Tag Archives: treatment protocols

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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.

Click here to download the transcript.

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

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

 

 

Click here to download the transcript.

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

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. . . .

 

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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.

Click here to download the transcript.

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

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. .

 

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Treating Digestive Disorders in Children

 

 

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

Click here to download the transcript.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

 

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STOP Treating Menopause and Aging Like a Disease!

 

 

So the title of this presentation is to Stop Treating Menopause and Aging like a Disease. And so this is really about embracing the wisdom of East Asian medicine and that holistic perspective of menopause.

Click here to download the transcript.

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

Hi welcome. I’d like to thank the American Acupuncture Council for producing these lives. My name is Tsao-Lin Moy, and I’m a licensed acupuncturist and herbalist located in New York City union Square. Practicing now for 21 years. And today I’m gonna be talking about a hot topic, which is Menopause.

And so we can go to the slide.

So the title of this presentation is to Stop Treating Menopause and Aging like a Disease. And so this is really about embracing the wisdom of East Asian medicine and that holistic perspective of menopause.

By 2030, the world population of menopausal and postmenopausal women is projected to increase to 1.2 billion. This is about one fifth of the world population. So if we’re looking at menopause as a disease, this makes it look like we’re in another pandemic. What this is an opportunity to improve how you help your patients, and particularly women before they actually reach that point of menopause.

So since 2021, we’re looking at half of the US female population is age 40 and older. So this is a mark. This is a whole group of people that are gonna be looking for natural ways to heal and not just go the route of hormones. As practitioners, we really wanna be mindful of what cultural influences are affecting our own beliefs and acting out of the fear of getting old and decrepit because this is all around us.

We see it in social media, we see it on the cover of magazines. Really all the TikTok and, all of the. The Instagram, and I don’t know what else there is because I try not to personally get onto any of those platforms other than to share information. Hopefully the people who need to hear it can actually find it.

But menopause is really, it’s a complex phase that involves biology, physiology, metabolic shifts, emotional, and also social changes in life. Puberty is very similar. It’s biological changes, physiological, metabolic, emotional, neurological, and also social right. We see this in young people finding their group.

And while we don’t call a growth cycle for puberty to be considered a disease, it is often treated with hormonal birth control. And this is the first sign of, painful period or pimples or something young women are giving are given hormonal birth control. And this is very problematic in my opinion.

I don’t think that women should be and young women should be on hormones from the time they’re 14 all the way till through to their seventies. This is also something that shows up in fertility problems with fertility. So just as a review in case you’re not somebody who reads the classics chapter one, my favorite chapter of the Yellow Webber Classic, also known as the Universal Truth, discusses Female Development that follows a seven year cycle.

And while males follow an eight year cycle, So when we start to look at each one of the cycles we see, okay, around 14 years old the fertility arrives or they consider the menses flows and the woman can have can start to bear children. And then we’re also looking at, as we’re moving through to around the age of 35, there starts to be a decline face wrinkles, hair begins to fall out.

So we start to see some of those, so those signs of aging. And it also co corresponds with. The, the struggles with fertility, right? Actually the slide might be out of order, but one of the things that I wanna address is, for most of the time with women’s health, the approach is not changed.

New tools, but basically the same attitude. And that is like hormones, hysterectomies, and antidepressants. Now, what really surprised me, Was to find out that the hysterectomy is the second most common surgery for women in the US after cesarean section. These are estimated to be one in nine mil nine women are gonna undergo a hysterectomy during their lifetime, basically would only be one time, and that’s about 600,000 procedures each year in the us.

So the question is, what does that mean for that connection? The heart and the uterine connection, the bowel line also. Research has found that over a third of women, when they go to their general practitioner with symptoms of menopause, they’re often offered antidepressants and this is really considered inappropriate.

So this is an area where we as Chinese medicine practitioners as acupuncturists can really help women’s health and in fact, women’s health is quite advanced in terms of Chinese medicine. A little review. How does blood yin and yang and chi interact with menopause? We start to look at yin and yang balance becoming a little irregular.

The blood and yin, which we could look at as estrogen becomes depleted compared to the yang and the chi, progesterone, testosterone. And really, so when you start to see the hot flash fluctuations, it’s really this kind of, the way the balance starts to be flipping from one side to the next. Now, until recently in the western world, perimenopause was thought to be around 45 or 50 years of age.

Right before menses would stop because that’s when the hot flashes were occurring. Mood swings. So we look at that, liver chi, night sweats, yin leaking, palpitations, heart blood deficiency. So we, when we look at these symptoms that we can actually look at what kind of patterns are emerging and no, in a women know, women are not quite the same.

Of course there are always. Formulas and recommendations for particular things we still need to look at personalizing. Now, in reality, trans transition into menopause is more accurately beginning 10 to 15 years earlier, and as I mentioned before, around the age 35. Some hormonal fluctuations might start to happen.

Maybe a little bit of irregular hormones and can impact getting pregnant, with fertility. So in terms of, what is that fertility cliff that is talked about a lot I don’t really believe it. And at the same time, if we’re looking at the long view, we’re starting to really look at.

You know what is happening really early on, shifts are happening over time. When it comes to our awareness, that’s when the symptoms are much stronger. So the idea here is that you wanna start treating your patients, talking to them, educating them, especially early on. Also if you have younger patients or your.

Female patients have daughters to really also talk about women’s health, about periods and things that they can do, especially if they’re having painful periods or bleeding or. Other things like acne that we can do a lot for naturally with diet and meditation. Like all of those tools that we have.

So here’s interesting. Studies actually show that even before puberty, which would be around age seven to nine, that there are hormonal surges that are happening, right? It’s just not one day your pubescent and then the next day you get your period. No, actually, Shifts are happening several years beforehand and this is, gives us an opportunity to really help shift the attitude towards menopause.

So this is about this yin and yang dynamic. Really as we’re shifting, just like the season, right now we’re in the summertime, so it’s much more yang compared to, daylight compared to yin of winter. With more winter and darkness, and yet at some point it’s gonna shift again. And of course we see as there are the transitions that there’s a tendency for certain kinds of illnesses to come up for people like allergies or, some colds, winter colds.

So this is to be aware, we’re always in some kind of cycle, a yin and yang cycle. I really like this particular slide because it talk it like shows where, you know, both the hormone levels, where we’re looking at yin and yang, estrogen, progesterone actually follow together, right?

So eventually those fluctuations are going to. Even out, right? So we’re always looking at, our body’s always looking to go into balance. So when one thing looks like, oh, it’s too much yang or too much yin we’re actually really looking at how the body is trying to reach that state of homeostasis.

And so it makes corrections. And eventually though, as you see, like where the blue part is really where most, like a lot more symptoms are happening as the body is shifting and transforming. So here are some of the unwanted symptoms that we find with menopause is, brain fog, hot flashes.

Weight gain, hair thinning, skin sagging, bleeding, emotional ups and downs, palpitations, poor sleep. Really what also starts to happen is like the weaker knees foot problems may occur. This is also because the connective tissue gets affected by hormones. And so you might start to, to see some of that coming in like the and know that.

That can be also addressed with some herbal formulas and acupuncture. But it’s not a disease. Not a disease. So the question is, why? Are menopausal symptoms less prevalent in Asia and other countries, and I’m really comparing like the US and some of the Western European countries.

And, what’s happening, believe it or not, what makes a difference in how women experience menopause? And I also believe puberty, coming of age is the cultural attitude towards health. And aging. So oftentimes we talk about getting a period as the curse or the shame around it.

With young girls, they’re, oh, they don’t wanna talk about it. They get made fun of. It’s something to hide and really not something celebrated in other cultures. It’s really this. Time where you recognize that you’re moving from one stage of your life into the next, and this is a beautiful thing.

So really what studies have shown is that the collective cultural attitude towards menopause plays a major role in emotional distress and physical symptoms. So why do I bring this up? Because. We have to take into consideration, we’re living in a culture that has very negative attitudes towards women’s health reproductive health.

And so the western culture, and then they find that plays a high importance on fertility and also place value on youthfulness in these cultures. Menopause reflects this age progression and loss of youth. And also loss of sexual attractiveness and leads to this negative attitude towards menopause.

There’s so many negative words that are used to describe menopause, such as fertility failure, ovarian failure versus, this is a natural progression as we shift into the next stage, of course You’re not gonna be producing children, this is, there is a window for it, but that’s normal.

There’s, we’re not part of the Handmaid’s Tale. To tell you this, I think. In my personal opinion, that that series like really normalized abuse, that it like the, in fiction becomes real, but that’s a whole other story. But what this is, it’s implying that a natural, something is a natural part of life is really a flaw or a disease.

And when your patients are coming to you, Understanding that the holistic perspective is not going to, or I would say, should not adopt this, cultural idea that it’s bad as you start to get older and mature. KO or Conki means in Japanese renewal season and energy. So in Japan, menopause is looked upon as a natural life stage, and the very word for menopause, the conki means renewal, season and energy.

So why do we have such a negative view of a natural process? While women in Asia eat more fish, less processed and refined foods less sugars, caffeine, sodas, and they walk more, et cetera, et cetera, compared to the average American. There’s also a level of respect for elders, and this is something that I think really need to examine is how we treat older people as they get older.

And one of the things that I would say is this last week I was at a conference and there were indigenous people from the Amazon and they were talking about the experience in terms of indigenous practices, of how much wisdom that elders hold, stuff that is not in a book. And when an elder actually dies.

It’s like the equivalent of the library of Alexandria burning down, right? Because what they hold wisdom that people hold within them is not something that can be reproduced. And because it’s experiential. And I think we have to really look at, as people are aging, that they also are holding a lot of experience and information.

So studies actually show menopause and menopausal symptoms are really tied to a woman’s cultural environment. So if a woman is in unhealthy environment, they’re gonna feel guilty. Shame experience for experiencing something that’s really natural. And leading to. Heightening of their physical symptoms.

It could be like flashing. It could be like poor sleep and also mental, like really heightened anxiety, depression and other countries that positively view aging and I’m repeating. And menopause such as Sweden, Denmark, and Norway, positively, similarly experience fewer unpleasant effects.

So not only does an optimistic and positive environment allow women to feel more comfortable when their cycles come to an end, but it also correlates with an easier transition with menopause. And that is where you as practitioners come in with support and really look at a paradigm shift. Chinese medicine is a paradigm shift, however, We do live in a culture that is constantly intruding on our views and beliefs.

So what can we do? Empowering your patients to cultivate their health and wellness and longevity. So this is really like the long, a long view, which. There aren’t really the quick fixes, right? If you get into hormone therapy, there’re always, there are consequences and side effects with that, such as increased risk of cancer.

So here what I’m encouraging is, To check in with your patients and find out how they’re feeling emotionally with their overall health and really address like, Hey, this. Transition that’s happening. It’s a very, it can be jarring identity, right? Your identity is changing the way cult, the culture, your society is gonna regard you.

And really don’t underestimate the impact that stress and anxiety has on health, and especially around aging and menopause. I think it’s really important to have a, To talk about that in other countries, the viewpoint is very different and we can actually adopt that viewpoint in the way that we actually treat our patients.

So again, intensity of menopausal symptoms will indicate that there might be un underlying imbalances, right? And we call those root causes that are not being addressed. So you’re, if you’re not treating the root C, you know what I wanna say is you’re treating a root cause, not the disease. All right?

If somebody is having flashing, we know that we need to balance their nervous system, like all of that, it’s not a disease. Self-care practices I give my patients homework. Really look at, what you can empower your patients with in terms of. Food, focusing on sleep. Sleep is a huge issue, right?

Because the circadian rhythm is also gonna influence reproductive hormones and overall health. Exercise and movement. Those are things that actually will help with like brain fog, but also movement is something that helps with depression. You start moving, just move your body clear out, clear the stuck energy.

Teacher patience techniques such as breath work for calming calming the nervous system and also I. Those tools, techniques, and tools are really good for managing the vasomotor symptoms, which come with the hot flashes, right? So body flashes and then get excited or anxious about it. That really calming the nervous system is actually gonna help to regulate that part.

Focus on relieving inflammation by eating, eliminating certain foods, eating other foods. I also teach my patients a kind of a self lymphatic kind of practice to help them move the lymph from their body, help to move, swelling, inflammation out. It takes. 40 seconds.

And the patients that do it can’t believe how the swelling in their overall body goes down, right? Because of all of the inflammation weight gain. One of the side effects with hormonal fluctuations is this weight gain. And things like lowered estrogen are attributed to what’s known as non-alcoholic fatty liver disease.

Or, con like liver congestion. So really looking at eating foods that are considered, that have more phytoestrogens such as flax seeds, sesame seeds, soybeans, right? Actually dried apricots and pr. And the studies show that an increase in soy actually helps reduce fatty liver.

Now there are always these concerns around consuming soy products that maybe it’s going to affect cancer it’s gonna affect the, negatively affect hormones, but those are actually really unfounded. Just discussing possible dietary Suggestions to help with symptoms could be its own presentation.

So I’d like to just, thank everyone who’s listening and please leave your comments in the bottom. And if there are any questions, you can also leave those and contact me and I will, answer what I can. Thank you.

 

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Formulas for the Season – Moshen Herbs

 

 

I’m gonna be speaking about formulas for this season.

Click here to download the transcript.

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

Hello, my name is Moshe Heller and I’m from Moshen Herbs. And I wanted to thank the American Acupuncture Council for letting me host this talk this morning. I wanted to I’m gonna be speaking about formulas for this season, and so let’s go right away and start with the first slide.

I wanted to talk about two formulas that are associated with this coming season, this spring season. So as we all know, it’s officially started. Two days ago, so we’re at the beginning of spring, and I wanted to mention or talk about or discuss two formulas. One is the the first formula is called shield.

It’s a formula, again, by Moshen herbs that I created to support and boost the immune system. And then the other formula I wanted to, I’ll be speaking about today is react, which also is another formula by Moshen herbs for that I created for allergies, which is really at beginning of the season of allergies.

As we all know, everything starts to be itchy and irritated a little bit as the pollen levels rise. I wanted to start first with the SHIELD formula. And I I th this formula I created based on NG san, which we all know as Jade Windscreen and I combined it. With WA tongue, which is cinnamon, twigg, decoction.

And together these two formulas strengthen the exterior and harmonize the functioning of the way and ying chi so that when we, when our patient encounters pathogen, the body’s able to resolve it quickly. And that’s a really important. Thing I wanted to stress is that we, it’s not about not getting sick because we, especially when we’re treating children they do encounter pathogens and also as adults we also.

Are able to, or supposed to get sick. The issue is that we need to resolve it completely and quickly and exactly that’s what this shield formula is will help. So in this encounter with this pathogen, whether it’s a pediatric patient or an adult patient, The body of our patient is learning to deal with this pathogen that they encountered.

In a sense every time we get sick, it’s a learning opportunity. And it’s important to remember that because the more we learn, the more we are able to ward off. And I think SHIELD is an extremely helpful formula for this situation. So I wanna break it down a little further and how we how I created this formula.

We, I first wanted to make sure that the CHI is strong. And also that the CH Chi transformation, or what we call sometimes chia is complete. And so on top of this two formulas I mentioned before Jade Windscreen and cinnamon Twigg Decoction, I also, and I also combined. Urchin tongue CIA and CEE mostly as the two main herbs of that formula.

And those herbs will help to transform dampness and and otherwise if the dampness accumulates, it will hinder the functioning of the spleen. And that’s why it’s important. These. Two formulas. Th this formula two cured Decoction helps in that transformation and keeping the transformation going.

And so on top of that, I added another herb Tchen, which is a really amazing herb. I really love that. And you’ll see I use it. A lot in other formulas. Also, the advantages of it is that Tchen strengthens the spleen chi, but also works on regulating the water pathways and the transformation pathways of the spleen.

It, and it helps in generating fluids, generating pure fluids, not not. Turd fluids pure fluids will help to nourish and move and will move freely in your body. Whereas turbid fluids, if the transformation is not complete, will create dampness and then fle. I really Tchen to support the, this transformation.

The, in addition, I also added wwe, which helps the formula. Consolidate the exterior, but also bringing the kidney chip support to the lung. So there’s a better relationship or communication between the lung and the kidney. That the kidney supports the lung functions in both moving fluids, transforming fluids, and keeping the way chi secure.

Finally we also added Gagan. It’s a really also another one of my favorite herbs because it works on two levels. One, it supports digestion and helps with the normal function of the spleen. And on the other hand, it really helps to support the exterior. So in harmonizing the muscle layer in our what we call the muscle layer, which is this kind of relationship or is connected to the relationship between the ying and the weight level functioning.

We also, I also added the lastly linger which is, as we know, a really good adaptogenic mushroom that cons con is considered a really potent immune system tonics. So we have All the herbs that I mentioned yeah, are structured in this way. Our main main formula is NG with the addition of Tchen.

Then we have with the audition of. Greg and also I added to help clear and clear any heat and also support exterior and and as the third layer being urchin tongue transforming that potential phlegm and making sure that cheat transformation is complete together with w weights and linker.

So this is the structure of shield. It’s as I said, it’s a really great formula. I’ve been not only using it in my office, but a lot of practitioners have been purchasing it from me with really great results on. Supporting various kinds of conditions between just as a immune tonic, especially during the pandemic.

And then also as spring, as a spring preparation. Formula because a lot of times, as we know, when we see seasonal allergies, it’s all about harmonizing the ying and the wait chi and making sure that the immune system is functioning normally and therefore will not react to the Poland as as sometimes happens.

So the next formula I wanted to discuss is react, and it’s actually a very interesting formula, I believe so at least. And it’s based on the formula, whoe one, which is an anti parasitic formula or a formula associated with the in level. It’s sometimes curious why we might use that for allergies anyway the theory and we, I’ll show you some research that’s been done on that to support it.

Is that anti parasitic herbs. Inspire. Inspire is maybe not ex the exact word, but promote the body to regulate the immune sss the immune response and specifically the allergic immune response, meaning mast cell, histamine response, et cetera. So this formula. Combines hot and cold herbs and to address the Chinese perspective of of of allergies, which is common that we have both heat and cold concurrently in in the, usually the patterns of allergies.

Classically we’ll see this kind of the nasal, let’s say discharge is usually clear which represents a cold condition, but a lot of times this kind of hyperactivity and and hyperresponsiveness is a sign of heat. So this, there’s this kind of both heat and cold symptoms that manifest in the same time.

So reacts, react takes W one as the basis of the formula, and then adds herbs that are commonly used for food environment and environmental allergies like Fei Ang, Yuin, Bechen, and gj and also Zi and fun are. Commonly used. And and then added some adaptogenic herbs like Wrenchen and Tchen, as I mentioned before in, in shield to focus the formula on recalibrating and harmonizing the way she functions.

If we look, this is the research I was referring to. It comes from Dr. Lee from Mount Sinai, but this is the the link to the article if you’re interested in reading. And you should be getting the slides. So you could. Access it. If you wanna read more about this research.

Fascinating. About the use of. WME one. And so I also put here the original formula of WME one. So if you look up WME one pills these are the ingredients. You’ll see that there’s one of the herbs I had to change it’s called a hin or her Citis. And. It, this is a herb that I had to eliminate because it’s not available.

I think FDA Rev removed it from being used or, so I had to change that. And I also, I wanted to show you that this is the finalized formula. In in that Dr. Lee used. And so the original formula fui and hin were eliminated in the in the Research formula. I kept the f the fui in the formula.

This is the React formula. That’s the breakdown. Here’s WME one. You see we have wme and instead of hin I added Sisu. Yeah. As a substitute for it. But I did keep the the aconite fu in, in, in the formula. And again, here on the right, you’ll see all the herbs that I added for known to help in regulating food and environmental allergies and as well as the adaptogenic herbs I mentioned before.

So this is the form now react is really great for seasonal and environmental and food allergies. So it, it addresses a lot of the different manifestation of aisle allergies and it’s a great formula. And I’ve used it. For many of my patients from food allergies all the way to environmental allergies and whether it manifests with eczema and or other signs and symptoms of different allergies or even gastrointestinal if it’s a food allergies.

I also mentioned mast cell activation disorder. So this is another Manifestation of an allergic or allergy syndrome. So it’s getting a lot of attention. And it’s a very interesting syn syndrome that you can look into. And react works really well. I’ve had a few mast cell, quite a few mast cell activation disorder.

Patients that were really helped by react. What I want to add is a caution. When you react, if somebody shows or manifests anaphylactic shock or anaphylactic allergic response you have to be very careful about prescribing this formula and working. And it’s really Really important that you work with the patient’s doctor for testing reduced sensitivity for those anaphylactic results and or anaphylactic causes.

And also I wanted to mention that we have a very specific dosage suggestion. This formula is not, both the both of these formulas are not formulas. You take. Necessarily symptomatically to resolve a symptom, but rather you take it long term. Both of them need a minimum phase of three months before you, before they come to their full effect.

And so there’s a three months. Minimal period. Sometimes you need longer individually, so three months is an average. Some people, some patients will respond faster and some people, some patients will respond more slowly. And it also depends on how much acupuncture is concurrently administered and how many, and how they’re responding to all the other guidelines you might give them as part of the treatment.

Excuse me, but generally speaking, it’s really important to understand that this is not a short, both of these formulas are not short term formulas. There’s an accumulating effect that happens while taking them these formulas for a few months before considering considering the results.

These were the two formulas I wanted to discuss. I I encourage you to visit our website, Moshen herbs.com and I wanted to thank you very much for listening. And I also wanted to thank again, the AAC for letting me do this presentation. Thank you very much and have a wonderful day.