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Hello. I am, , Moshe Heller. , and I am from Moshen Herbs on one hand and also representing Jingshen Pediatrics, which is a, , , organization that, , teaches, , , classes on. Pediatric treatments in, , in ACU with acupuncture. , and I’d like to thank the American Acupuncture Council for having me today and, , helping me host this.
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, very interesting talk about the concept of yin fire in pediatrics. So, , let’s start, , can we. Turn on the slides. Okay. So, , , I’m gonna be talking about this idea of yin fire. , and before I actually, , would like to discuss that, I wanted to, , bring your attention to the idea. That, , comes from, , pediatric acupuncture.
And, and I’m going to, , talk about, , this for a second before we go into yin fire. And that is, , an , , , , a concept that actually comes from Julian Scott, , from his book of the treatment of, , pediatrics in with acupuncture, , that there are five. Common patterns of disharmony in children. , and the reason I’m pointing, , to this idea is that there’s some, , , correlation or there’s some,
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Similarities between the ideas that he kind of presented, , presents, , in his book and the concept of yin fire. And we’ll see how that correlates in a little bit. But, , I want to remind to kind of discuss these five patterns as, , as, , as sort of like a a, an introduction. So these five patterns include, , a regular spleen G deficiency, , type.
, and that’s the, , , usually, , seen in a deficient type. . , patient, , pediatric patient. , usually they’ll have digestive issues similar to the same concept of having a spleen cheat deficiency in, , your adult, , patients. And that, that I don’t, I. I think I don’t need to, , explain too much. , hopefully everybody knows that.
, the other pattern, the next pattern is a lingering pathogenic factor, and that comes from the idea that children are more susceptible to pathogenic factors and. More so they are more susceptible to having these pathogenic factors linger and continue to influence them, , further than just, than, , the initial invasion.
The other three. The next one is called hyperactive kidney deficiency, hyperactive spleen, G deficiency and accumulation disorders. So these three are the ones I want to kind of point out because there are, , similar in, in that there, there is this kind of. The similar idea of yin fire, where you have a doll, , or a a, a rooted deficiencies condition that creates, , excess like symptoms.
And that’s at the root of yin fire. And that’s why I wanted to point out these, , three, , patterns. Also the hyperactive. Kidney deficiency and the hyperactive spleen deficiency both. At the root, , you will see signs of spleen deficiency are classical signs of spleen deficiency, coupled with a lot of behavioral excess meaning, , difficulty falling asleep.
Being hyperactive in their, in their behavior. , , kids that seem very, , , excessive and sometimes difficult to control. Although, , at the, at the core, they are presenting with a spleen deficiency, signs and symptoms, the accumulation disorder. Is classically according to, , Julian Scott, more of an belongs to an excess type.
But really I’ve seen a lot of accumulation disorder in my office that are deficient. Patients with the accumulation or these, these kind of accumulation of dampness and in particular, , that, , manifests as. , excess signs and symptoms. So I just wanted to, , give that as a, as a introduction, , to the, the idea of, , of yin fire because I think it’s not totally foreign or it’s not completely new, , in that type of thinking.
But, . Let’s talk about yin fire and, , just wanted to point out that, , the concept of yin fire was, , , discussed first by, , li Don Yan, , who wrote the book, , the P Lung in 1249. . In there. You know, we all know that, , li Donan was this, , , famous Chinese doctor who, , developed the idea of the spleen and stomach stu , school, meaning that he believed that a lot of, .
, disorders or most disorders were created or stem from this, , spleen, chief acuity. , and, , and , and in his discussions he discussed the idea of yin fire, which is, , again, , this idea of spleen vacuity at the core and then having. Which we’ll discuss, , what that means in a little bit. , and this idea of Li Donan was discussed, , and debated in many, I import by many important Chinese doctors throughout the years.
. And actually has gained more attention in today. I hear a lot of practitioners talking about Ian Fire. , not, , you know, recently and a lot of, , lectures and, and discussions, which is, , very interesting. And, , the reason I think it’s becoming very popular is because it’s actually. Can be an explanation for many chronic diseases, , or disease that are a mixture of a mixed pattern of excess and deficiency, , in combination.
And we’ll see how that works. , well in, in, in a, in a little bit. , but it’s, it’s, it’s actually, , although you see all these. Excess signs in, in the forefront because the, those are more, , clear. , the right treatment principle is a principle of strengthening and resolving the, the, the main, core idea of this deficiency that’s causing the excess like symptoms that are not really excess.
So, , I’m going to, I, I brought this excerpt from, , from the p , which is the opening, , , con, , , paragraph, , sort of defining what Yin fire is, and it’s, , translated by Lorraine Wilcox, , , which, , provides a very. Good translation in this. You can find, , her article about this, , translation very easily.
, , so let me, , read this, , because I think it’s really important to understand what is said here. So, . , and it starts by talking of, , saying this, if eating and drinking becomes irregular or cold and worth, warmth are inappropriate, the spleen and stomach becomes damaged. So the first sentence we see that the causes of this imbalance, the causes of this balance of, of, of, of the damage of spleen and stomach come from.
, diet basically says it’s either diet, , or inappropriate exposures to, , warmth and cold. , and the diet is, is, is really a very important, , aspect of that. And we have to, . , to, , you know, I, I wanna point out, , before moving on, that, that is, , at the core of, , the treatment pri principles.
When I see, when I recognize infire diet is one thing, I have a very long discussion with my patients, with the parents and the, the children, depending who I’m treating. , about regulating diet and not so much. Not as much as, , I put as, as much as emphasis on. The scheduling and how you eat and, , enough, , chewing and not swallowing, , your food, but chewing it and giving it time and having, , and eating in regular schedule, , as part of this kind of healing of the spleen and stomach.
So this is a very important aspect that, , that we need to pay attention to. Then he goes on on saying, or joy, anger, anxiety, and fear can also consume original qi, or it’s called, he names it as Yuan qe. And here we have to be. And , Lorraine also, , . , points out that when he, , when he call what he calls Yuan Chi, we have to be careful not to, , confuse that with what we call yuan kidney Yuan or Yuan Source.
It’s a different, this Yuan Chi is very much associated with what we might call the chin chi or the clear chi that comes out of. Digestion, right. So, , after, , Gucci is derived from the, the, the, the food and drink it is. Trans and it is connected with the, the, the, , the, the chio, the chi of the air. , it becomes this kind of, , yuan qi and it actually, , is associated with the lower Jiao.
So it’s, , it comes, it’s connected also with some, , of the kidney. , . Kidney. So, , it stems from the lower jaw and goes up to the upper. So, . That’s the Yuan Chi that we’re, we’re, we’re talking about in this case. Once spleen and stomach chi has declined and original Q has become insufficient, the only thing that is abundant is the pathological fire in of the heart.
So in a sense, this, , clear q, , allows the balance or allows the, the, the balance between. , that and heart fire. So once they are declining, , the fire in the heart becomes, , pathological. And this is, this heart fire is yin fire, which arises in the lower J and connects with the heart through its system.
So, , this whole system has to do with the relationship of the pericardium and the Tial fire and, , and it is associated with this kind of movement of qi. And so I. Of, of movement, of qi up and down and, , in our body. And therefore, , a lot of this yin fire is associated with stagnation, stagnation of qi.
So we’ll see that also in a little bit. So Minister Fire Min, minister Fire is the fire of the Lower JAO and the bau. There’s a whole discussion what BAU means, , which we won’t go, go into. , . And once that Tal fire is this, it is the thief of original Qi fire cannot coexist with the original qi. One of them will become victorious and the other will be defeated.
So we see this kind of mechanism that’s, , that’s described, which is . Which I want to sort of, , , in the next slide, I’ve sort of created this, , visual, , , presentation of it. , if we have the lower, middle and upper levels here, , this TAL fire should be, , coming down from the heart and placed.
, under the, , under the pot, if you say, of the spleen and stomach. , So the yanchi, , is also arises from here and, , and is in part of the process. But if the menstrual fire, , is misplaced, it creates, , more heat. If you can imagine this kind of menstrual fire as being the fire under the pot, if the fire is sitting aside from the pot, it brings up, , heat that harass, that can harass the heart.
And so, you know, as the spleen and stomach, , supposed to, , raise the spleen is supposed to bring up the chi to the chest and the stomach riping and rotting and, . It is supposed to connect with the lung chi to create Gucci. And then this is sort of the source of our postnatal chi and also the source of having a very strong and balanced ying chi and way chi.
, so as we can see here, this is all, , once this, there’s an imbalance here. It affects our ability to. , have a balanced immune system. It has, , a, a, a a very, it will affect the mechanisms of our own energy so that it will be very imbalanced and, , and, , if we understand this path of mechanism, we can understand and, , and see it in our patients much clearer.
So I want to just, , also point out that throughout these discussions and development, there’s actually a lot of, . Different. So, yin fire is not one thing. It’s actually a concept. And, , and, and in an article in the JCM, the Journal of Chinese Medicine, , called, , an Introduction to Chinese Medicine Concept of Yin Fire by Sean Randen.
, he writes this, , it’s a, it’s a great article and I, , would recommend reading it. , but he talks about this. The concept of Yen Fire has been discussed and debated through the history of Chinese medicine, and he brings this, , modern auth author from 2007, Leo Tu, who classified Yen Fire, according to four different categories.
. One. , the one of them is the, , what we, he calls occlusive exclusively Q deficiency, , yin fire as described by Lee Donan, you know, in his, in his book. That’s. Currently discussed, but he brings three more aspects of that. One is more, , , issue of XY and mostly this kind of XY cold, xin cold that, , actually the cold creating fire.
So he, , talks about the sea and fire created. From kidney cold. So this, again, this, we, you know, we can see this concept of dull , patterns. So a mixed pattern, cold and heat or deficiency, and what seems like excess. Also, , the other one he discussed is called Kidney in Deficiency, creating Fire. That’s a more classical part of that, but as it as this, if this fire is harassing the heart, that’s when we see yin fire in this case.
And the third one has to do with liver, gallbladder cheese stagnation causing depressive. Heat or fire, , also harassing the heart. So again, I just wanna point out in by this, , is that there’s a broader concept of yen fire other than just, , what we’ve just discussed.
So this is the end of part one of, , the concept of yin fire in pediatrics in part two. I’m going to be speaking about how does yin fire manifest in pediatrics more specifically.