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What is an Auto Immune Thyroid Disease (AITD) and how can TCM help?

14 Mar 2024

By: admin_cleverly

Blog, Acupuncture, Article, Autoimmune Disease, Fertility, Physician Lee 李医师, TCM Herbs

What is an Auto Immune Thyroid Disease (AITD)? Autoimmune thyroid disease, also known as autoimmune thyroiditis or autoimmune thyroid disorder, refers to a group of conditions in which the immune system mistakenly attacks the thyroid gland, leading to inflammation and potentially affecting its function. The two main types of autoimmune thyroid disease are:Hashimoto’s thyroiditis: This is the most common form of autoimmune thyroid disease. In Hashimoto’s thyroiditis, the immune system produces antibodies that attack the thyroid gland, leading to chronic inflammation and eventual destruction of thyroid tissue. As a result, the thyroid gland becomes unable to produce enough thyroid hormones, leading to hypothyroidism (underactive thyroid).Graves’ disease: In Graves’ disease, the immune system produces antibodies that stimulate the thyroid gland to produce excessive amounts of thyroid hormones. This leads to hyperthyroidism (overactive thyroid) and can cause symptoms such as weight loss, rapid heartbeat, tremors, and anxiety.Autoimmune thyroid disease can have various symptoms depending on whether it causes hypothyroidism or hyperthyroidism. Treatment typically involves managing the symptoms and may include medications to regulate thyroid hormone levels, such as thyroid hormone replacement therapy for hypothyroidism or medications to reduce thyroid hormone production for hyperthyroidism. In some cases, surgery or radioactive iodine therapy may be recommended to treat severe cases of hyperthyroidism. AITD and Fertility Autoimmune thyroid disease, particularly when it leads to thyroid dysfunction such as hypothyroidism or hyperthyroidism, can potentially affect fertility in both men and women. In women, hypothyroidism or hyperthyroidism can disrupt ovulation and menstrual cycles, leading to irregular or absent periods (amenorrhea) and thus affecting fertility. Thyroid hormones play a crucial role in regulating the menstrual cycle, and low levels or high levels of thyroid hormones can interfere with normal ovulation. In men, hypothyroidism and hyperthyroidism can affect sperm production and quality, leading to reduced fertility. Autoimmune thyroid disease itself, regardless of thyroid hormone levels, has been associated with an increased risk of fertility issues. Autoimmune disorders can cause inflammation and immune system dysfunction, which may affect reproductive organs and processes. How is AITD managed? Autoimmune thyroid disease, such as Hashimoto’s thyroiditis and Graves’ disease, is typically managed through a combination of western medication, lifestyle modifications, and, in some cases, surgical interventions or radioactive iodine therapy. Treatment aims to alleviate symptoms, regulate thyroid hormone levels, and minimize autoimmune-related inflammation. The specific approach to treatment depends on the type and severity of the autoimmune thyroid disease. A balanced diet rich in nutrients, including iodine and selenium, is important for thyroid health. Some individuals with autoimmune thyroid disease may benefit from dietary modifications, such as avoiding excessive iodine intake or following a gluten-free diet if they have coexisting autoimmune conditions like celiac disease. Regular exercise and stress management techniques can help support overall health and may positively impact thyroid function. Individuals with autoimmune thyroid disease require regular monitoring of thyroid hormone levels and thyroid antibodies to assess treatment response and adjust medication dosages as needed. Follow-up appointments with healthcare providers, including endocrinologists, are essential for ongoing management and optimization of treatment strategies. What is TCM perspective on AITD? Traditional Chinese Medicine (TCM) offers a unique perspective on autoimmune thyroid disease, viewing it as a manifestation of imbalances within the body’s energy systems rather than solely as a malfunction of the thyroid gland itself. In TCM theory, autoimmune thyroid disease is often associated with patterns of disharmony involving multiple organ systems and energetic imbalances. Here are some key aspects of the TCM perspective on autoimmune thyroid disease:Energetic Imbalances: TCM views autoimmune thyroid disease as a result of disruptions in the flow of Qi (vital energy) and Blood, as well as imbalances between Yin and Yang energies within the body. These imbalances can affect the proper functioning of the thyroid gland and contribute to the development of autoimmune conditions.Organ Systems Involved: According to TCM, the health of the thyroid gland is closely connected to the functioning of other organ systems, including the Spleen, Kidney, Liver, and Heart. Imbalances in these organ systems can contribute to the development or exacerbation of autoimmune thyroid disease.Patterns of Disharmony: TCM practitioners diagnose autoimmune thyroid disease based on patterns of disharmony, which may include:Spleen Qi Deficiency: Weakness or dysfunction of the Spleen, which may lead to poor digestion, fatigue, and accumulation of Dampness in the body.Kidney Yin Deficiency: Insufficiency of Kidney Yin, which may manifest as heat symptoms, night sweats, and dryness in the body.Liver Qi Stagnation: Impaired flow of Liver Qi, which can result in emotional imbalances, stress, and stagnant energy in the body.Heart and Kidney Yang Deficiency: Weakness or depletion of Heart and Kidney Yang energies, leading to cold intolerance, fatigue, and fluid retention. How can TCM help manage AITD? The management of autoimmune thyroid disease through TCM aims to rebalance the body’s energies and address the underlying patterns of disharmony. Treatment modalities may include:Acupuncture: Acupuncture points are selected to stimulate Qi flow and promote balance within the body’s energy systems.Herbal Medicine: Chinese herbal formulas are prescribed to tonify deficient energies, clear heat, resolve stagnation, and harmonize Yin and Yang.Dietary Therapy: Recommendations for dietary modifications may be provided to support digestion, nourish Yin, and avoid foods that exacerbate Dampness or heat.Lifestyle Recommendations: TCM often emphasizes lifestyle factors such as stress management, adequate rest, and regular exercise to support overall health and balance.Individualized Treatment: TCM treatment is highly individualized, with practitioners tailoring therapy to address each patient’s unique pattern of disharmony and constitution. Conclusion It’s important to note that while TCM can offer complementary approaches to managing autoimmune thyroid disease, it should not replace conventional medical care. Individuals with autoimmune thyroid disease should work with qualified healthcare providers, including TCM practitioners and conventional medical doctors, to develop comprehensive treatment plans that address their specific needs.
Beat the Bloat

14 Mar 2024

By: Kang Ting Tan

Blog, Acupuncture, Article, General Health, Physician KT 陈医师

/*! elementor - v3.21.0 - 18-04-2024 */ .elementor-widget-video .elementor-widget-container{overflow:hidden;transform:translateZ(0)}.elementor-widget-video .elementor-wrapper{aspect-ratio:var(--video-aspect-ratio)}.elementor-widget-video .elementor-wrapper iframe,.elementor-widget-video .elementor-wrapper video{height:100%;width:100%;display:flex;border:none;background-color:#000}@supports not (aspect-ratio:1/1){.elementor-widget-video .elementor-wrapper{position:relative;overflow:hidden;height:0;padding-bottom:calc(100% / var(--video-aspect-ratio))}.elementor-widget-video .elementor-wrapper iframe,.elementor-widget-video .elementor-wrapper video{position:absolute;top:0;right:0;bottom:0;left:0}}.elementor-widget-video .elementor-open-inline .elementor-custom-embed-image-overlay{position:absolute;top:0;right:0;bottom:0;left:0;background-size:cover;background-position:50%}.elementor-widget-video .elementor-custom-embed-image-overlay{cursor:pointer;text-align:center}.elementor-widget-video .elementor-custom-embed-image-overlay:hover .elementor-custom-embed-play i{opacity:1}.elementor-widget-video .elementor-custom-embed-image-overlay img{display:block;width:100%;aspect-ratio:var(--video-aspect-ratio);-o-object-fit:cover;object-fit:cover;-o-object-position:center center;object-position:center center}@supports not (aspect-ratio:1/1){.elementor-widget-video .elementor-custom-embed-image-overlay{position:relative;overflow:hidden;height:0;padding-bottom:calc(100% / var(--video-aspect-ratio))}.elementor-widget-video .elementor-custom-embed-image-overlay img{position:absolute;top:0;right:0;bottom:0;left:0}}.elementor-widget-video .e-hosted-video .elementor-video{-o-object-fit:cover;object-fit:cover}.e-con-inner>.elementor-widget-video,.e-con>.elementor-widget-video{width:var(--container-widget-width);--flex-grow:var(--container-widget-flex-grow)} The sensation of abdominal bloating is commonly characterized as a feeling of tightness, fullness, discomfort, or swelling akin to a balloon in the abdomen. It arises when the gastrointestinal tract becomes filled with gas, often accompanied by burping, flatulence, or pain.In addition to inducing physical discomfort, it can also impact one’s outward appearance. Presently, bloating is remarkably prevalent as a symptom experienced by numerous individuals.  What are the causes of Bloating? Eating too fastOvereatingIrregular eating habitsWheat allergies or Lactose intolerance (Milk and dairy products)Constipation StressOccurs in the period 1-2 weeks before and during the menstrual cycle (for females)Consuming food high in FODMAPS**FODMAPs stands for “Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols”FODMAPs is an acronym for a group of carbohydrates and sugar alcohols that are poorly digested by many people. In certain individuals, this group of poorly digested carbohydrates reach the end of the intestine and get fermented by the hydrogen-producing gut bacteria. The excessive hydrogen produced can lead to bloating, flatulence, constipation or diarrhea.  Fruits: Apple, apricot, blackberry, cherry, mango, peach, pear, prune, watermelonVegetables: Asparagus, broccoli, cauliflower, mushroom (Enoki, portobello, fresh button or shiitake mushroom), garlic, shallotLegumes: Baked beans, chickpeas, kidney beans, lentilsWheat, Barley or ryeDairy products: Milk (from cows, goats and sheep), yoghurt, ice creamSweeteners: Sorbitol, mannitol, maltitol, xylitol, high fructose corn syrup   Research indicates a significant correlation between FODMAPs and digestive issues such as bloating, constipation, and diarrhea. Types of Bloating in TCM Perspective 1. Food Stagnation ( 饮食内停)Abdominal distention that aggravates after food Other symptoms: Nausea; flatulence, bad breath and smelly stools. Commonly occurs after overeating 2. Liver Stomach Disharmony (肝胃不和)Expanding feeling of bloating, often triggered by stress or negative emotions Other symptoms: Prone to mood swings; excessive sighing;  loss of appetite; bitter taste in the mouth and irregular bowel movements 3. Dampness and Phlegm Retention  (痰湿中阻)Abdominal and chest discomfort Other symptoms: Prone to excessive sebum secretions on the face and scalp, often have cravings for food high in fat and sugars, aversion to humid and wet weather and sticky stools.  4. Spleen Qi Deficiency(脾胃虚弱)Bloating persists most of the time in a day, especially after a meal Other symptoms: Easily fatigued; decreased appetite; puffiness around the eyes or face especially in the morning and loose stools. TCM Approach to Bloating TCM employs a holistic approach to health. Depending on the cause, duration, symptoms diagnosed by the TCM practitioner, the following combinations of methods are used to treat abdominal distention. Acupuncture Herbal medicationAuriculotherapy Dietary and Lifestyle modifications    Ways to reduce or eliminate bloating Chew your food, aiming for at least 20-30 chews per bite.Establish regular meal times to promote digestive health.Practice mindful eating by consuming food and beverages slowly. Refrain from eating while studying or working during meal times.Be aware of any food intolerances you may have. Keep a food diary to monitor and identify any foods that contribute to bloating.Drink warm water. Avoid drinking cold drinks or eating spicy, cold or raw food.Exercise regularly. Engage in at least 30 minutes of moderate aerobic exercise at least twice a week.  This helps to improve the qi and circulation of the body and intestine movement.    Consume lemongrass or ginger tea. They have anti-inflammatory and antioxidant properties that can improve digestive health. Lemongrass tea:Pour 1 cup of boiling water over 1 to 3 teaspoons of fresh chopped  lemongrassSteep for at least 5 minutesStrain the teaEnjoy it warmGinger tea Remove the skin of the gingerAdd half a teaspoon of freshly grated/sliced ginger and 1 teaspoon of honey (optional) to a cupAdd hot water and stirEnjoy it warm Bloating has many possible reasons. In rare cases, it can also be caused by abdominal masses such as tumours. If bloating continues and consistently causes discomfort for over 6 weeks, or if it significantly impacts your daily activities, it’s recommended to consult a medical professional for treatment.
Multiple Sclerosis

06 Mar 2024

By: Sheryl Tay

Blog, Article, Autoimmune Disease, General Health, Physician Tay 郑医师, TCM Food, TCM Herbs

What is Multiple Sclerosis? Multiple Sclerosis (MS) is characterized by the immune system mistakenly attacking the protective covering of nerve fibers, known as myelin, in the central nervous system. Myelin acts like insulation around electrical wires, allowing nerve impulses to travel quickly and efficiently. When myelin is damaged or destroyed, the transmission of these impulses is disrupted, disrupting the communication between the brain and the rest of the body, leading to a wide range of sensory, motor and cognitive problems. When the myelin is damaged, it leaves behind scar tissue which is known as plaques or sclera. Immune system will conduct repairs to myelin after an attack, however, repeated immune attacks can prevent the proper repair of the myelin, and in some cases, cause damage to the nerve cells themselves, resulting in permanent injury to the brain and spinal cord. Risk factors of MS Causes of MS are unknown, however are usually linked to genetic and environmental factors Sex. Women are 2-3 times more likely as compared to men to suffer from relapsing-remitting Multiple Sclerosis.Genes. It has been found that individuals with the gene HLA-DR2 has been associated with Multiple Sclerosis susceptibility.Vitamin D deficiency. Having low levels of vitamin D and low exposure to sunlight is associated with a greater risk of Multiple Sclerosis.Certain infections. It has been suggested that certain infections have been linked to MS. Such as Epstein-Barr virus might trigger the immune system, leading to MS in some people.Smoking. Individuals who smoke are more likely to develop Multiple Sclerosis compared to individuals who do not. Symptoms Symptoms are dependent on which part of the Central Nervous System is damaged by the condition:Losing vision in one eye, pain when moving eyes, double visionNumbness or tingling in different parts of the bodyBalance issuesProblems controlling the bladderMuscle stiffness and spasmsFatigue Depending on the type of MS, symptoms may come and go in phases or get steadily worse over time. Types of MS:​ There are several different types of MS, and the course of the disease can vary widely among individuals. The main types include:Relapsing-Remitting MS (RRMS): This is the most common form of MS, characterized by periods of relapse followed by periods of partial or complete recovery. With every relapse, follows with the exacerbation of disability. Secondary Progressive MS (SPMS): Describes the transition from relapsing-remitting phase to a  steady progression of disability.Primary Progressive MS (PPMS): Describes a gradual and steady progression of symptoms without distinct relapses.Progressive-Relapsing MS (PRMS): This is a less common form where there is a steady progression of the disease with occasional relapses. Traditional Chinese Medicine and MS​ Traditional Chinese Medicine classifies multiple sclerosis as “atrophy” syndrome and “Bi syndrome”.  During periods of relapse also known as acute period(急性期), body constitution of patients mostly express Heat dampness body types. Symptoms such as weakness or heaviness in the limbs, numbness of tingling sensation, chest tightness, sticky bowels, dark scanty urine. During remission, also known as chronic periods(缓解期), body constitution mostly seen are Spleen stomach Qi deficiency and Liver Kidney deficiency. Spleen stomach Qi deficiency – symptoms experienced include weakness in the limbs, poor appetite and watery bowels, fatigueLiver Kidney deficiency – symptoms include weakness in the limbs especially in the lower limbs, soreness in the back, dizziness and tinnitus, hair loss, urinary incontinence, irregular menstruationTCM acupuncture and herbal medication can be prescribed to alleviate symptoms and slow down the progression of the disease. Clinical trials have shown that TCM is effective to alleviate symptoms, prevent recurrence, and delay disease progression in MS patients. Regular acupuncture treatment has been found to have a positive therapeutic effect on the recovery of movement and reducing abnormal sensations of the hands, fingers, feet, and toes.
TCM Tips for Postpartum Recovery

26 Feb 2024

By: Aileen Chua

Article, Blog, Physician Chua 蔡医师, Pregnancy, TCM Food

by Physician Aileen Chua Goal: The goal for postpartum recovery is to ensure that the body goes back to the pre-pregnancy state, or even better. The womb has provided all of its nutrients to the baby and we need to replenish the loss. The body is “empty” and we need to fill it up. During this time, we have to work on replenishing Qi and blood, prevent wind from entering the body, maintain circulation, remove water retention, strengthen the bones and muscles and take care of the mental wellbeing of the mother. Motherhood can be physically and mentally taxing, and this is the golden period to brace the body for it. This postpartum recovery can last between 28 days to 3 months, you can choose how long you want to adhere to the postpartum recovery routine for. /*! elementor - v3.21.0 - 18-04-2024 */ .elementor-widget-divider{--divider-border-style:none;--divider-border-width:1px;--divider-color:#0c0d0e;--divider-icon-size:20px;--divider-element-spacing:10px;--divider-pattern-height:24px;--divider-pattern-size:20px;--divider-pattern-url:none;--divider-pattern-repeat:repeat-x}.elementor-widget-divider .elementor-divider{display:flex}.elementor-widget-divider .elementor-divider__text{font-size:15px;line-height:1;max-width:95%}.elementor-widget-divider .elementor-divider__element{margin:0 var(--divider-element-spacing);flex-shrink:0}.elementor-widget-divider .elementor-icon{font-size:var(--divider-icon-size)}.elementor-widget-divider .elementor-divider-separator{display:flex;margin:0;direction:ltr}.elementor-widget-divider--view-line_icon .elementor-divider-separator,.elementor-widget-divider--view-line_text .elementor-divider-separator{align-items:center}.elementor-widget-divider--view-line_icon .elementor-divider-separator:after,.elementor-widget-divider--view-line_icon .elementor-divider-separator:before,.elementor-widget-divider--view-line_text .elementor-divider-separator:after,.elementor-widget-divider--view-line_text .elementor-divider-separator:before{display:block;content:"";border-block-end:0;flex-grow:1;border-block-start:var(--divider-border-width) var(--divider-border-style) var(--divider-color)}.elementor-widget-divider--element-align-left .elementor-divider .elementor-divider-separator>.elementor-divider__svg:first-of-type{flex-grow:0;flex-shrink:100}.elementor-widget-divider--element-align-left .elementor-divider-separator:before{content:none}.elementor-widget-divider--element-align-left .elementor-divider__element{margin-left:0}.elementor-widget-divider--element-align-right .elementor-divider .elementor-divider-separator>.elementor-divider__svg:last-of-type{flex-grow:0;flex-shrink:100}.elementor-widget-divider--element-align-right .elementor-divider-separator:after{content:none}.elementor-widget-divider--element-align-right .elementor-divider__element{margin-right:0}.elementor-widget-divider--element-align-start .elementor-divider .elementor-divider-separator>.elementor-divider__svg:first-of-type{flex-grow:0;flex-shrink:100}.elementor-widget-divider--element-align-start .elementor-divider-separator:before{content:none}.elementor-widget-divider--element-align-start .elementor-divider__element{margin-inline-start:0}.elementor-widget-divider--element-align-end .elementor-divider .elementor-divider-separator>.elementor-divider__svg:last-of-type{flex-grow:0;flex-shrink:100}.elementor-widget-divider--element-align-end .elementor-divider-separator:after{content:none}.elementor-widget-divider--element-align-end .elementor-divider__element{margin-inline-end:0}.elementor-widget-divider:not(.elementor-widget-divider--view-line_text):not(.elementor-widget-divider--view-line_icon) .elementor-divider-separator{border-block-start:var(--divider-border-width) var(--divider-border-style) var(--divider-color)}.elementor-widget-divider--separator-type-pattern{--divider-border-style:none}.elementor-widget-divider--separator-type-pattern.elementor-widget-divider--view-line .elementor-divider-separator,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:after,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:before,.elementor-widget-divider--separator-type-pattern:not([class*=elementor-widget-divider--view]) .elementor-divider-separator{width:100%;min-height:var(--divider-pattern-height);-webkit-mask-size:var(--divider-pattern-size) 100%;mask-size:var(--divider-pattern-size) 100%;-webkit-mask-repeat:var(--divider-pattern-repeat);mask-repeat:var(--divider-pattern-repeat);background-color:var(--divider-color);-webkit-mask-image:var(--divider-pattern-url);mask-image:var(--divider-pattern-url)}.elementor-widget-divider--no-spacing{--divider-pattern-size:auto}.elementor-widget-divider--bg-round{--divider-pattern-repeat:round}.rtl .elementor-widget-divider .elementor-divider__text{direction:rtl}.e-con-inner>.elementor-widget-divider,.e-con>.elementor-widget-divider{width:var(--container-widget-width,100%);--flex-grow:var(--container-widget-flex-grow)} Common Postpartum Problems Emotions Fatigue Pain from delivery Breastmilk supply or Engorgement Heatiness Weight loss Food to take for Postpartum Recovery To take food and herbs that help with the following: 1. Remove clots to clear the womb2. Remove water retention3. Help with wound recovery4. Ensure good blood circulation 5. Replenish the nutrients 6. Warm the womb 7. Remove “wind” from the body8. Increase flow of breastmilk, as well as maintain good flow of the breast milk to prevent painful engorgement. /*! elementor - v3.21.0 - 18-04-2024 */ .elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px} For womb and general health recovery: 1. Ginger (Bentong Ginger)2. Turmeric (Can add turmeric powder to a warm cup of milk)3. Sesame Oil4. Black Vinegar5. Rice Wine6. D.O.M Benedictine (in moderation, 1-2times a week) To increase breastmilk supply and replenish nutrients for the postpartum body: Green Papaya Fish (Salmon, Cod Fish, Threadfin) Meat (Black chicken, lean pork meat, beef, pork liver and kidney) Oats Almonds & Sesame seeds Dark green vegetables or spinach, broccoli, green peas, black beans, red beans Herbal soups with meat General Herbs for Postpartum Recovery Week 1: Focus on blood circulation to help with clearing the womb and water retention Help with the production of breastmilk Nourish the digestive system to improve appetite to help replenish nutrients lost Herbs: 生化汤、四神汤、麦芽 Week 2: Focus on replenishing Qi and Blood Continue to nourish the digestive system Continue to help production of breast milk, at the same time help with the smooth flow of milk Herbs: 八珍汤、四神汤、麦芽 Week 3 & 4: Same as Week 2 Work on nourishing the kidneys and rejuvenate the reproductive system To strengthen the lower back, bones and muscles Herbs: 八珍汤、四神汤、杜仲、泡参、花胶 Daily Herbal Tea usually includes: Red dates 红枣 Longan 龙眼肉 Wolfberries 枸杞子 Codonopsis Radix 党参 Drink throughout the day, supplement with warm water if you feel heaty or thirsty easily.   If you need a set of herbs specially tailored to your individual body constitution, feel free to drop by our clinics for a consultation with any of our physicians from Week 34 onwards! 🙂 Self Care Services to Engage in: Confinement nanny: Nanny to help to look after your newborn while you recuperate, so that you can rest properly for this period and only have to focus on breastfeeding (pumping/latching), sleeping, getting used to motherhood and regulating the emotions. Postpartum massage: Helps with increasing milk supply, prevents engorgement, reduces water retention, helps the uterus contract back to its original size, reduces muscles tensions. Emotionally: You might feel very emotional due to the changes your body is going through, many focus on how labour is going to be, but there is very little information about how you will feel after the delivery. Breastfeeding can be painful and stressful too. Engorgement and low milk supply each has its own set of problems. You can be constantly tired due to the feeding and interrupted sleep, the body will also naturally feel more tired after going through so much, from pregnancy to delivery. There might be postpartum pain lasting 1-2 weeks. For mummies who went through C-Sec, the pain might last longer. You are constantly feeling hot and sticky, and maybe smelly, all these might make you feel just lousy about yourself. Rest as much as you can when possible, try to outsource for help as much as you can. Focus on your recovery and feeding the baby. If you are feeling down all the time, it would be good to seek professional help. In terms of TCM, acupuncture and cupping can help with postpartum blues by relieving tension, helping with sleep and calming the body. Physically: Shower (herbal bath to help remove wind and warm the body, you can wash your hair once every 1-3 days but wash in the day and blow dry immediately). Wear long pants and slippers at home to keep warm and prevent cold, wind and dampness from entering the weakened body. Avoid being in direct contact of wind, because the pores are open during confinement and the body is deficient in Qi & blood, which makes wind, dampness and cold easy to enter the body, resulting in aches, skin allergies etc. in the long run. Pelvic floor exercises to strengthen the pelvic floor. This helps prevent postpartum incontinence or frequent urination.