat, promotes Qi movement, unblocks the promotes Qi movement, unblocks the bowelsbowels

Ma Zi Ren WanMa Zi Ren Wan Hemp Seed PillHemp Seed Pill

• Huo ma renHuo ma ren cannabis seed moistens the cannabis seed moistens the intestines and unblocks the bowelsintestines and unblocks the bowels

• Xing renXing ren apricot seed directs Qi downward apricot seed directs Qi downward and moistens the intestinesand moistens the intestines

• Bai Shao yaoBai Shao yao peony nourishes the Yin and peony nourishes the Yin and harmonizes the interiorharmonizes the interior

• Zhi shiZhi shi immature bitter orange breaks up immature bitter orange breaks up accumulation, especially in the intestinesaccumulation, especially in the intestines

• Hou poHou po magnolia cortex removes fullness magnolia cortex removes fullness and distensionand distension

• Da huangDa huang rhubarb is a purgative rhubarb is a purgative

Ma Zi Ren WanMa Zi Ren Wan Food Therapy Food Therapy

• Rabbit is cool, sweet, nourishes Qi and Yin and Rabbit is cool, sweet, nourishes Qi and Yin and enters the Large Intestine and Liver channelsenters the Large Intestine and Liver channels

• If Rabbit is unavailable, Beef is neutral, sweet, If Rabbit is unavailable, Beef is neutral, sweet, nourishes Yin, Qi and Blood and enters the SP, ST nourishes Yin, Qi and Blood and enters the SP, ST and LIand LI

• Alfalfa sprouts are neutral, salty and bitter, Alfalfa sprouts are neutral, salty and bitter, nourish Yin and Blood and enter the LInourish Yin and Blood and enter the LI

• Cabbage is neutral sweet and pungent, enters the Cabbage is neutral sweet and pungent, enters the ST and LI and dispels HeatST and LI and dispels Heat

• Tofu is cool, sweet, nourishes Yin and enters the Tofu is cool, sweet, nourishes Yin and enters the Spleen, Stomach and Large IntestineSpleen, Stomach and Large Intestine

• Honey is neutral, sweet, enters the Lung, ST and LI Honey is neutral, sweet, enters the Lung, ST and LI and moistens the boweland moistens the bowel

• Saffron is neutral, sweet and circulates QiSaffron is neutral, sweet and circulates Qi

Historical TCM Example of “Food Historical TCM Example of “Food as Medicine”as Medicine”

• Dang gui sheng jiang yang rou tangDang gui sheng jiang yang rou tang or Mutton stew with Angelica and or Mutton stew with Angelica and Fresh Ginger DecoctionFresh Ginger Decoction• Angelica sinensis Angelica sinensis dang guidang gui• Zingiberis officinalis recens Zingiberis officinalis recens sheng jiangsheng jiang• Mutton Mutton yang rouyang rou

• Actions: Warms the interior, Actions: Warms the interior, nourishes Blood and alleviates painnourishes Blood and alleviates pain

Geriatrics and Food TherapyGeriatrics and Food Therapy

• The astute veterinarian can already The astute veterinarian can already see that Raw Foods, although see that Raw Foods, although commonly healthful for young, active, commonly healthful for young, active, warm animals, may be too cooling warm animals, may be too cooling and stagnating for geriatric, inactive, and stagnating for geriatric, inactive, cool animalscool animals

• This is compounded when there is a This is compounded when there is a concurrent Spleen concurrent Spleen QiQi or or YangYang deficiency deficiency

Geriatrics, Processing and Geriatrics, Processing and XingXing

•Important!Important!•Cooking generally adds Cooking generally adds ““warmthwarmth” to foods” to foods•Because Warm Transformation is Because Warm Transformation is decreased with agedecreased with age•Warming and moving foods more Warming and moving foods more importantimportant

ConclusionConclusion

• TCVM Food Therapy is as important TCVM Food Therapy is as important as Acupuncture and Herbal Medicine as Acupuncture and Herbal Medicine to facilitate complete healingto facilitate complete healing

• Classical Herbal Formula strategies Classical Herbal Formula strategies may be used to construct TCVM Food may be used to construct TCVM Food Therapy formulas Therapy formulas

• Knowledge of Food Energetics is Knowledge of Food Energetics is necessary to understand and develop necessary to understand and develop food therapy formulasfood therapy formulas

Another Way for TCVM Another Way for TCVM FeedingFeeding

•Use a balanced base Use a balanced base foodfood

•Supplement for Supplement for constitution, constitution, disorders or disorders or deficienciesdeficiencies

•Add additional Add additional therapy as neededtherapy as needed

Base TCVM Diet for DogsBase TCVM Diet for Dogs

•3 oz chicken heart3 oz chicken heart•2 oz turkey breast2 oz turkey breast•3 oz ground beef3 oz ground beef•3 oz beef kidney3 oz beef kidney•2 oz beef liver2 oz beef liver•3 oz white fish3 oz white fish•4 oz tofu4 oz tofu•2 sardines in olive oil2 sardines in olive oil•1 T olive oil1 T olive oil

•1/2 c broccoli1/2 c broccoli•1/2 c carrots1/2 c carrots•2 oz mushrooms2 oz mushrooms•1/2 c spinach1/2 c spinach•1/4 c red peppers1/4 c red peppers•1/4 c green peppers1/4 c green peppers•1 T vinegar1 T vinegar•1 clove garlic1 clove garlic•1500 mg calcium1500 mg calcium

Contains 1250 calories with a 48/11/42 percent Contains 1250 calories with a 48/11/42 percent protein/carbohydrate/fat content.protein/carbohydrate/fat content.

Deficient Fire FoodDeficient Fire Food•4 oz chicken heart4 oz chicken heart

•4 oz chicken4 oz chicken

•4 oz lamb4 oz lamb

•1/8 t cayenne1/8 t cayenne

•750 mg calcium750 mg calcium

Contains 800 calories with a 47/1/52 percent Contains 800 calories with a 47/1/52 percent protein/carbohydrate/fat content.protein/carbohydrate/fat content.

Deficient Earth FoodDeficient Earth Food

•1 T fresh ginger1 T fresh ginger

•4 oz ground beef4 oz ground beef

•4 oz sweat bread4 oz sweat bread

•750 mg calcium750 mg calcium

Contains 665 calories with a 34/1/65 percent Contains 665 calories with a 34/1/65 percent protein/carbohydrate/fat content.protein/carbohydrate/fat content.

Deficient Metal FoodDeficient Metal Food

•8 oz rice8 oz rice

•4 chicken egg4 chicken egg

•4 oz egg plant4 oz egg plant

•600 mg calcium600 mg calcium

Contains 650 calories with a 20/36/44 percent Contains 650 calories with a 20/36/44 percent protein/carbohydrate/fat content.protein/carbohydrate/fat content.

Deficient Water FoodDeficient Water Food

•2 oz bamboo shoots2 oz bamboo shoots

•4 oz pork4 oz pork

•4 oz duck4 oz duck

•600 mg calcium600 mg calcium

Contains 572 calories with a 42/1/57 percent Contains 572 calories with a 42/1/57 percent protein/carbohydrate/fat content.protein/carbohydrate/fat content.

Deficient Wood FoodDeficient Wood Food

•3 oz chicken liver3 oz chicken liver

•1/2 c asparagus1/2 c asparagus

•4 oz chicken4 oz chicken

•600 mg calcium600 mg calcium

Contains 356 calories with a 61/6/33 percent Contains 356 calories with a 61/6/33 percent protein/carbohydrate/fat content.protein/carbohydrate/fat content.

Qi Tonic FoodQi Tonic Food

•4 oz ground beef4 oz ground beef

•4 oz beef liver4 oz beef liver

•1 T olive oil1 T olive oil

•1/4 cup spinach1/4 cup spinach

•3 oz string beans3 oz string beans

•1000 mg calcium1000 mg calcium

Contains 704 calories with a 37/10/53 percent Contains 704 calories with a 37/10/53 percent protein/carbohydrate/fat content.protein/carbohydrate/fat content.

Yang Tonic FoodYang Tonic Food

•4 oz lamb kidney4 oz lamb kidney

•1 T olive oil1 T olive oil

•1/4 t cinnamon1/4 t cinnamon

•1/2 t fennel1/2 t fennel

•1/4 cup red pepper1/4 cup red pepper

•400 mg calcium400 mg calcium

Contains 290 calories with a 38/6/56 percent Contains 290 calories with a 38/6/56 percent protein/carbohydrate/fat content.protein/carbohydrate/fat content.

Yin Tonic FoodYin Tonic Food

•4 eggs4 eggs

•2 oz chicken liver2 oz chicken liver

•1 T olive oil1 T olive oil

•4 oz cheddar cheese4 oz cheddar cheese

•4 oz firm tofu4 oz firm tofu

•500 mg calcium500 mg calcium

Contains 1225 calories with a 27/3/70 percent Contains 1225 calories with a 27/3/70 percent protein/carbohydrate/fat content.protein/carbohydrate/fat content.

Blood Tonic FoodBlood Tonic Food

•4 oz ground beef4 oz ground beef

•4 eggs4 eggs

•1 T olive oil1 T olive oil

•2 oz seaweed2 oz seaweed

•500 mg calcium500 mg calcium

Contains 958 calories with a 25/20/55 percent Contains 958 calories with a 25/20/55 percent protein/carbohydrate/fat content.protein/carbohydrate/fat content.

To Use TCVM FoodTo Use TCVM Food•Use 50% of diet as base Use 50% of diet as base foodfood

•Add 25% for any Add 25% for any deficiencydeficiency

•FireFire•EarthEarth•MetalMetal•WaterWater•WoodWood

•Add 25% of Grandparent Add 25% of Grandparent for excessfor excess

•Add 25 % of Grandchild if Add 25 % of Grandchild if balancedbalanced

•Add 25% tonicAdd 25% tonic•QiQi•YangYang•YinYin•BloodBlood