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Hi Graham & All,

 

> I treated ... RSD ...wrist... Each treatment consisted of a root

> treatment (either 5 phase or Manaka) and then a 'local' treatment which

> simply consisted of massaging and then needling SP21. This is an

> approach mentioned in Kiiko Matsumoto's Clinical Strategies Vol.I

> (Thanks to Mike Bowser who pointed this out to me).

>

> Tx was incredibly successful. While massaging/needling SP21 patient

> would report that her hand felt lighter and would immediately have

> greater ROM. At the end of each treatment she felt significantly

> better and within about 10 treatments she was at least 80% better. If

> you use this approach it would be best to read Kiiko's book. It is not

> enough to simply find SP21 based on point location definition and

> expect results. It is absolutely critical to find the 'live' point...

> Graham

 

Two comments:

 

(1) Well done; I had not heard of that approach for RSD.

 

(2) " It is not enough to simply find SP21 based on point location definition

and expect results. It is absolutely critical to find the 'live' point... "

 

IMO, finding the " live " point is important. Several colleagues report that point

location in animals is not static. Location of some points (based on electrical

(conductance / impedance-based point-finders) can vary by 1-2cm between

animals of the same species and size.

 

When I needle people or animals, I usually palpate for the hole / depression

at near the " anatomical location " first. Then I often hover the tip of the

needle over the skin at that location but let my intuition sense (and guide the

needle-tip to) the exact point near that into which I insert the needle.

 

Two queries:

 

(1) What DX did you use to ascertain the Root, and what points addressed

this?

 

(2) How does SP21 (Dabao, Great Embracement, 6' below axilla, on mid-

axillary line, or in intercostal space 6, midway from axilla to tip of rib 11)

qualify as a 'local' treatment when the RSD affected the wrist?

 

Best regards,

 

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Chinese Medicine , " "

< wrote:

>

> Hi Graham & All,

>

> > I treated ... RSD ...wrist... Each treatment consisted of a root

> > treatment (either 5 phase or Manaka) and then a 'local' treatment

which

> > simply consisted of massaging and then needling SP21. This is an

> > approach mentioned in Kiiko Matsumoto's Clinical Strategies Vol.I

> > (Thanks to Mike Bowser who pointed this out to me).

> >

> > Tx was incredibly successful. While massaging/needling SP21 patient

> > would report that her hand felt lighter and would immediately have

> > greater ROM. At the end of each treatment she felt significantly

> > better and within about 10 treatments she was at least 80% better. If

> > you use this approach it would be best to read Kiiko's book. It is not

> > enough to simply find SP21 based on point location definition and

> > expect results. It is absolutely critical to find the 'live' point...

> > Graham

>

> Two comments:

>

> (1) Well done; I had not heard of that approach for RSD.

>

> (2) " It is not enough to simply find SP21 based on point location

definition

> and expect results. It is absolutely critical to find the 'live'

point... "

>

> IMO, finding the " live " point is important. Several colleagues

report that point

> location in animals is not static. Location of some points (based on

electrical

> (conductance / impedance-based point-finders) can vary by 1-2cm

between

> animals of the same species and size.

>

> When I needle people or animals, I usually palpate for the hole /

depression

> at near the " anatomical location " first. Then I often hover the tip

of the

> needle over the skin at that location but let my intuition sense

(and guide the

> needle-tip to) the exact point near that into which I insert the needle.

>

> Two queries:

>

> (1) What DX did you use to ascertain the Root, and what points

addressed

> this?

>

> (2) How does SP21 (Dabao, Great Embracement, 6' below axilla, on mid-

> axillary line, or in intercostal space 6, midway from axilla to tip

of rib 11)

> qualify as a 'local' treatment when the RSD affected the wrist?

>

> Best regards,

>

>

 

 

 

Hi Phil-

 

The root treatment was determined based on Japanese pulse and abdomen

diagnosis. The treatment would sometimes change based on her

pulse/abdomen presentation on the day she came in. Genreally, I was

simply needling Liv-8/Kd-10/Lu-9, TW-4. This is simple Japanese

meridian acupuncture (denmei shudo is a good example of this)

 

I meant to be slightly funny by referring to Sp-21 as a 'local'

treatment. (the subtleties of language that are lost on e-mail!)

Clearly it is not anywhere near the wrist. However, it is a point

intended to affect the wrist directly and in that way may be

considered local. In her book, Kiiko emphasizes that the correct

point and needle angle will result in an immediate (positive) change

at the area affected by the RSD. I found this to be true. In another

part of her book she mentions that GB-22/23 may also help for RSD. So

I think finding the point that affects a change in the wrist is the

important thing.

 

I did try a true local treatment on the patient's first visit and

found that it had an adverse affect.

 

Hope this helps

 

Graham

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I am wondering what you would do for RSD in the left

knee. Thank you, Petra Buchanan. I did needle locally

with moxa and it seemed to help. The first time I just

needled around the knee (ST 34, 36, 37,SP 10, 9 and 6)

with no results. The next time I needled right into

the painful part and the patient did have immediate

relief.

--- g <dghaynes131 wrote:

 

> Chinese Medicine ,

> " "

> < wrote:

> >

> > Hi Graham & All,

> >

> > > I treated ... RSD ...wrist... Each treatment

> consisted of a root

> > > treatment (either 5 phase or Manaka) and then a

> 'local' treatment

> which

> > > simply consisted of massaging and then needling

> SP21. This is an

> > > approach mentioned in Kiiko Matsumoto's Clinical

> Strategies Vol.I

> > > (Thanks to Mike Bowser who pointed this out to

> me).

> > >

> > > Tx was incredibly successful. While

> massaging/needling SP21 patient

> > > would report that her hand felt lighter and

> would immediately have

> > > greater ROM. At the end of each treatment she

> felt significantly

> > > better and within about 10 treatments she was at

> least 80% better. If

> > > you use this approach it would be best to read

> Kiiko's book. It is not

> > > enough to simply find SP21 based on point

> location definition and

> > > expect results. It is absolutely critical to

> find the 'live' point...

> > > Graham

> >

> > Two comments:

> >

> > (1) Well done; I had not heard of that approach

> for RSD.

> >

> > (2) " It is not enough to simply find SP21 based on

> point location

> definition

> > and expect results. It is absolutely critical to

> find the 'live'

> point... "

> >

> > IMO, finding the " live " point is important.

> Several colleagues

> report that point

> > location in animals is not static. Location of

> some points (based on

> electrical

> > (conductance / impedance-based point-finders) can

> vary by 1-2cm

> between

> > animals of the same species and size.

> >

> > When I needle people or animals, I usually palpate

> for the hole /

> depression

> > at near the " anatomical location " first. Then I

> often hover the tip

> of the

> > needle over the skin at that location but let my

> intuition sense

> (and guide the

> > needle-tip to) the exact point near that into

> which I insert the needle.

> >

> > Two queries:

> >

> > (1) What DX did you use to ascertain the Root, and

> what points

> addressed

> > this?

> >

> > (2) How does SP21 (Dabao, Great Embracement, 6'

> below axilla, on mid-

> > axillary line, or in intercostal space 6, midway

> from axilla to tip

> of rib 11)

> > qualify as a 'local' treatment when the RSD

> affected the wrist?

> >

> > Best regards,

> >

> >

>

>

>

> Hi Phil-

>

> The root treatment was determined based on Japanese

> pulse and abdomen

> diagnosis. The treatment would sometimes change

> based on her

> pulse/abdomen presentation on the day she came in.

> Genreally, I was

> simply needling Liv-8/Kd-10/Lu-9, TW-4. This is

> simple Japanese

> meridian acupuncture (denmei shudo is a good example

> of this)

>

> I meant to be slightly funny by referring to Sp-21

> as a 'local'

> treatment. (the subtleties of language that are lost

> on e-mail!)

> Clearly it is not anywhere near the wrist. However,

> it is a point

> intended to affect the wrist directly and in that

> way may be

> considered local. In her book, Kiiko emphasizes

> that the correct

> point and needle angle will result in an immediate

> (positive) change

> at the area affected by the RSD. I found this to be

> true. In another

> part of her book she mentions that GB-22/23 may also

> help for RSD. So

> I think finding the point that affects a change in

> the wrist is the

> important thing.

>

> I did try a true local treatment on the patient's

> first visit and

> found that it had an adverse affect.

>

> Hope this helps

>

> Graham

>

>

>

>

>

 

 

 

 

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Petra-

 

I dont have an answer for you. According to Kiiko's book, SP-21 is

used for the treatment of any imbalances of the left and right sides

and is especially effective for one sided complaints of the upper

limbs. So it may not be so effective for the knee - but I would still

maybe give it a try.

 

Massage a tight/sore spot near SP-21. Start on the contralateral

side. If the knee feels different, then insert a needle at a 10-15

degree angle towards the back. If the contralateral point does not

work you could try the ipsilateral point.

 

good luck

Graham

 

 

Chinese Medicine , Petra Buchanan

<petrabuchanan wrote:

>

> I am wondering what you would do for RSD in the left

> knee. Thank you, Petra Buchanan. I did needle locally

> with moxa and it seemed to help. The first time I just

> needled around the knee (ST 34, 36, 37,SP 10, 9 and 6)

> with no results. The next time I needled right into

> the painful part and the patient did have immediate

> relief.

> --- g <dghaynes131 wrote:

>

> > Chinese Medicine ,

> > " "

> > <@> wrote:

> > >

> > > Hi Graham & All,

> > >

> > > > I treated ... RSD ...wrist... Each treatment

> > consisted of a root

> > > > treatment (either 5 phase or Manaka) and then a

> > 'local' treatment

> > which

> > > > simply consisted of massaging and then needling

> > SP21. This is an

> > > > approach mentioned in Kiiko Matsumoto's Clinical

> > Strategies Vol.I

> > > > (Thanks to Mike Bowser who pointed this out to

> > me).

> > > >

> > > > Tx was incredibly successful. While

> > massaging/needling SP21 patient

> > > > would report that her hand felt lighter and

> > would immediately have

> > > > greater ROM. At the end of each treatment she

> > felt significantly

> > > > better and within about 10 treatments she was at

> > least 80% better. If

> > > > you use this approach it would be best to read

> > Kiiko's book. It is not

> > > > enough to simply find SP21 based on point

> > location definition and

> > > > expect results. It is absolutely critical to

> > find the 'live' point...

> > > > Graham

> > >

> > > Two comments:

> > >

> > > (1) Well done; I had not heard of that approach

> > for RSD.

> > >

> > > (2) " It is not enough to simply find SP21 based on

> > point location

> > definition

> > > and expect results. It is absolutely critical to

> > find the 'live'

> > point... "

> > >

> > > IMO, finding the " live " point is important.

> > Several colleagues

> > report that point

> > > location in animals is not static. Location of

> > some points (based on

> > electrical

> > > (conductance / impedance-based point-finders) can

> > vary by 1-2cm

> > between

> > > animals of the same species and size.

> > >

> > > When I needle people or animals, I usually palpate

> > for the hole /

> > depression

> > > at near the " anatomical location " first. Then I

> > often hover the tip

> > of the

> > > needle over the skin at that location but let my

> > intuition sense

> > (and guide the

> > > needle-tip to) the exact point near that into

> > which I insert the needle.

> > >

> > > Two queries:

> > >

> > > (1) What DX did you use to ascertain the Root, and

> > what points

> > addressed

> > > this?

> > >

> > > (2) How does SP21 (Dabao, Great Embracement, 6'

> > below axilla, on mid-

> > > axillary line, or in intercostal space 6, midway

> > from axilla to tip

> > of rib 11)

> > > qualify as a 'local' treatment when the RSD

> > affected the wrist?

> > >

> > > Best regards,

> > >

> > >

> >

> >

> >

> > Hi Phil-

> >

> > The root treatment was determined based on Japanese

> > pulse and abdomen

> > diagnosis. The treatment would sometimes change

> > based on her

> > pulse/abdomen presentation on the day she came in.

> > Genreally, I was

> > simply needling Liv-8/Kd-10/Lu-9, TW-4. This is

> > simple Japanese

> > meridian acupuncture (denmei shudo is a good example

> > of this)

> >

> > I meant to be slightly funny by referring to Sp-21

> > as a 'local'

> > treatment. (the subtleties of language that are lost

> > on e-mail!)

> > Clearly it is not anywhere near the wrist. However,

> > it is a point

> > intended to affect the wrist directly and in that

> > way may be

> > considered local. In her book, Kiiko emphasizes

> > that the correct

> > point and needle angle will result in an immediate

> > (positive) change

> > at the area affected by the RSD. I found this to be

> > true. In another

> > part of her book she mentions that GB-22/23 may also

> > help for RSD. So

> > I think finding the point that affects a change in

> > the wrist is the

> > important thing.

> >

> > I did try a true local treatment on the patient's

> > first visit and

> > found that it had an adverse affect.

> >

> > Hope this helps

> >

> > Graham

> >

> >

> >

> >

> >

>

>

>

>

>

______________________________\

____

> Building a website is a piece of cake. Small Business gives

you all the tools to get online.

> http://smallbusiness./webhosting

>

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Thank you Graham

--- g <dghaynes131 wrote:

 

> Petra-

>

> I dont have an answer for you. According to Kiiko's

> book, SP-21 is

> used for the treatment of any imbalances of the left

> and right sides

> and is especially effective for one sided complaints

> of the upper

> limbs. So it may not be so effective for the knee -

> but I would still

> maybe give it a try.

>

> Massage a tight/sore spot near SP-21. Start on the

> contralateral

> side. If the knee feels different, then insert a

> needle at a 10-15

> degree angle towards the back. If the contralateral

> point does not

> work you could try the ipsilateral point.

>

> good luck

> Graham

>

>

> Chinese Medicine ,

> Petra Buchanan

> <petrabuchanan wrote:

> >

> > I am wondering what you would do for RSD in the

> left

> > knee. Thank you, Petra Buchanan. I did needle

> locally

> > with moxa and it seemed to help. The first time I

> just

> > needled around the knee (ST 34, 36, 37,SP 10, 9

> and 6)

> > with no results. The next time I needled right

> into

> > the painful part and the patient did have

> immediate

> > relief.

> > --- g <dghaynes131 wrote:

> >

> > > --- In

> Chinese Medicine ,

> > > " "

> > > <@> wrote:

> > > >

> > > > Hi Graham & All,

> > > >

> > > > > I treated ... RSD ...wrist... Each treatment

> > > consisted of a root

> > > > > treatment (either 5 phase or Manaka) and

> then a

> > > 'local' treatment

> > > which

> > > > > simply consisted of massaging and then

> needling

> > > SP21. This is an

> > > > > approach mentioned in Kiiko Matsumoto's

> Clinical

> > > Strategies Vol.I

> > > > > (Thanks to Mike Bowser who pointed this out

> to

> > > me).

> > > > >

> > > > > Tx was incredibly successful. While

> > > massaging/needling SP21 patient

> > > > > would report that her hand felt lighter and

> > > would immediately have

> > > > > greater ROM. At the end of each treatment

> she

> > > felt significantly

> > > > > better and within about 10 treatments she

> was at

> > > least 80% better. If

> > > > > you use this approach it would be best to

> read

> > > Kiiko's book. It is not

> > > > > enough to simply find SP21 based on point

> > > location definition and

> > > > > expect results. It is absolutely critical to

> > > find the 'live' point...

> > > > > Graham

> > > >

> > > > Two comments:

> > > >

> > > > (1) Well done; I had not heard of that

> approach

> > > for RSD.

> > > >

> > > > (2) " It is not enough to simply find SP21

> based on

> > > point location

> > > definition

> > > > and expect results. It is absolutely critical

> to

> > > find the 'live'

> > > point... "

> > > >

> > > > IMO, finding the " live " point is important.

> > > Several colleagues

> > > report that point

> > > > location in animals is not static. Location of

> > > some points (based on

> > > electrical

> > > > (conductance / impedance-based point-finders)

> can

> > > vary by 1-2cm

> > > between

> > > > animals of the same species and size.

> > > >

> > > > When I needle people or animals, I usually

> palpate

> > > for the hole /

> > > depression

> > > > at near the " anatomical location " first. Then

> I

> > > often hover the tip

> > > of the

> > > > needle over the skin at that location but let

> my

> > > intuition sense

> > > (and guide the

> > > > needle-tip to) the exact point near that into

> > > which I insert the needle.

> > > >

> > > > Two queries:

> > > >

> > > > (1) What DX did you use to ascertain the Root,

> and

> > > what points

> > > addressed

> > > > this?

> > > >

> > > > (2) How does SP21 (Dabao, Great Embracement,

> 6'

> > > below axilla, on mid-

> > > > axillary line, or in intercostal space 6,

> midway

> > > from axilla to tip

> > > of rib 11)

> > > > qualify as a 'local' treatment when the RSD

> > > affected the wrist?

> > > >

> > > > Best regards,

> > > >

> > > >

> > >

> > >

> > >

> > > Hi Phil-

> > >

> > > The root treatment was determined based on

> Japanese

> > > pulse and abdomen

> > > diagnosis. The treatment would sometimes change

> > > based on her

> > > pulse/abdomen presentation on the day she came

> in.

> > > Genreally, I was

> > > simply needling Liv-8/Kd-10/Lu-9, TW-4. This is

> > > simple Japanese

> > > meridian acupuncture (denmei shudo is a good

> example

> > > of this)

> > >

> > > I meant to be slightly funny by referring to

> Sp-21

> > > as a 'local'

> > > treatment. (the subtleties of language that are

> lost

> > > on e-mail!)

> > > Clearly it is not anywhere near the wrist.

> However,

> > > it is a point

> > > intended to affect the wrist directly and in

> that

> > > way may be

> > > considered local. In her book, Kiiko emphasizes

> > > that the correct

> > > point and needle angle will result in an

> immediate

> > > (positive) change

> > > at the area affected by the RSD. I found this

> to be

> > > true. In another

> > > part of her book she mentions that GB-22/23 may

> also

> > > help for RSD. So

> > > I think finding the point that affects a change

> in

> > > the wrist is the

> > > important thing.

> > >

> > > I did try a true local treatment on the

> patient's

> > > first visit and

> > > found that it had an adverse affect.

> > >

> > > Hope this helps

>

=== message truncated ===

 

 

 

 

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As I understand Kiiko's work, points are based upon ability to affect an

area of pressure/pain/stagnation. SP21 would not be considered for a

lower limb RSD as the reason for its usage was related to this function and

not the medical diagnosis of RSD. Hope this makes some sense. Glad to

see that it helped. Mike W. Bowser, L Ac

 

 

: dghaynes131:

Wed, 8 Aug 2007 14:32:06 +0000Re: AP in RSD - SP21?

 

 

 

 

Petra-I dont have an answer for you. According to Kiiko's book, SP-21 isused for

the treatment of any imbalances of the left and right sidesand is especially

effective for one sided complaints of the upperlimbs. So it may not be so

effective for the knee - but I would stillmaybe give it a try.Massage a

tight/sore spot near SP-21. Start on the contralateralside. If the knee feels

different, then insert a needle at a 10-15degree angle towards the back. If the

contralateral point does notwork you could try the ipsilateral point.good

luckGraham Chinese Medicine , Petra

Buchanan<petrabuchanan wrote:>> I am wondering what you would do for RSD in

the left> knee. Thank you, Petra Buchanan. I did needle locally> with moxa and

it seemed to help. The first time I just> needled around the knee (ST 34, 36,

37,SP 10, 9 and 6)> with no results. The next time I needled right into> the

painful part and the patient did have immediate> relief.> --- g

<dghaynes131 wrote:> > > --- In

Chinese Medicine ,> > " " > > <@>

wrote:> > >> > > Hi Graham & All,> > > > > > > I treated ... RSD ...wrist...

Each treatment> > consisted of a root> > > > treatment (either 5 phase or

Manaka) and then a> > 'local' treatment> > which> > > > simply consisted of

massaging and then needling> > SP21. This is an> > > > approach mentioned in

Kiiko Matsumoto's Clinical> > Strategies Vol.I> > > > (Thanks to Mike Bowser who

pointed this out to> > me). > > > > > > > > Tx was incredibly successful. While>

> massaging/needling SP21 patient> > > > would report that her hand felt lighter

and> > would immediately have> > > > greater ROM. At the end of each treatment

she> > felt significantly> > > > better and within about 10 treatments she was

at> > least 80% better. If> > > > you use this approach it would be best to

read> > Kiiko's book. It is not> > > > enough to simply find SP21 based on

point> > location definition and> > > > expect results. It is absolutely

critical to> > find the 'live' point...> > > > Graham > > > > > > Two comments:>

> > > > > (1) Well done; I had not heard of that approach> > for RSD.> > > > > >

(2) " It is not enough to simply find SP21 based on> > point location> >

definition > > > and expect results. It is absolutely critical to> > find the

'live'> > point... " > > > > > > IMO, finding the " live " point is important.> >

Several colleagues> > report that point > > > location in animals is not static.

Location of> > some points (based on> > electrical > > > (conductance /

impedance-based point-finders) can> > vary by 1-2cm> > between > > > animals of

the same species and size. > > > > > > When I needle people or animals, I

usually palpate> > for the hole /> > depression > > > at near the " anatomical

location " first. Then I> > often hover the tip> > of the > > > needle over the

skin at that location but let my> > intuition sense> > (and guide the > > >

needle-tip to) the exact point near that into> > which I insert the needle.> > >

> > > Two queries:> > > > > > (1) What DX did you use to ascertain the Root,

and> > what points> > addressed > > > this?> > > > > > (2) How does SP21 (Dabao,

Great Embracement, 6'> > below axilla, on mid-> > > axillary line, or in

intercostal space 6, midway> > from axilla to tip> > of rib 11) > > > qualify as

a 'local' treatment when the RSD> > affected the wrist? > > > > > > Best

regards,> > > > > >> > > > > > > > Hi Phil-> > > > The root treatment

was determined based on Japanese> > pulse and abdomen> > diagnosis. The

treatment would sometimes change> > based on her> > pulse/abdomen presentation

on the day she came in.> > Genreally, I was> > simply needling Liv-8/Kd-10/Lu-9,

TW-4. This is> > simple Japanese> > meridian acupuncture (denmei shudo is a good

example> > of this)> > > > I meant to be slightly funny by referring to Sp-21> >

as a 'local'> > treatment. (the subtleties of language that are lost> > on

e-mail!) > > Clearly it is not anywhere near the wrist. However,> > it is a

point> > intended to affect the wrist directly and in that> > way may be> >

considered local. In her book, Kiiko emphasizes> > that the correct> > point and

needle angle will result in an immediate> > (positive) change> > at the area

affected by the RSD. I found this to be> > true. In another> > part of her book

she mentions that GB-22/23 may also> > help for RSD. So> > I think finding the

point that affects a change in> > the wrist is the> > important thing.> > > > I

did try a true local treatment on the patient's> > first visit and> > found that

it had an adverse affect.> > > > Hope this helps> > > > Graham> > > > > > > > >

> > > > > >________> Building

a website is a piece of cake. Small Business givesyou all the tools to

get online.> http://smallbusiness./webhosting>

 

 

_______________

Learn. Laugh. Share. Reallivemoms is right place!

http://www.reallivemoms.com?ocid=TXT_TAGHM & loc=us

 

 

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Okay, maybe I have been away too long, but what is RSD, on the wrist and also on

the knee?

 

Anne

-------------- Original message ----------------------

" g " <dghaynes131

> Chinese Medicine , " "

> < wrote:

> >

> > Hi Graham & All,

> >

> > > I treated ... RSD ...wrist... Each treatment consisted of a root

> > > treatment (either 5 phase or Manaka) and then a 'local' treatment

> which

> > > simply consisted of massaging and then needling SP21. This is an

> > > approach mentioned in Kiiko Matsumoto's Clinical Strategies Vol.I

> > > (Thanks to Mike Bowser who pointed this out to me).

> > >

> > > Tx was incredibly successful. While massaging/needling SP21 patient

> > > would report that her hand felt lighter and would immediately have

> > > greater ROM. At the end of each treatment she felt significantly

> > > better and within about 10 treatments she was at least 80% better. If

> > > you use this approach it would be best to read Kiiko's book. It is not

> > > enough to simply find SP21 based on point location definition and

> > > expect results. It is absolutely critical to find the 'live' point...

> > > Graham

> >

> > Two comments:

> >

> > (1) Well done; I had not heard of that approach for RSD.

> >

> > (2) " It is not enough to simply find SP21 based on point location

> definition

> > and expect results. It is absolutely critical to find the 'live'

> point... "

> >

> > IMO, finding the " live " point is important. Several colleagues

> report that point

> > location in animals is not static. Location of some points (based on

> electrical

> > (conductance / impedance-based point-finders) can vary by 1-2cm

> between

> > animals of the same species and size.

> >

> > When I needle people or animals, I usually palpate for the hole /

> depression

> > at near the " anatomical location " first. Then I often hover the tip

> of the

> > needle over the skin at that location but let my intuition sense

> (and guide the

> > needle-tip to) the exact point near that into which I insert the needle.

> >

> > Two queries:

> >

> > (1) What DX did you use to ascertain the Root, and what points

> addressed

> > this?

> >

> > (2) How does SP21 (Dabao, Great Embracement, 6' below axilla, on mid-

> > axillary line, or in intercostal space 6, midway from axilla to tip

> of rib 11)

> > qualify as a 'local' treatment when the RSD affected the wrist?

> >

> > Best regards,

> >

> >

>

>

>

> Hi Phil-

>

> The root treatment was determined based on Japanese pulse and abdomen

> diagnosis. The treatment would sometimes change based on her

> pulse/abdomen presentation on the day she came in. Genreally, I was

> simply needling Liv-8/Kd-10/Lu-9, TW-4. This is simple Japanese

> meridian acupuncture (denmei shudo is a good example of this)

>

> I meant to be slightly funny by referring to Sp-21 as a 'local'

> treatment. (the subtleties of language that are lost on e-mail!)

> Clearly it is not anywhere near the wrist. However, it is a point

> intended to affect the wrist directly and in that way may be

> considered local. In her book, Kiiko emphasizes that the correct

> point and needle angle will result in an immediate (positive) change

> at the area affected by the RSD. I found this to be true. In another

> part of her book she mentions that GB-22/23 may also help for RSD. So

> I think finding the point that affects a change in the wrist is the

> important thing.

>

> I did try a true local treatment on the patient's first visit and

> found that it had an adverse affect.

>

> Hope this helps

>

> Graham

>

>

>

>

>

 

 

 

 

 

 

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RSD refers to a painful western medical condition where the body responds to a

previous trauma with swelling, pain, discoloration that continues long after the

minor event. It can appear at various locations but usually affects the upper

limbs. The pain is said to be extreme. Hope this helps. Mike W. Bowser, L Ac

 

 

:

anne.crowley: Fri, 10 Aug 2007 21:36:52 +0000Re: TCM -

Re: AP in RSD - SP21?

 

 

 

 

Okay, maybe I have been away too long, but what is RSD, on the wrist and also on

the knee?Anne-------------- Original message ---------------------- " g "

<dghaynes131> Chinese Medicine ,

" " > < wrote:> >> > Hi Graham & All,> > > > > I treated

.... RSD ...wrist... Each treatment consisted of a root> > > treatment (either 5

phase or Manaka) and then a 'local' treatment> which> > > simply consisted of

massaging and then needling SP21. This is an> > > approach mentioned in Kiiko

Matsumoto's Clinical Strategies Vol.I> > > (Thanks to Mike Bowser who pointed

this out to me). > > > > > > Tx was incredibly successful. While

massaging/needling SP21 patient> > > would report that her hand felt lighter and

would immediately have> > > greater ROM. At the end of each treatment she felt

significantly> > > better and within about 10 treatments she was at least 80%

better. If> > > you use this approach it would be best to read Kiiko's book. It

is not> > > enough to simply find SP21 based on point location definition and> >

> expect results. It is absolutely critical to find the 'live' point...> > >

Graham > > > > Two comments:> > > > (1) Well done; I had not heard of that

approach for RSD.> > > > (2) " It is not enough to simply find SP21 based on

point location> definition > > and expect results. It is absolutely critical to

find the 'live'> point... " > > > > IMO, finding the " live " point is important.

Several colleagues> report that point > > location in animals is not static.

Location of some points (based on> electrical > > (conductance / impedance-based

point-finders) can vary by 1-2cm> between > > animals of the same species and

size. > > > > When I needle people or animals, I usually palpate for the hole />

depression > > at near the " anatomical location " first. Then I often hover the

tip> of the > > needle over the skin at that location but let my intuition

sense> (and guide the > > needle-tip to) the exact point near that into which I

insert the needle.> > > > Two queries:> > > > (1) What DX did you use to

ascertain the Root, and what points> addressed > > this?> > > > (2) How does

SP21 (Dabao, Great Embracement, 6' below axilla, on mid-> > axillary line, or in

intercostal space 6, midway from axilla to tip> of rib 11) > > qualify as a

'local' treatment when the RSD affected the wrist? > > > > Best regards,> > Phil

Rogers> >> > > > Hi Phil-> > The root treatment was determined based on Japanese

pulse and abdomen> diagnosis. The treatment would sometimes change based on her>

pulse/abdomen presentation on the day she came in. Genreally, I was> simply

needling Liv-8/Kd-10/Lu-9, TW-4. This is simple Japanese> meridian acupuncture

(denmei shudo is a good example of this)> > I meant to be slightly funny by

referring to Sp-21 as a 'local'> treatment. (the subtleties of language that are

lost on e-mail!) > Clearly it is not anywhere near the wrist. However, it is a

point> intended to affect the wrist directly and in that way may be> considered

local. In her book, Kiiko emphasizes that the correct> point and needle angle

will result in an immediate (positive) change> at the area affected by the RSD.

I found this to be true. In another> part of her book she mentions that GB-22/23

may also help for RSD. So> I think finding the point that affects a change in

the wrist is the> important thing.> > I did try a true local treatment on the

patient's first visit and> found that it had an adverse affect.> > Hope this

helps> > Graham> > > > >

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Thanks, Mike.

 

Anne

-------------- Original message ----------------------

mike Bowser <naturaldoc1

> RSD refers to a painful western medical condition where the body responds to a

> previous trauma with swelling, pain, discoloration that continues long after

the

> minor event. It can appear at various locations but usually affects the upper

> limbs. The pain is said to be extreme. Hope this helps. Mike W. Bowser, L

Ac

>

>

> :

> anne.crowley: Fri, 10 Aug 2007 21:36:52 +0000Re: TCM

-

> Re: AP in RSD - SP21?

>

>

>

>

> Okay, maybe I have been away too long, but what is RSD, on the wrist and also

on

> the knee?Anne-------------- Original message ---------------------- " g "

> <dghaynes131> Chinese Medicine ,

> " " > < wrote:> >> > Hi Graham & All,> > > > > I

treated

> ... RSD ...wrist... Each treatment consisted of a root> > > treatment (either

5

> phase or Manaka) and then a 'local' treatment> which> > > simply consisted of

> massaging and then needling SP21. This is an> > > approach mentioned in Kiiko

> Matsumoto's Clinical Strategies Vol.I> > > (Thanks to Mike Bowser who pointed

> this out to me). > > > > > > Tx was incredibly successful. While

> massaging/needling SP21 patient> > > would report that her hand felt lighter

and

> would immediately have> > > greater ROM. At the end of each treatment she felt

> significantly> > > better and within about 10 treatments she was at least 80%

> better. If> > > you use this approach it would be best to read Kiiko's book.

It

> is not> > > enough to simply find SP21 based on point location definition and>

>

> > expect results. It is absolutely critical to find the 'live' point...> > >

> Graham > > > > Two comments:> > > > (1) Well done; I had not heard of that

> approach for RSD.> > > > (2) " It is not enough to simply find SP21 based on

> point location> definition > > and expect results. It is absolutely critical

to

> find the 'live'> point... " > > > > IMO, finding the " live " point is important.

> Several colleagues> report that point > > location in animals is not static.

> Location of some points (based on> electrical > > (conductance /

impedance-based

> point-finders) can vary by 1-2cm> between > > animals of the same species and

> size. > > > > When I needle people or animals, I usually palpate for the hole

/>

> depression > > at near the " anatomical location " first. Then I often hover the

> tip> of the > > needle over the skin at that location but let my intuition

> sense> (and guide the > > needle-tip to) the exact point near that into which

I

> insert the needle.> > > > Two queries:> > > > (1) What DX did you use to

> ascertain the Root, and what points> addressed > > this?> > > > (2) How does

> SP21 (Dabao, Great Embracement, 6' below axilla, on mid-> > axillary line, or

in

> intercostal space 6, midway from axilla to tip> of rib 11) > > qualify as a

> 'local' treatment when the RSD affected the wrist? > > > > Best regards,> >

Phil

> Rogers> >> > > > Hi Phil-> > The root treatment was determined based on

Japanese

> pulse and abdomen> diagnosis. The treatment would sometimes change based on

her>

> pulse/abdomen presentation on the day she came in. Genreally, I was> simply

> needling Liv-8/Kd-10/Lu-9, TW-4. This is simple Japanese> meridian acupuncture

> (denmei shudo is a good example of this)> > I meant to be slightly funny by

> referring to Sp-21 as a 'local'> treatment. (the subtleties of language that

are

> lost on e-mail!) > Clearly it is not anywhere near the wrist. However, it is a

> point> intended to affect the wrist directly and in that way may be>

considered

> local. In her book, Kiiko emphasizes that the correct> point and needle angle

> will result in an immediate (positive) change> at the area affected by the

RSD.

> I found this to be true. In another> part of her book she mentions that

GB-22/23

> may also help for RSD. So> I think finding the point that affects a change in

> the wrist is the> important thing.> > I did try a true local treatment on the

> patient's first visit and> found that it had an adverse affect.> > Hope this

> helps> > Graham> > > > >

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RSD as been officially replaced by complex regional pain syndrome

 

 

 

 

 

 

 

 

-

<anne.crowley

<Chinese Medicine >

Friday, August 10, 2007 6:26 PM

RE: Re: AP in RSD - SP21?

 

 

> Thanks, Mike.

>

> Anne

> -------------- Original message ----------------------

> mike Bowser <naturaldoc1

>> RSD refers to a painful western medical condition where the body responds

>> to a

>> previous trauma with swelling, pain, discoloration that continues long

>> after the

>> minor event. It can appear at various locations but usually affects the

>> upper

>> limbs. The pain is said to be extreme. Hope this helps. Mike W.

>> Bowser, L Ac

>>

>>

>> :

>> anne.crowley: Fri, 10 Aug 2007 21:36:52 +0000Re:

>> TCM -

>> Re: AP in RSD - SP21?

>>

>>

>>

>>

>> Okay, maybe I have been away too long, but what is RSD, on the wrist and

>> also on

>> the knee?Anne-------------- Original message ----------------------

>> " g "

>> <dghaynes131> --- In

>> Chinese Medicine ,

>> " " > < wrote:> >> > Hi Graham & All,> > > > > I

>> treated

>> ... RSD ...wrist... Each treatment consisted of a root> > > treatment

>> (either 5

>> phase or Manaka) and then a 'local' treatment> which> > > simply

>> consisted of

>> massaging and then needling SP21. This is an> > > approach mentioned in

>> Kiiko

>> Matsumoto's Clinical Strategies Vol.I> > > (Thanks to Mike Bowser who

>> pointed

>> this out to me). > > > > > > Tx was incredibly successful. While

>> massaging/needling SP21 patient> > > would report that her hand felt

>> lighter and

>> would immediately have> > > greater ROM. At the end of each treatment she

>> felt

>> significantly> > > better and within about 10 treatments she was at least

>> 80%

>> better. If> > > you use this approach it would be best to read Kiiko's

>> book. It

>> is not> > > enough to simply find SP21 based on point location definition

>> and> >

>> > expect results. It is absolutely critical to find the 'live' point...>

>> > > >

>> Graham > > > > Two comments:> > > > (1) Well done; I had not heard of

>> that

>> approach for RSD.> > > > (2) " It is not enough to simply find SP21 based

>> on

>> point location> definition > > and expect results. It is absolutely

>> critical to

>> find the 'live'> point... " > > > > IMO, finding the " live " point is

>> important.

>> Several colleagues> report that point > > location in animals is not

>> static.

>> Location of some points (based on> electrical > > (conductance /

>> impedance-based

>> point-finders) can vary by 1-2cm> between > > animals of the same species

>> and

>> size. > > > > When I needle people or animals, I usually palpate for the

>> hole />

>> depression > > at near the " anatomical location " first. Then I often

>> hover the

>> tip> of the > > needle over the skin at that location but let my

>> intuition

>> sense> (and guide the > > needle-tip to) the exact point near that into

>> which I

>> insert the needle.> > > > Two queries:> > > > (1) What DX did you use to

>> ascertain the Root, and what points> addressed > > this?> > > > (2) How

>> does

>> SP21 (Dabao, Great Embracement, 6' below axilla, on mid-> > axillary

>> line, or in

>> intercostal space 6, midway from axilla to tip> of rib 11) > > qualify as

>> a

>> 'local' treatment when the RSD affected the wrist? > > > > Best regards,>

>> > Phil

>> Rogers> >> > > > Hi Phil-> > The root treatment was determined based on

>> Japanese

>> pulse and abdomen> diagnosis. The treatment would sometimes change based

>> on her>

>> pulse/abdomen presentation on the day she came in. Genreally, I was>

>> simply

>> needling Liv-8/Kd-10/Lu-9, TW-4. This is simple Japanese> meridian

>> acupuncture

>> (denmei shudo is a good example of this)> > I meant to be slightly funny

>> by

>> referring to Sp-21 as a 'local'> treatment. (the subtleties of language

>> that are

>> lost on e-mail!) > Clearly it is not anywhere near the wrist. However, it

>> is a

>> point> intended to affect the wrist directly and in that way may be>

>> considered

>> local. In her book, Kiiko emphasizes that the correct> point and needle

>> angle

>> will result in an immediate (positive) change> at the area affected by

>> the RSD.

>> I found this to be true. In another> part of her book she mentions that

>> GB-22/23

>> may also help for RSD. So> I think finding the point that affects a

>> change in

>> the wrist is the> important thing.> > I did try a true local treatment on

>> the

>> patient's first visit and> found that it had an adverse affect.> > Hope

>> this

>> helps> > Graham> > > > > [Non-text portions of this message have been

>> removed]

>>

>>

>> _______________

>> Find a local pizza place, movie theater, and more..then map the best

>> route!

>>

http://maps.live.com/default.aspx?v=2 & ss=yp.bars~yp.pizza~yp.movie%20theater & cp=

>>

42.358996~-71.056691 & style=r & lvl=13 & tilt=-90 & dir=0 & alt=-1000 & scene=950607 & encTyp

>> e=1 & FORM=MGAC01

>>

>>

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Share on other sites

Thanks Alon.

--- Alon Marcus <alonmarcus wrote:

 

> RSD as been officially replaced by complex regional

> pain syndrome

>

>

>

>

>

>

>

>

> -

> <anne.crowley

> <Chinese Medicine >

> Friday, August 10, 2007 6:26 PM

> RE: Re: AP in RSD - SP21?

>

>

> > Thanks, Mike.

> >

> > Anne

> > -------------- Original message

> ----------------------

> > mike Bowser <naturaldoc1

> >> RSD refers to a painful western medical condition

> where the body responds

> >> to a

> >> previous trauma with swelling, pain,

> discoloration that continues long

> >> after the

> >> minor event. It can appear at various locations

> but usually affects the

> >> upper

> >> limbs. The pain is said to be extreme. Hope

> this helps. Mike W.

> >> Bowser, L Ac

> >>

> >>

> >> To:

> Chinese Medicine:

> >> anne.crowley: Fri, 10 Aug 2007

> 21:36:52 +0000Re:

> >> TCM -

> >> Re: AP in RSD - SP21?

> >>

> >>

> >>

> >>

> >> Okay, maybe I have been away too long, but what

> is RSD, on the wrist and

> >> also on

> >> the knee?Anne-------------- Original message

> ----------------------

> >> " g "

> >> <dghaynes131> --- In

> >> Chinese Medicine ,

> >> " " > < wrote:> >> > Hi

> Graham & All,> > > > > I

> >> treated

> >> ... RSD ...wrist... Each treatment consisted of a

> root> > > treatment

> >> (either 5

> >> phase or Manaka) and then a 'local' treatment>

> which> > > simply

> >> consisted of

> >> massaging and then needling SP21. This is an> > >

> approach mentioned in

> >> Kiiko

> >> Matsumoto's Clinical Strategies Vol.I> > >

> (Thanks to Mike Bowser who

> >> pointed

> >> this out to me). > > > > > > Tx was incredibly

> successful. While

> >> massaging/needling SP21 patient> > > would report

> that her hand felt

> >> lighter and

> >> would immediately have> > > greater ROM. At the

> end of each treatment she

> >> felt

> >> significantly> > > better and within about 10

> treatments she was at least

> >> 80%

> >> better. If> > > you use this approach it would be

> best to read Kiiko's

> >> book. It

> >> is not> > > enough to simply find SP21 based on

> point location definition

> >> and> >

> >> > expect results. It is absolutely critical to

> find the 'live' point...>

> >> > > >

> >> Graham > > > > Two comments:> > > > (1) Well

> done; I had not heard of

> >> that

> >> approach for RSD.> > > > (2) " It is not enough to

> simply find SP21 based

> >> on

> >> point location> definition > > and expect

> results. It is absolutely

> >> critical to

> >> find the 'live'> point... " > > > > IMO, finding

> the " live " point is

> >> important.

> >> Several colleagues> report that point > >

> location in animals is not

> >> static.

> >> Location of some points (based on> electrical > >

> (conductance /

> >> impedance-based

> >> point-finders) can vary by 1-2cm> between > >

> animals of the same species

> >> and

> >> size. > > > > When I needle people or animals, I

> usually palpate for the

> >> hole />

> >> depression > > at near the " anatomical location "

> first. Then I often

> >> hover the

> >> tip> of the > > needle over the skin at that

> location but let my

> >> intuition

> >> sense> (and guide the > > needle-tip to) the

> exact point near that into

> >> which I

> >> insert the needle.> > > > Two queries:> > > > (1)

> What DX did you use to

> >> ascertain the Root, and what points> addressed >

> > this?> > > > (2) How

> >> does

> >> SP21 (Dabao, Great Embracement, 6' below axilla,

> on mid-> > axillary

> >> line, or in

> >> intercostal space 6, midway from axilla to tip>

> of rib 11) > > qualify as

> >> a

> >> 'local' treatment when the RSD affected the

> wrist? > > > > Best regards,>

> >> > Phil

> >> Rogers> >> > > > Hi Phil-> > The root treatment

> was determined based on

> >> Japanese

> >> pulse and abdomen> diagnosis. The treatment would

> sometimes change based

> >> on her>

> >> pulse/abdomen presentation on the day she came

> in. Genreally, I was>

> >> simply

> >> needling Liv-8/Kd-10/Lu-9, TW-4. This is simple

> Japanese> meridian

> >> acupuncture

> >> (denmei shudo is a good example of this)> > I

> meant to be slightly funny

> >> by

> >> referring to Sp-21 as a 'local'> treatment. (the

> subtleties of language

> >> that are

> >> lost on e-mail!) > Clearly it is not anywhere

> near the wrist. However, it

> >> is a

> >> point> intended to affect the wrist directly and

> in that way may be>

> >> considered

> >> local. In her book, Kiiko emphasizes that the

> correct> point and needle

> >> angle

> >> will result in an immediate (positive) change> at

> the area affected by

> >> the RSD.

> >> I found this to be true. In another> part of her

> book she mentions that

> >> GB-22/23

> >> may also help for RSD. So> I think finding the

> point that affects a

> >> change in

> >> the wrist is the> important thing.> > I did try a

> true local treatment on

> >> the

> >> patient's first visit and> found that it had an

> adverse affect.> > Hope

> >> this

> >> helps> > Graham> > > > > [Non-text portions of

> this message have been

> >> removed]

> >>

> >>

> >>

>

_______________

> >> Find a local pizza place, movie theater, and

> more..then map the best

> >> route!

> >>

>

http://maps.live.com/default.aspx?v=2 & ss=yp.bars~yp.pizza~yp.movie%20theater & cp=

> >>

>

42.358996~-71.056691 & style=r & lvl=13 & tilt=-90 & dir=0 & alt=-1000 & scene=950607 & encTyp

> >> e=1 & FORM=MGAC01

> >>

> >> [Non-text portions of this message have been

> removed]

> >>

> >>

> >>

> >> Subscribe to the fee online journal for TCM at

> Chinese

=== message truncated ===

 

 

 

 

______________________________\

____

Need a vacation? Get great deals

to amazing places on Travel.

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Just an FYI, RSD, RSDS, causalgia and CRPS are all used

and RSD is still very popular, at least at my chiro school.

Mike W. Bowser, L Ac

 

 

:

petrabuchanan: Mon, 13 Aug 2007 07:07:22 -0700Re: TCM -

Re: AP in RSD - SP21?

 

 

 

 

Thanks Alon.--- Alon Marcus <alonmarcus wrote:> RSD as been officially

replaced by complex regional> pain syndrome> > > > 400 29th St.

#419> > > > > -----

Original Message ----- > <anne.crowley> To:

<Chinese Medicine >> Friday, August 10, 2007

6:26 PM> RE: Re: AP in RSD - SP21?> > > > Thanks, Mike.> >> >

Anne> > -------------- Original message> ----------------------> > mike

Bowser <naturaldoc1> >> RSD refers to a painful western medical

condition> where the body responds > >> to a> >> previous trauma with swelling,

pain,> discoloration that continues long > >> after the> >> minor event. It can

appear at various locations> but usually affects the > >> upper> >> limbs. The

pain is said to be extreme. Hope> this helps. Mike W. > >> Bowser, L Ac> >>> >>>

>> To:> Chinese Medicine:> >>

anne.crowley: Fri, 10 Aug 2007> 21:36:52 +0000Re: > >>

TCM -> >> Re: AP in RSD - SP21?> >>> >>> >>> >>> >> Okay, maybe I have been away

too long, but what> is RSD, on the wrist and > >> also on> >> the

knee?Anne-------------- Original message> ----------------------> >> " g " >

>> <dghaynes131> > >>

Chinese Medicine ,> >> " " >

< wrote:> >> > Hi> Graham & All,> > > > > I > >> treated> >> ...

RSD ...wrist... Each treatment consisted of a> root> > > treatment > >> (either

5> >> phase or Manaka) and then a 'local' treatment>> which> > > simply > >>

consisted of> >> massaging and then needling SP21. This is an> > >> approach

mentioned in > >> Kiiko> >> Matsumoto's Clinical Strategies Vol.I> > >> (Thanks

to Mike Bowser who > >> pointed> >> this out to me). > > > > > > Tx was

incredibly> successful. While> >> massaging/needling SP21 patient> > > would

report> that her hand felt > >> lighter and> >> would immediately have> > >

greater ROM. At the> end of each treatment she > >> felt> >> significantly> > >

better and within about 10> treatments she was at least > >> 80%> >> better. If>

> > you use this approach it would be> best to read Kiiko's > >> book. It> >> is

not> > > enough to simply find SP21 based on> point location definition > >>

and> >> >> > expect results. It is absolutely critical to> find the 'live'

point...> > >> > > >> >> Graham > > > > Two comments:> > > > (1) Well> done; I

had not heard of > >> that> >> approach for RSD.> > > > (2) " It is not enough

to> simply find SP21 based > >> on> >> point location> definition > > and

expect> results. It is absolutely > >> critical to> >> find the 'live'>

point... " > > > > IMO, finding> the " live " point is > >> important.> >> Several

colleagues> report that point > >> location in animals is not > >> static.> >>

Location of some points (based on> electrical > >> (conductance / > >>

impedance-based> >> point-finders) can vary by 1-2cm> between > >> animals of

the same species > >> and> >> size. > > > > When I needle people or animals, I>

usually palpate for the > >> hole />> >> depression > > at near the " anatomical

location " > first. Then I often > >> hover the> >> tip> of the > > needle over

the skin at that> location but let my > >> intuition> >> sense> (and guide the >

> needle-tip to) the> exact point near that into > >> which I> >> insert the

needle.> > > > Two queries:> > > > (1)> What DX did you use to> >> ascertain the

Root, and what points> addressed >> > this?> > > > (2) How > >> does> >> SP21

(Dabao, Great Embracement, 6' below axilla,> on mid-> > axillary > >> line, or

in> >> intercostal space 6, midway from axilla to tip>> of rib 11) > > qualify

as > >> a> >> 'local' treatment when the RSD affected the> wrist? > > > > Best

regards,> > >> > Phil> >> Rogers> >> > > > Hi Phil-> > The root treatment> was

determined based on > >> Japanese> >> pulse and abdomen> diagnosis. The

treatment would> sometimes change based > >> on her>> >> pulse/abdomen

presentation on the day she came> in. Genreally, I was> > >> simply> >> needling

Liv-8/Kd-10/Lu-9, TW-4. This is simple> Japanese> meridian > >> acupuncture> >>

(denmei shudo is a good example of this)> > I> meant to be slightly funny > >>

by> >> referring to Sp-21 as a 'local'> treatment. (the> subtleties of language

> >> that are> >> lost on e-mail!) > Clearly it is not anywhere> near the wrist.

However, it > >> is a> >> point> intended to affect the wrist directly and> in

that way may be> > >> considered> >> local. In her book, Kiiko emphasizes that

the> correct> point and needle > >> angle> >> will result in an immediate

(positive) change> at> the area affected by > >> the RSD.> >> I found this to be

true. In another> part of her> book she mentions that > >> GB-22/23> >> may also

help for RSD. So> I think finding the> point that affects a > >> change in> >>

the wrist is the> important thing.> > I did try a> true local treatment on > >>

the> >> patient's first visit and> found that it had an> adverse affect.> > Hope

> >> this> >> helps> > Graham> > > > > [Non-text portions of> this message have

been > >> removed]> >>> >>>

>>>________> >> Find a local

pizza place, movie theater, and> more..then map the best > >> route!>

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cp=>

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Typ> >> e=1 & FORM=MGAC01> >>> >> [Non-text portions of this message have been>

removed]> >>> >>> >>> >> Subscribe to the fee online journal for TCM at> Chinese

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_______________

Find a local pizza place, movie theater, and more….then map the best route!

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