What’s the best food for covid 19 problems if you’re on anti-inflammatory medicine for immune type problems but suspect you have the virus?
April 27, 2020
If you have or suspect you have Covid 19 and are already in an at-risk category what food helps Covid 19 problems?
For example, what if you are already taking medicine for an auto-immune problem, or are on medication for high blood pressure, or anti-inflammatory medicines such as NSAIDs, like aspirin, diclofenac, ibuprofen, indomethacin?
This site’s background is Chinese medicine. Chinese medicine is over 3000 years old. 2500 years ago they wrote a text-book on it, still used today. Problems with the human body and its energy probably haven’t changed that much since then. Someone counted over 200 pandemics they’d dealt with over the centuries. Don’t disregard their thoughts on it!
To help you understand the thinking you need to grasp one or two basic ideas. The first is that of yin and yang. There’s much more about this if you click here and here, but briefly:
Yin and Yang
Yin and yang are just two concepts, like left and right, or up and down. You can’t have one without the other. They are interdependent, but opposite: each has its roots in the other. The thinking and ideas of all the great Chinese philosophers had their roots in yin and yang: Lao Tse, Confucious, Mencius to mention just three.
Yang starts at the centre of the Earth and rises up through us to the Heavens.
Yin starts from the Heavens and descends downwards through us to the innermost part of our being and of the Earth.
More prosaically, Yin is the status quo, the existing situation, the earth, stability; in a country it’s the people. It is nourishing, cooling, descending, relaxing. It changes only slowly: if you plant seeds, with favourable soil, sun and weather, eventually a shoot will appear, then a stem, leaves and the rest.
By comparison, Yang is the defence, the border, the future, movement: enterprise, changeable and disruptive. It creates and destroys. It includes our thoughts and aspirations. Warming, ascending, enlivening: exciting, it changes fast. The shoot, stem and leaves mentioned under yin are yang manifestations. They often emerge in Spring, a yang time of year, with turbulent, changeable weather.
The seed, yang, lifts and changes the earth, yin, forming new life. Eventually that life gets older, withers and dies, returning to earth, yin again.
Yin and yang together enable a highly sophisticated approach to life. In Chinese medicine it can be intricate and complex, and can explain most health problems.
How this works out in health you can discover on other pages on this site. In my books I’ve described how it works out in life.
In a stable situation, yin and yang roughly balance each other. Everyone, old or young, has yin times of rest and sleep, and yang times of wakefulness and activity.
When you are very ill, you are probably in hospital, moving very little, depending on yang forces (health staff, ventilators, knowledge of physiology) to preserve you. As you improve, yang returns and you can walk, cook, talk and live your life.
Excess and Deficiency
You can have:
excess yang: mania, epilepsy, heat, inflammation, sudden accident, acute illness, fever: combative and noisy. Read more at yang excess.
deficient yang is slow, cold, non-assertive; cannot defend itself – and is quiet. Find out more under yang deficiency.
excess yin appears as damp, phlegm, heaviness, lethargy. Rather like having ‘flu. It tends towards coldness. Read more at yin excess.
deficient yin appears as restlessness, inability to sleep, instability, lack of resources. It tends towards heat and inflammation. Find out more at yin deficiency.
OK Grasped that? Let’s put it into practice!
In health, our bodies when faced by unknown pathogens like Covid 19, should produce inflammation and heat: yang. That’s been how our bodies, with genes developed over millions of years, have always done it.
As heat speeds our metabolism, it works faster to develop antibodies to the pathogen. At the same time it raises your temperature to a point that favours your immune system and disadvantges the invader by taking it out of its comfort zone and ‘boiling’ it alive.
There’s much more on this in our page Cope with Fever. (Chinese medicine has a sophisticated understanding of how the body reacts when attacked by external pathogens like Covid 19, and what to do about it. Read more here.)
Modern medicine is very good at suppressing symptoms. We use it all the time:
When we catch a cold, we take something to clear the pain of a sore throat: ibuprofen perhaps
A child has a fever: Calpol – paracetemol
High Blood pressure: statin – ACE inhibitors
Skin rash: a steroid cream
Rheumatoid arthritis: NSAIDs and steroids
Auto-immune diseases are those where the body ‘misjudges’ its condition and attacks, with inflammation, what it thinks is a pathogen. This happens in rheumatoid arthritis, for example.
In all these cases we use a medication that stops our body producing the inflammatory response our genes inherited. Since all medications have side-effects, we often need other drugs to control them. Those too have side-effects. It’s a problem! The yang inflammation is treated with yin cooling or suppressing drugs.
With Covid 19?
With Covid 19, like many colds and other forms of influenza, the virus enters our nose and throat and digs in. It may stay there for some days, gradually getting stronger, often with reinforcements from outside, until it attacks further in, to our lungs. When the body keeps it in the nose and throat, there is sneezing and raspy dryness. (By the way, not all countries seem to encounter these symptoms. I’m told that in South Africa diarrhoea is a bigger problem. Diarrhoea is cathartic: purging is definitely a way the body clears Heat, and is used in Chinese medicine. Anti-diarrhoea or anti-motility medications like loperamide are not always such a good idea, if they keep the heat inside.)
Ideally your body produces a quick fever, destroys the bug and returns to normal business.
But when the bug gets into your lungs, a moist, warm place (regularly cooled by drafts of air) it multiplies.
Your body has various choices.
One is to produce a fever in your lungs: that could mean pneumonia. Some pneumonias can be treated with antibiotics. Not all.
Another is to smother the virus: phlegm. Too much phlegm is certainly counter-productive if it stops you breathing properly – or at all.
Both pneumonia (yang excess) and drowning in phlegm (yin excess) are dangerous situations that Western medicine strives to avoid. Hence, suppressive medication, which keeps you alive. (Ventilators, by the way, are yang in that they force you to breathe when you might otherwise have stopped. They support your body’s weak yang energy to keep you alive.)
Here’s the problem
Your body will keep trying, as long as it has strength, to produce heat.
This striving is tiring
Without fever, or until your body develops antibodies to the bug, you will probably remain infectious to others
The medications you take may suppress symptoms that might kill you, but they have side-effects that may interfere with your normal medication and they stop your body producing a quick fever to kill the bug
Your situation may be ongoing for some time with all that entails in worry for your relatives and burdening the health system
Suppressed by anti-inflammatory medication, yours is a weak yang response, gradually draining your yin reserves (your health and resilience, your family and your country’s health system).
Foods for Covid 19 problems
From the above, what food for Covid 19 should you eat? That’s supposing, of course, that you are conscious and able to choose.
If in reacting to Covid 19 you are producing or attempting to produce
a mild inflammatory process (yang)
heaviness, tiredness (classified as Damp in Chinese medicine: excess yin)
phlegm (Phlegm, a strong excess yin condition)
cough (your Lung function has been disturbed: whereas it should ‘descend’, it is ‘rising’ – in cough – a yang response)
… what food for Covid 19 should you eat?
First, if you don’t think food has any effect on your pathology, either stop here, or take a deep breath! Chinese herbal medicine almost certatinly started in the kitchen, and has grown over the millennia into a hugely sophisticated and powerful resource.
Medicines are like concentrated herbs: many modern Western medicines would taste revolting were it not for sweeteners etc.
Herbs act like concentrated foods: but even herbs aren’t sold on taste! (Although they aren’t that bad!)
Foods are gentler, safer and their taste can be altered to suit.
The Chinese regard food as being medicinal. Eat what keeps you well!
The following concentrates on just those symptoms mentioned above. If you have other symptoms, other foods might be necessary to take or avoid.
Obviously you don’t want foods that increase inflammation! Even if inflammation is what your body is trying to produce, you don’t want to negate the effect of all the medication you’re taking to suppress that inflammatory response. Foods that increase inflammation are yang in nature, and often heating.
Obviously you don’t want food for covid 19 that increases phlegm or damp. Indeed, aim for foods that reduce damp and phlegm.
And you want food that, if possible, soothes cough.
Which Foods are Yang, so might increase inflammation? You would avoid these:
Just to remind readers … this page, about food for covid 19, is for people who are taking medication to stop, suppress or reduce inflammation and fever. For others, a quick fever might be a very successful way of overcoming Covid 19. See Cope with Fever.
Strong herbs and spices that increase yang.
Because your medication is trying to stop your body producing a yang, inflammatory reaction, you must avoid:
garlic (yes, I know it’s good at killing bugs, but it does that partly by making your body heat up, which makes your body try harder to combat the anti-inflammatory medications you’re taking)
dried ginger powder (regarded as being very heating, in Chinese medicine)
strong curry spices
any herb or spice that produces in you a strong heating effect, or a rash
Which foods might increase inflammation, especially if taken too often?
All the following have a yang effect in most people, being warming or heating. If you want to avoid increasing inflammation in your body, avoid them.
spirits, fortified wines
animal fats (though everyone needs some fat to enable their bodies to create the hormones they need)
black pudding (a delicacy appreciated by many Scots)
deep fried food, including chicken and cheese nuggets, and potato chips
for a longer list of foods that may be too heating for you, check hot foods.
any food that in your experience is inflammatory for YOU
for some, foods in the nightshade family: eg white potatoes, tomato, eggplant, capsicum/peppers
What about food for Covid 19 and Damp and Phlegm?
In Chinese medicine your digestion is regulated by what is called your Spleen. When stressed, your Spleen allows Damp to collect, making you feel lethargic, heavy and tired. It also, when stressed, cannot prevent Phlegm from appearing. Phlegm often lodges in the lungs though – in Chinese medicine – it occurs because the Spleen can’t clear it.
Some common foods increase damp and phlegm, or at least, they make it harder for your Spleen to prevent them. So avoid:
gluten-containing foods: wheat, barley, rye (there’s a list of non-glutinous grains further down this page)
sugar and sweet foods, puddings, cakes, biscuits, sweets
dairy food: milk, cheese, cream, yogurt, kefir, even if unpasteurised and fermented, though unpasteurised, fermented dairy food is not quite as bad for you, but may still be too cooling for your digestion
ice-cream: if you have a weak digestion, soon after eating ice-cream, phlegm will thicken in your throat and you’ll have to keep clearing your voice before speaking
food made from refined grains, eg white wheat flour
raw food, such as in salads, fruit, raw vegetables (Again! Don’t eat raw food! Cook it before eating and eat it warm.)
refined starch and highly processed starch products
too many mushrooms (which in smaller quantities often help to clear Damp!)
some foods containing yeast
fat in food
food eaten when you are tired, or just before going to bed
Being non-glutinous, these grains do not usually increase Damp or Phlegm, so make good food for covid 19 choices.
millet including Job’s tears, used in Chinese herbalism (yi yi ren) to drain Damp
tapioca, made from cassava
Barley is a little glutinous but many gluten-intolerant people seem able to tolerate it.
Which foods help clear Damp?
Ensure all food and drink is taken warm. Cold food/drink is harder to digest or for some people takes longer to absorb, inclining you towards Damp
Chew food well, taking time to eat in relaxed surroundings, with regular meals and time to relax afterwards before returning to work
Ginger root, slices of it, either added when cooking or as a tea, sipped regularly
non-glutinous grains, see above, including barley. (Roasted barley tea is used in some Asian countries as a diuretic.)
Yi Yi Ren, or Job’s tears (Coix seed, semen coicis) is a famous grain used to help clear Damp, often used for that in Chinese herbal formulae
bean sprouts (cooked, taken warm, because on their own they have a cold quality)
bean pods including sugar snap peas, snow peas and string beans
fermented food like sauerkraut, kimchi: mostly these are eaten cold – cooking them kills their good bugs – but ok if taken with other, warm, food
fungi and mushrooms (which grow in damp places so know how to handle damp!). Eat them cooked, of course!
Corn-silk tea (made from the fine strings just inside the leaves covering maize)
Which foods help your Lungs?
Remember, in mentioning foods for Covid 19, they should all be cooked.
If you eat a food raw, be very sure to take warm foods before and after, and to chew very well and long so that your mouth warms it up!
But don’t eat cold food, if at all possible. The same goes for cold drinks.
The following foods are traditionally beneficial for your lungs, but really this applies, in most cases, to when your lungs are NOT in acute distress. So look on them as being to support and build up lung strength either before you catch something, or after as you convalesce.
Before reading the list, please do realise that one portion, once, of the food in question, won’t achieve anything! Also, that you need to address good nutrition and nutritional habits in general first. In other words, you need a good digestion and good food habits before any specially-listed foods, like below, can work. For more on that, read Nutrition.
Put another way, if you habitually drink lots of iced coffee and coke, eat your main meal just before bedtime, snack on popcorn and instant foods the rest of the day while at work, eating the foods below won’t improve your lungs. Don’t waste your money on them! You need to do other things first.
What about when you lungs ARE in acute distress? The general rule is that when you are ill, other rules apply. What to do or not do depends on the diagnosis. Gradually we are adding information on food to each ‘syndrome’ but it’s a big job so you may or may not find what you’re looking for.
cold food. (Note, some ‘cold foods’ are beneficial, see below, but should mostly be taken cooked and warm.)
Then, add Ginger: add ginger (slices cut from raw ginger root) to hot water, steep it and sip it frequently. Ginger helps both your Spleen and your Lungs. Also add diced ginger to stir-fry dishes and stews and soups. Not quite as good are turmeric root and fennel seed but they do have somewhat similar actions to ginger. Ginger is warming – yang – but does not seem to increase heat in your body unless taken in huge or very concentrated quantities, or in its powdered form.
Finally, some foods that may help you Lungs function better:
Pears. Stewed pears are a traditional food for lungs, being moistening – a Yin action. Make by stewing them in a little ( – a LITTLE -! ) honey or muscovado sugar. Being already sweet, when cooking they get sweeter, so you don’t need much sugar. Too much of the sweet taste will produce phlegm, so be careful. When cooking them, add a little cinnamon bark, which is warming, to counteract the cooling yin action of the pear. Other fruits that work in similar ways to pears are listed below.
Avocado (eat raw but sandwiched between other warm foods)
Banana (banana is a very cold food, so either take warm or in very small amounts)
Bilberry and blue berry
Citrus peel from small satsumas, tangerines and the like: first wash the fruit carefully before eating the flesh, then put the peel aside to dry out very slowly in sunshine or a very low oven for several hours. Once quite dried, the peel will be fairly fragile. Break into small pieces and make a tea out of it, or add to other dishes as a flavour. You need surprisingly little to provide a flavour. It reduces tensions in the chest and diaphragm making breathing easier, so assisting lung function.
Dates and figs: occasional, small quantities, use them in cooking rather than eating them in their raw fruit form
Radish, especially Daikon radish, the Asian form of radish
Tangerine – see also the peel, below
See cough for more on this large subject. That page explains how many ways coughs can be differentiated into syndromes, each requiring a different treatment and approach, diet-wise.
From what I’ve heard there are two kinds of cough caused by Covid 19. Let me know if you are aware of different coughs.
1/ Phlegmy or Watery Cough
Caused by either Phelgm or Damp. Read those two pages for explanation.
These are excess yin conditions and benefit from avoiding foods that cause phlegm or damp, which are listed above, but to recap: dairy, sweet, glutinous, raw and cold or iced food – and Keep off Ice-Cream! (Read also our page on Phlegm after Eating.)
Above you’ll also find a list of foods that help clear Phlegm and Damp.
2/ Dry, Raspy Cough
This can be due to 2 main syndromes in Chinese medicine: sometimes they occur together.
However, underlying both these conditions is Lung Yin deficiency which can arise as a result of either of the above syndromes. It occurs usually after one bad bout of either Lung Heat or Lung Dryness, or a succession of them.
So, here, you really need a proper diagnosis before designing your diet.
Using yin and yang, we can say that
Lung Dryness is a deficiency of yin moisture
Lung Heat is an excess yang heat
Yin deficiency of the Lungs is what it says, a deficiency of yin.
Since the first two can be confused, it is really important to get that diagnosis because if you add moistening foods to an excess yang condition (in an attempt to cool it, like putting water on a fire to douse it) you may get Phlegm, a worse problem! And if you think it’s a deficiency of yin moisture and add the wrong foods or herbs you may fan the flames of yang heat.
Also, sometimes you get first Lung Heat which dries out the Lungs. When you think you’ve got Lung Dryness you may actually still have residual Lung Heat.
If so, it is imperative to clear Lung Heat before tackling Lung Dryness! How, you ask, would someone know? Probably from your tongue and pulse and from looking at you and talking to you.