Traditional Chinese Medicine and Heavy-Metal Safety: A Call for Vigilance in Children’s Care

Kit Li

Chinese Herbal Medicine (CHM) is an important part of Traditional Chinese Medicine (TCM), using natural substances to support health, restore vitality and promote overall wellbeing. However, when herbal formulas are prescribed inappropriately or without following the fundamental principles of TCM, they may pose risks to patients' health rather than provide the intended benefits.

Safe and responsible practice requires well-trained and qualified TCM practitioners with a sound understanding of TCM principles, accurate pattern differentiation, appropriate herbal selection, correct preparation and handling, careful consideration of contraindications and potential interactions, and strict quality control. The safety and effectiveness of Chinese Herbal Medicine depend not only on the properties of the herbs themselves, but also on the professional knowledge, clinical judgement and responsible practice of those who prescribe and prepare them.

In the UK, although TCM practitioners are not subject to statutory professional registration, herbal medicinal products and their ingredients are subject to legal controls. These restrictions vary according to the substance and how it is supplied, rather than constituting a blanket ban on all animal-derived, mineral-derived or toxic ingredients. Manufacturers, wholesalers and sellers must ensure that any herbal products they place on the UK market are free from prohibited ingredients and that any restricted ingredients comply with the applicable legal requirements. (1)

Examples include tiger bone (虎骨, Hu Gu) and bear bile (熊胆, Xiong Dan), commercial trade in which is prohibited under UK wildlife controls, subject to limited exceptions for tiger specimens. Mineral substances such as cinnabar (朱砂, Zhu Sha), which contains mercury sulphide, and realgar (雄黄, Xiong Huang) (2), which contains arsenic sulphide, illustrate the potential risks associated with metal-containing traditional remedies. Toxic plants such as Guan Mu Tong (关木通, Aristolochia manshuriensis) and Guang Fang Ji (广防己, Aristolochia fangchi) (3) contain aristolochic acids, which can cause severe kidney damage and cancer; these ingredients are prohibited in unlicensed medicines in the UK. (4)

This topic became particularly relevant when Dr Tang and I began supporting a nine year-old boy whose mother reported that he had been diagnosed with ADHD at four and subsequently with autism, described as Asperger’s syndrome, at seven.

For more than two years, he had been receiving treatment remotely from a practitioner based in Asia who claimed experience in treating children with neurodevelopmental conditions. However, from mid-August, he began exhibiting increasingly pronounced movements described by his mother as 'tics', prompting her to approach us for additional help and support.

Following seven weekly scalp acupuncture sessions, we observed a reduction in the frequency and severity of his involuntary head movements and eye-rolling episodes. 

However, his mother was concerned that recent blood tests had shown elevated mercury (5) and lead levels, suggesting possible heavy-metal exposure. She explained that her son had been taking herbal preparations supplied by the practitioner for over two years. Although she did not know the ingredients, she continued giving them to him because she trusted the practitioner and had noticed improvements in his symptoms.

According to his mother, the boy had also been taking a preparation called 'DMPS'  regularly for so-called 'detoxification', as recommended by the practitioner. However, I believe that the ingredients of the CHM formula should be a key priority when investigating the possible sources of heavy-metal exposure.

It is important to check whether the herbal preparations contained mercury, lead or other harmful substances, either as ingredients or through contamination during production. The ingredients and use of DMPs should also be investigated, alongside other possible sources of exposure, including food and the environment.

This case highlights the importance of checking the ingredients, sources and quality of herbal preparations, especially those given to children. The boy should receive prompt medical assessment, and the suspected preparations should not be given again until medical advice has been obtained. Any remaining products and packaging should be kept for further investigation.

At present, the source of the reported heavy-metal exposure remains unknown. There is no confirmed evidence that the preparations caused the elevated levels or the boy's involuntary movements.

As TCM practitioners, we have a responsibility to recognise potential risks and work alongside medical professionals. Safe CHM practice requires well-trained practitioners, accurate TCM diagnosis, appropriate prescribing, correct preparation and handling, and reliable quality control. Patient safety must always remain our priority.

References:

1) Guidance Banned or restricted herbal ingredients for medicinal use

2) Realgar and arsenic exposure

3) Urothelial carcinoma associated with the use of a Chinese herb (Aristolochia fangchi)

4) Guidance Banned and restricted herbal ingredients Published 18 December 2014

5) Mercury intoxication presenting with tics

NOTE: This clinical case is shared for educational and professional awareness purposes. Appropriate parental informed consent has been obtained prior to publication, and the child's personal information has been anonymised to protect their identity, privacy and confidentiality.

Welcoming Lìdōng with Honey-Infused Red Ginseng

 

Kit Li

Today marks Lìdōng (立冬), the traditional beginning of winter and the 19th of the 24 solar terms in the Chinese calendar.  This cold, foggy morning made me crave something warm and nourishing. A hot drink feels like a lovely way to welcome the season.

In mid-September, I tried a recipe that involved steaming Red ginseng (1, 2) slices to soften them before layering them with honey. It got me thinking about how these two ingredients are understood in traditional Chinese medicine and how I could adapt the recipe for a cold infusion at home.

Red Ginseng soaked in honey is traditionally described as replenishing Qi, nourishing Blood, supporting the Spleen, warming the Stomach, promoting body fluids, relieving thirst, calming the mind and supporting the Lung.  It is traditionally used for patterns such as Qi and Blood-deficiency, Spleen and Stomach weakness, cough or breathlessness associated with Lung-deficiency, and thirst associated with depleted body fluids. 

1. Replenishing Qi and nourishing Blood

The preparation consists mainly of red ginseng and honey. Red ginseng is traditionally described as strongly replenishing vital Qi, restoring the pulse in collapse patterns and helping Qi contain Blood. Honey is traditionally described as supporting the Middle-Jiao, moistening dryness, relieving pain and resolving toxicity.

Together, they are traditionally used to support people with patterns of Qi and Blood-deficiency or Spleen and Stomach weakness.

2. Supporting the Spleen and warming the Stomach

Red ginseng as sweet, slightly bitter and slightly warm, entering the Spleen, Lung, Heart and Kidney meridians. Its listed traditional actions include replenishing vital Qi, restoring the pulse, supporting the Spleen and Lung, promoting fluids, nourishing Blood and calming the mind.

Honey is described as sweet and neutral, entering the Lung, Spleen and Large Intestine meridians. Its traditional actions include supporting the Middle-Jiao, moistening dryness, relieving pain and resolving toxicity.

The combination is traditionally associated with supporting the Spleen and Stomach, particularly in deficiency patterns involving poor appetite, fatigue, cough, breathlessness or thirst.

3. Promoting body fluids and relieving thirst

The combination is traditionally used for dry mouth and thirst associated with depleted body fluids.

4. Calming the mind and supporting mental clarity

Red ginseng is traditionally associated with calming the mind and supporting mental clarity. The original text suggests that the honey preparation may help with insomnia and forgetfulness.

5. Supporting the Spleen and Lung

Red ginseng is traditionally used for Spleen and Lung-Qi deficiency, which may present as poor appetite, fatigue, cough or breathlessness.

Preparing Red Ginseng Soaked in Honey

The preparation is described in four stages: preparing the ingredients, softening and slicing the ginseng, layering it in a jar, and allowing it to infuse.

Ingredients and equipment:

1) Red ginseng slices: about 100 - 200g.

2) Honey: Pure honey, such as acacia or linden honey, preferably with a relatively low moisture content.

3) Container: A clean glass jar with a tight-fitting lid, thoroughly cleaned and completely dried.

4) Ratio: Approximately one part ginseng to three to five parts honey by weight, for example, 100g of ginseng slices with 300 - 500g of honey.

Preparation:

1. Soften the ginseng

Steam the ginseng for approximately 10 - 20 minutes, then allow it to cool and dry completely (it normally takes one day).

2. Layer the ingredients

Pour a thin layer of honey into the bottom of the jar, then add alternating layers of ginseng slices and honey.  Continue until the jar is nearly full, ensuring that the honey completely covers the ginseng. Leave approximately 1- 2 cm of space below the rim.

3. Seal and allow to infuse

Recommends sealing the jar and storing it in a cool and dry place  

Storage and food safety

It suggests allowing the mixture to infuse for at least seven days to one month to develop the flavour.

Discard the mixture if you notice mould, unusual bubbling or a sour or alcoholic smell. 

Who should take care with this drink? Avoid red ginseng during pregnancy or breastfeeding, and seek advice before offering it to children or teenagers. Never give honey to babies under 12 months. If you have diabetes, an autoimmune condition or a bleeding disorder, or take regular medicines such as warfarin or insulin, check with your pharmacist or GP first. Red ginseng can also disturb sleep, so if you’re prone to insomnia, avoid drinking it in the evening.

For me, preparing this recipe is a way of connecting with traditional Chinese food culture and sharing something special with my family. As with any herbal preparation, individual suitability and safe preparation and storage matter.  Hope you enjoy a warming cup of red ginseng and honey!

References:

1) Red Ginseng: The root is steamed and then dried, giving it a reddish-brown colour and changing its chemical composition.

2) Asian Ginseng

© 2026 Kit Li. All rights reserved. Please obtain permission before reproducing this article. Referenced materials remain the property of their respective rights holders.

Emotions and Mental Wellbeing: Reflections from a TCM Perspective

Kit Li

As a TCM practitioner, I value the connections between everyday life, emotions and wellbeing. I would like to share a few reflections on these connections, including how emotions are understood within TCM.

A mental disorder affects a person’s thinking, emotions or behaviour and can cause distress or difficulties in daily life. In 2023, around 1.2 billion people worldwide, nearly one in seven, were living with a mental disorder. Anxiety and depression were the most common. Although effective prevention and treatment options are available, most people do not receive effective care. Many also face stigma, discrimination and violations of their human rights. (1)

Mental health is influenced by personal, family and social factors. poverty, violence, disability and inequality can increase the risk of mental health problems, whereas emotional skills and supportive relationships can help protect mental health.

Mental health services do not have enough resources to meet people’s needs. Only 40% of people with psychosis and around one third of those with depression receive formal mental healthcare. Alongside treatment, people may need support to maintain relationships, access education, work and housing, and take part in meaningful activities. 

Countries should promote mental wellbeing and provide care for people with mental health conditions. Community-based care is more accessible, supports recovery and helps protect people’s rights. It should connect mental health support across hospitals, GP services, community centres, schools and other settings. To help more people with depression and anxiety, countries can also expand psychological support provided by trained non-specialists and offer digital self-help tools. (2)

One finding in WHO’s 2025 report that sparked my interest was the difference in mental disorders between males and females. ADHD, autism spectrum disorder (ASD), intellectual developmental disorder (IDD) with no known cause, and some other mental disorders are estimated to be more common in males. In contrast, anxiety, depression and eating disorders are estimated to be more common in females. Anxiety disorders tend to appear earlier in life than depressive disorders, which are uncommon before the age of ten. After the age of 40, depressive disorders become more common than anxiety disorders, with the highest prevalence among people aged 50-69. (3)

These findings made me think about TCM theory. In TCM, emotions and organ systems influence each other, so assessment considers each person’s constitution, symptoms and overall health.

The Kidney stores Essence and is linked with growth, development, reproduction and nourishment of the brain. The Liver stores Blood and supports the smooth flow of Qi, which relates to emotional balance and menstrual health. The saying  '女子以肝为先天' in Lin Zheng Zhi Nan Yi An 《临证指南医案》highlights the Liver’s importance in women’s health. (4)  In this traditional framework, Liver Qi stagnation may involve frustration, irritability or low mood, while Liver Blood deficiency may involve anxiety, poor sleep and difficulty concentrating.

However, each person has a different constitution, and the symptoms associated with TCM patterns can vary. People with the same diagnosis may have different patterns involving several TCM functional systems. Therefore, individual assessment remains important, and the reported differences between males and females do not directly establish a particular TCM pattern.

Let’s look at how TCM understands emotions:

TCM describes the relationship between mental activities and the five organ systems through the saying: The Heart houses Shen (神), the Liver houses Hun (魂), the Spleen houses Yi (意), the Lung houses Po (魄), and the Kidney houses Zhi (志). These traditional concepts relate to the mind, spirit, thought and will. They should not be treated as direct equivalents of modern brain functions.

Liver: Anger and Emotional Balance

The Liver stores Blood and supports the smooth flow of Qi. Ongoing anger, frustration or suppressed emotions may be associated with Liver-Qi stagnation. Possible symptoms include irritability, low mood, frequent sighing and tightness in the chest or around the ribs. Liver-stagnation may also affect the Spleen and Stomach, so emotional difficulties may occur alongside appetite changes and bloating. The traditional concept of the Liver housing Hun also relates to sleep and mental activity.

Heart: Joy and the Mind (Shen)

The Heart as governing Blood and blood vessels and housing Shen, which relates to awareness, thinking and emotions. Normal joy supports wellbeing, but excessive excitement or strong emotional experiences may disturb Shen. Assessment may consider palpitations, insomnia, frequent dreams and restlessness. Sadness can also affect Shen; the Heart is not connected only with joy.

Spleen: Thinking and Digestion

The Spleen helps process food and distribute nourishment. It also houses Yi, which relates to thought. Excessive thinking or repeated worry may affect these functions, with symptoms such as poor appetite, bloating, loose stools and tiredness. The Spleen also helps produce Qi and Blood to nourish other organ systems. Therefore, Spleen-related patterns may occur alongside patterns involving insufficient nourishment of Shen.

Lung: Grief, Worry and Qi

The Lung as governing Qi and breathing and housing Po. Prolonged grief or worry is traditionally thought to weaken Lung-Qi, possibly involving shortness of breath, tiredness and a weak voice. However, this traditional connection alone cannot explain the cause of a chronic cough or lung disease.

Kidney: Fear, Essence and Will

In TCM, the Kidney stores Essence and houses Zhi, which relates to will. It is associated with growth, development, reproduction and nourishment of the brain and Marrow. Persistent fear or sudden fright is traditionally thought to affect Qi and the Kidney system. Assessment must also consider other symptoms, such as weakness in the lower back and knees or tinnitus. Fear alone does not establish Kidney deficiency.

The chapter 'Ju Tong Lun in the Huangdi Neijing Suwen' (5) describes how emotions may affect Qi: anger makes Qi rise, grief weakens Qi, fear makes Qi descend, fright disturbs Qi, and excessive thinking causes Qi to become constrained. These connections are a starting point for understanding emotions in TCM; one emotion can affect more than one organ system.

From a TCM perspective, these conditions may involve different patterns, depending on the person’s symptoms and overall health. Below are some examples of TCM patterns described in the literature and their possible associated symptoms. These are traditional pattern descriptions, rather than diagnostic criteria or established biological explanations. The examples come from different studies and may vary between practitioners.

1) ADHD: Heart-Spleen deficiency (心脾两虚), phlegm-fire disturbing the Heart (痰火扰心), Liver-Qi stagnation turning into fire (肝郁化火), and Kidney-deficiency with Liver hyperactivity (肾虚肝亢). (6) 

Possible Symptoms: Poor concentration or memory, tiredness, poor appetite, sleep problems and palpitations. Other symptoms may include restlessness, irritability, anger, headaches, a bitter taste, thirst, dizziness and lower-back weakness.

2) Autism spectrum disorder (ASD): Exuberant fire of Heart and Liver (心肝火旺) Heart spirit confused by phlegm (痰蒙心窍) deficiency of Heart and Spleen syndrome (心脾两虚),  and deficient Kidney-essence syndrome (肾精不足). (7)

Possible Symptoms: Tiredness, poor appetite, irritability, restlessness and disturbed sleep.

3) Intellectual developmental disorder (IDD): Insufficient congenital Essence (先天精气不足) and inadequate nourishment from acquired Essence (后天失养). These interpretations involve the Kidney, Heart, Spleen and Stomach. (8)

Possible Symptoms: Tiredness, poor appetite, and ongoing difficulties with learning or memory.

4) Anxiety disorders: Heart-Kidney disharmony (心肾不交), Heart-Spleen deficiency (心脾两虚), phlegm-heat disturbing the Heart (痰热扰心), Liver stagnation with Spleen-deficiency (肝郁脾虚), and Liver-stagnation turning into fire (肝郁化火). (9)

Possible Symptoms: Restlessness, poor concentration, insomnia, night sweats, palpitations, irritability, headaches and digestive discomfort.

5) Depressive disorders: Liver-Qi stagnation (肝气郁结), Liver-stagnation with Spleen-deficiency (肝郁脾虚), Heart-Spleen deficiency (心脾两虚), and other deficiency or excess patterns. (10)

Possible Symptoms: Low mood, frustration, frequent sighing, tiredness, poor appetite, bloating, loose stools and sleep problems, poor concentration or memory.

6) Eating disorders: Liver-Qi stagnation (肝气郁结) and Liver-stagnation with Spleen-deficiency (肝郁脾虚). However, anorexia nervosa, bulimia and binge-eating disorder are different conditions and should not be explained by one digestive pattern. (11)

Possible Symptoms: Emotional tension, digestive discomfort, changes in appetite, bloating and loose stools, tiredness.

Please bear in mind that a person may have more than one co-occurring condition. In TCM, a person may also present with several overlapping patterns.

I hope that, over time, TCM may have a greater role in supporting mental wellbeing alongside modern mental health care. I look forward to continuing to learn and making a modest contribution where I can.

References: 

1) Mental Disorders (published in 11 September 2026)

2) Mental Health (published in 11 September 2026)

3) World Mental Health Today: latest data (published in 2 September 2025)

4) 《临证指南医案》卷九·调经 - Lin Zheng Zhi Nan Yi An, Volume 9, Regulating Menstruation: Clinical cases of Ye Tianshi (叶天士), compiled by Hua Xiuyun and others (华岫云等). The phrase '女子以肝为先天' appears in Qin Tianyi’s (秦天一) commentary summarising Ye’s cases. 

5) 《黄帝内经·灵枢·本神》第八 - Huangdi Neijing Lingshu, Chapter 8, 'Ben Shen': This passage describes the relationship between the five organ systems and Shen, Hun, Yi, Po and Zhi. 

6) Treat ADHD with herbal medication and acupuncture

7) Research status and prospects of acupuncture for autism spectrum disorders

8) The treatment of intellectual disability with acupuncture

9) Analysis of syndrome discipline of generalized anxiety disorder using data mining techniques

10) Prescription of Chinese Herbal Medicine in Pattern-Based Traditional Chinese Medicine Treatment for Depression: A Systematic Review

11) Development of a Chinese Medicine Pattern Severity Index for Understanding Eating Disorders

© 2026 Kit Li. All rights reserved. Please obtain permission before reproducing this article. Referenced materials remain the property of their respective rights holders.

TCM for Multiple System Atrophy (MSA): A Case Report Using Scalp and Body Acupuncture

 Kit Li

Multiple system atrophy (MSA) (1) is a rare, progressive neurodegenerative condition that affects the autonomic nervous system, movement and co-ordination.  Approximately 3,500 patients who affected with MSA  in the UK.  

MSA has two main clinical types, classified by which movement symptoms are most prominent. They are forms of the same condition, and their symptoms can overlap:

1) MSA-P, or the Parkinsonian type（帕金森型) , mainly causes Parkinson-like movement difficulties, including slow movement, muscle stiffness and sometimes tremor.

2) MSA-C, or the cerebellar type（小脑型), mainly affects balance and coordination. Common symptoms include unsteady walking, poorly coordinated arm and leg movements, slurred speech and difficulty controlling eye movements.

There are specialist NHS services and a national MSA charity that can help with symptom management and practical support.   Sheffield Ataxia Centre at Royal Hallamshire Hospital is one of the centre provides specialist assessment, symptom management, nurse support and links to physiotherapy, occupational therapy and speech and language therapy. A GP or neurologist referral is required.

Case study:

A 58 y/o male patient was diagnosed with MSA, cerebellar type (MSA-C) in 2024. He also experienced a stroke in January 2026.

At his initial consultation in mid-August 2026, he presented with slurred speech, impaired mobility, fluctuating blood pressure and difficulties with emotional regulation.

He also reported severe back pain extending to the sacral region, with a history of an accident and subsequent lower-back surgery several years earlier. His restricted mobility and flexibility made it difficult for him to lie down comfortably, and he described progressively worsening tightness in his back.

Primary concerns: Slurred speech, emotional distress and impaired mobility.

Pulse: Generally deep, with a slightly rapid pulse at the left-sided positions, particularly in Guan position.

Tongue: Dry, with central cracks and teethmarks along the edges, purple discolouration towards the front.

TCM diagnosis: Liver-qi stagnation, Spleen-qi deficiency, and Kidney-yin and Essence-deficiency.

Treatment Principles:

1. Soothe the Liver and regulate qi to promote its smooth flow.
2. Strengthen Spleen-qi to support muscle function.
3. Nourish Kidney-yin and replenish Kidney-essence.

Initial Treatments:

The treatment aims described below are based on TCM principles and the scalp acupuncture system used. They explain why these points and areas were selected for this patient.

1. Begin by applying Dao-qi techniques for a few minutes at selected points along the Du Mai, including DU-14 and DU-16, aiming to elicit a wave-like sensation throughout his body, this technique is intended to regulate Qi flow along the Du Mai as part of the treatment.

2. Apply scalp acupuncture with electrical stimulation to selected areas for 30 minutes, with the following treatment aims:

• Head Area and Manic Area: To address symptoms associated with fluctuating blood pressure.
• Central Area and Foot Motor-Sensory Area: To address night sweats.
• Speech Area I: To help improve speech clarity.

3. Body Acupoints:

• RN-12, RN-6 and RN-4: To support emotional wellbeing and help relieve the marked tension in his upper body.
• ST-25 and ST-36: To support digestive function, with the aim of relieving constipation and improving appetite.
• SP-6 and SP-8: To promote the circulation of Blood and nourish Blood.
• KI-3: To nourish Kidney Yin.
• LV-3: To regulate Liver Qi.

The patient received five sessions over two months. The treatment approach was adapted at each session according to his symptoms and presentation. On two occasions, I also used some key points on his upper back and lower back, incorporating Dao-qi techniques with the aim of supporting his vitality and relieving tension in his upper and lower back. At subsequent appointments, he regularly reported positive changes.

I was pleased to hear about his progress. Over the course of treatment, he reported improvements in several symptoms, particularly his emotional regulation and mobility. I also observed improvements in his speech and ability to express himself. During his final session, he was able to describe how he was feeling more clearly.  He told me that the most remarkable improvement for him was that the eczema on his upper back had completely cleared, something he had never expected.

The patient reported that body acupuncture and Scalp Acupuncture had helped him considerably over five sessions, and my clinical observations also suggested improvements. For me, clinical observations are important, but the patient’s own experience and voice are equally valuable in understanding and documenting his response to treatment. (2)

Although there is currently no cure for MSA, medicines and rehabilitation can help manage its symptoms. Encouraged by this patient’s reported benefits and the improvements I observed, I hope that continued acupuncture, alongside his medical care and rehabilitation, may provide further support for his wellbeing, mobility and communication. Longer-term follow-up is needed to assess whether these improvements are sustained.

Reference: 

1) Multiple System Atrophy

2) A video documenting my patient’s positive feedback

© 2026 Kit Li. All rights reserved. Please obtain permission before reproducing this article. Referenced materials remain the property of their respective rights holders.

A New Chapter: Joining the Chilterns Neuro Centre

Kit Li

When one door closes, another opens. As I take a break from my volunteer role at Florence Nightingale Hospice Charity, a new chapter begins.

I am honoured to have been accepted as a volunteer neuro-acupuncturist at the Chilterns Neuro Centre (CNC) in Wendover, Buckinghamshire. This is a role I have hoped to undertake since the very beginning of my journey as a neuro-acupuncturist.

The centre supports almost 900 members. Most come from Buckinghamshire, Bedfordshire, Hertfordshire and Oxfordshire, although some travel from as far as London.

As an independent charity, CNC relies largely on community generosity, with funding from trusts and foundations, personal donations, gifts in wills, corporate partnerships and fundraising events.

Its mission is to improve the quality of life of people affected by neurological conditions, including Parkinson’s disease, multiple sclerosis and stroke, while also supporting their families and carers.

The centre is open Monday to Friday, offering a wide range of services, including physiotherapy, oxygen treatment, hydrotherapy, exercise classes, occupational therapy, counselling, therapeutic leisure groups, nutritional advice, Pilates, and speech and language therapy.

Annual membership currently costs £35, with services and activities provided to members at no additional charge.

As a volunteer Neuro-acupuncturist, my approach is evidence-informed and patient-centred, drawing on Traditional Chinese Medicine (TCM) to support members’ comfort and wellbeing alongside conventional treatment.

I am delighted to join the team and contribute to this meaningful work. I look forward to supporting members on their individual journeys and working alongside my CNC colleagues to make a positive difference to their wellbeing.

If you or someone you know would like to learn more about membership and the support available, please contact the CNC team through the Chilterns Neuro Centre website.

Chilterns Neuro Centre

Oakwood Close, 

Wendover, 

HP22 5LX

Tel: 01296 696133

info@chilternsneurocentre.org

Chilterns Neuro Centre

© 2026 Kit Li. All rights reserved. Please obtain permission before reproducing this article. 

A Taste of Home: Fresh and Dried Bok Choi Soup

 Kit Li

I’m sure most of you are familiar with Bok Choi (白菜), also known as Pak Choi, and know what it tastes like. It is widely available in UK supermarkets, and some also sell baby Pak Choi.

But did you know that Bok Choi makes a delicious soup? Combining fresh Bok Choi with Dried Bok Choi (白菜干 / 菜乾), gives it even more flavour!

Yesterday, I went to an Asian supermarket and bought some mature Bok Choi, almost twice the size of the baby variety. It has a slightly stronger, more pungent flavour and is lovely in both stir-fries and soups.

In traditional Chinese dietary practice, Bok Choi is considered cooling, whereas ginger is considered warming. I like to add ginger when cooking Bok Choi, both for its flavour and to help balance its cooling nature according to this tradition.

Dried Bok Choi is made by drying Bok Choi, often after blanching, and is a familiar ingredient in Cantonese soups.  Drying gives it a more concentrated flavour. Once soaked and cooked, it becomes soft with a slightly chewy texture and adds a lovely depth and gentle sweetness to the broth. It is commonly simmered with pork bones.

From a TCM dietary perspective, both fresh and dried Bok Choi are commonly regarded as slightly cooling (微寒). Fresh Bok Choi is described as sweet or slightly bitter, depending on the source and variety, and is traditionally associated with clearing heat and supporting the Stomach and bowel function. Dried Bok Choi is usually described as sweet (甘) and slightly cooling, and is traditionally used in soups to help clear Lung heat, relieve thirst and support bowel function. Drying does not automatically change its nature from cooling to warming. These descriptions reflect traditional Chinese dietary concepts rather than established clinical effects.

Fresh and Dried Bok Choi soup with Grouse and Spare Ribs (松雞排骨金銀菜湯) 

Ingredient - serves 2:

• Fresh Bok Choi                    250 - 300g
• Dried Bok Choi                   25g
• Fresh ginger                        2 slices
• Pork spare ribs                    250g
• Grouse (plucked and gutted)    350 - 450g 
• Water                                1.5L    

Pressure cooker method:

1. Soak the dried Bok Choi: Soak for 15 - 30mins, until soft. Separate the leaves, rinse thoroughly to remove sand, and cut into shorter lengths.
2. Prepare the fresh Bok Choi: Wash thoroughly, cut into large pieces and set aside.
3. Blanch the ribs and Grouse: Cover the spare ribs and Grouse with cold water in a saucepan. Bring to the boil and boil for 3 - 5 minutes. Drain and discard the blanching water.
4. Fill the pressure cooker: Add the ribs and grouse, dried and fresh Bok Choi, two ginger slices and 1.5L of fresh water. Follow your cooker’s minimum liquid requirement and maximum fill line.
5. Pressure cook: Secure the lid and cook on high pressure for 45 minutes.
6. Release the pressure: Allow the pressure to release naturally, following your cooker’s instructions. 
7. Soup is ready.

This soup combines vegetables, protein and fluid, making it a comforting addition to a balanced meal.

• Protein: Grouse and spare ribs provide protein for maintaining muscles and repairing body tissues, especially when you eat the meat.
• Fibre: Fresh and dried Bok Choi support bowel regularity when you eat the vegetables.
• Vitamins and minerals: Bok Choi contributes nutrients such as calcium and beta-carotene.
• Fluid: The broth contributes to your daily fluid intake, and ginger adds flavour.

Sometimes, the simplest ingredients make the most comforting meals. With fresh and dried Bok Choi, ginger, spare ribs and grouse, this soup brings together lovely flavours and the tradition of Cantonese home cooking. For me, a warm bowl of homemade soup is a simple pleasure, one I’m happy to share with you.

Note: 

1) Grouse and lead shot: Check with your supplier whether lead ammunition was used. Frequent consumption of lead-shot game can increase lead exposure, particularly for children, pregnant women and those trying to conceive. Cooking does not remove lead.

2) From a TCM perspective, people described as having Spleen and Stomach-deficiency with cold (脾胃虛寒), especially those prone to loose stools, are traditionally advised to moderate cooling foods. 

© 2026 Kit Li. All rights reserved. Please obtain permission before reproducing this article. 

15 Months of Care, Learning and Unforgettable Memories....

 

Kit Li

Today is my last day as a volunteer neuro-acupuncturist at Florence Nightingale Hospice Charity, where I have used a TCM approach to provide supportive care for people living with cancer. Time has gone by so quickly, and it is hard to believe that 15 months have already passed.

During this time, I have met many patients living with different types of cancer, including breast, vulvar, lung and prostate cancer, as well as advanced cancers. Each person has their own story, challenges and hopes. Being able to support them and play a small part in their care has been a real privilege.

This experience has taught me so much, both professionally and personally. It has helped me understand that caring for someone means more than treating their symptoms. It also means listening, showing kindness and understanding what matters to them. My patients’ courage and trust have left me with many unforgettable memories.

I feel very lucky to have worked alongside such a friendly and supportive nursing team, administration team, fellow volunteers and other hospice staff. Thank you for welcoming me, supporting my work and making me feel part of the team.

As I take a break to focus on my Master’s studies, I will carry these valuable experiences with me. They will continue to guide my learning and the way I care for my patients. This is not the end, but the beginning of a new chapter.

Thank you to everyone who has been part of this special journey. I will miss you all, but this is not goodbye, just until we meet again....

© 2026 Kit Li. All rights reserved. Please obtain permission before reproducing this article. Referenced materials remain the property of their respective rights holders.

A Nourishing Bowl of Morel Mushroom Soup: Where TCM Food Therapy Meets Modern Nutrition

Kit Li

Recently, a thoughtful patient gave me a pack of Morel mushrooms (Morchella, 羊肚菌) as a heartfelt gesture. His family had brought them back from Hong Kong, which made the gift feel even more special.

Morel mushrooms are not only delicious but also highly nutritious. From the perspective of modern nutrition, their value mainly comes from protein, dietary fibre, polysaccharides, minerals, and various bioactive compounds.

• Protein and amino acids: Morels contain a range of essential amino acids and can provide a useful source of fungal protein as part of a balanced diet.

• Dietary fibre: Helps support healthy bowel function, promotes satiety, and may contribute to a healthy gut microbiome.

• Minerals: Morels can provide potassium, phosphorus, iron, copper, zinc, and other minerals, although their actual levels vary depending on the species, growing conditions, origin, and processing methods.

• Polysaccharides and phenolic compounds: Morels contain fungal polysaccharides, phenolic compounds, and other bioactive substances. Experimental studies suggest that these may have potential antioxidant, anti-inflammatory, and immunomodulatory effects.

• Relatively low in fat: As a food, morels are relatively low in fat while providing a variety of nutrients.

From a TCM dietary perspective, morel mushrooms are traditionally regarded as an edible and medicinal fungus. They are described as sweet in flavour and neutral in nature, and are traditionally associated with supporting digestion, harmonising the Stomach, regulating Qi and transforming Phlegm. Modern research has explored their nutritional composition and potential biological activities; however, these findings should not be interpreted as directly validating their traditional TCM functions.

One important point should be emphasised: Experimental research has identified potential antioxidant, anti-inflammatory and immunomodulatory activities in morels and their extracts, (1) (2) but much of this evidence comes from laboratory or animal studies and cannot be directly translated into proven clinical benefits in humans. Morel mushrooms are a nutritious food, but they should not be regarded as a treatment for cancer or other medical conditions.

Today, I’m going to show you how to make a gentle and nourishing soup that’s perfect for warming and comforting the stomach.

Morel Mushroom, Dried Chinese Yam, Pumpkin & Carrot Soup (suitable for vegetarian)

Serves 3 - 4

Ingredients:

• Morel mushrooms: 6 - 10g
• Dried Chinese yam (Huai Shan): 20 g
• Pumpkin: 250 g, cut into chunks
• Carrot: 2-3, cut into chunks
• Fresh ginger: 2 slices
• Water: approximately 1.5 - 2 litres
• Note: you can also add pork or chicken to the soup, if you like.

Pressure Cooker Method:

Rinse the dried Chinese yam and soak for around 10 - 15 minutes. Carefully wash the morel mushrooms to remove any dirt or grit.

Place all the ingredients into the pressure cooker. Add approximately 1.5 litres of water.  Cook on High Pressure for 20 minutes, then allow the pressure to release naturally for around 5 - 10 minutes.

Season lightly to taste and serve warm.

From a TCM dietary perspective, I particularly like using dried Chinese yam in this combination. Huai Shan is traditionally used to strengthen the Spleen and replenish Qi, nourish the Stomach and generate fluids, while also supporting the Lung and Kidney systems.

Combined with morel mushrooms, pumpkin and carrot, this makes a gentle and nourishing soup that is comforting without being overly rich or cloying.  Caution: Those with particularly weak digestion, abdominal bloating or frequent loose stools may prefer smaller portions and should observe how their body responds.

For me, this soup is more than simply a nourishing meal. It began with a thoughtful gift from a patient and became a lovely reminder that food can carry warmth, kindness and connection.

Food nourishes the body, but kindness nourishes the heart.

I hope you enjoy this simple and comforting recipe as much as I do.

Reference: 

1) Recent advances in the bioactive polysaccharides and other key components from Morchella spp. and biological activities: A review

2) 羊肚菌营养素、功能成分和保健功能研究进展

© 2026 Kit Li. All rights reserved. Please obtain permission before reproducing this article. Referenced materials remain the property of their respective rights holders.

The World Conference on the 19-20th September 2026 at Amsterdam

 

Kit Li

Last Friday, I travelled to Amsterdam for the 8th World Traditional Medicine Forum & World Traditional Chinese Medicine Services Trade Conference 2026 (第八届世界传统医药论坛暨世界中医药服务贸易大会).  Around 500 attendees came together from across the world, united by a shared interest in Traditional Chinese Medicine (TCM).

The conference welcomed guests from the World Health Organization (WHO), the Chinese Embassy in the Netherlands, and organisations representing traditional medicine and acupuncture. Among those attending were Kim Seung-cheol, Dong Zhilin, Liu Baoyan, Yang Jinsheng, Harm Elsinga, Ma Jun, Esther Buquet, Wen Yongxin and Han Ruiqing.

With cancer care through a TCM approach as a central theme, the two days gave me the chance to hear how practitioners in different countries approach their work. I also had the pleasure of meeting the forum’s director and committee members, along with professors, practitioners and students. I came away with new ideas to explore and, just as importantly, new friendships that I hope will grow well beyond Amsterdam.

The first day began with an inspiring opening ceremony. Two presentations stayed with me: one by Professor Winston Huang, who spoke about the Huang Thousand-Step Pulse Diagnosis, and another by neuro-acupuncture expert Professor Linda Hao.

Both shared stories of patients diagnosed with brain tumours or other advanced cancers. The videos they showed made the patients’ journeys especially moving. I was encouraged to hear about their progress while receiving conventional cancer treatment alongside TCM care.

It was an encouraging example of what thoughtful, coordinated care can look like. Afterwards, I was grateful for the chance to speak briefly with Professor Hao and tell her about my volunteer work as a neuro-acupuncturist at the hospice, where I offer patient-centred TCM support to people living with cancer.  Her kind words and encouragement have stayed with me. I left with much to reflect on and even more motivation to keep learning and developing my work. 

The programme also covered pain management, tongue diagnosis, gynaecology and paediatrics. Hearing such a range of perspectives made the day all the more stimulating, and I left with plenty to reflect on.

Beyond the presentations, I explored several demonstrations of new TCM products. One that caught my attention was an AI-assisted four-diagnostic device. It was new to me, although I understand it has already been available in parts of Asia, including Hong Kong.

I tried a consultation that took about five minutes. The device scanned my face and tongue, assessed my pulse, and asked a few general questions before producing a detailed report. I was surprised by how much information it presented in such a short time. It was fascinating to try, and it left me curious about how its findings compare with a practitioner’s assessment.

The second day was particularly meaningful for me. I had the honour of presenting “Integrative Traditional Chinese Medicine in Supportive Cancer Care: Clinical Case Studies from the United Kingdom.” Sharing these cases with an international audience was a memorable experience, and I was encouraged by the interest and discussion that followed.

The audience asked thoughtful, practical questions about Chinese herbal formula dosages and how UK regulations affect the use of animal and mineral substances. Those conversations reminded me how much we can learn when practitioners working in different settings share their experiences openly.

I’m sincerely grateful to the organisers for inviting me to present, and to everyone who listened, asked questions and shared their experiences. I came home with fresh perspectives and renewed motivation to keep learning.

What made the conference especially memorable were the people. It was a joy to meet others who share my passion for TCM and my commitment to caring for patients, to exchange ideas and to form new friendships. I hope the connections we made in Amsterdam will continue to grow. 

Reference:

第八届世界传统医药论坛暨世界中医药服务贸易大会在阿姆斯特丹:  https://www.tmbos.org/index/article/view/id/41023.html (Chinese)

https://www.worldtmf.org/index/article/view/id/17601.html （English)

© 2026 Kit Li. All rights reserved. Please obtain permission before reproducing this article. Referenced materials remain the property of their respective rights holders.

What We Inherit and What We Nourish

 

Kit Li

When someone asked me, “Can TCM help with hereditary diseases?” I thought this was a very interesting question.

“人之始生本乎精血之原，人之既生，由乎水谷之养。”

“At the beginning of life, a person is founded upon the source of Essence and Blood; after birth, life is sustained through the nourishment of food and drink.”

Zhang Jingyue《景岳全书》 (Jingyue Quanshu) (1)

From a TCM perspective, we often talk about Pre-natal Essence (先天之精) and Post-natal Essence (后天之精).

Pre-natal Essence (先天之精) is the basic constitution we inherit from our parents before birth. You can think of it as the constitutional foundation we begin life with. It influences growth, development, reproduction, ageing and our overall constitutional strength.

It is closely associated with the Kidneys, which is why the Kidney is traditionally described as “the foundation of the Pre-natal” (肾为先天之本).

We can loosely compare this idea with inherited characteristics in modern medicine, but Pre-natal Essence is not the same as genes or DNA. It is a traditional TCM concept describing our inherited constitutional foundation.

What we inherit cannot simply be changed. However, that does not mean our constitution exists in isolation. In TCM, the inherited foundation is continually nourished and supported by Post-natal Essence (后天之精).

Post-natal Essence (后天之精) depends particularly on the Spleen and Stomach, which transform food and drink and contribute to the production of Qi, Blood and Essence. Therefore, diet, lifestyle, rest, emotional wellbeing and the body's ability to receive and transform nourishment all contribute to how well our constitution is supported throughout life.

In simple terms, Pre-natal Essence is what we are born with; Post-natal Essence is how we nourish and support what we were born with.

Although we cannot change our inherited foundation, we may be able to influence how well it is nourished, preserved and supported throughout life.

So, can TCM help with hereditary diseases?

From this perspective, TCM is not about changing the inherited genetic cause of a disease. Instead, it may have a supportive role in caring for the person who lives with that inherited condition.

Through individualised approaches such as acupuncture, Chinese herbal medicine, diet and lifestyle support, the aim may be to strengthen the patient's acquired resources, manage symptoms, maintain function and support overall quality of life.

In other words, we may not be able to change what we inherited, but we can consider how best to nourish and preserve what we have.

This also reminds us that looking after our health is not only important for ourselves, but potentially for the generations that follow.

Our Post-natal Essence, supported by good nutrition, rest, lifestyle and emotional wellbeing, helps to nourish and preserve our constitutional and reproductive health throughout life.

When we choose to have children, TCM traditionally considers the health and Essence of both parents important in providing a strong constitutional foundation for the next generation (2)(3).

So although we cannot change what we were born with, we can take responsibility for how we nourish and preserve our health, and aim to provide the best possible foundation for the next generation.

References:

1) Zhang Jingyue 张景岳 《景岳全书》 -《景岳全书·卷之十七·理集·杂证谟·脾胃·论脾胃》

2) Assessing the influence of preconception paternal nutrition on offspring health: an evidence gap map

3) Origins of lifetime health around the time of conception: causes and consequences

© 2026 Kit Li. All rights reserved. Please obtain permission before reproducing this article. Referenced materials remain the property of their respective rights holders.

Women’s Health in Midlife and Beyond: Five Nourishing TCM Recipes (Part II)

Kit Li

In my previous article (1), I discussed some of the common health concerns affecting middle-aged and older women.  Today, I would like to continue this journey by introducing some simple and nourishing TCM-inspired recipes that may support your health and wellbeing in midlife and later life.

Food therapy (食疗, Shí Liáo) has long been an important part of TCM. Different foods and herbs are traditionally selected according to a person’s constitution, age, season and individual health needs.

The following are some simple nourishing recipes that may be incorporated into everyday life. However, it is important to distinguish between food-based recipes and medicinal herbal preparations. Ingredients such as Ejiao (阿胶), Ren Shen (人参), Yi Yi Ren (薏苡仁), Fu Ling (茯苓), Zhi Zi (栀子) and Jue Ming Zi (决明子) have specific therapeutic properties in TCM and may not be suitable for everyone.

Therefore, recipes containing medicinal Chinese herbs should be regarded as TCM dietary/herbal preparations, and individual suitability should be considered. If you are pregnant, have an existing medical condition, or are taking medication, it is advisable to consult an appropriately qualified healthcare professional or Chinese herbal medicine practitioner before using medicinal herbs regularly.

The following recipes include Brown Sugar Ginger Tea (生姜红糖茶), Rose Tea (玫瑰花茶), Coix Seed and Red Bean Tea (薏米红豆茶), Longan and Goji Berry Porridge (桂圆枸杞粥), and Red Date and Chrysanthemum Eye-Care Porridge (红枣菊花养目粥).

1. Brown Sugar Ginger Tea 生姜红糖茶

Ingredients:

• Fresh ginger: 15 - 20 g (about 5 - 6 thin slices)
• Brown sugar: 15 - 20 g, or to taste
• Water: 500 ml

Method: Simmer the ginger in water for 10 - 15 minutes. Add the brown sugar at the end and stir until dissolved. Serve warm.

TCM perspective: Traditionally considered warming and commonly enjoyed during cold weather or when feeling chilled.  Also, it may reduce primary dysmenorrhoea pain, although study quality and heterogeneity limit certainty. (2)

2. Rose Tea 玫瑰花茶

Ingredients:

• Dried food-grade rose buds: 6 - 8 buds
• Hot water: 500 ml
• Optional: 1 - 2 tsp honey, added after cooling slightly

Method: Rinse the rose buds briefly, place them in a teapot, add hot water and steep for 5 - 8 minutes.

TCM perspective: Rose (Mei Gui Hua, 玫瑰花) is traditionally associated with gently promoting the movement of Liver Qi and is often used for emotional tension and menstrual-related discomfort.    Also benefits for some menstruation-related symptoms, including fatigue, headache and bloating, but not significant overall effects on menstrual pain or anxiety. (3)

3. Coix Seed & Red Bean Tea 薏米红豆茶

Ingredients:

• Coix seed (Yi Yi Ren 薏苡仁): 40 g
  
  
  
• Adzuki/red bean (Chi Xiao Dou 赤小豆): 40 g
• Water: 1.5 - 2 litres

Method: Rinse well and soak for 2 - 4 hours or overnight. Bring to the boil, then simmer gently for 40 - 60 minutes. Drink the liquid warm; the cooked grains and beans can also be eaten.

TCM perspective: Traditionally used as a food-based preparation to support the Spleen and promote the transformation of Dampness.

Note: Coix seed is traditionally avoided during pregnancy unless advised by an appropriately qualified practitioner.  Also it helps with antioxidant, anti-inflammatory, immunomodulatory and other biological activities. (4)

4. Longan & Goji Berry Porridge 桂圆枸杞粥

Ingredients:

• White rice: 80 g
• Dried longan flesh (Long Yan Rou 龙眼肉): 15 - 20 g
• Goji berries (Gou Qi Zi 枸杞子): 10 - 15 g
• Water: 700 - 800 ml

Method: Rinse the rice and simmer with the longan for around 30 - 40 minutes, until soft and porridge-like. Add the goji berries during the final 5 - 10 minutes.

TCM perspective: Goji benefits for eye health, particularly macular pigment and zeaxanthin. (5)  This gently nourishing porridge traditionally associated with supporting Qi and Blood. Longan is traditionally associated particularly with nourishing Heart and Spleen Blood.  

5. Red Date & Chrysanthemum Eye-Care Porridge 红枣菊花养目粥

Ingredients:

• White rice: 80 g
• Red dates (Da Zao 大枣): 4 - 6, pitted and halved
• Dried food-grade chrysanthemum flowers (Ju Hua 菊花): 5 - 6 flowers
• Goji berries: 10g (optional) (5)
• Water: 700 - 800 ml

Method: Simmer the rice and red dates for 30 - 40 minutes until soft. Add the goji berries, if using, during the final 5 minutes. Add the chrysanthemum flowers after turning off the heat, cover and steep for another 3 - 5 minutes.

TCM perspective: Chrysanthemum and goji berries are traditionally associated with supporting the eyes, while red dates provide a naturally sweet, nourishing addition.

Please note: These recipes are inspired by traditional Chinese dietary therapy and are intended as general food-based wellbeing suggestions. Individual suitability may vary, particularly during pregnancy, when taking medication, or when managing a medical condition. They are not a substitute for medical advice or individualised Chinese Herbal Medicine treatment.

Food is an important part of our everyday wellbeing. By making simple, nourishing choices and listening to our individual needs, we can support our health as we move through midlife and beyond. I hope these TCM-inspired recipes bring a little nourishment, warmth and enjoyment to your daily life.

References:

1) Women's Health Through Midlife and Beyond: A TCM and Modern Health Perspective (Part I)

2) Efficacy of Ginger in the Treatment of Primary Dysmenorrhea: A Systematic Review and Meta-analysis

3) Effects of Rosa damascena (Danmask rose) on menstruation-related pain, headache, fatigue, anxiety, and bloating

4) Phytochemistry and health promoting effects of Job's tears (Coix lacryma-jobi)

5) Goji Berry Intake Increases Macular Pigment Optical Density in Healthy Adults

© 2026 Kit Li. All rights reserved. Please obtain permission before reproducing this article. Referenced materials remain the property of their respective rights holders.