Tag Archives: Moshe Heller

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Treating Digestive Disorders in Children



I’d like to first thank the American Acupuncture Council to that for hosting me today, and I will be speaking about treating digestive disorders in children.

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. I’d like to first thank the American Acupuncture Council to that for hosting me today, and I will be speaking about treating digestive disorders in children. So I think we can . Dive right in. Can you turn on the first slide? Yes, I’m Moshe Heller and I’m from Moshen Herbs.

And I’d like to discuss today treating digestive disorders in children because it is actually summertime, a fire phase. And a lot of times we don’t think about . Necessarily connecting the digestive disorders with the fire element. But there is a very strong connection, which we’ll see in a little bit, other than the fact that of course the the digestive fire right is associated with that kind of element, the fire element.

I wanted to point out that. Digestive disorders are actually extremely common in children and sometimes they don’t manifest as the main complaint, but they’re associated with many disorders that range from even cognitive issues of difficulty focusing to allergies, to various other things.

And I will point out as we go how this, what are the connections? But the first thing I want to make sure that everybody is clear on is that children are born with a weak digestive se system, meaning that that their spleen is often very deficient. And that’s very obvious. Babies have difficulty digestion di digesting and have a very soft yellowish

Bowel movements, which are all signs of some spleen, va acuity. As we see that the patterns of digestive dysfunction are easy to notice when we put the earth in the center, the spleen in the center, so there’s. Starting with wind affecting stress and in infections and anger, all can affect the spleen.

The, in the fire element we have heat and over overstimulation, overheating. Creates can affect the spleen in the center. And then the, in, in the metal element, we have dryness and frequent colds or invasions of. Pathogenic influences that can affect the the digestive system as well as affecting the large intestine if they they affect the younging causing constipation as well as the emotional state of the lung can when there’s loss or grief.

It can affect the spleen function a lot in the water element. Cold, raw, cold, eating, raw, cold foods, the use of antibiotics and some prenatal, like a, some kids are born with even weaker spleen, so the digestive system is even more sensitive to . The the foods that we introduced to them, even sometimes the breast milk itself and also prematurity affects the kidney and fear and fright.

All these factors can also influence the spleen. And there’s an interesting saying in pediatric, in Chinese medical pediatrics that actually all children disorders arise from fear and frighten and indigestion, meaning that fear is a causing factor for many disorders and also issues with digestion.

Those are the two main issues. . That children present with with disorders. As we can see here all these influences eventually can cause spleen G deficiency that affects the spleen’s ability, trans to transform and transport and therefore damp can be produced and and accumulations.

These are the sort of the digestive dysfunction issues that can arise. I also wanted to point out that we, there’s this really strong connection between our digestive system, our immune system, and our neurological system as an as . I call the neuro gastro immune system. They’re all connected and connected, as one system.

We know that the the immune system and our digestive system are very much connected through the microbiome and the microbiome health, meaning that the mini minute R microbiome is imbalanced then. It can lead to immune issues. So we can feel, see that the, there’s a lot of gassiness and bloating and discomfort in the belly, abdominal pain from this kind of mis the microbiome dysbiosis.

And that can affect our immune system and also . Through the the effect of the vagus nerve. Our neurological system affects both the immune system and the gastrointestinal system, meaning that there’s feedback back and forth between them. And so if there’s neurological dysfunction, it can affect our or vagus nerve dysfunction.

It can affect our gastrointestinal system and our immune system. And vice versa. If there are disorders, if there’s issues with our gastrointestinal system and our immune system, it can affect our neurological system through the vagus nerve. So this is a very important . Connection to always remember that aligns our immune system and our neurological system in in the same in affected by our gastrointestinal.

And there’s like a triangle that are very closely related. Anything that happens in one can affect the other.

So I wanted to say to point out that there are five common patterns of illness in children according to Julian Scott. This is his idea. And actually I found it very very true in my office, in my clinic. I always can probably . 90% of my pediatric patients will fall into one of these categories of disorders or as at least as, as a part of their diagnosis.

We’ll have one of these five. So these are very common patterns and I just wanna go through them really quickly so that we can remember. The first pattern that I want to mention is called an accumulation disorder. And accumulation disorders are very common in, in the early years. So somewhere between six months when new food is introduced to the baby.

And up to about two years at two years, I would say that is the point where the the digestive system matures. So at this point of time the digestive system is very delicate. And and therefore if some wrong food is introduced or some cold is affecting the digestive system accumulation can result.

And this accumulation is similar to the concept of. Food stagnation in adults, but it has a more of a, another aspect to it. It could be the beginning of of or the pre the precursor for For digestive, for food allergies later on in life. The symptoms are very similar. There are very clear sets of diagnostic symptoms that point towards accumulation.

And I’ll just point the most significant one is that there is a constant redding of the cheeks look red. Most of the time in those children, they it’s not like a healthy red cheeks that you would expect from newborns or, or babies or toddlers. But it’s it’s almost like a real strong red.

Kind of coming out from the skin. And it’s very typical of those those kids that have that accumulation disorder. And of course it comes with a lot of digestive issues and tendency to have colic and gassy and issues with with digestion and bowel movements. The next pattern is a regular spleen, chief acuity, which we can expect this is a more of a deficient condition.

You’ll see a child will be more flabby floppy, not flabby floppy. The muscles are not strong. Sometimes . Associated with low muscle tone and also issues with digesting food, with eating patterns are very, usually very difficult. And so it’s more of a deficient type of pattern.

The hyperactive spleen, chief acuity follows a similar pattern where there’s this kind of digestive deficiency. But the energy of the child, the emotional state of the child, is very hyper, very difficult to sit still and very manipulative and and not able to sit quietly.

There’s another type of deficiency with a mixture of hyperactivity, and that’s called the kidney chi deficiency Hyperactivity. The only difference between the. Spleen chi hyperactivity and the kidney chi hyperactivity is that the kids show some kidney vacuity on top of the spleen vacuity.

And a lot of times they’ll be very fearful. You’ll see them, they’ll be very hyperactive. They’re very curious. They’re, they’ll have issues sleeping, but their digestive system will definitely, they’ll have food issues also associated with that. And the fifth one is the lingering pathogenic factor.

I see a lot of that. The most important way you, there’s a few very strong clues towards lingering pathogenic factors, but I always palpate for the lymph glands and see if they’re swollen. There’s a suspicion. That and the child is not actively sick at that moment, that there’s something lingering.

A lingering pathogenic factor is involved. So I always check for that too. So these are the five common patterns, as you can see. Except for the lingering pathogenic factor, which also always almost involves digestive sys system issues. All the other four are clearly digestive dysfunction as at the core of those fi five patterns.

When we see that spleen sheet deficiency in kids, it’s really simple. That’s why I really thought it would be a very important to remember that. Because it’s actually very simple to treat them. There’s, these are very basic points. Stomach 36, CV 12, and I also sometimes might help.

I’m I, I. Didn’t write it down here, but UB 20 as the back shoe of the of the spleen is really important and helpful. You can use it with needles, you can use it with tiger Warmers. You can use moa, but it is really easy to treat children to strengthen their spleen with these points and so effective that is definitely worth stressing.

So useful points for accumulation and indigestion and colic issues. Again, we have . CV 12 and stomach 36 as the basic combination the use of CEN points in babies. I use them up to even up to two years old. I use cen very, I know traditionally there’s this idea that you need to prick it and express this kind of yellow fluid.

I find that even using a shone hin tool to press on these points until I get a little bit of a reaction then that’s all that’s needed or a quick in and out with a siren. Ear, needle. And sometimes I am able to . Put all all eight points ’cause only I don’t use the thumb eight points before the child actually realizes that I did that.

That means it’s really great. I also wanted to point out this combination of using CV 10. CV 13 and CV 12, all three. Because that helps to regulate the stomach function. CV three I call the upper sphincter of the stomach. The CV 10 represents the lowest sphincter of the stomach and CV 12 representing the stomach itself.

This, the use of those three points, whether it’s by massaging or ENA or by . Using po the needles or magnets. Sometimes it can help regulate the stomach chi, which is really important to make sure stomach chi is functioning well. As well as spleen cheer and the heart the relationship between the stomach chi and and the spleen chi is balanced.

We also I I like to use gallbladder I stomach 34 for calming stomach pain. That’s a a different point that’s usually used, but sometimes it helps to actually come if stomach 36 doesn’t and stomach 40 for transforming phlegm. If there is phlegm that needs to be transformed.

I, I frequently use when there is constipation, I use a combination of triple burner six and bladder 25. And and when I work on eliminating damp heat from the intestines, I use stomach 25, 37, and 39, the lower C point of the large intestine and small intestine. Here’s some tuna recommendations.

Of course massaging the around the belly button. Just remembering that if we are wanting to promote paralysis, we use it clockwise. And if we want to stop her stasis, we use it counterclockwise. So if there’s constipation, you would use it clockwise. If there’s diarrhea, you would use it counterclockwise.

The spleen is represented at the tip of the tongue thumb. Generally if I want to strengthen the spleen in pediatric patients, I would do rotations. On the thumb area. Basically in pediatric Trina rotations will create more ification, whereas linear or spreading outwards like this, Is more dispersing if you have a damp accumulation from spleen.

In the spleen. An excess spleen, not very common, but sometimes there is, you can disperse and the stomach area is just underneath, underneath the spleen in this area. So you can disperse the stomach by pulling outwards, or you can tonify the stomach chi by doing rotations.

So I wanna point out one of the formulas from Moshen Herbs that I use for a variety of digestive disorders. It is called Digest. Interestingly enough, it’s based on, I. BHA one. And it harmonizes the spleen and stomach and resolves de phlegm and regulates the liver chi. So it is, as I said, based on bha one from the Yin Nourishing School of Ju Chi.

This formula actually reduces food stagnation and preserves proper functions of the digestive organs. So it’s a great formula for supporting the digestive system and that’s what I like about digestive ’cause you can use it as a tonic to support a weak digestive system. Especially if there’s concerns about this weakness and it can also be a treatment.

So I modified it and her and and added herbs that support digestion. Clear some wind, heat and regulate the cheese. I’ll talk a little bit about these. Of these herbs, gin, , and . Both are actually considered great summer teas to prevent pathogenic influences in the winter.

There are cooling herb, cooling herbs. They’re both flowers representing summer and affect the head. But they are really great. Digestive regulators. I. We don’t think of them as such, but they are, and that’s why they’re really recommended to be in China it’s a known what would call summer tea.

You drink, you can drink in warm or. Cool. With and . And so I added that because it actually supports the digestive system. Again, another herb that relieves the exterior. But it is also a great digestive regulator. And it’s it’s really important herb for helping the digestive system.

And Tchen helps in the production of fluids, which is another important, very important concept that the EA is manufactured and distributed well. And that’s all in relationship to good spleen chi. So Tchen is an amazing, important herb for supporting the digestive system. So we added this herb to the formula digest and we can quickly break it down.

Di Digestive again based on . Preserve Baan Preserve harmony. Tchen and re are the main herbs. Sanja, Zu and Sharon. And Gya, and are all food transforming, helping the digestive system transform or breakdown proteins fats and carbohydrates. Excuse me. As well as a combination of Chen CIA urchin tongue, basically to transform d dampness.

And I’ve added these accurate, windy herbs used to regulate the digestive chi in them. So this is the format I wanted to really present today. I wanted to just mention another couple of formulas that are not . Focused on the digestive system, but affect it in, in, one of them actually does work on the digestive system.

The one the first one is called shield, and it is based on ing Pang. Yan is mostly Xi, which is strengthening to the spleen and Baiju. Which actually helps of course strengthen the spleen and work on the digestive system as the basis for a good immune system. As I mentioned before that relationship is extremely important.

The, this is a shield that if you have a child that has digestive system and tends to get colds very easily, shield is the formula even better than digest. And the last one has is called react. It’s based on one, but it is actually my food allergy formula. To support children who have who have this kind of accumulation disorder at the beginning.

And then it develops into these really food allergies that cause a lot of digestive issues and manifest with many other complaints. So that’s react. So these, this is all these formulas are, there are many more formulas that can affect the digestive system, but these are my points that I wanted to bring today.

I like to thank you for your time and thank the, again. . For hosting me and thank you for listening and hope you visit my MoshenHerbs.com for more information. .


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Formulas for the Season – Moshen Herbs



I’m gonna be speaking about formulas for this season.

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’m from Moshen Herbs. And I wanted to thank the American Acupuncture Council for letting me host this talk this morning. I wanted to I’m gonna be speaking about formulas for this season, and so let’s go right away and start with the first slide.

I wanted to talk about two formulas that are associated with this coming season, this spring season. So as we all know, it’s officially started. Two days ago, so we’re at the beginning of spring, and I wanted to mention or talk about or discuss two formulas. One is the the first formula is called shield.

It’s a formula, again, by Moshen herbs that I created to support and boost the immune system. And then the other formula I wanted to, I’ll be speaking about today is react, which also is another formula by Moshen herbs for that I created for allergies, which is really at beginning of the season of allergies.

As we all know, everything starts to be itchy and irritated a little bit as the pollen levels rise. I wanted to start first with the SHIELD formula. And I I th this formula I created based on NG san, which we all know as Jade Windscreen and I combined it. With WA tongue, which is cinnamon, twigg, decoction.

And together these two formulas strengthen the exterior and harmonize the functioning of the way and ying chi so that when we, when our patient encounters pathogen, the body’s able to resolve it quickly. And that’s a really important. Thing I wanted to stress is that we, it’s not about not getting sick because we, especially when we’re treating children they do encounter pathogens and also as adults we also.

Are able to, or supposed to get sick. The issue is that we need to resolve it completely and quickly and exactly that’s what this shield formula is will help. So in this encounter with this pathogen, whether it’s a pediatric patient or an adult patient, The body of our patient is learning to deal with this pathogen that they encountered.

In a sense every time we get sick, it’s a learning opportunity. And it’s important to remember that because the more we learn, the more we are able to ward off. And I think SHIELD is an extremely helpful formula for this situation. So I wanna break it down a little further and how we how I created this formula.

We, I first wanted to make sure that the CHI is strong. And also that the CH Chi transformation, or what we call sometimes chia is complete. And so on top of this two formulas I mentioned before Jade Windscreen and cinnamon Twigg Decoction, I also, and I also combined. Urchin tongue CIA and CEE mostly as the two main herbs of that formula.

And those herbs will help to transform dampness and and otherwise if the dampness accumulates, it will hinder the functioning of the spleen. And that’s why it’s important. These. Two formulas. Th this formula two cured Decoction helps in that transformation and keeping the transformation going.

And so on top of that, I added another herb Tchen, which is a really amazing herb. I really love that. And you’ll see I use it. A lot in other formulas. Also, the advantages of it is that Tchen strengthens the spleen chi, but also works on regulating the water pathways and the transformation pathways of the spleen.

It, and it helps in generating fluids, generating pure fluids, not not. Turd fluids pure fluids will help to nourish and move and will move freely in your body. Whereas turbid fluids, if the transformation is not complete, will create dampness and then fle. I really Tchen to support the, this transformation.

The, in addition, I also added wwe, which helps the formula. Consolidate the exterior, but also bringing the kidney chip support to the lung. So there’s a better relationship or communication between the lung and the kidney. That the kidney supports the lung functions in both moving fluids, transforming fluids, and keeping the way chi secure.

Finally we also added Gagan. It’s a really also another one of my favorite herbs because it works on two levels. One, it supports digestion and helps with the normal function of the spleen. And on the other hand, it really helps to support the exterior. So in harmonizing the muscle layer in our what we call the muscle layer, which is this kind of relationship or is connected to the relationship between the ying and the weight level functioning.

We also, I also added the lastly linger which is, as we know, a really good adaptogenic mushroom that cons con is considered a really potent immune system tonics. So we have All the herbs that I mentioned yeah, are structured in this way. Our main main formula is NG with the addition of Tchen.

Then we have with the audition of. Greg and also I added to help clear and clear any heat and also support exterior and and as the third layer being urchin tongue transforming that potential phlegm and making sure that cheat transformation is complete together with w weights and linker.

So this is the structure of shield. It’s as I said, it’s a really great formula. I’ve been not only using it in my office, but a lot of practitioners have been purchasing it from me with really great results on. Supporting various kinds of conditions between just as a immune tonic, especially during the pandemic.

And then also as spring, as a spring preparation. Formula because a lot of times, as we know, when we see seasonal allergies, it’s all about harmonizing the ying and the wait chi and making sure that the immune system is functioning normally and therefore will not react to the Poland as as sometimes happens.

So the next formula I wanted to discuss is react, and it’s actually a very interesting formula, I believe so at least. And it’s based on the formula, whoe one, which is an anti parasitic formula or a formula associated with the in level. It’s sometimes curious why we might use that for allergies anyway the theory and we, I’ll show you some research that’s been done on that to support it.

Is that anti parasitic herbs. Inspire. Inspire is maybe not ex the exact word, but promote the body to regulate the immune sss the immune response and specifically the allergic immune response, meaning mast cell, histamine response, et cetera. So this formula. Combines hot and cold herbs and to address the Chinese perspective of of of allergies, which is common that we have both heat and cold concurrently in in the, usually the patterns of allergies.

Classically we’ll see this kind of the nasal, let’s say discharge is usually clear which represents a cold condition, but a lot of times this kind of hyperactivity and and hyperresponsiveness is a sign of heat. So this, there’s this kind of both heat and cold symptoms that manifest in the same time.

So reacts, react takes W one as the basis of the formula, and then adds herbs that are commonly used for food environment and environmental allergies like Fei Ang, Yuin, Bechen, and gj and also Zi and fun are. Commonly used. And and then added some adaptogenic herbs like Wrenchen and Tchen, as I mentioned before in, in shield to focus the formula on recalibrating and harmonizing the way she functions.

If we look, this is the research I was referring to. It comes from Dr. Lee from Mount Sinai, but this is the the link to the article if you’re interested in reading. And you should be getting the slides. So you could. Access it. If you wanna read more about this research.

Fascinating. About the use of. WME one. And so I also put here the original formula of WME one. So if you look up WME one pills these are the ingredients. You’ll see that there’s one of the herbs I had to change it’s called a hin or her Citis. And. It, this is a herb that I had to eliminate because it’s not available.

I think FDA Rev removed it from being used or, so I had to change that. And I also, I wanted to show you that this is the finalized formula. In in that Dr. Lee used. And so the original formula fui and hin were eliminated in the in the Research formula. I kept the f the fui in the formula.

This is the React formula. That’s the breakdown. Here’s WME one. You see we have wme and instead of hin I added Sisu. Yeah. As a substitute for it. But I did keep the the aconite fu in, in, in the formula. And again, here on the right, you’ll see all the herbs that I added for known to help in regulating food and environmental allergies and as well as the adaptogenic herbs I mentioned before.

So this is the form now react is really great for seasonal and environmental and food allergies. So it, it addresses a lot of the different manifestation of aisle allergies and it’s a great formula. And I’ve used it. For many of my patients from food allergies all the way to environmental allergies and whether it manifests with eczema and or other signs and symptoms of different allergies or even gastrointestinal if it’s a food allergies.

I also mentioned mast cell activation disorder. So this is another Manifestation of an allergic or allergy syndrome. So it’s getting a lot of attention. And it’s a very interesting syn syndrome that you can look into. And react works really well. I’ve had a few mast cell, quite a few mast cell activation disorder.

Patients that were really helped by react. What I want to add is a caution. When you react, if somebody shows or manifests anaphylactic shock or anaphylactic allergic response you have to be very careful about prescribing this formula and working. And it’s really Really important that you work with the patient’s doctor for testing reduced sensitivity for those anaphylactic results and or anaphylactic causes.

And also I wanted to mention that we have a very specific dosage suggestion. This formula is not, both the both of these formulas are not formulas. You take. Necessarily symptomatically to resolve a symptom, but rather you take it long term. Both of them need a minimum phase of three months before you, before they come to their full effect.

And so there’s a three months. Minimal period. Sometimes you need longer individually, so three months is an average. Some people, some patients will respond faster and some people, some patients will respond more slowly. And it also depends on how much acupuncture is concurrently administered and how many, and how they’re responding to all the other guidelines you might give them as part of the treatment.

Excuse me, but generally speaking, it’s really important to understand that this is not a short, both of these formulas are not short term formulas. There’s an accumulating effect that happens while taking them these formulas for a few months before considering considering the results.

These were the two formulas I wanted to discuss. I I encourage you to visit our website, Moshen herbs.com and I wanted to thank you very much for listening. And I also wanted to thank again, the AAC for letting me do this presentation. Thank you very much and have a wonderful day.


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Treating Infertility with Herbs – Moshe Heller


And I’m going to be speaking about treating infertility with Chinese herbs, with Moshen herbs with different, we’re gonna talk about one formula and how we can adjust it.

Click here to download the transcript.  Click here to download the slides.

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. I’d like to first of all thank the American Acupuncture Council for having me today. And I’m going to be speaking about treating infertility with Chinese herbs, with Moshen herbs with different, we’re gonna talk about one formula and how we can adjust it. And and I also wanted to let you know that I have another I will be having another talk about another two formulas, which are very Very applicable to this season, which is spring season.

One is called React and is used for allergies. And the other one is called g shield. And it is used for improving the immune system. So those are very relevant to the spring which is in its might. AC activity right now, and I you might be feeling it a little bit itchy eyes, nose, throat, and all the pollen is everywhere.

So happy spring and let’s start talking about the subject of today. As I mentioned, I am going to be talking about actually one formula, but two different variations of it that supports fertility in both genders. So the first formula, I named it Sprout and it’s the motion herbs formula for supporting uterine fertility.

And the other one is called Seed which is the motion herbs formula that supports sperm fertility. These are, this is going to be what we’re going to be talking about today, but I also wanted to start by talking generally. How do I approach treating fertility in Chinese medicine in general?

The first concept I wanted to discuss is yin and yang. This is something we all know and really is really an important aspect of regulating the body and preparing in, especially in preparation for conception. And of course yin and yang has to be balanced. The reason I wanted to mention it today is because I’ve been noticing in my office in the years that I have been in practice that I need to focus a little more on yin than young when I treat patients with fertility, and I my assumption is that this is due to the fact that.

our lives are in this modern society is very active and fast and moving, and we have too much too much, too fast and not enough downtime and not enough yin in our life. It’s becoming much more young and there’s much more young expectations from us. We need to perform, we need to support, we need to do all the things that kind of weigh on our young, but in order to create more young, we definitely need more yin.

So I find that a lot of times what I see is that there’s I need to focus on creating yin, not only in. Treatment, the treatment itself but also in supporting the patient in the process of getting ready to conceive. That means talking about foods that support in it means talking about activity and rest and so on and so forth.

So one of the basic things that I recommend for women and men who are trying to conceive in the process of getting pregnant One of the main kind of yin foods that I recommend is bone broth, and that’s just an example. So for all my fertility patients, I usually recommend to u to to use bone broth, almost like a supplement.

So they’ll have at least a cup of bone broth every day to support that yin. . And then we also discuss the idea of making sure that sleep and rest is part of the the general lifestyle and that there’s a lot of focus on that. And that leads me to the idea that we really always, or frequently, I find that I really need to work on strengthening the gene.

And what does that mean? In general that we are looking at Jing strengthening as we all know Jing is a really important aspect of. Of fertility especially in the idea of chi. In Chinese medicine we know that Jing is really if Jing is deficient, our ability to conceive or to produce sperm or to produce eggs is reduced.

And A lot of times because nowadays conception comes much later in life than the jing as we age is reduced. And therefore there’s always need a need to support or evaluate how much we need to support Jing in both genders. We will discuss the herbs that really work on strengthening jing, but also, as I said, lifestyle is a huge con aspect of preserving.

even supporting or strengthening the gene. And again, that is looking at diet, looking at activity and rest and and also making sure that you are using some kind of a an exercise that is not only cardiovascular, but also meditative, I would call it like yoga or chigong or anything that the patient feels comfortable with in that aspect.

So when we are supporting the uterine health, of course we are not only looking at Jing and yin and yang, but also at the health of the blood. And the health of the blood is really pretty important as we might assume. In, in, in conception. And a lot of times that is a really important thing to evaluate in a patient, to understand how to treat them.

On top of checking, what’s the. What how, what, how strong is the jing? How strong, how balance is the yin young. We also need to regulate or check the blood health and also the liver. Liver liver. Health, I would say meaning is there a liver cheese stagnation as part of the diagnosis?

Is there or is there a liver blood deficiency as part of the diagnosis? So we need to understand that in order to best support the uterine health of a female patient where When we are supporting the sperm health, we not only need to look at the things that we that I mentioned before, but instead of blood, a lot of times I evaluate the relationship between the heart and the kidney.

as I really think that the concept is that the one the heart fire is in relationship with the kidney Jing to allow for the production of healthy sperm. So I look at the kidney fire or kidney heart balance when I’m evaluating. The sperm health as part of the diagnostic process. So these are all really important things and we as we will talk more specifically as we go through the formulas to understand what kind of herbs you might be thinking of in each of those cases.

So let’s start with the formula sprout. Which is the uterine fertility support and it’s was created based on the Formula One shall down and it’s a one shall down. Is really Important formula. I think for for supporting fertility, it’s, as a base formula for supporting fertility.

The translation of that is rejuvenation, special pill. What it means basically is that this formula is made to. Revive the jing in a sense. So it’s a Jing Tonified formula and when I created it for the use of sprout for female fertility, I added herbs that support chin blood. As I mentioned before it is really important that we look at the blood as well as the function of the kidney.

Balancing kidney ian and young as, and as well as regulating the liver making sure liver blood is really full. And also that liver chi is flowing harmoniously. So this is all taking care all part of the creation of, or the formulation of the, this formula. So I’ve looked at many herbs and how do I Ma adjust the formula to support the natural potential of the body to, and how do I strengthen the kidney energy and support the jing and really regulate and strengthen the liver?

And so I have used different, I added different herbs like Xianchen which. A really important herb, I think in the, in supporting both the spleen energy and the fluids and the yin of the body. So this is American jining, as you may know which really helps to not only nourish chi and young, but also supports kidney.

Yin. Therefore, I think it has an effect on supporting Jing. I also added Zu as a way to consolidate the kidney energy and help with. With holding on to the Jing that has been created as well as to support Liberty Tea flow and also calming the she and spirit. So I also in both Sprout and in seed, I added Herbs outside of our Chinese herb preparations or varieties.

I added in sprout two Ayurvedic herbs. One is called, one is Ashwaganda, which is. Pretty much the Indian Jining or sometimes referred to as the Indian Jining. It is a real balance and it’s like parallel to the the American jining in its ability to. Both give support the young, but also in a calming way and not overstimulating, and also added chat, which is asparagus root for its calming, nourishing, and yin building aspects.

To support the formula’s yin building ability. So if we look at Sprout the on the left, you will see here the main, the herbs that I, that originate from Huang, Shadan. I’ve reduced some of them, eliminated some of them, and and substituted with others. On the right side of the four of the list, as you can see here the interesting thing, one of the main herbs in Huang Shaan is Shaya which is basic chi tonic but also, Generates fluids and really helps support the transformation of fluids and and nourishing the, in nourishing the yin.

. The other herbs that are included is and are the two young produ young strengthening form herbs. . So these young strengthening herbs especially barian, have a very moish nature. Therefore they really support both kidney young, but also kidney jing and and they’re very balanced in that way as well.

We, I also added two herbs two herbs in the formula that is . Both support yin and blood and and Jing also in, for that matter. So these are the herbs that are, or from the original formula, which is Shong, which I mentioned before, wan and Zu. These are all the original formula of but I also added another.

Two herbs that really support the young, I added and wan to enhance the young ability the young strengthening aspect of this formula. But as again, both Tu and are also support the and are not too stimulating in terms of young activity. I added the next group of herbs is SH

and Za. These are all focused on strengthening the Central Chi. Sharon helps in moving the chi in the middle burner, as well as supporting it and is really important. So to, to reduce the. The CLOs of some of the herbs that are in this formula. So it’s there also to support that.

The next set of herbs are UE and UE and which really help in nourishing blood and supporting liver. The liver blood in particular. And then the following set of herbs is

Ma sorry, fu and which help to move liver chi and also calms the. . And then finally we add, I added some herbs that support the Kidney that, sorry, the uterus. These are herbs that are sometimes used for what, what is called concern for miscarriage. So these herbs help to calm and nourish the uterus and prevent prevent any, Danger of miscarriage.

So these are ngk. Then the last two, as I said, were the ashwaganda and Shava, the Ayurvedic herbs. So this creates a very rounded formula. I’ve used, I’ve been using this formula to support my fertility patients for many years before coming out with it. With motion. So I know from my experience that it works well whether in any case, when you are working on a fertility patient, you will also need to address, and you could do this with acupuncture, with some diet, with some lifestyle recommendation or with Or if you are actually, making a specific or making a a formula for your patient, you will definitely need to evaluate the specific constitutional imbalances of each patient to really address the more specific needs of every patient.

So every patient has more needs. So Sprout is a general formula, trying to hit the most common disorders and supporting the most basic needs of anybody going through fertility issues. That could be a support formula for you, but please make sure. Whether with acupuncture or with other techniques that you support the more individual aspects of each patient that you are trying to support their fertility.

When we talk about seed, which is the ba which is the formula that I use to support sperm health. Again here we use the same formula Huang shall done to be our basic general formula. But I’ve modified it again to. Sperm health by addressing a variety of common presentations that happen with males who are, or males who are looking for support for their for her, their sperm quality.

But also I usually would recommend if a woman is coming to get or help with their fertility. I, and I’m not seeing necessarily the. The other part that I recommend that they take seed to support their health qual their sperm quality. So it, what I took in in, in account when I was forming this formula is, Different issues like how to support sperm count, how to support sperm motility, and how to support sperm morphology.

So I included herbs in all for supporting all those aspects as well as different constitutional aspects and the stresses that we encounter in our day-to-day life. To help in calming those to so that we are able to form a better quality sperm. So from a Chinese medicine perspective, we really st focus on strengthening the jing and also regulating the liver chi, as we all know, the liver chi the liver.

Channel really and circles the gen genitalia. And therefore once we move the liver chi, it helps in circulating the chi around the testicles. And that’s really important for a lot of men or people who are trying to enhance their sperm quality. Always address the liver.

Whether it’s, again, with acupuncture and points that really help to promote the circulation in the genitalia area points like liver five, for example. It’s one of my favorite points to help with that and really get chief flowing in that particular. And also I really take a very specific look at this.

What’s the balance between the heart and the kidney? A lot of times what we see, if there’s too much heat in the heart and not enough young in the kidney, that means that maybe we need to regulate or try to balance the two. And I always believe that the. That the sperm quality is much influence, both, both the all three aspects of sperm health is affected by this balance of energy between the heart and the kidney.

So I always, I. Take a really deep look at what that balance is in order to try to harmonize it and make it more harmonized and Therefore I think the herbs or whatever you’re doing might work better too. And our, the body will create better quality sperm. I’ve modified the base format, the Aldan, by also adding some Western an Ayurvedic herbs, including Demi which is a western herb that used for increasing libido.

And as I mentioned Ashwaganda before in the other formula. That has really shown, there’s some actually research, actual research that shows that it increases sperm count. So this is another addition to the formula. So let’s take a look at the the structure of this formula because . One of the things that is helpful, I think that especially if you’re doing herbs, you can use the idea that I used here, but also adjust it.

If you want to create your own formula, you can adjust it to the needs of your specific patient. As you can see, the first herbs that I’ve our first herbs in the list are, her and all are really important herbs for increasing jing and blood and yin. We know is a really important Jing tonic.

That is, that is, I found I thought it was really important to add to this formula. And as we mentioned before, and is part of the are part of the Huang Chan combination. The next herbs. Zu and Tu are all herbs that help to Shia of course, is part of Huang is as I mentioned, it helps to support the kidneys, but also through strengthening the spleen.

And then we have Zu U, which is. As stringent as well. Astu Suzu Shri is actually part of the al down formula to Suzu. Also and you saw that in that I added that to sprout. We as I mentioned before FU and Newgen and. Are both also as stringent herbs that help to consolidate and strengthen the kidneys.

And are really important herbs for regulating the liver and helping bringing down that young. Especially in muan, p, we know helps to bring down the young and prevent any liver, young rising. So it balances the liver chi. And and also Baha, we know helps to with liver blood.

Then we have sh wonk are really important strengthening the chi herbs. And then we have y

Sue Young and are. Really a group of young strengthening gin Jin Tonifying herbs. In this formula. Then I add Chen, which helps to regulate the blood and connect the kidney and the heart and the kidney. So it really is helpful or supports this kind of connection between the kidney and the heart as well.

That strengthens the kidneys and cre and support circulation. And Huang are another two herbs that I added si for its balanced or support of kidney Jing in particular. And Huang Jin is also a fantastic underused, I think herb for supporting kidney gene and in strengthening the blood overall.

That’s the group of herbs, the Chinese herbs included in In seed. And then we have we have three herbs added to that damiana and ashwaganda, which I mentioned before. I also added So Palmetto because of its effect on. Supporting prostate health as well as balancing the body’s I think yin yang balance by making sure that there’s the eliminating the.

Testosterone that might be circulating in our system. Those were the two formulas that I wanted to review. I wanted to, again, really thank the American Acupuncture Council for supporting these webinars. And you can have the website of motion herbs on the, this last slide. Thank you and please visit us at the above website for more information.

Thank you very much.


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What to do about Seasonal Allergies!



I would like to talk about seasonal allergies and some of you may have heard me talk about it, but I think it is because of this time of year, it is the time to talk about it and see how we can help people with this condition.

Click here to download the transcript.  Click here to download the slides.

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 would first like to think the American Acupuncture Council for having this, having me on this show. So great privilege and it’s a great show and helping us acupuncturists talk about different stuff. And I’m the first today I would like to talk about seasonal allergies and some of you may have heard me talk about it, but I think it is because of this time of year, it is the time to talk about it and see how we can help people with this condition.

So I will start with.

The weather’s getting warmer. The trees are starting to bloom and we are starting to feel that. Or our patients are starting to feel the effect of of this season. And I don’t know about you, but I’ve been getting a lot of calls to my office to try to help with these seasonal allergies.

So I wa I thought the best way to discuss how to help people with it is to bring a case. I’m going to talk about this young boy has, he was nine years old when he came to see me. And he’s been, he has been suffering from allergies for the past, about five years. So since he was about four and it’s interesting cause I’ve been seeing more and more children with allergies because I think it is actually a condition that is growing in numbers and we see more and more children and.

And adults would that matter who are suffering from allergies and we can see the numbers are growing. Even the CDC has published information about that too. So you are going to see more and more of these cases in your office to them. Sure. So he’s a nine year old. He is a chief complaint is nasal congestion, sneezing.

These are all and watery, itchy eyes. These are all very common symptoms of the seasonal allergies. Occasionally you will experience a lung congestion. So it goes down to his lung and he’ll have cough with a clear. And sometimes yellow sputum and this user does sputum is difficult for him to expect rate.

So it sounded it’s a sign of some congestion. The patient mother says that he’s more susceptible to catching colds than his peers. And family members. And she’s also reports that he’s allergy testing a reveal that he’s allergic to soy and tree nuts, which indicated to me, so other than the environmental allergies, he also has some food allergies.

He had a difficulty falling asleep and it was very hard for him to wake up because he would go to sleep late. And then only have six hours of sleep for a nine-year-old. As far as I’m concerned, this is not really a sufficient amount of hours. He also suffered from nasal clear nasal congestion.

He would have headaches when he was tired. And interestingly enough, he also had called sores one or two times per year. That cold sores for me are signs that there’s some kind of immune disorder. And also there’s a lingering pathogenic factor as involved with. He’s very sensitive to smells and his tends to have eczema behind the knees and elbows or in the elbow bends.

And the rash is usually red and itchy and raised in bumpy, but not Uzi. Eczema as usually another common disease that is Como co coincide with children who are very allergic. And also we see that with adults. He would have chest tightness and shortness of breath, especially when he’s exposed to cold.

So cold will make it the condition worse.

So his tongue is pale and puffy, which points towards some deficiency and slight center crack, and a red tip with particular in the upper jaw. And the coding is slightly thick and white meaning that there’s some More on the cold side and that the particular showing some underlying heat.

As we can see, it’s already pulling, pointing towards a complex. Condition, the pulse was slippery in the turn, but otherwise weak and his lymph LAN glands were congested and positive. This is something I do on a regular basis when I see children I palpated for the lymph glands under the jaw.

And along the anterior aspect of the SCM. So if they feel that if I feel that there are marble sized protrusions, then definitely that’s a positive lift Glen and a, usually those are the, when the lymph glands are positive, it points to. Maybe the condition involves a lingering pathogenic factors.

They have to see other factors also, but it’s a, quite a a strong, positive although he was nine, I was still looking at the finger vein and finger vein observation is something that we do a lot in pediatrics. It’s mostly done for children around to. Two years old, from from newborns to, to two or three afterwards traditionally it wasn’t used so much, but I’ve found it very helpful to look at that to look at the finger vein, even at older kids, because they’re radically.

At that age, it should not be president if it is it’s indicative of something. The finger Bain was very dark usually indicates heat. That was another indication that there was some underlying heat disorder in his case we, I observed his face and his cheeks seemed to be a bit red.

And the mother reports that they are a lot of times are red. And she said always red and there were also dark circles under the eyes and they were puffy. I have actually included a picture. You, it’s hard to see the redness in the cheeks and with the lighting. Case, but believe me, this area, this whole area, you could see it’s a little discard colored.

And you, and in real life, this was red. You could definitely see the dark area under his eye and you can absolutely see the puffiness of.

So I diagnose this, a guy with lingering passion, pathogenic factors and LPF with phlegm accumulation and underlying lung chief acuity. So there is definitely some lung T vacuity in the sense that that the tendency to get sick. And the lung congestion that happens as a result of that are all indicating that the lingering pathogenic factor included the large lymph gloat and the lymph gland and the history of having frequent colds and the phlegm accumulation could be seen in his tongue.

And and post. And the symptoms. I chose to use a combination of points, large intestine, 11 to help clear the heat, the underlying heat lung seven, to regulate the lung and strengthened the lung. Gallbladder 40 as a point to help clear the sinuses. It’s a point. Frequently when I see rhinitis or allergic rhinitis, a lot of times I would use that with moxa, especially if there’s pure cold in this case I didn’t, but frequently I will use marks on go about at 40, I use spleen nine to.

To the spleen transform dampness and and so screen nine is a point I use a lot when I see that the spleen needs to trends to help in the evacuation of damp and phlegm. And then I also have added liver five is I know that some of you may have not don’t remember, but Oliver five is the master point of plump.

It for me, that trans translation of that, or understanding of that is that liver five helps to work. The liver work through phlegm. No. We know that Fleming damp does hinder the flow of Liberty. And therefore I look at liver five as a point that helps deliver, move through phlegm and help the transformation and movement to a phlegm and resolution.

So I used that a lot of times when phlegm is involved live. I sent the, I sent him home with magnets and I do that frequently with children to support the treatment or continue the treatment to have a more significant effect. And so magnets are an amazing tool. Both were adults and kids.

I find them very helpful if you understand how they work. Then it’s really easy to use. And I’ve used it for, I use it a lot with children and also adults, as I said before, the advantage of the magnets is that you have. Of the polarity. You have the ability to either disperse or tonify. So depending on what magnets you use the magnets I use come with a dispersing aspects.

Facing the skin. So if I use, if I stick the magnet to buy lab, as I received it, then this would be a dispersing function on by Lao. If I flip it over, it will be tonifying therefore you be 13 and you be 20. I flip them over and help to To tonify both the lung and the spleen. And then I use this point below stomach 44.

It’s on the other side, on the the sole side of the foot behind opposite to stomach 44. That’s a point that’s used by Kiko Matsumoto for Allergies in general and specifically allergic rhinitis. The use of below stomach 44 the opposite side of stomach 44 with a magnet and dispersion is a great take home for kids and also adults as a.

I recommended them to avoid dairy and wheat. And the reason is of course we I do believe that they are very allergy forming foods. But also they are if you remember, they are the major phlegm producing foods in, in Chinese medicine dietary theory. Avoiding dairy and wheat will help with resolving damp and phlegm, as well as avoiding soy and nuts.

Those, we also see that he’s allergic to, and it will be good to avoid them until the body is able to ex you know we clear some of the heat and the phlegm, and there’ll be an improved. And we also talked a lot about trying to increase the sleep to at least seven hours so that he starts going back to trying to sleep early.

We talked about different things like either yoga moves or chicken moves to help him move into. Sleep. And I taught him some of those and that also helped him to fall asleep a little faster in. I gave him some herbs as part of the treatment. I combined shout child who tongue with a variation of Wu may one.

You may ask yourself why why did he use womanly one? We’ll talk about that in a few minutes, but I use that frequently for patients who are trying to address allergic or atopic tendencies the treatment was continued once a week. The acupuncture treatment for six treatments. And at that time, the patient reported.

He felt less congested and the skin rash was almost completely gone in general. His, he had quite a significant improvement. The treatment continued for another six treatment, but every two weeks and after which the patient skin has cleared completely. And at the time the patient was, I gave another formula.

I changed the formula. We took him off of the shell child who tongue and gave him every Haitian of Jade windscreen for continued treatment and every changing of the season, he comes for our a tune up to prevent the recurrence of the allergies. And this has been very successful.

I put here the formulas in ingredients. So you have it, I’m going to send or post the PDF version of these slides. So you can have. But this is a variation of G of a jar. The will, may one. And this is the shower chow Yukon tongue, the classical shower champ, shallow child who tongue I use in his case.

And this is the variation of the Jade windscreen. I added some Jean one and a Jaguar to the combo to support his condition. I wanted to just Talk a few minutes, a few seconds about why I chose we’ll may one as my formula. This comes from the studies that Dr. Lee did for the treatment of food allergies and also allergies in general.

And she based her and you can actually see, read this article if you have a moment. I think it’s very interesting. The reason she chose the idea behind it, it comes from diet. The concept that actually. The exposure to per Siddiq two parasites in patients who have allergies will reduce their allergies or in air in areas where parasites are very common allergies are much.

Present. She thought that an antiparasitic formula will create similar effects. And indeed she did some studies that were very favorable and therefore I decided to this formula and right here you’ll have the exact base formula, which he star, she based her. Her research on, she called this formula F a H F one.

And it is basically the classical rule may wand. And one, one more second about this in her original formula, he she. The form of the, she took she food, the foods and the shisha were eliminated in her test form nine. And I guess they had some issues with both of these herbs and as a, as part of the formula, I later on created a similar format and I’ll talk to her about that in a few minutes.

I added it back. I also wanted to mention that allergies always equals diets for me. I have never treated an allergy person without discussing whether it’s food, whatever, the allergic reaction where it’s allergic asthma or allergic eczema or any atopic disorder. When we suspect there’s an allergy at the root of your patient’s disorder always discussed die.

It’s really important to eliminate phlegm producing foods. It’s a live and just look at the diet and see if it is a contributing factor. I want to remind you that there is at day two logical factors for allergy there’s. One of them is actually. Pesticide and GMO foods that irritate the gut and cause what we call a leaky gut syndrome.

So that’s also something that we need to look at and And so it’s really important to make a real important discussion, to have a really important discussion about food. So I always start by asking them, what do they eat? How’s their schedule and what’s happening. And I asked them to keep a three week journal food, John journal of what they’re eating and how it is affecting them in here.

You have. The chart that I have them fill out for each day. So that keeps me, keeps the record and helps me see if there’s any patterns or any foods that are being consumed that could be contributing to the factor. And as I said here, pesticides and GMO can be irritating to the gut and cause me one of the causes for the allergy allergic reaction.

I also strongly believe that vaccinations can definitely contribute to To the allergic reaction and because of their effect on or how we see the effect on the body and the FA the fact that the pathogen that is being injected can actually become a latent and cause hyper activity in the immune system.

So I actually developed a formula called guard in my company that’s called motion herbs. And you’ll see the link at the end of the slideshow a formula that’s called guard, and it is a formula that you will Give to your patients before and about two weeks before and keep it on two weeks after each vaccination.

So it helps to eliminate that causative factor. I also, as I mentioned before, leaky gut syndrome is another theory that we have about why a children have or adults also in that case have allergies. As you can see here, there’s an irritation of the gut and the relationship of.

The gut to the immune system will or could create allergies. I one of the Part of another syndrome that we should probably discuss, just because we are talking about allergies is mass cell activation syndrome. I have a few slides in here that are, that talk a little bit about what is mass cell activation and also.

What are the diagnostic criteria is here? There’s a, an article because this is a really important factor when we talk about allergies. Here’s the definition of mass cell activation disorders and And one of the sentence I wanted to point out is dermatographic ism, which means that when you scratch the skin, it leaves a mark, a stronger than most people.

And that’s a really good sign to an indicator for muscle activation disorder. I am going to leave you. To read the signs and symptoms and this really going all over many Systems in our body affecting many systems around a body, but I wanted to also talk to you, just point you to this three herbs Chinese Arbel three Chinese herbs that are, that there were some lists research done on how they can affect.

The the reduce mass cell activation. So it’s called the three or formula Shuang one Leons and it stabilizes mass cells through the activation of the ma mitochondrial calcium on a uni. These are really, this is, I thought very interesting. And you’ll have, this is the summary of the Arctic of the, this article.

And and so it will, I think it’s really helpful to read about that and know that this syndrome actually exists and we can help it a lot with Chinese herbs and acupuncture Points that I consider to to work on when I when I see that there’s mass cell or for that matter allergic or a topic disorder.

So I always look at this kind of area of between large intestine, 10 and 11, and even towards the the triple burner channel this whole area is an area that regulates the immune system. And if it’s tender, I usually will need it needle it We also think of triple warmer, 16 is our lymph regulator because a lot of times we will have liver congestion as part of the syndrome.

So that’s really important to think about it. Do 12. Is helps with lung T regulation and we call it the thymus Glen reflex. And we know that the thymus gland is something is an, a Glen that deteriorates as we age, but is takes an important part in regulating the immune system at younger ages. So do 12 is a point.

I always pop it to see if there’s any sensitivity. I already mentioned behind stomach 44, which I used with case studies that we discussed and that I will. Popping along the spine to look for tight spots around, do two or three around L four L five L three and also around T 11, which is two six.

I also want to quickly mention this formula called Santiam 12. I used. Formula a lot for it’s a formula that is that is you can order it. It’s a patent and it is great for allergic rhinitis. And I look at these herbs as herbs that are very help with allergy symptoms.

So I always look at this formula and take herbs that pertain to the patient I’m working with to to reduce allergic reaction. I also created my own version of the of the variation of well may one. And I called it react with motion at motion herbs and react is a great support for children and adults who are having either food or environmental allergies.

And you have all the ingredients here. To to look at, and also I added this kind of idea of what are the indications and some of the specific dosage suggestion and cautions of this form. And a little bit of how I formed it. And finally additional support, like what I would do to help support it.

I just want to mention that core sit-in is an amazing supplement that you can Dispense to your patients to support to your treatment with seasonal allergies and allergies in general, it’s a natural bioflavonoid that downgrades, the histamine response. So it’s a sort of like a natural anti-histamine and it works really great.

Yeah. Strongly recommend that you explore that. And I use usually a product called de hissed by so the highest is a combination, of course, certain nettles. And I think bromelain is there too. It is fantastic. And if you suspect any gut Irritation or leaky gut. I always think of glutathione as a supplement to, to support my treat.

Thank you very much for listening. I hope that what I’ve talk to you about today, you can actually take to your clinic and use it to help many children or even adults in this transition time so that they can also enjoy the spring. And so thank you very much.

I also would, again, to thank the American Acupuncture Council for doing this show. It’s a, it’s really great. And hopefully you’ll join the continuing sessions of this this program. Thank you very much.


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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.