Category Archives: Thai & SE Asian Medicines

Thai Traditional Medicine Kingdom of Thailand, by Pennapa Subcharoen & Anchalee Chthaputti

by Pennapa Subcharoen
Deputy Director-general Department for Development of Thai Traditional and Alterative Medicine
Ministry of Public-Health Tiwanont Road, Nonthaburi 11000, Thailand Email: pency@dtam.moph.go.th

and Anchalee Chthaputti
Senior pharmacist, Institute of Thai Traditional Medicinal
Department for Development of Thai Traditional and Alterative Medicine Ministry of Public-Health

Tiwanont Road, Nonthaburi 11000, Thailand Email: anchalee@dtam.moph.go.th

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What a Thai Motorbike Accident Taught Me About Grounding

First published in Jivaka Journal

Grounding, quite simply, is rootedness. Rather than spinning in your head, when you are grounded you are in your body, and you feel connected.

Feeling grounded, really grounded, is an aspect of mindfulness. Your mind connects with your body. Your body connects to the earth. You are in touch with your emotions, but not governed by them.

Perhaps you feel grounded in your yoga class, on your morning run or on the meditation cushion, but we cannot always be in yoga class, on a run or on our cushions. How do we stay grounded and connected as we live our over-filled lives?

Let me give you an example (with a little back-story). I am a Thai massage therapist and teacher and have been since 2001. Yes, I am in the grounding business. My work has taken me to Thailand where I lived for several years, married a Thai man and gave birth to my son. During that time, I made my home in Chiang Mai, a beautiful city at the foothills of the northern mountains, a city filled with country people.

One afternoon as I pushed the stroller along a sidewalk in Chiang Mai, two little Thai motorbikes got into an accident in front of me. Now, motorbikes are the preferred vehicle for Thai people and children are raised on them, literally. To say that Thai people are completely at home on their motorbikes misses the point. They carry their kids (all three of them at once), their dogs and their groceries on them with a sense of balance and relaxation I could never manage.

So when these two little motorbikes touched each otherʼs handle bars in the intersection and spilled the riders to the pavement, it was a surprise to us all.

Imagine what happened next.

The first thing each rider did, before checking themselves or their motorbikes for damage, was this. They placed their hands together in the prayer position at their lips, lowered their heads and rushed toward each other. Why? To ask forgiveness and to make sure the stranger they had just spilled to the pavement was alright. They laughed. They dusted each other off. They picked up each otherʼs motorbikes, and they went their separate ways smiling.

No yelling. No blaming. No kidding. Imagine that same accident in your neighborhood.

Hmm. Why the difference? To me it is this. Thai people are, by and large, grounded. They do not spin in their heads. They are connected to the earth, to the present moment and most importantly to each other.

To be grounded is much more than the experience we have on the yoga mat or on the meditation cushion. To be grounded is to connect.

Yes, we know that grounding connects us with ourselves, but more importantly grounding allows us to more fully connect with others. When we are grounded, we make easy connection to those we love, those we work with and even those we meet on the street.

If we accept that learning to be grounded (or not) is cultural, what are we to do here in the Western world? My mamma didnʼt teach me to be grounded. I am sure she never gave it a thought, but all is not lost. We take it one step at a time. Most of it is common sense in the end.

Here’s What My Thai Family Taught Me About Grounding

Worry is pointless (of course, because it makes you spin in your head). Taking care of each other is a duty and an honor (and gives life real meaning). And, itʼs never too early to start planning tonightʼs dinner (seriously, planning, preparing and sharing food is a centering activity in a Thai household).

I could recommend to you exercises to help you feel more grounded, but those would have a small, and probably short-term effect. Letʼs think bigger. Letʼs think about connection.

Hereʼs my list to help you, offered up gently, not in a we-in-the-West-are- bad, those-in-the-East-are-good kind of way. Just in the way my sweet Thai sister would, “Here, Pam. Try this. Do you like it?” With a smile, of course.

  • Spend less time alone, especially at home.
  • Look at, listen to and touch the people in your life more than usual. Drop the worries. Really.
  • Help someone for no reason, and then do it again. Smile at strangers.
  • Oh, and start talking about whatʼs for dinner at breakfast!
  • Make gathering for meals a centering activity for everyone under your roof.

When I moved back to New Yorkʼs Hudson River Valley after my years in Thailand, friends told me I seemed softer and more relaxed. At the time, I didnʼt really understand. I had a toddler and a busy Thai massage practice much the same as before. But, Thailand has taught me many lessons, and I am working through them day by day.

Borrow a few of them for your own life. It will help you feel more grounded.

Gratitude to the Lineage of Teachers

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On Thursdays throughout the Kingdom of Thailand, students express their gratitude to their teachers. The ceremony can be elaborate or simple. In

Thai language to wai means to show respect with hands in prayer position and head bowed. Khru means teacher. When we wai khru, we show our respect to our teachers.

Thai massage therapists honor as well Dr. Jivaka Komarabhacca, often referred to simply as the “Father Doctor” of Thai medicine (and spelled variously). If you have spent some time in Thailand and in Thai massage shops (and why wouldn’t you!), you have surely seen beautiful altars honoring the Buddha, the Father Doctor, the King and Queen of Thailand, past kings of the country and revered monks. Honoring, respecting and showing gratitude are a daily practice in Thailand, one of it’s most lovely daily practices.

When my little feet first touched down in Thailand as a traveler and student of Thai massage, I quickly learned how to kneel properly, bow my head deeply and recite the chants that my teacher taught me.

These things have become a habit for me. My massage studio has an altar which reminds me of the long lineage of practitioners of Thai medicine, of which I have become a part.

It became a habit from the very beginning to add some words in English each time I chant my respect. I honor my teachers, “in all the forms they have come to me.”

Each time I say these words, I remember a beautiful Thai woman whom I rode with in a song tau on my first visit to Thailand. Picture us both on a metal bench in the back of a covered pick-up truck taxi. Me with that excited “nothing like this has ever happened to me before” look. She, catching my drift. She sidled right up to me, as Thai women will, and asked, “Do you speak English?” She slid even closer and placed a hand on my thigh, as Thai women will, in a sisterly gesture. She asked why I had come to Thailand, where I lived and about my work. What she really wanted to

know was if I was traveling alone and did I have a husband. Alone, yes. Husband, no (not yet, anyway).

She told me how strong, brave and lucky I was to be able to travel the world alone. She told me she was in an unhappy marriage to a bad husband with no option to leave. She smiled at me broadly, showing me how excited she was for me, as Thai women will do, and hopped off the back of the truck.

We were together no more than five minutes.

To this day, I still think of her and what she taught me. I am strong, I am brave, and above all else, I am lucky. For these things I am deeply grateful. I do not take them for granted.

And I keep my eyes open for new teachers, in all the forms they may come to me.

Thai Medicine for the New Mama: Part 3

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Postpartum Recovery in a Tea Cup

When my son’s Papa was a young monk in his rural Thai village, he learned

to gather wild and cultivated herbs for his Abbot’s daily tea. Luang

Pau (roughly “Great Father”) taught him the medicinal uses of the local herbs. Each day the Abbot drank one cup of tea which the young monks made from lemongrass, kaffir lime skin and phrai (a Thai ginger). It was his daily health tonic.

After my son was born in Chiang Mai, my Thai family made this same tea for me. For the first ten days at home with our newborn, they kept our little pot replenished with fresh herbs and brought me a cup of tea three times a day. It was astringent, bitter and lemony in a pleasant sort of way. Because it had the sanction of Luang Pau and my husband’s grandmother Khun Yai, a midwife and massage therapist about whom I have written before, I happily submitted.

On the second day, I was sitting in our front room chatting with a Thai massage student about options for study in our little school (newborn in arms), when I realized I was sweating. Now, in hot season in

Thailand, even in the more moderate northern climate of Chiang Mai, you sweat every day. After a few years, you get used to it – even come to like it (miss it, actually).

You are always a little damp, but your skin glows and is beautifully clear. And, you conscientiously hydrate with water and a squirt of fresh lime. (In modestly posh cafes that tourists frequent, a fresh orchid is likely to rest on the rim of your glass. Heaven.)

On that particular day, day two home from the hospital, I noticed tiny beads of sweat on the backs of my fingers. I asked our student if she were unusually hot. Not particularly. It was hot, mind you, but I was a tad more than damp. I have never sweated like that before or since.

I asked my family if it was the tea. Indeed, this concoction is a diaphoretic (it

makes you sweat!) and diuretic. In small doses, as with the Abbott’s one cup per day, it is a natural anti-inflammatory, blood purifier and can control high blood pressure.

At three cups a day, the tea eliminated the fluid of pregnancy, which my body no longer needed. Mind you, I hydrated carefully, ate good food, rested (really rested thanks to my beautiful family), and breast fed my son, all of which helped me recover and thrive as a new mama.

Ten days after my son was born, I and my little Thai family all trundled off to the hospital in a song tau (pick-up truck taxi) for our first check with the obstetrician. I and the little guy were doing great, and I had lost all of my baby weight. When I see photos of myself from that time, it is remarkable how clear and bright my skin and eyes are. Radiant new mama with a generous dose of Thai herbs!

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Here’s Why It Worked

Lemongrass is a diuretic, an anti-inflammatory, and induces perspiration. The ethnic Hill-Tribes who live in the mountainous north of Thailand also use it as a tonic for sore muscles (had those, yup!).

Kaffir lime skin is bitter tasting and used as a blood tonic. After birth, it supports blood building. It is also given to women to promote regular

menstruation, and it is this uterine support that assists the natural process of clearing the uterus after delivery.

Phrai is used by some Hill-Tribes to help new mothers recover after childbirth because it supports uterine function, in the same way as kaffir lime skin. It is also used to treat injury to internal organs and can be used topically as an antiseptic.

Last fall, back here in the Hudson Valley of New York, I cooked up a pot of herbal tea with lemongrass from my garden and the skin of a kaffir lime which I found on a visit to the city (yay!). Sadly, phrai is impossible to come by here, so I did without.

I expected the same result as my postpartum experience, but no. My tea was very bitter without the gingery phrai, and no sweating to speak of. At first, I was puzzled. Without excess fluid in my body to begin with, however I had no need for a big sweat. Hmm… interesting compared to my first experience.

In the next post, a Thai herbal bath for the new mama.

Here are Parts One and Two of this series on Thai Medicine for the New Mama, if you missed them!

Thai Medicine for the New Mama: Part 2

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When I was pregnant with my son in Thailand, the subject of heat, high heat, came up often. Hot season is a lucky time to have a baby, I was told. No worries keeping your little one warm. I found this perplexing. I am from central Maine. All of my baby pictures are taken in snow banks (the light is better there!). In Thai summer with days in the upper 90’s fahrenheit, I was worried about how to keep the little bean cool.

When I arrived in the hospital to give birth, heat (or a lack of cold) came up

again. When my mouth got dry during delivery, I asked for ice chips. I am sure I got that out of a movie, or something. Dr. Udom, my fabulous obstetrician, and the attending nurses (all dressed in Pepto-Bismol pink) looked at me quizzically. I repeated it in Thai language. Still not getting through, I dropped it, having other fish to fry at that moment.

Some time later a cup of room temperature water appeared. That will do just fine, I thought.

After he was born, we settled into our room to rest (and watch the World Cup on TV!). Not much of a soccer fan, I relaxed and waiting patiently for ice packs. Clearly, I had not fully converted to the theory of heat. I would never have guessed that I would want to ice …, but I really, really did. Ice packs didn’t come. I inquired after some. The very kindly nurse looked at me quizzically, and then advised warm water.

I made do with warm water.

Before we left the hospital the next morning, having had two beautiful Thai meals and plenty of visitors, Dr. Udom came to our room. His advice? Rest. No cold foods and no cold drinks for a month. No cold water in the shower (which in Thailand is worth specifying). And come back for a check in ten days.

At home with our newborn, my ex-husband and sister-in-law knew exactly how to care for me. We would use heat. My ex-husband recently explained it to me this way. In the past after giving birth, a Thai mother would sleep in a small tent with a fire in order to sweat. The heat and the sweat would clear the unneeded fluid of pregnancy from her body, release toxins and kill bacteria. He described it as purifying, like a Thai sauna.

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The Thai family into which I married has a long tradition of practicing Thai medicine. My ex-husband’s grandmother, Khun Yai delivered scores of babies as the only mid-wife and massage therapist in their village, a

settlement which sprang up in the dust of a ruby strip mine, where even children worked sifting the dirt for gems. The rubies are long gone and with them the jobs. The village is now mostly old women, their children and grandchildren moved away to Bangkok.

This photo of Khun Yai was taken in her last year. She was 81. Though her health was declining, it was a year of great joy. Her second grandson ordained as a monk, and her first grandchild was born.

The family remember Khun Yai packing a small sack and walking to the house of women in late pregnancy to prepare for birth. She lived with mother and child until they were ready to get on without her. She prepared food to support birth and lactation. She collected and blended Thai herbs in teas and herbal baths, and she prepared a fire in a small tent where the new mother could rest and sweat, purifying her body after giving birth.

Khun Yai began to learn massage when she was only ten years old. Her own mother and grandmother had been mau nuat pan boran, roughly translated as doctors of ancient massage. I suspect her family, in the female line, have been practicing massage since the beginning of time. As a teenager, she trained in a local hospital in massage and midwifery, which was an honor for her family. Her grandchildren like to say that her father agreed to let her study, even though the hospital uniform skirt was a bit too short. In my mind’s eye, I see her in a simple skirt of early 1940’s vintage, while the women of her village wore ankle length sarongs.

Khun Yai was too feeble to make the trip to us, but she guided us through the weeks following my son’s birth. Dr. Udom respectfully recommended that Khun Yai would know exactly what we needed. In that way, I had the best of traditional Thai medicine in the care of a Western trained doctor.

As you might imagine, I did not sleep in a small tent by a fire in front of our

little urban house in Chiang Mai. Because we were in the city, my family used Thai herbs, in a tea and an herbal bath, to increase my internal heat and promote a gloriously detoxifying sweat. That combined with the high heat of Thai summer were incredibly healing for me.

When I returned to see Dr. Udom ten days after giving birth, I had lost all of the 25 pounds I gained in pregnancy. My son was nursing well. I was resting and well fed with food supporting milk production. I was sleepy as all get out, but well on the way to recovering, deeply grateful for the care of my Thai family.

More on the Thai herbs we used in my next post on Thai medicine for the New Mama! 

Thai Medicine for the New Mama: Part 1

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My son was born in Chiang Mai on the very day he was expected, or a week early, depending on how you look at it.

His father’s best friend Phra Maha Soontorn, a Buddhist monk since the age of five, knew long before we did that our child would be a boy, that he would be born on a Sunday, and he chose his name accordingly. Arriya, which means “loyal follower of the Buddha” or “good person,” again depending on who you ask.

Thai people consider the day of the week on which you were born to be your “birth day.” When my Thai friends ask my birth day, I tell them I am a Monday, not some day in June.

Traditionally, monks are consulted to name a newborn. They select a name drawn from the letters of the child’s birth day. In Thailand, birth days are seen like signs of the zodiac. They determine your tendencies, your character. To be named in sync with your birth day, is therefore supportive of your true nature (and lucky!). I have even watched a monk remove a dog- eared “naming your baby” book from his satchel with a grin to demonstrate that picking a good baby name is part of the cycle of days for a monk.

Our son was born on wan athit, or Sunday, and Phra Maha Soontorn chose his name before he was born. Before.

Before we knew if our little bundle was a boy or a girl, Phra Maha Soontorn paid us an all too rare visit. As I knelt on the floor listening to him speak with my Thai family, I understood most but not all of what he was saying. Then, he turned to me and in English, a language he doesn’t speak, and he said, “boy.”

I nodded respectfully thinking, “Yeah. Yeah, all you monks want it to be a boy.” Neither I nor my ex-husband really understood that he was telling us it was a boy. Telling us. (I knew from the day before I boarded the plane to fly to Thailand and join my future husband that it would be a boy, because I had seen it in one of the clearest dreams of my life. Even though he would not be born for another 18 months.)

After an ultrasound at six months, we knew without doubt that our little bean was, indeed, a boy. We called family and friends. We called Phra Maha Soontorn. He told my ex-husband, “I know. I told you already.”

As my due date grew nearer, we heard again from Phra Maha Soontorn. This time with a name. A Sunday name. Okay. We’ll see, I think.

A week short of my due date, our son was born. On a Sunday with a beautiful full moon, the day on which Thai people go to the Temple to honor the teachings of the Buddha. We gave him the middle name Arriya.

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Phra Maha Soontorn also made sure to tell me, through my ex-husband, that boys born on the Buddha day do not belong to us. They belong to the Temple. We are only keeping them for awhile.

We’ll see, I think. We’ll see.

This little story is the beginning of a series about Thai herbal medicine and the long tradition of caring for women after birth.

I am deeply grateful to have lived in Thailand while pregnant, giving birth, and caring for our son in the first year of his life. An entire community of family and friends supported me with their deep knowledge of Thai herbs and Thai food as medicine. Their generosity and loving kindness gave both son and mum an extraordinarily good start on a new life.

Sensing Energy

If you could sense energy, what would you do with it? Really, think for a minute. What would you do with it?

Let me tell you a story. In May 2004, my brother had been in Iraq for just a couple of weeks serving in the Naval Reserves when I got a call from our dad. Yes, that kind of call. For the next few months, I did everything I could to be in hospitals in Bethesda, then Tampa to help him and my Rock-of-Gibraltar sister-in-law while he recovered from his wounds. This photograph was taken of Diana and Pete in Tampa during that first year of heavy lifting.

So, there I was a couple of years out of massage school and wanting to help. But, how do you help a guy when you are a Thai massage therapist, and he can’t move? Pete is paralyzed from the top of his shoulders down. On one particularly long day in the hospital, he was suffering unrelieved pain from shrapnel in his neck. Too risky to surgically remove it at that point.

I had no idea what to do. But, I had seen others lay their hands on people and do something good. No idea what, but hell. I had nothing else. So I wiggled myself into the space between his head board and the wall, being careful of the ventilator, monitors and alarms, and I gently cradled his dear, sweet head in my hands. And I stood there. And I waited. And I felt kind of silly. He was quiet, but not asleep. I thought he was probably being polite and figured at least I wasn’t hurting him.

Just as I was about to leave the poor guy alone and gently extract myself from the wires and tubes, I felt pounding between my hands. Shocked, I looked down expecting him to be having a seizure. He was perfectly still with a slight smile on his face. Did I say pounding?! Pounding. Thunderous. Aggressive. Pounding. And still he wasn’t fluttering an eyelid. It was like being punched in the palms for me. For him, not so much. After a few long, long minutes, it stopped. As it did, he opened his eyes and looked up at me with a grin. “Did you feel that?” he said. Then I gently turned his head to one side to remove one hand, a tiny movement, but is produced a loud, dry bony crack in his neck. Great, now I’ve totally broken his broken neck, I think. But he was quiet, so I slipped out of his room.

My sister-in-law came out a short while later smiling. He was asleep. Merciful sleep. Relieved of pain, at least for that day.

Clients who have known me since those days often kindly ask how Pete is doing. He is fabulous. My brother is a truly self-actualized human being. He is right where he is supposed to be, and he knows it. One of the first things he said to me, when he was able to speak, was this, “who could have known so much love was packed into that bomb.” That’s my baby brother.

So, why tell you this story? This kind of drama doesn’t happen every day (for which we are truly grateful). My point is this. I am no more sensitive, enlightened, or extraordinary than you are, dearest. You can turn on your light. You can sense energy. You can use it for yourself and others.