Okay.
Recording. Stopped. Okay?
Alright. So I wanna move into the wonderful world of conjunctive idis, of conjunctibal diseases of which there's shockingly many more.
I I'm talking about today. So the contract Tava, is this mucus membrane that covers the front of the eye and it lines the inside of the eyelids.
Yeah, it's free. The Latin root of of today join together to conjo
Lots of can con conductivities obviously means that there's an itis of the contract there's, you know, an inflammation of some kind.
For some reason, but there are some interesting things you're gonna have to navigate with this.
And so sometimes discretion is going to be paramount here.
So it's extremely common in contact lens, whereas you know, if there I just from either irritation, because the eyes are dry, or because maybe they weren't sterilized enough.
Common colds can cause it. A sinus infection can cause it, but also amino deficiencies of various causes, but also exposure to Stds at birth, in which case it will be by lateral.
Anytime. You see conjunctive items that is bilateral.
That is your alarm. Bell should be going off in your head, and you probably should send them to the doctor, because there may be something much scarier at work
At plus whatever. Alright. So we're mainly gonna kinda talk about acute and chronic
I'm not gonna talk. I don't think I'm talking about the fluctuular carato conjunctivitis.
That's an autoimmune thing. Epidemic hemorrhagic, not gonna really talk about that, because we're not gonna see that so much.
But you know it's on a continuum with the worst of acute.
So like really red eye like red eye.
But that's kind of what it looks like
So, queue conjunctivitis is most.
Commonly caused either by allergies or an infection like that bacterial or viral.
And this symptoms include you know, irritated red eyes.
It can include watery, watery, or pure lent discharge.
And that's actually diagnostic in terms of viral or bacterial, alertic conjunction. Divide.
This is usually by lateral, so I know, I said, to call the doctor with with If it's by lateral.
But you know you can also tell if it's allergic like, if it's related to springtime allergies, or say cats or something, then you don't have to send them to the doctor.
They already know this. It's but if it's anyway you'll see the differences based on the intake.
And you know, so, western treatment include things like Nast.
Cell stabilizers. You know, things that are gonna inhibit an allergic response or and that's if it's allergic or any histamine.
But bacterial might be topical antibiotics, and with viral they just do some type of symptomatic treatment.
They can't do anything about it. We can
But bacterial and viral conjunctive is very, very contagious, and you must take my measures to to the limit the spread of the infection.
Now this includes, if they're in your office, run around the entire office and spray down every door knock they may have touched
I'm dead serious about that. It's so simple.
And so it's, you know, it's cause. This is a cause of lot of school absences, as you can see.
There. So it usually begins in one eye, can go to the other eye at it.
It's at its worst. A few days in, and it can be self-limiting and resolve within one to 2 weeks.
But it can be very, very can do just so. School environments are terrible
And you know, before we had Covid. At the time at which I wrote this book, this was one of the most contagious diseases on planet Earth. That is not true.
Now, particularly with this latest B. Xx. Variant, which is just crazy.
Yep, but crazy, contagious.
The other thing? Is it just everybody's vulnerable right?
All people, all races, all ages worse and densely populated areas.
Age is important, right? So this is what I wanted to talk to you about, and that you might have to consider that there's Std.
Exposure. And so you need to really have a tackle.
And so it's very confidential health history, and we're gonna refer those people out.
Obviously, I don't think in an acupuncture practice we're gonna counter that this much. But
One never knows how one could slip through the cracks
So.
But that's what I want to talk about, is it's sometimes surprising causes for the most part, we're not talking.
We're talking about just regular old contract device. So pretty much, we diagnose it by looking.
You know, you could like culture, and you know, but you don't really need to and you know that your choice of questions, of course, is gonna be influenced by the patient in front of you, right?
In terms of age. There's social habits, you know, so like, you know.
Just be tackle if it's something kind of embarrassing that you have to bring up
And also the other thing is, it might need to be cultured if, like there's, it's really purulent, like, really, purely and interfering with vision.
So, and you might have to get, you know, cultured for a clemential conjunctiveitis, and you would begin to suspect that if they had already kind of been through kind of normal treatments, and then that didn't work, and then maybe you know you inquire a little
Bit more to who they are and what they're doing
So like, if you're
If you've somebody in the room right? And you're thinking about this, this might be a problem.
But say, the person's sister, husband, wife, whatever is in the room, you might ask them to leave.
So you can ask these questions, and if you're a man you might want to have an assistant in there
While you ask these questions.
Okay. You know, we don't want we. You want to avoid a sense of inappropriateness
The other thing is, you know, do they have allergies like what's going on?
Why? Why are their eyes red? 99% of the time?
99.9% of the time. It's just regular old conjunct devices
Okay.
So visual diagnosis is our biggest thing here.
And so the one thing is is that
It's bacteria. I should say bacterial.
Conjugate this discharge is going to be more peerial, and then with viral, which will be just kind of cleaner
And the lids can be kind of mucusy, and it can be white or green or yellow.
Dials can be swollen, the pupil should respond normally and generally there isn't Turing
But in general, your premises is great. You know the in Western Messenger they're gonna give you probably an antibiotic appointment or a drop, you know.
That's a menu of different antibiotics that can be used, and that's, you know, that's if the somebody wants to do that.
A lot of people don't want to treat it with antibiotic drops and you don't necessarily need to.
We're really good at this
And we're good at it quickly. Here's some different kinds of presentations I wanted to share with you.
If if you can't see the cornea, then you've got to refer them out
Tracoma globally, so a complication of Chlamydia infections in the eyes is something called trachoma, and this is absolutely devastating.
Disease that can lead to ocular depth, and it's called something like, Oh, yeah, prickly ash, like so like there's some pictures where it's just like like lines in the eye.
And so it's a public. It's a cause of blindness in 42 countries, one like almost 2 million people. Right?
So it's it's absolutely terrible. So that must be treated with antibiotics I mean, there's no question about it.
We're not gonna see that in our practice, but I do want you to know that.
And then the other little images. Here these are. Little Granny Loom is Inner Island, can get kind of bumpy
So without further ado, we're gonna talk about file phone call. Right?
That's fullmanent wind and invading fever.
And what it means is, there's this acute or abrupt onset.
The conjugate or red it's burning.
It's itching, it's tearing.
There can be sticky discharge and pain, and and mainly we're thinking about this is being caused by wind, heat, or internal heat.
That's constrained, and you know the wind and the heat.
They have a big fight that's a fist fight, you know, and either winter heat wins, and then they stagnate in the lungs, and then they that heat flares up and affects the eyes.
The contact. Tava
Alright. It's kind of exactly what I just said.
Alright!
Yeah, this is exactly what I just said. It's so silly.
These little things, that this is just Powerpoint just makes these things.
That's kind of hilarious
Alright, so basically
What you're the the pathway in your mind would, in your diagnostic process is like, I said, there's wind, and there's heat.
There can be wind and heat. There could be wind, and he could be wind, and he
Right.
And so
So, if there's more wind we'll go to yin chosen, and if there's more here we're gonna go to chef payin.
That's there's a lot of long clearing named formulas.
But this is slightly different. It's a one clearing beverage, and if there's wind and heat we could go to Phoneong Tung Shang sun
So notice our reliance on vintage on in this lecture, already
Right. Alright. So if there's more wind, it's earlier stage, and the pain is like annoying, and the eyes itchy might be swollen.
Maybe there's a version to win. Maybe there's, you know, signs of a common of a common call.
Maybe not. But the ideas we're gonna we're gonna to dispel the wind and clear heat, reduce swelling and stop paying and
Here again, so simple. Right? All we do is we take in chaos on, and we add 2 blood cooling medicinals.
Mood on Peach Rochelle. How simple is that
I haven't thought about this before, but just for fun, let's pretend you're in an office, and all you have is different pills, and you need to do something right so you know, if you give you intose on you get some results.
But it won't be good enough
What else could you do?
What other patent would you, pony? Up with this? Maybe
There's no wrong answers, so just throw through a guess up there, or unmute yourself and and tell me a guess
Because I have it. Gio
Clear liver heat. It would strengthen the screen.
It does have mood on. P. It's okay, you know.
Yeah, I mean, it's okay. It's not the formula I thought of, but but it's okay.
I mean it probably wouldn't. It wouldn't be my first choice, but I know I have it, cause I always have
Right? It's like a hack. Okay, okay? Any other ideas, Margo, Lucas, Melissa
The formula that pop into my head, I I mean, and really I hadn't prepared this part of it.
But you know, trying to think about what you could do.
I thought about wager fooling one. Well, let me tell you why, because there's swelling that the fooling would help with that, and then there's blood stasis right?
And so the mood on piano shower already there, the sentimentary isn't so appropriate.
But again we're talking about sort of an imperfect strategy for something that you might just have on hand.
I'm giving you permission to do it in perfectly, because you mean it is important in your practice.
If you're practicing your biology, you you have to have some things on hand for acute stuff. You just have to.
Otherwise you're gonna get stuck. Not being able to handle things in the moment
Margaret, did you want to say something
Okay, anyway, does that make sense? Is my rationale like, for instance.
Okay, like, if you have not conjunct devices per se.
But imagine you're looking at somebody's face I wish I could find a picture where you know they they have quite a lot of swelling under here, and then they have a whole lot of spider veins under their eye.
That's a major fooling. One presentation right? There's depthness for fun and blood stages just like if somebody's I talked about this, I think, in gynecology last year.
Like, you know, if there's smiled Andema and spider veins in the leg.
That's quite your folding one like so glad you're fully one is a person
Alright, I'm not sure you in chosen is a person just on as a pattern
Anyway. Nevertheless, if you had say a granular liquid thing on tap, just throw in mood up P and tr show, and you're good to go
No if there's more heat, then there's more pain.
There's more district there's more swelling, more redness, more and more more thirst.
Dryer stool, more red tongue, etc. And and the 2 main principle here is we're gonna clear heat and toxins, right?
So now we just put in another word and another idea, and then we're gonna dissipate wind and relieve pain.
And our formula is chef ain of this one lung draining beverage.
It's actually from the Ming dynasty.
A close examination of the precious classic on ophthalmology Shenzhar yo han, and well, that was chef a tongue, so that chef a yin.
This one is actually recorded in the Ching Dynasty.
In a book called Compilation of Optimology, Young could, and and the and the biggest takeaway that I
I need you to get Grock from. This part is the very, very important relationship of Hong Kong and Song, by P.
For long heat affecting the eyes.
Alright. So we'll hong Kong song by Pete.
Clear, long heat.
And this peering is in many, many, many, eye diseases involving redness and heat.
In my book, right over and over and over. I saw this.
I really learned this
So that combination for, like at least 7 millennia that I could trace back these 2 herbs have been paired as a Dway out really essential for that type of problem.
So chef a tongue also has, like d Goop and my mendong.
It's a different kind of formula and it's said to treat metal gone due to long in deficiency.
But this formula is really cold, like we're clearing fire with sugar out. Right?
We have jerza, which is draining heat from all 3 burners, and then we have these light herbs we have lien chow in there, right?
Yeah, and jing, Jia, right? And so then that is, and Fung, so we're dispelling wind.
And then also we're gonna alleviate pain with Byger and Shanghai.
This is a nice formula
This is a nice formula, and it is specifically from an optimology book.
So in English, pretty much the only place you'll find it is like, maybe my book, and maybe Andy's book.
I'm not sure about that. But and if you're a Chinese reader, you can go to those older texts
So that's Chefayan
And it's a original. Indications were for full minute red eye with nebula which is epidemic.
Conjugate us, caused by one T. Full minute means, full excessive
Into Kiki word
Now, here's a couple of modifications
And I actually, I'm gonna disagree, or or I'm gonna add to this my opinion.
So if there's country title congestion on a Dma, you could they?
They're suggesting ting, Litza to drain fluids.
Mood, Mp. To clear blood heat. Jaggon, I guess, is guiding it up and Shanghai is also clearing heat right?
But I actually think that should. Chen's is a very, very good choice. Here. To tender is an herb that is is used in many ophthalmological formulas, involving too much fluid, including glaucoma
And so I want you to remember to Chenza, and particularly if the eye is kind of pussy to change, it also transforms Flem.
So like I, I would probably choose to chenza over ting lita cause Clyde is super drying, and I, you know, like we really use it to drain fluid from the body, and I don't really feel I I'm more comfortable with
Chicenza personally, but I don't have a ton of clinical experience with Ting Lita
But I'm up into it, and then, you know, if there's if the heat is actually gone internally, then Dot Hong, of course, right
If you have any questions
Alright! So when there's equal wind and heat, then this now suddenly we're kind of in an interior exterior pattern. Right?
So that means that somebody already internally is hot. Right? That's their constitution.
And then there's wind on top of that right, and we know that there's a whole section and formulas and strategies that deal with interior exterior disorders.
And so this is an interior exterior kind of problem.
And so there's burning pain and itching and light sensitivity.
Licens activities are often some species of lim of heat that it could be liver.
He could be. But you know, like
Like if you were. Oh, I don't know, dealing with, say, like a migraine where there was photosensitivity, and maybe then you want to use something like Shaqusa, or something to clear liver fire, or you know or one of those I herbs
So in this case, we're going to clear heat and eliminate toxins and dissipate wind and expel pathogen I'm gonna reach you little Mini case.
Okay. So we got a female, and she's suffering from burning pain, itching photophobia conjuring, title, redness and swelling in her right eye with hot tears and sticky discharge.
She also has a headache, a stuffy nose, a version to cold fever.
First with desire for drink, constipation, dark urine, red, tongue, yellow, coating, rapid pulse.
And her treatment is
To be treated with this formula. Now, this is an extremely large formula.
It is.
Has anybody ever used this formula? Literature is sage inspired powder for any reason?
Well, Marco, this is a formula you probably want to get to know.
Unfortunately it does have mahong in it.
And even though is profoundly unwieldy, like.
When I was in China, they would say, Oh, this is the formula for obesity
Dr. Huang, you know, even though he's a classicist, he actually really loves this formula and uses it quite often
For all kinds of diseases. So within this we have herbs, that clear heat from the exterior that drain heat from the young man, that cool the blood, that drain heat through urination with washer and right and clear lunging.
So it's it's it's both draining heat internally and externally.
Now so in China, they would say, Oh, this is for obesity!
But then at low doses, actually, you can use it over time for
Like for fatty liver things like that right? And it, even though it's this big firmland, it has a lot of tough musclely herbs in there with Mong Chou and Mahong and you know, Da Hong, they're actually it's considered to be very gentle because it's
Given it low doses over a long period of time here probably gave a, you know, an assertive dosage. But and then I made a case for using this for certain kinds of presentations around Pcos
And and I did talk about that, I think am I gonna ecology lecture?
But the and the reason is so. This is like like as a person who this person is.
This person is probably large, but also, you know, with like coarse skin, and maybe acne, like, you know, and maybe sort of muscular like, not squishy.
Right. Not that kind of large or kind of a tougher appearance, and then, you know, just signs of heat and inflammation right?
So this is heat and inflammation, and it's gonna clear it outside and inside.
Does that make sense? Margaret? Melissa, Anne
Yeah, okay.
It's a bummer about the Mahong, I think often now something like Jing Cha is replacing it.
But you know like for me, with Pcos, you know, for me, like the whole idea is the Mahong opens the doors and promotes ovulation so like ug, I I guess I have to go to like Zojou.
Za, or some surface opening, something, and nothing's exactly right except Mahong.
It's really a bummer
Oh! By the way, here's some. I wash methods, Melissa, so there's eye drops of either bear bile, or antibiotics, and then you can make a wash with dandelion and wild cresanthemum.
Cop, disc right
You want. You definitely want some like key clearing rooms. It, is it?
It downline T at like a health food store is easily attainable, almost
I can't say everywhere, but it's it's probably more easily attainable than chrysanthemum.
T. And wild chrysanthemum. Yeah, that would.
That would be something we would provide. And so here they're saying, not only will you make an eye wash, but you'll steam right.
You'll make an I steam as well. Now, actually, there are some points that are suggested which includes very simple things like large intestine for call.
Letter, 20 water to Sanjay. 23 large intestine, 11 bladder, one.
Things like that tie on, but they also say
You can prick the arch of the eyebrow or the tip of the eyebrow, or taiyong, and squeeze out a little bit of blood
We're not really gonna do that on a kid. I know a lot of people do bloodletting.
I I just not comfortable with that. I'm not that experienced with it.
So, but it has its place. It really does
So epidemic can join us. This is also just sort of a continuation of like.
The worst of the worst kinds of it, you know. It's a good it's super infectious.
It's everybody's affects it. And then this is sort of the same kind of lecture and presentation around that.
But
But it has a slightly different name, slightly different strategy.
And it's Tianjing tree on heaven current, red eye.
So it's, you know, very painful, very dry, very watery kind of pussy, and and so, if you look underneath the eyelid, it's called millet, like source, like it's bumpy.
I try. To sort of share a picture of that earlier like it.
It's just very, very inflamed and literally like the whole.
I can be covered with blood. What looks like blood, and there absolutely can be like internal infection with with Roland.
Lymph nodes and it's just like it's off to the races.
You're exposed, you get it, you spread it, everybody gets it it's an epidemic, pestilential disease.
And basically, we just say that you know the heat damages the collaterals. And it's a problem of like internal and external toxic heat.
And I love knowing how to do this. I wouldn't want this person.
In my office at all, cause I would be worried about everybody getting it.
But this is absolutely amenable to tele health. I wouldn't even want them touching the dorknob like I would literally leave herbs outside
So you could use for the first stage something called 2 funk sunray Unsa wind expelling heat, dissipating drink, or Fuji show.
Do you know that's available in patent form? So that's actually something you could have?
And then another formula called chef, a yin, which we looked at already
And here's this formula
So this is the earliest stage of of epidemic red eye, and this is clearly a modification.
I've in Chelsea right there is again.
So upsee Daisy
So you see how
You see how? See herbs are redundant like we're seeing the same.
Herbs. This is important, right? Because then it says, like, if you're doing this, you have a kind of a menu.
You have a vocabulary of a certain kind of family.
Of herbs that are gonna work that are gonna positively influence clear heat from the eyes right?
And drain heat interiorly. So we've seen all these herbs used again and again and again, and the only new player here is the mood, say right, and that clears heat from the eyes.
And again, you know, Chung Ho guides it to the head, but also chunko is important for pain
And for, like swelling in the throat.
It's so it's more for superficial heat because of the of the way it's structured.
Then, and internal fire, toxin
Whereas, Puji, we know like it.
It's opening move is internal, right? It's falling in Hong Kong.
Oh, God! So this is actually a formula more for the throat.
Who we know that excuse me because of the mobile.
So you wouldn't necessarily need that. Even new bongsa is more for the throat, Johnson is for the throats.
Do you have to just like kind of you're gonna have to just play around with this for formula.
But the idea, and I think that you could probably go back to
The phone, phone, the
Hmm kind of the chef am I almost be okay?
But you need, you're gonna need like bond, long gun, something really, really strong
Okay, let me just find my page again. I lost myself here.
I just was flipping through the whole thing. What you showed him
Okay. Now here, look at the eyewash method right here.
It's actually stronger in terms of its ent viral fire toxin clearing strategies.
So it's like things like that. And so then you'll make an eye wash, and then you'll also steam 3 times a day
These amounts, it almost doesn't matter. You just put them in the water, you know.
You have like an ounce, a half an ounce. That's about what you're saying, you know a handful, 2 handfuls.
That part doesn't need to be scientific, doesn't need to be precise at all.
There's a little case. Study
And
And then we're gonna take a break. Okay.
Okay. There's a man, and he has sudden, hot, painful, burning red scler. Appro.
For 3 days, and it's became terrible yesterday, and and it's burning.
And he's tearing, and it's red and swollen, and there's blood spillage he's restless, and he's constipated, and his got a yellow, greasy coating, and so the doctors saying, well, this, okay, so we have a cute onset I see a lot
of signs, of heat, and there's a queue because he's constipated.
There's accumulation of heat in this plane and stomach, and then he was attacked by pestilental Chi.
So he's saying, this is internal and external right.
The person already was kind of like a hot guy. Then he got a hot
And so this is a completely excessive case. Right? The the root ideology is epidemic to an epidemic.
Toxic fire talks and heat, and that's affected the channels and collaterals, and it causes blood spillage and the blood is spilling recklessly, and so we need to clear heat clear toxins.
Cool the blood, and so the formula is the is the she Joe D Hong Kong, with with Einstein right?
So it. It's a it's a absolutely one being strategy.
Right? So obviously, we're using Swain, you dial water, buffalo horn to cool the blood right there's tons of blood heat.
And then, because this attack came from outside, we're still resorting to in Chosean
Right again, again and again, and again, with the in shows on
So then he comes back and he's doing better. But he's got some like bloating, and guess so they add Agastash STEM to unblock his middle burner to relieve like summer.
Heat and transform dampness.
Right? So it's like his constitution, the dong, the patterns hot, the disease, the bing is is also hot.
Everything is hot, and everything is like, really, that there's heat in the Ying level
So.
And then, and and then there's one addition, and that is the litho sperm.
This is itself, Mike. And why is that? It's because there's purple
It's because there's purple
Any questions.
Not