Psycho Somatics: A Marriage Of Mind And Body

Psycho Somatics: A Marriage Of Mind And Body

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Introducing Mind-Body Medicine

It seemed to me most apt to kick off this mind-body blog by introducing our central premise – the oneness of the mind (psyche) and body (soma) as it relates to health and healing. The term psychosomatic, though having a precise scientific meaning, is sometimes associated with negative beliefs such as: disease resulting from neurotic behaviour, or maybe an imagined ailment which exists only in your mind. Nothing could be further from the truth

The term embraces psycho (mind) and soma (body) and refers to the observation that there is an intimate relationship between mind-body where the condition of one is reflected in the other.

 Some “conditions” are considered especially prone to being aggravated by psychological stress: the skin disorder psoriasis, for instance, or irritable bowel syndrome and high blood pressure. Psychosomatic or “functional” disorders tend to be classified as such when medicine has not yet found a definitive physical cause. In fact all healthy and dysfunctional states co-exist in the psyche and soma in a bidirectional way, and all states of health and disease may, in this sense, be considered psycho-somatic

Body-Mind Connection

While it’s not difficult to understand how physical illness and pain can impact you emotionally you might ask “how does a mental state aggravate your gut or increase your blood pressure?” To answer this we need to look at how the body orchestrates the myriad activities that make up our physiology

 The human body is regulated by three great interconnected and intercommunicating systems

  • The nervous system – processes data and regulates bodily functions on a moment to moment basis through electrical impulses travelling along nerves
  • The endocrine system – does this over days, weeks or months through circulating messengers we call hormones
  • Finally the immune system distinguishes between self from other to keep us safe from external and internal invaders, including bacteria, viruses and cells which have undergone malignant change

Autonomic Nervous System

The nervous system can be (artificially) divided into sub-systems. Of interest to psychosomatics is the division into

  • somatic (SNS) – associated with movement and sensation, and
  • autonomic (ANS) – associated with internal functions such as digestion, breathing, blood pressure and, crucially, inflammation

The ANS itself has two arms: the

  • Sympathetic system (SNS) – responding to danger by preparing the body for fight or flight

SNS activity is associated with stress and is pro-inflammatory. Though essential for our survival, persistent activation is associated with some of the harmful effects of stress and inflammation

  • Parasympathetic system (PSNS) – associated with two distinct responses:
    • freezing reactions (feigning death) to a situation perieved as a major threat to survival – this is the phylogenetically oldest response to threat, associated with overwhelm and thought to be the basis of post-traumatic stress
    • rest, digest and social interactivity in response to sensing safety – this is the phylogenetically most recent adaptation, unique to mammals.

Fight, Flight And The Stress Response

The World Health Organization defines stress as

“… a state of worry or mental tension caused by a difficult situation. Stress is a natural human response that prompts us to address challenges and threats in our lives. Everyone experiences stress to some degree…”

Coined by the Austrian-Canadian Dr Hans Selye in 1936, stress refers to both the experience and the collection of bodily responses to a challenge. Dr Selye found that the body mounts a stereotypical response which he called the General Adaptation Syndrome (GAS) in response to any challenge

The GAS starts with an individual’s appraisal of a situation as challenging, and is followed by a cascade of hormonal and neural responses culminating in the release of cortisol and adrenaline from the adrenals. These substances prepare the body for action, quickening the heart, raising the blood pressure and diverting blood from the vital organs to the muscles. They also inhibit digestive activity, and some immune responses, while at the same time up-regulating inflammation

diagram of the fight and flight response

Fight-And-Flight Is Pro-Inflammatory

Inflammation is one of the most basic activities carried out by the immune system to protect us from disease. While inflammation is protective it can, when excessive, prolonged (chronic) or inappropriate (eg auto-immunity) cause us harm

Harmful effects from inflammation include

  • Bronchospasm in asthma
  • Bowel inflammation with pain and impaired absorption
  • Arthritis with joint swelling with pain
  • Blood vessel damage with deposition of fibro-fatty plaques (atheroma) causing obstruction
  • A range of mental health issues including depression

The connectivity between physical and mental health is perfectly illustrated in a recent literature review ( Viktoriya Maydych, 2019) which concludes that

“current research supports a direct link between stress, inflammation and reduced emotional attention, the triad itself being a predictor of depression”

Rest And Digest Is Anti-Inflammatory

Rest-and-digest responses are the province of the parasympathetic nervous system and are associated with feelings of safety. Its effect is anti-inflammatory, helping the body heal, repair and replenish its resources

The Vagus Nerve is the principle carrier of the signals orchestrating visceral rest and digest activity. You can learn more about the Vagus in my article Yoga And Vagus Nerve Activation

The Vagus Nerve has been shown to actively inhibit key inflammatory mediators through its action on the spleen, an immune – and therefore inflammation – regulatory organ

I hope this briefest of introductions into the mid-body polarity has served to illustrate how a strict division of the two is at odds with the current evidence. Every action, and every experience impacts on the mind and body as one

Of necessity we are primed to detect danger, spurring us to react with appropriate action. If the danger signal doesn’t give way to safety, we remain in a state of hypervigilance and persistent arousal, with negative consequences for our physical as well as mental health.

By nurturing the feeling of safety and relaxation, mind-body disciplines such as yoga can help you tone down the perception and response to stress and let your system rest, reset and heal

We’ll be returning to and expanding on the topic of mind-body unity quite a lot in the oncoming posts. Meanwhile, relax, stay safe, and see you soon

Reference

The Interplay Between Stress, Inflammation, and Emotional Attention: Relevance for Depression. Viktoriya Maydych. Front Neurosci. 2019; 13: 384

Shiozuke: Cucumber With Kelp

Shiozuke: Cucumber With Kelp

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Shiozuke

Salt Pickled Cucumber With Kelp And Chilli

Using salt to preserve food spans millennia. The earliest known records date back to 6000BC in an area around the Nile valley and Mesopotamia known as the fertile cresecent. Japan, however, has turned this process into the artform they call tsukemono

Tsukemono or “pickled thing” in Japan accompanies literally every meal, can be served over a bowl of rice and even forms part of the tea ceremony

The simplest tsukemono is salt pickled (shiozuke) and includes fermented and non-fermented varieties. Vegetables with a high water content such as cucumber are more usually lightly and briefly salted to extract water and concentrate their flavour without fermentation. Harder vegetables such as radishes, carrots and other root vegetables lend themselves well to fermentation

The lacto-fermented plums in the next post will serve as an example of the fermentation of fruit and veg

The principal of fermentation is to

  • use salt (2-10% by total weight) to suppress the “bad” bacteria, while allowing the growth of salt-resistant “good” lactic acid bacteria
  • ensure the fermentation takes place in the absence of oxygen, traditionally done by submerging the vegetables in brine

Basic Methodology

  1. salt can be added directly to the vegetables which are then rested to extract liquid which is used as a brine
  2. or the vegetables are steeped in a 5 – 10% salt : water solution or brine and
  3. in all cases the vegetable must be kept entirely submerged, usually with the help of weights to avoid air contact. Any part of the vegetable exposed to air will grow mould and other harmful micro-organisms and will spoil. You can buy special fermentation weights. I fill a sandwich bag with the same concentration brine, tie it with a strong knot and rest it on top of the veg. Foolproof

Pickling Times

  • 5% brine requires 8 hours pickling and will last for 2-3 days
  • 10% brine requires 5 hours of pickling and will keep closer to a week

Condiments

You can pickle vegetables with or witout extra condiments. This recipe uses kombu (sea kelp) and dried chilli with whole coriander seeds. Kelp is a natural source of umami, or deliciousness in the form of glutamate and related compunds, and is reputedly where MSG was first discovered before being synthesized for mass-production

The flavour combinations are basically limitless: for cucumbers try dill with sumak, or preserved lemon with black pepper. Experiment. Be bold!

tsukemono: salt pickled cucumber
Salted Cucumber With Kelp And Chilli
Prep Time 5 minutes
Course any
Cuisine Japanese
Ingredients
  
  • 1 cucumber thickly sliced
  • 1/2 tsp non-iodized salt
  • a few thin strips of kombu (dried sea kelp)
  • a few thin strips of dried chilli
  • 1 tsp whole coriander seeds
Instructions
 
  • put the sliced cucumber in a bowl with the salt and toss with your fingers to disperse the salt evenly. Add the coriander, kombu and chilli.
  • rest, covered at least an hour and preferably 5 hours in the regrigerator. Set a timer so you don;t end up with overly salty vegetables
  • VERY briefly rinse off the salt and use a clean tea towel or absorbent paper to absorb the excess water
  • serve in a clean bowl with the kelp and chilli. Try garnishing with a few black sesame seeds
Keyword pickles, raw-food, salt pickle, tsukemono, vegan

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Delicious And Nutritious Fermented Plums

Delicious And Nutritious Fermented Plums

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Fermented Plums: Powerhouse Of Flavour And Nutrition

The art of fermenting plums and other fruits has captivated taste buds and nourished bodies from ancient times to the modern age. Packed with probiotics, vitamins, and antioxidants, and delivering a tangy – fruity hit, these lacto- fermented treats are a nutritional powerhouse with a unique flavour profile.

As well as enhancing flavour by releasing umami, the delicious fifth taste, the process of fermentation provides the body with health promoting bacteria to help increase the bioavailability of nutrients, making them easier to digest and absorb, as well as supporting digestive, immune and mental health

Whether enjoyed as a healthy snack or used as a condiment in recipes sweet and savoury, these tangy treats offer a burst of flavor to enhance any dish, tantalizing your taste buds while supporting your wellbeing

Science Of Fermentation

Fermentation is a natural process that occurs when microorganisms, such as bacteria or yeast, convert sugars into acids or alcohol. In the case of fermented plums, lactic acid producing bacteria are responsible for the transformation. These bacteria break down the sugars present in plums, releasing lactic acid and other compounds that give the fermented fruit its distinct tangy flavor and health-promoting properties

Lactic acid is a natural product resulting from the partial breakdown of sugars in the body. Lactic acid is an intermediate product in the process of energy production in the body, notably when there is insufficient oxygen to fully break down sugar, such as during high intensity, anaerobic exercise. It can be further broken down into carbon dioxide and water in the presence of oxygen to release more energy

The fermentation process not only alters the taste of plums but also enhances their nutritional profile

Lactic acid is a good source of food for your friendly gut bacteria. Moreover, these beneficial microorganisms present in fermented plums produce enzymes that break down complex nutrients into simpler forms, making them easier for the body to absorb. Fermentation increases the availability of many nutrients, including the vitamins A and C naturally present in the plums, contributing to your daily intake of these essential nutrients

The Process Of Lacto Fermentation

Lacto-fermentation is the natural process of selectively enhacing the growth of lacto-bacilli, the species of bacteria which turn sugars into lactic acid

Since most fruit and vegetables naturally contain lacto-bacteria, all you need to do is to provide the conditions for these to proliferate in preference to other potentially harmful bugs. Two simple conditions must be met:

  1. provide a 2-10% concentration of salt
  2. create an oxygen-free environment

Lacto-Bacteria Are Salt Resistant

While salt kills most bugs our friendly lacto-bacilli don’t mind a bit of salt, though they do mind a lot of it. The minimum salinity to suppress unwanted bacteria is 2% by weight. Although lactobacilli can technically function in an environment of anything up to 10% salinity, they fully thrive at between two and seven per cent salt concentration.
An environment higher than 10%  in salt will suppress all microbial activity and lead to a curing process, a delicious way of preserving food outside the scope of this article

Lacto-Bacteria Are Anaerobic

Lactofermentation will only take place in anaerobic (no air) conditions. If your fruit or veg are directly exposed to oxygen they will soon develop mould and harmful bacteria which will spoil the whole batch

 There are a few commonly-used methods for preventing air exposure

  • Direct salting draws out water to create a brine in which you must keep your fruit fully immersed, usually with the help of a weight – sliced sauerkraut is usually made this way
  • Or you can mix a brine in which to immerse your veg – this is the method used for fermented whole cabbages, the leaves of which are used to make the Turkish stuffed-cabbage dish Sarma. Preserved lemons are commonly also made this way
  • Large pieces of fruit such as plums are rather more difficult to keep submerged and do very well fermented inside a vacum-seal bag. These are easily available and guarantee a scrupulously anaerobic environment.
  • The vacuum-seal technique is the product of René Redzepi, head chef of the Michelin starred Noma restaurants. When fermenting plums this is, for me, the method of choice

Health Benefits of lacto-Fermentation

Fermented plums come with a wide range of health benefits. Lacto fermentation increases the bioavailability of nutrients, making them more easily absorbed by the body. In addition, lacto-fermented food is rich in probiotics, live heath-promoting bacteria essential for a healthy gut.

Science is becoming increasingly aware of the importance of healthy gut bacteria for your overall well-being. Aside from supporting digestive function the gut microbiome provides essential support to your nervous, immune and other regulatory systems. Variety of species is now understood to be a crucial factor, a microbiome rich in different microbial species being associated with concrete health benefits

By supporting the function of the nervous and immune systems, the gut microbiata helps your body fight infection and optimize essential processes including inflammation, appetite, mood, sleep and cognitive function

Antioxidants in fermented plums further help combat oxidative stress and inflammation, reducing the risk of chronic diseases.

The combination of health benefits and taste will make fermented plums a nutritious as well as delicious addition to your diet

How To Ferment Plums At Home

Making your own fermented plums at home is a rewarding and straightforward process. Apply the two golden rules of salt and no oxygen and you’re good to go

There are a few different methods, two of which I’ll share here. The first is brine fermentation in a glass jar or earthenware fermentation crock. This is the old fashioned method requiring no specialist equipment. The second is the “Noma” method, named after the Michelin starred restaurant’s head chef René Redzepi. This method uses halved and stoned plums with 2% salt in a vacuum-seal bag and produces a wonderful, though small quantity of plum vinegar. Make your choice, and let’s go

To start, you will need ripe plums, salt, and a clean, airtight container. Begin by washing the plums thoroughly and removing any stems or blemishes. Next, make a saltwater brine by dissolving salt in water. Place the plums in the container and pour the brine over them until they are fully submerged. Close the container tightly and let it sit at room temperature for several days to allow the fermentation process to take place. Once the plums reach the desired level of fermentation, transfer them to the refrigerator to slow down the fermentation process.

Lacto Plums 1: Brine Fermentation

Unless you want to end up with a plum paste or vinegar (both delicious, by the way) your plums won’t take kindly to being squashed together to exclude air. Japanese omeboshi “plums” (they’re apricots really) are entirely steeped in crystal salt (traditionally 20% by weight of fruit) to produce a product that’s rather more cured than fermented

One way to keep the salt content lower is to use brine. 

1: Start by sterilizing your jar or crock and a second container where you’ll be mixing your brine

Wash the jar and lid / cover and any other utensils you’ll be using in soapy water.  Rinse thoroughly and allow to dry naturally. Don’t use a cloth or even paper towel. Just leave them util they’re dry. You can speed up the process by placing the items on a sunny window-sill or in the oven set to the lowest temperature. Alternatively sterilize your equipment by wiping all surfaces with pure ethyl alcohol or vodka

2: Prepare the brine.

We’re going to make a 2-3% brine. The percentage is relative to the combined weight of the fruit and water. Here’s how I do it:

Weigh a large empty jar or fermentation crock. Fill the jar with washed plums and add enough water to cover the plums by about an inch (2.5cm). Subtract the weight of the empty jar from that of the full jar and you have the weight of the contents. Actually I have electronic scales which will parse or zero the weight. In this case, put the jar on the scales, zero, then proceed as above

Weigh out the salt to 2-3% of the combined weight of fruit and water
Pour the water out into a pan, heat till boiling then add the salt, mixing well to dissolve. Allow the brine to cool completely before returning to the crock

Keep the plums submerged with a fermentation weight. Alternatively fill a plastic sandwich bag with water or brine, tie it closed with a good strong knot and sit it on top of the plums

Close the container tightly and let it sit at room temperature for 7-8 days to allow the fermentation process to take place. Once you see bubbles forming you’ll need to take off the lid daily to “burp” out the resultant carbon dioxide. When the plums reach a level of fermentation agreeable to your palate, transfer them to the refrigerator to slow down the fermentation process and enjoy them within a month

Lacto Plums 2: Vacuum-Bag Method

This second, “Noma” method gives you complete control of the fermentation process. The recipe uses halved stoned plums which release a delectable sweet-salt-sour vinegar with a non end of uses. I’ve been tempted more than once to down the lot in a shot-glass before breakfast. Delicious!

lacto fermented plums in a vacuum bag
Lacto-Fermented Plums Recipe
Vacuum-seal bags provide an oxygen-free environment for lacto-bacilli to thrive for a clean and speedy fermentation
Prep Time 20 minutes
Cook Time 5 minutes
Fermentation time: +/- 5 days
Ingredients
  
  • 1 kg plums washed, halved and stoned
  • 20 g non iodized sea-salt
Instructions
 
  • use a fresh vacu-seal bag
preparing the fruit
  • wash the plums under running water, cut in half and stone
  • in a bowl toss the plums with the salt to cover evenly
vacu-seal bag
  • place in a vacuum seal bag, spaced apart by a couple of inches
  • remove all the air with a pump
  • leave in a warm place to ferment. Depending on the temperature, this will take anything from 5 days to over a week
  • when the fermentation is underway the bag will fill with CO2 gas: burp the bag by opening, resealing and pumping out all the air once again
  • from this point on, taste a small portion of the fruit until it reaches a balance of sweet-fuitiness and sourness to your taste
  • recipes and ideas for using fresh and dried lacto plums and their skins follw
Fermentation times
  • At 25-28C this can take around 5 days. Fermentation at higher temperatures is quicker but gives a rather more acrid result. Generally, the slower the fermentation the better the taste
  • As usual the degree of fermentation depends on your taste. I like them sharp but retaining some fruity sweetness. Let your tongue make the decision
storage
  • the plums and their vinegar will continue to ferment. To slow this down:
  • store the fresh lacto-plums in their vinegar in the refrigerator for a month to 6 weeks
  • or sun-dry for 3 days and store without the vinegar in a jar or plastic wrapper. They will stay good potentially indefinitely without refrigertion
  • the vinegar can be stored seperately, preferably refrigerated
  • the skins can be removed and sun or oven dried until crisp, then flaked or powdered to be added as a garnish to raw salads and cooked dishes
  • recipes and ideas for using fresh and dried lacto-plums, as well the vinegar and skins follow later
Keyword lacto-fermentation, pickles, pro-biotic, raw-food, sides, tsukemono, vegan

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Roasted Tomato And Garlic Soup

Roasted Tomato And Garlic Soup

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Roasted Tomato Garlic Soup

With Sautéed Figs – And Goat’s Cheese?

Too late to make it to the supermarket yesterday I woke to just enough milk for coffee and no bread. Oat porridge, then, with rich, thick soya cream for Sunday breakfast: veganly delicious! StillI I thought I’d better try to make the 2pm deadline for the corner shop for emergency supplies. Little bags of green thingummies in the fridge were figs. Eyeing big, ripe beef tomatoes out of the corner of one eye lunch was sorted

I’m not overly attached to eating things in season. We humans have come a long way in farming since our hunter-gatherer days, and I’m OK with that. Still, I have to admit that things taste best when in season, and figs and beef tomatoes are in season here in Extremadura. As are cherries. Paprika, mercifully, is a condiment for all seasons.

Spanish tomato soup is served with figs and slices of toasted or fried stale bread. I skipped the latter in favour of using up left-over buckwheat risotto in a frittata. Some crisp endives over rocket and a bowl of Jerte cherries rounded off the meal

Roasting Tomatoes

There many ways to skin a tomato: the most straight-forward is under a hot grill. you want the skin quite charred, but the fruit still firm. Roasting by this method cooks the tomato quite a bit, so no need to sweat them: jump straight to peeling them once they’ve cooled down enough to handle and proceed accordingly

Roasting over a flame or charcoal gives the best flavour. I have a wok-shaped pan full of holes especially for the job. I love it, and wholeheartedly recommend it. Flame roasting requires a period of sweating to cook the fuit and let the charred aromas of the skin penetrate the flesh. !5 minutes is minimum. Longer is better

The tomatoes as well as the garlic can also be blackened on a hot skillet. You’ll need to stick around to turn them over frequently, though.

 If you don’t have all day you can just skip the roasting: plunge your tommies in hot water for 30 seconds, peel them and proceed accordingly. But you will be missing a whole dimension of flavour

Roasted Tomato & Garlic Soup With Sautéed Figs
Prep Time 15 minutes
Cook Time 30 minutes
Roasting & resting tomatoes 30 minutes
Course any
Cuisine Mediterranean, spanish
Ingredients
  
  • vegetable stock or a (good) stock cube
  • 2-3 ripe beef or plum tomatoes
  • 4 cloves garlic
  • 1 medium onion
  • a splash of olive oil
  • 1/2 tsp smoked paprika
  • 1 sprig rosemary
  • 2-3 sprigs thyme
  • 3-4 ripe figs
  • a knob of butter
  • fresh goat's cheese (optional)
Instructions
 
  • Start your vegetable stock by adding whatever veg you have to hand with a handful of herbs and spices to a pan.
    I made this one with carrots, white turnips, leeks, a stick of celery and a bunch of parsley (leaves and stems) plus a large pinch of fennel seeds
  • Boil then simmer for 20 minutes. Strain off the solids and keep back the stock
  • Meanwhile roast the tomatoes whole or halved if they're very large, and garlic, skin-on in a very hot oven or grill, on a skillet or over a naked flame (see notes above)
  • When the garlic and tomato skins are blackened wrap them in a kitchen towel over foil or plastic film and let them sweat for 20-30 minutes
  • Slice the onion and soften in a little olive oil with the finely chopped rosemary and the thyme. Adding a little salt stops then over-browning, as does a splash of water
  • Skin the sweated tomatoes and garlic. Slice the tomatoes thickly and the garlic very thinly. Add them to the onions, along with the paprika and cook for 5-10 minutes or until softened through
  • Add the tomatoes and other ingredients to the stock, or vice versa, season with salt and black pepper to taste, bring to the boil and simmer for 15-20 minutes
  • Top and tail the figs and cut them in 4 or 6, depending on their size, and sautée in a little butter - or olive oil to keep the dish vegan
  • Serve the soup in wide soup bowls topped with sautéed figs.
    Traditionally some toasted or shallow-fried slices of yesterday's bread are added.
    I prefer a couple of medallions or soft goats' cheese or a dollop of thick soya cream and a few chopped chives with fresh crusty wholemeal bread on the side
Keyword broth, figs, soup, stock, tomatoes

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Pasta, Caccio E Pepe

Pasta, Caccio E Pepe

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Pasta, Caccio e Pepe

Pasta With Cheese And Black Pepper

I’m not a fan of eating large amounts of pasta on a regular basis. When in Italy – I’ve lived and traveled mainly in the north – I get served pasta in quite modest amounts as a separate course before the main. Maybe it’s different down south, but I think this is the healthier way to enjoy a bit of pasta now and then

If you think pasta with cheese and pepper doesn’t sound like anything to write home about, well, I’m happy to tell you that on this occasion you’d be wrong

One of the great features of Italian gastronomy is sophistication of technique within relative, sometimes great, simplicity of ingredients. This dish, from Rome’s Lazio region illustrates this perfectly

I’ve seen recipes adding grated cheese and a bit of pepper to a plate of cooked pasta, with predictably rather dry and uninspiring results. Others try to cheat with cream for that unctuousness. Really? No!

Caccio E Pepe is a simple marriage of cheese and pepper with very lightly salted pasta water turned creamy, velvety emulsion with rapture inducing results (if you’re into that kind of thing). Like its close relative Pasta Al Aglio, Olio E Peperoncino (pasta with garlic, oil and chilli) it’s devilishly tricky to achieve perfection, but not so hard to get decent results, as long as you understand the technique. The secret to creating that perfect EMULSION is to let your hands work briskly while you yourself remain cool (anyone for yoga?)

Technique Tutorial Summary

The pepper is just lightly crushed with a pestle, then delicately dry-roasted to release its perfume

Being a Roman dish, Pecorino is the cheese of choice, though you’ll get great results with Parmesan or any hard aged ewes’ or cow’s cheese. To the fairly salty cheese you’ll be adding a little of the “glutinous”, salty pasta water. This requires that you use

  1. half the usual amount of salt in the pasta water
  2. half the recommended amount of water to get that glutinous consistency

First time I made this I used too little water for the pasta and ended up with a delicious, but rather sticky result. Thus, I took to keeping a small saucepan of simmering water nearby, ready to come to the rescue. I rarely need it nowadays, but it helps me feel secure

The pepper is coarsely cracked in a mortar and pestle and dry toasted in a frying pan at medium heat until you can smell the aroma

Start cooking your pasta, and once the water starts to look gloopy, add a ladleful to the black pepper in its separate pan (this is where the magic will happen in the final  stage)

Put half of the cheese in a medium size bowl. A couple of minutes of lively bubbling later, add the pepper water to the cheese bowl, whisking vigorously to dissolve it into a thin creamy emulsion, then add the remaining cheese gradually while the mixture is still hot, whisking to create a thicker cream

The pasta is allowed to just 3/4 cook before being finished off in the secondary shallow pan along with a ladleful or two of pasta water and sautéed (tossed) while incorporating the caccio-pepe emulsion in stages until cooked to al dente in its velvety nectar

Have your table very close by and your guests ready to tuck in. This dish waits for no-one

Let’s cook!

Pasta, Caccio E Pepe
Pasta with cheese and black pepper from Italy's Lazio region. Two ingredients, one big dish
Prep Time 15 minutes
cheese grating time 5 minutes
Total Time 20 minutes
Course any
Cuisine Italian, Mediterranean
Ingredients
  
  • 1/2 -3/4 pounds tornarelli, spaghetti or macaroni I always use wholemeal
  • 1 cup freshly grated pecorino or parmigiano or your favourite aged HARD cheese
  • 15 black peppercorns
  • salt
Instructions
 
grate the cheese
  • divide your grated cheese between two bowls
cook the pasta
  • follow the instructions on the packet using half the recommended amounts of salt and water
  • optionally boil some water in a small pan and have it simmering in case you run out of pasta water!
  • Cook the pasta till al dente but still a bit hard: you'll be stealing about 3-4 minutes from the recommended cooking time
prepare the pepper
  • while the pasta is cooking coarly crush the whole peppercorns in a mortar and pestle
  • when the pasta water starts to look gloopy put the crushed peppercorns in a dry large frying pan and toast on medium heat for a few seconds to just release the aromas
  • add a ladleful of pasta water to the pepper and cook on high heat for 2 minutes. This will release the pepper's aromatic oils into the water
emulsify the cheese, pepper and water
  • add the hot peppered water to half the cheese in a bowl, stirring vigiriusly to achieve a thin cream. While still hot add the relmaining cheese. If the resulting cream is too thick add spme more of the pasta water to achieve the consistency of thick double cream
finish the dish
  • transfer the pasta to the frying pan you used for the pepper along with a couple of ladle-fuls of pasta water
  • add the cheese-pepper emulsion in 3-4 stages, tossing the pasta contiuouslty. Add more pasta water to thin out if necessary and cook for 2-3 minutes until the pasta is cooked al dente and the emulsion is creamy and smooth. If if looks over sticky add a tiny bit more water, but careful!
  • Serve immediately
Keyword cheese, ova-lacto, pasta

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