Tag Archives: Moshe Heller

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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.