[Armin]

Hi Antoine,

I would be curious to know what his pulses say? Are there any sinew channel pulses? Traditionally, I too would have gone for Liver, but in this case, I would also be curious to know about his overall condition, like digestion, sleep and the rest and then pick the channel that might help with most of his patterns. Liver is a good start, but my guess is that it might require more than just a sinew treatment, so yes the Luo would be applicable, but also you can combine liver with spleen if it fits the overall diagnosis. Perhaps even the PC sinew channel given that this is a chronic condition and would help with the emotional side of the condition, I think!?

[Armin]

Thank you Ann.

[Armin]

Thank you Ann! Makes perfect sense. Less in my own head and more with the patient.

[Armin]

Hi Antoine,

Ann always emphasizes making sure the person is hydrated before your start your session and has them drinking a cup of water before starting. Then, you do the protocol for sinew treatments, including Du4, 14 and addressing all the deficiencies which I think you know of already based on her book.

Aside from that, the patient also needs to stay away from the activity for a bit of time for the healing to happen.

Also, pay attention to the binding areas around the elbow. There will likely be a lot of tension and points to release.

Armin

[Armin]

Hi Antoine,

I would concur with your Yangming assessment given that he is experiencing the pain when he is doing a hold (weight bearing)! Not sure about the Taiyin, though curling the finger towards the palm probably is Taiyin, but in this case, you want to focus on the pain caused by the worst movement, and that’s the weight bearing of Yangming.

As for the actual location of pain, then it’s likely on the Jueyin/Shaoyin zones! Given that the “not normal” sensation is always there regardless, then I would tend to go for Jueyin (pain present regardless of movement).

I have had great success treating finger injuries and issues with direct rice grain moxa (okyu) around the area that hurts the most, and would a 3 rounds on the Ahshi points.

Hope this helps.
Armin

[Armin]

Thank you Ann!

[Armin]

Hi Antoine,

I am no expert but I think what Cody was trying to say is the following:

If pain is experienced while you are simply sitting (no movement), it’s considered liver.

If pain is experienced when you are in the action of standing up from a seated position, then it’s something else. I think it would be considered Tai Yang as you are in the process of extending the body upright.

If you are standing and going into a seated position, then that’s considered body going into a flexion or coming together, which is Spleen or Taiyin (again, my understanding of it).

So, for simply being in a seated position with pain, numbness or any discomfort, you are looking at Liver.

Armin

[Armin]

Hi Liz,

Yes they can certainly be confusing!

With respect to your inquiry, extending backward or any extending for that matter, tends to be Tai Yang, to my knowledge.

As far as lateral flexion (ear to shoulder), I would tend to go with Shao Yang but others seem to also consider it a form of extension, hence Tai Yang!

I am sure we’ll find out soon in the clinic or here in the forum:)

Armin

[Armin]

Hi Johannah,

Thanks for the reply. Sorry, I didn’t get the notification that you had replied until actually entering the forum just now.

I should have mentioned that I was trying to treat this elderly person for acute arthritic knee pain flare up. I know given that it’s a joint issue, divergents are more indicated as you have also pointed out, but currently I am immersing myself in the sinew treatments to get a better overall feel for this style first before tackling divergents in the near future.

I should also say that I did go ahead and tonified those deficiencies and right after the session, the pulses were less wiry and floating and when he came back after three days, there was an overall improvement with the knee and the pulses had mainly stayed less forceful, wiry and he felt overall warmer.

Thanks,
Armin

[Armin]

Thank you Ann! It was explained very clearly.

[Armin]

Thanks Hanna! Great tip.

[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

[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 🙂

[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!

[Author]

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