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Hello Liz,
Thank you for sharing your case. And congratulations on taking on the learning of the classical art.
Two things are important here. Firstly, bleeding a luo point actually treats the underlying condition. The thinners are treating the symptom (clot). Bleeding the luo point regulates the blood so that it is less likely to clot in thee first place. When a patient is on thinners, bleed no more than one point at a time and after the blood changes color, press on the point until it has completely stopped before moving to another point. As you’re doing that you are focused on the reversal of the pathology, not what you think might go wrong.
The second important thing is that it’s very important that you don’t formulate treatments because on labels and diagnoses. Parasomnia and insomnia have myriad causes and you can’t determine the cause from a diagnosis. So is it the Hun? Is it blood deficiency? Is it Yin deficiency? Is the heart not speaking to the kidneys? Is the Shen not anchored? And so on. And you’re right: pulse taking is key in diagnosis. Perhaps instead of the divergent class in London, you might be better served by the pulse class in Poland. (I’m may do one in New York in February, tbd.) But you seem to be on a roll. Maybe Cal or Hung might organize a study group for the pulses in London. Anyway, the western diagnoses are broad terms that catch so many possible causes. I would certainly be starting with the Liver Luo here. And I think you would find yourself in divergent territory eventually, since the opposite leg responded. But stay simple. When you’re introducing yourself to this complex powerful medicine, stay simple. Just do luos in one session and let the patient have reflective time on the table with no talking but sit with him. I think you will find the LR luo treats the sleep issues more than you think. Find the deficiencies (thin, weak) pulses and nourish that medium. Stay simple is the main message here, Liz. Welcome here and feel free to ask more.
AnnAntoine,
I really like Armin’s ideas.
Once you’ve cleared the lower burner, you might consider consolidating Dai Mai but also clearing fear from the Yuan level since it’s a Yuan level issue based in fear. The simplest of these treatments (very very powerful, though) is to bleed TH-5, KI-4 and then BL-58. Let us know how it goes, Antoine.That’s a great question, Armin. The intention is the key. When you needle to prepare for a sinew treatment, your focus is on the movement of the fluid component of Ying Qi generating Wei Qi and then the distribution of wei qi. So you’d need to do more treatment to ensure blood can move and that it can be replenished during sleep. I hope you’re well! A
So great, Armin. If there’s pain at night, be sure to nourish blood or yin or both according to the pulses because yin symptoms at yin times requires that!
Amy – Thanks for bringing that up. Great point. I hadn’t seen that before I pressed send on my comment.
Elizabeth – the pulses and the nodules around the breast are suggesting LU/LI divergent. Latency has been lost. Be sure to satisfy the law and refer her out in writing and also to document her refusal. Then work very seriously. You could work to restore yang qi using that confluence and then work back to THDC to restore qi to the digestive tract (which as you know has accumulated dampness) so that digestive qi is tonified and able to manufacture the mediumship needed to regain latency.
Elizabeth, I’m not sure that there need be an ethical dilemma in bringing up the nodules because you’re not treating the nodules, you’re treating the emptying of the Luo channel into the primary channel. The nodules is simply a symptom of what you’re treating (Shen issues). So you’re bleeding the luo point and then moxa-ing the luo point which happens to have a nodule on it (Feiyang BL-58). All the nodules will be on a channel. Bleed the luo point of those channels and then moxa. Be careful-she might not feel the moxa. Use your fingers to gauge the heat. The pulses you describe indicate systemic dampness which is there to contain this blood based pathology. This is perfect luo territory. I’m sure you’ll help create major change here. Thanks for presenting such interesting cases, Elizabeth. Annx
Elizabeth, the only thing I’d like to chip in in addition to Armin and Antoine’s excellent suggestions is that you might cup SI-12 as part of the treatments. I wonder had she had a vaccine recently. The distal joints are stiffest because she’s trying to eliminate through the Jing-wells but there isn’t anough Yang qi to push the pathogen all the way out. As was suggested, moxa on KI-3, DU-4 and DU-14 is important to restore Yang to the exterior. Armin is talking about another lens through which you can diagnose sinew pulses. In that method, Yang Ming shows up in the chi position at between 1 and 3 beans of pressure. But no need to worry about which method to use. All the best with this case, Elizabeth. You sound strong in your resolve to get to the bottom of it. Very warmly, Ann x
Hello Elizabeth,
I’m sorry we’re late answering. Not sure how we missed your interesting post.
With luo vessels, you can very effectively treat all that you describe including the paranoia. Yes, the mental issues will be treated along with GI issues. Find the areas that are most heavily populated and work out which Luo trajectory they appear on. Bleed that luo point first, and then bleed the darkest, most congested luo vessels on the trajectory. Then move to the next most congested area. You’ll be amazing by the change in the mental and emotional states. I wouldn’t start with divergents, no. And don’t worry about bruising. The benefit will be so profoundly felt that the patient is usually not at all bothered. Be sure that they have signed and initialed your regular disclaimer acknowledging that they accept that bruising may occur. This is standard, as you know. Let us know how it goes, Elizabeth and how we can help further.
Very warmly,
AnnArmin, in the treatment of children, it will often suffice to vibrate the needle for as long as you can and withdraw it, so there’s technically no retention. I prefer to vibrate the needle for as long as possible, have the child watch the needling and then continue to watch the needle after I’ve let go of it. Very often the child will see the needle continuing to vibrate on its own, become fascinated by it and allow it to remain in for much longer. xoAnn
Hi Armin,
Yes, he sent a gatekeeper unknowingly. How to avoid it? The first thing to remember is to leave the patient’s energy over there, with them. It’s energy and it need not be experienced in your body at all. The thing to cultivate is the experiencing of the patient’s energy in their body, not yours. So you probably received instruction to work on that, Armin, which is a gift in itself. I see this skill as a deciding factor in how much a patient will show you. They know what you can tolerate and what you can’t. And if you feel it in their body, not yours, they know they can reveal an unlimited amount of themselves.
Thanks for writing.
xoAnnThank you, Antoine! I look forward to meeting you in Europe!
No movement available means that Jue Yin sinews are holding the pathology. PC or LR sinews will treat paralysis.Thanks for being with us.
xAnn
