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Gentle Warriors
Growing the Tao: Building Health in Early Childhood
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To get to the richness of practice
Just look at the blushing baby.
Such weak bones and tender muscles
And yet what a firm grasp.
Unaware of sexuality and yet so fully aroused
Such is his utmost Essence.
Crying all day and yet never getting hoarse
Such is her utmost Harmony.
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| Lao Zi 551
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The Digestive System Rules
For infants and young children, the digestive system rules, and good food is essential
to healthy growth. In Chinese medicine, the Middle Burner, governing the activities of
the Stomach and Spleen, dominates physiological and psychological process during infancy
and early childhood.2 Relative to their size, children consume large quantities of food
and fluids in order to generate an abundance of Nutritive (Ying) and Defensive (Wei) Qi,
and Blood (Xue). They also eliminate substantial waste. Children are active
metabolically, yet limited by their immature respiratory, digestive, nervous, and immune
systems. Infants and young children, although they are at the height of their adaptive
capacities, are also vulnerable because the Middle Burner is at a peak of activity in
order to keep up with rapid growth. They can become intensely ill quickly, and recover
rapidly. Or when a problem lingers, they become worn out.
Because of their voracious appetites, and easily overburdened eliminative functions,
children can develop accumulations of food, fluids, and Qi, which in turn may evolve
into patterns of Qi stasis, Food Stagnation, Dampness, Phlegm, Damp Heat, Heat and
Internal Wind. Common manifestations of these congestions include colic, reflux, surplus
mucus in the nose, ears, throat and sinuses, irregular bowel movements, rashes,
excessive sweating, fevers, sleep disturbances, restlessness and irritability. These
conditions are not illnesses, but rather dis-equilibriums of Qi that can predispose a
child to catching colds and acquiring allergies, as well as developing problems with
vision, hearing, mental focusing, learning and emotional equanimity.
Vulnerable and responsive to fluctuating internal and external influences, children can
have dramatic responses. So it is important to pay attention to the timing and dosage of
immunizations, antibiotics, decongestants and antihistamines as well as to their
exposure to new foods and environments. Some of the common circumstances that put
children at risk for imbalances include absent or early termination of breast-feeding
and the abrupt introduction of cow's milk, soy-based infant formula, or solid foods
before the child can adequately digest them. Even a breast-fed infant can react
adversely to foods in the mother's diet that pass into her milk. Food intolerance can
disrupt the fragile ecology of the gut, as can antibiotics or immunizations, spawning
tribulations from indigestion to the onset of allergic reaction patterns.
The following are a few simple and supportive measures that can be employed to help
prevent physical vulnerabilities and developmental problems from occurring:
1. Ideally, babies should breastfeed. The combination of friendly bacteria in the
intestines with the antibodies present in breast milk builds resistance until the
child's own immune system becomes fully competent. Do not hurry to substitute cow, goat,
sheep, or soy for breast milk, as these can induce allergic reactions and immunological
changes in the small and large intestine, and have profound nutritional consequences
unless supplemented with other foods. Experiment with naturally fermented products such
as yogurt, but be alert to any signs of intolerance such as mucus congestion, skin
irritation, indigestion, diarrhea, irritability, or sleep disturbance. Contrary to
conventional wisdom, it is not essential for children to continue drinking milk after
the cessation of breast-feeding in order to maintain adequate calcium levels for proper
growth. Sufficient calcium is available in other foods including leafy green vegetables
like kale and collard greens, sprouted barley and quinoa, black and pinto beans, almonds
and hazelnuts, sunflower and sesame seeds, sardines or other small fishes in which the
bones can be consumed with the meat.3 Also, soup cooked with marrow bones and a little
vinegar is an excellent source of calcium, phosphorous and essential amino acids.
2. Adherence to a rigid feeding schedule can be problematic, as can overfeeding.
Introduce new foods slowly, one at a time, when the child's appetite indicates a need
and taste for them. One indicator of the right moment may be the emergence of the two
upper and lower teeth. Emphasize simple, easy to digest, nonŠallergenic foods: soupy
porridge made from non-glutinous white rice, cooked and pureed carrots, yams, spinach,
apples, pears, or bananas; diluted, unsweetened fruit juices; vegetable or meat broth.
Finally, it is good to avoid the early or excessive feeding of sugar, honey, fruit
juice, grains, starchy foods (bread, crackers, pasta), raw fruits and vegetables.
3. Avoid giving infants or toddlers iced or refrigerated liquids or foods-- the cold
causes Stomach Qi to stagnate, inhibiting the capacity to digest, assimilate and
eliminate. Liquids and soft cooked foods served warm or at room temperature are the most
desirable and beneficial, especially when children are sick.
4. Since it is better for children to develop senses of taste and smell at their own
pace, avoid adding flavorings or condiments to food like salt, soy sauce, pepper,
garlic, ginger, sugar, oil or vinegar unless it is for specific reasons.
5. Chinese traditional medicine has a particular bias against overly enthusiastic or
frenetic activities that cause excessive physical, mental and emotional stimulation.
Over-excitement of the mind and senses can agitate infants and toddlers, creating a
dissonance between psyche and soma (Shen-Jing) that may lead to physical, psychological,
and cognitive disturbances such as failure to thrive, behavioral problems, dyslexia, and
ADD/ADHD. Resist exposing young children to prolonged or over-excited conversation,
intense visual and auditory experiences like television, movies, loud music, fireworks
and other events that may be too intellectually demanding or overwhelming to their
sensitive nervous systems. This is particularly true for eating while watching
television, which has been linked to long-term obesity and Attention Deficit Disorder.4, 5, 6
For proper restorative sleep, conditions that are not too noisy, bright, hot, cold,
or too isolated are optimal.
6. Immunizations, for some infants and toddlers, can be challenging. To optimize
conditions for immunizations, it is best to avoid multiple vaccinations administered
simultaneously at one visit. It is rare under ordinary conditions that anyone is exposed
to multiple diseases at once, and this puts an undue burden on an already delicately
balanced organism. While it is often difficult to find a pediatrician who will order and
administer individual vaccines since pharmaceutical companies prefer to combine
vaccines, it is important for parents and pediatricians to lobby for single vaccines for
the protection of children. It is also critical to postpone immunizations with a live
vaccine (such as measles, mumps, rubella or chicken pox) for one month following an
acute febrile illness such as a cold, the flu or gastroenteritis, in order to give the
immune system time to recover.
7. Since antibiotics and immunizations can have a powerful impact on the immature
intestinal tract and easily upset the child's immunological equilibrium, digestive
capacity, cognitive competence, and mental tranquility, supplement these treatments with
ample doses of beneficial intestinal bacteria (bifidus, sporogenes, and saccharomyces in
the case of yeast overgrowth) and warm fluids. In the case of immunizations,
pre-treatment with acupuncture and herbal formulas such as Grow and Thrive and
Windbreaker can bolster a child's resistance prior to and following vaccinations. Some
children with weak digestion, poor appetite, and slow growth can also benefit from
digestive enzymes (vegetable or animal source) that include protease (for proteins),
amylase (for starches), lipase (for fats), and lactase (for the milk sugar lactose).
8. Have faith in the child's ability to recover from mild and nonŠserious illnesses,
even when they display a multitude of symptoms that may panic parents and perplex
practitioners. For example, it is important to distinguish between a developmental
phenomenon, like teething, that is normally accompanied by congestion and drooling, and
a cold, which is a reaction to a viral challenge to the upper respiratory system. During
the normal teething process, some children develop a hacking or phlegmatic cough with a
clear, yellow, or green discharge from the nose or eyes, a sore throat, diaper rashes,
low-grade fever, and experience ear discomfort along with sore and swollen gums. This
does not mean an infection is the primary cause of the distress. Inflammation in the
mouth temporarily generates conditions in the body that stimulate or may even promote
microbial overgrowth, and the appearance of yellow or green mucus secretions. However,
when the teething subsides, so do the mucus and the pain. Parents as well as
practitioners are often swept away by the child's misery and their own doubts and fears.
It is important at these times to act in the overall interest of the child, making an
effort to identify the source of the child's distress, and providing appropriate relief
without overly aggressive treatments. Simply stated, it makes sense to feel for an
erupting tooth before reaching for an antibiotic.
9. There is also controversy regarding the appropriate medical treatment of sore
throats and earaches in children. Evidence indicates that antibiotics are not a
particularly effective treatment in most cases. Recent research also suggests that
allowing children to recover naturally from common colds and flus without aggressive
medical intervention reduces the risk of more serious respiratory problems like asthma
and allergies later in life. Public health professionals are increasingly calling for
restraint with regard to antibiotic prescriptions, except in specifically defined
clinical situations. Antibiotics are not recommended for routine ear infections in
children over 2 years of age, or for sore throats, except for culture-proven strep.7
Providing Safe Solutions For Pediatric Care
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