Cold front

Deep breath.

Here’s something you probably didn’t know about me: I have a damp spleen. I didn’t know that about me either, although I suppose if I’d thought about it, I’d have come to the same conclusion. It’s inside my body, after all, and I hear it’s damp in there.

The recent diagnosis comes from my new acupuncturist. To be fair, he’s my first acupuncturist. I’m seeing him because I have lupus, and a back injury that still hasn’t quite healed, but mostly—and most importantly, perhaps—because I’ve lost my appetite.

No Western doctor I’ve come across seems to think this is a giant problem—apparently many women have appetite failures after having children. Physically, it’s a convenient natural counterpoint to a recent pregnancy, and to too many years of steroid treatments, sure. But with all due respect to people who are actually missing limbs, I have to say losing my hunger feels a little like an amputation.

I’ve never had an appetite problem before. Or, if you look at it another way, I’ve always had an appetite problem. I’ve always been the one who gets hungry two hours after a meal, no matter how big. I can test recipes all day and gorge on every single one. My workday often consists of eating breakfast, snacking at a coffee shop, having two lunches, testing a recipe, grocery shopping, then launching into dinner. I grew up with a mother who examines what everyone eats extremely carefully—“would you like to eat that, or glue it to your thighs?”—so my idea of teenaged rebellion was baking a batch of cookies and eating the whole thing. If you’re reading this, there’s a good chance you can relate.

But in the last few months—and if I’m honest with myself, I’d have to say it’s been a bit longer, even—I’ve learned that approaching the world stomach-first has its drawbacks. For one, I’ve built my career around said organ. Walking into a restaurant when I think I’m ravenous, finding only one or two things that sound even mildly appealing on the menu, then picking at my food does not feel normal (or productive, for that matter). I have phantom hunger; it disappears the moment something good hits the table. I’m eating out of habit, but it feels like I’m no longer tasting. It’s become so disappointing (and at times, embarrassing) to sit down over and over, expecting to love what someone has put in front of me, only to discover that I feel like eating about four bites—especially when the person cooking is me.

Once in a while, things taste good. Pasta’s been okay. I do seem to have an appetite for soups—hence the recent streak of hot and sour, and the fact that I went out for pho three times last week—but overall, it feels like something inside me has simply died. And it does not feel good.

So a few weeks ago, I started seeing this acupuncturist. He looks like your average software engineer: white as Wonder Bread, with a gentle, kind demeanor. I trusted him the moment we met. When I see him, he does the whole acupuncture thing—you know, hair-thin needles in strategic places—and he also suggested I start tinkering with my diet.

I hate the word diet. I don’t think it’s a coincidence that it has the word “die” in it, because in my mind, controlling what you eat, in the strictest sense, kills the part of eating that’s most enjoyable—the impulsiveness of trying something new, the serendipity of combining flavors that work well together. But Chinese medicine isn’t the only medical culture to claim certain people benefit from eating certain things. Remember when it was popular to eat for your blood type? And oh, yeah, thousands of years of ayurveda?

To start, since I’m apparently what Traditional Chinese Medicine (TCM) defines as a “cold” person (keep those jokes to yourself!), I should be eating “warm” foods—both physically warm foods and energetically warm foods. I’ve started with the former, trying to avoid putting anything in my mouth that’s actually cold (which is harder than you might think, even in January), and I’m hoping to branch out into the latter, which is, as they say, a whole other can of worms.

After a few weeks, I’ve noticed significant improvements with both the joints affected by lupus and my back pain. I’m peeling apples again. I’m checking my car’s blind spot without wincing. It’s awesome. (To be fair, I’m also tinkering with my traditional medications, and doing regular old physical therapy for my back, both of which may be helping, too.)

But this appetite thing? Still pretty much MIA. And if the acupuncturist is correct, we may actually be dealing with two separate problems—one of appetite, which in TCM is often spleen-related, and one of actual taste, which is more often heart-related.

So, now you know what I’m working on in the kitchen these days.

(Phew. That feels better. I was so nervous to tell you.)

Has this happened to you?