Dear Candice,

A common dietary misconception is that if you crave a food or drink, then it must contain a vitamin, mineral or other substance that your body is lacking. The underlying principle is the rather New Age myth that our bodies possesses an innate wisdom,and if we can get in touch with and listen to our bodies, they will guide us to health, freedom, and happiness. I'm here to tell you there may be some truth to that, but it's not that simple!

Idea #1: Your body knows what it needs and that's why you're craving it. The human body does sometimes tell us what we need to eat or drink, especially when it is relatively healthy. We get thirsty for water when dehydrated, crave protein when our activity level increases, or carbohydrates when we are more mentally active. In an extreme situation, pica (eating non-nutritive substances like dirt or paper) may be a desperate attempt to fill a mineral deficiency.

Idea #2: When your body is out of whack (yes, that's the technical way to describe it), you may crave the thing that makes it worse. Maybe you're craving that ice cream because your body needs calcium, or maybe it fits with your other cravings for candy and soda into a pattern of sugar addiction. Oops, I said addiction didn't I? Sorry, it won't happen again.

But here I must go into Chinese Medicine for a minute to explain the basic point of my article, which is that sometimes your body knows what it needs, and other times it is stuck in a vicious cycle wherein it craves exactly what is worst for it.

Chinese Medicine and Food Cravings
Chinese dietary therapy is as complex as chinese herbal medicine, which is extremely complex (go ask some Chinese Medicine students and they'll tell you all about it). Instead of going into that level of detail, we can talk more broadly from a Five Element perspective and still get some good insights.

Five Element Relationships
Each element has an associated season, emotion, taste, organ, etc. Here is a brief chart of the five elements.

As you can see, each element has an associated taste. Since I've already mentioned sugar/sweet cravings, let's talk about an Earth element-type person and how food cravings might work for them.

The Earth-type person tends to be a bit overweight, worries, is easily overwhelmed, and craves sweets. The taste associated with the Earth type is sweetness. In CM, this works two ways: small amounts of sweets can strengthen the Earth element, but overdoses can injure it. Both physical and mental digestion are affected. When the earth element is weakened, the appetite decreases, digestion is hindered (there may be tiredness or bloating after eating), sweets are craved in great degree and amount, the stool becomes loose, there is a tendency toward worry (mental and emotional indigestion), and fatigue sets in. Here's a study that concluded that obese women don't crave sweets for the emotional effect, but more for the experience of the taste itself. This study of Seasonal Affective Disorder sufferers shows that the ability to experience one taste or another varies with the seasons.

As I said, small amounts of sweetness can strengthen the Earth. In CM, herbs such as cinnamon and licorice are employed for this purpose. These herbs are sweet- not super-sweet like processed sugar, but naturally, moderately sweet. Someone with an Earth imbalance might not consider these herbs 'sweet,' not like ice cream or soda or candy. This is because the body has gotten off-kilter into a vicious cycle of craving exactly the wrong thing: huge amounts of supersweets.

Two other oft-consumed sweets are alcohol and carbohydrates. Studies of alcoholics have revealed that alcoholics have extreme sugar-addictions, that part of the alcoholic withdrawal is due to a drastic reduction in sugar intake, and that subsequent coffee, smoking, and sweet consumption may be a way of preventing food cravings. One study showed that nutritional therapy including low-sugar diet decreased alcohol cravings. Much has been made of carbohydrate addiction, and no or low-carb diets (including the Atkins diet) have been among the recent dietary fads. With all of this talk about how sweets can be bad for you, let emphasize that research also shows that preference for sweet taste is innately human, and that avoiding sweets leads to an even greater sweet-craving!

The Solution? The best thing to do would be to visit a CM practitioner a few times, get a personalized herbal formula for your imbalance, and take it with discipline. Some practitioners are extreme- they want you to change everything right away, re-arrange your diet, stop eating all the 'bad' things, take lots of herbs, and see them weekly so that they can regularly shame you into healthy living.

Another option is to check out The Diet Forum. They make available mutual support ("diet buddies"), and can also create you a detailed personalized diet plan based on your answers to a dietary survey. Click over to the Diet Forum.

As a self-confessing coffee addict and former smoker, I understand how difficult it can be to change dietary and lifestyle habits. My belief is that acupuncture, herbs, and dietary therapies exist to help you make the transition from imbalance to well-being both possible and comfortable. Real change takes time; moving too fast can lead to short term mega-progress but ultimately result in relapse and a net gain of zero. My point: take your time, change a few things, and stick with it. Be nice to yourself not only in commiting to your own well-being, but also in allowing yourself to progress imperfectly, to be human, to make mistakes.

Best wishes in your journey of health!

Brian Carter