Food as Medicine -Thomas N. Leung, MSTOM, BS Pharm.January 24, 2010 Foods that are also medicine 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. What makes an herb a suitable Food? • • • • Can you eat it? Is it toxic? What kind of therapeutic action does it have? Does it taste good, bland, or at least tolerable? 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Directly edible • Long Yang Rou • Da Zao • Shan Yao • Bai He • Yi Yi Ren 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Soup Stock • Bai mao gen • Fu Ling • Huang Qi • Sheng Di Huang • Yu Zhu 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Herbal foods in popular Chinese culture 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Benefits of foods that are also Medicine • Compliance • Pediatric Medicine • Preventive Medicine 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. How to cook these Foods? • Cooking methods need to be consistent with therapeutic action • Pairing up with other foods, i.e. meats, vegetable, grains. etc. • Balance of taste and therapeutics? 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Meats and vegetables (a quick reference chart) Meats/Vegetable Yin/Yang – parts used Beef/Ox Yang - Meat, Bones, tendons, stomach, tails, Lamb Yang - Meat Pork Yin - Meat, Bones ( esp. vertebra), knuckles, stomach Chicken Yin - Meat (esp. black flesh chicken), Bones Turtle Yin – Meat Yin Vegetables Most vegetable are Yin in nature, exceptions will be noted in Yang Vegetables Yang Vegetables Chives, scallions, garlic, carrots, lotus roots, etc. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Commonly used herbs that are also consumed as food -I Release Exterior Herbs Herbs that clear Heat Herbs that Drain Dampness Herbs that Herbs that Transform Phlegm Transform Damp Herbs that Stop Bleeding Herbs that Tonify Qi Sheng-Jiang Dan Zhu Ye Fu Ling Zhu Ru Sha Ren Huai Mi Ren Shen* Bo He Xia Ku Cao Yi Yi Ren Kun Bu Bai Dou Kou Bai Mao Gen Dang Shen Ju Hua Xi Gua Che Qian Zi (Cao) Hai Zao Cao Dou Kou Ou Jie Tai Zi Shen Cong Bai Lu Gen Dong Gua Ren Cao Guo Dan Dou Chi Sheng Di Huang Bi Xie Relieve Cough and Wheezing Ge Gen He Ye Deng Xin Cao Xing Ren (nan xing) Huang Qi Shan Yao Da Zao Lu Dou Gan Cao Tu Fu Ling Bai Bian Dou Huang Jing Yi Tang 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Commonly used herbs that are also consumed as food -II Herbs that Warm the Interior Tonify the Blood Tonify the Yang Tonify the Yin Stablize and Bind Expel Parasites Regulate Qi Relieve Food Stagnation Shu Di Huang Lu Rong Sha Shen Wu Mei Shan Zha Gan Jiang He Shou Wu Ge Jie Xi Yang Shen Rou Dou Kou Mai Ya Rou Gui Dang Gui Dong Chong Xia Cao Mai Men Dong Lian Zi Gu Ya Hua Jiao Gou Qi Zi Rou Cong Rong Yu Zhu Qian Shi Ding Xiang Sang Shen Suo Yang Bai He Bai Guo Hu Jiao Long Yan Rou Hu Tao Ren Hei Zhi Ma Fu Xiao Mai Da Suan Chen Pi Du Zhong/Niu Xi Zi He Che 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Combinations for common pathologies (1 of 3) • • • • • • Qi and Blood Deficiency Recurrent urinary tract infection Pediatric nosebleeds Pediatric bedwetting Skin dryness and dry hacking cough Pediatric constipation 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Combinations for common pathologies (2 of 3) • Elderly constipation • Damp-heat Toxin skin manifestations • Chronic low libido, lower back pain, and impotence in men • Phlegm heat cough • Elderly frequent urination • Pediatric Food stagnation 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Combinations for common pathologies (3 of 3) • • • • • • Hair loss Dispel Summer-Heat (大暑) Red Eyes, irritability, easily angered Insomnia Gastric reflux due to cold Stomach Pediatric night crying 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Post-partum Qi and Blood Deficiency (Black chicken soup) • • • • • • • • • • Dang Shen 15-30g Huang Qi 15-30g Lu Rong 6-10g Shu Di Huang 30-45g Gou Qi Zi 15-30g Shan Yao 15-30g Yu Zhu 15-30g Da Zao 15-30g Black Chicken (Wu Ji, Silkie Chicken) ~1 lb size Sheng Jiang 30g Wash the fresh ginger and cut into small pieces. Put all the ingredients in a large pot with 4 quarts of water. Bring to a boil, then turn heat to low and cook for about three hours. Discard the herbs, but keep the meat and broth to eat. Add salt to taste when serving. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Recurrent Urinary Tract Infection (winter-melon soup) • • • • • • Winter-melon 2lb Pork bones 1lb (optional) Che qian cao 60g Bai mao gen 60g Yi yi ren 60g Mi Zao 5pcs • • • • • Leave skin on Winter-melon, cut into small pieces. Blanch pork bones before use. Put all the ingredients together in a large pot with 5 quarts of cold water. Bring to a boil, then turn down low and simmer for about 3 hours. Discard the cooked herbs and drink the broth. Add salt to taste. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Pediatric Nosebleeds • • • • • Bai mao gen 30g Mao Gen Hua 10g Ou jie 30g Sheng di huang 30g Mi Zao 5pcs Place 1.5 quarts of water and herbs into stainless steel pot. Bring to boil and then simmer for approximately 45-60 minutes. Strain decoction and drink tea. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Childhood Bedwetting (accumulated dampness) • • • • • Shan Yao 60g Qian Shi 45g Lian Zi 60g Fu Ling 30g Mi Zao 5pcs Put the herbs in a pot with 5 cups of cold water. Bring to a boil, then turn heat down to low and cook until there is 1 cup left - about 1 hour. Discard the cooked herbs and drink the broth. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Skin Dryness & Dry Cough • • • • • • • (yin deficiency) *Xue Li 2 med size (cored) Sha Shen 60g Bai He 60g Wu Hua Guo (Figs) Yu Zhu 60g Lian Zi 30g Xue Er 30g Wu Hua Guo 30g * Use Xue Li Gan – dried apple pear if fresh is not available Xue Li (Asian Apple Pear) Xue Er (Snow Ear) Soak Xue Er for 1 hr. Put the herbs into a large pot with 2 quarts of water. Use medium heat and simmer for about 1 hour. Discard the cooked herbs and drink the broth. If you are using Bing Tang, dissolve bing tang (cane sugar) at the end. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Pediatric Constipation (excess heat type) • • • • Sheng di huang 60g Xuan shen 40g Mai men dong 25g Wu hua guo 60g Place herbs and 6 cups of cold water into a stainless steel pot. Cook on medium heat until 2 cups (approx 1 hour) of soup remain. Discard the cooked herbs and drink the decoction. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Elderly Constipation (Deficiency type) • • • • Rou Cong Rong 45g Luo Han Guo 12g Sheng Di Huang 45g Huang Jing 45g Luo Han Guo (Siraitia grosvenori, formerly called Momordica grosvenori) This combination addresses the multiple deficiencies including essence depletion. Place 8 cups of cold water and herbs together in stainless steel pot. Cook on medium level heat for approx 1 hour or until 2-3 cups remain. Discard the cooked herbs and drink the broth. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Damp Heat Toxin Skin Manifestations • • • • • • • • • Sheng Di Huang 60g Yi Yi Ren 60g Tu Fu Ling 30g Qian Shi 30g Bai Mao Gen 45g Da Zao 15g Sheng Jiang 10g Chen Pi 10g Turtle 1 med size Buy turtle from meat market and have them cut it into two pieces, have them remove claws and head. Wash one piece with hot water. Take skin off and discard. Add sheng jiang and chen pi. Place all ingredients in a large pot and add 4 quarts of cold water. Bring to boil then cook on medium heat for 3 hours. Add more water if necessary. Discard the herbs, eat the broth and meat. Add salt to flavor. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Low libido, lower back pain, & impotence in men (Kidney Yang Deficiency Oxtail Soup) • • • • • • • Oxtail 1½lbs Shu Di Huang 30g Shan Yao 50g Niu Xi 15g Du Zhong 15g Guo ji 15g Huang Qi 30g • • • • • • • • Yin Yang Huo 15g Rou Cong Rong 15g Da Zao 15pcs Gou Qi Zi 30g Long Yang Rou 30g Sheng Jiang slices 12g Ba Jiao (star anise) 10g Cong Bai 50g Gou Ji Use hot water to clean 1.5 pounds of oxtail - wash until the water runs clear, then rinse again with cold water. Blanch oxtail and get rid of water. Put all the ingredients together in a large pot with 6 quarts of water. Bring to a boil, then turn the heat to low and cook for 3 or 4 hours, cook down to 2 quart of soup. Discard the herbs, keep the broth and meat to eat. Add salt ~5g or to taste when serving. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Phlegm Heat Cough • • • • • • • Bai He 30g Sha Shen 30g Bai Mao Gen 40g Pi Pa Ye 12g Zhu Ru 30g Chuan Bei Mu 10g Luo Han Guo 10g Soak Bai He, Sha Shen and Bai Mao Gen for 30 mins and discard water. Add 3 quarts of cold water into stainless steel pot. Bring to boil then simmer for approximately 60 minutes. Discard the cooked herbs and drink the broth. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Elderly Frequent Urination (Kidney Deficiency) • • • • • • • • • • • Shu Di Huang 30g Shan Yao 30g Qian Shi 15g Lian Zi 30g Long Yan Rou 15g Suo Yang 15g Bai Guo 10g Huang Jing 15g Da Zao 15g Sheng Jiang 12-15g Pork Bones 1.5 lb Suo Yang (sweet and warming) Blanche Pork Bones. Put all ingredients in a large stainless steel pot with 5 quarts of water. Bring to a boil then lower flame to simmer for 3 hours. Add water as needed. Cook down to 2 quarts of soup. Refrigerate or use soup decanter to get rid of fat. Add salt to taste. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Pediatric food stagnation (with accumulation of dampness) • • • • • • • Fu ling 30g Shan yao 60g Mai ya 30g Gu ya 30g Bu zha ye 15g Da zao 15g Mi zao 15g Wesley Leung overeating Bu zha ye Wash and dry herbs. Put the herbs in a pot with 6 cups of cold water. Bring to a boil, then simmer and cook until there are 2 or 3 cups left - about 1 hour. Discard the cooked herbs and drink the broth only. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Hair Loss (Yin and Blood Deficiency) • • • • • • • • • He Shou Wu 15g Shu Di Huang 30g Hei Zhi Ma 30g Suo Yang 12g Huang Jing 10g Da Zao 15g Long Yang Rou 15g He Shou Wu – Marque herb for hair loss Sheng Jiang 10g Black Chicken 1 med size (optional) Wash the fresh ginger and cut into small pieces. Put all the ingredients in a large pot with 4 quarts of water. Bring to a boil, then turn heat to low and cook for about three hours. Discard the herbs, but keep the meat and broth to eat. Add salt to taste when serving. Refrigerate or use soup decant to rid the fat. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Dispel Summer-heat (大暑) • • • • • • • • • • • Wintermelon 1lb Bai bian dou 60g Chi xiao dou 60g Lian ye 15g Bi Xie 10g Deng xin cao 20 pcs Mu mian hua 10g Mi zao 4pcs Yu zhu 60g Luo han guo 12g Yi yi ren 60g Mu Mian Hua (Clear Heat, Drain Dampness, Clear Toxin) Wash 1-2 lbs wintermelon with skin in cold water and cut into small pieces. Keep skin on melon. Place all ingredients in a large pot with 5 quarts of water and bring to boil. Simmer for 2-3 hours. Discard the cooked herbs and drink the broth. Add sugar to flavor. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Red Eyes, irritability, easily angered (Excess Liver Heat) • • • • Xia Ku Cao 250g Ju Hua 100g Huai Mi 15g (optional) Bing Tang (Qnty as needed) Rinse herbs and discard water. Put all herbs in large stainless pot with 6 quarts of water. Bring to boil and let simmer for 60 minutes. Add bing tang (cane sugar) to taste. Let cool, refrigerate to serve. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Insomnia (Heart blood deficiency type) • • • • • • • • Dang Shen 30g Fu Shen 30g Long Yan Rou 30g Da Zao 30g Gou Qi Zi 30g Suan Zao Ren 10g Sheng Jiang 12g Black Chicken 1 med size Wash the fresh ginger and cut into small pieces. Put all the ingredients in a large pot with 4 quarts of water. Bring to a boil, then turn heat to low and cook for about three hours. Discard the herbs, but keep the meat and broth to eat. Add salt to taste when serving. Refrigerate or use soup decanter to skim fat. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Reflux & abdominal distention (Cold Stomach) • • • • • • • • Hu Jiao 10g Chives 60g Gan Jiang 10g Chen Pi 6g Pork stomach 1pcs Be advised that pork stomach is very difficult to clean. i. Clean multiple times with salt water ii. Scrap slime off with knife, wash with warm water a few more times. iii. Use flour to clean the pork stomach. iv. Rinse again with warm water until clean. Place all ingredients in a large pot with 3 quarts of water and cook on medium heat for 2 hours. Discard the herbs, eat the broth and meat. Add salt to flavor. *Some place crush Hu Jiao in a gauze bag to control spiciness. When right level of spiciness is achieved, take the Hu Jiao bag out. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. Pediatric Night Crying (heart heat) • • • • • Mai men dong 30g Deng xin cao 5pcs Dan zhu ye 30g Bai he 45g Mi zao 3pcs Deng Xin Cao Put the herbs in a pot with 5 cups of cold water. Bring to a boil, then turn heat down to low and cook until there is 1 cup left - about 1 hour. Discard the cooked herbs and drink the broth. 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm. The End Thomas N. Leung, MSTOM, BS Pharm. Email: tleung@kamwo.com 212-966-6370 ext. 19 1/24/2010 Food As Medicine Thomas N. Leung, MSTOM, BS Pharm.