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PTSD – Post Traumatic Stress Disorder Tsao-Lin Moy

 

 

What is post-traumatic stress or post-traumatic stress syndrome? Like what does it look like from a Chinese medicine lens? Right. We’re going to cover what it is, what is pandemic fatigue recognizing and treating it in our patients and also recognizing it in ourselves.

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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.

No. Hello and welcome. And I’d like to thank the American Acupuncture Council for, uh, putting these talks on, on these platforms of Facebook, Twitter, YouTube, Instagram, and so many more. Um, my name is Tsao-Lin Moy. I am an acupuncturist and Chinese medicine practitioner with a brick and mortar practice in New York city union square. And so today we’re going to be talking about post-traumatic stress disorder, post-traumatic stress syndrome. And so we’ll go to the slides. Okay. What is post-traumatic stress or post-traumatic stress syndrome? Like what does it look like from a Chinese medicine lens? Right. We’re going to cover what it is, uh, what is pandemic fatigue recognizing and treating it in our patients and also recognizing it in ourselves. And then I’ll go over a few tips, uh, and, uh, treatment strategies that you can use with your patients and also to, for yourself. Right.

Um, so what is post-traumatic stress disorder? Well, it is defined as a psychiatric disorder. They can occur in people who’ve experienced or witnessed trauma events, such as natural disasters like Katrina or Sandy. Uh, what we’re seeing right now, a serious accident, a terrorist attack, war violence of physical violence, sexual violence. And this is based on, um, the American psychiatric associations definition. Right now we’re looking at seven to 8% of the us population, uh, will have, uh, post-traumatic stress at some point in their lives. Hey Cindy. Um, and 3.6% of us adults each year, um, are diagnosed with it. It’s a particular diagnosis, but we have to look at what happens before you get the diagnosis, right? Um, and, and then this case twice as many, it’s twice as high for women and also, you know, for teens. And we see a lot of that going on right now.

Um, this diagnosis requires exposure to an upsetting traumatic event. It’s often associated with something called combat fatigue, and a lot of veterans have this, and this is a statistic, 23% of veterans of Iraq and Afghanistan, um, are, have been diagnosed with PTSD or PTSS, uh, 30% of veterans from Vietnam. And this is something that is continuing to, to grow. And it’s something that’s really important that we start to address and can be addressed really well with acupuncture and Chinese medicine. And so here quick, there is an opportunity for us as Chinese medicine practitioners to really be of service. So what is this in the PTSD or PTSS is a form of Shen disturbance, right? And Shen is the idea of this dynamic interplay of the five mental and spiritual aspects of ourselves. These are housed in, we called the zone or the yin organs and are expressed in the form of our emotions.

Um, I’m not going to go over what the emotions are because I know all of you, um, have learned this in foundations, right? Um, but this is also sign when someone is experiencing something like post-traumatic stress, it’s a sign that the Shen is disturbed and is not going back into a state of balance. So there’s something that is preventing the natural inclination to move towards homeostasis. And this is through, this could be a physical experience or something emotional. Although I say everything we experience is in our body. So there is the we address what is the physical right? Um, so when the Shen is in order, the person’s ability to navigate the world with resilience and cultivate health and wellness is achieved. So it’s not to say that we don’t get upset and it’s not to say that we don’t get stressed and really stressed what’s happening is, is that the inability to self-regulate has been disrupted at a very deep level.

What we also are looking at is something called pandemic fatigue. And I put this in here because over time, us as practitioners and we see it with physicians, um, we are experiencing a situation in which we have to be vigilant all the time that we’re helping people. And we have all of these health issues that are really focused on staying healthy. And so what happens is, is we start to get really exhausted just from the situation. So as an acupuncturist, Chinese medicine practitioner, as practitioners, we’re also healers. So I want to put this forward. We’re not just, you know, mechanical and we work with energy medicine and the energy of others. So what’s really important is that we have to take care of ourselves. Um, and, uh, what we recommend to our patients is also that we need to really like look at, to do for ourselves. And oftentimes we forget, yeah.

Need to be the model. So what do we know for sure about, uh, PTSD and PTSS, all it’s kidney and heart liver and spleen. These are really, uh, two things that I’ve seen and witnessed. Um, there are many more, um, combinations, but with something like, uh, post-traumatic stress, stress plays such a major role. And it, by tapping into our adrenals, it affects the kidney cheat and the shock trauma affects the kidney essence affecting the brains. We look at the brain is an extension, the brain, uh, the spinal cord and the brain are really part of the kidney essence. And then in turn that brain and mind, you think the mind is housed in the heart, but also the extension goes through that physical the brain as well. So we look at the emotional disturbance, the chemical shifting, uh, PTSD and PTSS is not just a simple heart and a kidney heart disharmony, but it also involves a multitude of the symptoms.

So it really important when a and what I’m talking about is very specifically, we can recognize that the, the adrenals and the stress are, are really at the root of it, but then what’s happening. Is that the way it manifests starts to affect all different other parts of our body. And then we look constitutionally of the individual and also what their history is and then how that plays a role. And so though we may see all this in our patients, right? We can see like, oh, this person has this happening and that happening. We oftentimes are missing it in ourselves and we end up burning ourselves out.

So one of the things about PTSD and PTSS is that it changes our brain and body chemistry. So these changes result in the overstimulation, and this is Western stuff, the amygdala, which is that emotional survival response, the underactive aspect of the, which is the hippocampus, the hippocampus, uh, that what is an increases in stress hormones, and that affects our ability to move forward. So we often get these flashbacks, it affects the kind of memory aspect, and also in, um, it’s ineffective, we call the ineffective variability, which means that there are elevated stress hormones, and those interfere with self-regulation and we get the systemic decline. So we’re looking at, there’s an inability for the body to actually go into the parasympathetic, which is the rest and digest. And if we look at that from a Chinese medicine, we’re looking at the body needs to have the yin and the yang, right. And if we can’t go into the time of kind of cooling down and resting, then what happens is we’re always more young and more manic and we get this exhaustion.

So some of the symptoms of post-traumatic stress or post-traumatic stress syndrome are that these intrusive thoughts, worry, repeating thoughts. Uh, I look at distressing dreams that tells me a little bit more, that there’s like a liver thing, uh, flashbacks, um, you know, even feeling that, you know, they, people that they feel they’re reliving something, right. Uh, or in this case, what I look at, like I put in my notes communing with spirits, because you’re actually kind of involved in a situation that may be in the past and there isn’t really a person there, but you’re engaging, right. And this is really, you start to engage, let’s say the spirit world. Um, the other thing is avoidance avoiding reminders of an event, what to drawing from people or places and activities, um, avoid thinking about an event, not sharing feelings, right. And then there’s an aspect that I put in here too, is toxic positivity.

Um, or we, we also call it spiritual bypass is another term. And that is, is that everything’s great. Everything’s wonderful. Um, or towards others, we can be this way when they’re sharing their feelings, that we kind of tell them, oh, look on the bright side. Right. And, and this is, uh, also like something that we have to look at within ourselves that maybe we’re avoiding those difficult conversations and being able to get present. Right. And that’s something as a practitioner that, uh, kind of checking out is, is going to be also kind of a sign that we’re in this stress situation ourselves. Um, we look at alteration in cognition and mood, so negative thoughts and feelings, a lot of pessimism, um, you know, distorted beliefs, right. And also detaching from others, um, alteration in arousal and reactivity. So we start to look at reckless behavior, um, emotional outbursts, self-destructive behaviors, um, more vigilance, a lot of sleep problems.

And one of the things, uh, across the board, which I’ve noticed is that, um, people have had problems with sleep. Uh, so here is a little infographic of, you know, some of the things that people are experiencing, a lot of emotional, you know, outbursts, uh, frustration overwhelm, uh, just that feeling of, uh, not being able to deal with anything. And again, uh, what I do want to say is this is normal. We’re in, when you’re in a situation which is extreme in which we are in, in the way that we are now, there’s an aspect of self preservation and coping.

Now, sometimes this coping mechanism to the stress trauma is not necessarily beneficial over the long period, right? So the discomfort of trauma triggers our coping mechanisms from a state of fight or flight or freeze, right. In an effort to dull the pain to run away and to numb it. So examples of this are a lot of stress eating, a lot of junk food. So binging on junk food, like a lot of comfort food. Um, and this is something where with a, if somebody has this propensity, we’re looking at the day underlying, maybe have before, even a little stomach and spleen imbalance. Um, then we look at alcohol addiction, a lot of the addiction to medications now during the pandemic. And, uh, well, we’re still in it, uh, that in February, from February 15th to March 15th, 2020, there was like a 67% increase or 38, but I’m not to like look at the stats, um, in, uh, the prescription for anti-anxiety medication.

Right. And so that is a lot of these benzos do have addictive properties, but we, we, we need to cook to cope. There was also a study of an increase in alcohol use of new moms or women with children under the age of five. And so we start to look at, you know, how is somebody coping? And really this is a kind of medicine that, uh, you know, people are searching for. What do they know? Right. In other cases, there’s an increase in violence and angry outbursts. Now this, we look at liver gallbladder issues, right? Like any kind of, any kind of emotion that we’re unable to express is going to actually show up eventually in the form of some kind of stagnation, um, heat, inflammation, and anger, right. And also this is very normal, you know, we’re in situation, that’s very frustrating. The problem then becomes later on when we can’t get out of it.

And that becomes the pattern. Uh, the other thing is, is that if there is an underlying trauma that wasn’t resolved and that all also shows up a lot, when people come in for acupuncture and Chinese medicine, right, they they’ve tried other things and something is not working that there, the longer that they’ve had this experience, that the emotions and there’s much more going on then, um, that let’s say their initial accident, right. There’s more emotion that stuck with it. And then that is also hooking in and later on, that can show up. Uh, one of the, the activities also is extreme prepping, hoarding, food, toilet paper, um, exercising and dieting. Uh, we saw a lot of that. Uh, this is, uh, goes along lung and large intestine kind of controlling, right. Hoarding, controlling that metal energy, uh, another disassociation kind of checking out. And this is kind of like the Shen has gone to walk in and say, we want someone like, how are you doing?

Oh, I’m fine. Really in all this chaos, uh, it’s actually important that someone, you know, kind of acknowledges that things, you know, things are difficult and they’re getting through it. But the response that I’m fine is kind of really like, uh, I don’t know, uh, to me that says something like, Hmm, I don’t know, avoidance, uh, susceptibility to conspiracy theories like aliens and chip devices. So this is also a small intestine we’re looking at really, uh, inability to shift from what’s clear and unclear. Right? And that, that also ties into also fear. You know, when there’s a lot of fear of the unknown what’s going to happen is it’s going to trigger many different responses within, um, within ourselves and in our patients that then they can become very susceptible to things that, you know, something that they might’ve thought Ben seems to become a reality. And again, this is part of, um, not being so present, but actually, uh, going somewhere else, right. In terms of what, what is happening.

So do you know anybody that’s hoarding toilet paper? This was actually one of the responses that helped, uh, people to feel they’re in control that they’re actually doing something. So when someone starts hoarding or having certain kinds of behavior, it is a coping mechanism. It’s a, it’s a way for them to feel in control. And does this kind of like look at, uh, you know, what’s going on for that person. So they may, they may not say it, but, uh, this is like an indication that, you know, something may be gone, something else may be going on. Um, and so you’ll go, so why topic? Well, the topic is because if we don’t already have a form of this, post-traumatic stress, we’re on track to getting it because we’re living through very challenging and chaotic times much of which we have no control over. We’re witnessing a lot of death, uh, climate change, disasters, fires, flooding, and, um, the ravages of war and politics, having our lives up ended and having to pivot now.

And also what I want to say is the news cycles and social media, right? So much of the, the, the definition that was in one of the earlier slides about, you know, reliving, traumatic events, um, thoughts over and over again, that what’s happening is, is in our news cycles. We’re actually kind of seeing the same thing over and over and over again. So as an individual who might, who’s resilient, um, it’s hard to manage your thoughts when you keep getting exposed to social media. And so one of the things that I suggest, or the news, right, the news, the news likes to, um, be sensational in order to get the call it clickbait to get clicks. Uh, but what happens is, is that once you kind of see it, it’s very hard to unsee it and it taps into our other than conscious, right. And it kind of like works up, works us over.

And so really important is to clear the cookies on your electronic devices. So, and be careful of what you’re searching for, right? Because then all of a sudden you’re going to get a lot of that content. So the symptoms of, uh, PTSD PTSS Shen disturbance are a Shen disturbance and they reflect this disruption of the function of definitely the liver, you know, cause maintaining that free flow of Chi because when she and blood are in harmony, the mind is also at ease. And so this is also an indication of like where you want to look to when you can, you want to treat and help someone. Um, kidney essence is being drained. We know cause the brain, um, part of the brain is being affected. Um, there’s also that deficiency of heart blood, uh, people experiencing a lot of palpitations. Um, I, I highlighted or bolded insomnia because that is really like a big thing that, um, people are experiencing, um, both with a hyperactivity of heart fire on the mental restlessness.

Um, the, the issues are, if you’re not getting sleep and again, that’s that rest and digest, it is going to affect your information. And it’s also going to affect your mind. Right? Poor sleep is attributed to memory loss and long-term illness like dementia and Alzheimer’s. And if patients, one of the things that, uh, to look at, if your patients are not responding to treatment, uh, as you would say, Hmm, there’s something else going on. They’re not really healing. Then you have to really look at there’s something more and to look at the emotional component to being addressed.

So treatment strategies really need to address, uh, the stress cycle. Okay. So got a question about sleeping as a coping mechanism, right? Yes. Is like to get sleep, but you know, if there’s too much sleep, what can happen is that’s also like a kind of adrenal fatigue, right? Like all of a sudden, boom, somebody has been overstressed like with chronic fatigue or with fibromyalgia that they’re just, their energy is shocked, right? So adrenal, adrenal fatigue, or when your adrenals are shot, you’ll also like sleep a lot. But the key thing is, is that, are you getting a restful sleep, right? Because if you’re not waking up, uh, refreshed, then we also know you’re not getting those deeper levels of sleep. And that means you’re only get your cycles are off. Uh, and also like too long being asleep is also, you do build up a toxicity, right?

So over 10 hours of sleep is not better. There, there is that window of sleep. So sleeping is great. Uh, but also you want to get quality sleep, which means that your nervous system goes into that yin aspect. Right. Uh, so treatment strategies, well, I like the ear acupuncture and ear seeds, right? A lot of research in treating post-traumatic stress disorder, um, in, in, uh, is being used in the military. Right. And also used in addiction. And the beauty of either ear acupuncture or ear seeds is that they’re very simple. Right. And I like you put in some ears seeds and the patient can actually stimulate them, uh, points that I suggested, like Shen men, zero points sympathetic, then you can decide liver lung, like add a few other ones based on what you’re seeing in that patient. Right. Ear seeds are excellent because then later on they can, the patient can press them.

Uh, I’ve also used like the little, uh, the hand, uh, magnets, the Korean hand magnets, I guess they will. And on something like PC six, because not only does that help with anxiety and nausea, right. It’s easy for someone to access and, and to do right. So important that you’re going to give your patients some things that they can do on their own. Right. Because that is something that allows them to be in control. Right. And to be aware of that, they need to address their stress and you, and you give them resources. Moxibustion um, I actually prefer in these cases, moxa to needling, right. So if somebody is pretty startled and they’re, they’re overstimulated that you really want to cut there, there’ve been drained. You kind of want to add in something. And so a little bit of moxa, um, and less needling, right.

Cause then you’re piercing their, their defense. Right. And then that could be even like too much for somebody. So, uh, classic points like CB six CV, 12 stomach, 36 spleen six. So that’s more like central key, definitely. On the back, you would do 14, do 12, these help with the nervous system. And also that’s the meeting point of young, uh, do for right. The main men we’re looking at, uh, this is the gate of light, like on the gates of life, you know, when you’re stressed out or your, your, your kidney essence is draining, you really want to be able to route the person. So bladder, and then outside bladder point 52 more for spiritual, right. Or one more spirit point and then the six flowers. So you’re really like looking at helping that person consolidate their energy. Right. We don’t need to manipulate too much like, oh, they’ve, you know, this point for that, you just think about constitutionally helping them to get back into a place of balance, essential oils.

This is something also, they have essential oils have psychoactive properties. You can also miss that, have them massage them on certain points. I won’t get into. There’s like a whole, they’re all types of kinds of protocols. Um, but essential oils, uh, because they’re psychoactive, they go directly to the brain and can affect the chemistry. And that’s, this is a tool that can help your patients, um, when they’re feeling stressed or just to kind of have a, a, uh, you know, vapors or, um, a mist of it to really help them to, um, have a calm environment. They’re also great for children, right. Children experienced a lot of stress and often they can’t say it, they may act out right, and they’ll have tummy aches and, and, uh, other kinds of, of problems. Right. And they pick up our vibration, right. They’ve got their mirror neurons.

So if we’re stressed out, they’re going to pick it up. And then what I do recommend is something like Vetivar or bergamot. And this is, uh, in research, they, it shows that it has a similar effect as valuable in terms of calming, right. And also lavender is always like a natural, uh, uh, soothing and calming central oil. And you can get like lavender pillows and things like that. I think, uh, patients, they love, they love it, right? They love it. You can have little gifts, self massage. Uh, so in Asia for anyone who’s listening, if you’re Asian, it’s, it’s very common practice. Even as when I was a child, uh, to learn to kind of do massage techniques, especially on your parents’ back, you know, uh, little, little hands or walking on their, their back, uh, and, uh, you know, to learn how to do this.

And, and you do it in the home, uh, so you can teach your patients to massage their own feet, maybe stimulating kidney one, uh, they can also use one of those stimulation balls. You know, the kind of like helps to, uh, treat the entire body through the bottom of the foot, right. It’s also going to help with sleep. You can also massage a little bit of essential oil at the bottom of the feet. Um, I also, uh, like to teach my patients to press, you know, down the, the stomach channel, right. Stomach 36 all the way down. So there’s a stomach channel because that’s also the same idea is we want, you know, the, your central achie or nutritive cheek, um, your digestion, and that’s going to help to nourish the whole body. You’re you on cheat also liver three, nourishing your liver, helping with the smooth flow of, of cheap teas.

Um, there are so many teas out there. I suggest to my patients to kind of switch up caffeine, cause people want to be alert. Uh, stress can actually cause people to be really sleepy, right. Or to like really be overwhelmed, like dealing with, uh, a stressful situation. You actually burn a lot of energy and then have difficulty concentrating. Um, so, uh, offer having someone take tea, it has half the caffeine, but also, um, T is delivers a slow, an even amount of caffeine. And this is due to its chemical composition, which is actually great. I mean, there’s a lot of, there’s a history of the difference between, uh, coffee and tea and the idea in terms of the industrial revolution and being able to focus and be more productive. Right. Um, and that has to do with caffeine. Uh, what I have discovered is this is something that you can look up con a T uh, there are some over the counter and the health food stores. Uh, it is a very interesting herb. It’s a succulent from South Africa, natural serotonin uptake, inhibitor, meaning, uh, allows more serotonin to circulate. Um, so you feel better and, uh, stimulates the endocannabinoid system, uh, meaning immune. And then it’s also very empathic genetic. So you feel, you know, it’s at heart opening, you feel much better, and this is something that you can buy in the health food stores. And if you want, you can contact me and I can tell you different ones that I’ve looked at.

Okay. Another connecting with nature, what kind of mindfulness practice, um, and essential oils that you recommend, uh, bergamot, uh, the, uh, recommend vet D bear and Vermont, right? Those have the, if you look there’s research on those, uh, that, that shows that as the similar effect on the brain as taking Ballmer, right? So you smell it and you feel calmer, right. Um, so, uh, connecting with nature, having a mindfulness practice. So mindfulness practice, that’s a whole other, you know, it’s a very big topic, some kind of meditation or gratitude, uh, but also, you know, post-traumatic stress is very disruptive to the whole system at its deepest level. And so something there needs to be something great to feel that there’s something greater than right. Which is, which is that feeling with meditation, more connected to the world, right. Instead of, uh, uh, retracting or contracting.

Um, and one of the things is, is nature. So nature has a vibration, it sustains life, right? There’s a vibration of plants. There’s a vibration of the earth. And so things like gardening, or actually physically connecting barefoot to the earth or grass, or even sitting under a tree, what happens is, is our body is naturally going to go to synchronize with the vibration. And so we, and this gets back to us, right. Uh, when we are in a place of calm, we are so great for our patients. And I, and I know that they come and they say, wow, how are you? So calm? I always feel good when I come and see you. Right. And what it is is when you’re in a place of calm, you’re very stable. And then they have, it’s like, you’re like a beacon and a place of stability for them to feel like everything is going to be okay, which is why it’s very important that take care of yourself also.

And the other thing, um, before I conclude is I want to say that less is more so when dealing with, uh, post-traumatic stress, uh, less is more individuals are already overwhelmed and overstimulated, which is why I said like, okay, maybe some magnets, uh, that they can do on their own as well after being treated, uh, you know, to, to little things, simple shifts to ease them out of that cycle. Right. So they can feel that they could do a little thing that they’re in control of. They’re not given a ton of, of, uh, homework, because then that’s just like a whole other thing to deal with. And I think it’s really important that, uh, people can actually, uh, have these resources that you’re gonna teach them and show them. Of course, there are many more, uh, you can, uh, work with, uh, different kinds of recipes and foods to, to help them, you know, so something that’s simple, right.

And so that they can cultivate, uh, health and wellness and longevity and resilience for themselves. So this is the conclusion. Um, and let’s see, I hopefully I would like you to make sure that you join us next week, where we’re going to have Lorne Brown, uh, coming and, uh, he’ll be giving a wonderful talk. And again, I would like to thank the American acupuncture council for, uh, having these talks on. And I hope that, uh, they were interesting for you. I would love your comments and please, um, let me see, where would I please share the reference? Okay. Um, okay. There is going to be a transcript and a replay. Uh, so, uh, if, uh, or you can contact me and I can talk to you more about, you know, some of the essential, some essential oils, right. Um, that’s a whole other topic. All right. And, okay. So thank you. And I hope to see you next time.

 

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The Yin and Yang Balance of Sleep Tsao-Lin Moy

 

 

Today I’m going to be talking about the importance of sleep and using it as a way of improving health for your patients.  People are not getting enough sleep, and this was an issue that was happening even before the pandemic.

Click here to download the transcript.

Click here to download the slides.

Hello and welcome. My name is Tsao-Lin Moy, and I am an alternative medicine acupuncturist and Chinese medicine practitioner. And I want to thank the American Acupuncture Council for hosting these Facebook live events. Um, today I’m going to be talking about the importance of sleep and using it as a way of improving health for your patients. Uh, so, uh, let’s go to the slide.

Okay.

So one of the, uh, problems that we are facing in these times is that, uh, people are not getting enough sleep, and this was an issue that was happening even before the pandemic, um, that, uh, we have a situation that is really a crisis, um, about a hundred million Americans, which is one-third of the population are sleep deprived. And that means getting less than six hours of sleep per night. And poor sleep has been linked to many chronic illnesses, such as diabetes, heart disease, obesity, dementia, and chronic pain. And the studies actually show that if you miss one night of sleep, I means like, stay up, do an all-nighter that you, um, you build up a protein called beta amyloid at two, as much as 5%. And this is, uh, a linked to impaired brain function. And it’s also associated with Alzheimer’s disease. And this is where these beta, the beta amyloid proteins actually clump together and create those plaques.

So lack of sleep, it’s also linked to increased emotional disorders, including things like anger. And later on, I’m going to actually talk a little bit about it, like how it works with the season, right? So seasonal, emotional issues can be linked back to sleep. Uh, what we know is poor sleep has been a problem for weight gain, uh, hormone imbalances in fertility for male and female lowered immune function because of the, the cytokines, which are the inflammatory process and also premature aging. So, uh, many of you, if you have children or have been home and may have been experiencing this, uh, uh, problems, getting sleep, uh, being stuck at home, right? Uh, so what I am going to talk about is, uh, as you, as practitioners, understand the yin and yang, and really what I’m going to do is relate it to sleep because the, of yin and yang play a major role in sleep.

Restorative sleep is governed by the body’s circadian rhythm and the sleep and wake homeostasis. So circadian rhythm is that internal biological clock that regulates wakefulness, metabolism, body temperature, and hormones, and synchronizes with environmental factors, such as temperature and light. And this is also true of the seasons. Uh, what’s interesting is that it also closely relates to the Chinese medicine organ clock. So here’s a picture of the Oregon clock, right? We all, this is a foundations in Chinese medicine. And as you know, if you are a practitioner of, uh, Dr. Tang, that you might also, you look at the clock is how you’re going to treat the different meridians systems, right. Um, okay. So yin, if we look at yin is considered the hormone of darkness or the hormone of darkness we should say would be yet. Um, this is the circadian in the part of the biological clock that signals the release of melatonin.

So melatonin is called the hormone of darkness because it gets triggered when the light is lowered. And so when the sun begins to set, we have melatonin that starts to build up and it signals the body to start to move into a yin phase, which helps you to, to slowly go into a sleep phase. So following these movements and rhythm of the day and nighttime in the evening, the body is going to naturally move towards a yin phase. And that parasympathetic, which is the rest and digest, this is what Phyllis, uh, facilitates, you know, restorative and restful sleep. And so studies show that actually people that work night hours that combat that natural rest period, uh, in terms of light, um, they cause a misalignment of their circadian rhythm. And what happens is they suffer more cognitive problems and they’re at higher risk also for developing diabetes.

Uh, so somebody who drives a truck or is, uh, just, you know, staying has like the night shift clearly related to, um, higher health problems. Um, so it’s important also what time you go to sleep versus not just the, not only the quality, but you look at the time because there is an, and there’s also like how much the quantity we really need at least seven to eight hours of sleep. Now, the thing is, is what we need is really restful sleep. So here’s a little bit of the, the nighttime, uh, the, the yin time. And we see the moon so related in time is related to

Pink. Yup.

We’re looking at is more sunshine and vitamin D. And so in the morning when the sun rises, we actually are entering into that young phase and become wakeful. And this also relates to the circadian rhythm. Sunlight will actually pause that melatonin production, and it’ll also help the body to produce vitamin D. And that also helps with mood and other metabolic functions. So if we don’t get the restful sleep, it will manifest in being tired and wired. And that could also be related that you’re not getting enough sunlight. Right. Um, so, and just as a side note, every cell in our body has vitamin D receptors. And if we look at many of the people that had a severe COVID from had lowered levels of vitamin D, uh, in the U S we have a lot of lowered levels of vitamin D even before, uh, since we spend a lot of time indoors in front of our computers, uh, watching zooms, uh, this is, you know, exhausted. We don’t, we just don’t get out. And we also see with children, they don’t run around and play so much anymore. They are really stuck in doors doing activities. Uh, so what’s really important is for children to actually get out there into the sun and, and play, and also as adults too, we really need to get outside and move around. Okay. So here we go. This is exactly, yeah. Fantastic. Would it feels like to be a kid running around in the sunlight, uh, enjoying, enjoying themselves.

So what causes this imbalance or to this a yin and yang out of balance? Well, as I said, you spoke about it a little earlier. The problem of modern life is that we also tend to ignore and override the body’s inclination for rest. And this can result in like racing thoughts when it’s time to sleep. And I’m sure a lot of your patients report, they can’t get to sleep. They, you know, they keep thinking about what they need to do. So this is really an example of this young energy when it’s really time for the yin to quiet down, or we see people staying up all night long and then sleeping during the day. And that’s really when they are out of alignment, really out of alignment with the Nat, the natural cycle. And what happens is, is that when you do that, your body is, is actually fighting with the, the rotation of the earth, right.

Going and moving towards sunlight. And you’re going down trying to go down and all of the forces of nature are pulling you back up. So what happens is you get very tired and wired. Um, and so really studies they’ve shown that people that work night shifts also have greater health issues. Um, even if they’re getting the hours of sleep, that they need the number of hours so that they there’s more, that has to be looked into. Uh, another thing is also people say like, Oh, I catch up on my sleep on the weekend and you cannot catch up on your sleep. It doesn’t so not getting enough sleep. You create something called a sleep debt, right. And that negatively impacts the, the, the health. So things such as stress, fear, and anxiety, which are like being in that fight or flight mode very young, um, that is often one of the complaints that people have, especially when it’s time to rest.

Uh, so just sitting and relaxing, their mind is still going, which means there’s this disconnection of the mind and body. So not going into calm, being relaxed and stable, which is more of that yin time. So there’s not enough time for recovery. So what we see is is that there may be too much of activity. And then the body just doesn’t get that TA like the focus time to relax. So then we start to have this thing where it, uh, the adrenals get involved and the people are unable to actually rest and relax. They just can’t go into it. And that’s like kicks into their nervous system, right? So when we’re looking at this, we’re looking at the illness is coming, comes from being out of balance with nature, our environment, and how it affects our biology. And so this yin and young balance is reflected.

It shows up in the quality and the quantity of our stuff sleep. Um, so, you know, why are we talking about this? Well, this is addressing sleep as a strategy for your patients. So no matter what they’re coming in with focusing on the quality of their sleep is going to be really, really a good key to helping them to heal. It’s also telling you that something else is going on, right? So most people don’t consider sleep as a wellness or self care practice. They don’t think of it as an activity because they think like, well, I’m just lying there. I’m not doing anything. But the fact is, is that there’s a lot that’s happening when you’re sleeping and you really need to get that quality sleep just as you’re preparing for your day. You know, this is an activity that, you know, during the daytime, very young, you’re very aware of the activities that you’re doing when you’re sleeping.

You don’t need to be aware of those things in your sleep. You need to come that part of your brain down and let that your body take over. So most patients, when they come in with the chief complaint, we know that there’s an imbalance in Ian and young. We can look at the meridians, we can look at digestion, we look at the emotions, right? And then the key is like, well, what can we look at that is really gonna give us, uh, an indication, because it’s really not yin or yang, it’s yin and yang. So that problem that they’re coming in with, there’s gotta be the other side of it. And so this is where we can look at sleep. So if somebody is not getting restful and restorative sleep, their body, you know, their, their body needs to heal if they are getting the sleep.

So even if they report that they get great sleep, um, that there’s a pro you know, sleep is going to be something that’s involved in, cannot be perfect balance if young is out of balance because they’re interconnected. So if someone has a problem, then we know that there’s also going to be the other side in, in the yin aspect. Um, so, and the other, again, I said, you can’t catch up on your sleep, right? We have the sleep debt, and that’s like an, I, those are one of those myths that people are like, Oh yeah, I sleep on the weekend. It’s not. And in fact, if you sleep too much, that you also can cause a problem like the, the, uh, the metabolic waste builds up and toxicity. So sleep quality we’re looking at. So what happens when you have a good night’s sleep, you release growth, hormone growth hormone is what helps maintain healthy body tissue.

It promotes healthy metabolism and is important for maintaining bones. 75% of growth hormone is released during sleep. And it helps to restore your body and muscles from stress experience during the day. So this is really key. If you don’t get into that restful state, this is not happening. And so that is going to be a real clue. If your patients are not healing, right, better mood and positive outlook, sleeping well means you’re regulating the autonomic nervous system to be in a state of rest and digest your body. And mind are able to repair and recover and balance brain chemicals. Poor sleep is correlated with depression, deep restorative sleep results in a more positive outlook on life. So anybody who has depression, you’re going to notice that they probably sleep a lot, but it’s not restful. So that’s where you there. That’s one of the clues of, yeah, well, I get a lot of sleep, but it’s not restful.

And so that means that there’s some other imbalance that’s going on. So immune function studies show that sleep quality and immune function are linked to better health outcomes. So getting deep and restful sleep, you are able to reset and remove that metabolic waste that builds up from stress and in turn reduces systemic formation. So we also know that children require a lot of sleep. Why is that? Whatever they’re learning, they’re growing and learning and their body and their brain needs to be able to integrate and do its functions, right? So this is true for us, even as adults. And, and when people are not healing, we can look at that. They’re probably not getting restful sleep. So you’re, we’re looking at the four seasons, right? The spring, summer, fall, and winter now seasons and patterns of sleep right now, we’re in the spring time. So all in all things, we can see that there’s a dynamic interplay of nature and seasons that are a microcosm of the cycle of life.

So we are influenced, this is, it goes back to the circadian rhythm, right? That we are also, uh, relates, you know, our health is also related to the environment. Uh, so if you look in certain countries where they have like four hours of light, when they’re in the winter, or they have, you know, forever a day, they tend to have a lot more emotional, um, problems. Right. Um, so understanding that the yin and yang of our body is what connects our biology for the need of sleep daytime and nighttime. So that we’re in sync with the movement of the sun and the moon, as well as the seasons where the amount of light will change. So being in rhythm with nature is going to help us with the flow of our own internal clock. So that’s resetting the circadian rhythm and the body’s ability to maintain homeostasis.

So this also applies in the change of seasons because we start to look at people having more health issues at certain seasons. So important to bear in mind that people’s energy will shift depending on those seasons and can show up in pulses and different types of illness. Right? So we always expect in the spring time that you’re going to have a little bit of a winery pulse, and that’s going to be normal in the spring time. Right. Cause your with the seasons, um, we got a little winter, okay. Winter, for example, is considered the most UN time of the year for looking at union young. Um, it’s cooler, there’s less light. Uh, it naturally influences the process of slowing down animals naturally go into hibernation to conserve their energy. And that’s true of us. We tend to feel more sleepy. We gain a little more weight, may not have so much energy.

You want to go and, and, and, you know, sleep. Uh, and so it’s during this sleep that the body temperature actually lowers. So this is something that we, you know, going into a sleep phase, we actually, our body temperature lowers. So we go towards the end, which is why, you know, the first days that are cooler after hot summer people have fantastic sleep. So people are also, uh, sensitive to the seasonal change, right? Experiencing the winter blues, the seasonal, sad, um, their relationship of their internal balance becomes upset by the external changes of the season. And in this case, something like sad in the winter, they may sleep excessively, withdraw, feel like hibernating and experienced depression. Also people with low vitamin D have a higher chance of developing seasonal depression. Uh, so treatments such as light therapy, acupuncture, exercise, and vitamin D have been found to help.

Now, if you’ve been indoors all summer, as winter comes around, what happens is, is that you have lowered vitamin D and you can become more, you know, have, uh, feelings of melancholy and depression, right? And so here is we’re looking at the young time. This is summer, right? So this is the most young time of the year. And so the warmth of the sunlight makes people feel a lot happier, right? We have more energy because we’re getting the energy and here there is a propensity to stay out later. So this is one of the things and get less sleep. Uh, the additional time in the sun is where people also get vitamin D and some of it can be stored in the body, right? That’s what kids do. They run around outside, and, uh, get a lot of sunlight in, in certain cultures where they’re working in the fields, they’re out there getting vitamin D and, uh, they don’t have to take the supplements, right?

Historically we didn’t have supplements, uh, in the summer, but we need them. Now, when you do need them now, uh, for many other reasons, environmental factors that cause us to lose, uh, also, um, important, uh, vitamins and minerals, uh, in summer months, some people experience more anxiety though, and agitation and even mania, right? So that’s that heart energy not sleeping, right. If they’re out all the time, they can actually trip into, uh, having more mania. So summer insomnia, they call it where, uh, that can be very frustrating. And that we see in, uh, in climates where people have like forever song, uh, long days of sunlight, you know, closer to the North. So maintaining a sleep schedule and cooling the environment and, uh, darkness for sleeping is something that can help. So this is where someone has to get really disciplined in the summertime, right?

Because that is actually kicking in their natural propensity for being very up, right? So they need things to do to help, to balance it out. So this is like seasonal illnesses and getting sleep, uh, getting good sleep in the spring is especially helpful for the emotion of anger, right. Uh, we’ve been seeing a lot of outbursts and a lot of stuff going on, at least here in New York city, where I am, you see people, you know, very angry and agitated. Uh, and of course the, the formula of choice is the shallow song to kind of help, uh, to unwind the liver and smooth out the emotions. So this is like that liver young energy people get very agitated as also as the season shifts. So it was at, to look at when there is a shift in season that we’re going to have liver energy is going to be involved to a certain degree.

So not getting sleep is also going to mean the blood’s not stored during the night and results in irritability and angry outbursts, also allergies and itchy skin fall, poor sleep. You can have more worry and anxiety, digestive problems, gas, and bloating, and then you get colds and sinuses and more melancholy, you can get lack of sleep is going to magnify any of these seasonal influences. And also it’s going to magnify the imbalances that are part of that patient’s constitution. So this is a place where when you look at their constitution and look at what’s going on in the season and how it’s relating to their sleep, like what’s happening. And that’s like a, like a, I won’t say a no brainer, but it’s a good start because what happens is people’s symptoms are all over the place and you start to chase them. And so you’re going to know if they’re having emotional problems, that there’s going to be some liver involvement, and you’ve got to look at whatever liver energy involvement and look at whatever else is going on with the season and their sleep, right.

So really to help your patients to cultivate better health. Um, if you’re, you know, diet is going to make a difference, right. With sleep, um, exercise, making sure to move the cheese in blood. And definitely during the, you know, outside, uh, meditation for mindfulness acupuncture is going to definitely help, right. With regulating the nervous system. Um, we’re looking at herbs supplements. They may need support with, like I mentioned, you know, shallow sawn in the, in the spring. Uh, but if you’re a new Yorker that is like, uh, you know, that’s the, the first formula you might think of. Cause new Yorkers tend to get very irritable and cranky and agitated, um, get some bodywork, cause touch is also going to help, right? Uh, again, there’s something when I, I love is the environment with Feng Shui, I’m going to quickly do something with that and spending some time in nature so that you’re able to really take advantage of, you know, the, the earth.

So here are some tips for better sleep, for something that you can do with your patients, mind, body harmony. So worrying and overthinking those racing thoughts are very young and it makes it very difficult to fall asleep and have a restful sleep. So powering down the mind is just as important as lying in bed, a relaxation, meditation, and breathing exercise can help bring the body back into a parasympathetic or you’re a yin phase. Now most, if somebody is very agitated, it’s very hard for them to meditate, right? I’m sure you have patients that say, I can’t do it. Oh my God. My mind races. Um, so what there is instead is there’s that four, seven, eight relaxing breath. Um, and it’s an exercise it’s really simple to do. Um, uh, there’s a link to it in here. And later on, if anybody wants the slides, uh, they can have the slides, right? It’s a, it’s a method of helping to calm you down. You can use it anywhere. You know, it helps with anxiety and actually helped to shift the nervous system. Breathing is also going to help with oxygenating the body and moving the energy, right. With each breath, we know that the cheese is going to move like five soon, right? And, and if we’re, our energy is stuck, we need to be

Great

In time promoting deeper sleep. So in time getting to bed before 10, right? The, the, the Oregon clock, right. We want to make sure we’re in bed before 10. So sleep can occur during the most yin time between 11 and 1:00 AM. So that’s taking advantage of the circadian rhythm and the movement of the earth. So when you’re in rhythm with your own biological clock, as well as with the plan, and then we’re looking hormone of darkness, you some heavy curtains on the windows, block out the light and the noise to help keep your biological clock for you to have a produce the melatonin and the rest will sleep. Right. So this is the thing in studies. If you’re, you’re looking at your, your computer or your TV or your smartphone, they found the people that, uh, expose themselves to room light before bedtime actually suppressed the synthesis of their melatonin. Right? So it means you got to put your phone down probably a couple hours before, at least, um, in temperature, you know, studies also show that the best temperature for sleep is 65 to 70 degrees. So your body will naturally lower its temperature and stay cool while staying asleep. So your body actually does do that.

Good.

So, um, young and moving energy, get outside and do a little bit of exercise. Um, this helps the body to synchronize, uh, with the movements of the earth. Uh, we see that, you know, looking at nature, um, here doing a little exercise in the early morning to move the Chi and gather that energy from the sun, uh, and then tips for functions way, you know, removing clutter, uh, distract, like that creates a mental distraction and chaos, um, that can actually interfere.

I got nice thing.

And then here, you know, preparing the sleep environment, you want to lower the lights again, you know, for the melatonin, no TV screens or computers, make sure you have those heavy curtains really make it a ritual for sleeping. Right. And, uh, again, uh, so this is, uh, I’m gonna stop sharing my screen here. Uh, if you, again, if you need copies, uh, you can, or you missed part of this, uh, this is going to be, uh, available to you. Uh, you can, I guess you can email or text, uh, you can get copies of the recording, uh, and, uh, yeah, for a copy of the transcript, you’re going to need to, you can text needle, uh, to the, the number (714) 332-6926. And, uh, I hope this was, uh, informative for you and please join us next week. Uh, when we’re going to have Jeffrey Grossman, who’s going to be hosting, uh, these, this, um, uh, American acupuncture council, uh, Facebook live. And, uh, so I want to thank you all for listening, and please comment. If you have any questions, you can always get in touch with me. And, uh, again, uh, this, uh, you can, uh, get the transcript and I think there’s going to be a replay too. Thank you.

 

Year of the Ox Thumbnail

The Year of the OX 2021 – Tsao-Lin E. Moy

 

I want to thank the American Acupuncture Council for having me as their host. My name is Tsao-Lin Moy. I am a licensed acupuncturist and herbalist. I practice in New York city and I am the founder of integrative healing arts, uh, where I’m located in union square. Um, today I’m going to be talking about the Zodiac, uh, as we are going to be entering into the year of the ox and what we can do with that energy to help us be healthy and have an abundant practice. So, um, I’m going to go to a slide presentation, um, to give you some visuals. So this year is the year of the ox and the, it will be starting on February 12th and it will be through January 30th, 2022. And we have been in, uh, for 2020 has been very challenging for a lot of people, I think for the whole world.

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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.

And so it’s important to also look at that with Chinese medicine. The Zodiac is actually a part of, one of the branches of Chinese medicine. It’s the esoteric, um, aspect of Chinese medicine. Now, um, there are 12 Zodiacs, right? And so here we are, uh, the, the year of the arts. So if you’re born in this a year, it’s going to be the metal ox, right? Because there’s also the aspect of the five elements. And as practitioners, we also, we understand the five elements as a cycle, right? A generative cycle, or it could be a control.

So

With the 12 Zodiacs, we have the, the elements, earth, metal, water wood in fire. And these ODS, the Zodiacs are based on a lunar calendar. So each lunar year, we have also, uh, an elemental cycle. Uh, the 12 year cycle actually follows the Jupiter’s orbit around the sun. And that takes about 12 years for 2021. The Zodiac is the ox, and that is connected to the element of the earth. And as we know, earth, energy is very nurturing. It is yin and the time is more of a winter, but winter has potential, right? And the, uh, the element though for this year is going to be metal. So people born in 2021, the year of the ox are called a metal ox or a golden ox. And the earth element, you know, is part of the nature of the ox. So that aspect always be, will be present.

Um, but metal is going to be influencing it. Um, the animals Zodiac or the animal influence will also depend on the date that you were born. So if you were conceived in February, all the babies being conceived, uh, coming up soon, they will be, uh, conceived in the energy of the ox and when they will be born, they’ll be have more of those, uh, ox attributes. Um, what’s important to know is that we all hold these energies within us and, uh, relate and interact with these influences under the principles of yin and yang. And this is about dynamic balance. Uh, metal, uh, attributes are considered to be from there’s some rigidity, also persistence strength and determination. The metal person can be controlling, ambitious, and forceful and set in their ways as metal is strong. But also if you look at the idea they cut to the chase, they don’t, uh, play around. Right. Um, here we go. And as you can see, here are these two beautiful,

So

Is, uh, a earth element and is really the art, uh, is down to earth. Their nature is hard working. Um, they have integrity, they’re reliable. Uh, someone who was born under the ox is honest in nature. They’re dependable, they’re strong, very determined. Um, and you can say they’re incorruptible and sometimes they can be inflexible, right? They’re very strong minded, strong, um, oxen, constitutionally, if you are born in that year are physically strong and have robust health. Uh, the Zodiac is related to agriculture and cultivation. So this is going to be a very important theme. When we talk about business and health, uh, doing the hard work to plow the fields and sow the seeds for the future growth and abundance, um, ox have great patients and a much longer view of what’s going to be to come. So who do we know that is born in the year of the off

Broccoli

Mama? Uh, so if you wanna look at, uh, a person as we call a celebrity or someone who is a leader who carefully plans, et cetera, et cetera, uh, Barack Obama is, uh, is an example of that kind of energy, really steady, um, determined and, and not dissuaded from making things happen.

Um, as an aside, our, our new president and vice-president, uh, uh, Joe Biden is a water horse, and Kamala Harris is a wood dragon, right? So we have a great, we’ve got the wood energy, I’ve got the water energy water feeds the wood. So we’re going to look at how the president, the new president is also supporting of, uh, women and in particular, the vice-president really to be a mentor. And also the idea of, you know, how he is nourishing and, and you can see that in his, his energy, right? He’s very, he’s like the grandfather. Um, so I won’t get into politics. Uh, but, uh, what I want to say is like, with this energy coming up, how are we going to use this energy of the Zodiac to bring abundance and prosperity this year? So one of the things is having great patients and a desire to make progress.

So this is really OX energy. Um, ox will have a definite plan and with detail steps to which they apply their strong faith and physical strength. Um, so if you imagine the lines that they plow in the field, uh, is really like slow and steady, uh, and really looking to cultivate for the future. So your health is also important. So this is about being robust. If you want to cultivate robust health, I mean, you want to cultivate more robust health. Otherwise you can get burnt out with overwork, right? And we’ve seen this last year, a lot of scurrying around, you know, trying to be resourceful. That’s the energy of the rat resourceful. Um, but you know, now we’re in a, we’re going to be coming into a space where we really need to look at, we need to get to work. Uh, ox can achieve their goals by consistent persistence, right?

And this means don’t give up. Um, I know that 2020 has been very challenging. Many people have kind of, you know, some people have decided to not practice or their, uh, you know, their, their business has been in flux, a lot of people. So this is really where we need to get back to work. Um, ox are not much influenced by others or the environment, but persist in doing things according to their ideals and capability. Um, so you have to be mindful that you don’t get stuck or mired in your own ways. So this can also be an, if you become too stubborn or you think that this is the way it is, that is what we consider a kind of a mind set, um, versus what we need is a mind shift. So in this case for this year, no shortcuts or quick fixes or magic bullets, it’s really, you know, constant considering, uh, consistent work and planning.

So really looking at, um, looking ahead that there is going to be growth. Uh, we have to plant those seeds, right? We’re in this place now where we’re moving out of, uh, this pandemic energy. Um, the other topic is it’s time to get more visible with acupuncture and Chinese medicine. Now, this is kind of a pep talk, you know, for all of you practitioners out there. Um, we have thousands of years of evidential knowledge on how to help people. Right now, we are still in a pandemic. COVID has hit the globe, right? People in the media are looking for natural solutions to heal. A lot of people are suspicious of vaccines. A lot of people are suspicious of antibiotics and pharmaceuticals. It would just come off of a lot of that, uh, you know, funny stuff going on with pharmaceuticals, acupuncture, and Chinese medicine, offer benefits for people to heal and get healthy.

You need to cite research. Um, acupuncture can relieve inflammation, naturally boost the immune system. There are Harvard and NIH studies that actually prove this. And so this is where we’re at a point that there isn’t really anything out there that’s going to help the long haulers in terms of drugs and other therapies. What is really clear is that acupuncture and Chinese medicine, because of the model that it is to help people heal better, to take charge of their health, that we are actually holding this information. It’s really important to get out there. And so, um, what I’m gonna kind of challenge you all is to really look at how you can plant those seeds of information. You want to seed the information. Um, so the people will become aware that there are solutions. I mean, maybe they already are solution aware. They are aware that they have a problem.

That’s not getting fixed, um, by conventional methods, right? And so this is an area where you can shine and where you can offer real help. Uh, with thousands of years of evidence, right? Asia had over 240 some odd, uh, epidemics over the last couple thousand years. And so the, the information that we can provide for people to heal themselves is very important, right? And I hope you recognize that you have a lot of knowledge that can help a lot of people, right? What you do, you want to love what you do and do what you love. Um, I don’t know if anybody has went into, uh, acupuncture and Chinese medicine thinking that they were, you know, their, their first, uh, focus was going to be making millions of dollars, right? You have a servant’s heart. And what’s really important is you also have the knowledge that can really help people, right? And so I want to remind you all that, you have this, you went through the schooling, you went through the training, you are a, uh, you’re practitioners, you’re professionals. You’re not commodities, right. You’re healers.

So this year is also about rebuilding your practice, right? Again, this is this ox energy. We’ve all had to pivot in some form, you know, hands-on, uh, practices. There is no substitute. There really isn’t a substitute. You can’t do virtual acupuncture, right? Um, the, the, uh, relationship between the patient and the practitioner is what makes the difference. It’s the alchemy that pulls it together. We are the guides, they are the Explorer, right? We’re the facilitators. People need us. So this year is going to be about rebuilding, maybe shifting your focus of your practice. And in, in the previous slide, I kind of outlined a few areas to really focus on where people are struggling, loss of smell, and taste, sleep, anxiety, digestive disorders, all of those and pain, a lot of pain. And, uh, there’s a lot of research that shows that acupuncture and Chinese medicine is very effective.

So what we’re looking at is, you know, we want to have our feet on the ground with the earth energy, right? This is nurturing. It’s the time to practice what we preach, right? With yin and yang balance and resilience. We have to model, right? Remember that you have thousands of years of evidential knowledge to help people heal. There’s no substitute for hands-on treatments, right? Everyone might say they do Wausau or cupping or dry needling. But the reality is, is that the knowledge that we hold is what really makes it effective and helps people to heal. So the situation has been, the people are scared and you have those solutions that can help them. What is nearest and dearest, and that is their health. So I want to thank everyone who showed up to listen to this lie. Um, I want to thank the American acupuncture council for having me. And I also

Want to let you know to please join us next week when our host will be, yeah. Mammo, thank you for listening and, uh, have a great new year.

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