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Back when I was a graduate student doing my internship in Chinese Medicine, I got my first patient whose chief complaint was a lingering cough, and I remember thinking, “This will be easy.” Boy, was I naïve. Even under the guidance of an elder practitioner, it took months of treatment for it to resolve. In the nearly two decades since then, coughs have often proven stubborn. Luckily, they usually run their course within a few weeks – with or without intervention – and I’ve found some herbs that can often speed up the recovery process.
First, a few words on coughs and how they work. The respiratory tract (airway) consists of two main regions. The upper part includes the nasal cavity, sinuses, pharynx (the area where the back of the nasal cavity becomes the throat) and is sometimes considered to include the larynx (“voice box”). This is the site of most common colds, or “upper respiratory infections” (URI’s). Coughs coming from this area are usually due to throat irritation and post-nasal drip, and are pretty responsive to treatment.
The lower respiratory tract consists of the trachea (“windpipe”), the tubes through which it branches into the lungs – the bronchi, the smaller bronchioles, and finally the little sacs called alveoli – and sometimes the larynx. All but the smallest of these passageways are lined with cough receptors, which are highly sensitive to light touch. The presence of phlegm (or dust, or certain chemicals) triggers the cough reflex. Coughing is a cooperative effort between the diaphragm, abdominal muscles, the muscles between the ribs (intercostals), and the structures of the airway – an attempt to forcibly expel whatever’s in there.
Sometimes it’s effective – what we refer to as a “productive cough” – but when the respiratory passages are inflamed and dry, or full of sticky, tenacious phlegm, a cough can go on and on. The hard part is that coughs themselves can be debilitating. We lie down to sleep, the phlegm spreads out, post-nasal drip trickles down, and the cough worsens. It degrades the restorative value of sleep, and the continuous spasmodic contraction of our muscles wears us out, sapping us of the energy to cough in a productive way.
The herbs I’ll discuss here are for these acute forms of cough. Coughs that occur for much longer and those that are due to weakness, asthma, or damage to the lungs fall into the chronic category and they’re beyond the scope of this article because they require more comprehensive treatment.
I have taken and prescribed nearly every Chinese and Western herb that’s commonly used for cough, and they rarely work as well as I hope. That cough reflex is difficult to overcome – and, really, you would only want to suppress it if you were doing something to address the underlying problem. I’ve found that when I’m more accurate about discerning the type of cough (dry / moist, strong / weak, clear phlegm / yellow phlegm), my treatments are usually more effective, but the herbs I’ll introduce today are usually beneficial for most types of cough.
- Mullein: Mullein is a fuzzy, sage-colored plant that grows all over the place in the United States. I see it nearly every day. The leaves and yellow flowers are excellent for coughs. Adults can take an ounce of dried leaves or flowers and steep covered (don’t simmer) in a few cups of just-boiled water. Strain it to avoid drinking the little hairs, and drink it, divided into three portions, over the course of the day.
- Pine, Spruce, and Fir Needles: All of these evergreen needles are useful for coughs and are rich in vitamin C. You can throw a handful of them into a bowl of hot water, put your face over it, cover your head and the bowl with a towel, and inhale the steam. Then you can drink the resulting tea. Or you can just brew a strong tea by simmering a large handful in a couple cups of water. Keep it covered and the heat low, so you don’t lose all the essential oils. I like to chew spruce, fir, and pine needles when I’m out on walks, and the ones that work best for coughs tend to be those with the best, strongest flavor.
- Thyme leaves: Thyme has long been a popular herb in Europe for coughs, and it probably has some antimicrobial effects (one of the noteworthy compounds in the herb, called thymol, is the active ingredient in Listerine and various antiseptic cleaners). The flavor is rather strong, so the usual dose is just one to two teaspoons of the dried herb steeped in a cup of water. I don’t have great faith in thyme on its own, but it can be a useful adjunct herb combined with others.
- Ginger: Ginger’s pungency is good for opening the respiratory tract. The dried herb is considered “hotter” than the fresh stuff, so I use the dried product more for coughs will lots of clear or white phlegm, and the fresh herb more for coughs with yellowish phlegm. You can use approximately a thumb-sized piece of ginger, sliced or grated, simmered for a few minutes in about a cup of water (do this multiple times a day).
- Licorice root: Licorice is a mild herb for coughs, but it’s a nice adjunct with other herbs, especially when the throat and/or respiratory tract feels raw and sore. Licorice is sweet and mucilaginous, and has a calming effect on spasmodic coughs and a soothing effect on mucous membranes. You can use approximately 2 teaspoons per day. Keep in mind that prolonged use of licorice or high doses can cause a temporary elevation of blood pressure (usually not more than about ten points systolic).
- Hyssop leaves: This common garden herb is a member of the mint family and has a longstanding reputation, especially in Europe, as a useful herb for coughs and sore throats. Several times a day, steep two to three teaspoons of the dried herb (or much more of the fresh herb) in a cup of water to make a pleasant tasting tea. Hyssop is mild, and therefore best combined with other herbs.
- Horehound leaves: Horehound also has a longstanding reputation in Europe and northern Africa as a valuable herb for respiratory complaints, and it’s one of the main ingredients in Ricola cough drops. I’ve noticed that it’s not much used in the United States, perhaps because the FDA claims it has no value in the treatment of cough, but I had one profound experience with it about 20 years ago, when I made some horehound tea and it completely stopped a nagging cough in about a day. You can make a tea using about two to three teaspoons of the dried herb in a cup of boiled water.
- Slippery Elm Bark and Marshmallow Root: These herbs are soothing to mucous membranes and especially appropriate for dry coughs. You can add one or both to your cough formula (approximately a teaspoon per cup of tea) to add a “demulcent” effect that will also soothe your throat.
- Nigella Seed Oil: This herb, also known as “black seed” or “black cumin,” has been trendy recently, though perhaps for good reason. A number of studies show it has promise in the treatment of a variety of health issues, and there’s rather robust research on its value in respiratory problems (asthma, in particular). For cough, you can take a teaspoon of the oil at a time, in a cup of hot water. You can also try rubbing the oil on your chest, over your lungs.
- Umckaloabo root: This African relative of the geranium is useful for upper respiratory infections. It’s available in raw, dried form as well as tinctures and homeopathics. The easiest form to take is as the commercial product Umcka. It’s one of very few substances that can legally claim to benefit the common cold. The specific verbiage allowed by the FDA is, “shortens severity and reduces duration of upper respiratory symptoms.” I always have some of the powdered form of Umcka in the house, which I mix into hot teas to add some additional potency.
- Pineapple Juice: I don’t know of any research on pineapple juice for coughs, but it’s a popular folk remedy, often drunk warm and seasoned with cinnamon, cayenne, or black pepper. I don’t know why it would be beneficial in coughs and I haven’t tried it myself, but it may have something to do with the activity of the enzyme bromelain that it contains. In any case, it’s not likely to hurt – especially if it gets you to drink more fluids.
- Water: Speaking of fluids, staying well hydrated is super important when you have a cough, as it helps keep the mucous in a more liquid state so that it can be more readily expelled. Also, immune function just tends to work better when you’re getting enough water. Other than possibly consuming some pineapple juice with it, it’s best to stick to pure water or tea, rather than juice or sweetened beverages.
Choose a few of these substances, use them simultaneously and consistently (like, all day long), and get as much rest as you can. If necessary, sleep in a semi-upright position to reduce nighttime coughing.
Whenever I write articles on herbs I wonder if I’m doing the field of herbal medicine a disservice by simplifying it and presenting it in such a way as to suggest we can choose herbs simply based on the symptoms we want to treat, without respect for the diagnosis. But I feel the need for accessible home remedies is more important. In the case of the herbs above, they are all quite safe and unlikely to do any harm. However, if your cough persists, if it is severe, if you cough up blood, or if anything else alarming happens, or if you intend to use these herbs on small children, please consult with a qualified healthcare practitioner.
Be well and breathe freely,
Dr. Peter Borten
[post_title] => Tips for Kicking a Cough
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"The Earth element is the feeling of the fruits of our labors being harvested and getting to enjoy them and feel a sense of abundance."
I encourage you not to skip this step. How will you be there to celebrate your harvest?
[post_title] => Talking Wellness with Peter: The Earth Element
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I once took a required course in a subtle form of bodywork called Jin Shin Do. Rather than pressing, kneading, or stroking, the practitioner simply rests her fingers on specific combinations of acupuncture points and intends for healing to occur. During the first few classes, I thought, “I have all these other healing tools. Why would I waste my time on this? Who can even tell if anything is happening?!”
Yet, I was pleasantly surprised. This class gave me an appreciation for the power of subtlety in medicine. I now believe that subtle healing techniques often succeed where others fail, because there’s less potential for the recipient’s mind or body to object to the intervention, less potential to exacerbate an existing condition, plus an opportunity to “slip under the radar” and initiate a deeper healing.
Frequently, the professor broke us into pairs – a giver and a receiver – to try experiments. And there was one experiment that I’ll never forget.
While the givers’ hands rested on the receivers, she would circulate through the room whispering a variety of words into the givers’ ears. Some of the phrases I remember were, “I love you,” “You are safe,” “You are healed,” and “Everything is good.” The givers were instructed to hold each set of words in their consciousness without changing anything about what they were doing with their hands. Sometimes they were directed to think about what they were going to have for dinner or to ponder a current problem in their life. After a few minutes, both the giver and the receiver would report about what they experienced.
Nearly all the receivers, without knowing what the givers were focused on, reported feeling better when the givers were focused on a positive intention rather their own “stuff.” They weren’t always able to articulate what exactly felt better about it, but some felt more “held” by the giver, or more energy, or an alignment of their skeleton, or a reduction in pain.
There were minimal differences in the effect of the various positive intentions – except one. Everyone in the room reported that the best, most “connected” experience occurred when the giver held the phrase “I am here for you” in their mind. In fact, when the giver thought, “I am here for you,” there were sighs around the room from the receivers. Their breathing deepened and they relaxed more.
I’ve thought about this a lot in the years since. It reminds me of an anxious phase I went through as a tween. When I was 12 I had some panic attacks, and afterwards I always wanted one of my parents to be near me. That need for physical proximity eventually passed – I actually preferred to be alone much of the time – but as I got clearer about it, I realized that I what I really wanted was to know that someone would be available to give me their full presence if I ever needed it. (Kind of like the ease that comes from having a Xanax in your pocket, even if you never take it.)
This realization eventually led to the understanding that attention is an exceedingly valuable thing. We all know that “time is money” because there’s a finite amount of it in the workday. But attention (or presence) is even more precious. How often do you feel that you have someone’s complete, undivided attention?
Back in my angsty tweens and teens – before the Internet, and when it used to cost a lot to make a long-distance phone call – if there wasn’t someone nearby, it might be difficult or expensive to find a human connection. Today, it’s much easier and cheaper. We can Skype or Facetime with someone on the other side of the planet for free! We’ve made great gains in bridging distance with technology.
And yet, it seems even more uncommon to find someone who can give you their presence in a sustained way. Based on my conversations with patients, people feel busier and more distracted than a few decades ago. We have shorter attention spans and less ability to focus. (I believe the phenomenon I’ve dubbed the Human Data Stream – that massive flow of information in the form of texts, calls, videos, social media, emails, etc., and the devices that transmit it – is largely to blame.) You could be sitting across the table from someone, engaged in a conversation, and still feel that they’re not really “here for you.”
HERE. FOR. YOU.
Think about what it means to really be present for someone you care about. As in, I offer you my total presence. And consider how good it would feel if you could allow yourself to fully trust and relax in the presence of a loved one who’s holding the space for you. What a gift! I encourage all of us to practice offering our presence to others – setting aside our personal agendas and giving our full attention to the one in front of us.
Now, there’s a little more to the story. So, I realized that I didn’t need someone always holding my hand, but I wanted to know I had a support system in my family and community. I gathered folks who would be here for me if I needed it (and I for them). And I will always prioritize family and community for the rest of my life.
However, I came to understand that even that level of support was still external in a way. I don’t mean to diminish its value, but I recognized that there was a deeper or closer trust available, a closer presence, that wouldn’t require calling a friend.
I saw that I rarely offered myself my own total presence, choosing instead, almost incessantly, to give my attention to my mind’s constant stream of thoughts. I saw that I rarely told myself, I AM HERE FOR YOU! (By “I” in this phrase, I mean my Authentic Self, my Divine Self, my Absolute Self, or what many people simply call a Oneness with God.) It’s at once tragic and glorious to recognize this self-deprivation.
Sometimes I have difficulty remembering it or accessing it, but I know it’s always there. That is, I am always here. And, because you and I are one, I am always here for you, and you are always here for me. Let’s remember together, and dispel the illusions of separation that cloud our vision.
Be well my friend,
Peter
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Back when I was a graduate student doing my internship in Chinese Medicine, I got my first patient whose chief complaint was a lingering cough, and I remember thinking, “This will be easy.” Boy, was I naïve. Even under the guidance of an elder practitioner, it took months of treatment for it to resolve. In the nearly two decades since then, coughs have often proven stubborn. Luckily, they usually run their course within a few weeks – with or without intervention – and I’ve found some herbs that can often speed up the recovery process.
First, a few words on coughs and how they work. The respiratory tract (airway) consists of two main regions. The upper part includes the nasal cavity, sinuses, pharynx (the area where the back of the nasal cavity becomes the throat) and is sometimes considered to include the larynx (“voice box”). This is the site of most common colds, or “upper respiratory infections” (URI’s). Coughs coming from this area are usually due to throat irritation and post-nasal drip, and are pretty responsive to treatment.
The lower respiratory tract consists of the trachea (“windpipe”), the tubes through which it branches into the lungs – the bronchi, the smaller bronchioles, and finally the little sacs called alveoli – and sometimes the larynx. All but the smallest of these passageways are lined with cough receptors, which are highly sensitive to light touch. The presence of phlegm (or dust, or certain chemicals) triggers the cough reflex. Coughing is a cooperative effort between the diaphragm, abdominal muscles, the muscles between the ribs (intercostals), and the structures of the airway – an attempt to forcibly expel whatever’s in there.
Sometimes it’s effective – what we refer to as a “productive cough” – but when the respiratory passages are inflamed and dry, or full of sticky, tenacious phlegm, a cough can go on and on. The hard part is that coughs themselves can be debilitating. We lie down to sleep, the phlegm spreads out, post-nasal drip trickles down, and the cough worsens. It degrades the restorative value of sleep, and the continuous spasmodic contraction of our muscles wears us out, sapping us of the energy to cough in a productive way.
The herbs I’ll discuss here are for these acute forms of cough. Coughs that occur for much longer and those that are due to weakness, asthma, or damage to the lungs fall into the chronic category and they’re beyond the scope of this article because they require more comprehensive treatment.
I have taken and prescribed nearly every Chinese and Western herb that’s commonly used for cough, and they rarely work as well as I hope. That cough reflex is difficult to overcome – and, really, you would only want to suppress it if you were doing something to address the underlying problem. I’ve found that when I’m more accurate about discerning the type of cough (dry / moist, strong / weak, clear phlegm / yellow phlegm), my treatments are usually more effective, but the herbs I’ll introduce today are usually beneficial for most types of cough.
- Mullein: Mullein is a fuzzy, sage-colored plant that grows all over the place in the United States. I see it nearly every day. The leaves and yellow flowers are excellent for coughs. Adults can take an ounce of dried leaves or flowers and steep covered (don’t simmer) in a few cups of just-boiled water. Strain it to avoid drinking the little hairs, and drink it, divided into three portions, over the course of the day.
- Pine, Spruce, and Fir Needles: All of these evergreen needles are useful for coughs and are rich in vitamin C. You can throw a handful of them into a bowl of hot water, put your face over it, cover your head and the bowl with a towel, and inhale the steam. Then you can drink the resulting tea. Or you can just brew a strong tea by simmering a large handful in a couple cups of water. Keep it covered and the heat low, so you don’t lose all the essential oils. I like to chew spruce, fir, and pine needles when I’m out on walks, and the ones that work best for coughs tend to be those with the best, strongest flavor.
- Thyme leaves: Thyme has long been a popular herb in Europe for coughs, and it probably has some antimicrobial effects (one of the noteworthy compounds in the herb, called thymol, is the active ingredient in Listerine and various antiseptic cleaners). The flavor is rather strong, so the usual dose is just one to two teaspoons of the dried herb steeped in a cup of water. I don’t have great faith in thyme on its own, but it can be a useful adjunct herb combined with others.
- Ginger: Ginger’s pungency is good for opening the respiratory tract. The dried herb is considered “hotter” than the fresh stuff, so I use the dried product more for coughs will lots of clear or white phlegm, and the fresh herb more for coughs with yellowish phlegm. You can use approximately a thumb-sized piece of ginger, sliced or grated, simmered for a few minutes in about a cup of water (do this multiple times a day).
- Licorice root: Licorice is a mild herb for coughs, but it’s a nice adjunct with other herbs, especially when the throat and/or respiratory tract feels raw and sore. Licorice is sweet and mucilaginous, and has a calming effect on spasmodic coughs and a soothing effect on mucous membranes. You can use approximately 2 teaspoons per day. Keep in mind that prolonged use of licorice or high doses can cause a temporary elevation of blood pressure (usually not more than about ten points systolic).
- Hyssop leaves: This common garden herb is a member of the mint family and has a longstanding reputation, especially in Europe, as a useful herb for coughs and sore throats. Several times a day, steep two to three teaspoons of the dried herb (or much more of the fresh herb) in a cup of water to make a pleasant tasting tea. Hyssop is mild, and therefore best combined with other herbs.
- Horehound leaves: Horehound also has a longstanding reputation in Europe and northern Africa as a valuable herb for respiratory complaints, and it’s one of the main ingredients in Ricola cough drops. I’ve noticed that it’s not much used in the United States, perhaps because the FDA claims it has no value in the treatment of cough, but I had one profound experience with it about 20 years ago, when I made some horehound tea and it completely stopped a nagging cough in about a day. You can make a tea using about two to three teaspoons of the dried herb in a cup of boiled water.
- Slippery Elm Bark and Marshmallow Root: These herbs are soothing to mucous membranes and especially appropriate for dry coughs. You can add one or both to your cough formula (approximately a teaspoon per cup of tea) to add a “demulcent” effect that will also soothe your throat.
- Nigella Seed Oil: This herb, also known as “black seed” or “black cumin,” has been trendy recently, though perhaps for good reason. A number of studies show it has promise in the treatment of a variety of health issues, and there’s rather robust research on its value in respiratory problems (asthma, in particular). For cough, you can take a teaspoon of the oil at a time, in a cup of hot water. You can also try rubbing the oil on your chest, over your lungs.
- Umckaloabo root: This African relative of the geranium is useful for upper respiratory infections. It’s available in raw, dried form as well as tinctures and homeopathics. The easiest form to take is as the commercial product Umcka. It’s one of very few substances that can legally claim to benefit the common cold. The specific verbiage allowed by the FDA is, “shortens severity and reduces duration of upper respiratory symptoms.” I always have some of the powdered form of Umcka in the house, which I mix into hot teas to add some additional potency.
- Pineapple Juice: I don’t know of any research on pineapple juice for coughs, but it’s a popular folk remedy, often drunk warm and seasoned with cinnamon, cayenne, or black pepper. I don’t know why it would be beneficial in coughs and I haven’t tried it myself, but it may have something to do with the activity of the enzyme bromelain that it contains. In any case, it’s not likely to hurt – especially if it gets you to drink more fluids.
- Water: Speaking of fluids, staying well hydrated is super important when you have a cough, as it helps keep the mucous in a more liquid state so that it can be more readily expelled. Also, immune function just tends to work better when you’re getting enough water. Other than possibly consuming some pineapple juice with it, it’s best to stick to pure water or tea, rather than juice or sweetened beverages.
Choose a few of these substances, use them simultaneously and consistently (like, all day long), and get as much rest as you can. If necessary, sleep in a semi-upright position to reduce nighttime coughing.
Whenever I write articles on herbs I wonder if I’m doing the field of herbal medicine a disservice by simplifying it and presenting it in such a way as to suggest we can choose herbs simply based on the symptoms we want to treat, without respect for the diagnosis. But I feel the need for accessible home remedies is more important. In the case of the herbs above, they are all quite safe and unlikely to do any harm. However, if your cough persists, if it is severe, if you cough up blood, or if anything else alarming happens, or if you intend to use these herbs on small children, please consult with a qualified healthcare practitioner.
Be well and breathe freely,
Dr. Peter Borten
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Thanks Dr Peter , just what I needed to hear today 😊
You’re welcome!
open your heart everyone! This is the perfect video, Thank you
thank YOU!
Well spoken!
Thanks, Sadie
Thank you for your insight and the wonderful reminder 💜 to open our hearts & speak Love & practice spreading it in our own bodies and to others!
You’re welcome, Jill!
I really enjoyed listening to this, Peter! How does this work with keeping one’s energy, though–what you and Briana write about in The Well Book? That is, how does one share one’s light and be open without sapping our strength, especially in difficult and challenging circumstances (or around difficult people etc.)
Thank you!
Hi Amy,
Sharing one’s light is something different than giving one’s personal energy away. Light is really neither a personal nor exhaustible thing. It’s more just Light rather than “your light.” And this works best when you imagine that you’re just a channel for it. I like to have my patients imagine a stream of light funneling into the back, right behind the heart, and then shining out of the heart in the front. As if the heart is an open flower, smiling on the world. And this works better, of course, if you image the heart being wide open. I think a big part of what makes such an expression non-depleting is that there’s no attachment to personal gain or a specific outcome. You get sapped when you’re intent on manipulating your circumstances and when there’s resistance involved. Even if it’s for the purpose of making someone else feel better, if you’re thinking, “I can’t let you feel this way,” – “I can’t” – “this is wrong” – “I don’t accept this” – “No” – and there’s tension/constraint in your body and mind, it will be depleting to you. If instead you BECOME a beacon of light and your (perhaps unverbalized) communication is, “I am here for you,” or “I am present to this,” you’re just acting as an emissary of Love. Then, not only will you not be depleted, good things will happen. You’ll receive what you give.
Thank you for this explanation, Peter. It’s very very helpful.