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When To Give A Child A Smartphone – Cowan & Heller

And today we’re going to talk about a topic that comes up all the time, and that is the use of smartphones and technology in children from a Chinese medicine perspective.

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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.

Hi, my name is Stephen Cowan and I’m happy to be presenting here today thanks to the American Acupuncture Council, very thankful that they have this opportunity, this platform. And I’m joined today by my dear friend and colleague, Moshe Heller, who teaches with me around the country on pediatrics and Chinese medicine.

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Hi, Moshe. Hello, Stephen. Nice to be here. Nice to see you again. And today we’re going to talk about a topic that comes up all the time, and that is the use of smartphones and technology in children from a Chinese medicine perspective. So let’s go to the first slide. This is an interesting question, and I believe that Chinese medicine is more than needles.

It’s a way of life and being modern practitioners for Chinese medicine and carrying that perspective, the understanding of Smartphones and tech, this powerful technology raises an interesting dialogue that Moshe and I have been having and parents ask about it, particularly with their teenagers, but I think it’s even more important to talk about it with babies all the way up.

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When is the right time to introduce a smartphone? What are the dangers, etc. Things like that. Yeah, that’s a, it’s a very big common questions. And I think one of the things that we have to understand as you mentioned here before is that we need to look at what, how can we translate what’s happening from a Chinese medicine perspective so we can help in balancing that and understand what we need to do in order to make it because Exactly.

Exactly. We can’t stop it from happening. No, the cat’s out of the bag, right? The Pandora’s box is open. You can’t make this go away. We all have smartphones. Parents are using smartphones. So it would be ridiculous to put your head in the sand and say I don’t believe in smartphones because they’re going to be here.

And there are all kinds of positives and negatives. It’s the obvious. Negatives that people know about are addiction, right? Exposure to dangerous things, pornography and violence and things that we don’t want. Bullying misinformation and, loneliness, right? These are the kind of five things that I think, We all fear when it comes to exposing young children.

Let’s go to the next slide and talk about a deeper level of Chinese medicine understanding our society. You can do the other one too. Yeah. So this idea of so much yang in our society at the expense of yin because the circle doesn’t change. If you got more yang, you got less yin. But in our case, we have both happening simultaneously.

Too much, too fast, and too little, too late. And one of the things, Moshe, you and I teach wherever we go, is the What we’ll call the sensitivity and openness of a child’s heart mind, right? This very a kind of gentle, open, innocent heart mind, body, way of consciousness that is absorbing the world.

And here we have this modern society. And I think that’s the first place we have to sensitize parents is understanding both the yin yang philosophy and understanding the nature of a child’s mind and body, right? That quality. They’re not, the classics say children are naturally more young. and more underdeveloped in their yin.

So if you add to that this sequence that we can, everybody can see here, so many things on this list of too much, too fast, that’s cumulative, that’s adding to the natural societal yang nature, right? And then couple it with too little connection, too little exercise, too little darkness, right?

You can leave lights on all night, right? Kids sleeping with lights on. Too little slow and quiet time, too little sleep, too little exposure to natural surroundings. That’s a kind of societal yin deficiency. And so it’s a lot of that stimulation. So it creates, supports that imbalance. Yeah. Yeah.

And I think your kids went to Waldorf school where they actually were very strong in holding off on screens and technology. And There’s one thing I want to just put out. There’s actually two things. One is that actually one of the things we need to think about is that looking at a screen, whether it’s an iPad or it’s a cell phone or it’s a TV, is, on one hand it really makes the feeling that the, or the parents have a feeling that it actually calms the child where the, suddenly there’s quiet, there’s nothing there’s no interaction.

They’re plugged in. But on the other hand, what is happening is all that energy goes inside and creates excessive or extreme stimulation. So it’s actually very similar to a stimulant. Oh, absolutely. And a hypnotic stimulant in that sense. But there’s another piece that’s a really good point you’re making.

As it’s going into the being, the child, there’s a natural feeding of the mind at the expense of body. So you’re creating a tension between the more yang head and the yin. body or lower part, right? So they’re not embodied. They’re so sucked into this technology because it’s so stimulating. that they’re transfixed, but it’s pulling them out of their embodiment, right?

So you’re getting this tension split of being disembodied and engaged, and it looks like he’s learning, or he loves it, or he’s, quiet for a chance, right? How many kids with ADD come to me And they say he has no problem paying attention when he’s on his video games or when he’s on his smartphone, right?

And that’s evidence of exactly what you’re saying. They’re being sucked into this very powerful technology that’s designed to capture your attention, right? There’s another component that when I mention ADD, I have seen over and over again what I call slow modem syndrome. The more you’re exposed to fast technology, The harder it is to go back to slower analog settings, like sitting in a classroom, because it’s like working on a slow modem.

You tear your hair out. You go crazy. It’s like, why isn’t this thing responding, right? And you’re being forced, after you’ve been playing for three hours on, Your screens on Roblox, on your phone, having to sit in the classroom becomes torturous, and there’s a lot of acting out behavior, distractibility, hyperactivity, impulsivity, and then they’re being medicated for that.

So yes, I think it, you’re absolutely right that if you were expecting the child to go back to the classroom after playing a video game, that seems, Extremely impossible. So one of the questions I will ask a kid when I play that out in front of the parents, I say, Let me ask you something.

Why would you want to make school more boring than it already is? And they look at me and they say, I don’t want to make it more boring than it already is. And I said the more you play Expose yourself to this technology. By default, it’s harder to go back and all of a sudden the light goes on with somebody in the family like, Oh my God, we’re actually contributing to the problem.

And so we’re opening up those ideas. Yeah, I have a question about that because I’ve been really struggling with this kind of problem that comes from exactly this point, is that I see that there’s a lot of bargaining with many of the kids that are, that the parents have an understanding that they cannot give them free use of screen time, that they will bargain and sometimes It’s almost like this kind of fighting between the parent and the child.

Oh, definitely. I see it. I earn more time, and and if you do this I see it all the time, and it’s being used as a reward or bribery, right? If you do your homework, you can do, two hours of this. I had one kid, the father was a techie, and really deep in, made a lot of money in the tech world.

And the kid He had set up these, rules, and it turned out the kid was cheating. He was a techie too and he had played nine hours of video games. And in one day and the father was like horrified, right? Nine hours where he was cheating, right? This particularly became a problem during the pandemic where kids were online for school and they were actually playing games or they were Look, I don’t want to demonize all of the screens.

They’re here to stay. It’s a way to make balance, which is what, That’s what Chinese medicine is about, finding that dynamic equilibrium of these two polar aspects of our engagement. The rule I use at home with people, with kids and families, is a one to one rule that I call the green to screen, ratio.

That for every minute that you’re on a screen in a day, You have to have equal number of minutes of time in an analog natural setting. That could be a walk in the park. It could be playing with blocks in your room, something that’s not plugged in to any electronics, right? And as long as you, because the time is limited in one day, you can’t bank the hours for later.

You It limits itself. And, so a kid who’s, I’ve had kids who said, all right, I just did two hours of exercise outside. Can I do some screens now? And I say, yeah, but there’s another rule, an hour before bed, because you don’t want to interfere with your melatonin levels. So an hour before bed, all screens are off in the house, including the parents.

They have to, Pretend to turn off their own addiction while the kids are going to sleep, because it’s not fair. And I’ll hear this over and over again if the parents don’t practice the same principle. The classic place where this is a problem is the dinner table. Screens at the dinner table, phones at the dinner table, and getting parents to break their own habits.

is critical, right? Yes, but there’s another thing that you mentioned in another talk We gave, Moshe, that is so dear to me and really important and that is when we’re asking the question of When is a good time to introduce a smartphone to a kid? Which is a big question I get asked. I think this idea that different kids have different Needs, different sensitivities, and you have to know the complexity of the temperament of a child.

For example, More fiery kids, where that phase, that element, is stronger in that kid, because we’re a complex of all of them. They’re more prone to addiction, because, I find a lot of fire kids just love scrolling through YouTubes and finding all kinds of wacky things that they can’t stop looking at, right?

Whereas, More of the woody kids are more prone to looking for pornography and violence and danger and, they’re just curious about it. I’m not blaming them. It’s part of their nature to be curious about those kind of things. Yes. Earth kids are more prone to the bullying that takes place in, in social media and to FOMO, fear of missing out, right?

They’re voyeuristic. They want to know, is anybody talking about me or are they including me? That’s a very earthy, spleeny way of thinking. So they’re vulnerable to that aspect. I think metal or gold kids are much more prone to misinformation because they’re collectors of information and data. And so they’re prone to get, coming up with the wackiest information, that we see that’s littered in the internet, some of it causing great fear and concern when it’s not even true. And then most, and probably most importantly, is the water temperament or the water within us all that is prone to alienation, aloneness, being cut off from the world because they’re so sucked in so deep.

So knowing the temperament of your child becomes a way of gauging age. When is that, knowing your kid and knowing how they’re developing and what are they prone to already helps guide you in terms of timing of introducing these things. Some people say There’s a movement in parents now called wait until 8th.

Wait until 8th, meaning 8th grade. Because waiting till puberty begins for a smartphone in particular, which is a full on computer that’s in your pocket, as opposed to what we’ll call a dumb phone, which you can use to call mom to pick you up from a basketball game or whatever. But smartphones are a very powerful computer that has access to the whole world.

So that’s one kind of global guideline. I don’t like global guidelines. I think it has to be fit to the needs of the family and the child specifically, but it’s something to think about. Yeah. And as you mentioned before, my daughter went to a Waldorf school where there’s a very strong anti media screen phone exposure till and they also talk about how to expose and the But their concern is mostly about The information that’s being you can be exposed to.

And that’s another, probably totally different talk. I find it interesting that your daughter, who’s a whiz at at IT now was someone who was not exposed early. So it doesn’t delay you in that, but in some kids, particularly in some kids, it makes it even more. enticing by restricting it.

So you have to know your child to know how you can go about doing this. Let’s go to the other, the next slide and talk about that. An important thing, I think to just also talk about that from Chinese medicine perspective, this kind of Excess energy that you mentioned that goes up to the mind being the heart shen can actually imbalance and create less fire in the lower part of the body, in the minstrel fire, and create what we might call now, in fire, right?

As we yeah, it literally, kids where their feet are cold, and their head is hot after playing these, being online for a long time, there’s a physical effect and the poor spleen gets caught in the middle, right? Which is already dealing with absorbing information in the form of food, in the form of exposure to information online.

And gets overwhelmed, right? And so it’s a setup for this quality that, Dongyuan Li Dongyuan talked about this Yin Fire mixed pattern which I think is contributing to a lot of the disorders I see both physically and mentally in children today. Yes, that that plays to another aspect, which is very interesting, I think, is that, A lot of times when we are thinking of balancing that, we should think of the Shaoyang level and Sanjiao gallbladder kind of level where it enables to shift back some of that excess top fire back down to the minstrel fire and create a Better balance with the spleen in the center.

Yeah, I you know, I talk a lot about san jiao as the Relationship organ of the body so that everybody’s relating to each other one big happy family and these the screen addiction of our society is a breakdown in those relationships. So always think of Sanjiao. Both Sanjiao points and Sanjiao concepts as part of the Xiaoyang as integral to the kind of integration of heart, mind, kidney, pericardium, this primary, uh, yin yang relationship.

And in terms of any kid that comes into your office who’s having trouble relating, whether they’re relating to friends, relating to family, relating to the school work, relating to food, whatever, anytime you think relationship, think Sanjiao. And of course, gallbladder being one of the kind of special organs.

this unique, powerful organ that, is kind of part of the extraordinary organs related to mind. So I do, you’re right. It’s really important that we have this concept in our mind when we see the effect of early exposure to powerful technological advances will hit this complex and cause a kind of upside down pattern of yin and yang.

Correct. And, I also have been noticing that one of the a lot of, one, one symptom that I see that comes up more frequently in my practice I don’t know, I know that probably you too, is that I see much more ticks. Yeah, and particularly tics of the neck, shoulders, head, face, eyes, right?

It’s all the yang aspect that’s ticking, right? Occasionally, you’ll get a hand or a foot, but usually it starts with the head. So this is a great example of that and important to approach it with this model. And one of the things, interestingly, one of the herb formulas I’ve been using for tic disorders in general, no accident, is Buchong Ichitan, right?

Believe it or not, even though you’d think, wow, isn’t that potentiating the Qi? Yes, but we’re trying, this is one of the principles of yin fire treatment is not suppressing, right? The yang, but actually improving the relationship of yang. Yeah. The idea is that the pericardium is not necessarily it’s, That deficiency is manifesting in a excess and somewhat correlates to what we sometimes in the course that when we teach, we talk about this kind of hyperactive spleen chief acuity.

That concept also comes from this idea and the importance of strengthening the spleen more so than dispersing that kind of what may seem excess. Exactly. And so the spleen, stomach, middle, burner is what BuChong means, right? Health, unhealthy. Exactly. And I think that was the brilliance of Li Dongyuan’s idea.

It’s so applicable to pediatrics. And we get into a lot of that discussion of both Sanjiao dynamics and hyperactive spleen qi, acuity. in the course. So I think this is a great example of how to see smartphone technology from a Chinese medicine perspective. So I think at this point we can And this discussion.

We’re interested in more about treating kids. And we really encourage all practitioners to be kid friendly because kids respond so quickly. It was very rewarding in your practice. And we’re doing come visit us at the Jing Shen pediatrics site where we’re doing teachings. We have online teachings.

We’re planning some in person teachings and we welcome you guys to be there. And I also want to just point out one more very important thing that I was thinking about is that I think one of the things that when we learn go back and look at the theories and how they manifest in children It actually enables you to even treat adults in a little different way.

Absolutely. Good point that we all have a child inside us and tapping into that. This is old trauma. This is the child activating the child nature, right? Longevity. All of these things, the virtues of a child, when we can tap into that and treat that in adults, it’s very beneficial. I a hundred percent agree.

Thanks, Moshe. This is why I like teaching with you because we always play off each other and remind each other of ideas. So let’s thank the American Acupuncture Council again for hosting us and we look forward to seeing you guys again. Yes. Thank you. See you soon.

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Approaching Children In the Treatment Room – Cowan and Heller

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Acupuncture in the Heat of Summer

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Hi, my name is Moshe Heller, and I’m from the Moshen Herbs. I’d like to thank the to AAC for, for hosting my talk on the heat of the summer, how to support children and adults through this hot summer or the heat of the summer. So I wanted to mention that I’ve been seeing in my patients lately a lot of Heat diseases which manifest with sore throats and typical heat symptoms and a lot of damp heat.

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I’ve had quite a few cough, this dry, barky cough patients that also have this heat symptoms that usually comes with cough. Fever, they feel feverish, whether they have a fever or not. And also, a lot of COVID 19 presentations with slight fever, feeling very body achy. And also sore throat as part of that presentation and after a few days that develops into a dry cough.

So as I was seeing these cases that came very soon after that kind of damp heat weather that we were I think that I correlated that together and I started thinking of how I can support these patients that are going, that are presenting with these very hot and damp symptoms to prevent those things from happening.

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So let’s move to the slides. And this is going to be what I’ll be talking about, is the heat of the summer. And I just wanted to, I wanted to talk about this subject because this summer has been particularly hot. And, and, uh, there has been, I have been noticing that, And that there have been more than usual cases of colds and flus and strep and COVID 19.

More than usually what I usually see in the summer. So usually in the summer we see a lot less. illnesses. And so we’ve seen in the past two months that we’ve had already a few heat waves, and that is a little bit that shows that there’s a unusual pattern this summer. So this summer has been unusual in that sense.

And that’s why I wanted to talk a little bit about how do we support our patients in this kind of A different type of weather, and especially when we see that there are changes in, in, in the presentation of our patients. I usually don’t think of this formula, I think of this formula more in the weather changes, but since this has been an unusual weather pattern, I have seen, I have been prescribing more and more of this formula, what I call the SHIELD formula for Moshen herbs.

And it is based on Jade Windscreen and in combination with Gui Ji Tan to help support the yin and the wei. And this combination together with some more harmonizing herbs and supporting the wei qi has been very effective in treating and supporting and preventing diseases in my patients. Thanks. It is, um, it’s it’s Uh, a formula that really supports this kind of wei qi on the exterior, but also I added some ban qia and qian pi to help transform some dampness.

Since this summer is damp and hot, we needed those. It actually works really well to support releasing or preventing some damp from accumulating. I also added Gaggen to support the muscle layer, and Lingzhi as an adaptogenic mushroom that supports the immune system. So this formula creates a really great support for the immune system.

You can see how it’s laid out here. We have Yu Ping Feng Sang as the base, Gui Ji Tong added, and also JinYinHua, I’m going to mention this herb again, is a very important herb. A lot of times we’ll see in China the summer tea of just JinYinHua and JiuHua together to support this ability or to help the ability to go through these summer damp, hot days.

And the combination of Urchin Tongue in this combination. I also wanted to mention Cunning Tongue. This is a great preventative formula for summer digestive issues and summer colds and stomach flus. And I usually use this formula in, in, while I’m traveling or away and especially in countries that I’m not, that have these.

It tends to be damp and hot, like India or even China. And we add, so the, you’ll see the original formula here is in black. Fuling Yi Ren, Ho Xiang, Hupo Bai Zhe, Shenshu and Changzhu, and you’ll see all the other ingredients. This is a great formula. I usually add, I do some changes when I’m working with that formula, either because Shenshu has.

Wheat, I sometimes substitute that, and especially if there’s some concerns about wheat allergies, and sometimes either substitute Zhuhong with Chen, or, um, or add Chenpi. I also like to add Qiankuang as this kind of anti inflammatory, it’s basically turmeric, and also, as I mentioned before, Ji Ninghua, Sha Ren, and Jurgen Sao.

So this cunning tongue or curing formula is another amazing formula that you can give to your patient during the summer months as a preventative for getting, uh, sick. I also wanted to mention Digest, Because this is, um, similar to the curing formula, but it’s based on Baohe1, um, which is, um, slightly different and works a lot on the ability of the body to digest food.

Um, and we’ve, again, I modified it a little also to support digestion and clear wind heat and regulate the qi. And so I included Lian Xiao, Ge Gen. And Ji Ning Hua, as I mentioned, and Zhu Hua. So, actually, this digest could also be used as a preventative during the summer months to keep our systems clean. A very, very balanced.

Again, you can see here, strengthening the spleen and generating fluids, transforming foods, stagnation. I have Sanjiao, Liufuzi, Laifuzi, uh, Sha Ren and Gu Ya and Wu Mei. And then I have again, Urchin Tongue to resolve dampness. And some herb, wind, wind releasing herbs. As far as acupuncture, and this can be also given as acupressure, we, of course, when we’re seeing our patients, we need to make our basic pattern diagnosis.

But, on top of that, I usually think of adding things like points Do 14, Large Intestine 11, to help the body clear heat. As well as Stomach 36 and Spleen 9 to support the qi and drain dampness. Stomach 25 to regulate the intestines and pericardium 6 to help regulate the qi and this sometimes this combination of heart 6 and kidney 7 is appropriate when you see some heat going or tendency to have these heat coming up like night sweats and symptoms of this kind of deficiency in Rising.

Stomach 36 and spleen 9 is something I teach my patients to do a self acupressure to help, especially in those damp days, to help that the damp won’t penetrate and keep the chi flowing well. And so this is something I just give as a tip to my patients to help them move through these damp, hot days.

Thanks. In terms of diet, we also, we also remember that the summer is a season of fire and young and growth and maturation. So the food that we eat should reflect that. It should be light and colorful and lots of vegetables that are in season at this time. We usually tend to cook lightly, steaming, sautéing, um, a quick sauté so it gives them the first boost of heat but not overcooking or even grilling slightly to give that first fire going on.

And usually we tend to recommend to eat slightly spicy and pungent because actually a lot of times, We think that we need to eat cooling herbs to reflect the summer, to be in contrast with the summer hot and damp. But the truth of the matter is, if you think about it, it actually is better to eat warmer foods during the summer because that heats the interior and then there’s less of a difference between the body and the exterior and the body can withstand that much better.

So, these are just examples of how you can, what you can give as a, as a support for the summer in terms of diet. And also, one kind of traditional remedy is this mung bean soup or mung bean tea, where we use mung beans since they are cooling and supporting and helping to relieve summer heat. It’s a great addition to the diet.

To support these months. I hope I gave you, uh, a little bit of an in introduction to what are the things you can do to help your patients move through these summer days, and I’ll be happy to. If you have more questions, you can contact me@theMoshenherbs.com or in the Moshen center.com. That’s my new office, and I, I thank you for listening.

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Acupuncture Malpractice Insurance – The Concept of Yin Fire in Pediatrics Part 2

I’m going to be, this is going to be part two of YinFire

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Hi, my name is Moshe Heller, and I’m from Moshen Herbs, and also Jingshen Pediatrics I’m going to be, this is going to be part two of YinFire, and I want to thank the American Acupuncture Council for hosting me. And so let’s go right into the slides. Okay, so the first herb of of this formula, or, and the emperor herb, is Huang Qi radix astragali, and it really works on supporting the, helping the spleen raise the clear qi up, and so it is it actually addresses the main mechanism, and Lidongyuan really like this herb to be included because it also helps support the lung qi and and the exterior and regulate the the opening and closing of the pores, meaning that it helps to close and prevent spontaneous sweating because of this relationship between the spleen and the lung.

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Li Dongyuan said that when the spleen is when the earth is deficient, then the suffering next phase will be the metal or lung. Therefore by support, by choosing Huang Chi, not only are you supporting the main mechanism that’s failing in the spleen, but you are also supporting the lung.

It’s also very interesting that I remember learning with Ted Kaptchuk this learning about Huang Chi, and he said and stressed the idea that if you want. Something. You wanna take something to help you do something? Take one Q. If you try to take RenQian for that thing, it won’t make you do anything, it’ll make you stop and think.

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So RenQian actually works more on this kind of ability to process thought, whereas HuangQi actually activates and make you, helps you, give you energy to do things. So that’s like at the core of this formula Baichu again is another minister that helps in the transformation of dampness and for, and the transport, transportation and transformation process of the spleen Zhegansao supports that too and helps in harmonizing.

It’s very interesting that DongWei is included in this formula because DongWei actually provides a balance for RenShen and FengQi and allows them to be more balanced by supporting the ying qi aspect of the, um, the process. And as we know, dang gui is the herb that supports the qi of the blood.

So it’s the more yang aspect of the blood. And that’s why dang gui is really important in supporting balancing qi and blood. And and harmonizing the functions of formula. ChenP is included also to support the transfer, moving the qi and supporting the transformation and transportation.

Meaning that the tonifying, cloying nature of the above herbs are mitigated by ChenP. And then the most interesting part of Buzongi Chitang is the last two envoys, the Shengma and Chaihu, which together are, they’re both in the warm acrid section and of herbs. So you might think, oh, this is not a great formula or combination for fevers, but Actually, Buzhou Nishitang is a very important herb for combination for fevers, as that’s what Li Dongyuan made it for.

And the idea is that the warm, acrid nature of Shengmai and Chaihu, other than lifting the yang and supporting that kind of uplifting effect it also helps in warming and helping with the issues of the spleen vacuity. So this is an amazing formula. It has a lot of variations and can be used for a wide variety of symptoms.

As when we read about it in Bensky, there are three main symptoms. Patterns that yeah, that it addresses, one of them, the collapse of the central gene, meaning we know it for collapse of organs like hemorrhoids and stuff like that. But originally that was that was an expansion of this formula, but it’s an amazing formula, as I said, and has a lot of application, a lot of variations.

I invite you to check it out. explore it and use it. And it’s it’s quite an interesting combination. Thank you for listening. And please visit first of all, Moshen Herbs. This is my herb, the herb company, which I Buzong Mi Qi Tang is not there, but there are many herbs that you can use and also Jingxuan Pediatrics is where we might present some of those lectures.

So this is the end of part two of the concept of yin Fire in Pediatrics. I would like to thank the American Acupuncture Council for hosting this talk. And I hope to see you soon. Thank you.

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Acupuncture Malpractice Insurance – The Concept of Yin Fire in Pediatrics

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Hello. I am, , Moshe Heller. , and I am from Moshen Herbs on one hand and also representing Jingshen Pediatrics, which is a, , , organization that, , teaches, , , classes on. Pediatric treatments in, , in ACU with acupuncture. , and I’d like to thank the American Acupuncture Council for having me today and, , helping me host this.

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, very interesting talk about the concept of yin fire in pediatrics. So, , let’s start, , can we. Turn on the slides. Okay. So, , , I’m gonna be talking about this idea of yin fire. , and before I actually, , would like to discuss that, I wanted to, , bring your attention to the idea. That, , comes from, , pediatric acupuncture.

And, and I’m going to, , talk about, , this for a second before we go into yin fire. And that is, , an , , , , a concept that actually comes from Julian Scott, , from his book of the treatment of, , pediatrics in with acupuncture, , that there are five. Common patterns of disharmony in children. , and the reason I’m pointing, , to this idea is that there’s some, , , correlation or there’s some,

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Similarities between the ideas that he kind of presented, , presents, , in his book and the concept of yin fire. And we’ll see how that correlates in a little bit. But, , I want to remind to kind of discuss these five patterns as, , as, , as sort of like a a, an introduction. So these five patterns include, , a regular spleen G deficiency, , type.

, and that’s the, , , usually, , seen in a deficient type. . , patient, , pediatric patient. , usually they’ll have digestive issues similar to the same concept of having a spleen cheat deficiency in, , your adult, , patients. And that, that I don’t, I. I think I don’t need to, , explain too much. , hopefully everybody knows that.

, the other pattern, the next pattern is a lingering pathogenic factor, and that comes from the idea that children are more susceptible to pathogenic factors and. More so they are more susceptible to having these pathogenic factors linger and continue to influence them, , further than just, than, , the initial invasion.

The other three. The next one is called hyperactive kidney deficiency, hyperactive spleen, G deficiency and accumulation disorders. So these three are the ones I want to kind of point out because there are, , similar in, in that there, there is this kind of. The similar idea of yin fire, where you have a doll, , or a a, a rooted deficiencies condition that creates, , excess like symptoms.

And that’s at the root of yin fire. And that’s why I wanted to point out these, , three, , patterns. Also the hyperactive. Kidney deficiency and the hyperactive spleen deficiency both. At the root, , you will see signs of spleen deficiency are classical signs of spleen deficiency, coupled with a lot of behavioral excess meaning, , difficulty falling asleep.

Being hyperactive in their, in their behavior. , , kids that seem very, , , excessive and sometimes difficult to control. Although, , at the, at the core, they are presenting with a spleen deficiency, signs and symptoms, the accumulation disorder. Is classically according to, , Julian Scott, more of an belongs to an excess type.

But really I’ve seen a lot of accumulation disorder in my office that are deficient. Patients with the accumulation or these, these kind of accumulation of dampness and in particular, , that, , manifests as. , excess signs and symptoms. So I just wanted to, , give that as a, as a introduction, , to the, the idea of, , of yin fire because I think it’s not totally foreign or it’s not completely new, , in that type of thinking.

But, . Let’s talk about yin fire and, , just wanted to point out that, , the concept of yin fire was, , , discussed first by, , li Don Yan, , who wrote the book, , the P Lung in 1249. . In there. You know, we all know that, , li Donan was this, , , famous Chinese doctor who, , developed the idea of the spleen and stomach stu , school, meaning that he believed that a lot of, .

, disorders or most disorders were created or stem from this, , spleen, chief acuity. , and, , and , and in his discussions he discussed the idea of yin fire, which is, , again, , this idea of spleen vacuity at the core and then having. Which we’ll discuss, , what that means in a little bit. , and this idea of Li Donan was discussed, , and debated in many, I import by many important Chinese doctors throughout the years.

. And actually has gained more attention in today. I hear a lot of practitioners talking about Ian Fire. , not, , you know, recently and a lot of, , lectures and, and discussions, which is, , very interesting. And, , the reason I think it’s becoming very popular is because it’s actually. Can be an explanation for many chronic diseases, , or disease that are a mixture of a mixed pattern of excess and deficiency, , in combination.

And we’ll see how that works. , well in, in, in a, in a little bit. , but it’s, it’s, it’s actually, , although you see all these. Excess signs in, in the forefront because the, those are more, , clear. , the right treatment principle is a principle of strengthening and resolving the, the, the main, core idea of this deficiency that’s causing the excess like symptoms that are not really excess.

So, , I’m going to, I, I brought this excerpt from, , from the p , which is the opening, , , con, , , paragraph, , sort of defining what Yin fire is, and it’s, , translated by Lorraine Wilcox, , , which, , provides a very. Good translation in this. You can find, , her article about this, , translation very easily.

, , so let me, , read this, , because I think it’s really important to understand what is said here. So, . , and it starts by talking of, , saying this, if eating and drinking becomes irregular or cold and worth, warmth are inappropriate, the spleen and stomach becomes damaged. So the first sentence we see that the causes of this imbalance, the causes of this balance of, of, of, of the damage of spleen and stomach come from.

, diet basically says it’s either diet, , or inappropriate exposures to, , warmth and cold. , and the diet is, is, is really a very important, , aspect of that. And we have to, . , to, , you know, I, I wanna point out, , before moving on, that, that is, , at the core of, , the treatment pri principles.

When I see, when I recognize infire diet is one thing, I have a very long discussion with my patients, with the parents and the, the children, depending who I’m treating. , about regulating diet and not so much. Not as much as, , I put as, as much as emphasis on. The scheduling and how you eat and, , enough, , chewing and not swallowing, , your food, but chewing it and giving it time and having, , and eating in regular schedule, , as part of this kind of healing of the spleen and stomach.

So this is a very important aspect that, , that we need to pay attention to. Then he goes on on saying, or joy, anger, anxiety, and fear can also consume original qi, or it’s called, he names it as Yuan qe. And here we have to be. And , Lorraine also, , . , points out that when he, , when he call what he calls Yuan Chi, we have to be careful not to, , confuse that with what we call yuan kidney Yuan or Yuan Source.

It’s a different, this Yuan Chi is very much associated with what we might call the chin chi or the clear chi that comes out of. Digestion, right. So, , after, , Gucci is derived from the, the, the, the food and drink it is. Trans and it is connected with the, the, the, , the, the chio, the chi of the air. , it becomes this kind of, , yuan qi and it actually, , is associated with the lower Jiao.

So it’s, , it comes, it’s connected also with some, , of the kidney. , . Kidney. So, , it stems from the lower jaw and goes up to the upper. So, . That’s the Yuan Chi that we’re, we’re, we’re talking about in this case. Once spleen and stomach chi has declined and original Q has become insufficient, the only thing that is abundant is the pathological fire in of the heart.

So in a sense, this, , clear q, , allows the balance or allows the, the, the balance between. , that and heart fire. So once they are declining, , the fire in the heart becomes, , pathological. And this is, this heart fire is yin fire, which arises in the lower J and connects with the heart through its system.

So, , this whole system has to do with the relationship of the pericardium and the Tial fire and, , and it is associated with this kind of movement of qi. And so I. Of, of movement, of qi up and down and, , in our body. And therefore, , a lot of this yin fire is associated with stagnation, stagnation of qi.

So we’ll see that also in a little bit. So Minister Fire Min, minister Fire is the fire of the Lower JAO and the bau. There’s a whole discussion what BAU means, , which we won’t go, go into. , . And once that Tal fire is this, it is the thief of original Qi fire cannot coexist with the original qi. One of them will become victorious and the other will be defeated.

So we see this kind of mechanism that’s, , that’s described, which is . Which I want to sort of, , , in the next slide, I’ve sort of created this, , visual, , , presentation of it. , if we have the lower, middle and upper levels here, , this TAL fire should be, , coming down from the heart and placed.

, under the, , under the pot, if you say, of the spleen and stomach. , So the yanchi, , is also arises from here and, , and is in part of the process. But if the menstrual fire, , is misplaced, it creates, , more heat. If you can imagine this kind of menstrual fire as being the fire under the pot, if the fire is sitting aside from the pot, it brings up, , heat that harass, that can harass the heart.

And so, you know, as the spleen and stomach, , supposed to, , raise the spleen is supposed to bring up the chi to the chest and the stomach riping and rotting and, . It is supposed to connect with the lung chi to create Gucci. And then this is sort of the source of our postnatal chi and also the source of having a very strong and balanced ying chi and way chi.

, so as we can see here, this is all, , once this, there’s an imbalance here. It affects our ability to. , have a balanced immune system. It has, , a, a, a a very, it will affect the mechanisms of our own energy so that it will be very imbalanced and, , and, , if we understand this path of mechanism, we can understand and, , and see it in our patients much clearer.

So I want to just, , also point out that throughout these discussions and development, there’s actually a lot of, . Different. So, yin fire is not one thing. It’s actually a concept. And, , and, and in an article in the JCM, the Journal of Chinese Medicine, , called, , an Introduction to Chinese Medicine Concept of Yin Fire by Sean Randen.

, he writes this, , it’s a, it’s a great article and I, , would recommend reading it. , but he talks about this. The concept of Yen Fire has been discussed and debated through the history of Chinese medicine, and he brings this, , modern auth author from 2007, Leo Tu, who classified Yen Fire, according to four different categories.

. One. , the one of them is the, , what we, he calls occlusive exclusively Q deficiency, , yin fire as described by Lee Donan, you know, in his, in his book. That’s. Currently discussed, but he brings three more aspects of that. One is more, , , issue of XY and mostly this kind of XY cold, xin cold that, , actually the cold creating fire.

So he, , talks about the sea and fire created. From kidney cold. So this, again, this, we, you know, we can see this concept of dull , patterns. So a mixed pattern, cold and heat or deficiency, and what seems like excess. Also, , the other one he discussed is called Kidney in Deficiency, creating Fire. That’s a more classical part of that, but as it as this, if this fire is harassing the heart, that’s when we see yin fire in this case.

And the third one has to do with liver, gallbladder cheese stagnation causing depressive. Heat or fire, , also harassing the heart. So again, I just wanna point out in by this, , is that there’s a broader concept of yen fire other than just, , what we’ve just discussed.

So this is the end of part one of, , the concept of yin fire in pediatrics in part two. I’m going to be speaking about how does yin fire manifest in pediatrics more specifically.

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Acupuncture Malpractice Insurance – Supporting the Immune System in Winter

I’m happy to talk about today about supporting the immune system with Chinese medicine during the winter months.

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Hello and happy New Year. My name is Moshe Heller from Moshen Herbs and I’m happy to talk about today about supporting the immune system with Chinese medicine during the winter months. So let’s move to the slides so we can start. Discussing. Today I’m going to talk about, as I said, supporting the immune system with Chinese medicine.

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This is a subject that has been on my mind because in my office, I see a lot of patients who are sick. AnD I always have this call saying, oh, I’m feeling under the weather, I think I want to cancel my appointment. And we hear that a lot that people say, oh, it’s just a little bit of a cold, but maybe I’ll wait and see how it’s going.

So I. Make it a really important aspect to, or important point to educate my patients that it is actually very important time to either comfort treatment if acupuncture is possible to to give. But if not, the minimum is to take some herbs because this is the beginning of any pathogenic influence.

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Attack is the time to treat it. Super, super important to teach our patients that it is important to support the body at the beginning of any cold whether it’s a flu or any other illnesses that start with signs of a cold. So I also wanted to remind everybody that we when when I discuss a lot of times the immune system, I tend to point out the importance between our neuro gastro immune relationship.

There’s a triad that is really important to pay attention to. So when we look at the immune system, . We also need to take care of the gastrointestinal system as well as the neurological system because they influence one, one another and they are connected. maKing sure that the, in terms of the digestive system that it, that you’re supporting it with the correct nutrition and correct foods as well as maybe the making sure that the biome is being supported also. And in terms of our neurological system making sure that we are able to sleep well, relax and not be overstressed or

Influenced by, by affecting the creating a sort of a hyperactive neurological system because of environmental issues. iN Chinese medicine, we su we see that neuro gastro immune complex. So clearly when we look at the production of Qi and blood in our in our in the theory about that, that everything comes from the middle burner, the spleen and stomach receive food and digestion.

And they also, then they transform that into what we call Gucci. And the Gucci then connects with our with either the lunchie or the clear chi of the lung and produces the waiti and and the also the yin chi. Then that further connects to the heart. And in the process of making.

Blood. And in that connection with the heart, I think is the connection to our neurological system and our brain, right? The relationship between mind, brain and the heart is very clear. So again, we have this kind of neuro gastro immune connection that we always need to remember when we are addressing issues of the immune system.

So I want to discuss in this the, this idea in two aspects. One is the process of selecting or supporting prevention before we get sick. Before we get sick. whEn we have, when we ha when we are not sick and we want to prevent us from being sick we, we think of formula that a classical formula called ING Fang Sun.

I created a different version of that. And in Moshen herbs, we sell it as a shield. So this formula is based on ying fang San, but added some other aspects, which we’ll see in a bit to support or support the immune system as a preventative for for having for not getting sick.

So I just wanna make sure that it’s clear that. Sometimes we need to take, if we see a patient that has a weak che or a weakness between the che and the yin chi. It is also important that we. Continuously give f or shield for at least three months, a three months period. It’s a it’s a formula that takes a while to sink in.

And it’s even if you get sick in that period of time, I usually combine the shield with other formulas, which we’ll discuss in a second. I also classically Yin Chaan is sometimes used in low dosages as a preventative also for, people with stronger constitution and xo. Huang also is sometimes used as a preventative, especially if some patients who have a weaker immune system, which we are concerned that had in the past a lingering pathogenic factor.

And we wanna make sure that the sha young level is harmonized and working well. hEre’s the shield. I wanna take a few seconds to talk about the SHIELD formula because it is it is based on y Ping Fang, but I actually combined it with the two emperor herbs of Kuang. And so together these formulas strengthen the exterior, but also harmonize the function between the weighing the Yin Chi.

And if they an encounter with a pathogen happens, the body’s able to resolve it quickly so it doesn’t stop you from being sick completely, but it supports your immune system or your way in chief weighty and yin chief function to resolve the pathogen effectively and quickly. I also added another aspect into this formula.

I wanted to make sure that the chi transformation is complete. So I added the two cured decoction or urchin tongue which is another two. Herbs, Banian, gen P. Those help the transformation of dampness. And and therefore in support the normal functioning of the spleen. I Also added some more support with Chen, which is sometimes called Prince Ginseng.

It’s would allow the formula to be also a chi and supportive or strengthening but really appropriate for children. It’s not as warm as, and it’s more even than having actual wrenching. , I added another another herb for supporting the immune system or or consolidating the exterior and bringing the kidney support to the lung with weight.

w Weights to strengthen that function. And I also, last thing I added is gogan for supporting the mu muscle layer and also the digestion and. Lingers and an AP adapt adaptogenic mushroom to support the immune system. So SHIELD is a, is really a beautiful formula and used for a wide variety of issues surrounding immune imbalances from 10 C to allergies to to weakened immune system and as a preventative.

For the cold and flu season. So again, just to summarize, ying Fean is this combination of Huang Chi Basu and Fang. Then I added Chen to that from Jiang. I added Baha and . GaN and are here to support the muscle layer and urchin tongue. This is, we used cia. And fooling and added these two herbs of Wu and Ling.

wHen we think of point of acupuncture point selection, of course we have stomach 36. whO doesn’t know that? That’s usually co usually for when we’re trying to support the immune system. Better to use with moa. UV 12 is maybe another point that we don’t think so much about, but is really important for prevention.

It is like the backhoe of wind and it’s really helpful as a preventative. Then making sure that the Q is circulating with large intestine four and re lung seven, stomach 36 and re six. This is an overall q ification in support of circulation of weight, qi, and then also . Of course, advising people to avoid phlegm producing food, milk dairy fried food, spicy food in moderation only.

These are really important aspects to support the, or prevent being sick and also balancing your life between rest and activity. These are all important things. But when we have a pathogenic influence, then we need to consider some other points. And it all depends on the signs and symptoms of the patient that’s presenting.

Sometimes if there’s more heat we’ll need to use or points that relieve heat D 14 and large intestine 11 rather than . Four. When we have more cold, we might need to use lung seven and large intestine four to relieve the exterior and gallbladder 20 to help relieve the wind and triple burner.

Five. we Can also consider using cupping and again the same thing for prevention, preventing, avoiding phlegm producing foods and which is milk products. Wheat products and fried foods, spicy food all of that should be reduced or avoided. And of course, drinking warm soups are very helpful for supporting the immune system and from the center.

The formulas that we might consider Yan is for wind heat in the exterior. Ian is also for wind, heat, but when cough is added in Yin Yan, you will have a little bit of sore throat. anG is when there is a little bit of that kind of un imbalance between the ying and the way. So there’ll be cold symptoms, but the disease might seem to be a little more lingering.

GaN Mal Ling is a patent medicine that is made for I think the main in symptom that I usually look for gun ling is, is a sore throat because it has some really herbs that clear heat and toxins and are specific for the throat. And also shouting tongue is when we have cough and a lot of cold phlegm.

So these are example formulas. wHen we have formulas for when we have formulas for a pathogenic influence this is a continuation, we might need to use xang. If it is a penetrated, the more the middle layer or the Shao yang level we sometimes need to support with

Oh. Support the resolution of of phlegm. Just to clarify now, these are form the formulas that I am talking about are formulas that help to recover from a pathogenic influence. So sometimes we have patients that come in and they’re . They had a cold or a flu and they’re still not a hundred percent clear.

This is really important aspect that needs to be addressed because we need to clear the pathogenic influence and sometimes the res, the residual from the pathogenic influence is usually or could be pH flaming dampness, which can linger and we want to help the body kind of support.

Resolving that completely. So these are formulas that we might consider for that. Hai Huang is one of them. When there, the pathogens lingering in the middle level, urchin tongue, if there’s too much or residual phlegm. Cia ang. is When there’s flamin, its really stuck in the throat, right? It’s like the plumet formula.

Ling Baan is the formula when we have dampness in the spleen in the center, and BHO one ian or variation of bowel one when we have residual issues with digestion or with the digestive system. So these are the formulas for recovering. so Thank you for listening. I hope this little short talk helped you understand how to maneuver or look at formulas from different formulas to support the immune system during these winter months.

We have a lot of the patients coming with these kinds of issues.