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Hi all,
An interesting discussion!
I know from a biomed perspective, testosterone supplementation (and esteogen fluctuatation) can lead to an increase in infections. Has your patient been experiencing these symptoms for a few years?I also wonder, do they seem to be struggling with their gender identity at this point? If not, some simple support to clear dampness and stagnation from the lower jiao may be all that’s needed to halt the cycle they are in, now that their hormones are stabilizing. How’s their diet—-does it include a lot of cold and damp foods/ drinks? Does their menstrual blood give any indication of dampness or other stagnation? And their pulses-—does it feel like excess dampness? Cold? And/ or yang xu? I haven’t worked with anyone coming off of T, but I wouldn’t be surprised if the body flipped from seeming yang excess to a deficiency in response and that can play into leukorrhea and abdominal pressure, along with dampness.
And a last thought—-gender non-conforming people can experience a lot of trauma trying to survive/ thrive in much of current culture. If their pulses do indicate EV-level treatment, perhaps the Dai Mai is involved? Draining Dai is an obvious thought with the infections, but I would also think about consolidation first, if the person is struggling with feeling safe in the world.
Yangming is so important! So many movements can end up being weight bearing, even if it’s just body weight and gravity. We had a joke in one of Sean Tuten’s classes about starting a “yangming sinew school”—-which was just adding yangming to any of the other channels diagnosed. 🙂
One of the ways I make diagnosis easier for myself is to base it off of movement assessment that happens in front of me. I get the person to go through all the motions. That way I can suss out what movement exactly is causing the pain. And sometimes there are painful movements that the patient wasn’t aware of!
I hope things continue to go well, Armin!Hi Johannah,
Ann has a great appendix in the red book on healing events. My understanding from that and what I’ve learned (I’m still new to this, so my experience is minimal) is that when a healing event occurs, people usually feel pretty good, even though they are expelling mucus, have new pain or whatever is going on. I had one patient say without prompting that it felt like something old clearing out. Healing events should also be short–Ann writes 1-10 days, with 6-10 being very severe and unusual. And as Armin wrote, sometimes the symptoms look like something they have had in the past or seems related to an old injury/pathology.Salty bathes are a way people can help support the process at home. And if you are seeing them during the healing event, my understanding is that sinews or luos can be particularly helpful in clearing the pathology. I would decide what channel(s) to use the usual way–how the symptoms are presenting and the pulse. 🙂
Hi Armin,
I’ve had success (although limited, I’m still new to this!) treating rib injuries, including subluxation, with sinew treatments. In my experience, joints sometimes shift on the table and sometimes go back into place a day or two after treatment–I usually tell the patient to pay attention to changes for 72 hours after a sinew treatment.Since the patient came with constant pain, that indicates jueyin sinew. I would also suggest looking at yangming–getting out of bed and even turning over in bed can be a weight-bearing type movement, like getting up from a chair. My understanding is that taiyang would be suggested in this case by pain with motions such as arching the shoulders/spine backward. Does this match with other people’s understanding?
I hope things are going well!
