DISCLAIMER: Dr. Heyne is a board-licensed acupuncturist and Doctor of Acupuncture and TCM. Dr. Heyne graduated in 2020 with a Doctorate from National University of Natural Medicine. The use of “doctor” or “Dr.” solely refers to that degree.
This video is for educational and informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, diagnosis, treatment or recommendation from your treating physician. It does not create a doctor-patient relationship between Dr. Heyne and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.
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Personal note: Thanks for following along. After the medical specialists I had seen for my own health issues failed, I found a Traditional Chinese Medicine practitioner that changed my life. My life mission is to show the world the clinical power and healing philosophy of TCM, to change the lives of as many as possible while I live.
Years ago, I had a patient who came in and before she even sat down, she just looked at me and she
said, I don't understand what's going on with my face. I asked her what she meant and she just
pointed right under her eyes and said, every single morning it looks like this. Like I didn't sleep,
like I'm swollen, like something is wrong and no matter what I do, creams, cold spoons, ice rollers,
nothing actually fixes it. What was interesting is that she was doing everything people usually
recommend. She was sleeping enough, she was drinking water, she was eating relatively well,
but every morning she still had that same puffiness, the same heaviness under the eyes.
And this is something that I see all the time, where people assume that this is just a skin issue
or an aging issue, but what I told her next completely changed how she saw it. I said,
this has almost nothing to do with your eyes and once you understand why, this becomes a lot easier
to fix than most people think. Hey guys, I'm Dr. Alex Hine, board licensed doctor of acupuncture
and traditional Chinese medicine and author of the health book Master of the Day. Let's jump in.
Now in conventional medicine, puffy eyes are usually explained through a few main causes
and all of them are actually pointing in the same direction if you look closely. The first is fluid
retention, which means that your body is holding on to excess water, especially overnight when the
circulation slows down. The second is lymphatic congestion, where the fluid that should be
draining from the face is not moving efficiently, so it actually pools under the eyes. Third is
which can come from things like poor diet, allergies, alcohol, or lack of sleep,
leading to swelling in that delicate tissue. And the fourth is poor circulation, meaning that
blood flow to and from the area is not optimal, so fluid and metabolic waste start to begin to
accumulate. So even in conventional medicine, if you zoom out, all four of these causes are
really describing the exact same thing. Fluid is not moving. Now this is where Chinese medicine
becomes very clear, because instead of separating these into different categories, it brings them
all together under one idea, which is what we call dampness and fluid metabolism. This is really
important if you want to fix this. In Chinese medicine, the body is constantly transforming,
transporting, and draining fluids, and that process depends on three main systems working
together. System number one is what we call the spleen, which transforms fluids from food and
where it goes. And system number three is the liver, which ensures that everything moves smoothly.
So when any part of that system becomes weak or stagnant, the fluids don't get processed properly,
and they start to accumulate in areas where circulation is naturally weaker. And there's
even a classical idea that the eyes reflect the state of fluids and circulation in the body,
which is why this area is often one of the first places you start to see imbalance. So this is a
key reframe, because instead of asking, how do I reduce puffiness under my eyes? The more useful
question is, why is my body holding onto fluid in the first place? Because once you answer that,
the symptom becomes much easier to resolve. So the good news is that there are some very simple
things you can start doing right away that actually improve how your body handles fluids.
The first is something we already talked about in another context, which is basically
starting your morning with something warm like ginger tea. Chinese medicine point of view,
this helps activate digestion and fluid metabolism early in the day, instead of letting
the system stay sluggish. The second is something I'm going to show here, which is a gentle lymphatic
massage, where you basically lightly sweep under the eyes outward towards the temples,
and then down the sides of the neck, which helps physically move the fluid out of the area
and back into circulation, like lymphatic drainage. And the third is acupressure,
especially in some points I'm going to show in a moment around the eyes and the face,
which can improve circulation and drainage when done consistently, even just for a minute or two.
For example, one is called zhan zhu, which is the inner eyebrow. One is called cheng qi,
which is right under the eye. And an extra point is called tai yang, which is basically like in
your temples. Now the fourth thing is just simply avoiding cold or heavy foods in the morning. No
smoothies, nothing iced, nothing like that, nothing raw. Because in Chinese medicine,
those slow down the system that's responsible for transforming fluids.
Now, these may seem simple, but when done consistently, they change the underlying
pattern rather than just reducing the symptoms. Now, what's interesting is that even though a
lot of people have puffy eyes, the underlying reason can be completely different. For some,
it's more related to digestion and dampness, and for others, it's more about circulation
or inflammation. But from the outside, they could look the exact same. So if you're listening to
this and thinking, it sounds like me, but I really don't know what's causing it, I put together a
free root cause quiz right below this video that actually helps you figure out which pattern your
body is leaning toward. So you can stop guessing and figure out where the swelling is coming from.
So you can go to dralexhine.com forward slash quiz or check out the pinned comment right below
this video to download that quiz for you. Now, as someone who's an internal medicine doctor,
specializes in formulas, when you move into herbal approaches, this becomes even more
interesting. Because instead of just targeting the eye directly, you're actually helping the
body regulate fluids on a systemic level. So one of the most important herbs for this is called
huangqi or astragalus, which has been shown in research to support fluid movement, kidney
function, and reduce inflammatory signaling, essentially helping the body drain excess fluid
more effectively. And what's really cool is that when researchers studied astragalus, they found
that it doesn't just boost energy like an immune booster that people think it is, but it actually
regulates how your body handles water. Because in studies, it's been shown to improve sodium and
water retention by acting on kidney function and fluid regulating hormones. So essentially,
this herb helps your body stop holding on to excess fluid and start moving it properly again.
And in Chinese medicine, it's used to strengthen what we call qi, which is basically the physiological
power that powers fluid transformation. Another really effective herb that's sort of food grade,
it's safe to take food grade or medical grade, is fuling or poria. This is one of the most
commonly used substances for draining dampness, which means that it helps the body get rid of
excess fluid without exhausting you like a traditional diuretic. And when you combine
these into formulas, some formulas that are famous like wulingsan are incredibly relevant,
because this is a formula that's designed specifically to regulate water metabolism
throughout the body. It's a very, very effective and very strong diuretic. Now what's important
here is that research on these herbs often shows effects like improved diuresis, reduced inflammation,
and better fluid regulation, which aligns very well with what the Western and Chinese understanding of
dampness actually are. Now when you step back and look at the bigger picture, puffy eyes are not
random and they're not just cosmetic. They're a signal that your body is not processing and moving
fluids as efficiently as it could be. And once you start addressing that system, whether through
simple habits, acupressure, or the right herbs, you're not just improving how you look, you're also
improving your organ function as well. Which is why these changes often come with other benefits
like good digestion, better energy, or less inflammation overall. So the next time you're
looking in the mirror and you notice puffiness under your eyes, instead of thinking I need to fix
this, it's more useful to think what is my body trying to tell me. Because when you get that
message, the solution is much more straightforward and in many cases more effective. Now one of the
most important things for edema, eye bags, and fluid retention is what you eat. And Chinese medicine
has very different dietary advice for this. Now I shot a great related video discussing
the Chinese medicine diet, exactly what to eat, right up here.