Nike! An equinox exploration on psychedelics, running, and victory

In the story of the battle of Marathon it's rumored that, after running back to Athens following his people's brutal battle with the Persians, Pheidippides uttered a single word - nike!, which means victory - before collapsing dead from exhaustion. He most likely meant to convey news of victory in battle, but he may have meant it for himself, too: despite his unfortunate end, there must have been a moment of deep joy and satisfaction once he actually made it home.



So the outcome, I'm learning, may mean less than the struggle: experiencing challenge, whatever that means to you, is more life-giving than actually surviving, coming in first, or whatever external measure of success you may choose. When performed repeatedly, the process makes us "better", more creative, and more confident. Some say adversity builds character, but I'd say that it's moving through the adversity that really makes us strong.

At Johns Hopkins University, in the medical research department, they seem to have found pharmacological agents that can approximate these effects. When people consume them, their spirits become younger, their thoughts more flexible and tolerant, their minds more creative. In other research, clinicians are discovering that the profound retreat, fear, and rigidity that accompanies post-traumatic stress can be healed by similar substances. It turns out that these are deep, shamanic medicines that humans have used to "tone the spirit" for a very long time: mushrooms rich in the alkaloid psylocibin are gaining more and more interest as tools for psychiatric disease. Somewhere out in interstellar space Timothy Leary's disembodied energy construct is chuckling.

Psylocibin and other "psychedelic" substances are interesting in their effects. Most of them have a certain degree of discomfort that accompanies their use. Some, like salvinorin-A (from Salvia divinorum) are downright scary at high medicinal doses. If you've ever tried these plants or fungi, you may have noticed that there is a period of "ramping up" of the effects, a "peak" during which the effects are most intense, and a long "tapering off", which can last hours. During the peak, people can feel confusion and disorientation, or even fear, as pretty dramatic changes sweep over their bodies, sensory systems, and mind. I've often seen folks attempt to escape the drug's effect, which is unfortunately impossible, and get stuck in spirals of self-doubt, paranoia, and isolation - the classic "bad trip". But most of the time, we move through that tough part by letting go of fear, and then the hours that follow become a joyous celebration of "victory" in the battle with the darker side of the psyche.




Perhaps it is this struggle and release that makes psychedelics such good medicine: they present us with a challenge and a choice, give us a chance to meet the tough part of life, and let us wind our way through. This isn't the false sense of invincibility engendered by stimulants, nor the care-free euphoria induced by depressants. It's an actual challenge, and the work is up to us, not the substance. Once we do the work, we become "better", more creative, more confident. We may not need to cling to our old mental framework for self-validation anymore - so our personality becomes more tolerant. Fear loses the ability to keep us locked in.

So for me, finding a way to experience the tough parts of life routinely, in a safe way, is an important spiritual practice. I use physical exertion to do this, and specifically running. I won't go in to why I think running is the best tool for this - that's really just my own opinion. Ultimately, it doesn't matter how you get there, be it through running, other physical activity, meditative practice, fasting, your job, or maybe just your life's circumstance (the fact that I have to actually work at finding adversity in life is a reflection of my societal priviledge). So if you're a runner, what follow are some of my thoughts on training, progress, and balance. If you find your challenge elsewhere, take them as a metaphor during these days around the equinox, when the days rush fast to dark, and the wind blows leaves around.

We don't train for speed or distance - those are just tools. We train to keep going through the tough bits.

We don't train for speed or distance - those are just tools. We train to keep going through the tough bits. Speed and distance are ways to get us there. How do you know that you're experiencing difficulty in training? Well, it just feels difficult! But beyond the subjective feeling, there is a semi-objective way of quantifying your level of physical exertion: the ratio of strides per breathing cycle.

A breathing cycle is inbreath-outbreath. It's interesting to note that this cycle tends to settle into a regular rhythm with strides: during a light jog, you might get three strides in for each in-breath, and three more during the out-breath, for a total of six strides per cycle. Five strides per cycle is still pretty relaxed, but by the time you're at four strides per cycle, you are certainly working a little harder. I aim for this target in my workouts: the first quarter should be at four strides per cycle, the second and third quarter at three strides per cycle, and by the time you're at the last quarter, you should be experiencing some two-strides-per-cycle stints fairly frequently. Two strides per cycle is tough. It's hard to sustain. Try to sustain it.

Since the level of oxygenation required is a direct reflection of your fitness, there's no "pace" that correlates to two strides per cycle. It depends how fast you're going, how far you've gone, and how fit you are. You can get there quick with speed. You can get there slow with distance. But I've often thought, breathing in-out-in-out with every step, how the feeling I'm experiencing is the same feeling all humans have had at this level of exertion. It's universally relate-able. We may be going at different paces, but it's tough - and if we can push through it, we feel amazing! It's an altered state few even get to touch, let alone indulge.

Speed is the tool of fire - it's short, but intense. There are a couple of ways to experience difficulty using speed: you can go at a tough pace for a medium distance, or you can go really fast for a short stint, take a little break, and repeat (a practice known as "intervals"). As usual, start with a pace that puts you into four strides per cycle. If you're not moving naturally into a three-strides ventilation cycle by the 1/4 mark, you need to speed up. See how this can work for any distance? If you want to go for two miles, you should be switching to three strides by the half-mile mark. If you want to go for twenty miles, hold off until you reach the five mile mark.
Interestingly, when using speed as a tool, your heart rate is generally higher. Herbs that support this training are often hot and fiery themselves: ginger, cayenne, even turmeric. They improve circulation and maximize oxygenation. The injuries that result from fire-training are injuries to the soft, connective tissue of the body: ligaments and tendons. Herbs that support these are cooling and often demulcent: solomon's seal, comfrey, horse chestnut. Too much yang injures the yin.

Distance is the tool of water. It's long and slow, but grinding - eroding at you like waves on a rocky coast. You get to the tough parts by exhausting all your energy - a different feeling from the muscular fatigue that accompanies speed, but an important one to dance with. What's "distance"? It varies from person to person. If you start getting into a two-strides-per-cycle pattern after two miles, even if you start out nice and easy, then two miles is "distance" for you. But regardless, if you aren't into a three-strides pattern by the halfway mark, you need to pick up the pace.
When using distance as a tool, you need to feed your system with watery, nourishing herbs and foods: oats, even licorice. And the injuries that come from distance are often injuries to the vital fire: we need adaptogens like rhodiola, schisandra, eleuthero and cordyceps if we find that distance workouts leave us feeling achy, depleted, and listless the next day. Too much yin injures the yang.

Speed and distance are the fire and water, the light and dark, of training. Try for a little of both each week. But both are challenging. Though they reflect balance, we also need to balance difficult training with more restful, "easy" days. If you run three days a week, try for one speed day, one distance day, and one day where you stay at four strides per cycle or more for the whole run. This gives you a chance to warm up your body and then maybe do some gentle stretching or strength training afterwards. If you feel tired, haven't gotten enough sleep, or are a bit under the weather, consider modifying your workout: if you're going for speed, keep the same pace but go a shorter distance. If you're going for distance, keep the same mileage but go slower. Eat well. Take your herbs. Sleep deeply.

Finally, there's a seasonal cycle as well. Find the time of year when you like to go faster and farther. Find the time of year to focus on less vigorous exercise, too. If you listen to your body while ensuring regular, ongoing discomfort, then you will embody the spirit of the equinox: balanced, but rushing. Perfectly poised, but wildly flying apart. The repeated experience of challenge will make you stronger, and your mind and emotions will benefit, too. Victory!

Herbs for Athletes

Lots of folks are getting back outside and becoming more active as Spring (finally!) moves forward. When we stop to consider how much our physical frame and physiological systems endure for even a moderate walk around town (coordination, tendon stretching, impact buffering, blood sugar changes, and more), it’s remarkable that human beings perform so well when engaged in physical activity! Good pre- and post-workout nutrition is crucial, as quality fuels provide a lot more than just energy to our bodies, but beyond eating well, herbal support can address three key areas that are important for athletic types and for anyone who is even moderately active: preventing problems, enhancing stamina and endurance, and treating any injuries that might sideline us. Usually herbs are used internally for the first two areas of focus, and in treating injuries external and internal therapies can play a role.

Prevention: strong blood, good circulation, supple connective tissue.

The areas that tend to get the most abuse in many athletic disciplines (even walking) are the joints, ligaments that surround them, and the tendons that attach muscle to bone and joints. Muscles themselves can also experience strains and tears, but these usually heal more quickly than those in joints or connective tissue.

Stretching and listening to your body are, obviously, crucial. Beyond this there are some key preventive strategies where herbs can really help.

· First, it is important to build and maintain “strong blood”. This really means that the blood should have excellent oxygen-carrying capacity and plenty of red blood cells and hemoglobin, so that muscle tissue receives all the oxygen it requires for healthy aerobic activity. When starved and forced to work anaerobically (without oxygen) for any length of time, muscles are more susceptible to injury. Additionally, “strong blood” usually includes the idea of “clean blood”, a somewhat mysterious herbal concept, which usually means that there are fewer reactive free radicals present in the bloodstream. The blood itself is therefore less pro-inflammatory. Inflammation is, of course, at the root of much joint pain, chronic fascia, tendon, and ligament pain, and more.

Astragalus builds the oxygen-carrying capacity of the blood. It also is a preventive agent for common viral infections, often the bane of athletes. You can simmer a few tablespoons of the root with vegetables and/or bones when making a soup stock, or take about 500-1,000mg twice a day in capsule form.

Ginkgo is not that useful to strengthen blood, unless you’re moving to higher altidude (over 5,000 ft or more) and you aren’t used to the lower levels of oxygen one finds up there. 240mg daily of the standardized extract for 3-5 days prevents altitude sickness and speeds the blood’s adaptation to the new environment.

Curcumin form Turmeric has a host of beneficial functions in the body, but for athletes one of its most important is the ability to reduce inflammation overall by acting as an antioxidant and liver balancer. It is used for chronic joint pain and injury, but is an excellent preventive agent as well. To this end, we usually use about 1,000mg of curcumin daily, taken with a little black pepper in the middle of a meal.

Fish oil and other omega-3 fatty acid sources (lots of greens, flax seed for example) are another class of nutrients essential for keeping overall inflammatory burden in check. We suggest 2g daily for maintenance, and up to 4-6g daily during peak, intensive training.

One final nutrient is related to the side effect of a commonly prescribed class of medication. Statin drugs (lipitor, zocor, et. al.) are used to treat high cholesterol, but have the unfortunate side effect of depleting Co-Q10 from cells. I recommend this supplement for athletes who are taking statin drugs and notice an increase in fatigue.

· Blood with a good capacity to carry oxygen and control the production of inflammatory chemicals is a great start, but beyond this we also need to ensure adequate circulation. This is for the muscles again, but even more crucial for tendons and ligaments where circulation is notoriously poor to begin with.

Gotu Kola is a water-loving ground cover plant that grows quite well as an annual in Vermont. It is a tonic for connective tissue and also improves circulation and oxygenation of all organs of the body. The daily dose is 3-5 fresh leaves, or about that many droppers full of a liquid extract (tincture). 3 capsules a day is ok if nothing else can be found.

Hawthorn berries, Blueberries, and other colorful berry fruits are fantastic sources of bioflavonoids which improve circulation, reduce inflammation, and protect the heart and capillaries so they can continue to perform as efficiently as possible. Aim for ¼ to ½ cup a day of mixed berries, fresh or (even better) frozen. Jam preparations are also acceptable.

Caffeine should be used with caution. While a little seems to boost performance somewhat, it can also restrict circulation to the heart and muscles when overconsumed, leading to premature fatigue. Play it by ear – I typically find that 1-2 cups of coffee is fine. Black tea has less caffeine and way more circulatory-enhancing and anti-inflammatory antioxidants, too.

Performance: herbs that improve speed and endurance and enhance recovery

Most athletes are interested in ways, beyond training, that they can support themselves as they push the body further in distance, speed, intensity, or all of the above. Usually, one reaches a limit where the physiology’s ability to absorb more training and improve hits a plateau, and continued exertion can lead to burnout, injury, or both. Generally speaking, the “adaptogenic” herbs can push that limit back, allowing for more exertion, improvement, and therefore greater performance. Here are three excellent and effective adaptogens to help us bounce back faster from hard training and also improve performance in the short term.

Rhodiola rosea is the root of an Arctic plant traditionally used to support stress and counteract fatigue. Exercise is perhaps the “purest” embodiment of physical stress on the system, and Rhodiola can help both in the short term (before a race, e.g.) and long term by pushing back the threshold of fatigue and getting us quickly ready for the next workout. Try a liquid extract, using about ½ teaspoon once or twice a day during training, or ½ to 1 teaspoon before a challenging workout or race.

Eleuthero (a.k.a. Siberian Ginseng) is a classic athlete’s tonic. It was first researched in Russia to enhance the stamina of its soldiers and cosmonauts, but quickly found its way into the athletic programs as well because it is effective. 2-3g of the root are consumed daily.

Cordyceps is actually a mushroom, not an herb, and there is some conflicting research showing that it may increase performance and endurance when taken regularly. Some of the recent clinical evidence did not show much effect; my feeling is that it helps individuals who might be already in a depleted state (i.e. coming back from an injury, or following a taxing race). Typically between 500 and 1000mg are consumed daily.

Treating common injuries: anti-inflammatory herbs and connective tissue repair

In working with active people, it seems that the issues that come up over and over again either involve connective tissue (sprains, tendonitis, fasciitis) or joints and articulations (arthritis, bone spurs). The preventive health strategies discussed above are important, of course, as is a concerted program of rest and physical therapy to rehabilitate the injury. Beyond this, we have a lot of great herbs to use both topically (on the site of pain) and internally that are a great alternative to ibuprofen.

Arnica is used topically as an oil or gel, and internally as a homeopathic remedy (usually the latter is at a 30C potency). It reduces inflammation, prevents bruising, and just greatly speeds the recovery process for almost any injury, but especially sprains (twisted ankle, e.g.) and trauma (bashes, falls, etc). For more nagging, chronic injuries such as tendonitis, runner’s knee, IT band syndrome, fasciitis and more, Arnica is less useful but can still be helpful, especially if combined with Horsechestnut (see below).

Ginger makes an excellent compress for sore muscles or for specific areas of inflammation around a joint or tendon. Brew a strong tea by steeping 1 TBS of powder in a cup of hot water for 5 minutes, then soak a cloth with the tea and apply to the affected area a few times a day.

Wintergreen essential oil is another excellent liniment, more for arthritic and other chronic joint complaints. It’s a bit too strong to use “neat”, or undiluted, so use about 10-15 drops of oil in 1 ounce of a carrier oil such as olive or grapeseed oil. It has a very cooling quality, and works well in alternation with the ginger compress.

Horsechestnut is a remedy often used internally for varicose veins and chronic inflammation throughout the body. In Europe, it is also used topically for any type of connective tissue injury or chronic inflammation – sprains, and tendon/ligament/fascia injuries. The liquid extract is a great way to use this plant both ways: 45 drops twice a day internally, and rubbed directly onto the affected area topically twice a day. It reduces not only inflammation but also the swelling associated with it.

Final note: often many of these herbs are employed at the same time, depending on the situation at hand. For instance, a combination liquid formula made with Hawthorn, Gotu Kola, and Horsechestnut could be used to speed recovery from a twisted knee and prevent recurrence at the same time. Additionally, the concomitant use of internal and external herbs along with physical therapy that strengthens the muscles and connective tissues around the injured area yields the best results.

Statin drugs and muscle weakness in exercise

"It is well known that exercise is an important disease management strategy for patients with dyslipidemia. It may be less well known that these individuals, if taking a statin and participating in strenuous activity, may be at a greater risk for muscle pain and discomfort, which can potentially lead to nonadherence to medications, physical activity, or both."

So concludes pharmacist Thomas L. Lenz who reviewed the literature on clinical trials of exercisers on statins. These drugs (Lipitor, Crestor, etc...) are by far the best-selling brand-name medications globally. They're for reducing cholesterol (though it's debatable whether they actually reduce cardiovascular mortality), so it's a shame that they seem to be mutually exclusive with exercise, one of the best (non-medical) ways to reduce LDL cholesterol, raise HDL cholesterol, and decrease death from heart disease. Reason being, they can cause long-term damage to muscle fibers that results in weakness and injury. In severe cases, widespread muscle damage can occur and can be life-threatening. Most athletes to whom they were prescribed could not tolerate their weakening effects.

What does statin-induced myopathy (muscle weakness) feel like as compared to just good-old-fashioned soreness? Lenz gives some information:

...muscle pain and discomfort that is most significant about 2 days following strenuous activity and subsides after a few days without other symptoms is most likely exercise-induced muscle soreness. If, however, the discomfort does not subside after a few days and is accompanied by flulike symptoms, patients should be advised to see their physician.

Coffee, running, and skin cancer

Good news for runners who enjoy a cup of coffee before morning exercise: new research in mice seems to point towards caffeine combined with exercise as protective against skin cancer and the deposition of subcutaneous fat. The study involved caffeine-laced water, which arguably has no flavonoid content compared to coffee and thus is even less protective, but nevertheless the mice who consumed it and exercised had about 4 times more cell death in UV-damaged skin cells. Death (apoptosis) here is good - it sure beats growth and division (a.k.a. cancer)! Interestingly, exercise or coffee, by themselves, were much less effective against melanomas.
This is an animal study, and thus largely theoretical, and I would be the first to volunteer for a logitudinal study in humans. Nevertheless, it balances earlier news that marathon runners have a higher incidence of melanoma (I wonder if they were controlling for coffee intake?), and continues to bolster the idea that good quality coffee, at about 1-2 cups a day, has a wide range of protective effects similar to those of chocolate. Tropical herbal medicine.

Herbal support for runners

In honor of last Sunday's marathon in Burlington, VT, I offer some of my favorite herbs for dealing with common complaints runners (and especially distance runners) mention.
Chamomile (Matricaria recutita, Anthemis nobilis) is an excellent antispasmodic for the stomach and intestines. A mild tea (2 TBS of flowers brewed in 1 quart of hot water) relieves the cramping, "stitches", spasming, and gas that can develop over the course of a long run. Carry some with you - no more than 8oz for every 13 miles is necessary - and take little sips every few miles to help control gastrointestinal symptoms. The tea can be taken cold, and has a pleasant and refreshing flavor. Mix with a little maple syrup if desired for an extra sugar boost.
Rhodiola (Rhodiola rosea) is perhaps my favorite performance enhancer, working very well in the short term, reducing fatigue and improving your muscle's utilization of glucose and oxygen. Try 120 drops (about 4ml) of a liquid extract 20-40 minutes before a race. Because it gives you a "little extra" (without the dangers of stimulants like Ephedra), I save it for races and don't use it during training. Eleuthero (Eleutherococcus senticosus) is good as well, but needs to be taken for a few weeks for optimal effect.

Recovery and injury treatment can be a long and difficult process. Muscles bounce back quickly - feed them with adequate sugars and a little good quality protein. Ligaments and tendons, on the other hand, take a lot more effort. I've experimented with a variety of internal and external treatments, and have come to prefer the following regimen:
First off, gentle movement (walking or slow jogging) is preferable to just resting. This allows all the sinews in your legs to warm up, making the next step more effective.
Secondly, stretching after running is crucial. There are a variety of techniques out there - do your research and find what works for you. I like to allow at least 15-20 minutes for stretching, even after a short 3-mile run.
Thirdly, ice is your friend. After stretching, apply ice to problem areas for 5 to 10 minutes, and follow with a warm shower or compress. You can then apply Arnica (Arnica montana) gel or oil if there is any inflammation with swelling.
St. John's Wort (Hypericum perforatum) oil is helpful if you have radiating nerve pain, like a pinched nerve in your shoulders, or sciatic nerve pain running down the back of your leg. Rub a liberal amount of the oil on the problem area(s).
For long-term support in the health of ligaments and tendons, I rely on two herbs in particular: Horse chestnut (Aesculus hippocastanum) and Gotu Kola (Centella asiatica). Both help improve circulation and reduce inflammation. They can be taken as liquid extracts (Gotu Kola must be prepared fresh, in my opinion, to be most effective), and Horse chestnut tincture can be applied topically as well to excellent effect. I have used and recommended these herbs in combination for conditions like IT band syndrome, achilles tendonitis, plantar fasciitis, and the general sprains and strains of running. They work quite well, along with ice and stretching, over the course of a few weeks.

As the summer season comes into full bloom, keep on running (or hiking, or walking, or swimming, or paddling, or simpy playing) and stay injury-free with herbs!