The Inflammatory and Immune Response Systems, Part 1: Inflammation in a Nutshell

courtesy of digital thermal imaging, showing back pain originating from inflammation in the (R) kidney

Large or small, inside or outside, wherever injury occurs the body’s defenses set off a cascade of players to deal with the tissue damage (inflammation system) and keep strangers out (immune system). Whether you bump your elbow, get a splinter, or have an autoimmune disorder, the same sequence unfolds, aimed to restore order and heal you, naturally.

This series will cover the major components present where injury to tissue occurs. It’s a fascinating, complex process, with a lot of moving parts in a rapid sequence of events. We begin with a discussion of inflammation, and move on to immunity, inflammatory conditions, health tips, and related topics in future posts.

Inflammation is characterized by four cardinal signs:
Redness
Pain
Heat
Swelling

The inflammatory response serves to stop bleeding and wall off the injured area to prevent further damage to the local tissue. This unfolds as a natural process beginning with acute-phase and transitioning into chronic-phase responses.

1. Acute-phase response has active two stages, the vascular stage and the cellular stage.

a. During the vascular stage, the blood vessels first respond by constricting, then rapidly dilate (enlarge). The blood vessels that supply the area also dilate to allow fluid and plasma proteins to move out of the vessels and into the surrounding (interstitial) spaces, causing the swelling, heat, pain, and redness associated with acute-phase inflammation.

b. During the cellular phase, the capillaries become permeable for the delivery of immune factors, nutrients, and blood-clotting factors.

Chemical mediators produce the signs and symptoms of inflammation at both the vascular and cellular stages. These mediators perform an array of functions that keep the intricate process moving forward step-by-step, with the ultimate purpose of stopping the damage and returning the system to homeostasis. We will cover some of these in future posts.

2. Chronic-phase responses can become long-lasting if not treated. Some chronic-phase injuries are local (shoulder pain) and some are systemic (autoimmune disease). Foreign substances, both living (viruses, bacteria, fungi, and parasites) and non-living (example: splinters) can also underlie chronic inflammation.

Chronic-phase responses put an additional demand on the body’s resources, hence the reason why we stress the importance of quality nutrition that supplies the raw material for all the body’s functions.

The Inflammatory and Immune Response Systems, Part 1: Inflammation in a Nutshell

—————————–
At Mountaintop Acupuncture, we have a combined 34 years of experience. To read more, please click here.

If you have questions and concerns about acupuncture treatment, we offer a free 20-minute phone session: click here for contact information to call or e-mail us. We practice in two New York City locations: Flatiron & Greenwich Village.

Insurance is welcome and accepted.

 

Insanely Good Tomato Sauce

plum tomatoes

food52.com is an interactive food community that recently posted a tomato sauce
from Marcella Hazan that is insanely good: Tomato Sauce with Onion and Butter. There’s a video showing two ways to do the one potentially daunting step in this super-simple recipe.

Ingredients:
2 pounds fresh, ripe tomatoes
5 tablespoons butter- I used the Earth Balance/Smart Balance substitute
1 medium onion, cut in half
salt to taste
grated parmigiano

I used a mix of plum and beefsteak tomatoes, and substituted butter with Earth/Smart Balance (one’s from Trader Joe’s, the other Whole Foods) and made that 4 tablespoons, with a result that amplified the sweetness of the tomatoes and neutralized their acidity

Step 1: add the peeled and roughly chopped tomatoes, butter, onion, and salt to a saucepan and simmer, uncovered, for 45 minutes or until thickened

Step 2: stir occasionally, schmushing the tomatoes against the wall of the saucepan to break them up more

Step 3: discard the onion (you can save it and add to another meal), toss the sauce with the pasta of your choice, and sprinkle with parmigiano to taste

Apparently, from the many reader comments on food52.com, you can make this sauce year-round with a 28 oz. can of peeled tomatoes, but right now, locally-grown tomatoes are coming into abundance, so for the next couple of months there’s every reason to go with fresh.

Jumping on this bandwagon, we’ve made this twice in one week: first over ravioli that was so insanely good, I (Carol) made another batch the next day to put up in the freezer.

I recommend watching the video: peeling the tomatoes in hot water really just a little bit more work but definitely worth it. Next time, I’m going to try the freezer method.

This recipe was in Marcella Hazan’s first book, “Classic Italian Cooking,” and is included in her current title “Essentials of Classic Italian Cooking.”

Insanely Good Tomato Sauce

—————————–
At Mountaintop Acupuncture, we have a combined 34 years of experience. To read more, please click here.

If you have questions and concerns about acupuncture treatment, we offer a free 20-minute phone session: click here for contact information to call or e-mail us. We practice in two New York City locations: Flatiron & Greenwich Village.

Insurance is welcome and accepted.

 

Everyday Potato Salad

easy everyday potato salad

This potato salad is easy and quick for a weekday meal in the height of summer heat. It makes the starch component of your meal even lighter, with the addition of more anti-oxidant vegetables. Sample accompaniments might be pan-cooked salmon steak marinated with lime and lemon zest, with roasted fennel with tomatoes.

You can use your imagination to modify this with any vegetables that go well with potatoes: the trick is to add one flavor that adds a surprising “snap.” Here olives are added, but capers, mustard, sardines, sun-dried tomato, or bacon would work equally well.

This recipe can be made a day or two ahead of time or eaten at once. Its flavors are enhanced when still slightly warm.

 

 

Ingredients, serves 2
6 small red potatoes
3 stalks celery
½ onion, thinly sliced
1 tsp fennel seeds
1 tsp curry powder
½ tsp tikka masala- you could use garam masala, or substitute with more curry powder
salt and pepper, to taste
1 T grapeseed oil
1 T extra-virgin olive oil
splash of apple cider vinegar
8 pitted olives, coarsely chopped

Preparation:
Boil potatoes in saucepan, about 20 minutes or until done.

In a heated a skillet, add olive oil and stir in the onions until golden and on the verge of becoming brown. Add the spices and stir one minute, then add the celery stirring occasionally three minutes or until the celery turns a bright green. Turn the heat off, and cover the pan.

quick stir-fry of onions, spices, and celery

When the potatoes are cooked, remove them to a cutting board and slice into quarters. Place in a mixing bowl, add onion and celery mixture, olives, salt and pepper to taste, and grapeseed oil and vinegar. Turn ingredients with a large spoon once or twice to gently blend together.

http://mountaintopacupuncture.com/everyday-potato-salad

—————————–
At Mountaintop Acupuncture, we have a combined 34 years of experience. To read more, please click here.

If you have questions and concerns about acupuncture treatment, we offer a free 20-minute phone session: click here for contact information to call or e-mail us. We practice in two New York City locations: Flatiron & Greenwich Village.

Insurance is welcome and accepted.

 

The Nuts and Bolts of Carbohydrates

complex carbs: grains, seeds, nuts, and vegetables

complex carbs: grains, seeds, nuts, and vegetables

Carbohydrates are our primary source of energy and dietary fiber. Carbohydrates are also intrinsically involved in many biologic processes.

It’s no accident that when we are hungry, we reach for carbohydrates, for carbohydrates are the form of energy our bodies prefer and digest first:

-Our cells prefer using carbohydrates to enter into the KREBS cycle, a complicated metabolic process that yields THE energy molecule, ATP

-Our bodies prefer carbohydrates as the energy source because those calories are structurally easier to get to than fats or protein

-Amylase is the enzyme in saliva that begins the breakdown process of carbohydrates into its usable units as sugars

In the context of nutrition, carbohydrates are referred to as simple or complex
-Simple carbohydrates
—monosaccharides = 1 sugar molecule; glucose and fructose are monosaccharides
—disaccharides = 2 sugar molecules = 1 glucose and 1 fructose; lactose and sucrose are disaccharides

-Complex carbohydrates
—polysaccharides = many monosaccharides joined by chemical bonds into chains and branches
—oligosaccharides = 2-10 monosaccharides joined by chemical bonds into chains and branches

Complex carbohydrates provide a higher quality source of energy with a longer breakdown process, which slows the onset of hunger and stabilizes blood sugar levels.

The plant sources of complex carbohydrates provide dietary fiber:
-The cellulose in the plant wall has polysaccharides and oligosaccharides
—The polysaccharides portion is made of insoluble fibers, and because humans lack the enzyme to digest cellulose, this material passes through the digestive tract nearly intact, helping to eliminate other toxins from the body with it

—The oligosaccharides can break down; they are the food source for the micro- flora in our digestive tract

-Compounds from plants are used in our cellular functioning and systemically
— Lower cholesterol, anti-cancer, antibacterial, antifungal and antiviral; bind to specific hormones that are in excess to clear the body of them and eliminate with solid waste; reduce hunger cravings
-Compounds from plants are commonly used in industry
—As thickening and binding agents for a multitude of products, from ice cream to pharmaceutical gels

Carbohydrate Digestion, Assimilation, and Synthesis
The storage carbohydrate in animals is glycogen. When not utilized by the body, carbohydrates are stored as glycogen in the liver and in the muscles. Leftover leftovers are stored as fat.

Recommended Amounts
Age, gender, general constitution, and activity levels vary from person to person, so recommending the proportions of protein, fat, and carbohydrate in the diet isn’t possible.

For every gram of carbohydrate you consume, you get 4 calories of energy- this is true for any type of carbohydrate. Here’s a link that gives you a general guideline of amounts for you, including vitamins and minerals for you, based on age, gender, and activity level.

At Mountaintop Acupuncture, we will review of your diet to figure out what your dietary needs are, and offer feedback and suggestions after assessing your condition, health history, and general constitution.

http://mountaintopacupuncture.com/the-nuts-and-bolts-of-carbohydrates

—————————–
At Mountaintop Acupuncture, we have a combined 34 years of experience. To read more, please click here.

If you have questions and concerns about acupuncture treatment, we offer a free 20-minute phone session: click here for contact information to call or e-mail us. We practice in two New York City locations: Flatiron & Greenwich Village.

Insurance is welcome and accepted.

 

Salsa Verde

Salsa Verde

There’s nothing in the world quite like freshly-made green salsa, and once you make this, you’ll never want to spend a fortune on the jarred version again. It’s also super-easy to assemble.

Green Salsa Verde

Green Salsa Verde

Ingredients:
1.5 lbs of tomatillos- look for small and uniform size to make broiling easier
1-2 jalapeno peppers finely chopped
Juice of 1 lime
3 cloves garlic, minced
½ cup of chopped cilantro, or 1 teaspoon dried
Salt to taste

Preparation:
1. Pre-heat the broiler. Slice the tomatillos in half and place in roasting pan (see photo). Broil 4-7 minutes (depends on your broiler).

2. Put all the ingredients in a blender and puree. Voila!

Green salsa will last about a week in the fridge stored in a sealed glass container, and
can be used in a burrito or on top, as a dip with chips, and as an accent flavor with fish, pork, and stir-fry’s.

http://mountaintopacupuncture.com/salsa-verde

—————————–
At Mountaintop Acupuncture, we have a combined 34 years of experience. To read more, please click here.

If you have questions and concerns about acupuncture treatment, we offer a free 20-minute phone session: click here for contact information to call or e-mail us. We practice in two New York City locations: Flatiron & Greenwich Village.

Insurance is welcome and accepted.