TCM Approach to Bereavement-Related Depression with Heart-Liver-Spleen Disharmony

 

Kit Li

Two weeks ago, a male patient had been suffering from depression since the death of a family member last September. Since then, he had been severely depressed and emotionally suppressed, experiencing mixed feelings, particularly unexpressed anger, as he continues to move through the stages of bereavement (denial, anger, depression, bargaining and acceptance). (1) 

He came to me after being referred by his best friend, who had experienced approximately 80% recovery from an anxiety disorder after receiving scalp acupuncture combined with Chinese herbal medicine for over six weeks.

In this case, the patient had never received any acupuncture treatment before, including scalp acupuncture. I advised him to remain well hydrated prior to treatment in order to reduce stiffness of the connective tissues (2) in the scalp.

In general, from a TCM perspective, patients suffering from emotional disorders are primarily diagnosed with Qi-stagnation. Emotional factors damage the Liver, resulting in Liver-Qi constraint. Over time, this gradually affects the functions of the internal organs, particularly the Five Zang organs. (3)  Primarily affecting the Liver, Spleen and Heart, with manifestations of Qi and Blood imbalance.

TCM Diagnosis:

• Liver-Qi stagnation (inexpressive anger mixed with depressed)
• Heart-Blood deficiency (insomnia, forgetful and palpitations)
• Spleen-Qi deficiency with dampness accumulated in the Lower Jiao (fatigue, no appetite)

Pulse:

• Left - cun (weak) and guan (wiry)
• Right - generally weak, guan (slippery)

Tongue:

• pale, thin coating
• teethmarks
• red tip of the tongue

TCM treatment Plans:

• Regulating Qi and Blood
• Calm the Shen
• Strengthening Spleen and immunity

Acupoints:

• Scalp Acupuncture is always my primarily treatment as it's excellent for Emotional Disorders: Head Area, Spirit Emotion Area...etc.
• Abdominal Acupuncture: Dao-qi technique was applied with the key points on Ren-mai which is good for regulating emotions, also supporting digestion.
• Key body acupoints were selected to regulate Qi, tonify the Spleen and Stomach, nourish Blood, calm the Shen, and clear dampness.

Chinese Herbal Prescriptions:

Gui Pi Wan (4, 5): This formula is for tonify Qi and Blood. it also tonifies Spleen-Qi, nourishes Heart-Blood, as well as calms the Shen.  The core ingredients are:

1) Qi-tonifying and strengthen the Spleen:

• RenShen (Ginseng Root)
• Huang Qi (Astragalus Root)
• BaiZhu (Atractylodes Rhizome)
• FuLing (Poria)

2) Blood nourishing and Calms the Shen:

• DangGui (Chinese Angelica Root)
• SuanZaoRen (Sour Jujube Seed)
• LongYanRou (Longan Fruit)
• YuanZhi (Polugala Root)

After two weeks of taking the prescribed medication combined with acupuncture treatment once a week, he feels more settled. His sleep has improved significantly, and he reports increased energy levels as a result of better quality sleep.  Overall, his condition shows clear improvement, and the treatment appears to be effective at this stage.

References:

1) The Stages of Bereavement: https://www.nhs.uk/mental-health/feelings-symptoms-behaviours/feelings-and-symptoms/grief-bereavement-loss/

2) From a TCM and anatomical perspective, good hydration can help:  Improve tissue elasticity
    reduce tightness in the scalp’s connective tissues, make needle insertion more comfortable, 
    potentially enhance circulation during scalp acupuncture.

3) Five Zang Organs (Wu Zang):  In TCM, the Five Zang organs are core Yin organs that store vital          substances (Qi, Blood, Body Fluids, Essence) and support overall physiological and psychological       balance. They are not just anatomical organs but functional systems with emotional and elemental          associations. 

4) Prescription of chinese herbal medicine and selection of acupoints in pattern-based traditional                 chinese medicine treatment for insomnia: a systematic review:                                                                 https://pubmed.ncbi.nlm.nih.gov/23259001/

5) Effect of Kami Guibi-Tang (KGT) in elderly subjects with insomnia: a study protocol from a single        center, randomized, double-blind, placebo-controlled trial:                                         https://link.springer.com/article/10.1186/s12906-023-04199-y?utm_source

Brown Sugar Ginger Water: A Simple Comfort

 

Kit Li

A very close friend of mine, who lives far away, called me this afternoon asking for help. Her teenage daughter was experiencing intense cramping and had been lying in bed on the first day of her menstrual cycle.

Without hesitation, I suggested preparing brown sugar ginger water to help soothe the pain, warm the meridians, and dispel cold from her abdomen.

Two hours later, I checked in again. Thankfully, her daughter was able to fall asleep, and the pain had eased significantly.

What is brown sugar ginger water? It might sound like magic, but it’s actually a simple, traditional remedy. Made with just ginger and brown sugar, ingredients most people already have in their kitchen, it has powerful effects. Ginger (1, 2) helps warm the body, improve circulation, and ease cramps, while brown sugar provides gentle energy and comfort. Together, they soothe pain, relax tense muscles, and help dispel cold from the abdomen, making it especially useful during the first days of a menstrual cycle.

Did you know that in Traditional Chinese Medicine, fresh ginger, dried ginger, and prepared dried ginger can all be used in formulas, but each is chosen to treat different symptoms?

1. Fresh Ginger (Shēng Jiāng)

•     Nature / Flavor: Slightly warm, pungent
•     Channels entered: Lung, Spleen, Stomach

Functions:

• Releases the exterior and disperses wind-cold
• Warms the middle and stops nausea
• Resolves phlegm and detoxifies

Best for:

• Early-stage wind-cold colds
• Nausea, vomiting, poor appetite
• Mild cold in the middle burner

Most suitable for daily use and cooking.

2. Dried Ginger (Gān Jiāng)

• Nature / Flavour: Hot, pungent
• Channels entered: Heart, Lung, Spleen, Stomach

Functions:

• Warms the middle and dispels deep interior cold
• Rescues devastated Yang
• Warms the Lung and transforms thin mucus

Best for:

• Severe cold in the Spleen and Stomach
• Cold pain in the abdomen
• Yang deficiency with cold extremities, diarrhoea

Not suitable for heat conditions or long-term daily use.

3. Prepared dried ginger (Pao Gan Jiang)

This distinguishes it from regular dried ginger (Gan Jiang) and indicates it has been processed by heating to modify its properties.

It is warmer and more penetrating than fresh ginger, strongly warming the middle and supporting Yang, but is less harsh than raw dried ginger.

How to make Brown Sugar Ginger Water

Single Serving:

• Wash and peel 3–5 slices of fresh ginger (about 5–10 g). Slice thinly or shred.
• Add 250–300 ml of water to a small pot and bring to a boil. Add the ginger slices.
• Simmer for 10–15 minutes, then add 1–2 teaspoons of brown sugar. Stir until fully dissolved.
• Adjust the brown sugar to taste. Drink warm.
• You can add some red dates or Gouqizi (Goji Berry)

Contraindications

• Suitable for people with Yang deficiency. Not recommended for those with Yin deficiency, heavy phlegm-dampness.

• Not suitable for people with diabetes, gastric ulcers, or haemorrhoids. Ginger is warming and may cause internal heat; avoid consuming ginger at night.

It’s amazing how such a simple drink can bring comfort and ease pain. Brown sugar ginger water warms the body, soothes cramps, and reminds us that small, caring gestures can make a big difference.

References:

1) Ginger for Pain Management in Primary Dysmenorrhea: A Systematic Review and Meta-Analysis: https://pubmed.ncbi.nlm.nih.gov/38770631/

2) Efficacy of Oral Ginger (Zingiber officinale) for Dysmenorrhea: A Systematic Review and Meta-Analysis: https://pubmed.ncbi.nlm.nih.gov/27274753/

When Healing Begins to Show: Renewal After Chemotherapy

Kit Li

The year 2026 has only just begun, and it already fills me with excitement. Early this morning, I received some wonderful news from one of my patients who has been living with post-chemotherapy symptoms since her diagnosis of cancer several years ago. With great joy, she shared that her hair has finally begun to grow back after remaining absent since the start of her chemotherapy in 2023, something she had never imagined would happen.

My first encounter with Mrs. A occurred approximately five weeks ago. At that time, she appeared notably frail, delicate and vulnerable, reflecting her slow recovery and the cumulative side effects of her medications and chemotherapy. These included chronic fatigue, generalized weakness, peripheral neuropathy (1, 2) in hands and feet, oedema of the right leg, and persistent pain in the lower abdominal region. She confided that she had been experiencing profound depression since her diagnosis, describing the past few years as a nightmare that had left her overwhelmed by hopelessness.

Within six weeks, she has received four treatment sessions, and scheduled once a week. Remarkably, her response has been very positive, with significant and ongoing improvement.

Case Sharing:

Primary concerns: Chronic Fatigue, Sleeping Disorders, Hair Loss (3, 4) for over two years and Peripheral Neuropathy in hands and feet

Pulse: deep and weak generally

Tongue: very pale and thin coating

Pattern Differentiation:

• Qi and Blood deficiency: chronic fatigue, weakness, peripheral neuropathy
• Kidney-yang deficiency: cold extremities, poor circulation
• Heart-Blood deficiency: insomnia, disturbed Shen (Spirit)

Treatment Principles:

1. Warm and tonify Kidney Yang, support Essence
2. Tonify Qi and generate Blood
3. Nourish Heart-Blood, calm Shen
4. Promote circulation to channels

Acupoints: 

1. Key points on Ren-mai (任脉) with Dao-qi technique and particularly on ST-36 (足三里) (5) bilaterally...etc.
2. Body points: KI-1(涌泉), PC-6 (气海), SP-6 (三阴交), HT-3 (少海), HT-7 (神门).....etc.
3. Scalp Acupuncture: Key areas on Sensory Area, Spirit Emotions Area, Reproduction Area...etc.

 

By the third session, her Qi and Blood levels had clearly improved, shown by a stronger and more balanced pulse. She was able to walk more steadily with her walking stick. She had gained some weight, suggesting better digestion and overall nourishment. She appeared more relaxed, her mood was brighter, and her sleep and emotional state were more settled, the most exciting part was seeing her hair begin to grow.  During treatment, she became more open and comfortable talking, sharing her thoughts and feelings more easily.

Chinese Herbal Medicine (6, 7) will be prescribed to help support her immune system and to gently ease some of the side effects caused by chemotherapy. The treatment will be tailored to her condition and used alongside her existing medical care.

References:

1) A TCM Approach to Post-Chemotherapy Fatigue and Neuropathy: Clinical Observations and Patient Feedback: https://kitli-vitaqiholistic.blogspot.com/2025/11/managing-post-cancer-symptoms-with-tcm.html

2) Acupuncture for the Treatment of Peripheral Neuropathy: A Systematic Review and Meta-Analysis:https://pmc.ncbi.nlm.nih.gov/articles/PMC5359694/

3) Chemotherapy can trigger early menopause or thyroid dysfunction, both of which can cause ongoing hair loss long after treatment ends.

4) Can Acupuncture Help With Hair Loss? https://biologyinsights.com/can-acupuncture-help-with-hair-loss-2/

5) ST36 Acupuncture Point: The Ultimate Guide to Applications, Benefits and Research (2024): https://www.neuroacupuncturerehab.com/blog/st-36

6) How Chinese Herbal Medicine helps with cancer patients: https://kitli-vitaqiholistic.blogspot.com/2025/03/how-chinese-herbal-medicine-helps-with.html

7) Tailoring traditional Chinese medicine in cancer therapy: https://pmc.ncbi.nlm.nih.gov/articles/PMC11749133/

A Traditional Chinese Medicine Approach to Menopausal Transition

Kit Li

A month ago, a female patient at 54 years-old who had been using Hormones Replacement Therapy (HRT) (1) patches for over 5 years to manage menopausal symptoms.  She consulted me seeking a Traditional Chinese Medicine (TCM) approach due to persistent symptoms, including breast tenderness, night sweats, constipation, and emotional discomfort.

Following a thorough consultation, I prescribed a modified Geng Nian Kang (更年康) (2) to help alleviate her symptoms and gently support the body's transition throughout the menopausal, this herbal formula addresses common menopausal symptoms (3) and also work synergistically to: 

1. Nourish Yin and Blood
2. Tonify Qi in the Spleen and Lung
3. Invigorate the Kidney and Liver
4. Calm the Shen (spirit)
5. Clear internal heat

After four weeks of acupuncture treatments combined with Chinese Herbal Medicine, her condition has significantly improved.  She now sleeps better, no longer experiences night sweats, and reports feeling noticeably calmer and more balanced.

From a TCM perspective, menopausal symptoms are primarily associated with imbalances in the Kidney, but also involve the Liver, Heart, Spleen, and sometimes the Lung. These imbalances are often categorized into distinct patterns:

1) Liver and Kidney-yin deficiency: 'The Liver and Kidney share the same source' (肝肾同源).  When Kidney-yin deficiency, it often affects Liver-yin, leading to: dry eyes, blurry vision,  dizziness, irritability, insomnia, menstrual irregularities or infertility in women.

2) Heart and Kidney disharmonized (心肾不交): Kidney-yin helps anchor the Heart-Yang and calm the spirit (Shen), if Kidney-yin is weak, Heart-yin may also become deficient, leading to palpitations, anxiety, insomnia with vivid dreams, and poor memory or concentration.

3) Lung and Kidney-yin deficiency: 'Kidney grasps the Qi'  (肺肾阴虚), especially in respiratory issues,  they  work together to regulate fluid metabolism and breathing, deficiency in both leads to dry cough or chronic dry throat, shortness of breath and wheezing, scanty or sticky sputum, tendency toward yin-type asthma or chronic respiratory issues.

4) Spleen-yin or -qi deficiency (脾气或脾阴虚): chronic Spleen-deficiency (especially Spleen-yin or qi) can eventually affect Kidney-yin through exhaustion of postnatal energy sources.  In reverse, Kidney-yin deficiency may dry fluids, affecting digestion and leading to constipation or dry stools.  

Chinese Herbal Medicines offer a gentle, tailored approach that works in harmony with the body's natural rhythms.  Used under proper guidance, it may serve as a preventive and supportive therapy, particularly for women seeking non-hormonal options or looking to transition off HRT safely.

References: 

1) Hormones Replacement Treatment (HRT)  

HRT is  a medical treatment designed to relieve menopause symptoms, also prescribed for women experiencing  premature menopause or early ovarian insufficiency.  It is claimed to help protect bones and prevent osteoporosis in postmenopausal women.  It works by replacing hormones that the body produces less of during menopause, primarily oestrogen, and sometimes progesterone or testosterone, depending on the individual's needs.

However, if long-term used, the risk factors are:

• increased risk of breast cancer (mainly with combined HRT)
• increased risk of blood clots or stroke (especially if started later in life)
• Not suitable for women with a history of certain cancers, blood clots, or liver disease

Study provides new estimates of breast cancer risks associated with HRT (Oct 2020)

 https://bmjgroup.com/study-provides-new-estimates-of-breast-cancer-risks-associated-with-hrt/#:~:text=A%20new%20study%20published%20by%20The%20BMJ%20today,risks%20of%20breast%20cancer%2C%20particularly%20for%20older%20women.

HRT, menopause and breast cancer Tiphaine Boulin, Isla Whitcroft, Hannah Moody Peer reviewed by two members of Breast Cancer UK independent Science Panel (Feb 2024)

https://cdn.breastcanceruk.org.uk/uploads/2024/02/Breast-Cancer-UK_HRT-and-Breast-Cancer-Review-2024.pdf

2) Modified Geng Nian Kang (更年康) has 10 ingredients:

Shudihuang (Radix Rehmanniae Preparata): nourishing yin and blood

ShanYao (Chinese Yam): tonifies qi in Lung and Spleen

Zhimu (Anemarrhena asphodeloides Bunge): expels heat

Danggui (Chinese Angelica Root): nourishing blood

etc....

3) What is menopause?

https://cdn.breastcanceruk.org.uk/uploads/2024/02/Breast-Cancer-UK_HRT-and-Breast-Cancer-Review-2024.pdf (Page2)

Gentle Digestive Support with Hawthorn: A Post-Holiday Reset

 Kit Li

As 2025 comes to an end, I believe one of the most common goals for 2026 resolutions will be losing weight. While this goal may feel slightly exaggerated for me personally, prioritising health and fitness remains a shared aspiration for many people.

Following a series of indulgent celebrations from the Winter Solstice through to New Year’s Eve, frequent feasting, alcohols and sweets left me feeling noticeably bloated. On one morning, I experienced a bitter taste in my mouth accompanied by mild sour regurgitation. These symptoms suggested possible indigestion and prompted me to recognise the need to reduce food intake and allow my digestive system time to rest.  I quickly grabbed a sweet hawthorn snack to soothe my discomfort. When I was a child, it was one of my favourite treats from my grandmother, the balance of sweetness with a hint of sourness made it irresistibly addictive. 

Did you know that hawthorn, a traditional Chinese herb, is commonly used to support digestion? In Traditional Chinese Medicine, hawthorn is believed to help reduce food stagnation, particularly from rich or heavy foods, and to promote the smooth movement of digestion.  Avoid excessive intake: Hawthorn is sour, and consuming too much may damage the Spleen and Stomach.

Today, I’d like to introduce several herbal teas with Hawthorn (Shan Zha) (2, 3,4), which in Traditional Chinese Medicine (TCM) is known for promoting digestion, moving stagnant food, supporting spleen and stomach function, and aiding blood circulation. These teas can also assist lipid metabolism, help resolve phlegm, and gently clear mild internal heat.

1) Shan Zha Chenpi Tea (4) (for 2 people)

Ingredients:

• 20g dried Shan Zha (Hawthorn)
• 6g Chen Pi (Dried Tangerine Peel)

TCM Function:

• Shan Zha: transforms food stagnation, promotes digestion, moves blood
• Chen Pi: regulates Qi, strengthens the spleen, resolves dampness and phlegm

Preparation:

1. Rinse ingredients.
2. Add to 700–800ml boiling water, simmer for 10–15 minutes.
3. Strain and serve warm.

Caution: Shan Zha can lower blood pressure and thin blood slightly, so people on blood-thinning or anti-hypertensive medication should consult a qualified TCM practitioner.  May aggravate loose stools if consumed in excess.

2) Ju Hua (5), Chen Pi and Shan Zha Tea (for 2 people)

Ingredients:

• 10g Ju Hua (Chrysanthemum) 
• 6g Chen Pi
• 20g dried Shan Zha

TCM Function:

• Ju Hua: clears Liver heat, calms eyes, relieves mild internal heat
• Chen Pi: regulates Qi, improves digestion, resolves phlegm
• Shan Zha: promotes digestion, moves blood, reduces food stagnation

Preparation:

1. Rinse herbs.
2. Pour 700–800ml boiling water over them, leave it to steep for 10 minutes with the lid on.
3. Strain and enjoy.

Caution: Ju Hua (chrysanthemum) may cause allergic reactions in some people, especially those sensitive to ragweed, daisies, or marigolds.  Chen Pi is warming and moves Qi, so avoid if you have very loose stools or stomach ulcers.

3) Green Tea Hawthorn Tea (for 2 people)

Ingredients:

• 10g Green Tea
• 20g dried Shan Zha

TCM Function:

• Green Tea: clears mild heat, supports digestion, boosts metabolism
• Shan Zha: aids digestion, helps regulate lipid metabolism

Preparation:

• Rinse green tea and hawthorn slices.
• Add to 600–700ml boiling water, leave it to steep for 3–5 minutes with the lid on.
• Strain and sip slowly.

Caution: Green tea contains caffeine, which may not suit sensitive individuals or be consumed in large amounts before bed.  Hawthorn may interact with heart medications, so those with heart conditions should consult a qualified TCM practitioner.

Whether you want to ease bloating, support digestion, or enjoy a warm, comforting drink, these hawthorn teas provide a gentle, natural way to care for your digestive system. Sip them mindfully to restore balance after the holidays and start 2026 feeling lighter and healthier.

References:

1) Effects on gut microbiota and fermentation: 

https://www.mdpi.com/2227-9717/10/10/1922

2)  In vitro digestive enzyme interactions:  

https://www.sciencedirect.com/science/article/pii/S2405844022023465

3) Chemistry, stability and health effects of phenolic compounds in cultivated hawthorn (Crataegus pinnatifida var. major): a review

https://academic.oup.com/fqs/article/doi/10.1093/fqsafe/fyad067/7486237

4) Citri Reticulatae Pericarpium (Chenpi): Botany, ethnopharmacology, phytochemistry and pharmacology of a frequently used traditional Chinese medicine:

https://www.sciencedirect.com/science/article/abs/pii/S0378874117329367

5) Diosmetin protects against retinal injury via reduction of DNA damage and oxidative stress:

https://pmc.ncbi.nlm.nih.gov/articles/PMC5615423/

6) The effects of green tea on lipid metabolism and its potential applications for obesity and related metabolic disorders:

https://www.sciencedirect.com/science/article/abs/pii/S1871402119301249

Ending the Year with Relief: Treating Tennis Elbow

Kit Li

What is Tennis Elbow?

Tennis elbow is a pain‑causing condition affecting the tendons on the outside of the elbow.  Medically it’s often called lateral epicondylitis or lateral epicondylopathy/tendinopathy, a repetitive strain injury of the forearm tendon where it attaches to the elbow.  Despite the name, it’s NOT just caused by playing tennis, repetitive gripping, lifting, typing or manual work can trigger it.

Typical Pain: Pain and tenderness on the outside of the elbow, pain that may radiate down the forearm, pain when gripping, lifting objects, twisting a jar lid, or bending the wrist.

Tennis elbow is usually treated with anti-inflammatory medicine or a steroid injection near the elbow. This condition is mainly caused by tension in the muscles around the elbow, such as the brachioradialis, biceps, and triceps.

Case sharing:

This morning, December 24th, Christmas Eve, and my last day of work for 2025, a good friend arrived
at my clinic just as the city was waking up. He was struggling with tennis elbow in his right forearm, caused by repetitive gripping and overuse, along with discomfort in his upper arm near the shoulder. Even simple movements had started to feel heavy and tense.  Using the Pain Assessment Tool, his pain level was rated at 6/10.

We began the session with Fu's Subcutaneous Needling (FSN) acupuncture, addressing both the elbow and related points along the forearm and upper arm, also some key body points to clear heat and inflammation, as well as Qi-stagnation.  The acupuncture treatment focused on easing inflammation, improving circulation, and releasing the tight, overworked muscles that had been carrying stress and fatigue.

As the needles worked their gentle magic, I could see the tension slowly melting away. By the end of the session, the pain had eased significantly, his pain had reduced to 3/10 , the muscles were noticeably more relaxed, and he walked out with a bright smile, lighter in body and spirit.

There’s something deeply fulfilling about ending the year by helping someone in need, witnessing not just physical relief but a subtle emotional lift. On this Christmas Eve, it felt like more than just a treatment, it was a moment of healing, connection, and gratitude.

Reference:

1) Tennis Elbow: https://www.nhs.uk/conditions/tennis-elbow/?utm_source

Staying Warm at Dongzhi: Scallion Pepper Water for Cold Weather Support

 

Kit Li

This year, the shortest day of the year in terms of daylight (the winter solstice in the astronomical sense) is on December 21st, and it typically corresponds to Dongzhi (冬至) (1) in the Traditional Chinese Calendar’s 24 Solar Terms.  It is one of the most important traditional festivals in China and other East Asian cultures. It marks the peak of yin and the gradual return of yang, so many customs focus on family, nourishment, and welcoming the increase of light. 

Dongzhi is not just an astronomical marker, it’s also a seasonal transition point that emphasizes rest, inward nourishment, and replenishment of yang after strengthening yin through the autumn and early winter. Foods and practices during this time historically lean toward warming, nutrient-dense, and qi-nourishing preparations to support the body through the darkest, coldest period.

I'm going to introduce one of the drinks, Winter Solstice Scallion Sichuan Pepper Water (Cong Bai Hua Jiao Drink), this warming herbal drink is used to dispel cold, warm yang, promote circulation, and protect the lungs.  It is especially suitable around the Winter Solstice, when yin is strongest and yang begins to rise, also it benefits for:

• dispels external cold and mild internal cold
• promotes sweating and releases the exterior (early-stage wind-cold)
• warms the lungs, helps relieve cough and mild wheezing
• improves circulation, warms hands and feet
• supports seasonal immunity and adaption to cold weather

This drink is commonly used when you feel chills with cold limbs, early wind-cold symptoms (no fever or sore throat), mild cough with clear phlegm, cold constitution or exposure to cold.

Here are the ingredients:

• White radish: 200g
• Scallion whites (with roots): 2 stalks
• Ginger (with skin): 2 slices
• Sichuan peppercorns: 3 grains
• Pitted Red dates: 3 pieces
• Goji berries: 10 pieces
• Water: 500 ml

Cooking method:

1. Bring to a rolling boil on high heat (about 10 minutes).

2. Reduce to low heat and simmer 15–20 minutes.

3. Avoid overcooking to prevent loss of aroma and active components.

Cautions:

1. Yin deficiency with strong heat (dry mouth, night sweats, red tongue)
2. Fever, sore throat, yellow phlegm
3. Pregnancy (use with caution due to strong warming and moving nature)|
4. People with High Blood Pressure, reduce the quantity of Sichuan peppercorns (1-3g) and ginger (1 slice)
5. People with Diabetes, reduce or skip the quantity of pitted Red dates (1pc) and keep goji berries (5-8 pcs)

Winter Solstice customs vary in China and other East Asian cultures, but the shared theme is warmth, nourishment, and family gathering. Scallion pepper water is a practical, everyday health drink rather than a ceremonial ritual.  This is a useful seasonal remedy, not a daily tonic.  It works best when used briefly, at the right time, for the right person. It also fits the Winter Solstice principle of 'One Yang is Born'  (一阳生), supporting the body’s rising yang energy.  For modern people who sit long hours, get cold easily, and lack circulation, it can be very effective, but overuse or misuse can easily lead to internal heat. Balance and timing matter more than quantity.

References:

1) Winter Solstice: https://en.wikipedia.org/wiki/Winter_solstice

Huang Jing, Goji & Dang Shen Stewed Quail — A Gentle Yin and Qi Nourishing Soup

 

Kit Li

I went to a local farm shop and bought a pack of very fresh quail, which inspired me to prepare a nourishing yin-tonifying soup using Huang Jing (Polygonati Rhizoma, 黄精) (1,2), goji berries (Lycium barbarum, 枸杞子) (3,4), and Dang Shen (Codonopsis pilosula, 党参) (5,6).

This is not a “quick fix” kind of soup; it is traditionally used when the body is quietly depleted rather than acutely unwell, and it works best when taken once or twice a week over time to gently rebuild strength. 

In Traditional Chinese Medicine, quail is valued for tonifying qi and blood while helping to expel heat, resolve dampness, and regulate water metabolism. It is sweet in flavour, neutral in temperature, and is said to enter the Stomach, Spleen, Large Intestine, and Liver channels, making it nourishing without being cloying. 

Combined with Huang Jing, which deeply nourishes yin while also supporting qi, Dang Shen, which gently strengthens the middle burner and aids absorption, and goji berries, which enrich Liver and Kidney yin and blood, this soup is designed for steady, balanced nourishment. Overall, it strengthens the body in a calm, gradual way, supporting yin and qi without causing dryness or heaviness, and is particularly suitable for long-term depletion, dryness, or post-illness recovery once acute symptoms have resolved.

Huang Jing, Goji and Dang Shen Stewed Quail

Ingredients (1–2 servings)

• Fresh quail × 2 (cleaned, skin on for nourishment)
• Huang Jing (黄精) 10g
• Dang Shen (党参) 10g
• Goji berries (枸杞子) 8g
• Dried Lily bulbs (乾石合) 4g
• Maimendong (麥冬）4g
• Water

Stewed in a pressure cooker:

1. Clean and blanch the quail briefly for 1–2 minutes, then rinse. 
2. Quickly rinse Huang Jing, Dang Shen, and also Goji Berries, dried Lily bulbs and Maimendong.
3. Place all the ingredients and water into a clay pot. 
4. Put the clay pot with a cover and place in the pressure cooker.
5. Put a high setting in 'Stew' mode for 30 minutes.

This method shortens cooking time while still producing a deeply nourishing, gentle tonic suitable for regular use.

Caution: this soup is not ideal for

• Acute colds, fever, or damp-heat conditions
• Heavy phlegm, greasy tongue coating, or severe digestive stagnation

References:

1) Polygonati Rhizoma as a food and medicine — studies describe the biochemical composition and broad potential health effects of Huang Jing, including immune modulation and tonifying effects consistent with its historical use.

https://www.sciencedirect.com/science/article/abs/pii/S0378874123001642?utm_source

2) Pharmacological properties of Polygonatum and its active ingredients” — this type of review summarizes current scientific evidence showing that Polygonatum species (the source of Huang Jing) contain polysaccharides, flavonoids, and saponins with antioxidant, immune-enhancing, anti-inflammatory, and metabolic regulatory effects.

https://pmc.ncbi.nlm.nih.gov/articles/PMC10759625/?utm_source

3) Comprehensive review of chemical composition and bioactive compounds:

A 2025 review in Food Chemistry discusses the nutritional components, polysaccharides, carotenoids, flavonoids, and potential health-promoting activities of goji berries: https://pubmed.ncbi.nlm.nih.gov/41092619/ 

4) Health benefits and applications: Other scientific reviews highlight goji’s antioxidant, anti-inflammatory, immune-modulating, and eye-health related activities based on phytochemical content and human/animal studies: https://pmc.ncbi.nlm.nih.gov/articles/PMC8868247/?utm_source

5) Systematic review on Codonopsis pilosula: Published research reviews the multiple biological actions of Codonopsis, including immune regulation, antioxidant effects, and support of gastrointestinal and endocrine systems in animal models and cell studies:  https://pmc.ncbi.nlm.nih.gov/articles/PMC11128667/?utm_source

Nourishing the Body During The Major Snow (Dàxuě): Warming Foods for the Deep Winter Season

Kit Li

Today, December 7th, marks Dàxuě (1) in the Chinese lunar calendar - the Major Snow (Dàxuě) solar term.

The Major Snow solar term marks the depth of winter, when Yang energy turns inward and becomes concealed. Nature enters a quiet, cold state, and the body follows by drawing its Yang energy into the Kidney system. Wellness during this period centres on nourishing Yin, protecting Yang, and supporting the body’s natural need for conservation.

As temperatures drop, often with pronounced differences between morning, noon, and night, those with less flexible blood vessels may experience abnormal constriction and dilation. This can lead to fluctuations in blood pressure, headaches, dizziness, coronary discomfort, facial numbness, or, in severe cases, stroke. During Major Snow, keeping the meridians warm and the circulation steady becomes especially important.

This season naturally calls for warming, nourishing soups. Yin-enriching and Qi-tonifying options such as rice-wine red-date chicken soup help warm the stomach and replenish the blood. Simple preparations like Sweet Potato Ginger Syrup are also ideal: sweet potato strengthens the stomach’s warmth, while ginger dispels cold, making it a comforting and supportive choice for the winter months.

I) Rice Wine Red Date Chicken Soup: for warming, nourishing blood and supporting the circulation

Ingredients (2–3 servings)

• 500–700 g chicken pieces
• 8 pitted red dates
• 2-3 slices ginger
• 1–2 tbsp goji berries (optional)
• 150–200 ml rice wine (Shaoxing or sweet rice wine)
• 1–1.5 L water
• Salt to taste

Pressure Cooker Method:

• Boil the chicken briefly for 1–2 minutes to remove impurities, then rinse.
• Add chicken, red dates, and ginger to the pressure cooker. Pour in the water.
• Cook on high setting for 25 minutes.
• When it’s done, open the lid, pour in the rice wine, and simmer on normal heat for 5–10 minutes to preserve aroma and warming properties.
• Add salt to taste. Add goji berries in the last 3–5 minutes if using.  
• Enjoy hot for optimal warming and circulation-supporting effects. 

Caution:

This formula can intensify internal heat.

1) Not suitable for people with “heat” or inflammation

Because this soup is warm-to-hot in nature (chicken + ginger + rice wine + red dates), avoid it if you have:

• sore throat
• mouth ulcers
• acne flare-ups
• constipation with heat
• fever or infection
• very red tongue, strong thirst

2) Avoid when you have a cold/flu with fever: even if you feel weak, the alcohol and warming herbs can trap the pathogen and worsen symptoms.

3) Not ideal for pregnancy (first trimester): small amounts of rice wine in postpartum tonics are traditional, but during early pregnancy, alcohol and warming blood-moving foods are avoided.  Later stages: some women use it, but it’s best to check individually.

4) Not suitable for hypertension that spikes with heat:

the warming nature might increase: facial flushing, irritability, tension headaches

5) mindful if you are Yin-deficient with heat signs

Symptoms: night sweats, hot palms and soles, dry throat at night.  Warming alcohol and ginger can make these worse.

6) Alcohol sensitivity / medication interactions

Even though the alcohol evaporates partly, individuals with: 

• alcohol intolerance
• liver issues
• certain medications (especially sedatives or antibiotics)

should use little or no rice wine.

7) Digestive sensitivity

If your stomach is easily irritated by ginger or alcohol, reduce ginger slices and simmer the wine longer.

II) Sweet Potato Ginger Soup: for warming, soothing the Stomach, dispelling cold

Ingredients (2 servings)

• 1 medium sweet potato
• 5–6 slices fresh ginger
• 500–600 ml water
• 1–2 rock sugar (optional)

Cooking Method

• Peel and cut into small cubes for quicker cooking.
• Add the sweet potato cubes and ginger slices to a pot with the water.
• Bring to a boil, then reduce to low heat and simmer for 20-30 minutes, until the sweet potato softens.
• Add rock sugar and let it dissolve.
• Best enjoyed hot to support stomach warmth and dispel winter chill.

Caution:

This soup is simpler and milder, but still warming. Here’s what to note:

1)    Not suitable for “heat in the Stomach”

Avoid if you experience: acid reflux that worsens with heat, burning stomach pain, mouth ulcers, excessive thirst.  Ginger may aggravate these.

     2)  Avoid if you have diarrhoea due to heat or infection: this soup warms the middle, which is helpful for cold-type diarrhoea, but not for: acute gastroenteritis , food poisoning, diarrhoea with fever.  Warming foods can worsen these patterns.

       

      3)    Blood sugar consideration: sweet potato and rock sugar turn into higher glycaemic impact.  Avoid large portions if you have: insulin resistance, diabetes, reactive hypoglycaemia

        

     4)    Not ideal for people with chronic heat or strong Yang constitution: if you naturally run hot, get red easily, or sweat easily, daily ginger-heavy recipes can feel too stimulating.

    5) Avoid too late at night: ginger can be slightly stimulating; some people become alert instead of relaxed.

As Major Snow brings the coldest part of winter, warming and nourishing foods become essential for staying balanced. Whether you choose the rich Rice wine red date Chicken Soup or the gentle Sweet Potato Ginger Soup, these dishes help protect Yang and warm the Stomach through Winter's quiet, inward-turning days.

References: 

1) The Major Snow (Dàxuě): 

https://en.wikipedia.org/wiki/Daxue_%28solar_term%29?utm_source