Chinese Nutrition Therapy Dietetics in Traditional Chinese Medicine (TCM)
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Page intentionally left blank B Thieme About the Author Joerg Kastner, M.D., L.Ac., was born in 1963 in Germany. He practices naturopathy, homeopathy, sports medicine, pain therapy, acupuncture, Traditional Chinese Medicine (TCM), and nutritional therapy in a joint practice in Weßling, near Munich, Germany. He provides naturopathic care for profes- sional athletes, including the German Bundesliga soccer team Schalke 04. Dr. Kastner studied medicine in Münster and Bochum and received further training in internal medicine, sports medicine, and naturopathy. He studied acupuncture and TCM at several renowned national and international institutes, including the Shanghai University of Traditional Chinese Medicine and the Guangxi College of Traditional Chinese Medicine. Lately he has been appointed as guest lecturer to Guangxi College. Dr. Kastner is head of acupuncture education at the Academy for Continuing Medical Education (Akademie für Ärztliche Fortbildung) of the State Medical Board of Registration, Westfalen-Lippe, Germany. He is also the founder and medical director of the Academy for Acupuncture and Traditional Chinese Medicine (Academie für Akupunktur und TCM, or afat, in Bavaria). He frequently gives talks and teaches seminars with the goal of familiarizing physicians and practitioners with the concepts of TCM and broadening its appli- cation in Western medicine. For Luisa and Max Chinese Nutrition Therapy Dietetics in Traditional Chinese Medicine (TCM) Joerg Kastner, M.D., L.Ac. Private Practice Wessling, Germany Thieme Stuttgart · New York IV Library of Congress Cataloging-in-Publication Data Important note: Medicine is an ever-changing science undergoing continual development. Research and clinical Kastner, Jörg, 1963- experience are continually expanding our knowledge, in [Propädeutik der chinesischen Diätetik. English] particular our knowledge of proper treatment and drug Chinese nutrition therapy : dietetics in traditional therapy. Insofar as this book mentions any dosage or appli- Chinese medicine (TCM) / Jörg Kastner. p. ; cm cation, readers may rest assured that the authors, editors, “An authorized and revised translation of the 2nd and publishers have made every effort to ensure that such German edition revised and copyrighted 2003 by references are in accordance with the state of knowledge Hippokrates Verlag, Stuttgart, Germany”—t.p. verso. at the time of production of the book. Includes bibliographical references and index. Nevertheless, this does not involve, imply, or express ISBN 1–58890–107–6 (alk. paper) — any guarantee or responsibility on the part of the publishers ISBN 3–13–130961–X (alk. paper) in respect to any dosage instructions and forms of applica- 1. Dietetics. 2. Medicine, Chinese, 3. Diet therapy, tions stated in the book. Every user is requested to exam- 4. Nutrition. ine carefully the manufacturers’ leaflets accompanying [DNLM: 1. Nutrition Therapy—methods. 2. Diet. each drug and to check, if necessary in consultation with a 3. Medicine, Chinese Traditional. WB 400 K192p 2004] physician or specialist, whether the dosage schedules I. Title mentioned therein or the contraindications stated by the RM217.K3313 2004 manufacturers differ from the statements made in the 613.2—dc22 present book. Such examination is particularly important 2004009720 with drugs that are either rarely used or have been newly released on the market. Every dosage schedule or every This book is an authorized and revised translation of the form of application used is entirely at the user’s own risk 2nd German edition published and copyrighted 2003 by and responsibility. The authors and publishers request Hippokrates Verlag, Stuttgart, Germany. Title of the Ger- every user to report to the publishers any discrepancies or man edition: Propädeutik der Chinesischen Diätetik inaccuracies noticed. Original translator: Anika Moje, Portland OR, USA Translator/editor: Johanna Cummings-Pertl, Ukiah CA, USA Joerg Kastner, M.D., L.Ac. www.afat.de [email protected] © 2004 Georg Thieme Verlag, Some of the product names, patents, and registered designs Rüdigerstrasse 14, 70469 Stuttgart, Germany referred to in this book are in fact registered trademarks or http://www.thieme.de proprietary names even though specific reference to this Thieme New York, 333 Seventh Avenue, fact is not always made in the text. Therefore, the appear- New York, NY 10001 USA ance of a name without designation as proprietary is not to http://www.thieme.com be construed as a representation by the publisher that it is in the public domain. Typesetting by Fotosatz Sauter GmbH, Donzdorf This book, including all parts thereof, is legally pro- Printed in Germany by Druckhaus Götz, Ludwigsburg tected by copyright. Any use, exploitation, or commercial- ization outside the narrow limits set by copyright legislation, without the publisher’s consent, is illegal and liable to prosecution. This applies in particular to photostat ISBN 3–13–130961–X (GTV) reproduction, copying, mimeographing, preparation of ISBN 1–58890–107–6 (TNY) 12345 microfilms, and electronic data processing and storage. V Contents About this Book . XI 1 Theory. 1 A Introduction to the Basic Cold. 15 Principles of Traditional Chinese Dampness . 16 Medicine and Chinese Dietetics . 3 Heat . 16 Dryness (Zao) . 16 Yin and Yang . 3 Internal Factors, “The Five Minds (Emotions)” (Wu Shi). 16 Therapeutic Principles of TCM. 7 Yin And Yang are Opposites . 7 Traditional Chinese Nutrition Theory. 17 Yin And Yang are Divisible but Inseparable The Qi Energy Concept of TCM . 17 (Yin Yang Ke Fen Er Bu Ke Li). 7 Congenital Constitution Essence (Jing) . 17 Gu Qi (Drum Qi, or Food Qi) . 18 Yin And Yang are Rooted in Each Other Ancestral (Air) Qi (Zong Qi). 18 (Yin Yang Hu Gen) . 7 Yin And Yang Counterbalance Each Other Function of the Triple Burner (San Jiao) . 20 (Yin Yang Zhi Yue) . 7 Yin And Yang Mutually Transform Each B Methodology of Nutritional Other . 8 Therapy . 21 The Five Phases (Wu Xing). 9 Energetics of Food . 21 The Five Basic Substances . 10 Energetic Thermal Nature. 22 Life Force—Qi . 10 Hot . 23 Function . 10 Dysfunction . 10 Warm . 23 Congenital Essence—Jing . 11 Neutral. 23 Function. 11 Cool . 23 Dysfunction . 11 Cold . 23 Blood—Xue . 12 “Yang Foods” . 24 Function. 12 Qi Vacuity . 24 Dysfunction . 12 Yang Vacuity . 24 Spirit—Shen . 13 “Yin Foods” . 24 Function. 13 Yin Vacuity . 24 Dysfunction . 13 Yang Repletion . 24 Body Fluids—Jin Ye . 13 Function. 13 The Five Flavors (Wu Wei) . 25 Dysfunction . 13 Sweet Flavor. 26 Acrid Flavor . 26 Causes of Diseases . 15 Salty Flavor. 27 External Bioclimatic Factors or Impediments . 15 Sour Flavor . 27 Wind. 15 Bitter Flavor . 27 VI Contents Flavor Association with Organ Networks . 29 Frying and Roasting . 32 Example: Carrot . 30 Steaming . 32 Qi Movement Caused by Food: Grilling/Broiling/Barbecue . 32 Food Direction . 30 Boiling/Simmering . 32 Upbearing Movement . 30 Cooking with Alcohol . 33 Floating Movement . 30 Downbearing Movement . 30 Boiling with Plentiful Water . 33 Falling Movement . 30 Cooking with Cooling Ingredients (e.g., Fruit, Sprouts) . 33 Influencing the Thermal Nature of Foods . 31 Slow, Gentle Frying (Braising) . 33 Cooling Cooking Methods . 31 Salting (Pickling in Brine) . 33 Warming Cooking Methods . 31 Smoking . 33 Seasoning . 33 Cooking Methods in Detail. 32 Baking . 32 Meal Preparation in Tune with the Five Blanching . 32 Phases (Wood, Fire, Earth, Metal, Water) .35 2 Chinese Dietetics in Practice. 37 Basic Recommendations of Nutrition and Seasonal Rhythms . 45 Chinese Dietetics . 39 Spring. 45 The Path to Healthy Eating Habits . 39 Summer (Hot Season) . 45 Inner Attitude and Environment . 39 Autumn . 46 Eating with Enjoyment and in a Relaxed Winter (Cold Season). 46 Atmosphere . ..