Four steps to the groin
From now begin to populate this blog from time to time with some "case history", with the aim to share some experience and perhaps avoid other possible errors or ineffective treatments. To start with a good omen, I describe a case which has responded well to early treatment.
Middle-aged man, runner, comes to me for a chronic groin: report having pain in the groin / genital now for a year. As usual, report having gone through a physical therapist, osteopath, etc.. but could not solve.
To put the situation, using the interpretive framework of the AMS, which provides the query according to the eight rules and then the verification of certain conditions in order to identify the type of meridians concerned, if the condition does not meet the rules 8. I was particularly helpful following article by Prof. Di Stanislao.
Fortunately (rare) disorder responds to rules 8 and is configured as a stagnation of Yin: is deep, improves with heat, massage and improves with movement, is indifferent to the pressure. The muscle does not contract, the pain is not related to emotional states, whereas so hard to believe a year to treat the principal meridians.
Proceed with the processing of the primary channels Shou Zu Jue Yin and Yang Shao: I choose the first based upon the anatomic location of the pain and the fact that affects the genitals, the second as it moves Qi (we are faced with a stagnating), can be useful in the treatment of large joints (Di Stanislao, verbal communication) and is particularly indicated in the treatment of the elderly or those who, however, has passed a certain age ...
8 According to the rules I should be treated as the single point 'KI 8, but did not remember when so suddenly LV 6 - 8 and 5 in the TB moxa to move the Qi in the lower TR. The points of LV chosen give pain relief during treatment, in particular LV 6 was chosen as the point Xi able to revive the flow of Qi in the meridian.
At the end of session, the pain is almost gone. The subject returns after a week with an ache that has "moved around", at the first sacral foramen, right, and that sometimes extends laterally toward the back. I confess I did 10-15 km during the week because he felt better. After a brief lecture section LV and GB, BL 31 right and 11 KI moxa and then the muscle tendon of GB via 44 GB and 18 SI meeting point.
At the end of session reports to be much better, but the meeting point and we are following all over again. In particular, the genital discomfort / of 'abductor has declined, but always present, also the subject begins to report (in contrast with what was said at the beginning) that feels more "pull" side of the muscles along the back and legs, ie along the yang shao. I imagine that the situation has indeed improved, but as often happens, the subject is "new disorders" to report, the first that actually had not occurred or had not been paying attention, being more significant symptoms or other disorders. Moreover, even when I confessed that he totally abandons the course (followed by a second and final lecture).
This time (third session) tract of the LV meridians, and TR GB, using LR 8 and 44 GB with 8 massage and moxa in KI and 5V. 8 KI insert, as I should do first, according to the scheme mentioned above, I have not applied for "follow the signs." Also (guiltily) I do not use 8 KI alone, as I should, but also dealing with other points, however painful.
At the fourth session, no significant improvements occur, except that the subject has avoided running or long marches. I decided (finally) to deal with only the 'KI 8. In addition, LV and SI tract, for several reasons:
- The trouble comes to the genitals (LV)
- There is an inability to follow a rule or at least should be strengthened (SI)
- You have to put in motion because there is a stagnation (LV)
- If LV is empty, I can rule the new equilibrium with 12-24 IS
- Both the LV, which may correspond to SI groin problems. In the case of LV arrive to "burn" the genitals, but it is not clear in this case, I think we should do both
The next time he tells me that the past is everything, which is another treatment and then maybe never comes back. I do the same treatment (LV, SI, 8 KI) and the other two council meetings in order to stabilize the results achieved so far ... but I have not heard from him 
Category: Massages and treatments on: February 16th, 2009
What do you think?