[Rm]

Hi Giuliana, The chong comes to mind in reading your post, and I like your idea of balancing in some way the du and/or ren.

I happen to be listening to Jeffrey’s lecture on Bladder primary channel (via ACCM, Dublin) and he talks about the important role certain BL primary channel points play in rectifying qi. He says rectification of BL helps with a patient who is struggling with their identity – could be gender, sexual identity, preferences.

Jeffrey shared that if someone isn’t comfortable being who they are because society judges them, that is where BL primary comes in. Are the desires that they have in life ones that they were told were inappropriate; have they been closeted about those desires? That can make someone feel ashamed, guilty which takes its toll on the body. The points for rectifying qi along the BL trajectory according to Jeffrey are: BL 14, BL16, BL17, BL25, BL44, BL45, BL47, BL50, BL30, BL32, BL67.

He flagged that the first 3 points in particular, BL14, BL16 and BL17 are key: BL14 (Jue Yin / PC shu point) the PC shields us from having to expose ourselves, so by treating it what you are doing in a way is exposing the PC, you are “freeing the skeletons from the closet” by treating it. He also mentioned in the lecture that BL14 isn’t just the PC shu, but that it is classically the jue yin shu, so also regulates LR. BL16 – the shu point for Du channel, gives the patient courage, the back bone to stick up for their rights and beliefs in who they are. And all he said about BL17 was that we are subjected to influence of blood regulated by BL17 (the IP for blood). And then the distal point included here, BL67, is the metal point in water and metal is about rectification. It is about letting it all go. Your point about “one wrong move” made me think that there may be a lot of metal, judgment.

I hope you find this helpful or at least interesting! Rene

[Rm]

Hi Antoine, Regarding the pulse presentation, given that the guan position is most prominent on both sides and that it seems to be calling out for your attention, and given there are symptoms above and below, it makes me wonder about the possibility of Dai Mai blockage preventing circulation to legs. If you haven’t already ruled out the possibility of a Dai Mai pulse, it may be something to explore. It is what jumps out at me from your description above.

[Rm]

So sorry to hear about what this young man is going through.

I’ve not treated such a case but do recall Ann talking about treating a patient with brain tumors. She worked with the 5th confluence to try to hold it back. That strategy alone did not stop the progression in this particular case, and the one thing that Jeffrey suggested to her in a later conversation was that she could have also tried bleeding ST9. She didn’t elaborate any further, but my understanding of such an appropriate would be that the beginning of ST primary pathway up to ST9 is considered external and deals with any unresolved factors like fire toxins that get displaced to head.

[Rm]

Hi,

I wanted to follow up on this previous Shingles discussion to see if anyone had any additional advice.

I too have a 60 y.o. patient suffering from postherpatic neuralgia on the left leg and foot. The scars from the original blisters (back in July) and the pain is on the GB and BL lines (starting just posterior to GB34 and around BL55/56 on the lower leg and goes down the lateral/posterior leg to ankle where it wraps around the top of the foot (blister scar at ST42) to the medial side (around LR4 and bottom of the foot around KI1 and KI prime.

His pulses were generally depleted although a bit of floating and tight on GB and BL so I did sinew on the 2 yang sinews first GB and then BL. As his KI yang felt depleted, I moxa’d Gv4 and 14 (LU seemed to disperse, LR wasn’t tight and I think ST felt like it had mediumship). After needling the confluent pt and releasing points along the meridians, I also moxa’d them as they mostly felt depleted. It was interesting to note that he could not feel the moxa for sometime and it took a lot of effort to get the heat sensation along both meridians.

Unfortunately, he reported not getting any relief from the pain that he describes as sharp and worse with things touching, rubbing. He is on metformin for diabetes and while the pulses were deficient, he didn’t come across as overly sickly or weak.

I am surprised and a bit deflated that he didn’t benefit at all given the amount of work we did during the treatment and am hoping someone might have some additional advice. Did I miss something? Should I stick with divergent treatment? I did note a potential GB divergent pulse post treatment but am also wondering if the post neuralgia could be luo level (damp heat being held by blood creating ss).

If anyone has any suggestions, I’d be most grateful! I see him again next week. Many thanks, Rene

[Author]

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