With my host, hopefully. We're in for a better year.
There's Lucas. Okay, so this is a final class of this.
Series, and it's touching on ophthalmology and
It's very interesting, you know. I always, as you know.
If you say with me, you know I try to share as much as research and just stuff just for you to have it to have access to it.
And there's not a lot. I think there's only 2, maybe 3 articles not really much on herbal medicine.
Actually, I'll share it later, just for the heck of it.
I was looking on Google Scholar this morning and fell down a little rabbit hole with an article on the Use, the historical use of bile, including mouse, mile, carp file, all kinds of files, you know, which of course, references talks about up theology.
Like, you know, 2 sentences, but it was kind of interesting.
So if you're if up to share up just because why not?
And so then, after this, I'm gonna press. Pause for a minute.
I'm gonna
There there's 2 classes that I wanted to bring to you, but I want to.
I'm not going to schedule them yet, because I actually want to both invest in myself studying and I just have a I have a couple of china or business things and suspicious business things.
I want to attend to, so it'll be back in a couple of months with with my next classes, which will be anxiety, depression, insomnia that's been requested numerous times, and then I really want to talk about fatty, liver hyperlipidemia
Adult onset, diabetes and I've got a lot of that in my head already.
But I wanted to try to create some historical frameworks for that. And that's a kind of a complicated topic, because there wasn't necessarily Fatty Liver. You wouldn't have diagnosed that. So
There's quite a bit of research quite a bit of stuff on hyper lipidemia.
So. And that's really practical, because everybody has it so so that's sort of you know what I'm thinking about for the future.
And then, of course, anything else you request of me that I'm capable of delivering at a high enough level that I think it's worth your time and my time.
Okay. So with no further ado, I'm Ghana.
Share my screen, and we can start this lecture
Okay. Alright. Can you all see that
Yep. And then I'm gonna do this, and you can still see it.
Okay, alright. Great. Good. Okay. So.
So this is. This is a topic that is going that addresses common childhood eye problems, common ones.
But actually this is not limited to kids at all. This also is adults and they're not thought of that differently.
With the exception of having to fold in ideas just like we talked about in the previous class around food, stagnation, and that would result in stomach heat.
But I think this is a A, you know. Actually, I had way more fun thinking about this class and preparing for it.
Then I actually thought I was going to so alright.
Now did you see it move forward? Yeah. Okay. Great. Alright.
So the the oldest text that we have in English is called the the You can hygiene way, that the the central subtleties of the silver C, and it was translated by untold. And but it's really Unclear who wrote this book and some sources that say it was leadung in
Some say Sis sis soniao. I'm clarify. It was written in the thirteenth century, or somewhere between 5 81 to 5 62, or possibly the 15 century, so that doesn't help much right?
But it is a really terrific book, and I became familiar with it when I was writing my book
And I realize I may not have shared with you guys how I came to write this book.
So I thought I might tell you so. You know this is this is the thing that I wrote, although I didn't really write it.
I wrote the Commentary, and it happened because in 2,008 People's Medical Publishing House published a translation of the Jingua Yahweh with commentary, and the editor of that was Harry Lardner, who is also Skip anyway, I know him from a
Long time ago he shadowed me for I don't know a while.
25 years ago. Something like that for 20 years, anyway.
So I Hi, shot him an email and said, Hey, great book!
And he said, Oh, thank you. Would you like to write a book and you said, I'm I'm working on this series and case studies for people's Medical Publishing House have been living in Beijing?
And I thought Oh, you know, okay, well, maybe it's time I had a book, and and then I was assigned this right, and the next thing you know, for la years of my life disappeared.
But it was really I was a really, really hard thing was the hardest thing I've ever done.
That includes like giving birth to an over 10 pound baby at home.
Yeah, but I learned to write. I learned to research. And when you get a book like that it's in chinglish, right?
So English is really a direct transliteration of Chinese, and much of it makes no sense.
So what ends up happening is you literally have to write every sentence over sentence by sentence, and then my assignment was then to write commentary on those case.
Studies from the doctors, from China. And so that's what that is.
And there were more chapters that I received than are in this book, and that's because I some I I actually had to kill some like one.
Was this something like a pseudocyst on the oracle?
And it involved using anointment made with Mercury and Rialgar, and I just said, like snowopes is, gonna find this. And that's the end of Chinese medicine.
I will kill Chinese medicine and the tinitis chapter.
I was so excited about because I thought, Okay, here's the key to the kingdom, you know, because it's such a hard thing to treat.
And the case study was so bad. You know the patient comes in blah blah blah blah, and then the patient doesn't get better, and it's like we're not doing this.
So. It was such a disappointment
But anyway, there you have it! That's how I that's how I came to this.
And that's why I can talk about this with as much authority as anybody can.
There's in English. So there's my book, and then there's very little else.
There's the series, the treatment of Disease Volume 2 does have some discussion on some diseases of the eye, and they are called the more of the Chinese name.
The English, Chinese Encyclopedia, volume 17, is all on up theology, and that's largely very similar to the central subtleties of the Z.
Will receive also Andy Rosen. Far also wrote the not case, study book from people's I don't think I have it over there, but it's on ophthalmology and covers some diseases.
I think that I don't discuss it. I may have edited out, or, you know, just decided to emit.
And his book is okay. It's it was actually, I think, very poorly edited and I think it was it they really fast tracked it too much in the editing isn't so great.
But you know, if you're into learning about eyes, that's one of the few resources for you
So we can make sure that there's links in the book.
Thing, and I don't know if we've gone through that.
You know where the resources are, how to create a link to Amazon.
So if anybody wants it, they can just easily navigate.
So.
Right? Oh, I actually created science. So you know, those are sort of 2 books.
There's a picture of Andy's book
Now, it's really, really important to spend a minute talking about the anatomy of the eye.
Maybe you already know this, but a little refresher is never a bad thing.
So when we talk about the I, what we talk about is we talk about the wheels of the eye, and there's 5 wheels of the eye.
So and so where it leads you in when you're looking at the eye, the eye just like the ear, the feet, the hands, any microsystem.
It's a and the tongue. It's like you have a window into diagnosis.
And what's happening in the body. So the tea wheel is the conjugate tava.
It's the sameera alright, and that's associated with the lungs
The blood wheel is associated with the heart or the fire element, and that's the inner campus
The Wind wheel is the cornea and the iris, and associate with the liver.
Of course, the muscle wheel or the flesh wheel is the eyelids, the bottom and top.
Eyelids, and that's associated with the spleen and stomach.
And then the water wheel is associated with the kidneys, and the pupil retina and optic nerves.
So, therefore, when, if we're talking about a disease of the inner campus, say some type of lacroation syndrome, right?
Like a problem with hearing. Then we'll be talking about the heart, and we might actually then expand our line of questioning like, is there vexation?
Is there anxiety? Is there insomnia? Is there a sore in the tongue?
Things like that right? And if we're talking about the Chi wheel we're talking about the lungs.
So, you know. Is there wind? Is there a cough? Is there some type of obstruction?
What's happening there
And then, of course, any type of bufferitis or as we we're gonna talk about styles that's always gonna be associated.
We're gonna talk about this plan and stomach all the time, and you have to.
Then also look at is something happening with digestion right?
And then you can think about, is it? You know? So it's affecting the spin and stomach.
And maybe there's damp accumulation. But also, is there young Ming? Heat?
Alright, and so, etc. Etc. So, and then of course, we're gonna talk about so yeah, so we're gonna talk about size.
And we're so. Therefore, explaining, some are going to be the predominant organs in that discussion we're going to talk about conjugate devices.
So the lungs are going to be the predominant organ channel.
That discussion. And then we're gonna talk about blonde trauma, you know.
Black eye. And then that actually just, you know, affects all the channels and collaterals in the eye.
And so that's you know, that's just its own animal.
It's trauma there any questions before I move forward with that
Okay, it's pretty obvious, right? And actually, believe it or not.
It's not easy to find good images of the I.
It took me longer than I thought. I think I might have found this finally on Pinterest
Okay.
So we're gonna talk about stuffies size are actually called cordiola, or it is a hordeolum.
But plural is Fordiola
And
I wanted to just show you 2 different eyelid diseases oops.
So the first on the left. My left is a Chalasia, or to Lazy on, and that is like it's not a sty, because it's just a little eyelid lump, and it, you probably know, a lot of people who have just like these little eyelid lumps and
It's this blocked gland, maybe made Bo me and gland, and something just gets stuck there.
So. On the other hand, size are usually external, and they can be from a blocked oil gland right on the on the bluffer, right?
So, and it's more cute and more of an infection there's a little more to it than that.
But you know there's so there's similar, but different at a sty.
Can can actually, over time, develop into Italia
So this is a little summary. There's a link between that pediatric education.
Dot org on the differences right? But a sty is localized inflammation or infection of the follicles of the eyelid, and it's usually acute.
It can also be recurrent. We know that this is absolutely true.
They can be painful and red and swollen, and a lot of them are caused by staff
For the most part they can be treated with warm, very warm compresses 4 times a day, and when they're really bad they might make an incision it's preferable not to do that, and sometimes they'll use a topical antibiotic and then atlasia is
we swelling, caused by a blockage of the sebaceous glens, with them a bowie and glance are, and then it forms this little granuloma lump right, and it they don't hurt.
They're just there, and they're not red so, but if they get really big they can actually put pressure on the island that actually would have to be treated.
That would have to. Probably there are formulas for it, and you can try it.
But probably has to be excised and similar to bufferitis.
Yeah. You want to try to keep the the glance open by washing with baby shampoo, especially if there's dermatitis.
So.
And
So here's the terminology is called Jen.
Yeah, and that we're done is actually the character for needle.
So it translates as needle eye
And then but another term is called wheat grain, swelling Miley jong.
But salesia is a Flem note in the eyelids, so that's that's called bell zone ton hood.
You know I will tell you that, Philip. Oh, so now in this book confuses those terms, and he uses the the term for to lazy on as a term for sty, and that's not correct.
Okay. So there's sort of 4 general ways that these this happen.
One is that there's wind and heat, and that attacksi
Also there can be heat in the stomach and spleen.
Oh! Not attaching, attacking the eye.
And it. It's very, very common for them to recur.
And that's usually when we're gonna be seeing patients, right?
People who get an acute style don't necessarily have to come into the office.
So just manage it at home with warm compresses.
It's when they are recurrent. When they're stubborn, they don't go away. That's when they're gonna seek our care right? So
And it's recurrent, because either either there's some level of heat retention it just wasn't.
The wasn't cleared all the way, but the other thing is that there's discussion around spleen deficiency.
Chi deficiency and way to defensive, cheap deficiency, and then that he allows pathogens to enter recurrently.
No, so you know, so that's caused by either. For a high, hygiene like maybe wearing old makeup for an adult loving your eyes with dirty hands.
That's gonna happen a lot with kids for nutrition, so that your cheese, then week, or wasting a Thursday, or something like diabetes, something that's gonna impact you negatively, I would say with kids
You know, it has a lot to do, just being not plain big, dirty
Smoke, I guess, could be a factor, too. That's gonna be more with conjunctive items. But
So with wind heat attacking the eye. You know it's very early onset, and what you might have is a foreign body sensation in the eye like it feels like something stuck in the idea of like dirt in the eye.
You might be light, sensitive, you know, that might not be a big deal, and if there's redness or swelling it won't be huge.
It's not going to be a giant thing could be also a company with low grade fever and headache, but not necessarily
And so we wanna dispel wind and clear he and then also cool the blood cause.
There's redness. And this is from my book. And this is a really, I really love this modification.
There's a lot to learn from this formula. So I'd like to spend a second unpacking that wait.
So up here we have just regular old right now, even within this formula, we've got a couple of special things about this that make it nice for the eye, and one is that gymnastics heat and is good for infections and lean to specifically use good for lumps
Oh, huh! Clears heat from the eyes right? And now let's look at where, how we, how we're gonna shift this around a little bit.
And the first thing is we're gonna cool. The blonde and clear blood heat with red pee. Hmm!
The next thing is we're gonna add, by Drew, which is gonna expel past.
That'll help that to open and resolve
Hong Kong. We're gonna see Hong Kong a lot with conjunction devices because it goes to the lungs.
But in this case it's clearing heat, an infection
But this really beautiful addition is the one chrysanthemum, and I don't know if any of you have used that, maybe you can throw that in the chat.
If you have but so like juvenile, it clears liberty.
Clear seat from the eyes. But it's very specific for lumps right?
So it could be nice for the sinuses. Maybe like for a poly.
But I actually think it's in
Maybe some B on piano payment con mom. One of those has
And so
Anyway. So it's a great herb to remember in this type of a case.
So I love these modifications because, like to me, I look at this and this.
This tells me a whole story right when I look at this, there's a great narrative here, and so just that alone you can learn a lot
And just throw questions up there, please.
Okay.
Now
Okay. So the next formula is
The next formula
Is when you're not so familiar with, and it's for fire, toxin.
And in this case it's progressed. It's much worse, right?
It's the islet is very swollen.
There's a lot of redness. It's much more uncomfortable.
There might even be some type of yucky accident.
They're also could be swollen nodes around the ear and neck, and that's easily palmable.
You know you can palpate that on it, child, and an adult they might be thirsty.
Have headache, and they might have dry stool. So, therefore we know that the heat is moving interiorly.
The tongue should be read with the yellow coding
So in this case, what we want to do is we need to clear heat and cool the blood just like before.
And then also dissipate masses, and so the formula that is selected is, nay, shoe, interior, expelling.
Hong Kong, and the original formula contains being long by Xiao and Dong way.
Those are omitted, and in its place Tianhoff, on Twonian and true shower added, so let's look at what's going on here.
Okay. So the mushon, in terms of just this whole thing probably could be placed at the bottom.
Obviously, it's to regulate the Chi and protect the stomach.
Only in Hong Kong, right? These are all session tongue. And then there's Dahong, Shesh, and Tong, right? So we're really clearing fire
The you could omit if there was no constipation
Right, and then from the other formula we have
We have Boha Jen gong, LAN Chou, and Gonzalez right?
So all of those are gonna direct the formula upward and clarify your time.
The by Jur again is gonna expel Pass. No, here with Rushong number one, like.
If if you see, rush on, what is that? Gonna tell you about a formula? Right?
You know. So for me what it told me is that the there's more pain right?
It's more important for pain, and that also it promotes wound healing.
So, if in fact, it's opened, this will help it to heal a little bit down the pike, and then Tianwa, fun is going to both clear.
He, and transform phlegm so you know. So it's like a a cooling and also very sweet way of addressing all this fire.
Toxin, and it acts as a nice kind of neutral, mutually flavored counterpoint to the a frankly bitter formula
So the Schwan Chen, is suggesting at this point that there's swollen lymph nodes right the short time with the lien chao.
Alright. So if you didn't have those, maybe you would omit it
Alright. So basically they go. For you know, some heavy heading fire talks and clearing.
You know, a structure like that, but that also, then, is kind of addressing a wind, and it includes light herbs that will go upwards right alright.
So we've got these heavy, downbearing, bitter herbs.
Finally. And it's a hong, Chen right? And then we have lean Chao gong, boha, all to kind of like.
Go up, go up lightly. I
You know the the, the formula, Lianga tong.
Have you ever heard of Leon? Diaphragm, clearing, decoction?
Do you see Margaret Lucas, well, so I don't know if you know this formula.
So the I in that formula, this is this, references it in a way that formula has da hong right, and that drains down, and then it has a whole bunch of the inch like a whole ton of it.
And the idea is, there's like this, the Mo. You end that like the diaphragm, there's heat above the diaphragm, and that has to be both vented and drained at the same time.
So that's a that's a mechanism.
Right? Okay, let me see. You question
Yeah.
Yeah, you know. And that's not a formula that we used a lot.
Solanga Tom, but it is. I think it's well.
Maybe we're more important.
To understand the structure of it and understand the path, the pathogenesis around that type of pattern.
And so that you can recognize it. But this references, that type of structure.
So if you see a formula structured like this or like that, then you know that there's going to be some type of a young Ming heat with form, but also heat above right?
That's on the surface. So anyway. And this also, like in a child, actually might be time when they or do have antibiotic appointment that wouldn't be a bad thing to combine it with cause.
That's, you know, bad
Okay. So here's a case study. It was really convenient that was a pediatric study, right from my book so here's a kid. He's 9, and he's had a sty for 5 days.
But it's recurrent right for one year.
Prior, he experienced redness, swelling pain in the right eye, and then, you know, it happened again 5 days ago.
And so they treated them all different kinds of way, drainage, surgeries, etc.
But it kept recurring alright, so he has localized route redness and swelling, and the margin of the upper right.
It's tender. There's no pus. Now.
Here's the part that you want to pull out that feels like maybe a throwaway.
But it's not. The patient was a picky eater with a poor appetite. Dry mouth.
Pale complexion, hard stools, and frequent colds.
The tongue body was tender, with a thin, sticky yellow the yellowish coating and the pulse is thin and rapid, and he used to get upper respiratory infections.
Okay, why is that important
It's important, because I see Anne's lips moving. But it's important, because the doctors, looking at the Constitution wait like
Stomach because he's got spleen problems, and they're just treating the symptom
Exactly. You can't just treat the symptom when it's recurrent.
You have to treat the kid or the person alright. So so the poor eating habits, the picky eating is associated with spleen deficiency, and we can wait.
She right his way defensive. Chi is weekend, and this way.
This keeps happening alright. So now this just to jump back to the previous stuff.
This is right in my book. By the poor appetite.
Hard stools, dry mouth, thin, sticky yellowers, chuck coating, and thin, rapid pulses are all signs of food, stagnation in the spleen and stomach, transforming into heat the pale face and frequent calls or sign of explain stomach deficiency.
And weakened way defense right? It's exactly what we talked about, right?
Even with the picky eater you have to move it.
Right. But now, in addition to being a pick eater, no, this you have a sty, right?
So so the kid has linking pathogens that he wasn't resolved, and it just keeps attacking the eyelid.
And you know, so you have this recurrent style, and the way to is, week.
So it just can't word it off
Alright, and then this is what the doctor says. The location of the disease is the eyelid.
That eyelid belongs to the muscle wheel, and that's associated with this plane thus confirming the diagnosis.
Hi! So the root of the case is deficiency, and the branch is the excess right?
It's so simple, this slender little case tells you so much.
You can learn so much from this small little thing. I think
And so when you encounter a child or an adult
If they came to you, and it was the first sty, and it didn't recur, or you know you have no idea if it's gonna recur, you could treat almost the entire brand.
And as a branch problem. But once it's happened a second time.
Look at the person. We'll get the person
And the formula is fabulous. It's modified totally shall do, son interior drawing and toxin removing powder.
Now this is in the soon formulas and strategies under external accesses, I think, in the very sort of back of the book
And so here they remove Wrenchen and Shuang Chong
By show by Jordan Gangway and Gonzalez.
I don't know why
So basically what the what the doctor wants to do is like stage it.
So they want to treat the the branch first. They need to treat the acute part of it so they're gonna tilt their strategy towards getting rid of the sty.
The Hordeolum, then, you know afterwards they could consolidate and strengthen the spleen in the way she so right now they want to strengthen the spleen and boost the chi, and also discharge pus and then they also used bare vile eye
Drops or antibiotic eye drops 4 to 6 times a day along with warm compresses.
So here.
Oh, very
So, obviously Whyang Chi by Jew, right? These are gonna strengthen this plane, fooling alright.
So that's 3 of the 4 gentlemen, and actually
With 10 p. It becomes the egong son. Right that's to regulate the Chi and transform dampness.
Sure sure, we've just seen in every formula. But E.
Ren. Is there? Right? Because that's going to it? Does a whole lot of things.
It's for nodules
It's for Flem, and it strengthens the spleen right.
Either eye compresses external treatments we can use.
Besides yes, actually
Yes, so it just goes forward, no matter what. So in terms of iconferences.
If you want to be fancier, then just simple hot water, you know.
Hot water compress I would recommend. Most people will have peppermint tea
Now, if you are using loose T of any kind for a compress, it's really important that you see it.
You don't want to risk introducing any type of material into the eye
So you know, a simple, a, actually, you know, a simple tea bag or tea would be really nice.
So Chrysanthemum T. Could also be really nice.
Some people are gonna have that or have access to that. And then I posted an article on using mulberry leaves to treat, conjunctiveitis, and how it effective it is for as an antibacterial agent, and so if you haven't have mobile leaves near you you
could also really work with a mulberry leaf compress
Some people do have them like growing in the neighborhood or in their backyard, and I could, just, you know, make a make a tea out of that.
But the thing that most people are gonna have easy access to would be would be. Peppermint is, in my opinion, we're obviously never gonna use bear vial
And it was shocking to you even see that in the book.
Okay, so now.
The formula gets a little bit bigger. So LAN Chou and Jennifer Pool, ganging, all of these are for or for fire toxin, right?
They're like for acne, unless they reference, like Willie, shall do in, and then Zojiaoza, remember, it's got that thorn.
So it pierces it open to expel pus
Jung is gonna guide it upward. Like Fuzzy is gonna enchant. Pee are gonna deal with food, stagnation and regulating that she of the Spain and stomach.
And there you have it. Oh, fantastic modification!
Now, could you do it? Just like the regular formula where you had Jin Singh Tuan Chunkson would be great if there was pain
My show.
I'm not sure of its role in the formula, and I'm not sure why, by Juror Angelica, to hurricane would be omitted when that also expels person.
We've just seen that in 2 formulas. But this is what the doctor did, so I'm just sharing that with you.
The the standard formula totally shouted in, probably
More appropriate for an adult. What I like about the structure of this one is that it it really factors in food, stagnation, that that the kids spleen is week, and it needs to move forward like I actually truly showed you and is also a formula I've used for internal
Absences, with deficiency like around all sort of colitis.
Sometimes, if the if it the pattern matched just to sort of broaden your relationship with that formula, it's it's a cool formula
Okay. So then we have a follow up, right? So
So, okay. So the kid comes back and and the kid is basically better.
And so then what they want to do is they're gonna say, Okay, well, the kid is basically better.
But we wanna, really get this kid to recover really fully and so we're gonna use shunling.
By Jason. Right? There were number cases in my book that did use sending by juice on.
Now, in this case they want to strengthen the spleen, but because the formula contains E red. We know that it's also good for like nodules and masses, and you know, like Flem balls, I remember ee ren is good for long accesses for instance.
So what they do to this formula
Is that they take up the Lenza, the lotus seed.
They take up the Shah rent too.
And
Yeah, they add, they had Trisha LAN Cho to invigorate the plot and to clear.
He and eliminate lingering pathogens. Why do they add the phone phone
Any ideas.
When I say it, you're gonna go dah
Help strengthen the way she
Yeah, to consolidate the surface, to strengthen the way she, to prevent recurrence. Right?
So imagine how simple it is to just you could just easily take a you know, a box of of shedling by Jason, and just modify it with with with Fong Fong.
True Shelley and Shell Bam
So simple. Hi! So the kids! Appetite was better. As constipation was resolved
Right, and the kid was better. I think that's a great little learning case.
Takes us through something. We actually really might see in our practice.
And you know that arc through. Here's a teeny, tiny case.
Here's a patient with a recurrent Herdiola wasn't red.
The island was swollen, and it was kind of close to the end of the eyelid.
And the person's complexion was yellow, and they were tired.
The tongue was pale, the pulse was thin, and they treat the person with Leon Johnson and pooganging, and Zoe Jiaza, like
That's another example of how you could actually treat somebody completely, constitutionally.
Right, with the simplest, cleanest modification
Kara with rigor, with regards to Melissa's question about the external treatments.
If it were spring time, and you know what's in your yard.
Could you go out and grab some dandelion leaves or some honey?
Suckle if you have it, and use that in the okay.
I figured
And why not I? I I would actually just I would make a tea out of them.
And then because you also, it's it's
The heat draws out the the sty. So you do want like a hot compass, and then so a hot washcloth, or as warm as the child or adult can tolerate.
So I think it's just a little broader. Then, like mashing up the herbs, and you know, and then that you know that put something through the eye that may not be really staring so that concerns me, so I'd rather have just like a clean wash cloth, and hot sea with those herbs
In it. And I actually do use that in my practice. I use some species of an herb compress all the time, because when somebody comes to us they've already done regular hot compresses, so we need to go further.
Treat them. Treat the the branch of this tie the root of whatever's happening with their constitution, try to eliminate, and then follow up by eliminating lingering pathogens, and then use just something a little fancier, but simple for the for topically
The other thing is like, if you know, so they call, and it's Friday afternoon you're not gonna be in the office, and you could just like tell Parent alright go hit some into your if they live near Chinatown.
Go get some, Chris to your go in your backyard, and do you have this right and
I see how that goes, and I'll see you. Monday
Right.
Okay.
Okay. Are there any other questions? No.
So, and do you wanna stop and start the recording for me?
Please