Okay, sorry about that. Probably I want to stop for a second.
First of all.
Just like, let's imagine a small child got conjunctivitis, you know.
They're in Nursery School or something
So what would you do about that
So before my kid, I wanna try to treat them, and probably you know hopefully, you're just really relying you know, it's early stage, and you can kind of just use a yinch house on.
And you might even just try yin chosen. And but but I absolutely think you want to emphasize compresses.
Now the thing is with a little person. It's difficult to apply and have it work, you know.
Like, how are they? Gonna how are you gonna hold it on to like a toddler who runs around?
So you're gonna you have to do your best, and maybe just get them to relax and read them a story for a few minutes, and obviously it can't be very hot.
It can only be as warm as they're willing to tolerate.
And you know, if they're old enough to really be in an imaginary, you know, be imaginary.
You can pretend you're having a spa day you know, and they're at the beauty parlor, or something like that, and give them like a little foot, miss, on, or something like that to distract them when I used to take my daughter to the dentist my son never had cavities
But she had a 1 million cavities, and so so I would massage her feet, and I would just say, like, focus on my hands, focus on my head like, try to just get her attention out of her head.
And what was going on in her mouth, and it was actually really effective and allowed her to help regulate herself that's a little bit older.
She was probably 7 or something, but you know so the interventions that you can effectively use are gonna be based on how old the child is.
And then, if you're nervous about it, you know you probably do.
Wanna you know, you could use an antibiotic drop, particularly if it's very cute.
Now, once it becomes product, western medicine isn't going to be that effective. And that's what we're going to talk about right now and and then.
This really becomes our domain. So let's share screen
Alright!
Hmm! Let me do the whole emergency thing.
Alright ! So the topic now is chronic
So you know, normally, we're talking about an acute pattern.
But it can become chronic. People can walk around with like red eyes.
All the time, and it, and so the the patterns around it are a little bit different, like like you can be related to allergies and little kids can be have terrible allergies.
And the ectropian and entropy. That's where the island turns in or out.
That's like an old person. Thing. Right is also generally an older person.
Thing that process is also kind of a it's an infection of the Lacrimo sack like in here.
And it can get obstructed. Now that zoom kids actually are born with that or develop it.
And then that's a problem. And then that can cause pain, and it can cause redness of these and swelling in the inner aspect of the eye.
So if it's like redder in the inside, and then also it causes tearing.
And so it's a funny thing to think that tearing like a piper, as what it's called, is actually caused by driver eyes.
But when we think about kind of how eyes are in like yen and young together.
Of course, we're gonna have this reaction, a response to a dry eye by trying to make it excessively wet.
It's just the water is inappropriate, and it's not where it's supposed to be.
So you know. Chronic can drink. Device can be.
It can be infectious, it can be an immune or autoimmune. It can be German to logic and origin.
So.
But obviously it's just it's something that's gone on for a while, and it's recurrent.
And it's kind of lower grade. So it's basically in Chinese medical.
It's called by. So John White, dry eye, or white zerotic.
It's a weird word, syndrome, and so it's mild retness and their sin veins and the eyes are try.
And I'm comfortable and like you're want to rub them.
And you know how there's these little bumps in here, right?
That's often what it helps it kind of characterizes it right?
So this is just more mildly red
Now, of course, the way we think about it is that either there's a retained heat, right?
So there was maybe a bad conduct device. And now it's just kind of hanging around.
And but also pour down diet in terms of smoking for a child.
Of course, we're talking hopefully about a secondhand smoke, and hopefully, a kid isn't drinking booze.
But anyway, so all of these, all of these lifestyle and environmental habits result in kind of a damp heat, accumulation in the eyes and or dampede sorry in the splitting in the stomach, and then that inhibits the up bearing of pure fluids into the eyes and
then there becomes this pathogensic stagnation in the whites of the eyes.
There could also be like young Long in deficiency.
There could be fluid loss, liver, kidney, blood, deficiency.
There can be kind of the things that you normally think about.
That's right, so it can be excess. It can be deficient.
It can kind of be both, you know, somewhere in between, which happens quite often right
So in a case and a kid, the the patterns that you'll see the most are going to be the first in the third, right there can be lingering evil heat.
Right where there's just they had conjunct devices.
And now the Kid, chronically has red eyes, and and you know they're irritated.
They don't feel good. They're not comfortable.
Lungian and a kid. I don't think so so much, but in an adult most certainly the lunging can get injured, and we could use, modified Yang yin Qing Feng, if there's dampede in the stomach and Spain, then we can modify son
Rentong, and then, of course, probably in an older person, liver, kidney Yen deficiency would be a modified Tjud. Hold on
So this m, some. By P. Tong. This is a really gorgeous I formula, and I wanna 0 you in on 1 10 and song by T.
Right. And so there's that. There's those 2 herbs again to clear long heat.
They're clearing on heat. But the constellation of the formula.
So you remember, you know the formula, chevys on white draining powder, for like a lung heat cough.
So that's song by P. And d goup, right?
So there's those 2 herbs right? And then we have Swan Chen, which is going to Shannon, my Mendong, and Shanghai.
What are those 3 groups? What formula is that that I've like talked about and talked about and talked about?
It's zonia tong, the fluid generating decoction. Right?
Zoom yet on. So we know that internally there's dryness, so we have to hydrate the tissue but we're going to hydrate the tissue more on the surface because we've got like juvenile right so it's just a good it's a simple
Formula, and it's really very clear, right? So the song by P Huang, Chin Dgup, all clear heat from the lungs, the Shangdi Hong Chuan-chan, my mind on the nurse they in and generate fluids
Juhua Jiang clear the head in the eyes, clear heat in the eyes, too, and fooling and gone south. Strength in the spleen
Right? So really nice formula. And now another place where kids can get this adults, too, is all this screen time right?
It. Just it ends up. It's not that that is a diagnosis of conjunction devices, but it is a diagnosis of uncomfortable red eyes.
Right. So these kinds of things are super practical.
Now, if there's long in deficiency, then this would be on the heels of, say, an upper respiratory infection we're the long in became injured, and so he signs are gonna be actually pretty mild, like the vessels will be kind of light red
And so this formula was from the jade key to the secluded chamber, and it was that formula for
Diphtheria, the membrane in the throat. So it's got these really heavy yin nourishing herbs
Along with a really nice dose of boha, which is zoom accurate and cooling, and an upbearing for the throat.
So like to modify it.
What I would want to add do, for I would maybe even Shaku, so
Something like that for the eyes
I would maybe even shock Russell. Oh, boy, I'm looking at the the
It's just doesn't understand pinion
Another option here is that there's Dan Pete, in which case obviously number one.
The tongue will be more coded. There may be some nausea.
The I will appear kind of dollar or less clear, and or there just could be like a sticky accident like they get like mucusy, you know, and and it's worse even glued together, and red
There's this note. I think it's from the from the gin hudging way, and it says that sees street object appearing as crooked like it like vision gets affected
And so this is just the straight up formula.
But now, what? What? What might we do if we felt like there was empty. But also we wanted to impact the audio
Well here's what I would do. So, for one thing, we have the tongue sau already, and tongues out just like mutil goes to smaller vessels and channels and collateral, so that already kind of speaks to the eyes but then again, I would I think you would have to do something
Like, add
You could add the juvenile just because very soothing, and it hydrates the eyes, and you might think of 2 chunksa which again clears the vision.
Reduces inflammation.
Alright!
So this is not so much a kid, I mean, even though De Hong Kong originally was a pediatric formula.
This modification. The way we think about Romania formulas, we generally think about them
We think about Romania formulas as being for sort of an older person with liver and kidney in deficiency, right?
And of course, when we talk about the eyes
Particularly with visual acuity issues. We're always gonna talk about about liver kidneys, liver, kidneys, liver kidneys. It's just like a script.
But let's for a second indulge me here, cause I want to break down
The Lewing de Hong, one part to try to create a framework for understanding how this is, how this might be helpful for children, and so
So, you know. So we have. We have 3 herbs, by the way, gone means fresh fresh diaspora.
We have 3 herbs right? That are, that are nourishing, and we have 3 herbs that are draining.
Everybody knows this, you know. You learn this in school so, but the thing that we want to think about is that, in fact, number one, we have Shannon, which is not only a favorite splendor, but it's a feature pediatric Explainer, because of Shen Linked by Juice
On, right. There's a whole hefty dose of Shannon on these ways of kind of holding in the spleen and keeping it hydrate.
Now the other herb is, we're also, for this plane is fooling right?
So one of the important messages around Romania formulas is that actually to nourish the yin, you have to the the access door is the spleen it's post, Natalie, right?
You can't nourish the kidneys through the kidneys.
You have to go. You're gonna nourish it through the spleen and postnatal cheat.
Right. So then we have shoe dwong right? And then that's going to nurse the blood right?
And then, of course, mood on P. Will clear a little bit of heat from the eye.
So it's wonderful along with Goodjuts and Jo qua. But
But if you unpack 6 flavor Romania, it's not necessarily a kidney formula.
It's a formula that balances fluids and strengthens the spleen and nourishes the blood
Right.
So so for a child.
We do know that children are in deficient right? Like we can see these types of patterns sometimes with Agd, right?
Not always. That's not every diagnosis of Adhd, but particularly kids when they're like gaming a lot.
And they're on screens a lot. That type of sitting, as we know, all types of city depletes.
The yin right. It makes you like like that, and it's drying, and so, and all of us are impacted by screen time.
And so you you could see a kid like this like we might need to reframe all these formulas that we might think for older people because of modern technology and the way it's impacting us.
You know I don't have an answer for this. I'm just.
I'm extrapolating, and I'm I'm just kind of ranting a little bit too
But normally we would say, this is a formula for cataracts, or dry eyes, or, Oh, God, you know, like Brett knows pigmentosa like you know, big old age things.
But I think that we you might actually see a kid with a red peel tongue.
This might be a formula
So chronic, adjunct about. It's not that deep, pretty easy to manage with one of these formulas.
These 4 formulas, the first one probably being
One. You'll lean very heavily on
Okay. Vernal carato conjugate is, it's also called Vkh or Vkc
And like for shorthand in different textbooks.
This is like springtime, I itching, and this also affects all kinds of people, lots and lots of people.
Right? A lot of kids, adults, all of us can get something called spring Qatar, or Seasonal conjunctive.
Items, and it's a kind of seasonal, recurrent allergic conjunctive items which may, you know you're allergic.
And then you're eyes get red. And so as characterized by a lot of, and then there's this large cobblestone papal, unnecessary eyelid.
You see that? So that would be, if if you know, if you could do that type of examination, you would see that.
And then like around the eye, it's just kind of like dull and thick.
And it basically is worse in the spring and summer, generally better in winter and autumn.
And the onset is often around pre adolescence.
So this absolutely is a kid thing
It also affects both eyes equally. Somehow it's more common in men epidemiologically, and it recurs every year
So you know, number one is, maybe you gotta figure out what they're allergic to.
And in Western medicine they'll use steroids.
Angiotonics. You know other types of eye drops, and he histamine.
We definitely want to avoid steroids. I mean all that's ridiculous.
It's just ridiculous.
But we it's it's so off base that drives me crazy.
Okay, so these sort of 4 main patterns
I mean to be able to have a little vocabulary of this is gonna be so helpful like I don't know where you yeah, where we're all of you live somewhere in California.
Lucas. I can't remember where you are, but I think your East Coast Philly, is a pit of pollen and pollution.
There is something about this environment like, I just feel like, if you do not master navigating our allergic responses.
You're very compromised in your practice. I mean, that was how I developed that Pnd formula was because I never saw so much posted until I moved to Philadelphia, and I was like what in the heck is going on in this town.
So in. So if there's wind heat, and that would be, you know.
So springtime is the season of warm wind, right? So the formula would be shell phones on
Dampness would be too short on dampness, eliminating decoction.
If there's blood deficiency, then that would be some type of modification.
And look again. Spain deficiency will just go right back to shinling by you, son certainly buys you, son.
It can be an eye formula, because it treats shelling by just not again, it's a person right it's a person who has loose stool and fatigue.
And poor appetite is a kind of a person
So what we like to say, you know, basically, the disease is caused by a way T insecurity like it's not.
It's not Consolidated. And so then wind is gonna attack.
Attack the eyes. No, actually, I have a funny sentence from the English part of my book, because it's so cute.
So anyway, this is
When do you recognize which then flees hither and thither in the stray and interstitial space of the island?
So when goes heather, and thither is that adorable, anyway, but also damp?
He can accumulate, and then so the person has Dan Pete, like they are kind of a damp person.
Maybe they eat too many fried rooms too much. Mcdonald's.
That's definitely it can be a kid and there's a pathogenic wind invasion.
So there's kind of 2 things happening together. And that's where there might be this kind of gluey appearance in the Bulber contract.
Tava. And then if there's liver, blood, deficiency, blood, deficiency really means like liver blood, specifically right.
That's very obvious.
So you know this all allergic conjunctive is, can be from the lungs.
It could be from the spleen it can be from the stomach.
And it could be anywhere on a continuum of deficient excess or combination.
There, in
So we'll have this lecture. Go hither and thither
Okay, so.
Here's modified shell phones on right. And so the symptoms here will be, maybe earlier onset, with just like really a lot of itching like very uncomfortable.
Itching, and more than many other patterns where there might be dry or irritated, and
And so this formula is pretty obvious with a couple of things that might be surprised.
There's quite a lot of shell thumb songs.
By the way, there's there's probably like, if you look at it, there's 7, 8, 9.
This is an ophthalmological one, and so and so we know that because it's specifically has shanty and shanty is what's what's called screens in the eye like visual obstruction, and also it's it's really good for itching.
And then we have another insect. We have silkworms. But this sounds right, is absolutely really important. Here
But then look at this. We have whole post. So within this formula there's spleen.
There's like some type of explain stagnation, right?
Because look, we have Agastash leaves just the oh, Paul, chen!
So these are both fragrantly transformed at this
Pooling. 10. P.
Right.
So this version certainly is not available, as far as I know, in patent form.
But this is the version specifically for this type of pattern
Now with modified, T shirt tong. This is this is an optimal formula from the Ching dynasty.
Dr. Hong yon in the Yonka January, which I referred to earlier.
Here's a case study
A 14 year old boy has recurrent intense, itching eyes, with sticky, stringy secretions.
For 4 years. The inner eyes was covered with granular particles.
It formed rough textured area. He had dirty red contract, Tava and there was jelly like prominence at the limbus.
He had red tone, yellow, greasy coat. Saw your reven pulse
So the actions of this formula, to clear heat and resolve dampness, and dispel wind and arrest, itching.
So within this room. We've got kind of a few subgroups here right, and we both like familiar friends right?
Always look for always look for the friends in a formula.
That would be my message to you as you, as you look at a formula.
You're not familiar with. Look at the friends it plays with, so that you have an honor for the actions of the formula.
Right. So, for instance, we have Lee and Cho jing, Jia Fung, and that forms that's the core of a wind dispelling trio right?
And there's like a dozen formulas at least, that have those, including something like jing jelly and Cho tong
And so then we have the Hong Kong and on the end, which is going to clear heat, alleviate fire, toxin, and that deals with, and the so we have exterior access, interior excess.
There's a patent formula. That kind of is like that is the Oh God, cop, just upper clearing, decoction
Hong Kong or Ching Shong Fung.
Phone time like upper clearing decoction of her body, clearing decoction, or even there's like new Hong Kong on all these like upper clearing formals that are available in pill form.
Right? So so we know, because of these patents that that all those those first 3 in the second 2, that's a group that coordinates well together because we can see it in other places.
And then it goes further. We have cost. Sure, Toenza, Muttong, and those are going to clear heat and drink.
Dampness, and like, that's a core unit in the formula.
Bus corrections. Powder that we use for utis
And then Chen Pig on south, who links within the spleen
You know, and that's sort of the core of Urgentong
So that's a pretty grey formula
And actually, it will be quite effective.
Now, in the case of Sulu, Tom.
What you want to do
Is, you're you're gonna reach this diagnosis because this is also a person right?
If it's a woman who menstrates, maybe they've scanty messies.
If it's anybody, maybe if they're athletic, they tend to get tendonitis like where where they're.
You know the the Liverpool isn't yours in the attendance of things get more brittle and more likely to get inflamed.
Alright! We'll see signs of blood deficiency, and the eyes will be sort of dry.
It'll be a paler kind of look. And so we're gonna modify Zoomu tong with windows spelling herbs so
One of the nicest editions in this formula is the inclusion of by Julie, because it's useful to clear heat from the eyes, but it also goes to the liver, and also traverses the breast.
So imagine somebody in spring look at, look at like! Here's the story of a woman right?
She has Pms. She's red eyes, she's breast distension by Julie
Headache right? So if also this was a tired person, add bide you, or or just so does it talk, you know.
Just have a budgets on he like you could do it that way, too, like, you know.
Just do the do, the G and the one. Why not?
And finally, where there are signs of spleen deficiency in this case like this could be.
This is, I think, very common, particularly for littler kids, where there's spleen.
She is not well formed, and you find that they're rubbing their eyes a lot. And then maybe this is a kid who tends to have loose stool
And the appearance of the eyes.
It won't be terrible like it won't be there's not a lot of heat in this in this formula.
What there might be, though, is more Fleming like that jelly like.
Look where the eyes just don't have a clear, clear look, right?
And we know that because of the ee run
However, here's how you want to modify it.
You're gonna need to modify it with some true shell, because the eyes are red.
Right, maybe mood on P. Particularly irritable
And put in song by P. Right so I'm gonna be so friendly for children.
It's sweet
And cause you have to clear a little bit along heat like we know that.
And then the other thing you might consider from the earlier part of this lecture, as you might consider adding 5 phone to consolidate the exterior to help them be become less allergic, make sense?
There any questions?
Are there no questions? Okay?
But another nice option. Here's another case for of a kid.
Okay, we've got a 12 year, old boy, and he is recurrent redness and intense itching for 5 years.
So he's 12 years old. So since he's 7, he's at itchy eyes.
Alright, and there's sticky filaments, secretions, and they're worse on the spring and some are better.
And fall in winter. And he's been treated with antibiotics and steroids and eye drops, and it just keeps coming and coming and coming alright.
They look at the eye, and there's dirty red Bulgar contract Tima, and a lot of itching, and it's kind of sticky.
The kid is, looks cello, thin body, and loose stools
And so the pattern differentiation is that the kid has a weak constitution, right?
And he's he says he's catches colds easily.
And so basically, what they're saying is, the key to spleen deficiency.
And therefore Chi and blood deficiency, and that resulted in that she deficiency results in dampede brewing and hanging around, and then that's why there's these sticky filaments right?
So the stickiness is. Gonna tell you there's dampness anytime.
You see a kid's eye like you're looking.
How dry, how sticky, how gunky are they! And and
And then we also know there's some Demos, because the Kid has a little bit of loose stool.
So the disease is located in this plane, but also the long is involved and the livers involved, because there's wind and itching
So it sayss an excess and deficient case. So we're gonna straighten the spleen and boost the chi and dispel dampness and relieve itching and redness.
And we're gonna do it by modifying. Oh, John, niche, Tom, right?
So obviously here's Boojang Yi Tung right.
But there's no Shanghai. Could we have used, you know?
Maybe yeah, because it actually goes to the young Ming channels.
I, try who is valuable, for the simple reason that it's recurrent, and we often think of cyclic problems.
As I say, disorder, right it comes, and it goes, and it comes, and it goes.
But it doesn't actually come and go like heat and cold chills and fever.
It comes and goes seasonally, recurrently, like you might think about that.
But here's some really excellent modifications that look completely dermatological in nature.
Right so who Shan Shuang's a by Shan Pedefuza.
All of these are gonna clear. We use this for like dampede skin conditions.
So the eye that concert type is also a scheme. It's an exterior
And so. So this is how you would approach a kid. Well, a a person, even an adult constitutionally, like treating the root and the branch together.
It's like a beautifully, a beautifully constructed formula. I think
Also, here's some a couple of patents twunchingly on tablets. If it's there's a lot of red and guncin infection there's and the other is a patent called Schwong Paulian Oral drink, which is basically, honeysuckle and copies, to just clear
Heat and fire. Talks, and and you could try those things.
I have a feeling like, if you can, a kid can swallow a pill.
There's probably many pills that you could use, but none of which are going to be exactly right, but might be right enough
This would be especially important for all these fire talks and formulas where they really just aren't gonna taste good.
So it's gonna be easier to treat an older kid
At the very least you could encapsulate it
Okay, and what you stop and start, cause I'm gonna go to the next topic