Abstract
Ancient scholars across cultures have postulated that by being less potent versions of herbs, food plays a substantive role in the maintenance of health and treatment of disease. A commonality among these traditional medical systems is in relation to the ‘heating’ and ‘cooling’ properties of foods. In this chapter, ‘hot’ and ‘cold’ classifications of foods are explored, along with ways to optimize health and combat disease. Scientific evaluations of ‘hot’ and ‘cold’ properties are also reviewed in relation to chemical compositions and physiological impacts. A broad scoping Google Scholar search was conducted to identify relevant articles. Scientific evaluations were heterogeneous and of mixed quality. Nonetheless some evidence supported the traditional ‘hot’ and ‘cold’ classifications. Overall, ‘heating’ foods were associated with metabolism and sympathetic nervous system enhancement via increased proportions of caffeine, carbohydrate, protein, fat, and calories; as well as greater oxidation potential; vasodilatory and pro-inflammatory effects; and higher acidity and aromatic compound content. ‘Cooling’ foods were contrastly found to be higher in water, fiber, alkalinity, and aliphatic compounds; as well as associated with anti-inflammatory, and detoxification (elimination) processes. With the potential to specifically tailor diets to suit individual needs, further high-quality research to substantiate traditional food classifications is warranted.
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References
Abbasnezhad A, Masoumzadeh M, Rasekhi H, Irani H, Kianmehr M (2019) The effect of hot- and cold-natured foods on the vital signs in the human. Indian J Forensic Med Toxicol 13:344–349
Adel Mehraban MS, Yavari M (2021). Diet recommendations for chronic diseases and aging: from Persian medicine to conventional nutrition science. Manuscript under preparation
Aghili AKSS (2008) Makhzan ul-Advia. The Institute of Medical History, Islamic and Complementary Medicine Studies, Tehran
Ahmad B, Akhtar J (2007) Unani system of medicine. Pharmacogn Rev 1:210
Anderson EN (1980) ‘Heating’ and ‘cooling’ foods in Hong Kong and Taiwan. Inf (int Soc Sci Council) 19:237–268
Ardekani MRS, Rahimi R, Javadi B, Abdi L, Khanavi M (2011) Relationship between temperaments of medicinal plants and their major chemical compounds. J Tradit Chin Med 31:27–31
Avicenna (2005) Al Qanun Fi Al-Tibb (Arabic). Alaalami Library, Beirut
Balasubramanian AV (2015) Traditional Indian concepts of nutrition: toward an integrative approach. In: Luisella Verotta EA (ed) Connecting Indian wisdom and western science: plant usage for nutrition and health. CRC Press Taylor & Francis Group
Beauchamp GK, Keast RSJ, Morel D, Lin J, Pika J, Han Q, Lee CH, Smith AB, Breslin PAS (2005) Ibuprofen-like activity in extra-virgin olive oil. Nature (Lond) 437:45–46
Chao DP, Chen JJ, Huang SY, Tyan CC, Hsieh CL, Sheen LY (2011) Effects of hot and cold foods on signals of heart rate variability and nail fold microcirculation of healthy young humans: a pilot study. Chin J Physiol 54:145–152
Chashti MA (2004) Exir-e-Azam. Tehran University of Medical Sciences, Tehran, Research Institute for Islamic and Complementary Medicine
Creswell JW (2003) Research design: qualitative, quantitative, and mixed methods approaches. Sage Publications
Currier RL (1966) The hot-cold syndrome and symbolic balance in Mexican and Spanish-American folk medicine. Ethnology 5:251–263
Dua P, Dua P (2011) Dietetics in Ayurveda-the forgotten science. Int J Res Ayurveda Pharm 2
Dulloo AG, Seydoux J, Girardier L, Chantre P, Vandermander J (2000) Green tea and thermogenesis: interactions between catechin-polyphenols, caffeine and sympathetic activity. Int J Obes 24:252–258
Farsani GM, Naseri M, Hosseini S, Saboor-Yaraghi AA, Kamalinejad M, Mohammadi Farsani T, Dorosti Motlagh A, Movahhed M (2020) The evaluation of basic and neurohormonal parameters in hot or cold temperament person proposed in Iranian traditional medicine: an observational study. J Contemp Med Sci 6(4)
Feng S, Feng L, Zhengli Z (2010) Correlation between amino acid content or hot nature of traditional Chinese medicine. Chin J Exp Tradit Med Formulae (Zhongguo Shiyan Fangjixue Zazhi) 16:91–95
Flaws B (1998) The tao of healthy eating: dietary wisdom according to traditional Chinese medicine. Blue Poppy Press, Boulder, CO
Guha A (2006) Ayurvedic concept of food and nutrition. University of Connecticut School of Medicine and Dentistry, Farmington, CT
Han X, Zhao H, Xu H, Yang Y, Liang Y, Xu D (2020) Molecular basis of food classification in traditional Chinese medicine. In: Statistical modeling in biomedical research. Springer
Hassani SS, Fallahi A, Esmaeili SS, Gholami Fesharaki M (2019) The effect of combined therapy with fenugreek and nutrition training based on Iranian traditional medicine on FBS, HgA1c, BMI, and waist circumference in Type 2 diabetic patients: a randomized double blinded clinical trial. J Adv Med Biomed Res 27:37–42
Hu JF, Zhao XH, Parpia B, Campbell TC (1993) Dietary intakes and urinary excretion of calcium and acids: a cross-sectional study of women in China. Am J Clin Nutr 58:398–406
Huang C-J, Wu MC (2002) Differential effects of foods traditionally regarded as ‘heating’ and ‘cooling’ on prostaglandin E2 production by a macrophage cell line. J Biomed Sci 9:596–606
Ibn-Sina HA (1998) Canon of medicine. Book II Materia Medica. Department of Islamic Studies, Hamdard University, New Delhi, India, Printing Press
Jaiswal YS, Williams LL (2017) A glimpse of Ayurveda—the forgotten history and principles of Indian traditional medicine. J Tradit Complement Med 7:50–53
Kastner J (2004) Chinese nutrition therapy: dietetics in traditional Chinese medicine (TCM). Georg Thieme Verlag
Kopp W (2009) Chronically increased activity of the sympathetic nervous system: our diet-related “evolutionary” inheritance. J Nutr Health Aging 13:27–29
Lai C, Lin B, Lin K (1997) Effects of high dietary fat and deteriorated frying oil on prostaglandin E~ 2 production in BALB/c mice. J Chin Agric Chem Soc 35:401–412
Lee MM, Chang IYH, Horng CF, Chang JS, Cheng SH, Huang A (2005) Breast cancer and dietary factors in Taiwanese women. Cancer Causes Control 16:929–937
Lee MM, Shen JM (2008) Dietary patterns using traditional Chinese medicine principles in epidemiological studies. Asia Pac J Clin Nutr 17
Leggett D (1995) Helping ourselves: a guide to traditional Chinese food energetics. Meridian Press
Liansheng S (1981) Discussion on four properties of traditional Chinese medicine (two) part of the drug are cold (or cool) two-way problem. Chin Tradit Patent Med 5:40–42
Lin X, Ni L, Liang F, Rao P (2003) Biochemical evidence behind the traditional Chinese yin yang theory in fruits. In: The 5th international conference on food science and technology proceedings, Beijing, China. China Light Industry Press
Liu C, Sun Y, Li Y, Yang W, Zhang M, Xiong C, Yang Y (2012) The relationship between cold-hot nature and nutrient contents of foods. Nutr Diet 69:64–68
Lo V, Barrett P (2005) Cooking up fine remedies: on the culinary aesthetic in a sixteenth-century Chinese materia medica. Med Hist 49:395–422
Logan MH (1977) Part five: Anthropological research on the hot-cold theory of disease: some methodological suggestions. Med Anthropol 1:87–112
Ludman EK, Newman JM (1984) Yin and yang in the health-related food practices of three Chinese groups. J Nutr Educ 16:3–5
Manderson L (1981) Traditional food classifications and humoral medical theory in peninsular Malaysia. Ecol Food Nutr 11:81–92
Manderson L (1987) Hot-cold food and medical theories: overview and introduction. Soc Sci Med 25:329–330
McCracken G (2012) Chinese dietary therapy in clinical practice. J Chin Med 60–67
McCullough JM, McCullough CS (1974) Las creencias del síndrome de calor-frío en Yucatán y su importancia para la antropología aplicada. Anales de Antropología 293–305
Mehraban MSA, Shirzad M, Ahmadian-Attari MM, Shakeri R, Kashani LMT, Tabarrai M, Shirbeigi L (2021) Effect of rose oil on gastroesophageal reflux disease in comparison with omeprazole: a double-blind controlled trial. Complement Ther Clin Pract 101361
Miraj S, Alesaeidi S, Kiani S (2016) A systematic review of the relationship between dystemprament (sue Mizaj) and treatments and management of diseases (Ilaj and Eslah-e-Mizaj). Electron Physician 8:3378–3384
Ni L, Lin X, Rao P (2007) Validation of a mathematical model for determining the yin-yang nature of fruits. Asia Pac J Clin Nutr 16(Suppl 1):208
Nimrouzi M, Zare M (2014) Principles of nutrition in Islamic and traditional Persian medicine. J Evid Based Complement Altern Med 19:267–270
Parvinroo S, Naghibi F, Zahediall S, Kamalinejad M, Sabetkasaei M (2014) The effects of seeds with hot and cold temperaments on serum thyroid hormones, corticosterone and urine vanillylmandelic acid concentrations of healthy rats. J Ethnopharmacol 156:216–221
Patel MR (2010) Applying the knowledge of Ayurveda to appraise the US nutritional paradigm. California College of Ayurveda, Nevada City, CA
Payyappallimana U, Venkatasubramanian P (2016) Exploring Ayurvedic knowledge on food and health for providing innovative solutions to contemporary healthcare. Front Public Health 4:57–57
Perera W, Jayasekera P, Thaha S (1979) Tables of food composition for use in Sri Lanka
Rahman SZ, Khan RA, Latif A (2008) Importance of pharmacovigilance in Unani system of medicine. Indian J Pharmacol 40:S17–S20
RamanamurthI PSV (1969) Physiological effects of “hot” and “cold” foods in human subjects. J Nut Diet 6:187–191
Rastogi S (2010) Building bridges between Ayurveda and modern science. Int J Ayurveda Res 1:41–46
Rastogi S (2014a) Convalescent food practices in Ayurveda. In: Rastogi S (ed) Ayurvedic science of food and nutrition. Springer, New York
Rastogi S (2014b) Ayurvedic principles of food and nutrition: translating theory into evidence-based practice. In: Rastogi S (ed) Ayurvedic science of food and nutrition. Springer, New York, NY
Redfield R, Redfield M (1940) The treatment of disease in Dzitas Yucatan. Contrib Am Anthropol Hist 6:49–81
Roodaki M, Faridi P, Abolhasanzadeh Z, Karimzadeh I (2018) Hot and cold: an old theory with modern applications. Trends Pharmacol Sci 4
Sarkar P, Lohith Kumar DH, Dhumal C, Panigrahi SS, Choudhary R (2015) Traditional and Ayurvedic foods of Indian origin. J Ethn Foods 2:97–109
Shahabi S, Hassan ZM, Mahdavi M, Dezfouli M, Rahvar MT, Naseri M, Jazani NH, Khalkhali HR (2008) Hot and cold natures and some parameters of neuroendocrine and immune systems in traditional Iranian medicine: a preliminary study. J Altern Complement Med 14:147–156
Soleymani S, Zargaran A (2018) From food to drug: Avicenna’s perspective, a brief review. Res J Pharmacogn (RJP) 5:65–69
Taghizadeh M, Memarzadeh MR, Asemi Z, Esmaillzadeh A (2015) Effect of the cumin cyminum L. intake on weight loss, metabolic profiles and biomarkers of oxidative stress in overweight subjects: a randomized double-blind placebo-controlled clinical trial. Ann Nutr Metab 66:117–124
Uribarri J, Woodruff S, Goodman S, Cai W, Chen X, Pyzik R, Yong A, Striker GE, Vlassara H (2010) Advanced glycation end products in foods and a practical guide to their reduction in the diet.Am Diet Assoc 110(6):911-916.
Wandel M, Gunawardena P, Oshaug A, Wandel N (1984) Heaty and cooling foods in relation to food habits in a southern Sri Lanka community. Ecol Food Nutr 14:93–104
Wu Q, Liang X (2018) Food therapy and medical diet therapy of traditional Chinese medicine. Clin Nutr Exp 18:1–5
Xie A, Huang H, Kong F (2020) Relationship between food composition and its cold/hot properties: a statistical study. J Agric Food Res 2:100043
Xu J (2019) The “active ingredients” of yin, yang and neutral food and the effect of these nutrients on improving and maintaining health. University of Texas at Tyler, College of Nursing and Health Sciences
Zaman R (2015) The principles of diet therapy in the Unani system of medicine. In: Verotta L, Macchi MP, Venkatasubramanian P (eds) Connecting Indian wisdom and western science: plant usage for nutrition and health, 1 ed. Taylor & Francis Group
Zargaran A, Azizi A, Kordafshari G, Borhani-Haghighi A (2014) Rhazes contribution to the role of nutrition in preventive medicine and public health. Letter to the Editor. Iranian J Publ Health 43:1461–1462
Zhang H (2006) Multi-analysis on the relationship between cold and heat property of 176 kinds of common food and six kinds of nutriments content. Henan University of Chinese Medicine
Zhang H, Zhao YX (2008) Multi-analysis on the relationship between cold and heat property of 176 kinds of common food and six kinds of nutriments content. Lishizhen Med Materia Med Res 19:1467–1469
Zhou Y, Wang H, Yang R, Huang H, Sun Y, Shen Y, Lei H, Gao H (2012) Effects of Litchi chinensis fruit isolates on prostaglandin E2 and nitric oxide production in J774 murine macrophage cells. BMC Compl Altern Med 12:12
Acknowledgements
The author acknowledges Dr. Paul Richard Saunders, Ph.D., N.D., R HOM, DHANP, CCH and Dr. Mohammad Sadegh Adel Mehraban, M.D. for editing the manuscript and Dr. Sanjeev Rastogi, M.D., Ph.D. for comments on the Ayurveda sections of the chapter.
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Ormsby, S.M. (2021). Hot and Cold Theory: Evidence in Nutrition. In: Hot and Cold Theory: The Path Towards Personalized Medicine. Advances in Experimental Medicine and Biology, vol 1343. Springer, Cham. https://doi.org/10.1007/978-3-030-80983-6_6
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