Eating for Recovery: Understanding Dietary Restrictions in TCM

Kit Li

One of the most common questions I am asked in clinical practice is:

"What foods should I eat, and what foods should I avoid during my TCM treatment?"

My answer is always that it depends on the individual's constitution, diagnosis, and current health condition. There is no one-size-fits-all approach in TCM.

However, whether you are receiving acupuncture or taking Chinese herbal medicine, certain foods may influence the effectiveness of your treatment. Some foods can aggravate an existing imbalance, while others may interfere with the therapeutic actions of herbal medicine or slow the body's healing process.

For this reason, appropriate dietary guidance forms an important part of TCM treatment, helping to support recovery and maximise the benefits of both acupuncture and Chinese herbal medicine.

"Among the flavours of food, some are suitable during illness, while others may be harmful. Appropriate foods nourish the body, whereas unsuitable foods may contribute to disease and even endanger health."  As stated in the Complete Works of Zhang Zhongjing (仲景全书).  This is the fundamental principle behind dietary restriction in TCM.

In TCM, we called it 'Ji Kou '忌口 (Dietary Restrictions) refer to dietary precautions or food prohibitions for patients during illness and treatment. Many people believe that only TCM emphasizes dietary restrictions, considering it an old-fashioned concept. Therefore, patients often ask TCM practitioners whether they need to avoid certain foods.

In reality, modern medicine also places great importance on dietary restrictions.  Patients taking anticoagulant medications such as warfarin are often advised to maintain a consistent intake of vitamin K-rich foods, such as spinach, kale, and broccoli, as sudden changes may affect blood clotting. Individuals with hypertension are encouraged to reduce sodium intake to help control blood pressure. Patients with diabetes are advised to monitor their consumption of sugary foods and refined carbohydrates to maintain stable blood glucose levels.

In some cases, these dietary restrictions are even stricter than those recommended in TCM. This demonstrates that dietary regulation serves two important purposes:

1. Dietary restrictions while taking medication

In certain situations, these are essential rules. For example, patients with nephritis are advised to restrict salt intake, while some medications require the avoidance of specific foods to ensure their effectiveness and safety.

2. Dietary restrictions according to the patient's condition

These may also be necessary for particular illnesses. For example, in TCM, raw and cold foods are often avoided in Taiyang wind-strike disorders and other conditions involving Cold, Dampness, or digestive weakness.

Therefore, both the properties of the medication and the patient's condition must be carefully considered when providing appropriate and balanced dietary guidance.

In TCM, food is regarded much like medicine, possessing its own unique properties and therapeutic effects. The purpose of dietary restrictions is not to limit food choices unnecessarily, but to prevent certain foods from aggravating a patient's condition while supporting the treatment process and helping the body restore balance.

According to TCM theory, foods possess different energetic properties and may affect the body's balance in different ways. While dietary recommendations should always be individualized, foods that commonly require moderation or avoidance during treatment can be broadly grouped into the following categories:

1. Raw and Cold Foods: Ice cream, chilled drinks, salads, sushi, watermelon, and other cold foods taken directly from the refrigerator. In TCM, these foods may weaken the Spleen and Stomach, particularly in individuals with digestive weakness, bloating, loose stools, or Cold patterns.

2. Pungent, Hot, and Drying Foods: Chilli peppers, curry, garlic, ginger, pepper, alcohol, and deep-fried foods. These foods may aggravate Heat conditions, especially in individuals experiencing symptoms such as mouth ulcers, constipation, acne, irritability, or insomnia.

3. Rich and Greasy Foods: Fried chicken, fast food, fatty meats, cream-based dishes, pastries, and heavily processed foods. According to TCM, excessive consumption may contribute to Dampness and Phlegm accumulation and place additional strain on the digestive system.

4. Sticky and Excessively Sweet Foods: Cakes, chocolates, sweets, glutinous rice products, sweet desserts, and sugary drinks. These foods may weaken digestive function and contribute to Dampness and Phlegm, particularly in people who frequently experience fatigue, bloating, or mucus-related conditions.

5. Traditionally Recognised "Fa Wu" (发物, Trigger Foods) and Common Food Allergens: Shellfish, prawns, crab, certain fish, chives, and other foods traditionally believed to aggravate symptoms in susceptible individuals. Patients with allergies, eczema, urticaria (hives), or inflammatory skin conditions are often advised to monitor their response to these foods.

6. Highly Stimulating Foods and Seasonings: Excessive coffee, energy drinks, alcohol, very spicy foods, and heavily seasoned dishes. These may aggravate symptoms such as palpitations, anxiety, insomnia, dizziness, headaches, or irritability in sensitive individuals.

It is important to remember that these recommendations are not universal rules. The suitability of any food depends on the individual's constitution, syndrome pattern, and stage of illness.

In TCM, illnesses are broadly divided into two categories: external disorders and internal disorders. External disorders are often caused by external pathogenic factors, such as Wind, Cold, Heat, or Dampness, while internal disorders are usually related to imbalances or dysfunctions of the internal organs, including the Liver, Spleen, Stomach, Kidney, and Heart.

For this reason, dietary recommendations in TCM are not based solely on the disease itself, but on the individual's pattern of disharmony. Factors such as Heat, Cold, Dampness, Phlegm, digestive weakness, and deficiency conditions are all taken into consideration. Therefore, dietary advice should always be tailored to the individual rather than applied as a fixed set of rules.

For example, during the early stages of a fever accompanied by chills, raw and cold foods are often avoided. However, if a high fever persists and body fluids become depleted, cooling and hydrating foods may become beneficial. Watermelon is a classic example because of its ability to clear Heat, generate fluids, and relieve thirst.

Likewise, when illness is accompanied by digestive weakness, greasy, rich, and sticky foods are often reduced to lessen the burden on the digestive system. If symptoms involve internal Heat, irritability, or insomnia, spicy and highly stimulating foods may also be restricted.

Ultimately, dietary recommendations in TCM are based on syndrome differentiation and treatment principles. Dietary restrictions are not meant to be rigid rules, but rather practical guidelines that should be adjusted according to the patient's constitution, condition, and stage of illness.

References:

1) Zhao et al. (2021) – TCM Nutrition: https://pubmed.ncbi.nlm.nih.gov/32884122/

2) Chen et al. (2023) – Medicine and Food Homology: 

https://pmc.ncbi.nlm.nih.gov/articles/PMC10394323

3) Shi et al. (2018) – Chinese Food Therapy Review: 

https://www.tmrjournals.com/public/articlePDF/20201201/82e2f9d108396427bf11dab2693ad2d0.pdf

Black Fungus: Ancient Wisdom Meets Modern Science

Kit Li

This recent trip to Guangzhou brought back many fond memories, especially through the simple and healthy foods I enjoyed each morning at the hotel. My breakfasts were rich in fibre and nutrients, often including steamed sweet potatoes, pumpkin, boiled eggs, cereals, and soya milk.

One particular food caught my attention and reminded me of my childhood - Black Fungus.  I had almost forgot about it until this trip. When I was young, my grandmother would often cook it in soups or steam it with chicken or lean pork as part of our family meals.

Black Fungus (also known as Wood Ear Mushroom) is often referred to as the "cleaner of the blood vessels" in TCM. It is highly valued for being low in calories while rich in dietary fibre, iron, and various beneficial polysaccharides. Its crunchy texture and subtle flavour make it a versatile ingredient in many Asian dishes, while its nutritional properties have made it a favourite in both traditional cooking and health-conscious diets for generations.

Nature & Taste:

1. Nature: Neutral to slightly cool
2. Taste: Sweet
3. Meridians entered: Stomach, Large Intestine and Liver

Because of its relatively neutral nature, black fungus is considered gentler than many strongly cooling foods.

Main TCM Functions:

1. Nourishes Blood (养血)

Black Fungus is traditionally used to help support Blood deficiency conditions, especially when there is pale complexion, dizziness, dry skin, fatigue and post-illness weakness

It is often recommended in dietary therapy for women after menstruation, postpartum recovery and elderly patients with dryness and Blood deficiency  This aligns with its naturally high Iron content.

2. Invigorates Blood & Dispels Stasis (活血化瘀)

This is one of the most important traditional functions of Black Fungus.  In TCM theory, it promotes smoother Blood circulation, helps prevent stagnation and softens hardness and obstruction within the vessels.

Therefore it is often considered suitable for cardiovascular support, stroke prevention (ischemic type), numbness or tingling associated with poor circulation, traumatic injury recovery and chronic fixed pain related to Blood stasis.

This also explains the traditional caution for heavy menstruation, bleeding disorders and post-surgical periods.

3. Moistens Dryness & Benefits the Intestines (润燥通便)

Its moistening quality helps with dry constipation, intestinal dryness and constipation in elderly or Yin-deficient patients

It is particularly useful when constipation is caused by dryness, insufficient fluids and Blood deficiency, rather than excess Heat accumulation.

4. Clears the Channels & Softens Hardness

Some classical dietary therapy texts mention its ability to soften hardness, reduce accumulations and support detoxification.

This is why it is sometimes included in dietary recommendations for nodules, phlegm-stasis conditions and chronic metabolic stagnation.

Though in TCM, food therapy is usually supportive rather than a primary treatment.

TCM Clinical Considerations

Best suited for: Blood stasis constitution, dryness constitution, elderly patients with constipation, hyperlipidaemia patterns, sedentary individuals with poor circulation

Use cautiously in: Spleen-yang deficiency (fatigue and weakness), chronic diarrhoea and loose stools, excessive dampness with weak digestion (excessive phlegm).

Because although neutral, its slippery and moistening nature may burden weak Spleen function in some patients.

Key Health Benefits:

1) Cardiovascular Health (Blood Thinning) (1, 2): It contains anticoagulant properties that helps prevent blood clots, lower cholesterol, and improve circulation, reducing the risk of Stroke and Heart Disease.

2) Improve Digestion: High in dietary fibre (especially soluble fibre), it promotes bowel movements, prevents constipation, and supports gut health.

3) Rich in Iron (Anaemia Prevention): Its iron content is significantly higher than many vegetables, making it excellent for preventing Iron-deficiency anaemia and improving skin complexion.

4) Weight Management (3): The gelatinous fibre creates a feeling fullness, which helps with appetite control and stabilizing blood sugar levels.

5) Bone Health: It is good source of Calcium and Magnesium, which are essential for maintaining strong bones.

6) Immune Support (4): The polysaccharides found in black fungus can help boost the immune system and provide antioxidant effects.

Precautions:

Bleeding Risks (5): Because it has blood-thinning effects, avoid eating large amounts of before/after surgery, dental work, or if you have a Haemorrhagic Stroke.

Menstruation: Women with very heavy periods may want to limit intake during their cycle.

Digestion: People with 'cold' or sensitive stomachs (prone to diarrhoea) should eat it in moderation.

Preparation: Never eat raw fresh black fungus, as it contains a photosensitive chemical.  Always use dried black fungus that has been soaked and thoroughly cooked.

If soaked for many hours, especially overnight in a warm kitchen, bacteria and toxins can develop in the soaking water.  There have been rare but serious food poisoning cases in China linked to long soaking times and poor storage conditions.  The risk is higher during summer or in warm environments.

Today, I'm going to show you how to prepare Black Fungus as a delicious family meal. This dish is simple, nutritious, succulent, and full of flavour. Let's make Steamed Chicken with Black Fungus, a comforting dish that pairs perfectly with steamed rice.

Steamed Chicken with Black Fungus (Serves 2)

Ingredients:

• 250g chicken thigh fillets, cut into bite-sized pieces
• 20g dried black fungus (wood ear mushrooms)
• 2 slices fresh ginger, finely shredded
• 1 spring onion, finely chopped
• 1 tbsp light soy sauce
• 1 tsp oyster sauce
• 1 tsp sesame oil
• 1 tsp Shaoxing rice wine (optional)
• ½ tsp sugar
• ¼ tsp white pepper
• 1 tsp cornflour (cornstarch)

Preparation:

1. Soak the dried black fungus in warm water for 20–30 minutes until fully expanded.
2. Rinse thoroughly and trim off any hard stems. Tear larger pieces into bite-sized portions.
3. In a bowl, combine the chicken with soy sauce, oyster sauce, sesame oil, rice wine, sugar, white pepper, and cornflour.
4. Marinate for 20–30 minutes.

Cooking Method:

1. Arrange the black fungus evenly on a heatproof plate.
2. Place the marinated chicken on top.
3. Scatter the shredded ginger over the chicken.
4. Bring water in a steamer to a boil.
5. Steam over high heat for 12 - 15 minutes, or until the chicken is fully cooked.
6. Garnish with chopped spring onion before serving.

Serving Suggestion:

Serve hot with steamed rice and a side of green vegetables such as pak choi or broccoli.

Health Benefits:

• Black Fungus is rich in dietary fibre, iron, and antioxidants, and is traditionally valued for supporting circulation and digestive health.

• Chicken provides high-quality protein that helps maintain muscle strength and supports recovery.

• Ginger aids digestion and helps warm the body.

Enjoy this healthy and flavourful dish with your family! 

References:

1) Cardiovascular Health & Blood Circulation: https://pubmed.ncbi.nlm.nih.gov/14967412/

2) Cholesterol-Lowering Effects: https://pmc.ncbi.nlm.nih.gov/articles/PMC3551054/

3) Blood Sugar & Metabolic Health: https://pmc.ncbi.nlm.nih.gov/articles/PMC8997552/

4) Immune Support: https://www.sciencedirect.com/science/article/abs/pii/S0924224421003356

5) Increased Bleeding Risk: https://pubmed.ncbi.nlm.nih.gov/14967412/

6)  Before Surgery: https://yonsei.elsevierpure.com/en/publications/the-nontoxic-mushroom-auricularia-auricula-contains-a-polysacchar-2

5)

Clinical Placement Reflection: Bell’s Palsy and TCM Perspective

Kit Li

During my first day of clinical placement, I shadowed Prof Yang Lu at the Acupuncture Department of Nanfang Hospital (1). His specialised areas include bloodletting therapy, auricular acupuncture, and embedding needle therapy for the treatment of neck, shoulder, lower back, and leg pain, Bell’s palsy, stroke rehabilitation, neurological disorders, and internal conditions such as asthma, vertigo, stomach pain, constipation, and obesity. Although the time was limited, the knowledge I gained from him was extremely valuable.

The Acupuncture Clinic was always fully packed and busy. I remember one morning when around 20 patients were queuing outside the treatment room waiting to be seen. The room contained 10 treatment beds, six electroacupuncture devices, TDP lamps, and three fully equipped trolleys containing various TCM tools. It was a simple medical setting, yet it consistently delivered effective care, as each professor had unique techniques and approaches to treating patients efficiently and successfully.

During my clinical practice, I encountered a wide range of conditions, including Cervical Spondylosis, Sciatica, Bell’s Palsy (BP), post-stroke symptoms, Parkinson’s Disease, cataracts, and emotional disorders. However, the most unforgettable case was a four year-old girl suffering from Bell’s Palsy. She was not the only patient with this condition; even among the adults, around six out of fifteen patients that morning were receiving treatment for Bell’s Palsy.

Honestly, I had never imagined that Bell’s Palsy could occur at such a young age. During the case discussion, Professor Yang explained that in younger patients, the condition is often associated with flu-like infections affecting the ear region.

From a TCM perspective, Bell’s Palsy is often categorised under 'Wind-Stroke' or 'Deviation of the Mouth and Eye'. When it appears after a viral illness, such as herpes simplex, shingles/Ramsay Hunt syndrome, flu-like infections, or an immune flare-up, TCM does not describe the virus in biomedical terms. Instead, it interprets the condition as an external pathogenic factor disrupting the body’s internal balance.

How Does TCM View Virus-Associated Bell’s Palsy?

1. Wind-Heat Toxin

Signs and symptoms: Cold or flu symptoms, sore throat, fever, swollen glands, ear pain, and facial inflammation.

Treatment principle: Expel Wind, clear Heat, resolve toxicity, and open the channels.

TCM interpretation: External Wind combined with Heat or Toxic Heat invades the channels, causing inflammation and obstructing the flow of Qi and Blood within the facial meridians.

2. Damp-Heat or Toxic Heat

Signs and symptoms: Heaviness, swelling, redness, ear vesicles (such as shingles), yellow phlegm, and digestive sluggishness.

Treatment principle: Clear Damp-Heat, detoxify, and transform Phlegm.

TCM interpretation: Dampness and Heat combine with toxin, obstructing circulation within the channels and collaterals.

3. Zheng-Qi Deficiency

Signs and symptoms: Stress, exhaustion, poor sleep, and overwork.

Treatment principle: Strengthen Wei-Qi (defensive Qi), support Spleen and Lung function, and prevent recurrence.

TCM interpretation: Wei-Qi becomes weakened, leaving the body more vulnerable to external pathogenic invasion.

4. Blood Deficiency with Channel Malnourishment

Signs and symptoms: Fatigue, pale complexion, dizziness, dry skin, numbness, muscle weakness, poor circulation, pale tongue, and thready pulse.

Treatment principle: Nourish Blood, regulate Qi and Blood circulation, and nourish the channels and sinews.

TCM interpretation:
When Blood is deficient, the channels and facial muscles become undernourished, weakening the body’s ability to support normal movement and tissue recovery. As a result, residual pathogenic factors may remain within the meridians, delaying healing and prolonging facial weakness or stiffness.

Once the patient’s condition has stabilised, acupuncture treatment (2, 3) should be considered as early as possible. The first seven days are especially crucial for recovery. Shallow needling is generally preferred, particularly on the affected side of the face. Daily treatment is considered ideal, although treatment three to four times per week may still be effective.

However, electroacupuncture is usually avoided during the first seven days, as the facial nerves are already inflamed and damaged, and excessive stimulation is not recommended during the acute stage.

I spoke with the little girl’s mother to better understand the onset of her condition. The child had suffered from a fever for three days in April, and on the fourth day, the left side of her face became paralysed. She was unable to blink her left eye, and the muscles around her mouth became difficult to control.

The recovery process may take approximately 20 days if daily treatment is provided, although outcomes vary depending on the patient’s condition and constitution. During my placement, I witnessed encouraging improvement by her sixth treatment on the fifteenth day. The facial muscles on the affected side had become more relaxed, especially around her left eye and mouth, which were beginning to move more naturally.

According to her mother, the only remaining noticeable issue was that her mouth would still deviate slightly when smiling or crying. She had initially started treatment twice a week from the end of April until mid-May.

On my last day of placement, I saw the little girl again. She was noticeably more cheerful, talkative, and relaxed than when I first met her at the Acupuncture Department.

Seven Key Lifestyle Suggestions for Patients

1. Consume more vegetables and fibre-rich foods in your diet, including tofu, bean products, sweetcorn, lean meat, onions, seaweed, red dates, hawthorn (Shanzha), bitter melon, winter melon, bananas, aubergines, pumpkins, and blackberries.
2. Avoid spicy and overly sour foods, hot-natured foods, strong tea, alcoholic drinks, lamb, and animal organs such as liver and kidneys.
3. Soak your feet in warm water before bedtime for 10–20 minutes to promote circulation and relaxation.
4. Minimise overstimulation from activities such as excessive phone use, television, and laptop screen time.
5. Moderate exercise is beneficial for recovery. Listening to calming music, maintaining a regular sleeping pattern, and keeping emotions stable may also support healing.
6. Perform gentle facial muscle exercises regularly, such as raising the eyebrows, tightly closing the eyes, puffing the cheeks, opening the mouth, wrinkling the nose, and smiling gently. Applying a warm damp towel to the neck and facial area may help relax the muscles. Avoid washing the face with icy cold water, as cold stimulation may aggravate the condition. During windy or cold weather, keep the face and neck well protected.
7. When facial muscles feel weak or difficult to control, practise gently closing the eyes and mouth tightly to improve muscle coordination and awareness.

This placement experience deepened my understanding not only of Bell’s Palsy from both biomedical and TCM perspectives, but also of the importance of early intervention, patient reassurance, and consistent treatment. Most importantly, it reminded me that healing is not only about restoring physical movement, but also about rebuilding confidence, comfort, and hope in the patient’s daily life.

References: 

1) Nanfang Hospital: https://www.smu.edu.cn/english/info/1026/1068.htm

2) Cochrane Review: 'Acupuncture for Bell’s Palsy': 

https://www.cochrane.org/evidence/CD002914_acupuncture-bells-palsy

3) Compare the efficacy of acupuncture with drugs in the treatment of Bell's palsy: A systematic review and meta-analysis of RCTs: https://pubmed.ncbi.nlm.nih.gov/31083225/

More Than Acupuncture: A Journey of Growth and Connection

Kit Li

May is a month of connection, connection with family, with learning, and with the path I continue to walk. Once again, I returned to Guangzhou, continuing a journey that first began last year.

My deepest gratitude goes to Professor Tang and Director Huang, Head of the Acupuncture Department, whose thoughtful arrangements gave me the invaluable opportunity to continue shadowing the masters at the Acupuncture Department of Nanfang Hospital (1). During this visit, I had the privilege of learning directly from Director Huang, Professor Wang, Director Yang, Professor Li, and Professor Zhao throughout their clinical sessions. Each of these remarkable teachers guided me with patience and generosity, sharing not only their techniques, but also the wisdom and spirit behind their practice.

Although I am already a qualified Chinese Medicine practitioner, this experience reminded me that true learning has no end. The deeper one enters this field, the more one realises how much there still is to understand.

What moved me most profoundly was not only the exquisite needling techniques I observed, but the essence that animated them. In every consultation and every gesture, there was calmness, precision, compassion, and quiet confidence. These masters transformed each clinic day into something far beyond technical instruction, it became a living lesson in humanity, presence, and healing. Their way of practicing wove together rigour and gentleness, discipline and warmth, inspiring not only the mind, but also the heart.

I am equally grateful to Director Huang for trusting me with the opportunity to share my own knowledge and experience with a group of bright young interns. Teaching them became a meaningful reminder that learning is never one-sided. In guiding others, I found myself learning again, with renewed humility, reflection, and joy. That exchange of knowledge, and the passing forward of experience, became a gift for all of us.

This journey was never solely about acupuncture. It was also about humility, connection, and becoming a little wiser, not only as a practitioner, but as a person.

To everyone who guided, supported, and inspired me during this time, thank you from the bottom of my heart.

Reference:

1) Nanfang Hospital: 

https://www.blogger.com/blog/post/edit/625877704656314609/7543424818091866262?hl=en-GB#

A Return to Guangzhou: Clinical Placement and Anatomical Exploration at Nanfang Hospital

Kit Li

Last autumn, I completed my first clinical placement at the Integrated Hospital of Traditional Chinese and Western Medicine of Southern Medical University in Guangzhou. Seven months later, I returned to Guangzhou for my second clinical placement, this time in the Acupuncture Department at Nanfang Hospital (NH) (1).

On my first day at Nanfang Hospital, I was honoured to be given a one-hour tour by Professor Huang, the Head of the Acupuncture Department, before beginning my clinical practice under the supervision of Professor Yang Lu. The tour provided a valuable introduction to the department and offered insight into the hospital's clinical services, teaching facilities, and research activities.

Nanfeng Hospital was founded in 1941 as the Rear Hospital of the Third Division of the New Fourth Army, NH has a long and distinguished history. In 2018, it was selected as a national pilot hospital for multidisciplinary tumour treatment. In 2004, the hospital transitioned from military to provincial management, aligning with its university, formerly the First Military Medical University, now known as Southern Medical University. Today, NH is recognised as one of the leading general hospitals in South China, with a strong emphasis on both medical service and education.

NH directly hosts, manages, and trains more than 2,500 full-time undergraduate students and over 1,000 full-time postgraduate students each year. The university also welcomes approximately 1,000 to 1,200 international students from more than 90 countries. Student accommodation is provided on campus, with over 8,000 students living in shared dormitories, typically with two or three students per room. Academic studies at NH and Southern Medical University focus primarily on medical and clinical disciplines, including Clinical Medicine, Advanced Clinical Technologies, Traditional Chinese Medicine (TCM), and postgraduate research fields.

During this trip, I also visited the anatomical museum affiliated with NH, officially known as the Southern Medical University Human Science Museum (2), located on the main university campus. The museum is particularly renowned for its world-class corrosion casting specimens, created by injecting coloured polymers into blood vessels to produce intricate, coral-like three-dimensional displays. One of its most treasured exhibits is a cardiovascular cast created in 1978, recognised as the first successful specimen of its kind in China.

The museum houses more than 2,200 specimens and also features a “Digital Human” dissection table, allowing virtual three-dimensional exploration of human anatomy, alongside a memorial area honouring body donors. Observing the real three-dimensional structures of nerves and blood vessels deepened my understanding of acupuncture points and needle insertion techniques.

As a scalp acupuncturist, I have always been fascinated by the structure of the spinal cord and its relationship with brain function. Exploring the intricate connections between the brain and the gut, and understanding how neurological pathways influence the body, continues to inspire my curiosity. These reflections remind me how extraordinary the human body truly is and how much there is still to discover through both modern medicine and TCM.

References:

1) Nanfang Hospital: https://www.smu.edu.cn/english/info/1026/1068.htm

2) Human Science Museum: 

https://www.smu.edu.cn/english/Campus_Life/Human_Science_Museum.htm

The Beginning of Summer (Lixia)

Kit Li

The beginning of the Summer (LiXia 立夏) has quietly arrived, starting on Monday, 5th of May, according to the 24 Solar Terms in the Chinese Lunar Calendar.

In Traditional Chinese Medicine (TCM), Summer is the season when Yang energy reaches its peak, a time of expression, warmth, growth and activity.  The Heart becomes especially active and also more vulnerable.  Emotional excess, such as over-excitement, stress, or restlessness can disturb the Shen (Spirit), leading to insomnia, anxiety or palpitations.  

Additionally, dampness and heat can burden the Spleen, often leading to loss of appetite, bloating, fatigue, and even eczema.  To support digestion and balance internal damp-heat, dietary adjustments are crucial.

Here are some practical and inspired tips for the Beginning of Summer to help you transition smoothly into the warmer months, both physically and emotionally:

- Sleep early, wake early.  Rise with the sun to align with the surge in Yang energy.

- Take a nap (20 mins) after lunch to nourish the heart and counter Summer fatigue.

- Avoid staying up late, which depletes Heart-yang and disrupts sleep quality.

- Keep your emotions balanced, avoid over-excitement, anger or sadness.

- Gentle activities like meditation, calligraphy, nature walks, journaling, or gently breathing exercises help calming the mind and regulate emotions.

- Strengthen the Spleen and dispel dampness with: Soups made with winter melon, barley, and lentils; a daily "ChenPi FuLing tea" (Dried tangerine peels and poria); "Four Gentlemen’s Porridge" which replenishes qi, and support weak digestion.

- If experiencing insomnia, dry mouth, irritability, or blood pressure fluctuations, try massaging the Neiguan  (PC-6) or ShenMen (HT-7), it  helps to calm the Shen and relieve palpitations.

- Make a porridge with Tai Zi Shen 15g (Pseudostellaria root), Lian Zi 15g (Lotus Seeds) and Suanzao Ren 10g (Wild Jujube Kernel) to nourish Heart and promote Qi and Yin.

- Exercise during cooler times (early morning or evening).  Choose gentle movements such as  Taichi, yogo, or brisk walking.

- Avoid excessive sweating, which can weaken Heart-Yang.  Rehydrate with lightly salted water or cooling herbal teas like chrysanthemum or honeysuckle.

-After sweating, avoid chilly breeze.  Carry a light scarf or shawl to cover your neck when entering air-conditioned spaces.

- Reconnect with nature.  Spend time under trees, near rivers, or in gardens, tune in to the seasonal rhythms.

Living in harmony with the seasons is a fundamental principle of TCM.  By aligning your lifestyle with nature's shifts, you can cultivate inner balance, resilience, and well-being, not just through Summer, but all year round.

Link:

Lunar Chinese Calendar:

https://www.yourchineseastrology.com/calendar/24-solar-terms.htm

Modified Bian Que Yin: A Balanced TCM-Inspired Wellness Drink for Dampness, Humid Fatigue, and Digestive Support

Kit Li

After a long working day combined with humid weather and lingering low heat, I felt completely worn out on my journey home. In TCM, late afternoon fatigue can often reflect dampness obstructing the body, particularly when the Spleen's transforming function is burdened. In humid conditions, feelings of heaviness and late afternoon fatigue may suggest dampness affecting the Spleen, especially when accompanied by sluggish digestion, bloating, or a heavy body sensation.

Without hesitation, I prepared a modified BianQueYin for myself to ease this heaviness and restore energy.

BianQueYin (San Dou Yin) (1)  is a classic formula traditionally composed of Mung Beans (Vigna radiata) (2), Black Beans (3), Chi Xiao Dou (Red adzuki beans), and raw Gan Cao. Its primary functions are to clear heat, relieve toxicity, promote urination, guide Qi from the Middle-Jiao to the Lower-Jiao, and help resolve damp-heat.

Because the original formula is quite cooling, I modified the ingredients and preparation to better suit dampness with underlying deficiency. In this version, Fu Ling (Poria) (4) replaces Chi Xiao Dou, while Mung Beans and Yiyiren (Coix Seed) are dry-roasted for about 10 minutes before cooking. This helps reduce excessive coldness, protect the Spleen and Stomach, gently support the Middle-Jiao, and improve dampness transformation without overly cooling or weakening Yang-Qi.

This TCM-inspired daily wellness drink is designed to support digestion, reduce dampness, clear heat, detoxify, and promote healthy fluid balance, making it especially suitable for humid weather, summer, or periods of fatigue, bloating, heaviness, and sluggish digestion.

Made with Chenpi (aged tangerine peel), roasted Yiyiren, roasted Mung Beans, Black Beans, and Fu Ling, this balanced formula helps strengthen the Spleen and Stomach, support digestion, reduce water retention, and ease damp-heat while remaining gentler and more suitable for regular use.

Benefits for:

Strengthens digestion and reduces dampness: Roasted Yiyiren helps drain excess moisture and support digestive function, while Chenpi regulates Qi and helps with bloating, fatigue, poor appetite, and heaviness caused by dampness affecting the Spleen.

Clears heat and detoxifies: Mung Beans are traditionally used to cool the body, reduce summer heat, and ease internal heat symptoms. In this modified version, roasting helps reduce their cooling nature, making the formula gentler on digestion.

Supports Kidneys and circulation: Black Beans are considered nourishing for Kidney energy and blood circulation, and when combined with Yiyiren and Mung Beans may help with edema related to water retention or deficiency.

Dries dampness and transforms phlegm: Chenpi promotes fluid metabolism and can help reduce mucus, damp accumulation, or sluggish digestion.

For optimal results, twice weekly during humid or heavy seasons is often a balanced rhythm.

Cooking method:

Ingredients:

• Roasted Mung Beans: 20g
• Roasted Yiyiren: 20g
• Fu Ling: 10g
• Black Beans: 20g (soaked for 1 hour before cooking)
• Chenpi: 1 small piece

Preparation:

• Roast Mung Beans and Yiyiren in a dry hot pan for about 10 minutes, then allow them to cool before cooking.
• Soak Chenpi until soft, then scrape off some of the white inner pith.

Cooking:

• Add all ingredients to a pot with water.
• Bring to a boil over high heat and skim off foam.
• Reduce to low heat and simmer for about 45 minutes until the beans soften.
• Allow it to cool slightly before drinking.

Cautions:

• Frequent cold limbs or Yang-deficiency
• Chronic loose stools or very weak digestion
• Pregnancy (especially medicinal-dose herbs without practitioner guidance)
• Kidney disease or prescribed fluid restrictions
• Yin-deficiency with dryness

Conclusion:

In essence, this modified Bian Que Yin became more than just a drink after a draining day, it served as a gentle way to lighten dampness, restore clarity, and support the body’s natural rhythm without overcooling or depletion. Thoughtfully adapted, it can be a practical seasonal wellness formula for navigating humid, heavy days with greater balance, energy, and digestive ease. 

References:

1) Bian Que Yin: https://www.academia.edu/50001943/Active_substances_and_in_vitro_anti_diabetic_effects_of_a_traditional_folk_remedy_Bian_Que_Triple_Bean_Soup_as_affected_by_the_boiling_time

2) Mung Beans (Vigna radiata): https://www.mdpi.com/2304-8158/13/21/3427

3) Black Beans: https://www.researchgate.net/publication/370546250_New_insights_into_chemical_compositions_and_health-promoting_effects_of_black_beans_Phaseolus_vulgaris_L

4) Fuling (Poria): https://pubmed.ncbi.nlm.nih.gov/34911003

A Gentle Guide to Early Pregnancy with Traditional Chinese Medicine

Kit Li

A patient recently shared the wonderful news of her pregnancy. This is an exciting milestone, and it is also a crucial time to support both maternal health and early fetal development. Here, I would like to share some TCM perspectives, dietary suggestions, and practical guidance for the first trimester.

The first trimester is the most critical stage of pregnancy. During this time, the major organs begin to form, including the heart, brain, spine, and limbs. The neural tube develops early into the brain and spinal cord, and the placenta begins establishing the baby’s supply of nutrients and oxygen. The heart may start beating as early as weeks 5 to 6.

Because these systems are still developing, this stage is particularly sensitive. Exposure to toxins, poor diet, or environmental stressors may affect normal development. Maintaining a clean environment and supporting overall maternal well-being is therefore essential.

From a TCM perspective, the focus in early pregnancy is to stabilise the Kidneys, calm the fetus, strengthen the Spleen, relieve nausea.

There are three common patterns as early pregnancy symptoms (especially nausea):

1. Spleen and Stomach-Deficiency with Rebellious Chong Qi

Symptoms: Nausea, vomiting clear fluids or saliva, fatigue, poor appetite
Dietary support: Ginger and red date tea and Chenpi roasted rice tea (1)
Benefits: Warms the middle jiao, strengthens digestion, relieves nausea

Acupressure support:

Press PC-6 (Neiguan) (2, 3), located on the inner forearm, about three finger-widths above the wrist crease between two tendons. This point is commonly used to relieve nausea.

2. Liver-Qi Attacking the Stomach

Symptoms: Sour regurgitation, chest tightness, irritability, bitter taste
Dietary support: Perilla plum tea
Benefits: Regulates Qi, soothes the Liver, relieves nausea

Acupressure support:

Press ST-36 (Zusanli) (3), located about four finger-widths below the kneecap and one finger-width lateral to the shinbone. This helps strengthen digestion and reduce fatigue.

3. Kidney- and Qi-Deficiency

Symptoms: Lower back pain, frequent urination, fatigue
Dietary support: Chestnut and Chinese yam pork soup
Benefits: Tonifies the Kidneys, strengthens Qi, nourishes Blood, and helps stabilise pregnancy

Recipes:

1. Ginger (4) & Red Date Tea

Ingredients: 3 - 4 slices fresh ginger, 3 pitted red dates (split open)

Method: Steep in 500 ml boiling water for 15 minutes and sip slowly

Suitable for: Nausea, poor appetite

2. Zi Su Ye (Perilla Leaf) (5), Chenpi (Aged Tangerine Peel) & Ginger Drink

Ingredients: Zisuye, chenpi, ginger

Method: Simmer in water for 15 to 20 minutes and drink as tea

Suitable for: Nausea, bloating

3. Chestnut & Chinese Yam Pork Soup

Ingredients: Fresh chestnuts, dried Chinese yam, corn, lean pork (lotus seeds or carrots can be added)

Method: Blanch pork, then combine all ingredients and cook in a pressure cooker for 30 minutes

Suitable for: Weak digestion, fatigue

Key Points on TCM precautions: In early pregnancy, it is important to avoid strong tonics and blood-activating herbs. Herbs such as Dang Gui (Angelica root), Chuan Xiong (Szechuan lovage), Hong Hua (safflower), and Dan Shen (red sage) may stimulate blood circulation and should only be used under professional guidance.

Downward-moving or laxative herbs should also be avoided. Examples include Yi Yi Ren (coix seed / Job’s tears) and Da Huang (rhubarb root), as they may disrupt the stability needed during this stage.

Cold and raw foods, such as watermelon, bitter melon, sashimi, and cold drinks, should be limited as they can weaken digestion and worsen nausea or diarrhoea.

Greasy and overly rich foods should also be reduced. Sugary and fatty foods may create “dampness,” which can aggravate nausea and digestive discomfort.

A final note: if you are unable to eat for 24 hours, have very little or dark urine, or notice weight loss, this may be a sign of severe pregnancy vomiting (hyperemesis) and dehydration. You should seek medical care immediately for fluids and electrolyte support.

If you have spotting that continues for more than 12 hours, it should also be checked. Light spotting can be normal, but ongoing bleeding may need assessment. Contact a healthcare provider, especially if it becomes heavier or is accompanied by pain, cramping, dizziness, or weakness.

References:

1) Chenpi roasted rice tea: https://kitli-vitaqiholistic.blogspot.com/2025/06/a-rebirth-of-body-wisdom-of-postpartum.html

2) Effect of Nei-Guan point (P6) acupressure on ketonuria levels, nausea and vomiting in women with hyperemesis gravidarum: https://pubmed.ncbi.nlm.nih.gov/17645494/

3) The effectiveness of acupressure combination Neiguan and Zuzanli points to decrease emesis gravidarum in the first trimester of pregnancy:    https://pdfs.semanticscholar.org/1738/0d70ac4f6a88d52fec0b5bada5cdd2a49ee2.pdf

4) Ginger tea significantly reduced nausea levels in pregnant women:  https://jptcp.com/index.php/jptcp/article/view/7641

5)Perilla is useful during pregnancy to alleviate nausea and for calming a restless fetus: https://christopherhobbs.com/herbal-therapeutics-database/herb/perilla

From Awareness to Action: Refreshing My First Aid and CPR Skills

Kit Li

No matter what your occupation is, accidents can happen anywhere.

If you have the opportunity, I’d recommend learning some basic First Aid and CPR in your own time.  Why? It’s not just about public awareness, it’s also about being prepared to protect yourself and the people around you. You never know when you might be in a position to save a life, whether it’s a stranger or someone close to you.

About a month ago, I experienced a first aid emergency on my way home on the train (1). That incident motivated me to refresh my training, especially since I used to work as a cabin crew years ago. Fortunately, I had never encountered any serious situations during my flying career, apart from one case where an elderly male passenger died from internal haemorrhage mid-flight. However, he wasn’t in my cabin, so I didn’t have the opportunity to assist.

This January, I participated in a CPR training course (2) and refreshed my knowledge of how to perform CPR using a training mannequin (Annie). The procedure has been simplified compared to what I learned previously.

In the past, we were taught to give two rescue breaths to an unconscious person before starting CPR. However, current guidance is more straightforward and emphasises acting quickly. For an unresponsive person who is not breathing normally, the priority is to start chest compressions immediately and call for help. Rescue breaths are still included in full CPR (typically in a 30:2 ratio), but for untrained bystanders, hands-only CPR, continuous chest compressions, is encouraged to avoid delays.

The hands-on practice with my classmates was very engaging. We asked lots of questions and gained valuable insights into these updated first aid approaches, particularly the importance of quick decision-making and early action.

Three months later, I attended another First Aid training (2) with my classmates. This basic course covered a range of topics, including recovery position, bleeding, choking, bone fractures, stroke, and heart attacks...etc.  Damian, the experienced instructor, was extremely knowledgeable, and the session was highly informative. We had many engaging discussions related to the topics covered.

We also discussed the recovery position for a pregnant woman. I hadn’t realised that positioning her incorrectly for an extended period, especially lying on her back or on the wrong side, could actually put both her and the baby at risk rather than help (3).

At the end of the session, we discussed what really matters in a first aid kit. It’s not just about how many items you have, but how practical and useful they are in real situations.

Damian emphasised that choosing the right tools, and knowing how to use them, is far more important than simply having a fully stocked kit. He also suggested adding a pulse oximeter as an extra item, which can be helpful for checking oxygen levels if you encounter someone with potential heart or brain-related issues.

This experience reminded me that first aid is not just a skill, it’s a responsibility we carry in everyday life. Staying updated, thinking clearly, and acting quickly can truly make a difference when it matters most.

References:

1) From Panic to Recovery: The Life-Saving Renzhong Point in Action: https://kitli-vitaqiholistic.blogspot.com/2026/03/from-panic-to-recovery-life-saving.html

2) Learn CPR in 15 minutes for free with RevivR: https://www.bhf.org.uk/how-you-can-help/how-to-save-a-life/how-to-do-cpr/learn-cpr-in-15-minutes (virtual)

British Red Cross: https://www.redcross.org.uk/ (in-person)

First Aid Training: https://constellationtraining.co.uk/

3) In first aid, a pregnant woman (particularly in later stages of pregnancy) should ideally be placed on her left side. This helps prevent the uterus from pressing on major blood vessels, which can reduce blood flow and cause dizziness, low blood pressure, or even compromise circulation to the baby. Keeping her on the wrong side or flat on her back for too long, around 20 minutes or more, can therefore become dangerous instead of beneficial.

Exploring Integrative Medicine: Clinical Reflections from the King’s CICM Research Meeting (April 2026)

Kit Li

Yesterday, I had the privilege of attending the 3rd King’s CICM Research Meeting, themed 'Integrative Medicine: Quality of Clinical Evidence is the Key,' organised by Professor Xu Qihe, alongside my mentors Dr Tang and Dr Wang, and several LACA professors at King’s College.

In the morning, we visited Dimbleby Cancer Care at Guy’s Hospital, where patients are supported through a holistic model incorporating complementary therapies, psychological services, and welfare advice. During our visit, we had an in-depth discussion with Mandy Brass, Lead Acupuncturist, exchanging perspectives on our clinical work. She provided valuable insights into the centre’s operational framework, including the distinctions between individual and group acupuncture, patient pathways and waiting times, and the clinical use of traditional Chinese medicine equipment such as acupuncture needles, moxibustion, and TDP heat lamps.

The meeting continued with a series of research presentations divided into two sessions.

The first session, 'High-quality clinical studies underpin integrative medicine,' addressed topics including the acupuncture service at Guy’s Cancer Centre, the role of Chinese herbal medicine (CHM) in cancer care, international standards and best practice guidelines, and target trial emulation. Presentations were delivered by Mandy Brass, Dr TieJun Tang, Dr Qihe Xu, and Professor Yanzhong Wang.

The second session, “Shining a light on acupuncture in integrative medicine,” explored acupuncture practice at King’s College Health Centre, a scoping review of traditional, complementary, and integrative medicine content on the NICE website, pulse-based acupuncture, and applications in stroke rehabilitation. This session featured Ms Titta M. Laattala, Mr Safin Hossain, Dr Jun Xu, and Dr TianJun Wang.

The event concluded with a panel discussion, where several professors offered insightful reflections on the future of integrative medicine. Following the meeting, we gathered for tea at the King’s College café, providing a valuable opportunity for further informal discussion. I was particularly grateful to continue exchanging ideas on Chinese herbal medicine with Professor Xu and Dr Tang, an inspiring and intellectually enriching conversation that deepened my perspective on integrative clinical practice.

My thoughts:

The discussion with Mandy was fascinating. Her role closely mirrors aspects of my own, although our professional backgrounds differ. Alongside my private practice, I volunteer as a neuro-acupuncturist at Florence Nightingale Hospice Charity (FNHC), supporting patients undergoing or recovering from chemotherapy. My work focuses on scalp acupuncture and Chinese herbal medicine to support recovery and enhance quality of life. Notably, FNCH receives only around 3% of its funding from the NHS, relying predominantly on charitable contributions and legacy donations to sustain its services.

In this context, her suggestion of group acupuncture is particularly compelling. It not only benefits patients by creating a supportive environment where they can connect with others facing similar experiences, but also offers clinical efficiency by optimising practitioner time and increasing accessibility to care.

Another topic that particularly intrigued me was the role of traditional Chinese medicine (TCM) in cancer management. (1) This is especially relevant for patients undergoing or recovering from chemotherapy. In such cases, red blood cells, white blood cells, and platelet levels are often significantly reduced. From a TCM perspective, herbal strategies can be applied both to support the body’s recovery and to complement anti-cancer care. 

For example, herbs such as:

• Baihuasheshecao (Oldenlandia Herb) (1): anti-inflammatory, pro-apoptotic, immune-enhancing
• Banzhilian (Barbed Skullcap Herb) (2): Often paired with Baihuasheshecao
• Fuling (Poria): gut, immunity, damp resolution
• Yiyiren (Coix seed): expels dampness

These are commonly used for their anti-cancer and damp-resolving properties, while others such as: 

• Huangqi (Astragalus Root) (3): commonly used for promoting Qi
• Danggui (Chinese Angelica Root): nourishing Blood
• Shudihuang  (Prepared Rehmannia Root): nourishing Yin and Blood

These are frequently prescribed to tonify Qi and nourish Blood.

As a TCM practitioner, I have observed in my private practice that the combination of Chinese herbal medicine and scalp acupuncture is highly valuable. The therapeutic synergy between these approaches often leads to improved clinical outcomes and may shorten recovery time, particularly when patients adhere to prescribed treatment plans and dietary recommendations.

Overall, the day was both inspiring and thought-provoking (5). It not only deepened my understanding of integrative medicine in a clinical setting but also strengthened my commitment to supporting patients through a holistic and compassionate approach. I left with a renewed sense of purpose and motivation to continue growing as a practitioner in this field.

References:

1) Summarises multiple herbs including your list and their mechanisms: Review of commonly used Chinese herbs in cancer treatment

2) Baihuasheshecao shows anti-proliferative and apoptosis-inducing effects in cancer cells: Anticancer activities of Oldenlandia diffusa

3) Banzhilian, evidence for anti-tumour, anti-inflammatory, and immune-regulating effect: Clinical and pharmacological review of Scutellaria barbata

4) Huangqi shows improved survival and treatment outcomes when combined with chemo: Meta-analysis of Astragalus with chemotherapy

5) King's CICM Research Meeting Puts the Spotlight on Clinical Evidence: King’s CICM Research Meeting Puts the Spotlight on Clinical Evidence – The King’s Centre for Integrative Chinese Medicine