Ramadan-Style Fasting from a Traditional Chinese Medicine (TCM) Perspective

Ramadan wishes card


Ramadan fasting, observed by millions worldwide, involves abstaining from food, drink, and other consumables from dawn to sunset. From a Traditional Chinese Medicine (TCM) perspective, this practice is relevant to the body’s Qi (气), Yin-Yang balance (阴阳平衡), and organ functions. While fasting has spiritual and physical benefits, its effects vary based on how it is performed ,on an individual’s constitution (体质, tǐ zhì) and on overall health condition. This essay explores the impact of Ramadan-style fasting through the lens of TCM, focusing on Qi dynamics, digestive health, and energetic balance.

Qi Dynamics and Energy Flow During Fasting

TCM emphasizes the role of Qi in maintaining bodily functions. The act of fasting has deep effect on Qi movement, primarily affecting the Spleen (脾, pí), Stomach (胃, wèi), Liver (肝, gān), and Kidney (肾, shèn).

1. Spleen and Stomach Qi Regulation (脾胃气机, pí wèi qì jī)

The Spleen and Stomach are central to digestion and nutrient transformation. Long fasting hours reduce the burden on these organs, allowing them to rest , boost Qi levels and recover.

However, careless fasting can weaken the Spleen Qi in those with pre-existing deficiencies, leading to symptoms like fatigue, bloating, and poor digestion.

Suhoor (pre-dawn meal) and Iftar (evening meal) should include warm, easily digestible foods to support the Spleen’s function.


2. Kidney Jing and Energy Reserves (肾精, shèn jīng)

The Kidney stores Jing (精), the essence of life, which plays a role in sustaining energy during fasting.

Careless fasting or adequate nourishment before and after fasting can deplete Kidney Jing, especially in individuals with underlying deficiencies, potentially causing weakness, dizziness, or low back pain.

Hydration and mineral-rich foods after fasting help replenish Kidney essence and prevent depletion.


3. Liver Qi and Emotional Regulation (肝气, gān qì)

The Liver is responsible for the smooth flow of Qi. It is important to take slow water release foods to avoid dehydration. The latter could cause Liver Qi stagnation (肝气郁结, gān qì yù jié), leading to irritability, headaches, or emotional fluctuations.

Mindful eating, proper hydration, and stress reduction techniques such as deep breathing or Tai Chi can prevent Qi stagnation.


Yin-Yang Balance and Body Constitution

Correct Ramadan fasting significantly benefits Yin-Yang equilibrium, depending on the climate, meal choices, and individual constitution.

Yang Constitution (阳盛体质, yáng shèng tǐ zhì)

People with excess Yang may experience overheating, thirst, and restlessness. Cooling foods such as watermelon, cucumber, and mung beans during Iftar help balance their internal heat.


Yin Constitution (阴虚体质, yīn xū tǐ zhì)

Those with Yin deficiency may suffer from dryness, fatigue, or dizziness. They should consume Yin-nourishing foods like pears, sesame seeds, and herbal teas such as chrysanthemum.


Qi Deficiency (气虚体质, qì xū tǐ zhì)

Individuals with Qi deficiency may feel weak and fatigued while fasting. Foods like congee, dates, and warm soups help strengthen Qi after breaking the fast.



TCM Recommendations for Healthy Fasting

To maintain balance during Ramadan fasting, TCM suggests the following:

1. Support Spleen Qi with warm, nourishing foods – Avoid excessive raw and cold foods, which weaken digestion. Cooked grains, soups, and warm teas enhance nutrient absorption.


2. Regulate hydration for Yin nourishment – Drinking warm water and consuming hydrating foods prevent excessive Yin depletion.


3. Prevent Qi stagnation through mindful eating – Eating too quickly or overloading the digestive system at Iftar disrupts Qi flow. Chewing thoroughly and starting with light foods like soups or dates aid digestion.


4. Balance sleep and energy levels – Since fasting alters sleep patterns, practicing gentle exercises like Qigong in the evening can maintain circulation and energy balance.


5. Avoid excessive dampness and phlegm formation – Overeating greasy, fried foods at night can lead to Damp-Heat accumulation (湿热, shī rè), causing sluggishness and digestive discomfort.


6. Encourage Movement to Prevent Qi Stagnation and Support Liver Detoxification

After breaking the fast, engaging in physical activity such as prayer movements, light stretching, or gentle exercises like Tai Chi and Qigong helps promote Qi circulation (气血流通, qì xuè liú tōng).

The Liver (肝, gān) plays a crucial role in detoxification, and movement ensures that Liver Qi does not become stagnant (肝气郁结, gān qì yù jié).

Salat (Islamic prayer) involves a series of postures that gently stretch the body and stimulate meridians, improving digestion and circulation.

Light walks after Iftar further aid digestion, preventing Dampness accumulation (湿滞, shī zhì) and promoting metabolic balance.




Conclusion

From a TCM perspective, Ramadan-style fasting offers significant benefits when managed properly, allowing for digestive rest, Qi regulation, and spiritual refinement. However, maintaining balance requires mindful eating, hydration, and activity. Fasting influences the Yin-Yang dynamic, with prolonged abstinence from food and water , beyond 16 hours, potentially depleting Yin, while excessive or improper eating at Iftar may lead to Yang excess or Qi stagnation.

To optimize the health benefits of fasting, it is recommended to follow the original, traditional way of fasting, which includes:

Eating Suhoor (pre-dawn meal) mindfully with warm, nourishing foods to support Spleen Qi.

Breaking the fast gradually with light foods such as dates and soups, avoiding heavy, greasy meals that disturb digestion and create Dampness.

Staying active after Iftar through prayer or light exercises to promote Qi circulation and support Liver detoxification.

Maintaining a balance between Yin and Yang by consuming hydrating, cooling foods alongside warm, digestive-supportive ingredients.


By adhering to the natural rhythm of fasting as originally practiced—moderate eating, hydration, and movement—one can harmonize Yin and Yang, strengthen the body’s Qi, and enhance both physical and spiritual well-being.




Chinese Bibliography (中文参考文献)

1. 李时珍 (Li Shizhen). 《本草纲目》(Běncǎo Gāngmù). 北京: 人民卫生出版社, 2005.


2. 张仲景 (Zhang Zhongjing). 《伤寒杂病论》(Shānghán Zábìng Lùn). 北京: 中医古籍出版社, 2012.


3. 孙思邈 (Sun Simiao). 《千金要方》(Qiānjīn Yàofāng). 上海: 上海科学技术出版社, 2010.


4. 王冰 (Wang Bing) 注解. 《黄帝内经》(Huángdì Nèijīng). 北京: 中国中医药出版社, 2009.


5. 朱丹溪 (Zhu Danxi). 《格致余论》(Gézhì Yúlùn). 上海: 上海古籍出版社, 2008.

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