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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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Acupuncture Malpractice Insurance – Weight Loss and Menopause Part 2

this is part two of Menopause and Weight Loss

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Hi, my name is Tsao-Lin Moy, and this is part two of Menopause and Weight Loss. This is a really important thing and what makes Chinese medicine practitioners acupuncturists different from a Western model is we’re not looking to fix them. We’re gonna help them . To get a better grasp on how their body actually works.

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We can help them understand from that perspective of how to get themselves into a place of balance. For, again identifying the constitutional type, the yin and yang within the body constitution plus . What else is going on? How are they eating their environmental stressors? We can’t be there all the time.

So these are things that they’re gonna have to identify and then work with. So body and fluids are really . Believed to be derived from food and drink, and they serve to nourish and warm the muscles and the skin and lubricate our joints, right? And they also surround our brain. This is really like something to not just address with herbs, but really incorporate dietary recommendations.

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So I just wanna give like an example of one of my patients she’s 52. I actually treated her 20 years ago. So I really know what her constitution was when she was younger. Was a very, let’s say lung, large intestine, stomach, spleen type. She had chronic constipation, a lot of weight on below, right?

She was and why I say lung, large intestine is she emotionally was dealing with like trauma from her childhood, like grief, loss of a parent. And then also like holding on to. Things that weren’t really true, but as a child she believed them and she was also very damp ’cause she had a lot of squishy fluid.

So recently she came to see me and after, having kids and then she had moved to the south very damp and hot where she was which was not great for her constitution. So this is also, we look at . Seasonally, you can figure out someone’s constitution also, like how they are seasonally, what do they prefer?

How are they’re a lot better. Some people are perfectly fine in a hundred degree weather and 90% humidity. I’m not one of them. But some people even will need a sweater. They’re very dry and they are always cold and they, so the heat and the moisture they love so working.

So she’s been working a lot and stressing, her main complaint was this weight gain and swelling, right? That she was starting to swell. She was having frequent urination, but she was still . Gaining all of the water. So she, was working a lot high cortisol overall not getting enough sleep.

And especially at night, this is this circadian rhythm. And again, going back to women have a cycle, men too, right? If men don’t sleep. At night, it’s actually really affects their fertility and their sperm production. So we are creatures that need to be much closer to nature.

So when someone’s not sleeping, then we know that’s also, they’re off balance. And so strategy, because she’s in menopause, I was looking, both her yin and yang were diminishing though, not at the same rate. So lots of water. In her body. Am I thinking kidney? Yes. Because of her adrenals.

And also that the jing is depleting and her constitution. But also from a five elements perspective. The water is not nourishing the wood, so she was . Had this liver defic deficiency, right? Because liver is involved with the blood, it’s involved with the uterus reproduction, it’s responsible for the smooth flow of qi and blood and our emotions.

So really, the strategy was like, okay, how can we address this simply, right? Because when the body is in a state of fluctuation, you wanna have a clear direction. To the body. So the more complex a person’s symptoms, then the more simple you want the the treatment to be. The first order is how can I bring this person into balance?

How can I help them so that then their body is going to heal, they’ll balance out, and then they’ll get stronger and they can at the same time make adjustments. So in terms of let’s say the strategy . With acupuncture. So this is where you’re, we’re looking at what methods do we have? We have food, we have acupuncture, we have herbs, we’ve got some cupping.

We’re doing a, we’re checking constitutionally and where the person is, we have teas as well. Okay. So in terms of . The strategy for this person, and I think this is something that is no matter what you can you’re not gonna do any harm with somebody is to look at source points and also shoe points.

So for this patient really my focus was, spleen, spleen three, liver three, large intestine, four combination, like kind of move, get things moving adding in spleen nine or seven for all the dampness. CV nine for that fluid. So fluid accumulation. Also dimmi because a lot of the fluid was below.

So like sitting in water. Kidney seven. Which actually goes to Dai. So really, and then according to Kiko, Matsumoto style, really like looking at stomach chi, which is, finding the points. And that’s around stomach, 36, 37, 39. So really looking at the stomach, the large intestine, small intestine, because we are looking at digestion right now in terms of food.

Warm foods, . For someone who has the damp, we want warm and like gentle dispersing. So I always think of something like a little bit of cinnamon. So that actually increases a little bit of the peripheral circulation and it’s actually warm. It’s also great for someone who might be, have a difficulty with sugar metabolism and maybe even pre-diabetic is, that’s actually something that can be incorporated, in addition. Looking at excellent probiotic with your patients. You also want to look at dietary adjustments. These are absolutely a must and a kind of detoxification support, whether it’s lymphatic. Some different kinds of foods to clear out to help the system release metabolic waste, let’s say.

And also, oftentimes in menopause with lower estrogen, there’s an increase of what is known as the non-alcoholic fatty liver, which is an means that there is this weight gain because the liver is not able to process, right? So everything gets backed up. In terms of formulas, basic formulas, I like ones that are less than 10 ingredients.

And again, because we’re looking at . The perimenopause menopausal state is in fluctuation, so it’s not that stable. So you start adding a lot into the mix. Then what happens is that you’re sending mixed messages. So better to go simple. I love like jwe shaan, right? The shaan for someone who has a spleen, like kinda worrying.

Type of personality Ong or Swan again for yin and blood deficiency. And this is this recent research with Iwe to and Shan Ma Huang, which are very close was actually used for premature ovarian failure they’re looking at. So it also gently nourishes the yin and the blood, and so

Nothing wrong with, possibly adding those formulas if you know your patient and you also know herbs, right? So we don’t wanna just give herbs based on formula based on a protocol only, right? We need to do a good diagnosis. Okay? So in terms of food and diet I cannot, emphasize more.

This is where the gold is. Your patients absolutely must make changes. It’s really if they’re not willing to do that, then it, it be, it’s you’re constantly battling, right? . So things like eating fresh and organic, primarily plant-based, ’cause it’s a lot cooler and nourishing. I didn’t put it in the list, but in season.

And this is also a way to be in the cycle of the season and also have the body go with the season, right? And also the food is much more nutritious because you’re gonna it because it is actually gonna have a higher nutritional value to it, right? No diet drinks or artificial sweeteners.

One of the traps for women that are trying to like they’re trying to lose weight is that they start looking for diet foods and things that are zero calories or fat free and things. But that actually is very problematic because we do need fats and in fact, because. We are becoming yin and blood deficient, that it’s really important that we have fats and eating foods like a bone broth, right?

Or even marrow stews. That are gonna be nourishing. We can add in even the the dots out, the jujube beads. Really looking at more of like kind of medicinal soups and we really. Getting about it too, right? Gluten and dairy can be very inflammatory. And even when my patients say I’m not I’m fine with gluten I really encourage them to maybe

Try to limit certain foods or to do something called food combining. And that’s a strategy where if you’re gonna have a starch, then you eat it with like leafy green or leafy green with an animal protein, but you don’t eat like animal protein with a starch because that changes the absorption and the sugars the way we digest.

Alcohol. And so these are things to look into and I would actually encourage you to try them yourself, right? The best is if you’ve experience, you can also share it. The other thing too is you can decide, Hey, for all of my . Patients that are in their forties, fifties, and going through a change.

Let’s do it together. Let’s do a sleep work on our sleep, let’s work on eating more vegetables and fruits and stuff and really, come up with recipes and stuff to get involved. I think if you’re involved with your patients and you’re excited about it, that you’re gonna have a better outcome for them.

And always the idea is to teach them, right? Alcohol, preferably none. Alcohol is not. Good . It reduces the immune system. It causes inflammation. Actually, yeah. I know there’s maybe some, that’s something that people will have to make a, make decide to do that, right?

There’s plenty of evidence that it’s not really great and can cause inflammation. So why do that? And again, oh, and I mentioned the food combining. Okay. And let’s see where we are. Yes, here’s some wonderful food. One of the things that is really useful is to certain kinds of foods are can help with hormonal health, so things like seeds. One of the strategies for, for the menstrual cycle is something called seed cycling. And then using the four phases of the menstrual cycle to then have flax seeds, pumpkin seeds, sesame seeds.

So these are things that you can actually. And encourage. I would encourage, because again, even though like I showed in the very beginning of the slides that the . Period is ending, the cycle is still going on underneath. And so being able to look at the cycle and nourish according to where the cycle is going to make a difference.

So once you find, it’s like when you find the wave, then you can ride the wave. If you don’t know where you are on a wave, you’re gonna be tumbling and be pulled in the current. Okay. And then, okay, so this last of heart, and this is teaching your patient self-care. Now here’s the thing, consistency and commitment is gonna get a result.

And so I know oftentimes patients say how many times do I need to do it or how long before it will happen? And really everybody is different, but one thing is certain they need to commit to make that commitment and have the consistency and really look at like when do they give up? Sometimes they just give up or it’s too hard, right?

But the thing is you know, that’s where we can help and coach them through and encourage them so little wins. Let’s say they, stop drinking diet. stuff we need to say great, how long are you doing it? Helping with a mindfulness practice, this is a really big thing because stress is going to increase cortisol.

It’s gonna cause sleep problems, it’s gonna cause more problems with weight. It’s gonna interfere with hormonal balancing and emotional stability. And so having a mindfulness practice, . I encourage doing breath work. I do it every morning. I do Wim Hof breathing and I’ve done GR technique. And really what does breath work do?

It helps you with your nervous system but also when you do breath work, it actually pumps your lymph, right? It actually supports your organs, and this is important to get. Of the inflammation and move the fluids. Sleep hygiene again making sure to go to bed at night. Really important is get off of the phones.

Stop with the Netflix and the videos and the Instagram and the Facebook, even though we’re . On Facebook to really stop that because it actually interrupts our brain patterns. It also creates a lot of anxiety and a lot of worry. And then on top of that, we’ve got cortisol and the stress, and that creates more of this like cycle of doom and gloom.

Exercise and movement again to move the chi in the blood. Not overdoing it, but really looking at what is the purpose is to increase the blood flow, tone the muscles. And it could be used as a practice drainage, again with the breath work. But also I encourage teaching your patients how to actually do a little lymphatic massage on themselves or even to get some body work for that.

And then again making the dietary adjustments such as preparing food themselves. And this is something that. You can offer to your patients in your newsletter or in your posts, some healthy recipes. Again, you can decide to do, a campaign maybe in January as we’re coming up on the people making resolutions or even maybe before start, before, since we’re heading into Thanksgiving and Christmas and all the cookies, et cetera, et cetera, to really start creating things as tools for them.

This is the end of the presentation. If you have any questions, please, to put them in the chat and we can get back to you. Thank you.

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Acupuncture Malpractice Insurance – Weight Loss and Menopause Part 1

So today I’m gonna be talking about menopause and weight loss. And this is really menopause is, we have a 50% of our population is female, and we’re, heading into a larger . Portion of a population is gonna be over 40, over 50, moving into this phase of life.

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Hi, my name is Tsao-Lin Moy and I’m a licensed acupuncturist and herbalist with a brick and mortar practice in New York City at Union Square. so I’d like to first thank the American Acupuncture Council for having these opportunities to speak about topics of health that are very important to us as practitioners.

And also to our patients. So today I’m gonna be talking about menopause and weight loss. And this is really menopause is, we have a 50% of our population is female, and we’re, heading into a larger portion of a population is gonna be over 40, over 50, moving into this phase of life.

We’ll go to the slides. Okay. So this is weight loss and menopause, like how to help your patients with the menopausal weight game. Lemme go here. Okay, so the key topics that I’m gonna be talking about is we’re gonna do a little review of yin and yang. Really what’s happening. I’m gonna talk about constitution.

I think we often forget to look at our patient’s constitution look at some treatment strategies a little bit about acupuncture, herbs and supplements, and diet, which is gonna be really important. And . Self-care, right? So if your patients are not involved in their health and taking care of themselves when they’re not seeing you or they don’t have homework or something to do, then oftentimes they end up quitting or giving up or just deciding they’re gonna take, drugs or, go on some crazy weight loss diet.

Yin and yang again, is something that is a dynamic balance. It’s not yin or yang. It’s really yin and yang. And women are relatively more yin, right? And in this, picture, it’s, it is the four stages of a menstrual cycle. So women’s biology is actually very cyclical, with, it’s known as a moon phase.

And so even when women stop bleeding, they still have a cycle. And so it’s really important to recognize that women’s biology, . Their cycle is very different from a man’s. It’s not the same. It’s always going through, um, a a blood phase, a yin phase, a chief phase, and then again, into the yang phase, right?

And so even though the bleeding may stop, there is still this phase. And so what often happens is this is a slide that looks at . What is happening with the hormones? So if we look at, pre menopause and we look at post menopause, in the end, both the estrogen and progesterone are going to end up being like the relatively in the same position except for less, right?

So women are relatively more yin, and this is because . It’s part of our physiology is making blood and being able to hold onto life, right? So always as we head towards menopause, we’re looking at, we’re losing the yin part. And so when we have the hot flashes, this is relative yang, but overall both yin and yang are starting to decline.

So the hormonal fluctuations actually cause . The hot and cold flashes, interruption of the circadian rhythm, like sleep interruption of the result of yin and yang kind of trying to stabilize uh, blood deficiency results in more yang excess, but it’s really relative excess. But not like from abundant young, right?

So you can have someone . Who’s hot? A woman will hot flash, but she always gets cold, hands and feet. So we’re really like looking at this kind of circulation. So this is just a little bit of a review. So what happens is this. The dynamic balance becomes a little bit unstable. And so what we can observe is that when this yin declines, it can’t balance the yang.

And that’s that experience, the hot flashes, right? And the night sweats. So losing more of the yin. And eventually though, as you can see in the slide, that the hormones, the yin and yang kind of balance out. But before that, it can be extremely uncomfortable. Now, for menopause complaints, what I’d say hot flashes really at the top.

Weight gain, skin and hair insomnia, usually from the hot flashes. And the ups and downs are also showing. But for the most, what I’ve found, and I’m guessing that. Because there’s the media, because there’s this aspect of we always have to be thin, that when women start to gain weight it’s very upsetting.

wOmen are always trying to lose weight, stay fit, look good, and then as we enter into this particular phase and our body starts to feel a little bit out of sorts, and then all of a sudden what’s happening is this weight gain, and especially around the middle. Weight gain is in general, I would say a sign that there’s something systemically getting blocked or backed up.

There’s also going to be inflammation in the body as weight gain is office excess fluid. It’s often that and fat that will store waste. So when we have metabolic waste or a lot of chemicals, what’ll happen is our body will try, will store it, convert it into fat, and oftentimes it’s going and especially hormonally.

So if as with women are doing fertility treatments and they’re injecting themselves with all kinds of hormones that they tend to gain a lot of weight around the middle. . This is also due to stress, but it’s also due to the fluctuations of hormones. And then there’s this metabolic waste, or we can call it like turbidity, right?

That’s in the system. So one of the things is that you can also be a endocrine problem, such as thyroid. Or fatty liver, which is also metabolic. But for sure we know that this is part of the digestion because this is postnatal, the digestion is gonna be involved, right? So it’s not just diet, but it’s also

The ability to absorb food nutrients and then make the hormones and make the blood, and make the fluids so for the skin and the hair, right? So all of these things, so we’re looking at. We have our jing, or our Jing that we’re born with which is kinda like a blueprint for life.

And then as we develop, our environment is very much a part of affecting, how we develop, right? So we got a blueprint, and then we have the environment, which will give us a range of how tall we’re gonna be. How healthy, like all of those things. But also we’ve got our, genetic makeup that’s there.

And so once we’re born really environmentally, we’re looking at that postnatal cheese. So environment, and then what are we bringing into our body not just food and nutrients, but also, energetically, emotionally, what else is happening for us? And stress is a big issue, right? Because that’s gonna actually affect our our nervous system.

Okay, so a quick overview. Constitutional body types, right? We’ve got yang, we’ve got yin type, damp phlegm, dry, and then we have neutral, so women are gonna be more in the yin and the damp phlegm, and then also neutral. As menopause, like perimenopause starts to come, this is going to show up and be more exacerbated.

In terms of the characteristics. So if we look at, a young body type is gonna be really like sturdy, energetic, that red complexion to. Tend towards like heat preferring cold drinks. So this is they, if somebody who’s tends towards young starts eating a lot of spicy foods, it’s gonna be problematic.

So looking at the constitution of the person. Is gonna be really important because that’s really like that kind of underlying blueprint that they’re born with, right? Something that their constitution. And so always we’re gonna be looking at constitutionally, how is this pattern emerging?

So it’s not just the signs and symptoms where we can say, oh it’s a yin deficiency, it’s blood deficiency. It’s really, we’re like, oh, in a young person or in a yin person, what is that gonna look like? Because that’s gonna, I, that is actually going to direct you towards like how you’re gonna treat that person, right?

Someone who’s very damp and Fleming is gonna be like more watery. But water is inflammation. Even if it’s not hot. We’re looking at, the body is retaining fluid to dilute some kind of inflammation, and over time it can actually get hot. So in, in terms of a strategy, you wanna be careful, someone is cool and damp.

If you heat them up too much, it can actually turn into that damp heat and phlegm, right? And inflammatory conditions. So that’s why going back to the basics and looking at what is their constitutional body type. And from there we’re looking at what is that pattern? It’s emerging for them, not just their, oh, they’re blood deficient.

Yes. But blood deficiency in a particular body type has a different pattern. Although we can still use the same treatments, we might even use the same herbal formulas. We still have to recognize what is the underlying pattern and not just rely on protocols or, or. Really using herbal formulas, like a supplement.

A lot of, practitioners, I would say forget they that they’re, they may have their western mind cap on and or patients think of them as, oh, give me that herb formula again. I really liked it. I felt really good. Which is great. But then we’re looking at

What else can be done? Because maybe they’re not changing their diet, maybe they’re not doing other things unless somebody’s really ill they don’t necessarily need to be on formulas for a really long time. And that’s the determination of what’s a long time. And as we know, it’s very hard to get people to make changes and especially with their diet and lifestyle, but.

This is a really important thing and what makes Chinese medicine practitioners acupuncturists different from a Western model is we’re not looking to fix them. We’re gonna help them to get a better grasp on how their body actually works. I’m gonna stop here and next time there’s gonna be part two where I’m gonna talk about simple methods on how you can treat your patients that are suffering from weight gain and menopause.

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Memory and Cognition : Special Points for Treating Chemo Brain

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Hi everybody. Today I would like to lecture on the very interesting topic related to memory and cognition, and especially the effect of acupuncture in reduction of memory and cognition in patients with cancer or patients who are undergoing chemotherapy. And I would like to thank the American Acupuncture Consult, putting up this presentation.

This phenomena of cancer related cognition, impairment, or chemotherapy related cognition impairment are quite known. Sometimes patient describe it as chemo brain or chemo fog, which means they are, have difficulty in concentrating. So different normal tasks, even like reading a newspaper or having memorizing, simple tasks.

Are becoming a chore and becoming a really difficult situation. And it is very, the prevalence is very high. If we see three out of four breast cancer, survivals will say that they had some kind of memory impairment or cognition impairment, and it ranges from 16% to 75. And even more depends on the cancer, depends on the chemotherapy and the length and strength of the chemotherapy.

There’s been few acupuncture studies which are very promising in the result, and they’re very innovative. In the way they look at how acupuncture affects this cognition, one of them look at the effect of acupuncture in breast cancer patients undergoing chemotherapy. It took 80 patients, 40 received acupuncture, 40 were in the control group, and it looked at two parameters.

One was a biomarkers, which is neurochemical peptides, which are released in the brain. The more you have them, they’re called B D N F. The higher the B D N F level in the serum level of the patient, the better cognition, the lower. The worst cognition. So it’s actually looked at the biomarker that you can see objectively the effect of acupuncture versus the control group.

And it took a battery of different tests like assessment of cognition test that the patient had to feel and looked the difference between the patient in the real group comparing to the . patients who were just in the control group and the results were very promising. There’s different things that were different that you could see that statistically are different between the group.

First of all, in the all the tests, the patients who had the acupuncturist scored my higher than the patients in the control group, but also the serum level of B D N F. This biomarkers were much higher in the patients who receive acupuncture comparing . To the control group and when you compare both, there was a good kind of relationship between the higher B D N F level and the higher score in the tests.

So this is showing that this biomarker has significance and potentially it’s another way to understand, or later on to research how acupuncture is affecting the brain and affecting condition cognition. Not just in this group of cancer patients and then going chemotherapy, but generally within the general population and in the control group, there was no significance different on both, not on the B D N F and not on the scoring for the tests.

So the conclusion was that acupuncture therapies an effective treatment for . Chemotherapy related cognition impairment in breast cancer patients, although we need to look deeper into the mechanism and look how the B D N F has affected in this group. When we look at the acupuncture point, it’s quite interesting.

You’ve seen that the group of acupuncture points are concentrated in the head and there is additional points on the leg, like stomach 36. So it affects more in Chinese medicine, we’ll say the spleen, the E. The ability to digest information. Gallbladder 39 will affect the gallbladder, which also and nourishes the brain, but it’s also a point for the marrow, which is reduced during chemotherapy and kidney point and kidney as we know.

And the disease of the kidney is especially important for a long-term memory. So the design was quite interesting. Some point on the head that the fact . Memory and points that affect the postnatal and prenatal chi. Another interesting study was on it’s a very small it’s a kind of very pilot study or initial study, but it was very interesting in the way it was designed and it was in cancer related cognition, impairment in Chinese group gynecological cancer patient.

But the reason I want to bring this study, because they looked already at three parameters. So they look at the assessment like patient has to fill in the forms. They looked also at the micro structural of the white matter in the brain because there is a certain reduction in a certain area in the brain.

When cognition is lowered. So they look at the difference and also in the wide matter itself, in the brain and look at the different neurochemical peptides in the brain, the n a and also in the small group, there was a big difference between control group and between the real, these are the different points, all of them on the head, as you can see.

So it has its advantage and this advantage. And the patient can determine which points he’s choosing according to the patient’s condition. This is example for Tang Point on the head, which can also used for other headaches and other problems in the head when we use it normally in acupuncture. And the results were very interesting because again, there was a better scoring on the test, although the group was very small.

But also there was a difference in this micro structural Side of the brain that is related to cognition, especially the apo colonus and the bdnf. The n a level was also higher, so also this peptide, which you can isolate from the serum was higher. So we are moving into kind of a new era of research, and first, let me say a word about acupuncture and cognition and memory.

In acupuncture, we look at the body, mind, spirit approach. So in the body we, it very much relates to the kidney and to the gene and the strength of the body and the vitality of the body. The stronger the vitality of the body, the better the memory on the mind level. We’ll look at the E, we’ll look at the spleen, we’ll look at the different aspects of ability to think and to assimilate memory and bring things from memory.

But additionally, in Chinese medicine, which is not , Difficult to put in research. We also look at the spirit and Duchenne and the heart, which gives this kind of coherence of cell up awareness and general coherence. Although, we can, when we look into chemotherapy, we need to look also in other aspects of phlegm and toxins.

We can, which we, I will touch on in a minute, a little bit more. So now we are looking at a different paradigm of research. When actually the researchers look at the body of, like in functional MRIs, we look at brain fractures, biomarker pathways, and different neurological system, which are affected by acupuncture.

On the mind. Patients will do the cognition tests and can be compared, but still, hopefully in the future we’ll also give space to something which is more in Chinese medicine, we’ll say, the spirits, the presence, the ability of . Self awareness and being in, in a good awareness, not just in a, for cognition, for tests.

So this integration of Chinese medicine into especially oncology, has a very promising future. I would like to mention that we are doing looking at the, very much at the skills. That acupuncturist needs in order to treat cancer patients. And in the T C M Academy, we’ve developed a very unique and international course, very deep course that looks into the core competence that ones need in order to treat cancer patients.

And as you can see, like cognition and memories is just one aspect. Chinese medicine, especially acupuncture, has been shown . With evidence to help in many other conditions. And when we are looking at teaching the core competence, we are looking at the Western medicine understanding and research. We are looking at the Chinese medicine understanding and also generally we can look at the evidence that are available there and see how we can conclude for evidence.

So in this International Oncology Acupuncture certificate course, We go deeper into understanding this and covering many conditions, especially many conditions, that there is already evidence for them, helping acupuncturists to become a well equipped to treat cancer patients. So we look at different conditions such as pain, nausea, vomiting, fatigue, dry mouth.

And a big list of others in order to equip acupuncturists with the best knowledge and the core best core competence to treat cancer patients. So I hope you enjoyed this presentation. I would like to thank you very much. If you have further questions, you can write to me and all the very best. Be healthy and well.

Thank you very much. . . .

Microneedling for Aging Hands

Today’s lecture is about microneedling the hands, because one of the things that happens as we age, our hands can develop age spots. And the skin itself can lose its elasticity.

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Hi, my name’s Michelle Gellis and I am an acupuncture physician. Today I will be speaking to you about microneedling for aging hands. So just a little bit about me before we get started. I am a former faculty member and clinic supervisor at the Maryland University of Integrative Health, and I am currently on faculty at Yoan University in California.

And I’ve been teaching facial and cosmetic acupuncture classes since 2005. I have been published several times in the Journal of Chinese Medicine, acupuncture today, and also the acupuncture desk reference. So here are some pictures of me teaching. This was in Sydney and in Sydney, Australia, and in California.

So I do travel and teach internationally.

The first thing I wanna speak to you about is microneedling. I mentioned that I teach cosmetic. . And facial acupuncture classes. Neuromuscular conditions. Cosmetic conditions. So why would you want to, might, why might you want to think about adding microneedling into your. Cosmetic acupuncture practice or into your practice at all?

Microneedling is an alternative to surgery and it can address things skin level conditions such as fine lines, acne scars, loose skin, enlarged pores crow’s feet, lip wrinkles. Dark spots and even stretch marks on the body and can be very beneficial for hair restoration. And that can be head hair eyebrow hair, even empty spots if you have a beard.

So how does this work? What does it do? It helps to stimulate your body’s own collagen production and any products that you put on your skin like serum, it will help to increase the absorption of those products by up to a thousand percent. And all of this is clinically . Proven there have been hundreds and hundreds of studies on microneedling and its effectiveness for hair growth, stimulating collagen, treating scars, and increasing product absorption.

The benefits of microneedling are that there is very little downtime, unlike some other . Cosmetic procedures like lasers or surgery, there’s very little downtime. There’s very low risk. It is extremely effective and it can, as I mentioned, help to boost the natural collagen production in the body. It’s very comfortable.

Most people don’t need any numbing cream. But it, the process itself is quick, it’s comfortable, and the results can last up to five years. So here is a cross-section of skin. So this is what a piece of skin looks like, and here we have the epidermis, and then we have the dermal layer. And then below that we have the subcutaneous later layers.

So when you’re doing microneedling, you’re only affecting, all you need to affect is the epidermis. And here is a cross-section of the epidermis. And this very top layer is called the stratum corneum. And this is . The way that skin reproduces is, it starts at the bottom and then all the new good cells work their way up.

And this top layer flakes off. So microneedling when you’re microneedling, you have two different types of tips you can use on the pen. And I’ll talk about those in a minute. But one type just sloughs off the sh stratum corneum. And then the other type will go a little deeper down into the epidermis and we’ll get right into the base layer of the epidermis, which is this stratum based saw layer.

And that is where the new . Healthy skin cells get produced and by needling down through these upper layers, you will create new healthy skin cells more quickly. And this helps with wrinkles, the dark spots, and can even tighten the skin up a little bit. If your skin is . Sagging. It used to be believed that you had to go down into the dermal layer here and this can be very painful and there can be a lot of bleeding.

But what they have found in the past couple of years is you really don’t need to go that deep in order to . Affect these new fibroblasts, these new skin cells to be created. So this is what a cross-section might look like of the microneedles going down into that epidermis. And when these very sharp needles just puncture the epidermis, they go up and down very quickly and they create

They stimulate new stem cells and also fibroblasts. And this helps with things like scars and wrinkles, discoloration, and the other things that we. Mentioned, so it looks like this. You have your piece of skin, maybe this is a wrinkle or a scar, and you poke little holes into the epidermis.

You get new arterial and venous capillaries and the fibroblasts, and they all come together to form these new collagen fibers, which makes your skin look smooth and healthy and youthful. Another benefit of microneedling is it helps with the endothelial cells inside your capillaries and blood vessels, so this can help with things.

Like spider veins, it can increase the blood supply to the scalp. So this helps your scalp to be more healthy. And in addition to your products getting absorbed and exfoliating the all of the old sebum that can build up on your scalp, it helps the blood supply to the hair follicles, which helps your hair follicles to stay healthy, and it helps the little hairs to poke out.

So this is a picture of a microneedle pen, and we have a little bird joining us for today’s webinar. So I have a microneedle pen here and I’m gonna show this to you really quickly. If we can go to meet. Thank you. We can go to me. They are . Package like this, and then this end, you can plug in if you want to, or you can screw the plugin end off.

And it comes with two batteries and the batteries screw on like this, and then you would put the tip. So this is a needle tip. . And if you just, if you press, let’s see, where am I going? If you press on the end, you could see the little needles poking out. So what happens when you put the tip on the pen?

You click it on nice and tight, and then you turn the pen on

and it will. You see the numbers changing and the higher the number, the faster the little needles will go up and down. They’re moving in and out. And then you can also adjust the height right here. That’s my little adjustment. You can height you can adjust the height of the needles, and this determines how deep the needles will go in.

And the other type of tip I’m just gonna show you while you have me on full screen is called a nano needle. And as you can see, the needles are very tiny. You can hardly see them. They are like little tiny cones. And those are used for the red part of the lip. Inside the orbital rim areas that you normally would not want to needle.

Okay. We can go back to the slides. Today’s lecture is about microneedling the hands, because one of the things that happens as we age, our hands can develop age spots. And the skin itself can lose its elasticity. So when you pull on the skin on the back of the hands, it doesn’t snap back and it can look saggy.

And also the veins on the back of the hand can become very prominent. And I noticed this on myself as I was getting older. I’m 62 now and I was really becoming conscious of what the back of my hands looked like. And I used to derma roll them. But once I started microneedling and the microneedle pen that I showed you is made by AccuLift and there are a lot of great

Microneedle pens out there. So I strongly recommend we don’t have time today to talk about microneedle pens, but I strongly recommend doing your research about pens. But I started microneedling the back of my hands and it really helped with any dark spots and veins. And I was very happy that Really faded out the dark spots and helped my hands to look really youthful because most people focus on their face or their neck, but they’re not thinking so much back of their about their hands.

Now there are special concerns though when you are talking about the hands, and that is the hands are very bony. The veins can be very close to the surface. They can be very sensitive, especially when you’re microneedling on bone and because the fingers and the hands do not have as much blood circulation as other parts of the body.

especially in the elderly, the healing capacity can be reduced. So these are things you have to think about when you’re going to be microneedling the hands.

Also you, even if you’re just microneedling someone’s hands, let’s say they’re coming for cosmetic acupuncture, you do the cosmetic acupuncture on their face, and you wanna do some microneedling on the back of their hands, you want to make certain that you inquire about all of your usual contraindications, things like steroids.

Blood thinners, any prescriptions they might be on. And then after they have their . Procedure, their treatment that they use sunscreen on the back of their hands because our hands, we always think, oh, sunscreen, I’m gonna put sunscreen on my face. But we don’t always think about the back of our hands.

And then we’re driving, we’re biking, we’re golfing, we’re playing tennis, and our hands can be exposed to the sun just as often as our face. So the protocol. And again, this is just an overview. This is by no means in-depth training. If you want an in-depth training, you can go to my website facial acupuncture classes.com, and I go through a full microneedling training.

But just as an overview, the patient would wash their hands. You need to wear gloves. You can apply numbing cream if they’d like it, and that it needs to stay for about 20 minutes. Then the numbing cream comes off. You can use a cotton pad with alcohol on it or even some makeup remover with alcohol on it.

And, Definitely wipe the back of their hands with alcohol. Then you’re going to apply your treatment serum, usually a hyaluronic acid, and then you are going to adjust the pen height and needle depth according to the directions. And normally the technique with the pen is just up and down. You’re not gonna wanna go left to because you’ll be going over.

You’d be going over tendons and you don’t wanna do that. So it’s up and down when you’re on the hands. And then you might use a stamping motion if they have any spots, and you might get a little pinpoint bleeding, but that’s okay. It’s perfectly fine. You just. Go through that. And then if there’s any prominent veins, you want to go gently over those if they have any veins on the back of their hands.

So here’s an example of someone that I did. I. Just a couple of treatments on and you can see that hopefully you can see better there. This one spot in particular really faded tremendously and this had bothered her quite a bit. And little bit more collagen starting to form after just a couple of treatments.

So the treatments are spread out once a month. And normally four to six treatments is what is required. And if you want more information about microneedling training, I do live classes. And my schedule is at fa facial acupuncture classes.com. And you can also follow me on my social. It’s . You can just find me at Michelle Gillis and I have a facial acupuncture Facebook group as well.

I’m on all forms of social media under Michelle Gillis. Thank you so much and thank you to the American Acupuncture Council for hosting this. .

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.

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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. .