Sinew channel, general.

[Armin]

Ah, feels good to be the first to post a question 🙂

I have a 17 year old patient who recently had a biking accident as a result of which he broke part of his hip bone. He had to go through a major surgery and now has pins and rods placed inside of him. I have seen him pretty much since he was discharged from the hospital. The incision was done at the gall bladder sinew channel over the hip.

The first session, I only freed up the Gb SC (Sinew Channel) as the incision area was covered up. My intention was to work the sinew channel covering the area as he was not able to put any weight on the leg for another 6 weeks.
The second session onwards, I have started with the scar tissue treatment as I have access to the site now, followed by Gb SC treatment above and below the site.

The only other time that he’s feeling any discomfort is when he sits for a while. I’m thinking of adding the Bl SC for this.

Ann, would you kindly comment on my approach so far? Can I continue with the Gb SC until he’s able to do various movements and report to me. Another reason I have stuck with the Gb SC only so far is that when I have the needles for the scar tissue, obviously I can’t move him around to work on other SC’s, so I just stick to the Gb SC.

Thank you in advance!

[Ann Cecil-Sterman]

Armin,
To increase his rate of healing you might consider asking him what the most difficult movement is. You mention sitting but determine whether it’s the actual sitting, or whether it’s the action of rising after sitting for a while. The two different answers beg two different treatments. If it’s rising, then yes, BL sinew but if it’s the act of sitting still, you’re looking at LR sinew. If you’re using the GB sinew, be sure to palpate the entire channel! I hope this helps and welcome to the forum, Armin!
xoAnn

[Armin]

Thank you Ann!

Quick follow up question to your reply:

I am starting each session with him lying on his side so I can do the scar tissue treatment on the side of the hip. While he’s on his side, I do the Gb SC from top to bottom.

If I need to do the Liver SC, given that he has the scar tissue is surrounded with needles and I can’t have him on his back, should I do the Liver SC first, then the scar tissue treatment and Gb SC. Or, Liver, then GB and then scar tissue for the remainder of the session.

Thank you!

[Cody Dodo]

Hi Armin,
We usually start Sinew treatments from the most interior channels that are involved, going outwards. So Jue Yin would be the most interior, and then GB. If other channels are involved – for example, if you had Tai Yin and Yang Ming involvement in the picture you would start with Jue Yin, them Tai Yin then Yang Ming then Shao Yang.
And of course, before each treatment, we need to see if the components of Wei Qi are present: LU diffusion, ST fluid, KI Yang and Relaxed LR. Hope this helps.
C-

[Armin]

Hi Cody,

Thanks for taking the time. Just so I’m not embarrassing myself after two sinew channel classes with Ann, I should say that I am aware of the order of channels and the prep work that is done for each sinew channel session.

I can see how my original question can be confusing in the context of the written medium. I’ll figure it out and I am sure in future, I’ll get a chance to ask it in a live setting.

Cheers 🙂

[Johannah Ashley]

Hi Armin,
Its tricky sorting out the logistics of treatment sometimes isn’t it?! I would focus on the pulses and see what the most interior sinew pulse is showing up on the left hand wrist. I would start with that sinew channel and use lots of moxa!! Surgery puts so much cold in the Sinews and can make the Sinew tx so much more painful. All the best
Hannah

[Melinda Iglesias Wheeler]

Thanks all for this beautiful thread — so thrilled to be on here, reading, and participating. I will post some case questions soon!

with Warm Regard,
Melinda

[Armin]

Hi Hanna,

Thank you for your reply and suggestions.

When you say to use lots of moxa, which makes perfect sense, is it in relation to the most interior channel picked up on the left wrist? Or, do you mean just in general it’s good to use moxa in a surgery case? Perhaps over Du 4, 14 or over the scar tissue?

Cheers

[Johannah Ashley]

I would use pole moxa and warm the entire most interior sinew channel picked up on the left wrist and the scar tissue. You could definitely add in moxa on kid3, du4 etc if you feel they need to generate more Wei qi. But warming the Sinew channel either at the same time as releasing bindings or prior to release seems to scatter a lot of cold, improve the efficacy of the Sinead tx and greatly reduce the pain of the treatment.

[Armin]

Thanks Hanna! Great tip.

[Ann Cecil-Sterman]

Hello All,
This is like a dream come true. That the chat amongst everyone is at this level. I’m so moved. That was the idea – to raise the chat online to this.
Thank you for being here.
Much love,
Ann

[Antoine Mulpas]

Hello everyone,

Glad to be have found the forum and to be able to discuss with you all about Classical Chinese Medicine.
Ann, can you explain a little bit more about the differentiation between the SP/LV Sinew in relation to the sitting position ? The act of sitting is related to the SP. So I was thinking that the position, as it is a retracted one, would be more correlated to it. Also as prolonged sitting damages Spleen, thus I’m a bit confused here. In my head, LV was really more about paresthesia or paralysis or pain elicited by any movements.
Thank you for the answer,
Antoine

[Cody Dodo]

Hi Antoine,
LR can be pain all the time, numbness, or pain with no movement. Sitting for a while has no movement. The act of sitting as well as the act of getting up from a sited position would be other channels. But if there lack of movement when the pain is felt – it would be LR.

[Ann Cecil-Sterman]

Antoine,
Will you be listening to the live chat today? If so I’ll answer it there. If not, I’ll answer it here. It’s long answer in writing. Let me know! (Where are you from? I’d love to know!)
Thanks for being here
xoAnn

[Antoine Mulpas]

Hello Ann and Cody,

Thank you both for your answers. I am only seeing them right now, I didn’t yet subscribe for the live chat but I’ll definitively will ! If you answer it in the video I’ll check it during the day, if I read correctly all the previous live chat are accessible as well ?
Thank you Cody, I didn’t get well the difference between the movement/no movement. It will help greatly finding the right Sinew to work on.
Ann, I am from France and relatively new to this style of Acupuncture. I was working mainly with Japanese Acupuncture before, Ikeda sensei style. And I am trying to add to my practice all the channel systems. I have your two books and I’m watching the seminar from Master Yuen on ACCM. Hope to be able to come at one of your next seminar in Europe !
Have a nice day,
Antoine

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