
Wine Vessel - Late Shang (13th - 11th century B.C.), Shanghai Museum
Alcohol has a long and honored history in China of perhaps more than 4,000 years. Huangjiu (wines) and Baijiu (distilled spirits) are produced in a great assortment of varieties with many including Chinese herbs to have some medicinal effect. Alcohol itself is considered warming and is said to "invigorate the blood". This warming action along with alcohol's affinity for the Liver creates a energetically rising action with consumption. Some are critical of this effect, calling it a "false yang". Admonitions against alcohol are not an intrinsic part of Chinese medical theory, however. It is good, sometimes, to get lifted a bit and maybe moved. The problem arises when those friendly spirits turn out bad and carry our qi for too long and too far, maybe even further than Kansas, where the landing is hard. Like Dorothy, we wake up the next day confused and with a pounding headache.
The easiest way to way to cure a hangover is to not get one in the first place, but ahhh the allure of the spiritual world is great and some of those cocktails are just so pretty...(hmmm another post,perhaps :)). Fortunately there is an extensive literature available on the prevention and cure of the hangover.
First the mechanism of a hangover - From a TCM perspective alcohol creates a condition of heat in the body and stimulates the Liver. A little heat is not so bad, but when you get a lot of heat the body starts producing dampness in large amounts to basically put the fire out. This dampness then interferes with our digestion, making us nauseous and muddleheaded. A lot of alcohol stimulates the Liver to such an extent that it becomes like a little frozen rabbit, stuck to the point where just can't to anything causing a whole cascade of systemic failures to take place. From a biomedical perspective ethanol creates dehydration and impairs the liver's ability to supply glucose to the body and brain. Alcohol also reduces the body's supply of detoxifying agents like glutathione to help get rid of the toxic compounds into which alcohol breaks down. Additionally, some types of alcohol contain compounds called congeners that make hangover symptoms more pronounced. These congeners are found more in darker and sweeter spirits like bourbon, red wine and liqueurs. Yes, it's true. Vodka with a twist will probably give you less of a hangover than an equal amount of Jack Daniels.
Ok, we'll cut to the chase. Hangover management has four distinct phases: before drinking, during drinking, after drinking and the next day.
Before:
We've all heard not to drink on an empty stomach, but the selection and quantity of food is important to gain the best benefit. Carbs and a little fat can effectively protect the stomach lining while slowing the absorption of the alcohol. The Mediterranean trick is a tablespoon of olive oil before a night out on the town. I recommend a little good bread dipped in an oil flavored with basil. Basil acts as a digestive. Avoid anything with pepper which could cause problems later! Cheese and crackers can also work or a little guacamole with chips.
During:
Hydration is the key here. Try to alternate between alcohol and non alcoholic beverages. It's best to stay away from high sugar mixers as that will increase your knowledge of insulin reactions in a way you really don't want. A small mount of bland carb and fat type foods during the evening can also help, but limit the hummus or seven layer bean dip. Large size legumes are thought the stimulate the Liver and the Liver is probably getting enough stimulation. Neither a little food nor some hydration will prevent intoxication given sufficient consumption, but they will make things easier the next day.
After:
Before you go to bed you want to take the opportunity to counteract some of the toxic effects of the evening's beverages. Please note that some of the toxic effects of drinking are beyond the scope of this blog, though a clearer head will help you put those metaphorical fires out. Anyway you know that you are going to get or already are dehydrated, so drink water or one of those electrolyte replacers/sports drinks. if you are among the many who can't stand the taste of the major commercial varieties try making some yourself.
Ingredients:
1/2 to 1 cup fruit juice - I recommend papaya or something with banana, orange is a thought, but some might find the acidity irritating
1/2 tsp. sea salt
8 or 9 tablespoons sugar, or preferably 6 or 7 tablespoons maple syrup or 7 to 8 tablespoons honey
2 liters water
Mix and chill. Do it now so it will be ready when needed.
Some people swear by a glass of milk which will give you sugar, fat and some amino acids to help re-establish brain function.You might also consider a banana or some tomato juice to replace the potassium and b vitamins lost. Avocado is also high in potassium. Keep it bland and keep it light.
After:
The day after remedies are numerous.
What we're looking for in a recipe is something which hydrates, addresses nausea, relieves pain, reestablishes electrolyte and glucose levels, detoxifies and soothes the liver. Most of the more famous remedies address a lot of these at once.
Menudo: This is the classic Mexican hangover cure, a long simmered stew made from tripe, tomato sauce, corn, and seasoning. There are many recipes available. Here the tripe (stomach) benefits the stomach while the tomatoes build fluids. The recipe reestablishes electrolytes and the spiciness helps disperse the dampness while kick-starting the body back into action. Raw onions, frequently used as a topping, are often used in Chinese medicine to treat headache and nausea.
Eggs and grits or bacon, egg and cheese sandwiches are frequently among the top listed hangover cures. The potential mechanism of this is the high ratio of amino acids, which are thought to replenish those lost and help with tissue and cognitive repair. Energetically this sort of meal is very grounding which can be very helpful if all the energy is banging around the inside of your head.
Marmite and Vegemite are are spreads made from brewers' yeast extract and is high in b vitamins and if you among the "love it" group can be helpful over dry toast.
Mung beans and mung bean sprouts are good detoxifying agents and cool an overexcited liver. the sprouts make a good garnish for the menudo and any egg dish.
If you want to try the Elvis route try a peanut (or other nut) butter, banana and bacon sandwich. Again the heaviness of this is going to help settle your energy back down. The magnesium in the banana will help relax those blood vessels contributing to the headache and body aches. Bananas, bacon and wheat all benefit yin and yin is what you want to build back after all that dehydration.
Rice pudding, especially if prepared with cardamon and cinnamon is soothing. Rice nourishes the Spleen and Stomach while the cinnamon and cardamon aromatically transform the damp and settle your stomach. You can also try the "Deconstructed Arancini" from my previous post.
If your stomach can't handle anything solid try one of these liquid remedies.
"Hair of the Dog" - some swear by this. If you're going for this one I recommend the Bloody Mary or beer. The tomato juice in the Bloody Mairy, is high in potassium and generates fluids, the celery will help lower rising Liver Yang and the spices will help disperse dampness. Beer has a lot of b vitamins.
Chrysanthemum and Kudzu tea - a classic Chinese herbal remedy, chrysanthemum clears hear and lowers rising Liver Yang while the Kudzu (ge gen), generates fluids and relaxes the muscles.
Miso soup - a standard in Japan where they know a thing or two about drinking. Miso soup prepared with some chopped chives will help expel toxins out of the exterior of your body while hydrating and providing easily assimilated proteins.
Smoothies - here you want a combination that is soothing, sweet and packs electrolytes. Try banana, coconut milk, maple syrup and some nut butter.
The really nauseous can make a tea with lemon and orange or tangerine zest. Sip slowly in small amounts.
It is often recommended to avoid coffee as the caffeine will further contribute to dehydration. Of course, you could just drink more water with your coffee. Red Bull and flat cola are also frequently in the remedy lists.
So there you have it - just the tip of the iceberg, but enough to be of use. If you have any favorites not covered here please add a comment.
Happy New Year everyone and whatever you do avoid the hot fudge omelet. It really doesn't work.