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Dear Nam Nguyen & All,

 

Two comments on Nam Nguyen's mail:

 

> My son , age 21, suddenly has left hypochondriac pain for 3 days and

> it getting worse. This pain gets worse when he twists his body to the

> right.

 

(1) This is what I find also in horses; those with pressure-sensitivity in the

muscles on one side (thorax or lumbar area) favour (protect, guard) THAT

side and resist (travel worse) movement to the OTHER side.

 

I understand that contraction of a painful / spastic muscle is no problem but

that extension increases the pain. Therefore animals / people " guard " the

pain.

 

If there is pain on BOTH sides, they " guard " the side with the WORST pain.

 

If there is pain in the LEFT neck, horses hold their head slightly to the LEFT.

This puts them offline and can be associated with (usually due to) a problem

on the RIGHT rump.

 

However, left neck pain also can arise as a primary strain / neck disc or

vertebral problem, or due to referral from joint pain in the left limb, left

hyoid

problems, or left TMJ pain (due to molars not meeting evenly on left side).

 

> The exact location is S19 on the left, about 3 cun directly below the

> nipple. Physical healthy, muscular built, he is a physical trainer, no

> stress, no depressed. Lately, no vigorous exercise nor strong physical

> activity that could damage the tendons or ligaments, I believed.

 

IMO, it is a mistake to eliminate a Dx of muscle, ligamant or tendon strain

just because a human / animal is fully fit and no obvious cause of the strain

has been observed!

 

Horses often injure themselves (unseen) in their boxes! Sometimes the

evidence is seen next morning - tracks of the hooves on the wall indicate

that the horse was cast in the box and had to struggle to rise, thereby

marking the wall with typical curved marks.

 

I know several humans who went to bed pain-free and got up next morning

with pulled muscles (neck, trunk or limb(s)). My explanation is myofascial or

musculoskeletal strain during sleep, due to sudden unusual movement while

dreaming.

 

A cousin of mine totally discloated his hip during a nightmare (in which he

dreamed that he was being chased). Struggling to " escape from his

pursuers " he twisted his hip joint right out of its socket. He needed hospital

Tx to relocate the femoral head into the acetabulum!

 

> The pain seems to be excruciated when he turns his body. It seem to be

> in the muscle, not in bone nor skin. light pressure is fine but deeper

> will cause severe pain. Normal bowel movement, no emotional upset or

> anger, good appetite, happy and lively. No headache... Left pulse is

> slightly thinner than right pulse, moderate, Slippery, long pulse. Thin

> white coat. MY DIAGONOSIS : Could be local muscle or tendon damaged or

> torn. Sometimes there was quick turn or a rapid movement which the

> muscle or tendon cannot respond quickly enough, it will cause a

> damaged, torn or twisted. This easily cause Qi and blood not getting

> through properly. In TCM , I think we called " Qi and Blood stagnation

> " . This happened suddenly without a cause as he stated. No physical

> weakness or dietary related. This is what I had concluded as above.

 

Yes, this could be a classical muscle Ahshi point. But it could be a referred

Ahshi point from visceral, somatic or cutaneous irritation also.

 

It might be a Trigger Point if pressure there refers pain elsewhere also.

 

> TREATMENT : ACU : I chose G34 ( for tendon and ligament ) and regulated

> for 30 sec, the pain diminished, but not cleared. I continued

> manipulating, regulated this point and at the same time I pressed and

> hold the tender point ( S19 ) and asked him to turn. At this time, no

> pain. He kept turning and turning, and the pain re-existed only when he

> turned left, but not that severe because I asked him to stop turning. I

> kept regulating G34 for another 20 seconds and asked him to turned his

> body again, but it did not help. The pain was still there. I stopped

> that point and removed the needle. I believed this point is not the

> key. I checked the left pulse, did not change. Then I chose the second

> point S36. The reason I chose S36 ( right side ) to enhance the quality

> of the left pulse ( slightly thinner than R pulse ), besides that it

> belongs to Sto, S19 is the sensor. After manupulation for 15 seconds,

> pain was substantially bearable and feel more comfortable. I rechecked

> the pulses and I found the balance between the 2 hands. Somehow, I

> continued to stimulate S36 and asked my boy to turn. He could turn much

> better with little pain. I removed this needle after another 20 seconds

> and stopped the treatment, I said, " That is enough for today. " If the

> pain still appears, let me know. Today, he went to the fitness gym to

> train his clients. His co-worker, a 40 years experiencedeep tissue

> masseuer, a Ph.d of physical therapist from UCLA, said that he may have

> a pancreas problem and he should be checked with an MD. I told my son "

> He does not know anything, my son. He is a physical therapist, not a

> physician. " First, the pancreas is inside the liver , below the rib

> and is on the right side of the hypochondriac " . Second, when we have

> the pancreas problem we should have some signs of weakness because of

> carbohydrate metabolism problem. At times when we overeat or undereat

> we will have some signs of problem or aggravation. This will manifest

> in tiredness, lethargy, depression, confusion, and it may produce some

> signs of allergies. The digestion problem and may have some connection

> with bowel movement too, but have had nothing. Just forget about your

> mentor-friend. Let me know when this pain does not goes away and if it

> still does bother you even a bit. I will wait and see until tomorrow

> because he went to school and will go home late. I WROTE THIS TO

> SHARE WITH ALL OF YOU. I think this is a special case, your descendant.

> I am surprised he asked me to look at this matter. Have any of you

> experienced this case ? A sudden pain below the left nibble without

> any other symptoms. Any idea I should add to this treatment or any

> different diagnosis comes along? I am sorry to state that his

> mentor-friend does not know anything about this. Does it seem like an

> MD said to our patient in our absence? But I think I can get away with

> this because he referred my son to MD without any explanation. I have

> to be strong !!!!!!!!!! Thanks for your attention reading this case.

> ANy inputs will be greatful. Nam Nguyen

 

I would needle other distant points also:

 

(a) LU01 on the RIGHT side is very successful in horses with LEFT thoracic

pain.

 

(b) ST44 or ST45 +/- LV03 might help also.

 

In their masterly book on myofascial pain & dysfunction, Drs Janet Travell &

Michael Simons stress the need to treat Trigger Points directly.

 

Direct Tx can be by needling or " stretch & spray " , or massage etc. Other

direct methods (injection, laser, ice-massage, etc) can release TPs also.

 

Travell & Simons also said that more than one treatment may be needed to

fully release TPs. That is my experience also.

 

(2) Should we treat our own kin (family members)?

 

Most of us probably treat our kin for minor problems. However, the usual

advice, especially if the problem might have serious causes, is to refer our

kin to someone else.

 

As regards your son's pain, my advice is:

 

(a) Continue ACU for 1-2 days +/- local massage with rubs that Scatter

Blood Stag & Move Qi, like Tiger Balm or MOOV ointments.

 

I find MOOV [ http://paraspharma.com/moov.htm ] excellent in combination

with acupuncture for aches & pains.

 

(b) Refer him to another doctor if he is not greatly improved in 2 days.

 

Best regards,

 

 

 

 

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Phil,

 

Thanks for your input. YOur coments are great.

I heard that we should not treat our kin members. That is true.

But I have usually treated them when they come to me. Years ago ,

they had never trusted me and wanted to have someone else to treat

them. I had never felt ashamed or embarrassed when they see someone

else. There were cases they found and sought help outside, but their

problem persisted. At this time they asked me for advice. I anlyzed a

ccase and asked if they want to have me trying on them. Suddenly the

trust was built. However, I 've never ask them to see me first. They

are allowed to see anyone before seeing me.

What I think here, we can treat anybody even with our own

family " but always do it with great care " I thought the statement

above applied only to surgeons because with a slight mistake or

emotion involved, the whole thing will backfire on them.

Last night I asked my son how he fell. The answer was much

better. He hardly fell pain. However, I insisted him for another

treatment to prevent the recurrent.

Phil has suggested some great points for this case which I

believe it would offer great help. However, I always keep the

treatment with one needle per treatment and less than 5 minutes if I

can. This is why all my patients feel comfortable and my kin family

have trusts in me. Not only that, I always expect the instant result.

If I do not get it, the next day I try again and still not get it. I

refer him / her to see someone else ( first MD, then others ).

Somehow, in this case I achieved some luck. I will follow this

case until tomorrow and I know my son will have another treatment as

I requested.

 

Thanks Phil and all,

 

Nam Nguyen

 

 

 

 

 

 

 

Chinese Medicine , " "

< wrote:

>

> Dear Nam Nguyen & All,

>

> Two comments on Nam Nguyen's mail:

>

> > My son , age 21, suddenly has left hypochondriac pain for 3 days

and

> > it getting worse. This pain gets worse when he twists his body to

the

> > right.

>

> (1) This is what I find also in horses; those with pressure-

sensitivity in the

> muscles on one side (thorax or lumbar area) favour (protect, guard)

THAT

> side and resist (travel worse) movement to the OTHER side.

>

> I understand that contraction of a painful / spastic muscle is no

problem but

> that extension increases the pain. Therefore animals /

people " guard " the

> pain.

>

> If there is pain on BOTH sides, they " guard " the side with the

WORST pain.

>

> If there is pain in the LEFT neck, horses hold their head slightly

to the LEFT.

> This puts them offline and can be associated with (usually due to)

a problem

> on the RIGHT rump.

>

> However, left neck pain also can arise as a primary strain / neck

disc or

> vertebral problem, or due to referral from joint pain in the left

limb, left hyoid

> problems, or left TMJ pain (due to molars not meeting evenly on

left side).

>

> > The exact location is S19 on the left, about 3 cun directly below

the

> > nipple. Physical healthy, muscular built, he is a physical

trainer, no

> > stress, no depressed. Lately, no vigorous exercise nor strong

physical

> > activity that could damage the tendons or ligaments, I believed.

>

> IMO, it is a mistake to eliminate a Dx of muscle, ligamant or

tendon strain

> just because a human / animal is fully fit and no obvious cause of

the strain

> has been observed!

>

> Horses often injure themselves (unseen) in their boxes! Sometimes

the

> evidence is seen next morning - tracks of the hooves on the wall

indicate

> that the horse was cast in the box and had to struggle to rise,

thereby

> marking the wall with typical curved marks.

>

> I know several humans who went to bed pain-free and got up next

morning

> with pulled muscles (neck, trunk or limb(s)). My explanation is

myofascial or

> musculoskeletal strain during sleep, due to sudden unusual movement

while

> dreaming.

>

> A cousin of mine totally discloated his hip during a nightmare (in

which he

> dreamed that he was being chased). Struggling to " escape from his

> pursuers " he twisted his hip joint right out of its socket. He

needed hospital

> Tx to relocate the femoral head into the acetabulum!

>

> > The pain seems to be excruciated when he turns his body. It seem

to be

> > in the muscle, not in bone nor skin. light pressure is fine but

deeper

> > will cause severe pain. Normal bowel movement, no emotional upset

or

> > anger, good appetite, happy and lively. No headache... Left pulse

is

> > slightly thinner than right pulse, moderate, Slippery, long

pulse. Thin

> > white coat. MY DIAGONOSIS : Could be local muscle or tendon

damaged or

> > torn. Sometimes there was quick turn or a rapid movement which the

> > muscle or tendon cannot respond quickly enough, it will cause a

> > damaged, torn or twisted. This easily cause Qi and blood not

getting

> > through properly. In TCM , I think we called " Qi and Blood

stagnation

> > " . This happened suddenly without a cause as he stated. No

physical

> > weakness or dietary related. This is what I had concluded as

above.

>

> Yes, this could be a classical muscle Ahshi point. But it could be

a referred

> Ahshi point from visceral, somatic or cutaneous irritation also.

>

> It might be a Trigger Point if pressure there refers pain elsewhere

also.

>

> > TREATMENT : ACU : I chose G34 ( for tendon and ligament ) and

regulated

> > for 30 sec, the pain diminished, but not cleared. I continued

> > manipulating, regulated this point and at the same time I pressed

and

> > hold the tender point ( S19 ) and asked him to turn. At this

time, no

> > pain. He kept turning and turning, and the pain re-existed only

when he

> > turned left, but not that severe because I asked him to stop

turning. I

> > kept regulating G34 for another 20 seconds and asked him to

turned his

> > body again, but it did not help. The pain was still there. I

stopped

> > that point and removed the needle. I believed this point is not

the

> > key. I checked the left pulse, did not change. Then I chose the

second

> > point S36. The reason I chose S36 ( right side ) to enhance the

quality

> > of the left pulse ( slightly thinner than R pulse ), besides that

it

> > belongs to Sto, S19 is the sensor. After manupulation for 15

seconds,

> > pain was substantially bearable and feel more comfortable. I

rechecked

> > the pulses and I found the balance between the 2 hands. Somehow, I

> > continued to stimulate S36 and asked my boy to turn. He could

turn much

> > better with little pain. I removed this needle after another 20

seconds

> > and stopped the treatment, I said, " That is enough for today. "

If the

> > pain still appears, let me know. Today, he went to the fitness

gym to

> > train his clients. His co-worker, a 40 years experiencedeep tissue

> > masseuer, a Ph.d of physical therapist from UCLA, said that he

may have

> > a pancreas problem and he should be checked with an MD. I told my

son "

> > He does not know anything, my son. He is a physical therapist,

not a

> > physician. " First, the pancreas is inside the liver , below the

rib

> > and is on the right side of the hypochondriac " . Second, when we

have

> > the pancreas problem we should have some signs of weakness

because of

> > carbohydrate metabolism problem. At times when we overeat or

undereat

> > we will have some signs of problem or aggravation. This will

manifest

> > in tiredness, lethargy, depression, confusion, and it may produce

some

> > signs of allergies. The digestion problem and may have some

connection

> > with bowel movement too, but have had nothing. Just forget about

your

> > mentor-friend. Let me know when this pain does not goes away and

if it

> > still does bother you even a bit. I will wait and see until

tomorrow

> > because he went to school and will go home late. I WROTE THIS TO

> > SHARE WITH ALL OF YOU. I think this is a special case, your

descendant.

> > I am surprised he asked me to look at this matter. Have any of you

> > experienced this case ? A sudden pain below the left nibble

without

> > any other symptoms. Any idea I should add to this treatment or any

> > different diagnosis comes along? I am sorry to state that his

> > mentor-friend does not know anything about this. Does it seem

like an

> > MD said to our patient in our absence? But I think I can get away

with

> > this because he referred my son to MD without any explanation. I

have

> > to be strong !!!!!!!!!! Thanks for your attention reading this

case.

> > ANy inputs will be greatful. Nam Nguyen

>

> I would needle other distant points also:

>

> (a) LU01 on the RIGHT side is very successful in horses with LEFT

thoracic

> pain.

>

> (b) ST44 or ST45 +/- LV03 might help also.

>

> In their masterly book on myofascial pain & dysfunction, Drs Janet

Travell &

> Michael Simons stress the need to treat Trigger Points directly.

>

> Direct Tx can be by needling or " stretch & spray " , or massage etc.

Other

> direct methods (injection, laser, ice-massage, etc) can release TPs

also.

>

> Travell & Simons also said that more than one treatment may be

needed to

> fully release TPs. That is my experience also.

>

> (2) Should we treat our own kin (family members)?

>

> Most of us probably treat our kin for minor problems. However, the

usual

> advice, especially if the problem might have serious causes, is to

refer our

> kin to someone else.

>

> As regards your son's pain, my advice is:

>

> (a) Continue ACU for 1-2 days +/- local massage with rubs that

Scatter

> Blood Stag & Move Qi, like Tiger Balm or MOOV ointments.

>

> I find MOOV [ http://paraspharma.com/moov.htm ] excellent in

combination

> with acupuncture for aches & pains.

>

> (b) Refer him to another doctor if he is not greatly improved in 2

days.

>

> Best regards,

>

>

>

>

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Hi Phil and Nam:

I agree that strains can occur either during sleep, or without a person

noticing. What may have been a stumble over uneven ground during the day at a

perfectly inopportune time, may show up as a strain once the body falls to sleep

and the blood (essentially) stops moving (i.e. muscle cools down).

Thanks,

Hugo

 

 

<

 

 

 

IMO, it is a mistake to eliminate a Dx of muscle, ligamant or tendon strain

 

just because a human / animal is fully fit and no obvious cause of the strain

 

has been observed!

 

 

 

Horses often injure themselves (unseen) in their boxes! Sometimes the

 

evidence is seen next morning - tracks of the hooves on the wall indicate

 

that the horse was cast in the box and had to struggle to rise, thereby

 

marking the wall with typical curved marks.

 

 

 

 

 

 

 

 

 

 

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Return to hypochondriac case,

 

This morning I asked my son if he still have the same pain, he said

just a little bit. But I just asked him again at 6:30 PM if I could

treat him. He came to me for a treatment and I asked him to move his

arms twisted and bended in all directions and stretched out forward,

backward extendly.... I pressed the tender point.... OOhh, no pain at

all. I said to him , " This is fine. You do not need another

treatment. " . But he argued, " Yesterday, you said I need another

treatment, didn't you? " ......... That was yesterday, but today I've

found nothing wrong. The case is closed.

Hey, everybody !!!!!!!!!!! I just hit another jackpot. I have hit

so many jackpots a day. That is a bless !

 

RECALL : This is a hypochondriac pain below the left nipple in a

straight line, about 3 cun below. This could be S19. TREATMENT only

with acupuncture : G34 ( 1st, without hope ), then S36 ( resolved it ).

 

Thanks everybody for reading and following this case.

 

Nam Nguyen

GOOD LUCK TO EVERYBODY IF YOU COME ACROSS THE SIMILAR CASE.

 

 

Chinese Medicine , " dr_namnguyen58 "

<dr_namnguyen58 wrote:

>

> Phil,

>

> Thanks for your input. YOur coments are great.

> I heard that we should not treat our kin members. That is true.

> But I have usually treated them when they come to me. Years ago ,

> they had never trusted me and wanted to have someone else to treat

> them. I had never felt ashamed or embarrassed when they see someone

> else. There were cases they found and sought help outside, but their

> problem persisted. At this time they asked me for advice. I anlyzed a

> ccase and asked if they want to have me trying on them. Suddenly the

> trust was built. However, I 've never ask them to see me first. They

> are allowed to see anyone before seeing me.

> What I think here, we can treat anybody even with our own

> family " but always do it with great care " I thought the statement

> above applied only to surgeons because with a slight mistake or

> emotion involved, the whole thing will backfire on them.

> Last night I asked my son how he fell. The answer was much

> better. He hardly fell pain. However, I insisted him for another

> treatment to prevent the recurrent.

> Phil has suggested some great points for this case which I

> believe it would offer great help. However, I always keep the

> treatment with one needle per treatment and less than 5 minutes if I

> can. This is why all my patients feel comfortable and my kin family

> have trusts in me. Not only that, I always expect the instant result.

> If I do not get it, the next day I try again and still not get it. I

> refer him / her to see someone else ( first MD, then others ).

> Somehow, in this case I achieved some luck. I will follow this

> case until tomorrow and I know my son will have another treatment as

> I requested.

>

> Thanks Phil and all,

>

> Nam Nguyen

>

Chinese Medicine , " "

> <@> wrote:

> >

> > Dear Nam Nguyen & All,

> >

> > Two comments on Nam Nguyen's mail:

> >

> > > My son , age 21, suddenly has left hypochondriac pain for 3 days

> and

> > > it getting worse. This pain gets worse when he twists his body to

> the

> > > right.

> >

> > (1) This is what I find also in horses; those with pressure-

> sensitivity in the

> > muscles on one side (thorax or lumbar area) favour (protect, guard)

> THAT

> > side and resist (travel worse) movement to the OTHER side.

> >

> > I understand that contraction of a painful / spastic muscle is no

> problem but

> > that extension increases the pain. Therefore animals /

> people " guard " the

> > pain.

> >

> > If there is pain on BOTH sides, they " guard " the side with the

> WORST pain.

> >

> > If there is pain in the LEFT neck, horses hold their head slightly

> to the LEFT.

> > This puts them offline and can be associated with (usually due to)

> a problem

> > on the RIGHT rump.

> >

> > However, left neck pain also can arise as a primary strain / neck

> disc or

> > vertebral problem, or due to referral from joint pain in the left

> limb, left hyoid

> > problems, or left TMJ pain (due to molars not meeting evenly on

> left side).

> >

> > > The exact location is S19 on the left, about 3 cun directly below

> the

> > > nipple. Physical healthy, muscular built, he is a physical

> trainer, no

> > > stress, no depressed. Lately, no vigorous exercise nor strong

> physical

> > > activity that could damage the tendons or ligaments, I believed.

> >

> > IMO, it is a mistake to eliminate a Dx of muscle, ligamant or

> tendon strain

> > just because a human / animal is fully fit and no obvious cause of

> the strain

> > has been observed!

> >

> > Horses often injure themselves (unseen) in their boxes! Sometimes

> the

> > evidence is seen next morning - tracks of the hooves on the wall

> indicate

> > that the horse was cast in the box and had to struggle to rise,

> thereby

> > marking the wall with typical curved marks.

> >

> > I know several humans who went to bed pain-free and got up next

> morning

> > with pulled muscles (neck, trunk or limb(s)). My explanation is

> myofascial or

> > musculoskeletal strain during sleep, due to sudden unusual movement

> while

> > dreaming.

> >

> > A cousin of mine totally discloated his hip during a nightmare (in

> which he

> > dreamed that he was being chased). Struggling to " escape from his

> > pursuers " he twisted his hip joint right out of its socket. He

> needed hospital

> > Tx to relocate the femoral head into the acetabulum!

> >

> > > The pain seems to be excruciated when he turns his body. It seem

> to be

> > > in the muscle, not in bone nor skin. light pressure is fine but

> deeper

> > > will cause severe pain. Normal bowel movement, no emotional upset

> or

> > > anger, good appetite, happy and lively. No headache... Left pulse

> is

> > > slightly thinner than right pulse, moderate, Slippery, long

> pulse. Thin

> > > white coat. MY DIAGONOSIS : Could be local muscle or tendon

> damaged or

> > > torn. Sometimes there was quick turn or a rapid movement which the

> > > muscle or tendon cannot respond quickly enough, it will cause a

> > > damaged, torn or twisted. This easily cause Qi and blood not

> getting

> > > through properly. In TCM , I think we called " Qi and Blood

> stagnation

> > > " . This happened suddenly without a cause as he stated. No

> physical

> > > weakness or dietary related. This is what I had concluded as

> above.

> >

> > Yes, this could be a classical muscle Ahshi point. But it could be

> a referred

> > Ahshi point from visceral, somatic or cutaneous irritation also.

> >

> > It might be a Trigger Point if pressure there refers pain elsewhere

> also.

> >

> > > TREATMENT : ACU : I chose G34 ( for tendon and ligament ) and

> regulated

> > > for 30 sec, the pain diminished, but not cleared. I continued

> > > manipulating, regulated this point and at the same time I pressed

> and

> > > hold the tender point ( S19 ) and asked him to turn. At this

> time, no

> > > pain. He kept turning and turning, and the pain re-existed only

> when he

> > > turned left, but not that severe because I asked him to stop

> turning. I

> > > kept regulating G34 for another 20 seconds and asked him to

> turned his

> > > body again, but it did not help. The pain was still there. I

> stopped

> > > that point and removed the needle. I believed this point is not

> the

> > > key. I checked the left pulse, did not change. Then I chose the

> second

> > > point S36. The reason I chose S36 ( right side ) to enhance the

> quality

> > > of the left pulse ( slightly thinner than R pulse ), besides that

> it

> > > belongs to Sto, S19 is the sensor. After manupulation for 15

> seconds,

> > > pain was substantially bearable and feel more comfortable. I

> rechecked

> > > the pulses and I found the balance between the 2 hands. Somehow, I

> > > continued to stimulate S36 and asked my boy to turn. He could

> turn much

> > > better with little pain. I removed this needle after another 20

> seconds

> > > and stopped the treatment, I said, " That is enough for today. "

> If the

> > > pain still appears, let me know. Today, he went to the fitness

> gym to

> > > train his clients. His co-worker, a 40 years experiencedeep tissue

> > > masseuer, a Ph.d of physical therapist from UCLA, said that he

> may have

> > > a pancreas problem and he should be checked with an MD. I told my

> son "

> > > He does not know anything, my son. He is a physical therapist,

> not a

> > > physician. " First, the pancreas is inside the liver , below the

> rib

> > > and is on the right side of the hypochondriac " . Second, when we

> have

> > > the pancreas problem we should have some signs of weakness

> because of

> > > carbohydrate metabolism problem. At times when we overeat or

> undereat

> > > we will have some signs of problem or aggravation. This will

> manifest

> > > in tiredness, lethargy, depression, confusion, and it may produce

> some

> > > signs of allergies. The digestion problem and may have some

> connection

> > > with bowel movement too, but have had nothing. Just forget about

> your

> > > mentor-friend. Let me know when this pain does not goes away and

> if it

> > > still does bother you even a bit. I will wait and see until

> tomorrow

> > > because he went to school and will go home late. I WROTE THIS TO

> > > SHARE WITH ALL OF YOU. I think this is a special case, your

> descendant.

> > > I am surprised he asked me to look at this matter. Have any of you

> > > experienced this case ? A sudden pain below the left nibble

> without

> > > any other symptoms. Any idea I should add to this treatment or any

> > > different diagnosis comes along? I am sorry to state that his

> > > mentor-friend does not know anything about this. Does it seem

> like an

> > > MD said to our patient in our absence? But I think I can get away

> with

> > > this because he referred my son to MD without any explanation. I

> have

> > > to be strong !!!!!!!!!! Thanks for your attention reading this

> case.

> > > ANy inputs will be greatful. Nam Nguyen

> >

> > I would needle other distant points also:

> >

> > (a) LU01 on the RIGHT side is very successful in horses with LEFT

> thoracic

> > pain.

> >

> > (b) ST44 or ST45 +/- LV03 might help also.

> >

> > In their masterly book on myofascial pain & dysfunction, Drs Janet

> Travell &

> > Michael Simons stress the need to treat Trigger Points directly.

> >

> > Direct Tx can be by needling or " stretch & spray " , or massage etc.

> Other

> > direct methods (injection, laser, ice-massage, etc) can release TPs

> also.

> >

> > Travell & Simons also said that more than one treatment may be

> needed to

> > fully release TPs. That is my experience also.

> >

> > (2) Should we treat our own kin (family members)?

> >

> > Most of us probably treat our kin for minor problems. However, the

> usual

> > advice, especially if the problem might have serious causes, is to

> refer our

> > kin to someone else.

> >

> > As regards your son's pain, my advice is:

> >

> > (a) Continue ACU for 1-2 days +/- local massage with rubs that

> Scatter

> > Blood Stag & Move Qi, like Tiger Balm or MOOV ointments.

> >

> > I find MOOV [ http://paraspharma.com/moov.htm ] excellent in

> combination

> > with acupuncture for aches & pains.

> >

> > (b) Refer him to another doctor if he is not greatly improved in 2

> days.

> >

> > Best regards,

> >

> >

> >

> >

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