I know a number of patients, friends, neighbors, and parents who have lived a long time; some well into their nineties. Many are healthy, engaged, and vibrant, while others are struggling with mobility, cognitive issues, or ill-health. I have always wondered why some people seem to remain healthy and functional even as they approach 100, while others don’t. Certainly, I want to live a long life, but with it I want to be able to enjoy a level of cognitive awareness and activity. So is there a secret to healthy longevity, and if so, what is it?
In the framework of Chinese medicine there are a number of factors that contribute to how you age, but one of the most important is the idea of Essence. Believed to be one of your body’s vital substances, Essence is a little like your body constitution and DNA all wrapped into one. You’re born with something called Pre-Natal Essence, which like DNA, is passed down to you from your ancestors. It determines how healthy you will be during your lifetime, as well as how you grow, mature, your fertility, and how quickly and healthfully you will age. As you get older, this kind of Essence becomes depleted, and when it’s completely used up, your life is over.
That’s not the end of the story, however. There’s a second kind of Essence called Post-Natal Essence, which can augment the Pre-Natal Essence that you were born with. The strength of this second kind of Essence is determined by what you do during your lifetime to support your health. It sounds a little confusing, but simply put the Pre-Natal Essence you were born with gets depleted over the course of your life, but Post-Natal Essence can safeguard it, effectively extending your life and protecting your health. Kind of like a Post-Natal checking account to preserve your Pre-Natal savings.
The key to guarding your Essence in order to extend your healthy lifespan is through living well and healthfully. This translates into eating good food, balancing work with rest, moderate sexual practices, keeping stress and strong emotions under control, and living moderately in general. Overwhelming stress, working exceedingly long hours, partying too hard, and eating too often from the drive-through window only serve to deplete your Essence.
While I have learned from studying Chinese medicine that moderation is key to aging well, I try to learn from the healthy older folks I know to find out if there actually is a secret—a trait or habit—they all have in common that can account for their vibrancy, even as some approach the century mark. While it seems that there is no magic secret, spending time with these elders point to a number of factors that are in play:
-Their spirit is strong. In Chinese medicine there is a saying that if the spirit is strong in a sick patient they are likely to survive. If their spirit is weak, even if the illness isn’t serious the prognosis is poor. The healthy older folks I know have a sparkle in their eyes showing that their spirit is strong, they’re present, and engaged.
-A sense of humor is important. In speaking with older people, the ability to laugh, not take themselves very seriously, and being able to poke fun at life’s absurdities are a key to good mental health and healthy emotions. Stress and strong negative emotions can impact your health in a number of ways from decreased immunity to poor digestion. In contrast, a positive mental outlook is actually protective when it comes to your health and longevity.
-All of the healthy oldsters that I know are engaged with other people. They spend time with family members and mutual acquaintances, and many continue to volunteer in their community. Most are happy to stop, talk, share a few stories, and connect. In Chinese medicine, this engagement and connectedness speaks to a strong Heart—the source of Shen, the spirit, and emotions. This willingness to engage only enhances mental and physical health.
-Staying active is also a key to longevity. The saying “Use it or lose it” is even more applicable when it comes to aging. Whether they’re taking daily walks, attending an exercise program, or just covering some ground with the use of a walker, active older people stay functional because they just don’t quit moving.
-Most people in their eighth or ninth decade will tell you that there is no secret to aging well. They don’t necessarily do anything to extend their lifespan. They don’t have special diets, miracle foods, wonder supplements, or a special exercise regimen. They just live their life and 85, 90, or even 100 just seems to happen.
While I realize living healthfully into old age is a crap shoot for each of us, I believe that there are factors that can increase your chances. If you stop and spend some time with healthy older folks, you will find that they live moderately, keep their sense of humor, keep moving, and don’t worry too much about the fountain of youth.