Tag Archives: Moshe Heller

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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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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 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.

And please visit us at the websites.

 

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

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

Hello and 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.

 

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Treating Digestive Disorders in Children

 

 

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

Click here to download the transcript.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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