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Introducing Pediatric Formulas to Chinese Modular Solutions: by Harriet Beinfield, L.Ac., and Efrem Korngold, L.Ac., O.M.D.
Eight new pediatric formulas have been added to the Chinese Modular Solutions repertoire, creating Gentle Warriors, herbal medicine for children. These are safe and effective remedies that support and protect the welfare of children, from infancy through adolescence, by addressing the most common respiratory, digestive, dermatological, and psychological childhood disorders. Gentle Warriors comprise a simple and comprehensive repertoire for managing a wide array of acute and chronic pediatric ailments, and maybe used for adult patients as well.
In conventional pediatrics, antibiotics are life-saving when necessary, but are commonly over-prescribed for non-serious and self-limiting illnesses like otitis media, bronchitis, sinusitis,pharyngitis, gastroenteritis, urethritis, and dermatitis. Earaches are the most frequent trigger forpediatric visits, and the standard treatment is amoxicillin, even though studies show that antibioticsdo not effectively reduce the incidence of ear infections. Of the 235 million doses of antibioticsgiven each year, the Center for Disease Control estimates between 20 and 50 percent are unnecessary. Over-prescription of antibiotics undermines resistance to infection and promotes recurrence. Repeated use causes secondary problems including yeast overgrowth, diarrhea, indigestion, and mal-absorption. Gentle Warriors provides alternative solutions to pediatric problems without adverse effects. They
are mild tasting liquid extracts that are easy for children to swallow. Before resorting topharmaceutical interventions the following eleven formulas are appropriate:
Windbreaker: earaches, sinusitis, sore throat, colds, flu, allergies Chest Relief: cough, laryngitis, phlegm Pipe Cleaner: bronchitis, painful cough, tenacious phlegm Open Air: acute asthma, wheezing Deep Breath: chronic asthma, wheezing Grow and Thrive: frail, weak digestion, poor appetite, low resistance Tummy Tamer: indigestion, gastroenteritis Easy Going: indigestion, constipation Belly Binder: indigestion, diarrhea Fire Fighter: rash, hives, impetigo, bites, stings Quiet Calm: agitated, nervous, cranky, hyperactive, troubled sleep Both acupuncturists and pediatricians have
for the development of a more serious infection that I can
used Gentle Warriors formulas successfully
then treat with an antibiotic.” I know this sounds facetious,but it is not really. This is the clinical scenario of a policy of
Two pediatricians from New York wrote letters in March of
“watchful waiting.” I would like to add that I think this is
2001 applauding the effectiveness of another original Gentle
fine, and certainly safer than prescribing antibiotics
Warriors formula, Chest Relief. Dr. Larry Baskind M.D.
promiscuously with the attendant complications.
But I have to say that I would like to do more for my
“I prescribed Chest Relief to a hundred or more children
patients. I would prefer that they don’t develop the bacterial
and used the product for every member of my family. There
complications of routine viral illnesses and I would like
have been no adverse effects reported to me. I’m certain that
them to feel better as quickly as possible. To this end, I have
there would have been, because my patients’ parents are
researched herbs and other remedies, and sought out
quick to call when, for example, they experience rashes or
reputable manufacturers like Kan. I believe and have found
gastrointestinal upset while taking antibiotics.
that certain “alternative” medicines offer a safe and effectivetherapeutic approach to what are considered mild and
On the contrary, I have found that Chest Relief, as well as
benign childhood diseases. We have used Chest Relief in a
other Chinese Modular Solutions products, have been
variety of clinical situations, especially in asthmatics that
extraordinarily safe and effective. Here is my logic as a
tend to wheeze with minor upper respiratory infections. As
practitioner who cares deeply about his patients, deeply
is the current standard of care, we provide them with
enough to spend many, many hours and late nights
nebulizers and peak flow devices and instruct them on using
“As a practicing pediatrician and former Medical Director of the Asthmatic Children's Foundation, I have observed considerable benefit from Chest Relief in a number of my patients without any adverse effects.” Stephen Cowan, MD, FAAP
immunization and tend to useantibiotics for acute, febrile
associate consulted with one of the ENT specialists at our
Last year the Working Group Advisory Committee to the
hospital. He seemed to be a bit surly, and when asked about
CDC issued a statement about using restraint and
this, he blurted out: “Why don’t you send any of your
discrimination in prescribing antibiotics for ear infections.
[myringotomy] tube cases to us?” My associate was taken
The CDC the year before recommended a policy of
aback, but then searched his memory for recent cases of
“watchful waiting,” suggesting that pediatricians not use
persistent otitis media that required myringotomy tube
antibiotics for uncomplicated ear effusions and non-strep
placement. He couldn’t recall any, and I can only think of
pharyngitis. While this is prudent on scientific grounds,
one child I’ve seen this winter who had tubes put in. This is
somewhat unusual for a practice as large as ours (over12,000 patients). I believe that a good part of this is our
“Well, Mrs. Jones, I’m glad to inform you that Johnny
adherence to the principle of restraint with antibiotics and
doesn’t have an ear infection, strep throat, or any infection
our implementation of alternative medicine protocols like
treatable by antibiotics today. Unfortunately, since studies
Windbreaker and garlic oil for chronic otitis and persistent
have failed to demonstrate any benefit in using
middle ear effusions (as well as our policy of careful follow
decongestants, antihistamines, or any other preparations for
symptomatic relief, I can only recommend that you watch
Chest Relief and Windbreaker have proven to be effective
Parents can now have the option of
and safe medicines in clinical use. I would like to add that
using herbal medicine or antibiotics
they are some of the few herbal medicines that children willactually take without a major protest. This includes my
A 2002 newspaper article titled “Revisiting traditional
highly discriminating sons.” Larry Baskind, MD, FAAP
remedies--Doctors beginning to recommend herbal cures for a variety of ailments,” highlighted the use of the Gentle
When appropriate, these formulas can be used as first-line
Warriors formula, Windbreaker, by a San Francisco
treatments, often obviating the need for pharmaceutical
interventions like antibiotics, antihistamines, decongestants,
“When my husband came home from the doctor's office
cough suppressants, bronchodilators, steroids, stimulants,
with a Chinese herbal medicine, Windbreaker, to cure our
sedatives, or anti-depressants. Gentle Warriors also provides
3-year-old's persistent cough, I shook my head. "Couldn't
complementary support for children receiving conventional
they have given you any real medicine?" I asked. But at the
care by mitigating side effects and diminishing reliance on
moment, it was all I had, so I squeezed 10 drops of the
brown stuff into Marisa's orange juice and handed it to her. The cough that had persisted for well over a month was
Many pediatric disorders are a result of disharmonious
gone. Maybe there was something to this herbal stuff.
interactions between the Stomach, Lungs, and Heart.
"I don't want to give her medicine she doesn't need, but
Additionally, in some children who are failing to thrive,
I want to make her feel better," said Dr. James Schwanke,
weakness of the Kidney (insufficiency of pre-natal Qi) may
the pediatrician who had prescribed the Windbreaker. "All
be a factor contributing to inadequate immunity, poor
pediatricians are being coached to give fewer and fewer
digestion and assimilation, hypersensitivity of the nervous
antibiotics, because (more antibiotics) lower kids'
system, and delayed development of cognitive and motor
Windbreaker, which lists flowers, roots and herbs on the
label, is an Americanized name for a traditional Chinese
Children’s resistance to noxious influences and their ability
treatment, Schwanke explained. In the Chinese system,
to adjust to the natural changes occurring within them as
mucus is related to wind, Schwanke said, and drying up the
they grow is intimately related to their capacity to eat, digest,
rest, and be adequately nurtured emotionally and mentally
Schwanke said his interest in Windbreaker and a handful
within a predictable, tranquil and stable environment. Even
of other Chinese herbal medicines began about 10 years
healthy infants and toddlers up to the age of four have
ago, when Efrem Korngold, a "crusader for Chinese herbal
immature digestive, respiratory, nervous and immune
medicine," gave him some samples.
systems that, when under duress, lead to a host of common
"At first I wasn't terribly interested," Schwanke said.
ailments. The cases on the following pages are representative
"Eventually, for my own sinus problems, I turned to
Chinese herbs." Impressed with the results, he said, he triedit on his own kids for their sinus and ear infections about
seven years ago, when his youngest was 3. It worked well
all 11 Gentle Warrior formulas
with her, and he began prescribing it to patients, givingthem the option of the Chinese herbal medicines or
Windbreaker Grow and Thrive
Windbreaker…helps treat children in the early stages of
Chest Relief Tummy Tamer
illness, with a cough, runny nose and lethargy, showing that
Pipe Cleaner Easy Going
a cold or flu may be developing. It stimulates the body's
Belly Binder Deep Breath Fire Fighter Quiet Calm Jan Goben, Chronicle Staff Writer, Sunday, May 19, 2002(San Francisco Chronicle)
*Offer good till February 28, 2006*32oz. sizes do not apply
Each of the eleven pediatric remedies can be administered as
clinging closely to her mother), and the bright red rash that
stand alone prescriptions, combined with other Gentle
seemed to worsen rapidly, she showed signs of being a Fire
Warriors formulas, or with appropriate formulas from the
Type. Fire types are expressive and sensitive, emotionally
Chinese Modular Solutions repertoire. For that matter,
and physically, often displaying their disharmonies on their
adults can equally benefit from these formulas.
skin—wearing their hearts on their sleeves. They easilygenerate excess Heat easily, due to their being
When treating children constitutionally, according to an
hypersensitivity, mental excitability and the hyperactivity of
underlying syndrome (for example a liver-lung disharmony
their nervous systems. Heat invades the Blood if it is not
in an asthmatic child or a kidney-heart disharmony in a
adequately dispelled through the skin, lungs, or urine, and
nervous and fearful child), it may be effective to combine
then rashes can ensue. This child needs cooling and calming.
one or more of the pediatric formulas with a Harmonizing
Firefighter and Quiet Calm were prescribed in the following
or Strengthening formula. For a tense child with food
sensitivities and indigestion, a good prescription mightinclude Tummy Tamer and Quiet Calm, combined with
Firefighter 40cc
Harmonize Liver-Spleen. For the nervous and fearful child
Quiet Calm 20cc
with difficulty falling asleep, a good prescription might
include Quiet Calm and Harmonize Kidney-Heart. Acautious, quiet, introspective child with skin problems could
She returned after one week. At that time the rash cleared
be treated with a combination of Fire Fighter and
about 85%, remaining only at the elbows and knees. The
Harmonize Spleen-Kidney if dampness is present, or with
child was happier, less fearful, and less itchy. Although she
Harmonize Kidney-Heart if nervousness and anxiety are
had no digestive complaints, but because of her parents’
problems. The Gentle Warriors constitute a foundation
history of allergies, it was recommended that she eliminate
sugar, wheat and dairy from the diet while continuing withthe same herbal prescription. One month later, the eczemahad disappeared completely, with only minor recurrences
triggered by eating sweets, wheat, or dairy.
The mother of a two-year-old girl with chronic eczema at
This young girl is typical of commonly seen childhood
the inner elbows and behind the knees was alarmed when
eczema. There is a familial pre-disposition to allergies and
the bright red rash spread to her ears, neck, chest, torso, and
specific food intolerances in an otherwise healthy, robust
arms. The child was sensitive and worried, becoming easily
child. With only Firefighter and Quiet Calm, 80% of the
upset and frightened during the examination. Both parents
problem was relieved, and with the addition of appropriate
had a history of allergies and the father also had skin
dietary modifications, the condition remitted 100%.
problems. The child’s history did not reveal any significantdigestive, respiratory, urinary, or other health problems,
although her mother had suspicions that certain foodsaggravate her eczema (sugar, wheat, dairy, and soy).
A seven-year-old boy had a recurring asthmatic cough that
Her tongue appeared healthy, with a slightly thickened
developed after a prolonged bout with bronchitis. His
white fur; the digital vein on her index finger was
symptoms were triggered by colds or hay fever, when he was
unremarkable and did not extend beyond the knuckle.
tired or distressed. He appeared nervous and tense during
Based on her emotional sensitivity (she became teary often,
his first visit, with difficulty sitting or lying still, although he
was talkative and happy to interact and be examined. His
Type and that there was a great potential for conflict
tongue was somewhat thin with good color, and slightly red
between the two of them because of their inherently
at the tip, and his pulse was slightly pounding, and
opposite ways of responding to the world. This insight
helped her gain a better understanding of her son’s characterand the reasons he reacted in the ways that he did. As a
His mother said that he was easily frustrated and angry, and
consequence, she developed different strategies and their
that they were in a difficult phase of their relationship: he
relationship improved enormously. This is in accord with
was having trouble following rules and being cooperative
the Chinese medicine principle that maintains: when the
(typical tendencies of a Wood Type). She also said that he
child is ailing, attend to the mother.
was a smart and energetic boy who demanded freedom tomove around and a lot of physical activity in order to behappy. This was challenging for her because she preferred
things to be orderly, peaceful and congenial (typicalcharacteristics of a Metal Type). There seemed to be more
A nine-year-old boy had chronic headaches and bellyaches,
and more friction between the two of them (conflict
with a tendency toward constipation. As a toddler, he had
between Wood and Metal) as her son got older.
eczema on his face and was somewhat allergic. He had hada peanut allergy that was successfully treated with
This boy was wary of receiving acupuncture because of a
homeopathic remedies. The headaches and bellyaches
prior experience that had frightened him. Instead, the
tended to occur during school, presumably due to worry and
treatment consisted of 10 minutes of gentle gua sha (skin
anxiety. He had frequent bouts of indigestion, especially
scraping therapy) applied to his upper back. This mild
treatment triggered an intense emotional catharsis (WoodTypes characteristically recover quickly from emotional
This robust, slightly chubby, shy and affable young boy had
upsets), after which he felt happier and was considerably
a tongue with good color and shape, with slightly sticky
more at ease. He showed clear signs of a disharmony
yellow fur in the center, and fine herringbone cracks along
between the Liver and Lung Networks and was sent home
the central groove. The outstanding quality on his pulse was
a fine vibration overall and a thin-feeble quality at theStomach position. Harmonize Lung-Liver 20cc Strengthen Lung 20cc
His manner was friendly, responsive and accommodating, in
Open Air 20cc
spite of any qualms he may have had about receiving
acupuncture or taking herbs. Together with his somewhatfleshy body, these are hallmarks of the Earth Type. His
Returning in two weeks, he was much improved, but his
headaches and bellyaches are triggered by social challenges at
emotional volatility continued, and this reaction pattern
school: worrying about interpersonal relations is another
appeared to increase his susceptibility to asthmatic episodes,
characteristic of Earth Types. So there’s no surprise that the
with or without accompanying colds or allergies. So his
root of his problems are related to weakness of the Stomach
Qi, as evidenced by the appearance of the tongue and thequality of the Stomach pulse. Headaches in children are
Harmonize Lung and Liver 20cc
often a consequence of indigestion combined with
Open Air 20cc
emotional and mental strain: a vibration on the pulse is clear
Quiet Calm 20cc
evidence of nervous system strain, probably as a result of
ongoing anxiety. The initial prescription included:
After one month, he rarely experienced asthmatic symptoms
Easy Going 40cc
and was getting along much better with his mother. After
Quiet Calm 20cc
further dialogue, his mother realized that she was a Metal
By the second visit, the constipation had cleared up and the
Harmonize Liver-Spleen 20cc
headaches and bellyaches had diminished in frequency and
Harmonize Lung-Liver 20cc
severity. Since constipation was no longer a problem, the
Windbreaker 40cc
second prescription was modified to include:
Grow and Thrive 40cc Tummy Tamer 40cc Quiet Calm 20cc
This combination treats the Wood constitution while also
addressing the deficiencies of Post-natal and Pre-natal Qi,and the vulnerability to External Wind-Cold and Wind-
On the occasion of the third visit, his headaches and
Heat syndromes. Along with this, I suggested discontinuing
bellyaches had become so mild and infrequent they no
Nasonex as well as eliminating dairy, wheat, corn, soy and
citrus (especially oranges), the most common sensitizingfoods.
He responded well to the first prescription. His sinus
congestion was less, and he didn’t require the nasal spray.
An autistic fourteen-year-old old boy has been coming to the
Also, his bed-wetting was less frequent. By the sixth visit,
clinic since age twelve. His neuro-developmental traits
occurring in the spring, he had more hayfever symptoms, so
included lack of language (verbal utterances but no word
his prescription was modified to include:
acquisition), frequent hand biting, difficulty making socialcontact, general nervousness, frequent agitation, and
Harmonize Liver-Spleen 20cc
oppositional behavior when thwarted or restrained. His
Harmonize Lung-Liver 20cc
father brought him for treatment because of chronic
Tummy Tamer 20cc
sinusitis, nosebleeds, and frequent colds. He was being
Purge Heat 20cc
managed with Topamax (an anti-seizure drug prescribed to
Windbreaker 40cc
supposedly help language acquisition and reduce acting-out
behavior), Nasonex (a steroid nasal spray) and Allegra (an
This combination really reduced his congestion, sneezing,
anti-histamine). In addition he was following the DAN
itchy eyes, cough and irritability. He was sleeping better,
protocol (Defeat Autism Now) that includes digestive
bed-wetting only once or twice per week, doing less biting,
enzymes, EPA/DHA (fish oil), mega vitamins and minerals.
and becoming more vocal. His mood also improved: he wasless irritable, frustrated, oppositional and less fatigued at
The initial examination revealed a pre-adolescent boy who
was slightly overweight, but also under-developed in hismusculature and body shape. This suggested that along with
His treatments have been continuous now, 2-4 times per
his cognitive delays, he was also slow in maturing physically.
month, for over two years, and he has changed dramatically.
His tongue appeared flabby (without tone or well defined
He still has not developed language, but he is a happier,
shape), with teeth marks and thickened, yellow fur. His
friendlier person, he seldom has sinusitis or catches cold, is
pulse was tense overall, especially at the Liver position,
rarely fatigued, and thus able to keep up with a very busy
inflated and pounding at the Lung position, tight at the
schedule of instruction, occupational therapy, and other
Stomach position, and deep and thin at both Kidney
activities, and his body is developing into that of a normal,
positions. While not being particularly upset by the
healthy adolescent, with more definition, shape and muscle
examination process, he resisted my touch, often pushing
tone. His difficulties are more those of a rapidly changing
my hand away, refusing to make eye contact, and often
teenager, manifesting surplus energy and the urge to expand
attempting to get up off the treatment table. The general
his world. Although these changes sometimes cause
impression was that of a Wood Type child, with a congenital
interpersonal problems at home and at school, adding Quiet
weakness of the Kidneys along with secondary deficiency of
Calm to his herbal formulas seems to take the edge off of his
the Stomach and Lung Qi. The initial prescription was:
characteristic tension and nervousness. Listed below are base formulas for each ailment. For additional symptoms, add particular formulas that follow. UPPER RESPIRATORY ILLNESS Windbreaker + Chest Relief
Wheezing, tight chest, difficulty exhaling: Open Air
Fever (above 102° F or 39°C): Purge Heat
Cough: Chest Relief
Flu (fever, chills, body ache, lethargy, weakness): Bug Beater
Tenacious phlegm, chest pain: Pipe Cleaner
Sore throat: Phlogisticlean
Triggered by allergens: Enviroshield
Rash: Fire Fighter
Triggered by catching a cold: Windbreaker
Earache: Purge Heat + Phlogisticlean
Prolific phlegm: Purge Phlegm
Wheezing, tight chest, weakness, difficulty inhaling: Deep Breath
Painful bronchial or croupy cough: Pipe Cleaner
Cough: Chest Relief
Headache or neck ache: Purge External Wind
Excessive phlegm: Purge Phlegm
Sinusitis: Head Clear
Triggered by hunger or fatigue: Grow and Thrive
Susceptibile to catching colds: Strengthen Lung
Triggered by cold,damp air: Purge External Wind
Frail, vulnerable: Strengthen Lung + Grow and Thrive ALLERGIES PSYCHOLOGICAL AND COGNITIVE COMPLAINTS Windbreaker + Enviroshield
Sleep disturbance: Quiet Calm
Night terrors: Comfort Shen
Cough: Chest Relief
Overheated, restless: Purge Heat
Wheezing: Open Air
Dry, thirsty: Tonify Moisture
Phlegm: Purge Phlegm
Sinusitis: Head Clear
Sensitive, nervous, tired: Quiet Calm + Grow and Thrive
Hives, eczema, rash, acne: Fire Fighter
Unfocused, dreamy: Quiet Calm + Harmonize Spleen- GASTRO-INTESTINAL AILMENTS Kidney + Harmonize Kidney-Heart
Irritable and temperamental: Quiet Calm + Harmonize
Indigestion: Tummy Tamer Liver-Spleen + Harmonize Lung-Liver
Diarrhea: Belly Binder
Excitable and emotional: Quiet Calm + Harmonize
Constipation: Easy Going Kidney-Heart + Harmonize Heart-Lung
Stomach flu: Tummy Tamer + Purge Damp Heat
Cold symptoms w/ indigestion: Tummy Tamer + Windbreaker Spasms & seizures: Quiet Calm + Purge Internal Wind
Poor appetite, failure to thrive: Grow and Thrive
Spasms & pain: Quiet Calm + Tension Solution PRE-SORTED STANDARD U.S. POSTAGE
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N E Introducing Pediatric Repetoire to Chinese Modular Solutions: Gentle Warriors by Harriet Beinfield and Efrem Korngold Please visit us at the following Symposiums
Chinese Modular Solutions in Pediatric Care for Holistic Pediatric Association Seminar Series, Millbrae, CA.
Holistic Management of Attention Problems and Autism for Holistic Pediatric Association Seminar Series, San Diego, CA.
Fourth Annual Integrative Medicine for Healthcare Organizations Conference,San Diego, CA.
Complementary & Natural Healthcare Expo East,New York, NY.
Southwest Symposium 2006,Austin, TX. For more information call (800) 543.5233
Level One – Includes low-cost generic and brand-name drugs. Level Two – Includes higher cost generic and brand-name drugs. Level Three – Includes high-cost, mostly brand-name drugs and some self-administered injectables. These drugs may have generic or brand-name alternatives in Levels One or Two. Level Four – Includes high technology drugs and self-administered injectable drug
Travel Medicine for Hajj/Umrah – Tips for Staying Healthy This document has been prepared as a supplement to the travel medicine education you should receive from your primary care physician. God-willing it will serve as a quick reminder of travel tips and serve as a tool that will allow you to have a healthy pilgrimage. Throughout the document references to common health conditions such as