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Spring & Liver Detox

 

 

And today it’s very exciting because I’m going to be talking about the spring time and the liver detox.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hello and welcome. My name is Tsao-Lin Moy. I’m a licensed acupuncturist and herbalist with a brick and mortar practice in union square in New York city. And I’d like to thank the American Acupuncture Council for providing this platform where we are able to share information and knowledge. For our community, both the patients we serve and also the professional community to keep dialogue open about how acupuncture and Chinese medicine can help people make informed decisions about their health.

And today it’s very exciting because I’m going to be talking about the spring time and the liver detox. Okay. So we’ll, let’s go to this slide. So springtime as a. You practitioners know is considered the time of the liver. It coincides with wood and the emotions are anger. The energy is moving up. We have this energy of pushing through the earth.

So during the winter months, which is the kidney time, is this a time of hibernation and also the energy. The emotion can be a lot of fear. And we have been experiencing a lot of that because we’ve got these news cycles and if we don’t release and detox from that, we end up getting. A lot of built up frustration and anger and you can, you see how it will affect our emotions and our patients.

And important that we are with the season, we look to move with the season and that actually makes it a lot easier for healing to happen. Okay. So spring element is, would also relating to the liver and gallbladder. We’ve got the energy of movement and also. The warmer weather and increased sunlight, which is great because that means we can get some vitamin D and that is also a metabolized and made through the liver.

So when you have good liver function, you are actually able to produce enough vitamin D emergence from the cold again, hibernation, and really from, as we’re moving out of the pandemic. We have a lot of stress hormones, a lot of people, maybe your patients were self-medicating with alcohol. People are on a lot of like multiple or poly farm, a lot of medication like anti-anxiety blood pressure, cholesterol, and not sleeping well, not exercising.

And so as the weather gets warmer, we’re going to start to have this movement and I want to be able to help our liver detox. So the, if we work with the energy of the season, which is now the liver energy, it’s a lot easier because we’re going with the flow. We’re not going against nature. We’re actually using the rhythm of the seasons and aligning our biological clock.

To heal right. Facilitate healing and yes, if anybody has questions, please drop them in the chat. Let me know. If you have something that you want to ask me let me know if this is interesting for you. If you have Some comments. And yeah, let me know where you are.

If you’re in New York or California or Australia just give us let us know in the chat. So in Chinese medicine, the liver is role is to, is the smooth flow of cheat. Also the emotions and the blood liver stores, the blood. And also filters and detoxifies. So at nighttime, if you’re not sleeping well, then you’re also, your liver is not processing.

Now the interesting thing about the liver, it is the only visceral Oregon that possesses the ability to regenerate. And interestingly that if somebody 50 to 60% of the liver cells can actually be. Killed let’s say for example, in a, someone overdoses on Tylenol, that can happen.

You have a lot of, if you have patients that have pain in their medicating with Tylenol, it is possible. Hey Alan, in the Berkshire it is possible to really kill, like really destroy your liver. And the thing is that the liver can actually completely repair in 30 days. If there are no other complications, meaning they don’t have other problems going on in their system.

So let’s go. Oops. Okay. So here we’ve got a. The anatomy of the liver. And if you can take a look at where it is. It literally crosses over the entire midsection and really like stips right under the diaphragm. So things like, with liver, it’s like the sighing, the feeling you can’t take a deep breath.

And the reason is because the liver, if it gets swollen and irritated, it’s right up against the diaphragm and with. Make it very difficult to breathe and then also can actually affect the stomach, right? Because the it’s continues to cause contractions in the the diaphragm and that’s where we get the flank pain, difficulty breathing.

And then the referral pattern of, feeling the throat is clearing up is clogging up the plumping. So here oh, we’ll go to the next slide. We’ll talk a little bit more. So the major, the five major functions of the liver, and this is according to Western medicine is. Digestion metabolism and detoxification protein synthesis, and actually storage of vitamins and minerals, which I think is probably in Chinese medicine.

When they talk about the liver, storing the blood maybe really meaning nutrition or neutral. Nutrients for the blood, right? So blood has to have a lot of oxygen nutrients for it to bring to all the other organs and the different parts of your body. Also as an aside, recent studies actually show that the liver has a regulatory function in the central nervous system.

And is innervated by both the sympathetic and parasympathetic fibers, which really does mean, it is responsible for the smooth flow of emotion, right? So there’s a feedback loop that actually happens and comes together. When we’re feeling either in a place of fear or also facilitating a place of rest.

And just another, for all you acupuncture people out there, practitioners to really take a look of the picture on the right, gives you an overview of where the liver is. And then on the left. We’re looking at, Hey, look at where all these points are. And in particular, you look at a CD, 12 moot point of the stomach.

It will really land right where that ligament is for the liver and just surrounds it. So it’s really between the liver and the. Great. And see B12 is a point for making blood. It’s a blood point. It’s a very important point. And then the other points that are on the abdomen, but the different move points, you start to look at where they are in terms of surrounding the liver and the gallbladder, and actually how that helps to increase circulation and lymph flow and really functionality.

So liver patterns I made a list here. I’m not going to go over the patterns because that is as entire modules in the foundations of Chinese medicine for the most part as a refresher like liver cheese stagnate. Really any kind of liver issue is most there’s stagnation involved.

Of course, blood led deficiency. We’ve got energy, the young rising, a lot of wind, when we see wind, we know that liver is involved. A lot of digestive it’s always, liver is involved in that to gallbladder the dam, Pete, and any kind of blood deficiency. And for sure, a women’s health and reproductive health.

So one of the things that I would say is, especially around this time in the spring also allergies, we’re getting allergies and you get itchy. That’s a liver thing to really take a look at your patients and whatever their you have as their diagnostic, just to look at it from a perspective of liver oh, how is the liver involved in this?

And I think that is a, a very interesting angle to look at. You can actually do it for other organs too, but really what role does liver play in this? And if we do a detox and I’ll talk a little bit more about detox what does that mean for the outcome? And especially you want to do it now cause springtime, right?

Okay. So liver congestion, we have in this country, a lot of liver congestion and fatty liver stress hormones, they increase the enzymes in the liver and cause inflammation, toxins, chemicals, antibiotics, medication, plastics are huge. Apparently a lot of microscopic particles we consume about credit cards worth of plastic per week.

And our body has to. Process that or not. It’s also all over the environment. So even when you’re having the healthiest diet it you’re, we’re still being influenced by the things that we don’t have control over. We see in the U S a lot of metabolic syndromes, like diabetes, pre-diabetes insulin resistance.

Especially with polycystic ovary syndrome, a huge, more than 50% of our population is. And then what follows is, cholesterol, triglycerides, and high blood pressure. Like these become the that’s the triple where we see then the next thing is heart disease. A lot of people will have their.

Gallbladder removed a li like cirrhosis, all of like alcohol, a lot of the problems are not necessarily coming from a consumption of only alcohol, but it’s the, it’s all of it. Know our lifestyle, the foods, a lot of things that are called food are not really food, their product. And they lack so much nutrition that they actually have to add in vitamins and stuff.

And we’ve got a lot of endocrine disease and disruption and allergies, a lot of allergies and sensitivity. So that gives us a clue that the liver is getting overwhelmed and is not able to filter.

Statistics. And this is an old statistic. About 20% of adults have fatty liver, 5% of children, and this is really linked to obesity. And then again, two thirds of obese adults and half of the children that are obese have fatty liver, which is pretty scary because that is going to. Predict, with an actuary, how many people are going to end up on medications if they don’t do something right.

And a lot is this non-alcoholic fatty liver, right? So this comes from a lot of food relief. And also what I want to say is menopausal women post men in their fifties, the lower estrogen also increases things like fatty liver and metabolic changes. Pros and cons of detoxing. The pros are a liver detox program.

And what w what a program looks like is going to help the organ itself work as efficiently as possible. And this is because the liver organ that’s its job is to detox and to filter. So we’re looking at. If you have a healthy liver, you want to help it along. It’s going to relieve inflammation and toxicity in the body.

It also will help to lose weight because a lot of toxins are things like chemicals and pesticides are in a steroid type. I guess form. And what they do is that toxicity will then bond with fat cells. So if you’re trying to lose weight, what happens is you have to detox your body. So then the fat can actually metabolize.

And again, that reduce can reduce cholesterol and it’s sport it, supporting the liver, doing its job. And we’re really looking at balance and harmony, right? The cons of it. And this is really. Based on a Western model. There’s no evidence that we need to detox. And actually, obviously that’s not true.

But it’s really gonna come down to how are we going to detox? Certain programs increased that we don’t really know, they, they’re not really measured, but for our purposes in Chinese medicine, we actually look at a lot of other things, we look, is your skin getting better, if it’s working, are you having better? Bowel moves? How about are you have better sleep, also, on the market. And this is really more of the Western stuff. That’s out there with supplements. They’re, they’re very extreme and anything that’s extreme is gonna put a stress on the body and then actually have the opposite effect.

Also a lot of the detox supplements. There’s no. It, unless you’re able to really have a good digestive system and absorb. And that’s the idea of like detoxing or digestion is that your digestive system is working so that you’re actually able to absorb and process nutrients. And if that’s not happening then all these like supplements and things that are being marketed.

Are really going to just clog up your system. You’ll get minimum benefit from it. So really have to look at what does, when we say detoxing things like maybe fasting for a little while and just having fluids. So allow your your body to get a break that is also a way of helping to detox, and eating better foods. Simple steps to guide your patients. Definitely food diet there. Herbal teas, exercise, breath, work, massage acupuncture. So next. Okay. So it within the diet and you might already know. Of course of food. Food is one form of Chinese medicine, one of the eight branches and really eating within season, looking at the five elements.

What are the flavors? What are the the meridians and the organs that they help? So food as medicine for the liver and to actually lower, let’s say, lower cholesterol, or try to get glycerides, eating things. Green vegetables, steamed roasted, right? Not fried, using less of those oils.

You want it to be very easy to break down garlic and onions. Research shows that actually improves Habad hepatic function. So you start to look at. Adding certain kinds of foods into what you’re eating, and also the way that you cook the food sour and fermented foods like coleslaw pickles kimchi are also probiotic and prebiotic interesting lemon, lemon with water, they say, wake up in the morning, have a little lemon with water.

That it actually helps the liver to produce more of those enzymes to start metabolizing mushrooms. They’re very high in nutrient dense, low in calorie, and also have many antioxidants and anti-microbial properties immune function, they are a food. They also can boost the levels of leptin and leptin is that the hormone that tells you’re full and also helps to metabolize.

Coffee so recent I didn’t have a chance to put it in to the slide, to actually be in the slide. But like a new study is found that, coffee all kinds lowers the risk of liver disease and fatty liver cancer and death from liver disease. And really the benefit comes from drinking three to four cups of coffee, even de.

So they say and we’re looking at, it’s not about the caffeine. It is about what is the bean itself, if you’re going to have decaf, you need to make sure that it is the way that it’s processed. All of those things. So not just any coffee, like w you really want to take a look if you’re gonna drink coffee and coffee is a very strong has a strong psycho effects in the brain, neuro psycho effects in the brain.

It’s extremely strong, right? The also caffeine, has a big effect. The other thing you want to do is avoid animal proteins. You want to steer clear of a lot of. Meet a better to go with a fish something clean, like I wanna say cleaner, but easier to digest. Also dairies, very hard. A lot of people can not digest dairy and cheeses.

The other thing too is we’re looking at most of the dairy that we have is very, it comes from two cows or two to two genetically I would say modified but really bread. So they maximize output of milk. And so what happens is we don’t have a lot of variety and interestingly enough, that a lot more people are showing up as having a lactose intolerance again, avoiding processed foods because they add lots of chemicals and again, they may not even be food.

They may be products, that have little bits of food in it. Sugar is like a killer. You want to not have sugar? There’s plenty of things that you can have in fruits and vegetables, et cetera, et cetera, which your body will break down into the sugars that it needs again, alcohol. And if you are smoking really important to not smoke cigarettes, right?

Lots of chemicals and things your body has to process. So this is a, this is what detox would look like. Healthy living, herbal teas, and herbs. So dandelion, I put in dandelion, right? It’s poo gonging. It’s a. Antidiabetic antioxidative anti-inflammatory studies show that it ha acts on inhibiting oxidative stress in the liver reduces cholesterol and even reverses the streptozotocin induced diabetes, which is coming from taking a chemo drug.

So it’s really interesting that what I like about this is that you can actually buy. Dandelion tea over the counter. You can just tell your patients, go to traditional medicinals or you can buy, the dandelion and make it right. So very easy to do with not complicated.

Again. Chuck who Sao that’s more of an urban clear as in purge is heat a lot of like swamp swellings. It’s a summer drink. You can bring. Chrysanthemum again, milk fissile as well, and interesting Allo, it actually helps to clear the liver and constipation and kills parasites. A lot of people are, have parasites and a lot of digestive problems, and this is one way like clearing out toxins.

We’re looking at, okay, you’re activating this process and then you need to make sure that. And then again looking for drinking more like black tea or green tea, right? Because of its antioxidant effects.

Exercise stretching movement in particular like twisting movements, because that will actually massage the liver and also the organs. And so this is an opportunity like why exercise actually helps because as you’re moving, you’re also breathing and that will push down the diaphragm. And that actually helps to massage and milk, the organs to get their The blood and the lymph and the circulation

breathwork. And here just as an example of actually from the sod, you look at, it actually regulates the nervous system. And it also will help with the restorative sleep physically. You start to look at how the movement of the diaphragm and again, where the liver is seated will actually help to increase the limp flow and circulation.

And also you’re increasing oxygen into your body, which then you also, as you exhale, you are exhaling any of the Toxins. So you’re helping to filter out of the body in the system, giving it the oxygen it needs. And these are all free. You can do this on your own. It’s also just a great practice, especially if you feel like you’re sighing that’s a good sign that you need to do something.

Massage and lymph drainage. So the liver is the largest contributor of limb production. It accounts for up to one half of the body’s lymph fluid and, working with a massage therapist or actually certain kinds of movements are going to help to clear lymph and waste and swelling. And you can actually see, with patients have a little puffy phase puffy legs.

Poor circulation. We really want to help to. Drain the lymph. And most 70% of lymph vessels are just right under the surface of the skin. So things like skin brushing or gently, you could even probably do some lymph massage on yourself to help the flow. And also, people who have experienced a R serve up, have survived from cancer.

They have a, they really need to repair their liver, acupuncture and acupressure. You guys know all about acupuncture. And again at the beginning I said, the strategy and maybe think about how the liver is going to play a role in your patient’s health, especially now to shift from, okay, I’m going to do what I’m going to do.

My patient center. Custom radically customized treatment. And then I’ve got to see oh, from this angle, maybe liver is a big, like it is a big thing, but it really like slight shift of let me go with the season. Acupressure and Meridian massage, especially along the inner, the inner thigh, the legs, the liver spleen and kidney channels, really helping to move all of that up to, towards the big lymph area of.

The inner thigh and go to the next slide, I guess we’re done with that. So really I have to say very exciting is doing, the research right. To prepare for, Hey, what w what am I going to talk about? And the more that you dig in and research, especially if you suspect as a practitioner that there’s something connected to something else, you can actually go down a rabbit hole and find a lot of information.

And I, when it back in and I was looking at aloe, I was like, wow, aloe. Yeah, it’s good for digestion. But then I said, Hey, it, it actually relieves parasites too. And. And worms, and we never know we’re, where our food comes from. And so a very gentle and easy way for someone to drink a little bit of aloe juice and just help to gently move things.

And I think it’s a lot easier for your patients to incorporate yes. Drinking more water. I didn’t put that down, but it’s pretty obvious. If they can just add in some lemon to their water. It’s going to actually help them if they are thinking about when they’re moving or the movement to incorporate some kind of body twisting and moving and breathing, as a kind of meditative form, of course, we have to detox ourselves from social media, right? That’s a form of consumption, which really causes a lot of stress hormones. And that actually we see probably a lot of that, with irritability. And anger. And then of course, I talked about last time, a amygdala takeover and more inflammation.

And that would be really, a big area to really look at. Of course you need the social media because we’re doing this with the American Acupuncture Council. The but to really think about doing that just like a spring fast or something to take a break from some of the news that you’re reading and really like clear, clear out.

And again, also, in your home when to clear out the thoughts in your mind, but also, spring detox is also spring cleaning and maybe start to just really. Some of the attachment and also the fear that we’ve been, really take a look at that and how that’s been affecting our life.

So please comment and you want to join us next week with Poney Chiang he is going to be doing a fantastic presentation and please comments and messages. And also if there’s something that you really want to, some topics. That you were finding. Interesting. There’s always more so just know that this is all very much on the surface just to spark your curiosity and keep everything fresh.

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What Happens when you put Gui Zhi and Fu Ling together?

 

 

today we’re going to be looking at formulas that include both Gui Zhi and Fu Ling together and what they all have in common.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be many errors, so we suggest you watch the video while reading the transcript.

Hi, this is Sharon Weizenbaum. I’m really happy to be here this month and I want to thank the American Acupuncture Council for hosting me to give this series of talks. I hope it’s been educational and enjoyable for you. So today I’m going to keep on growing from what we talked about before.

So we started just talking about why classical formulas, and then we looked last time at. And today we’re going to be looking at formulas that include both Gui Zhi and Fu Ling together and what they all have in common. So I’m ready for the slides. So when we combine wager and pooling, you might remember from last time, if you were here that oops, back again.

When we were here last time we looked at the fact that wager treats upsurge that’s the first thing that the Shannon bonds have Jane mentioned about what wagers function is that he treats upsurge. And this is upsurge of young that loses its relationship with the. So when we combined greater and who’s playing, there is often an upsurge of pathological fluids.

So when we put greater and pooling together, we are bringing the warmth back in and transforming pathological fluids. So we’re going to look at how that works in a few different formulas. We’re going to, if you could change the slide. Yeah. So here’s a formulas that include wager and fooling. We’re not going to be able to go over all of these formulas today.

I’d like to just look at willing son and link way juke on tongue and mentioned the pooling Gunza tongue as a comparison. I think next time we’ll really go into glacier fooling one. Such an amazing formula. So useful clinically. They all are, but it deserves a lecture of its own. But all of these formulas have in common that they use Granger and fooling together.

And so they all have something in common and that’s transforming fluids and treating upsurge. Okay.

So here in my own words, since Granger is pungent and warm, it moves from inside towards the exterior. So punching flavor goes up and out in the body. We can see that a pattern that uses great jurors. One in which this function has not occurred. Glacier keeps the incoming young on the inside. So we’ve got young, that’s floating out, going upward, flushing up pathologically.

And when we take wager the new young that’s coming in is kept inside. And when it’s combined with Hulu and we can see that this as fluid accumulation due to failure of the young to steam, that yin upwards. And so the yen sinks into. Instead by giving glacier and pooling we’re reestablishing the warming upward and outward from within, in order to turn the pathological fluids into the life.

Giving steam. Okay.

Okay, so fooling is bland and it’s chalky. It means it’s a percolating earth. That means that actually strengthens earth, w if you’ve ever worked in a garden, like having really good soil rather than sand or clay means that the soil absorbs water and it drains really well. So we have a farm here and as working on our farm, we want this soil to be really good.

Absorptive. Soil because it holds water and it percolates watering. It helps drain water at the same time. So fooling really works that way in the body, increasing the absorptive capacity of the spleen so that it drains better. So this formula, which is a. The willing son is got a really high dose of fooling.

And actually it’s got a high dose of too much. Yeah. Also, so treats water causing Polis in the Abbey, gastric, just an art area. So in the water is really severe. You might even have pulsations as the water restricts the movement of the main artery. I’m also vomiting and retching dizziness, palpitations, inhibited, urine.

Okay.

So here’s a picture of our union symbol that I love so much. And we can see that the young is actually going down on the right. No, my hand is going down on my right, which looks like your left, but just imagine the union symbol that, that orange side is the fire that’s going down and the inside is going up, and this is what we would call young and right.

Relations. So in the, oh no, this slide has an animation. I hope that works here. Yeah. So in the pathology, the young is actually going up. It’s not rooting underneath the yen. And then what happens is there’s this accumulation of fluids. The youngest, not underneath the yen in order to transform it.

So gets swampy in the lower body and swampy in the middle,

and it can be swampy in the upper warmer. So different formulas that include quite you’re improving are going to treat water in different places.

So looking at willing son, when you combine this combination of plagiarism, pooling with Xhosa, jeweling and bite you, then you’re really working on water that has sunk down mostly into the lower body. To the extent that let’s say. There is thirst. And so when we give wager, we’re bringing that young back into right relationship and it steams that upward like that.

So the pathological fluid becomes this physiological mist. It spreads in the body. And with this formula, a key symptom for this formula. Thirst. And the reason why it’s thirst is because when that water is pooling down below, it’s failing to steam upward into the stomach and moisten the tongue. So it’s all puddled downward and not.

Physiologically moistening upward. So thirst is really a key symptom and it’s a bit hard to understand, isn’t it? Like you have all this pathological water. Why is the person thirsty? And it’s because it’s sunk down into the lower body. So when the wager comes in with the fooling, it brings that young into yen.

That’s being now absorbed into the body, steaming that upward all the way to the total. And you’re also able to pee out pathological. Okay.

So if we look at a formula here where we have more great. Like a really strong dose in Williamson. The glacier is actually quite low. We’ll look at the ingredients in a moment, but in this formula language, Yukon, tongue wager is a lot more and there’s a bunch of fooling and then it’s combined with guns and bite you.

Now, if we remember from last time that flushing up of grader can really affect the heart. And This formula language you gone, tongue is for water. That’s more in the middle warmer. We can see that with the gun sound bite. You instead of Xhosa Ling, so more in the middle warmer. So I put the cloud in the middle, but also the flushing up is going to really easily affect the upper body.

So there’ll be flushing up, not just a beyond, but a flu. They’re going to, that young that’s out of right relationship is going to act on the pathological fluids and make that flush up. So you get upper warmer symptoms of even more pulsations, palpitations, dizziness, nausea. Meniere’s syndrome.

This formula can be really good for many years syndrome, if there’s this water pathology. So that’s the picture of how that language you’re going to tongue works.

Young comes back into right relationship, and now let’s see.

There we go. So the water disappears and instead there’s that life-giving steam instead. Okay.

And of course it enables normal urination.

Okay. So now if we take out that bite, you and we add Shung Jong instead. Now, what does shone John do so good dose of Schunk Jong with great germ pooling. So we still have flushing up. We have flushing up a pathological fluids, but now we take out the bite you in. Sean, John. And really what this is for flushing up.

That’s really effecting the stomach. Showing John is really a stomach herb and it it kind of warms and steams fluids that are inside the stomach. So this formula is going to be more for vomiting up fluids, coughing, or vomiting up fluids. And it’s actually a much more Physical formula where the very physical in terms of affecting those stomach, particularly where as the language you’ve gotten, Tom by Jew is a deeper herb and a more dense, urban, a slower herbs, it’s what I mean by slower is that dog acts very rapidly to just evaporate the fluids in the stomach.

But I do works in a slower way and in a more it’s a denser verb. So it works in a more physical way. I, and I, that’s not exactly what I mean, a physical way that affects the psyche and more internal Functions in the body. So things like dizziness and spirit disorders where the water flushes up and affects the Shen.

So even like panic attacks for the language going Tong, whereas this formula would just fooling guys out on these worms as much more about just vomiting and you’ll be vomiting, fluids.

So great. Jeremy will bring that young right back into right relationship. And then there’s that nice standing up and warmth. And then the natural movement of the stomach can be restored, which is to go down. The stomach is meant to go down.

So here’s, we’re going to go back over each of these. Here’s the rulings. So you can see that the that the wager is actually small compared to the herbs for water. And really what this means is that the flushing up symptoms on so much, when you look at formulas this way you can see from the dosages in the way that they’re combined.

What the pathology is going to be, that there’s not as much flushing up of water at the same time. There’s pooling up a water and it’s sinking lower in the body. Okay. Slide.

So again, here, because the fluids are sinking down. You are thirsty and not often, this is called mouth thirst because your mouth is dry. But since there’s a lot of fluid there, they, you often don’t want to drink a lot. You want to sip and moist in your mouth. And even if there’s a lot of fluids that drinking could.

Cause if you guys are water, it could cause upstairs. And it could cause vomiting. And the key signs for Wilmington is also a floating posts. And that’s because the young has so left the year and there’s this separation of young Indian, up here, it’s dry and down below it’s wet. So we think of where the pulse is as where the young are, where the life force is floating up in the book.

Often, what I find is that in the Guan and triple says, it’s wiring. Why are you? It’s really a water poles because the water. Constricts the flow of the life force. And then there’s abnormal urination. Cause there’s a cooling up of water down below, and that could be frequent urination in continents or inhibited your nation where there’s a stopping and starting.

And I really suggest you ask your patients about this. So a lot of times, so you ask like, how’s your urination and they’ll say, oh fine. And. It’s normal. It’s normal for me, but if you ask a little bit more deeply, do you ever sit down and you’d have to wait a little while before you be, or it stops and starts?

A lot of people will say, oh yeah, a lot of men will say, oh yeah, it’s just my prostate. And and that you want to take that as that means there’s water stagnation down in the lower body. So all of these things that urination can be Abnormal urination as well. So the agitation is because up here in the upper body is dry and that dryness and warps agitate the heart.

There may be vomiting. There might even be a slight fever, richness, and even sweating with that feverish madness. So the young is leaving the yen. The yen is staying in play in non distribution of fluids. Okay.

So here we have a picture of the pot biology. You can see the young is leaving. And so there’s dryness, especially above the heat could be agitating. It’s going to be flushing up heat and there’s all this fluid that’s causing abnormal urination. So I have that, that lower dry there, because it’s very common with a willing sun pattern to actually have dry constipation because the fluids are leaving and cooling up, leaving the intestine dry.

And what I do in clinic is if there’s this pattern of water with a dry stool, Then I really increase the Baidu by about three times the normal nine grams, because Baidu is really excellent for helping water go backwards, supposed to go, getting water out of the earth, into the large intestine.

So we don’t necessarily know you think of bite. You he’s been more as a diarrhea or however, it’s good for diarrhea for the same reason, because it helps water go where it’s supposed to go. So it’s an excellent constipation or been John dome. Jamie even talks about that. So that’s why I have that lower dry there.

Cause it’s not always just in the. That you feel the dryness, it can also be in the margin testing. Okay.

Okay. Now we’re going to look at the language you’re going to talk, and this is more, we don’t have so shell, we don’t have jeweling. So that tells us that it’s more in the, it’s not as much in the lower warmer we have Baidu and Gunza instead. So it’s more related to the middle of. And so you have the flushing up and we have a lot more water.

And actually the dose of wager and fooling are relatively high compared to wooing sun. So there’s lots of water and lots of flushing up. So compared to Wilmington, flushing up is a really important symptom for language event. So let’s take a look at. Physiology of it. You bring wage or back inside with fooling and bite you, and it just transforms those fluids and young gets in right relationship, so we really want to think of Granger as an urban gets young back inside where it’s meant to be.

And when it’s combined with fooling, it gets it back inside. So it can transform both.

And of course functional urination.

And you can see the happy days because now that upsurge is going down just a little side on how to diagnose the water. What you’re really going to be looking for is water sounds in the abdomen. This might be subjective for the patient, but you can also put your hand on the person’s belly, especially around their stomach, middle warmer, and stretch it and tap on it and see if you hear sloshing water sounds.

So that’s looking for water slashing sounds in the back. But again, the tongue could be really wet, possibly a thicker white coating, but more often a watery slippery coding or this formula and the pulses will be wiring for this. And if it’s cold or they could be also Tight, but definitely wiring because there’s this fluid accumulation and, Leo do, Joe says that the wiring pulse is the fluid accumulation pulse.

And when we think of the winery pulse, we usually think of liver cheese, stagnation or something, but here. It may also be submerged because the water is submerging the life force, but it’s also constraining it. So the wiring POS is really just saying the lifeforce is constrained in some way. It may be constrained by blocked emotions.

It may be constrained by really tight muscles, but it could also be constrained by fluids. So we want to think of the wiring pulses, also a pulse we can explain by the accumulation. Fluids in the body. Okay.

So inside this formula is the formula

which is a teeny tiny formula. Which includes teeny tiny for me means that it only has two. Of course, if it only has one or it’s teensy tiny, which is one or teeny tiny is two herbs and tiny is three herbs, just so you know, my nomenclature, but this is a teeny tiny formula wager and gun cell. And the Grainger’s in a two to one ratio with gone south and this nourishes and warms the heart and treats palpitations.

So the fact that this formula is inside language, tells you that. We’re really at the same time, bringing. Physiological nourishment back to the heart, so instead of the heart being flooded with water surging up on it, it’s being nourished by this warm nourishment with wager and gone sell.

And also, I just want to mention something. I said that this formula language you got is really good for panic attacks and. And part of what happens is, the life force is warm. And really, if you think about the fact that when we’re dead, we’re cold, then the idea of cold is the opposite of life.

And so when we have water in our body, that’s pathological water, meaning it’s not water, that’s infused with warm it’s cold water. And that starts encroaching on our heart. It can feel like death is encroaching on the heart. We associate cold with dead. Then this cold water is coming up into this space of the Shen the space of the heart.

And it can feel like death. And that’s why a lot of panic attacks are feeling. That you’re going to die. Like you’re driving down the highway, you get scared, you think something terrible is going to happen. Even though everything is fine notes, this feeling of impending death. So not all panic attacks are due to water or a language you’ve gone.

Tongue pattern. There are other reasons why panic attacks can manage. Energetically in the body, but definitely water is one of them. And water often comes with this feeling of I want to die or I’m going to die. So just something to keep in mind.

Okay. Now I just want to compare the language Uganda Ugandan. , for me looking at these formulas as a younger herbalist, I would just get dizzy oh my God, they all have almost identical ingredients. Like how do I ever remember what the. Subtle differences are about. And so one thing to look at is, the herbs that are similar and then the herbs that them are different.

And we already did this looking at language. You’re going to talk including by June. How that kind of goes deeper into the body where Shung Jong is really about the stomach transforms fluids, rapid way inside the stomach. And so the fooling guns, her tongue is, by having Shandong, instead of bite you, it really treats the stomach.

But also look at the dosages. The fooling gods have taught me is a really small dose. And it’s used for a relatively light problem. It’s an excellent pediatric formula for vomiting in children. And also it’s used just lightly for a very short period of time. Had an episode of vomiting.

I can take Boolean guns. So Tom, where language you got to talk, we can see altogether, the dose is much higher and here we have this really high dose of pooling compared to, and fooling Gunsight tongue and a high dose of Granger. So it’s much more flushing up and where the fooling concept time is more for water in the stomach itself.

Okay.

So the line for liquid you’ve on tongue, it says line 28. If after vomiting or purging there’s reversal fullness below the heart with cheese surging up into the chest, dizziness upon standing a deep, tight pulse. So again, it’s like submerge and it’s submerged by cold waters. Tight and the more cold it is, the more tight, the less cold, the more wirey the promotion of sweat will lead to move into the channels.

So this is not a pattern where you want to just give grades your tongue or my long tongue. And that, that will further deplete the young and the yen. Okay. Then the jink way, it repeats the. Same idea of language of on Tom

and there’s a picture of the four ingredients.

So here’s the middle warmer and it’s all wet.

And there’s this flushing up into. The heart caused vomiting and retching palpitations, chest depression. I’ve used this for people who have been diagnosed with CLPD or have really bad breathing problems that are due to water stagnation in the middle chronic cough.

And it can go into the head. Dizziness, blocked, nose rhinitis impaired sense of taste. You’ve got this water coming up. Meniere’s syndrome, plum pitchy. Headaches hypertension, even epilepsy, I can really block the channels. Benton is this running piglet, which is often like a panic attack and acid regurgitation, making the stomach go up.

But it can also those fluids in the middle can cause constipation. And again, you’d want to really increase the Baidu. If it’s causing constipation, if it’s diarrhea you probably want to use child by June, the stir fry find you, but that water can even cause a Minnery I’ve seen it cause amenorrhea and language you got Anton can.

By clearing the water, it can help to clear the water in the womb. And often I use it in combination with other, I know we’re going going beyond our time, but I’ll just finish. Okay. So here are just some things where it can affect the language you can. Tongue pattern can cause these different kinds of symptoms in the box.

It can not the cheese, so it can, cause if it’s in the middle of warmer, it can make you feel distended and, full in your epi, gastric region or in your bowels.

Okay. I think we’ve gone over that email. So we’ll just go through this, the fooling concept more in the middle warmer. And. Here for the fooling concept, talking again, just comparing these because they’re so much alike. This is a pattern of stomach, young deficiency with water stopping in the epigastric area.

It can cause epic gastric palpitations. This method warms the stomach and scatters water. This is why the dosage of Schengen must be relatively large. Lots of formulas. We see just a little in here. It’s relatively large because we are transforming fluids in this. Combining this with cooling and wager assist the function of opening the yarn transformation of the G.

And I would add the down bearing of the stomach.

So thank you. I really I love talking about classic formulas and how they work. And so it’s really nice that the American Acupuncture Council has given me this opportunity. And I want to also, if you’re interested in more educational opportunities, the white pine circle is an incredible. Get all kinds of amazing teachings along this line.

If it resonates with you to think about herbs and formulas this way. So you can go to white pine circle.org. And and I also teach it to your program called the graduate mentorship program, where we go through everything having to do with diagnosis and herbal formulas over a two-year period with a lot of close contact with.

So anyway thank you again to the American Acupuncture Council, and I will see you next month.

 

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Cosmetic Facial Aging: What’s Lurking Below the Surface?

 

 

The title of today’s presentation is cosmetic facial acupuncture. What’s working and lurking below the surface, and I am a cosmetic facial acupuncturist.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Thank you for the American Acupuncture Council for inviting me here today. It’s really an honor and a pleasure to be here and thanks to all of you who are here and watching and listening and participating.

I appreciate you being here and I hope that you enjoy this presentation today. So I am from Florida. And happy to be here. So let’s go. We’re going to start the PowerPoint presentation. The title of today’s presentation is cosmetic facial acupuncture. What’s work w lurking below the surface, and I am a cosmetic facial acupuncturist.

So I’m going to help you to see what’s lurking below the surface. Here we go. So cosmetic acupuncture. It’s really a form of my rung. It’s an ancient, traditional form of healing based on the concept of beautiful appearance. And in China, we’re in, when we talk about beautiful appearance, we’re not talking about just the inside, but we’re talking about acupuncture and herbal medicine.

That was notably used by the ancient Chinese emphasis and anchors to keep their concubines looking beautiful and healthy. And it was practiced in Asia for centuries as part of a holistic regime to both enhance beauty and to delay the visible signs of aging. And it was also designed to promote systemic health and overall wellbeing.

Today, cosmetic facial acupuncture is one of the most popular specialties among acupuncturists in this country. And I was part of a 2014 NCC AOM acupuncture, facial rejuvenation needs assessments. And in that survey, we asked a number of questions, reaching out to all of the members of the NTC AOM organization.

And based on the feedback that we received, we found out that 62% of the patients of these acupuncturist, patients inquired about acupuncture for appearances. That’s a lot of people. And when I asked myself the question both for the, from the perspective of the patients, but also from me as a clinician’s perspective, why do people come for cosmetic facial acupuncture?

They come for prevention. They come for a desire for a natural alternative. That’s more congruent with their belief systems because times have changed now. And I find that my patients are much more interested in something that’s a holistic or natural alternative, as opposed to say surgery or some invasive procedure.

But also this I thought was particularly interesting and it has to do with the patient’s conflict about aging. What happens when someone begins to age? What happens on the inside? And what I’ve realized is that as we age, we start to change both in relationship to ourselves and in relationship to.

Ourselves when we’re dealing with others. So for example, in our twenties and thirties, what are the primary goals or what are the primary objectives or things that are important to people in their twenties and thirties? They’re interested in their social life. They’re interested in their careers.

They’re seeking partners their lifestyle, their homeless. At that age, there aren’t a lot of visible or physical changes. So it’s not really in the forefront of their perspective about themselves or the things that they’re concerned about. As we begin to age and move into the gen Z generations or decades of our forties and fifties, we start to shift our priorities, start to shift our relationship to ourselves and to other begins to share.

We are a little more invested in our career. Our partner may be starting a family or having a family. We have friends, and this is when we first start to see those visible and physical changes. And then as we move into our later years, sixties and up, this is when those visible changes are very visible and much more.

We’re much more affected by them. And this is when we start feeling our relationship about aging and re-examining ourselves and re-examining our life. Good looking at well, what have we accomplished? What haven’t we accomplished? Am I happy with myself? Am I do I feel like I’ve given enough or received enough in my life and all of these questions bring up what we call either a life crisis, or a big change in our life.

And it’s somewhere between this fifties and sixties. And it’s well-documented, we know it as say our life transition. It’s a period of questioning. Our identity may be challenging. Our self-confidence this typically occurs from about 45 to 65 years. It lasts about one to two years and clinically it’s described as a psychological unraveling brought about by events that highlight.

Our person’s growing age, inevitable mortality and perceived life, a Cod accomplishments. It’s when we start thinking, okay, I might be on the other half of my life, I may have lived. Longer than I have left to live. And it really, I don’t know for those of you who have gone through that are in it now it’s quite can be quite traumatic.

And it often spurs this desire to make drastic changes in our, in their current lifestyle or in our current lifestyle. And a lot of that comes from the urge to recapture our youth or to hold onto what we perceive as our. And for some people, this is exciting. It’s an opportunity to really look at themselves to really self evaluate, to see our insight, look at our insights, maybe a self-exploration and reassessing and reappraising, and there’s an enthusiasm behind it and it challenge and it’s a very exciting.

Part of our life, let’s say that’s not always true for others. For others. It can be a time of confusion. Emptiness. Meaninglessness or restlessness, maybe we’re not happy with what we’re thinking. Maybe we’re not happy with ourselves. Maybe there are some things that we feel like we have not accomplished or places where we felt like we felt short, fell short in our lives and it’s disturbing.

But then there are others and this is really sad, it’s so challenging and it’s so fraught with turmoil that it can lead to depression. It can lead to anxiety. It can lead to disillusionment self-doubt self-loathing. And a lot of these people have a kind of a shallow or not a strong sense of themselves or not as strong.

Since of their confidence. And so when, and they’ll rely on the superficial aspects of themselves, their looks their social life to actually validate who they are as a person. And when those things that you’re look start to Duane or not be up to what we thought we should look like what’s left.

There’s not much left. And it’s actually very upsetting and very difficult for ourselves and for our patients. And particularly in our Western culture, we are a very youth driven culture. And when we are faced with. No longer looking like the youthful person that we think we should be. It throws us into turmoil.

And from a clinical perspective, we know that although our patients are seeking treatment for appearance enhancement, they’re coming in for their wrinkles, there’s their skin or whatnot. We know that it’s not just that superficial make-over that they’re looking for, but there’s this deeper, emotional and spiritual healing that needs to be attended.

And this is the beauty of our medicine as acupunctures. And particularly as a cosmetic facial acupuncture, as big as acupuncturist, because our treatments are both physical. They treat the psycho emotional and they treat the spiritual component, especially when we’re looking at it from the principles of Chinese med.

And when I say according to the principles of Chinese medicine, what am I talking about? I’m talking about the balance of yin and young cheap blood fluids, the meridians organs and all of the systems that are involved. So for example, when we look at the pair organ systems and all of their attributes, From the perspective of the heart, the small intestines, the pericardium, and the San chow.

We know that as a system, they rule the blood vessels well in our world as cosmetic facial acupuncturist, we’re looking at complexion, we’re looking at fine lines, broken capillaries, rosacea, that type of. From the spleen and the stomach, we know that system oversees the muscles and the muscle, the health and integrity of muscles.

That’s the same for facial acupuncturists. We’re looking at the facial muscles and the integrity or the attenuation of the facial muscles every time. We know from our Chinese medicine, that the lungs in the large intestine oversee one skin or the concept of skin and in our world, what we’re looking at is skin quality, texture, poor size acne, rosacea.

That. And then we also know from our Chinese medicine knowledge that the kidneys and the bladder oversee the bones and aging, the entire concept of aging. And so a lot of conditions that are involved, premature aging bone fragility, bone resorption on the face. We’re looking at the kidneys and the bladder.

And then this is the kind of the one that’s a little bit different, but we know that the gallbladder and the liver oversee. Ligaments and tendons will in our world. What we’re thinking of is not so much ligaments, intendance, but the smooth flow of cheer, the way that the muscles contract relax.

And when that smooth flow gets loss, what we begin to see is the skin on top of the muscles of the face, begin to crease and fold, and that begins the development of bringing. From a psycho-emotional perspective, we’re looking at the five elements. We’re looking at the fire earth, metal water wood perspective.

And we know that fire has to do with one’s ability to socialize their healthy socialization whether they over socialize under socialized, that balance that occurs in the fire element. The. Is about how we digest our thoughts. It’s about our ideas and it’s about self-esteem from a metal perspective, we’re looking at lungs grief, the way that we breathe in, breathe out, letting go the ability to let go of the old and bring in the new and the inability to do bringing grief, resentment, or regret. From the water perspective or the kidneys again, we’re looking at acceptance and fear. How are we aging? Are we okay with aging? What do we anticipate? Can we accept it? Is it fearful? Is it so fearful that we actually get paralyzed and depressed? That type of. And the wood element being delivered and the anger, it’s about the inability to actually make those changes, leading to frustration, bitterness, resentment, lack of hope, change remorse, all of the emotions that go with the frustration or the inability to actually let go and change.

So as practitioners, we are balancing both the physical and the imminent. And what’s interesting for a facial acupuncturist is our ability to correlate those facial features with the systems of the water wood, fire earth, and metal are the five elements and the organ systems. And we can actually see on the face, those changes that occur both on the physical and the emotional perception.

So let’s look at wrinkles. If you look at the different aspects of the face, starting with the upper forehead, that’s ruled by the kidneys around the eyes and the lower portion of the forehead is the liver. The lungs really ruled the cheek area. The spleen, stomach and digestion around the mouth in between the eyebrows.

The kidneys are the ears as well as the upper forehead and the lower aspect of the chin. And when there is an emotional disharmony within those organ systems, it can show up as wrinkles. It can show. And changes in skin coloring. It can show up in terms of say dyschromia or pitting in this tissue.

And so as facial acupunctures, we actually learn how to look at the face, diagnose the face, both from a physical and an emotional perspective. And then there’s also an emotional map. This is from Lotus Institute, Lillian. And she has actually outlined the direct emotions that occur within those features, whether it be wrinkles, skin pitting, flattening changes in color of the skin.

Is the skin a little white or pale meaning frozen or is it red? Meaning there are signs of. Yeah, when we treat, we definitely need to treat all of the emotions. We need to treat the emotional component as well as the physical. And when we are looking at those underlying pattern disharmony, we see that the wrinkles that the skin color.

So that the flattening or trajectory of the face those are just the symptoms. What we’re really looking for are those underlying pattern that as harmony and that we differentiate with our signs and symptoms through our poults and our tongue. And then we treat the superficial or the root. Which is the the wrinkles as the symptoms.

So for example, we’re going to look at ours signs and symptoms, tongue called that type of thing. And we’re going to discover whether it’s liver cheese, stagnation, frustration, repressed, anger, and we’re going to treat that with body points and then the branch, the wrinkles that show up, particularly if we’re looking at, say the liver around the forehead we’re going to treat those with these.

So here’s an example. This is a patient of mine and he was a 44 year old male. He was looking for acupuncture treatment to enhance his facial appearance. And his chief concern was what we’re calling disfat satisfaction with the forehead and glabellar area, the glabella areas that crease in between the forehead.

Sometimes it’s a single crease. Sometimes it’s a multiple crease you can see in this patient. That’s a very deep crease on one side. And then a smaller crease rate by the inner campus of the eye on the other side. So even though this patient had bilateral headaches, he had a history of carpal tunnel syndrome.

He had asymptomatic mitral valve prolapse and periodic lumbar pain. Those were erotic. But he wanted treating was this creasing between his forehead. So we spent a lot of time talking about it. We spent time talking about the physical component of it, the underlying patterns of disharmony. And then we reached into the emotions, the frustration and anger for him about aging, because the peer pressure for him to look youthful was hi the standard was so high in his world that he just couldn’t get past it. He did not like himself. He was so frustrated, anger, angry about it. So we had to trust both of them. And we did we came well. I came up with a liver cheap pattern with blood stagnation and congestion in the gall Meridian validated by the tongue and pulse.

The treatment plan was to harmonize. And then we decided we were going to do this for 10 weekly treatments and then reevaluate. So I chose some points. I showed somebody points to reflect the treatment that I was doing face points to actually subsidize the underlying pattern disharmony. And then I did some of your points.

I always use your points. I think they’re really. Okay. And so this is the before and after this is what happened after country meets. And as you can see, there’s a significant difference for those of you who do practice facial acupuncture, some of these changes may be more obvious to you, but even for someone who doesn’t.

Visible difference. The first change that you see as the softening in the creasing between the glabellar region, but look at his whole face, look at his entire demeanor. Can you see? And the before picture. In the heel Muslims angry, his face has pulled in his jaws. Clenching his face is very tight. And then in the after 10 treatments, you can see his face is so much more relaxed.

He’s more comfortable with himself physically and also emotionally as well. So this is just one example of many ways that we are treating, not just the. Superficial, because if I had just treated deliberately stagnation, if I had not addressed what was going on underneath, I may have seen a difference.

I don’t think it would have been the significant and it certainly wouldn’t have been within the timeframe that needed that we were given. I gave ourselves. But again, just to reiterate and validate the significance of not just treating the surface, but really treating the physical, the emotional, the spiritual, and using that with our pattern underlying patterns as harming.

Using surface points to treat the face and pulling the whole thing together. So it, again, not just one one aspect of it, but particularly in facial acupuncture, because when you think about the face and when you think about the orifice as the face, your eyes, your ears, your nose, your mouth, we are the face picks up everything.

It’s the first line of defense. And we know that we hold all of our emotions and our muscles and the fascia and tissue and the face is the first place that we hold everything. And one of the last places that we’ll re let go, because in order to make big changes, you have to actually resolve the emotions that go with it.

You have to resolve the underlying trapped trauma that’s in there. And so this is actually makes it extraordinarily rewarding for them. As a facial acupuncturist, because when I can make a change, not just a visible change and their surface, but when I can actually affect them on an emotional and a psychodynamic level, I feel like I’ve done a really good job.

Just to say, for those of you who are interested in learning. This program is that I teach is part of the Pacific college of health sciences. It’s called the facial applications for cosmetic enhancement or the face program. And you, it’s wonderful because we’re not just bringing in me, but we’re bringing in all the known leaders of today’s world.

Their classes are start once a year in January and there’s information for our, you, for those of you who are interested. I can also follow me on Instagram or if you want more information, I can certainly give you more through my website. But just want to say that this has been such an amazing and rewarding profession for me because I really feel like I’ve helped people to not just look better and feel better physically, but to actually.

Age in a way that they are comfortable and more productive, both in terms of who they are for themselves, but also just to make a small difference in who they are in relationship to the world too. So thank you very much. And I appreciate. Being here. And then also before I entertain questions, I want to say that there’s another pro wonderful presentation.

So stay tuned next week for a Sharon Weizenbaum who will be presenting as well. And I have to just say that the quality of presentations through the American Acupuncture Council is really it’s dependence. And thanks again for having me here today, Alan. I appreciate.

Are there any questions from anybody?

I actually had a question about the gentleman whose face you worked on. Was he literally a happier person as a result or that didn’t really make him any happier in the long run. Thank you for asking that. Not only was he a happier person, but the the stress that he was feeling and the trauma around.

Feeling like he was getting judged by his peers dissipated. And in other words, he didn’t care as much. What other people thought about him, which is pretty amazing. Yeah. Last question then we’ll wrap up. Because I’m really was curious about, do people become addicted to the treatment in other words? Oh, wow.

This was great. And now, people become addicted to facial surgeries when they’re doing surgeries or body surgeries that just keep wanting to change and change. Is that something that you find in working with people? I it’s, yes. It’s different. I, and I know exactly what you mean. When people are addicted to facial surgeries the addiction.

Is that is wanting to look better and better, but it doesn’t change. What’s on, under what’s going on underneath, which is a self dissatisfaction. And that’s what the addiction is. The addiction is based on needing to. Look better because they’re not satisfied or happy or content within a, with this, what people get addicted to as a they look better.

But they feel better about themselves. And it’s the feeling better that becomes the addiction similar to say meditating, you feel like you’re a better person in a few meditate. There’s something that happens to you and you, your relationship to yourself within the world becomes a more peaceful place to live.

It’s the same with this type of acupuncture, a you look better, but also more importantly, you become at peace with yourself. And when you are at peace with yourself, not only you’re you a better person for yourself, but you’re a better person for others.

Nice.

 

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Getting Paid Directly from Medicare

 

So I want to talk about Medicare because there are so many things that are confusing or misunderstood or misrepresented…

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Billing expert for acupuncture and the American Acupuncture Council network, as well as the American Acupuncture Council Malpractice Insurance. With another time to get with you to update you on what’s going on, what’s changing to make sure your practice is thriving. Remember the American Acupuncture Council was always your partner.

If you have a question and need an answer, trust me, we’re there for you. So what are we going to talk about? Medicare. So let’s go to the slot. So I want to talk about Medicare because there’s so many things that are confusing or misunderstood or misrepresented that I think are going about. And I’m getting so many calls and requests for this, whether it’s people on my network or coming to seminars, what is going on with Medicare?

What does it really cover? And what is the. Differences between Medicare part, B and C who pays me. So I want to make sure there’s a clear understanding. Regular Medicare part B is what you see on the left side here, that standard Medicare card, but you’re going to know a lot of people have something else called Medicare advantage.

And so we want to kind of talk a little bit about that to make sure there’s a really clear understanding of what’s going on because of course you are being in a. With people requesting information or saying, I heard it’s covered. Take a look at some of these ads. The upper left is from a RP where they put out, Hey, Medicare will cover acupuncture for back pain out or regular med take care of patients sees these types of things and thinks, well, I want to get the care because notice even blue cross blue shield has an ad for it.

In addition, here’s another one, indicating a zero acupuncture for 24 visits. And this was a commercial where they literally show acupuncture on the commercial. Realize acupuncture has become a commodity. For these plans because it’s their way of enticing people to get their plan. Ooh, join ours because there’s a benefit.

Now the confusion of course, is what are the differences between this part a and part B and really what is Medicare? Well, who are the Medicare patients? Will Medicare patients, is it going to be people 65? Obviously, at least as long as you’ve paid into Medicare, I think for 10 years you will automatically get Medicare benefits when 65.

But remember Medicare is not just for people over 65. There could be some people who are younger that have a permanent disability and as a consequence are entitled to Medicare. So don’t be surprised when a Medicare patient is younger, but it also could be people with end stage renal disease, probably not ones that we would see, but certainly the.

Now what’s going on with Medicare is understanding the types of Medicare. Now we have standard Medicare part a, which is the one everyone gets it’s hospitalization when you go to the hospital. But the one we’re speaking of is very typical as well. And it’s Medicare part B I’ll call that traditional Medicare.

So this is the original Medicare benefit that covers going to the hostel. Going to a doctor’s office and having a drug benefit. Now, the good news is these people can use it. Anyone within the system, does it matter? The state and Medicare pays its portion and the patient pays 20% of it. So not bad, a good, nice coverage for people who are over 65, for those that don’t remember prior to the implementation of Medicare, many people who are older would literally go bankrupt with any illness.

So this has been something that’s been quite the good, safe. Bottom line though, is what’s going on for acupuncture? That’s what we’re concerned about. So you notice I have it in red here and it says acupuncture is covered, but it says for chronic low back pain, only under direct supervision of a medical provider.

So all of a sudden, well, yeah, But it’s only covered when done under medical supervision. So that makes it somewhat limited. The low back pain of course is limitations for it as well. But nonetheless, the supervision makes it hard. And part of that reason is acupuncturists have not yet become Medicare providers.

We need to get a bill, which we already have one going. That’s going to make acupuncture providers under the social security, social security. To be part of Medicare. So until we get that, we’re going to be stuck with this type of issue of needing the supervision or, or referral, if you will, from a medical provider, that bill is being moved and hopefully we’ll see something in the next couple of years, but this is kind of the cart before the horse.

If you think that Medicare was really going to first do a study of how good acupuncture could be to see if it was working or not, the evidence was so overwhelming, they decided to cover it. The problem. The cart before the horses while they’re covering it. But because acupuncture’s can’t join, Medicare is still had to have some tangential way of getting in, which means under the medical provider, meaning for traditional Medicare part B, it still has to be billed by a provider within Medicare.

And that’s limited to basically medical providers, so that one’s a little more complicated or a little more difficult, but nonetheless, still the late. Let’s talk about though. Also what a lot of you are experiencing and misunderstanding is there’s this second type of Medicare that’s often referred to as a Medicare advantage plan, or also known as a Medicare parts seen.

I know of those letters can be confusing, but I like to think of it as a Medicare advantage plan. What a Medicare advantage plan is a way for a Medicare patient to literally chip trade their Medicare benefits to this point. And then this plan takes over for the benefits and it’s under companies like United healthcare, Aetna, Cigna, all these ones offer them and they have to offer all the same benefits as regular Medicare.

Sometimes it’s actually even cheaper. Which to me is interesting. When you think of it, how is it that we can manage Medicare patients for like 500, 600 a month in premium yet when we buy premiums for someone that’s younger, it’s thousands of dollars. Well, that’s because it’s insurance companies making sure.

Bottom line though, is that these plans have to cover exactly as Medicare does. So in other words, they have to cover the low back pain, just like Medicare to however many of these fines. And you’ll see this in a second. The last bullet offer extra benefits like acupuncture, and these can be built directly by an acupuncturist to the plan without being part of quote unquote.

Now, some of these plans may require you enroll, and I frankly will have no problem with enrolling because it only gets you into the one and gives you access. These can be pretty darn good, but let’s understand the. Traditional Medicare part B regular. Again, acupuncture is a benefit now, but chronic low back pain only, and up to 20 visits a year or so, not bad.

What it says though, is that the there’s 12 visits within 90 days. And assuming the patient improves another eight, the difficulty for us is that an acupuncturist can perform. But it must be supervised by a medical provider. And this could be an M D a D O a PA, an NP or a CNS. And so these are all medical providers that are enrolled in Medicare.

So in other words, you’re working kind of for this person, if you will, it’s not a referral, but something you’re working with because it has to be built by. So to take a look at it, this under this national coverage determination, you’ll see here. It says the most recent is that it will cover for chronic low back pain.

And that is defined as back pain. That’s more than 12 weeks. Now that doesn’t mean like, oh, I’ve had it exactly 12 weeks, but think of how many Medicare patients talk about all my. I’ve had back pain on and off for the last 10 years. Well, by definition, that’s certainly going to be chronic. It certainly can’t be associated with other inflammatory diseases like infections or metastatic cancer, but traditional, as most people get back, pain realized 85 million people a day habit.

That kind of makes sense. It will be covered. Now here’s something interesting. Obviously you’re all aware that back pain codes updated and part of the complications in dealing with this when they update. Medicare published what codes they were going to allow, even though M 54 50 is one of the codes new for back pain under the Medicare guides.

What they indicated is that it’s only going to be M 54 51 for routine progenic or other specified in 54 59. So make sure if you’re billing Medicare, part of the reason if you’re getting denials is you have to update to one of these two codes and bear in mind. There are some payers that have been delaying until April 1st, for some reason, but.

Those are the codes. If it’s back pain, notice the code, doesn’t say, uh, chronic. It’s just the idea. And that’s why M 54 59 is the more likely now it pays up to 12, but notice it says an additional eight sessions will be covered for patients demonstrating improvement. I think that’s fairly straightforward.

Most patients, in fact, getting acupuncture with back pain, almost always improve, obviously. And it’s just as long as that’s there they’ll allow additional eight meeting up to. Now the complication here is this is not a yearly benefit in the way you might think, meaning it starts over in January. It’s a rolling year.

So by example, it says if the first services performed on March 25th, The next service beginning of the new year, can’t be until March 1st of the following year. So they do it as a rolling month. So it’s literally 20 visits with any within any 12 month period, not January to January, but it could be from March to March and so forth.

Now the complications here is that physicians can furnish it. Of course, medical doctor certainly could physician assistance, but they also have to have some additional licensure for accurate. Bottom line is you’ll notice here. It says auxiliary personnel can do it so long as you have a master’s or a doctoral degree for acupuncture, which is going to be all of you.

And therefore you can provide it. Now here’s the problem you’re providing it, but it says here, auxiliary personnel, furnishing acupuncture must also be under the appropriate level of supervision. Now, a lot of people have misinterpreted appropriate level. It’s thinking, oh, it’s just based on a referral.

And they come in the office, unfortunately, not that simple under this rule, that’s under these two regulations I have, here are 4, 10, 26 and 27. You have to be present in the same office. So it means you gotta be in the office with this medical provider when the service is delivered, they bill for it.

But yeah. This can’t be a simple referral, but in the office, this means either you’re in their office working, or maybe they come to your office, realize that a lot of nurse practitioners, CNS and others are traveling. Maybe they come to your office one or two days a week. This might be helpful, but this is certainly a benefit for someone working in a larger medical clinic.

In fact, this might be an opportunity for someone that goes into a medical practice that does geriatric medicine to deal with low back pain and pain management. So certainly something to think of it. But bottom line. You’re going to be working for this medical provider. Now keep in mind, working for them could be under two ways.

It could be as an independent contractor. It also could be as an employee. So either way it is certainly possible. But again, you can see the limitations here. It has to be done directly under supervise. Now you may wonder, well, what does Medicare pay? So what I’ve done is I’ve just put up a few areas of Medicare payments and you all notice this increased about 10% this year.

So a nice little jump for us, of course, that also helps for the VA as well, but notice in all areas, whether I’m using California, Illinois, Florida, Texas, you’ll notice the first set is generally around $40 or higher, maybe up to 45, the additional sets in the 30 range. So I’m just going to round up. 44 first set 30 for additional sets, which means approximately a hundred plus per visit because generally you’re going to do three sets and I’m not saying always, but generally that’s what Medicare loss, that means a hundred dollars a visit that certainly can be pretty good.

We’ll talk more about that, that money part of it towards the end, but I think this is something viable. If you’re getting a hundred percent. This certainly makes a lot of sense. Now it’ll make the most sense when we can directly. Cause now if you’re working with someone, obviously that a hundred dollars per visit has to be split between two.

So therefore it may not be quite that you’re getting that full amount, but again, this is not. So again about 41st set, 30 for additional sets. Now you’ll notice if you’re doing an electroacupuncture it’s more like 50 and 40. So now we’re looking at probably about 130. If you’re doing a electroacupuncture, by the way, these fees also will apply to VA, but also the.

To Medicare advantage, which I’ll demonstrate in just a second, but here’s what you’ve probably all been noticing. The Medicare advantage is an area that I certainly would say you should be looking into. Medicare may have some limits because of the way we can access the patient Medicare managers. Aren’t that complicated.

Here’s what I took literally off of my television, where they are using acupuncture to advertise this plan. And I’ve seen this over and over notice here. Zero copay. In other words, a patient comes in and they pay nothing. Now with these types of plans, you’re generally going to have to be in network and, or be a deemed provider, which I’ll explain in a moment.

But bottom line is these are going to pay approximately the same and in many instances more, which is not bad. So when a patient has a Medicare advantage plan, this is what you’ll see. They won’t have that traditional Medicare card, but one like this and you’ll notice it literally will say. Medicare advantage right on the card or Medicare part C.

So that’s how you’ll know. Be careful though, the person will still have their old Medicare card. So always ask them, let me have all of your Medicare and all of your insurance cards so you can verify. Cause once they have this plan, they no longer actually have traditional Medicare. They have this plan they’ve traded for it.

And to give you the numbers, there’s about 63 million people with Medicare. That’s a lot. And about half of them now have Medicare advantage plans simply because the benefits with them are often a little bit better, less out of pocket. And yet what’s interesting. How has it, can Medicare advantage plans offer so much?

Yeah, it’s from a plan that Medicare is paying them 600 a month. And again, I go back to, it shows how much insurance companies profit off of others, if they could take the sickest people. So here’s an actual card for a Medicare advantage plan. And this is one that was sent to me. A member of the network was saying, Hey Sam, what does it mean in this Medicare advantage of place?

The Medicare limiting charges, and often that’s misunderstood because acupuncturist aren’t part of Medicare. So you’ve never heard the term limiting charge. Medicare has fees that are called par non-par. The limiting charge is literally 15% higher than the regular rate. So you remember those fees, I just showed you add 15% to that.

So let’s talk now, probably with these closer to $50 for first set. So I want to make sure when you’re billing these Medicare advantage plans, don’t build what you think they’re going to cover bill your normal fee, bill, your 60 or 70. If they allow 50, they’ll pay it. But if you bill thinking, they’re only going to pay you 42.

And you go 42. Well, sure. They’re going to pay you 42, but what if they would’ve been paying you 50? So always bill your regular rate, just know that you cannot collect the difference. And this is what brings up this term deemed provider. Many times when you get into these plans, you may have to join, but often you’ve done.

All you have to do is accept the patient. But when you do accept the patient, it’s like you become in network on a claim by claim basis. In other words, we call it deemed D E M Dean to provider. And what this refers to is this, when you take the patient, then you have to accept what the plan allows. For your billing.

So in other words, if there’s a zero copay, the patient has a zero co-pay except the plant, or if there’s a small copay. Now these benefits actually are pretty darn good. As you can tell what the limiting charge add 15% to what I just said, and you can go, wow, wait a minute. Now, Sam, are you meaning $115 just for acupuncture?

Yeah, that’s exactly what I mean. Now these advantage plans are pretty good and advantage plan has to do exactly the same. As regular Medicare. So it has to cover just like it does here. What is covered the chronic back pain. But most of these plans you’ll notice here. It says acupuncture routine. You can find a net that you can find a network care provider, you know, searching for the acupuncture benefits, online directory.

So what are they looking for? This routine acupuncture. What is routine acupuncture? Routine acupuncture means they cover for pain management, no need for a referral or anything. Notice regular Medicare says they may require a referral or working directly. So I had someone last week contact me and say, Hey Sam, I heard they’re going to implement a referral.

No, no, no, no. For regular Medicare. Cause you have to be under super. But for these plans, you don’t require referrals for routine acupuncture, which means basically pain management, the same you’ll build any United health care plan to illustrate that. Take a look at how they cover it. This is the Medicare advantage plan for acupuncture.

Notice it actually covers dry needling. If you choose to do that, now I’m going to suspect, do acupuncture because that’s what you are. It pays. In addition, you can’t combine dry needling with acupuncture anyway, but notice what they cover here. It’s noting routine acupuncture codes, not a complete list. So what I want to highlight Medicare advantage plans, cover acupuncture, but also covered.

Exams and therapies, because notice it’s not a complete list. It lists the ENM codes and acupuncture codes, and then notice therapies, electric stem, infrared ultrasound exercise. It could include massage and manual therapy always think of what is within your scope. And they will. I have some offices doing some very aggressive care with this.

And while I think it’s a lot for one visit, I have one office that bills well close to $400 per visit. And he literally gets paid almost all of it under this type of plan. Now these are patients that a lot of pain and a lot of things going on, but again, pretty good. So a Medicare advantage plan is something I would probably say I’d want to be part of, because look at the access that they have, the key.

Do people know that you’re willing to take these plans? Are they aware of it? Have you joined any of them? Because to me there’s no downside. If you join a Medicare advantage plan, is there any cost? No. If you join a Medicare advantage plan, does that mean you have to join the regular plans with them?

Generally not. You can join just for Medicare advantage, which means the only downside is you join and you don’t get a patient, but assuming you get one or two more people are looking for a thing of how many people have pain over age 65. I mean, that’s almost a given for many, let’s learn to manage that so that they can start to do it without medication.

So I want to make sure you always are up to date. The American Acupuncture Council Network is always updating information. If you’re not familiar with our website, please go to our website. It’s AAC info network, nothing insurance, but info network. And you’ll notice here we put out newsletters. And one of the things we just put out Aetna is.

Acupuncture to all of their commercial plans now. So that’s a really good benefit, but how would you be aware of it without going to our new section? We want to make sure you’re always up to date. So anytime something’s changing, we’re the resource. Just go to our new section. There’s no cost for it. Just go to the new section and click on it.

Take a look once a week, sign up for our email alert and you’ll get that as well. We also posted out on our social media, in addition though, notice here about how to deal with financial agreements. Remember we did the no surprise, not that long ago. So we’re going to be a resource. Allow me to be part of your practice.

We have a hotline service where you can call me, email me, fax me on any type of information you need questions with. We’re here to help you get paid. We have a vested interest. We want your success. I do because I really want to, before I retire, making sure acupuncture is fully integrated into Medicare.

So take a look at our hotline and we’re always going to be a resource with you. The American Acupuncture Council Network, go to our site. Give us a call. We’re here. I’m going to say, thank you everyone very much. We’re going to have a special Friday show and the guests, the guest hosts will be Shelly Goldstein.

And I’m gonna say to all of you be well, take care of yourself. Remember you’re important, but it’s more important to be good. Thanks everyone.

 

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Being Laser Focused on Patient Results – Lorne Brown

 

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

I want to, again, thank the American Acupuncture Council for inviting me to continue hosting my show on their series to the point my name’s Dr. Lorne Brown and I’m the founder of healthy seminars. And I have run my practice in Vancouver, BC, and I’m the author of. Missing The Point why acupuncturists fail and what they need to know to succeed.

Our topic today is being laser focused on patient results. And I’m very excited. I’m going to give a thorough introduction to our guest today, which is Dr. Steve Liu. And we’re going to talk about being laser focused on patient results. And you’ve probably heard me talk about this before, where I say to her.

Thriving fulfilling practice where you’re helping people and you have abundance in your life as well. Yin and yang have to be in right relationship. And that yin and yang is your clinical results or clinical skills. And then there’s the practice management, your business skills, and many, I’m a charter account and I’m a CPA and I’m a doctor of Chinese medicine.

And it’s important to have those in balance if they separate or they’re out of balance and you have no practice management skills, even though. Skilled practitioner in the world, you may have no patients, so you’re not really helping that many people. So my goal is for you to develop that practice skill.

So with integrity, you’re helping your patients. So you experience abundance and you help heal your community. When we talk about being laser focused for patient results, it’s a pun, but we’re actually going to talk about low level laser therapy and how this can not only. Help with your clinical results.

And that’s why I’ve asked Dr. Steve Liu to come on with us. But also I’m going to share a little bit about this, the practice management of, by adding that special added value in your clinic practice, that you’ll become more attractive to your patients. So let’s introduce Dr. Steve Liu. He’s become, he’s not only a colleague, but he’s.

A friend of mine over the short period of time that I’ve gotten to know him. He is a licensed acupuncturist from from Arizona. He used to be an electrical and laser engineer in the Silicon valley. So he’s been fantastic for me to talk to when I want to ask about the different lasers out there and how they work, because he’s got that background and he’s combined low-level laser therapy, which the scientific community calls photobiomodulation and what we call laser acupuncture.

In his acupuncture practice. So he’s integrating the two and it’s been doing that since 2000. So he’s had quite a few years since the year, 2000 of combining those. So he’s the perfect guest to have on our show. You should know that he is a member of the north American association for photobiomodulation therapy since 2001.

And he was it’s presidents from the years, 2008 to 2010. So that’s quite a feed as well for an acupuncture. To be ahead of that north American laser association. He also served as the president of the Arizona society of Oriental medicine and acupuncture as well. And he’s also served as a board member of the international society for medical laser application.

So you’re starting to see. Steve is very involved in the communities and sits on boards because of his skillset and his knowledge. And he founded in 2006, the American society for laser acupuncture as lat and in his practice. He treats many conditions. He’s going to talk about some of the neuropathy chronic.

Alzheimer’s disease and Parkinson’s disease as well. So let’s bring Steve on and I’ve got some questions for Steve. I want to let our audience know right away. Steve, these are the questions I’m going to ask you. So for all those of you, why do you want to pay attention? I’m going to ask Steve why laser acupuncture and regular acupuncture, why he sees it as a perfect.

I’m going to ask him what he’s using it for in his practice. Why are people attracted to his practice and what is giving him better clinical results since he’s doing the combination. And then we’ll talk a little bit about as lad as well. So Steve, welcome to the point. I’m so glad to see you again.

My good friend let’s dive into this why laser acupuncture and photobiomodulation also knows a lot of laser therapy. Why do you think this is a perfect marriage for us acupuncture?

Thank you Lauren. Thank you. Thank you again for the wonderful introduction. And my name is Steve Liu. I’m a laser acupuncturist.

That’s what I call myself now. I think there’s a three folds Y acupuncture and TCM will form a Perfect marriage. And number one we see a lot of older patients. And I always tell my older patients that we are not 20 years old anymore, including myself. So our healing ways slow. So we, as as an acupuncturist, we always try to convince patients that how to help heal faster, but then they are older and laser can leave.

Help speed up that healing along with acupuncture treatment and number two, or, some patients may be afraid of needles. So they are needle phobic and kids, especially, and younger people or even older people. So you can use a laser acupuncture in place of of the needles.

And number three, I think is the most important part is the. When you see chronic pain, which is what we see all the time, it’s very challenging as and because these are patients that came from, I call them medical rejects because they’re being rejected by the medical professionals, whether it’s medical doctors or chiropractors.

And because the techniques they tried and they don’t work for these patients, then they come to us as a last resort. And how are we going to heal these chronic. And laser is the one acupunctured get the healing started. We know that we can do that. And then once we got healing going, we need the laser to help speed up.

And I think that’s the best part of that in this matter.

Yeah, I think I’ve heard you call it. It’s the great normalizer. And so you’re finding that using the laser with your acupuncture, you’re helping these older chronic patients bodies behave more like they’re younger or an acute stage. So you’re getting those results.

Yes. I love that term normalize it. That’s why I use that too, because when you have a older patients and how do you get this healing going? Just like a young people and whether they are 60, 70, 80, 90 years. So I have a, my oldest patient now is 95 year old with chronic back pain. And she’s walking around with pain, without pain.

How I can do it because I normalize that. And with acupuncture using laser. So I love that word, Laurence, the normalizer the laser to normalize,

What are the conditions that you predominantly see in your practice? And I know there’s many out, like I predominately see gynecology, fertility, PCs, endometriosis, and I’m using my acupuncture laser.

You’re doing a lot of other conditions outside of the fertility. Can you share where your clinical experiences. The laser acupuncture along with acupuncture.

Yes. I love to talk about that because later I always tell patients that. Photobiomodulation works on cellular levels and what are not cells in our body is everything right?

So we, this laser work on muscles and tendons and soft tissue. That’s what I really like to work on because as I see a lot of these cases in my clinic, but they also work on the nerve tissues and which is very challenging for us like a neuropathy. And I wrote an article for the acupuncture today a few months ago that.

To me, it’s a, one of the best technique we can have is combined, combining acupuncture, like often and toes around the toes. But at the same time, use the light right around the toes and balls of feet, because that’s where the nerve has become dysfunctional. So this is why the nerves also offer quite very well.

Laser works on the Mito con. So for instance, Parkinson disease, sometime the scientists called the mitochondrial dysfunction in the brain, even though it could be the substantial Niagara without the they’re not producing enough dopamine, but what if you shine the light in the brain? And there’s a tons of study for that.

So why don’t you combine the. That body acupuncture, scalp acupuncture with light over the scope. And it’s wonderful combination that you can have. So this is why there’s an unlimited, sky’s the limit. Really? The sky’s the limit. When you combine in photobiomodulation laser therapy. With acupuncture.

So this is why anything you can think about you can use laser. So I don’t have any pain case that without laser, it’s always as a part of the electricity on the needles. And I always have laser around the needles and I always have a heat over the needles. So I called it the whole enchilada.

So this is why it’s a wonderful results. And that’s why we can get referrals from your clients. And from the top.

Sorry, I just want to summarize that you’ve been using it in your practice to help slow down the progression of Alzheimer’s and Parkinson’s disease. And you were sharing a little bit about the mechanism.

It, it’s outside the scope of our interview today to go into detail, but there’s photobiomodulation that you’re using in your practice. So you’re using it as laser therapy. Then you’re doing laser acupuncture, laser on the points, and then you’re doing needle acupuncture. So that’s what you’re doing.

And the mechanism of photobiomodulation the laser therapy. You talked to the mitochondria, the battery, the cells. And so if those batteries of the cells are repairing, they can divide better. So there’s that healing response and what we see with Alzheimer’s and Parkinson’s regulates inflammation. Chronic systemic inflammation is becoming the cause of so many diseases.

So if it can help with that, Reduction in pain and then all these other disease processes, scar tissue, and adhesions. So if we think of all of those injuries with scars, and then you talked about the nerves, even nerve regeneration, and then blood flow increases blood flow to the area. So that’s why, we’ve talked, you said is the perfect marriage, right?

And then the needle-phobic patients, this just opens up your practice to everybody now because there’s probably. Close to 50% of the people that would want to see you as an acupuncture, see, to get relief, but they can’t come through your doors because their fear of needles is so bad. And so by doing non needle acupuncture, you now open your door to other people.

I often hear from our colleagues, that are doing the needle, that all, how can laser acupuncture work or is there a research that it works? You and I both have access to the needle and the laser, and we love using both. And we. The laser. So that’s why I like hearing from you because you’re not biased because you have both, you’re trained in both and you can use both and you are choosing use both, but can you share, is there research, what’s your, what are you aware of about the research on laser acupuncture, having an effect on the body similar, or if there’s any difference from needle accurate?

When I thank you again, Lauren, you’re such a good summarize a thank you. And my, when I first heard about laser acupuncture with my from my mentor, Dr. Margaret Naser in Boston, and that she published first study on the. With the laser acupuncture, you can look it up. And and she was so excited when that first heard about her and got to know her, and then she got so excited.

And then call me up since this is the first time in may journal American medical association journal that actually published a study that contained word. Acupuncture and laser acupuncture. So that was the first thing. That first time I was just blown away with what laser and laser acupuncture can do for something like a carpal tunnel, as you can see, involve a median nerve.

So what happens in front of this? I began researching more and more. There’s a study that I run into a study. They use a regular laser acupuncture, shine, the laser lights on the acupuncture point in the year to help quit smoking. And I love to see more studies and I would love to do someday in the future that I can do on the quit smoking.

I do acupuncture, quit smoking myself. But when I come to like a pain, like a lower back pain and a soft tissue injury pain, and I really have to combine acupuncture in the. And the laser member lasers there to help lower the inflammation. We don’t stop inflammation. Inflammation is a part of a healing.

That’s how acupuncture help. Okay. So when we put needles into the tissues, guess what we produce some low level inflammation, and that’s why we need. But lasers is there to help speed up that, that mechanism Becca kickstarted by the acupuncture. But when patients really have a problem with needles, for instance, you can use laser acupuncture in place of the knee points.

So you can use a red lasers on the distal points like. All these points on the fingers and the palms and the risks. And then you can use an infrared lasers on the body, like a stomach 36 and spleen six. And so on screen 10. And deeper because you want to target the third nerves underneath that acupuncture point.

So this is why we can combine laser and acupuncture or laser acupuncture by itself. So this all can come to. In the therapy

and not all lasers are created equal. And so the wavelength matters. So the color of the light’s going to matter about how it’s going to affect the cell, the tissue, and how deep it’s going to go.

The power of the laser is going to affect. The dosage of photons at the target tissue. So that’s important because how much time you need to keep the laser on the body. And so some of the lasers are, can be a large investment for acupuncturists. And this is why I love talking to you because I know Steve that you’ve built lasers because you remember everybody Steve’s a doctor or Chinese medicine, and he’s also a electrical and laser engineers.

He can look at a system. He actually helps some of the manufacturers improve on their systems. Cause he’s got that skillset. I wanted to ask you a little bit that first of all, not all lasers are created equal. So some lasers, although there are a couple hundred dollars, they’re no different than using a PowerPoint light.

You’re not going to get any therapeutic value really on it. So still. You have to invest. It seems to get a good laser. Personally, I want to share this story and then just talk about how you have found that, how this is helped your practice grow by having the lasers. And th the story I want to share with you is my first laser I invested in.

Was about $6,500. And I used it for onsite for IVF clinics, laser acupuncture because the clinic had shown that it increased implantation rates by 15%. So that was a big investment and that’s what I use it for, but I wanted to get the results, help my patients. And it made our patients more attractive to our clinic as well, because we were offering this and then I wanted to help with egg quality, and that required a different laser system and help with endometriosis and polycystic ovarian syndrome and and engaging the relaxation.

There’s lots of things we can do with the. And so that system costs me $20,000. Now I got to share something with you that I was not expecting, but I understand why it ha it helped. Because when you create value, the marketplace, your patients will seek you out. They will. They will see you over other people.

They’ll actually people get on planes, pre COVID to are to go to our clinic, to be treated with our laser for fertility and PCRs. They’ll drive an hour in my city to come to our clinic, even though there’s many acupuncturists in their area, because they want somebody, a clinic that has the experience, the knowledge and the good quality lasers to get them results.

So here’s the quick story. And then I’m curious to hear what your experience has been I have when I introduce the laser for fertility in our clinic, several of the patients that I was treating, and let’s just say they were being charged $95 back then for acupuncture only. And I would recommend twice a week and many of them would say they couldn’t afford twice a week.

So they’d come once a week. Or some of them said I can’t afford. And they did not have. When I introduced the laser, we increased the price of having acupuncture with the laser. And so we increased the price to say one for $140. So actually it was 130 back then. So 95 for acupuncture only, or 1 35 for both.

And what we know, and it was three times a week because we were following a group that had done, had seen an improvement pregnancy rates when they did the laser fertility approach three times. In the follicular phase. And so we replicated that and that’s what we educated our patients, these patients that said they could not afford $95 once a.

Or even twice a week, it started coming in three times a week. So what I learned from that is it wasn’t that they couldn’t afford it was that they didn’t see the value in what I was doing in acupuncture, how I educated them to spend $95 a week or $95 twice a week. They just didn’t see the value there.

But when I shared how laser fertility has the potential to improve egg, quality and pregnancy rates, whether you’re trying to concede that. Or an IVF and share some of the research. They then were willing to pay 1 33 times. To get the results. So it was never always about the affordability. It was. Is there enough value to pay that much money?

So I wasn’t expecting that, but that’s what the laser has done in my practice. It has made me, it has separated me from other clinics that are just doing acupuncture because many of the patients are learning about this, get an educated, and they actually want the photo by modeling. With their acupuncture.

What was your experience? Have you found that by what you’re doing and you have a fast program, which you can introduce as well because you’re getting the results in using laser. Has that also a major practice, even that much more busier before you compare to before you added the laser?

Yes. I always say results resolved.

And as an acupuncturist and. Pretty much all the time is the last resort, a practitioner that patients see and see you, you want to produce results. And to me, laser is the is probably the only way that when it’s combined with acupuncture really get the result. And because you heal, you.

And I know sometimes it’s hard to say the word cure, but then it’s how it works. And so yes, this is a value added because you can do, you can charge you $150 for acupuncture, but if you does not if you do not produce the results, it’s still worthless. But if you add it in this so in my practice, I combined a laser and acupuncture was when fee I don’t have an additional fee for laser.

I consider as a value added so that when I produce results, They are, they’re going to see effect within a few treatments and guess what? And then when they were completely here, And they are going to refer all their friends and relatives and neighbors. And then the thought is, begin to hear about you name and they began to refer their clients to you.

So guess what? You can love busier practice. That’s how I see it. And that’s why it’s a laser is a result driven. And and I absolutely agree with you that Lauren is. I don’t think it’s really the money. It’s a, it’s the result when the patients see the result and they say they will pay for it.

Yeah. Definitely want to get, they want to get the results and adding the laser helps give you that result. And they also is the education like, so when the understand for whatever reason I just, it’s an observation. They understand photobiomodulation, it’s more modern, it’s more sciency. And when you can see the mechanisms, they understand that and they’re willing to give it a go or give it a try where acupuncture is old and they’re questioning it.

I’m not saying it doesn’t work. I use both. So it does work. And I have found that it’s. It’s something that has been attracted to patients. And I always say in my book, and when we talk at the beginning, we want to help them with integrity. So when you charge, because again, when you’re making investments in $20,000 lasers and you only have so many there’s value there.

So if you choose to charge more. You’re doing it with integrity because Ava invested in more equipment, but your patients don’t care about that. They don’t care about your debt or how much it costs you. They care about what kind of value they’re going to get when they pay you. And so I’ve made that investment and then patients are willing to endure.

In me because I have the tools to help them get the results. I know in your practice, you have a program called fast for chronic pain, and you go off and we’ll help people under 10 treatments get incredible relief, chronic pain, and so that makes you busy, but that fat program requires laser and it does.

Correct?

Absolutely. It’s the key F a S T I came up with this idea is how to heal and again, a lot of the time you can cure these a chronic soft tissue problem, like tennis elbow, conference elbows, and people come in and say, I bought these for three months. I have these for three years.

Why? Because all the cortisones, no, the anti-inflammatories and all this, they literally stopped the healing. But the needle is there to help kickstart a healing. But how do you get this healing going in the better rate, quicker rate that could useful rate? When Joel, like when you were in 20 years old laser lasers there to help speed it up.

And so laser is really the key and to help. And so I can literally tell my patients that with intent treatments, you will be. Done. And then the pain’s all gone, all completed relief. So this is why, and I’m I’m very proud of this this program FST and you can look it up and I intend to bring it up in my conference with Aslan, which is American society for.

Lola laser acupuncture therapy asset work. And we’ve intend to have a conference in this later this year and that bring this fancy program certification program out. And I’m working on that pretty much every day, try to figure out how to get this program together and in module of structure and Lauren and I are trying to figure out how to put this one together.

Yeah, looking forward to that. And so that’s, website’s important. So if you’re looking for more information about laser acupuncture and photobiomodulation, that’s the term that’s replacing low-level laser therapy is photobiomodulation and laser acupuncture, check out the athlet website. Cause you’ll see more information available there.

And this is something. Again, I’m going to put the practice management twist on it is when something is a value and people want it. Then other people start to offer it just like acupuncture. It’s not just train acupuncturist that offer the acupuncture nurses. Do it, doctors do it, physios, do it.

Chiropractors do it. I know in our profession. Acupuncture’s don’t like it, then other people are doing acupuncture, but when something is effective, other people get it into their scope with photobiomodulation laser acupuncture, massage therapy are doing it. Chiropractors are doing our physios. They’re doing it.

So it’s out there. It’s really big in Europe, but more so in Australia, less so in north America and in Canada, in the us. But it’s great. It’s gaining a momentum so quickly right now. And so this is. Learn about this because. It’s going to be something that if your colleague has it or the physio has it, and if the physio can do acupuncture and laser, and you only do acupuncture as a public member, you’re going to go to somebody that can do both.

Steve said, one fee for both. Somebody’s going to go see him versus somebody on the same street that can only do acupuncture. So this is my invitation that. If you don’t give this some attention, there’s a possibility that you’re going to miss out and other modalities, other professions are going to have incorporated this.

So I think it’s important that acupuncturists incorporate, especially the laser acupuncture part. And as Steve said, at the beginning, it is a credible marriage. Practitioners that I talked to that are using photobiomodulation with their acupuncture. Never turned back. They love it. And again, I, my whole focus is on gynecology, fertility using the laser acupuncture with my needles.

Steve, I want to thank you again for joining me today. Can you tell us a little bit about asthma? That’s what we’ll finish off here. But just tell us a little bit. The asthma organization that you’ve created and just what’s available for acupuncturist on that website. Yes.

Thank you. Lauren athlet against Stanford American society for laser acupuncture therapy.

I came up with this idea back in 2006 and I reserved the domain name as lab. Beautiful. And it’s nice and short, and I need to have this name reserved obviously long time ago, but I haven’t had a really chance to really get him going until last year. And then this is really the year 2022.

We’re going to learn. I help bring this to the community. This is a, you can look it up and there’s a mission statement. I really want to use this as a community for Acupac. We are the acupuncture. We cannot own laser acupuncture, not any other like chiropractors was physio in massage therapists.

We are going to have it. And in order to, for us to integrate this tool into our practice, you guys need to, of course be educated. And I love to be the educator and also teach you how to sell. Lasers devices and what is technology and what is led and what’s the different between laser and the LEDs and what are all these companies they’re making all these devices, then what’s the protocol for all of these providers and so on.

So this is a community I like to have, and that’s always all for us, the acupuncturist. And then, so we can. Successfully integrate that into our practice and make like a Lauren. I know Lori is a very passionate to make us a good businessman as well. And it’s important. It’s Ian in not only need to have a good skills, but we gotta be a good businessman.

You notice this. Thank you gotta

have. You gotta have those business skills. So it’s not so many people give it a negative connotation. And we’re talking about, you just got to know how to run a practice. You got to know how to charge for things so you can keep your doors open so you can keep treating your community.

It’s just really simple. It’s matte and you can do it with integrity. And so that’s where we talk about the laser therapy today and laser acupuncture. So as lab we’ll have a conference or as a conference, it was information. Unhealthy seminars.com. We have continuing education courses available for laser therapy.

On our community library, we have many interviews with experts and researchers on laser acupuncture, Dr. Steve Liu being one and is going to be offered many more. So do check out healthy seminars.com for the photobiomodulation laser acupuncture courses. All right. You’ve been listening to. To the point with AAC and tune in next week when Sam Collins comes in and joins us on the AAC to report to the point show.

I want to thank you, Dr. Steve Leo, and I want to thank you guys for tuning in today.

 

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Treating Children with Anxiety – Moshe Heller

 

We’re going to talk in the next 30 minutes about treating children with anxiety and it’s definitely a growing issue that I see more and more in my office especially lately and since the pandemic.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hello, my name is Moshe Heller and I’ve been practicing and teaching Chinese medicine for the past. 28 years. And I wanted to first think the American Acupuncture Council for organizing the show and giving me an opportunity to speak about this really important subject matter treating children with anxiety.

If you can start the slide. We’re going to talk in the next 30 minutes about treating children with anxiety and it’s definitely a growing issue that I see more and more in my office especially lately and since the pandemic. And I think the pandemic definitely has a strong influence on children’s.

Tendency to be anxious. And and we can see this very clearly in even in the CDC report from March through October, the PR the proportion of mental health related emergency department visits increased 24% in children aged five to 11, and 31% among teenagers age 12 to 17 compared to 2019.

So there’s a huge increase. And but I wanted to present how we can really help with with Chinese medicine, with our medicine. Very Much. So I wanted to I’m going to start by just going over a case study that will present some of the common issues that I see in my office. So I want to talk about Sally, which is not a, it’s a not her real name is a 17 year old female that.

Came to see me in the office. And she was brought in by her. She gave me with her mother. And then as you walked in the room, I noticed that her, she had a really pale complexion and. With that her eyes were very bright. Although she didn’t, we didn’t, she didn’t have a direct gaze.

At the beginning there was a lot of shyness. Her body was very thin, but looked very tense and her main complaints were having anxiety. Digestive disorders like indigestion. She felt a lot of gas and bloating and very uncomfortable with her in her digestive system. As he said, she came with her mother and she was at first very shy.

And her mother would actually answer her questions, but after a while she opened up and we even I asked the mother to wait outside. So we had some time together to talk about her issues. So she reported that the anxiety really started a little over a year ago and that was about a year into the pandemic and she thought it was related to the changes due to the pandemic.

The pandemic created a lot of change in children’s lifestyle. The way that they had to learn and that caused of course, a lot of stress and therefore anxiety. In the past three months though, her symptoms became much more severe. And they included things like. Difficulty falling asleep, palpitations nightmares difficulty focusing on schoolwork and being easily distracted racing thoughts and then loss of appetite.

And then also a tingling and loss of sensation in the fingers, fingertips and toes which is a very typical of some of the panic disorder. And and also had some diarrhea like on and off diarrhea and a pasty feeling in their mouth and nausea, frequent nausea. So that’s, these are all the symptoms.

She reported. So she also experienced on the background, some seasonal allergies. So she had that tendency to have some damn port phlegm frequent headaches. Mostly occipital and frontal and tension in the neck and shoulders was very, as a co, she experienced that frequently. She also complained of having a weak digestive system even before meaning.

She would be very gassy and experiencing soft stools and diarrhea frequently. She craved sugar and was taking an iron supplement because of low iron count in. Her misses were regular. They came every 28 to 30 days. But there was a lot of heavy bleeding and it lasted four to five days and had some low back pain prior to the arrival of the bleeding and her pulse was really thin and tight.

And the tongue very swollen and puffy, and there were teeth marks and a thick white coat on the all over the tongue. But the tip was a very rare. So I diagnosed her with having a spleen and heart by acuity which is a common pattern that I see in in, in adolescents. And the blood acuity and liver G w also having some blood vacuity and liver cheek constraint with a slight damp accumulation or pretend to have some Dem.

So I chose to include points like heart seven rent, 17 rent, 12 rent, six stomach, 25, stomach 36 and spleen six. So I would choose anywhere between four, four to six points. And you do that by laterally and would see her once a week. So we talked about changing her diet, eliminating Dan producing foods, meaning that reducing her dairy cheese intake and simple carbs white flour products and and.

And adding, eating more foods that strengthened spleen, QI and blood things like beets and yams and butternut squash to include it in her guide. So that there’ll be some nourishment as well as maintaining a warm dive, meeting, eating more soups and And cooked foods rather than raw food.

So we could see here that there’s a, that I arranged all the symptomology and how each with each of the which each of the patterns the loss of appetite and the gas Ines and the sugar cravings and weak digestion and tendency for soft stools, all indicated a spleen. Vacuity the.

Back by acuity was manifested with the palpitations, the nightmares, the difficulty focusing on schoolwork and being easily distracted. And the blood vacuity with difficulty falling asleep which is something I differentiate, Difficulty falling asleep as more of a blood vacuity, as opposed to falling asleep easily and waking up at in the middle of the night, which is a more of a yin vacuity.

Then the heavy menses may also contribute to the blood vacuity. So we are seeing these heavy menses. It may also indicate. The Liberty constraint and we see with the the frequent headaches she will also the tense look, the tense neck and shoulder, and this kind of tendency to be easily stressed.

And this combination of having Liberty stagnation with blood vacuity which points towards the liver blood vacuity would explain this kind of tendency to have loss and tingling sensation in the toes. And. And the seasonal allergies, of course may lead may point to a bit of a lung deficiency, as well as maybe some tendency to have dampness, as we say.

And also the tendency to have nausea and this kind of pasty feeling in the mouth all point towards dampness. I think I skipped the. Okay. So I actually prescribed a F herbal formula and I prescribed a formula called calm plus, this is a formula that I’ve I created in my herbal company called motion herbs.

And then I have a link down at the end of the slideshow to our website motion or. Dot com. And this complex is a combination of herbs that move liver cheese com the heart and and strengthen the blood and yen and therefore, I used that I like to use this formula for anxiety and it’s really fit very well into this picture.

And after 10 days of this formula she reported feeling much calmer. She did not have any anxiety episodes in the last few days and she felt much better and sleep pattern was also. Much better. And she was able to do schoolwork with less effort. So she showed marked in poor improvement with taking this formula.

After three months of this formula, most of her symptoms were resolved and including her digestive issues, and we decided to stop taking the formula. So after three months of this formula, she reported that the. Our symptoms has, we’re almost, we’re completely resolved. So I wanted to to go over I’m actually just going to skim quickly about the definition of anxiety in biomedicine, in the sense that we want.

Understand how, when people say that they ha they’re anxious, what does that mean? Usually anxiety falls under what we call generalized anxiety disorder. And we can you can read this hopefully this th. PowerPoint would be available for you to go back. And there are under this the anxiety section, we also see panic disorders as part of that, as well as things that are associated with D with with anxiety is phobias and specific D different specific phobias included in.

And also social anxiety disorders and separation anxiety disorders, and post-traumatic stress disorder is a very common diagnosis nowadays. And very important that we understand that when somebody complains of having anxiety, it could be related to post-traumatic PTA.

In terms of Chinese medicine. On the other hand, it’s interesting that anxiety is not really a classical category that is used in classical Chinese medicine, but it’s more modern term. And since we see palpitations. As being one of the very common symptoms with anxiety, it is a lot of times included in it.

So fear and palpitation Gingy or panics robbing that’s Chang Chong or junk chow, which is agitation. It’s this kind of feeling of being overwhelmed.

I’m sorry. I think. Okay. But in children, that is really a we have to remember a few things that are very important. I think when we’re treating children with anxiety, because children have unique characteristics that make them more prone to having anxiety. First of all there’s this famous saying that says that all children disease are caused by fear, fright and indigestion, and that starts from an early age.

Most of the pathologies that we see in children stem from having some kind of a fright or fear or being anxious, and then also in combination with

These are the two important aspects. So we also have to remember that it is the characteristics of children to be excess in wood and fire and deficient in earth, metal, and water. So that means that this kind of excess in wood and fire will create a higher. Tendency to be very anxious and very stressed or they would pick up stress more easily.

Whereas the metal where’s the earth being deficient is causing a spleen vacuity which was. Although we think a lot of times as as a spleen vacuum being not necessarily associating with anxiety in reality, I see that a lot of times this kind of earth vacuity is the cause for anxiety because of its relationship with the heart in particular.

It also is important to see that in each developmental stage is each age. We see different pathologies common pathologies. And I wanted to put point out that this. From seven to puberty is the age where we are becoming more aware of our emotions and being challenged, especially by society too.

Control those emotions and in that period of time that is very very time where we need to pay attention because children can easily develop anxiousness around different issues. Because of that. Necessity to be in, in control or have this transformation where suddenly they have to be in control of their emotions.

So a very, as we say, a very livery time, and that is it at that period of time. So we have to remember the children are susceptible to emotional stress, and I’m talking about little kids two years old, a year old, a few months old, four or less, or even later, even the stress doesn’t necessarily need to come from.

Themselves, but rather from the environments of the pickup stress and what’s happening from their mother or from their caregiver or from their family or their surrounding. And I always believe that children are this, like this emotional antenna. So they pick up whatever is in the environment and it affects their their own.

So in that case I always remember that when children come in with anxiety, I always check in with the caregiver in, from this idea of treating the child, treating the mother to treat the child. So especially with anxiety, that is very important to, to consider.

I in the R coursing gene chin pediatrics we tend to we also teach this whole idea that there is this kind of spiral of development, and we revisit different issues at each period of time. And I, we really believe that this developmental Mandela will tell you how to approach children at different ages, according to where they are in this cycle of growth.

And so we see here that each cycle of growth is related to to an element and that and since it is controlled by a certain element, it has the same kind of nature that we would expect from that element in in, in, in that period of time. So attention. Alienation and anxiety are a modern pandemic.

We see that very quick, very commonly. And we see that because I think we are giving children too little, too late of these things and things like too little connection, too little exercise, too little darkness, too little quiet. To the BOR being bored. So children don’t know or don’t want to be bored.

And I think that’s actually an important aspect of growth growing up, but we also give them too much, too fast too much food additives and an energy rich, nutrient poor diet too much pollution too much artificial light and screen time. All these things create an excess of young, whereas not enough of a balance.

And so it and so the so that it creates this kind of. Imbalance of having too much of the fire and the T then scatters and therefore eventually will cause or is it gives a tendency to form a anxious. So there are, I wanted to also point out that there are two there are a few common patterns of illness that I see very frequently that you can pick it, pick up and they, a lot of times.

We’ll be we’ll cause development in, or be part of it. It will be that the child will be anxious. So the first one has to do with it, what we call an accumulation disorder and we see that frequently in younger children. Although, I think we can see a lot of times the remanence of that later on in age, but it’s one of the advantages of treating children, treating pediatrics is that you can catch these things very early on and really prevent.

Years of suffering later on emotional suffering or physical suffering. If you catch that on, when a child is young and that they have a lot of red cheek and a lot of irritability and insomnia, but also have this kind of indigestion or difficulty digesting foods and you might suspect an accumulation disorder in, and by the way, accumulation disorder is something, a term that was coined by Julian, Scott which he has great ideas and I found it to be very true ineffective, but we go very deeply into assessing and diagnosing accumulation disorders in children.

In our course at pediatrics. And that this accumulation disorder also points to this kind of very important triangle or three aspects that we that are connected and interrelated. And that is the new Europe, neuro gastro immune triad. Or a trial. So there’s a relationship between our nervous system through the Vegas nerve that affects our gastrointestinal.

Function. And that affects our immune function. And there is feedback in both directions that that we need to understand that it’s all connected. So when we have an issue with our nervous system, like having anxiety, we definitely need to be in tune with what’s going with the gastro immune function.

Accumulation disorder disorders are a gastric dis disturbance that we need to look at. And we’ll talk about the immune aspect in a second. So I just put in some main points that we use for treatment seafaring is the main points when the child is young up to probably two years of age later on, we might use more body.

For a treating that, that accumulation. Hyperactive spleen sheet deficiency is another diagnosis that we commonly see. This is a child that has all the signs of spleen vacuity, but behaviorly is really having a lot intends to be very anxious, has a lot of sleep disturbances little. Asleep difficulty falling asleep enjoying being the center of attention and w and wants to be very manipulative all these symptoms and usually the child looks very thin and and weak, but the energy is bursting.

So hyperactive splintery deficiency. Another pattern that we commonly diagnosed. And or see frequently especially associated with anxiety later on in life. The interesting thing is that when we have when we have hyperactive spleen Xi deficiency, our treatment is based on strengthening the spleen and not necessarily calming all that excess.

It will come from this. The seemingly a false excess comes from a deficiency and we need to strengthen rather than disperse. There’s another pattern that we usually see, which is called hyperactive kidney cheat deficiency. This this also will have a lot of spleen Xi deficiency, signs and symptoms, but they’ll have very specific other symptoms like dark pools around the eyes.

The page would be a very thin but long a face would be really pale, bright. Wow. And be very fearful and anxious in this case, the fear is very strong and having a lot of anxiety about different things. Being very hypersensitive and also has a lot of issues around sleep and takes very long to go get into bed.

These are very difficult children to treat because they are so afraid from any thing that is done to them, that they can become very hysterical. In any case? The important thing is that the treatment is again mostly use points that strengthen both kidney and spleen and not necessarily any dispersing treatment.

And the last one, which is the other arm of the tr triple the triangle which is the immune part is the lingering pathogenic factor. And I think this is a very important thing to remember because when we look at pathogenic factors that enter into the body, Child as young as they become, they can become lingering.

And there’s a lot of signs and symptoms that will, you will help you diagnose them. And once they are lingering, they can affect our emotional gr the level of the, our nervous system. And therefore, Can cause anxiety later on or tendency to be very anxious. We’re running out of time.

So I’m going to run through the rest of the slides the treatment for the lingering pathogenic factor as we have this really. Amazing. Treatment protocol, which is bylaw. You be 13, 18 and 20. And I use a combination of shout child tongue or some kind of variation of shout child, your tongue to treat that lingering pathogenic factor aspect of the patient.

So in pediatrics I just wanted to point out we have different treatment modalities. We’ll out, tend to use a lot of TuiNa shown Ishan technique is an amazing technique, which we teach again at the Jim Shang pediatrics course. I think that it’s an amazing technique that we can apply to children and get very good results without inserting needles.

And that the gates, the fear factor, especially for anxious kids. And I also use another. Technique, which is cutaneous electricity stimulation, meaning using electrical stimulation to stimulate certain points as opposed to using needles, all that is taught in our course. We also connect we use magnets and we use, we teach how to use them for Paid for pediatric patients.

And they’re an amazing tool that you can actually send patients with it and shows the show them how to massage it and and participate in the treatment. And it creates great results. So I’ve concluded some of the points that I use for anxiety, as well as common patterns in terms of using both both points and herbs.

And I’m actually running out of time. So I will end with this With thank you for being here and listening. And if you want to hear more, there’s many avenues to to hear more and learn more about treating children and and with anxiety or treating children in general through either My herbal company, which is called motion herbs which I have sometimes free webinars on, on, through that venue, I’m going to be treating teaching a course through global branches, which is called the first cycle of life and focusing on the first years, 7, 7, 8 years of children.

So you can Look at the global branches, look it up online and you can register on that their page. And through our Jing Shen pediatrics sent course, which will be distributed through net of knowledge and loss, OMS which, and you can pick it up. So I want to thank the ACA again for this wonderful opportunity to speak.

It’s been a pleasure and I want to remind you that next Wednesday log on here, Sam Collins. Thank you very much.