Watch
What is done
The All-joints ghisai — an addition after the formula, not a part of it
This treatment is another mark of long practice, and it is given after the New Star Modified, not instead of any part of it.
Table 6 — Card: All joints ghisai Seated Both sides
| Where it sits | After the New Star Modified formula, after (20) ↑\ | ↓. An addition, not a replacement |
|---|---|---|
| What is done | A very, very light rubbing with your own palms | |
| Where | Every single joint, from the fingers up to the shoulder, in order | |
| The rest | One minute between one joint and the next — written, timed, and part of the treatment. Table 8, How a Formula Is Built | |
| The reason for the rest | An ordinary person takes one minute to take sixteen breaths, and sixteen breaths are needed for more than about ninety per cent of the carbon dioxide to come out. Without the interval the CO₂ will not come out fully, and the full benefit of the ghisai will not be had | |
| What the patient reports | That the pain comes out of the joints one by one — like magic |
Why it works — the secret of it
Sixteen breaths, one minute, and the acid that leaves on the breath
Guruji has also discovered why and how this happens, and the account is worth learning properly, because it explains a rest and not only a rub.
During metabolism — chayāpachaya, the building up and breaking down that runs inside every cell — the processes inside the cells produce CO₂, carbon dioxide, within them.
Through lack of oxygen, or if the blood circulation in the tissues is low, this carbon dioxide will go on accumulating inside the cells and tissues in the form of H₂CO₃ — carbonic acid — by which the quantity of acid in the tissues will go on increasing. That is what is called metabolic acidosis.
Carbonic acid in the joint, and how it leaves
And we have found that because of acidosis too, pain can come in the joints.
So: if in some way we increase the blood circulation in that joint, then the carbonic acid accumulated there will change into the form of carbon dioxide and water, will dissolve into the blood, and will go through the blood into the alveoli of the lungs. When we breathe, the CO₂ will be thrown out by the alveoli — but for more than about ninety per cent of it to come out, sixteen breaths are needed.
That is why, after giving (20) ↑|↓, the ghisai of each joint is done. And that is why, after the ghisai of each single joint, it is necessary to give an interval of one minute — because an ordinary person takes one minute to take sixteen breaths. If we do not give this interval, the CO₂ will not come out fully, and the full benefit of this ghisai will not be had.
Read that again and notice what kind of instruction it is. Most rests in most therapies are explained by saying the patient needs a moment. This one is explained by arithmetic: a number of breaths, a rate of breathing, and a minute that is the product of the two. The rest is not where nothing happens. The rest is where the work you just did leaves the body. (Figure 36.2)
Say it to a patient in the household's own language: I have just opened the tap in that elbow. The sourness that was sitting in it is now in your blood, on its way to your lungs. Your lungs need about sixteen breaths to blow it out. So we wait one minute, and then I do the next one — because if I hurry, the next joint's load goes into blood that has not finished clearing the last one's.
Before the material turns to rheumatoid arthritis, it stops and explains something larger, because without it the ring-finger sign that follows would look like a trick.
When a patient with a new disease came, the method of diagnosis was to check whether there was pain or not at several fixed places on that patient's body. If the patient had a report, what deficiency the report showed was noted. When the next patient arrived with the same disease, or with the same kind of report, the same points were checked — and among them there would be some points already known from earlier experience, and sometimes pain in some other point that the previous patient had also had. Then it was put together: which kinds of symptoms or diseases are linked with pain at which points of the body.
Doing that again and again, across four decades, one thing came to be known with certainty.
The finding on which the whole diagnostic method rests
However many the diseases or symptoms may be, their effect brings pain in the body at only some eight or ten — or fewer — particular points.
So far there does not seem to be anything special in it. But now comes the real and special thing:
"If one becomes skilled in recognising the pains of those particular points of the body, and in taking them out — then several diseases and symptoms connected with that pain you can cure by that one and the same treatment!"
Can several symptoms be cured by one and the same treatment? Is this a thing to be believed?
Yes indeed. This is the very truth. This method of diagnosis has proved a unique diagnostic tool — and it is for this reason alone that in many Neurotherapy centres across the country, those who have learned this knowledge, even if they are little educated, are obtaining success in the treatment of many kinds of diseases. That is why it is said again and again that there is no other therapy like this one, which is going to prove a boon for the human race; and to prove the truth of that statement, this one reason alone is sufficient.
Two practical consequences follow for you, today, on your own mat.
One: the sign comes before the name. You are about to be taught a bedside test which tells you something about a disease before any laboratory does. That is only possible because somebody spent forty years comparing patients rather than comparing diagnoses.
Two: a shared point groups conditions; it does not make them one condition. Several diseases meeting at one painful point is exactly what makes a single treatment useful across a list — and it is also exactly why a therapist must keep asking what else could this be? A sign that gathers conditions together is priceless for finding them. It is never a licence to stop looking.
This is the article's other half, and four earlier articles have been pointing at it. The Medulla Family named the both-ring-fingers sign and sent you here. Fire and Swelling · The River — Heparin met rheumatoid arthritis as a bar on Thymus, Thymus + Chest, Ton 'P' and Ton 'T' and sent you here. Water and Salt named it twice as a use of the Lactic Acid Conversion formula and sent you here. Here it is, whole.
Who is called an RA patient
What the report settles, what it does not, and what you write down
The report, and what it does and does not settle
We call those RA patients in whose blood test report these words will be written — RA Antigen Positive, or Rheumatoid Factor – Positive.
The RA factor is also positive in the following diseases — hepatitis, syphilis, liver cirrhosis, SLE, scleroderma, or acute bacterial or viral infection, and so forth.
When such patients come to us, then after seeing their reports we shall write on our card the date of the report, and in front of it write — RA positive. In some people ANA is positive — then write that.
Read the second paragraph twice, because it is the therapy protecting you from a mistake that doctors also make. A positive RA factor is not by itself a diagnosis of rheumatoid arthritis. The same test turns positive in liver disease, in long infections, in several other diseases of the immune system, and — this is not in the list but is worth carrying — in a small number of perfectly well older people. The material states the limitation of the test in the same breath as the test. Do the same when you speak to a patient.
And note what you are told to write: the date of the report and then the result. A serology result is a photograph of one morning. A card that says RA positive with no date is a card that will still be saying it in nine years.
The sign
A great deal of pain at the middle joint of both ring fingers
Such patients did indeed have pain in many fingers and joints — but not everyone's pain was the same. One had more pain in one finger, another less. But after examining many patients, a similarity was found, and it was this:
The both-ring-fingers sign
All RA patients had a great deal of pain at the middle joint of the अनामिका — the ring finger — of both hands.
That joint is the proximal inter-phalangeal joint.
Such people obtained great benefit from the New Star Modified.
One sign. Two fingers. A joint you can reach across a table without the patient undressing, without a couch, without a report, and without asking a single question that a frightened person might answer carefully. (Figure 36.3)
The new method of diagnosis for joint pain
Both at the same time, the same squeeze — and let them answer
Since the success of this treatment, a new method of diagnosis has been started for patients with joint pain or sandhi vāta, which every therapist is to adopt.
Table 7 — The ring-finger sign and its recording
| Finding | How it is elicited | How it is written |
|---|---|---|
| Intense pain, left ring finger, middle joint | Both middle joints squeezed at the same time between the therapist's thumb and first finger; the patient says which hand has more pain | Lt. 4ᵗʰ ⁺⁺⁺⁺ Left |
| Intense pain, right ring finger, middle joint | as above | Rt. 4ᵗʰ ⁺⁺⁺⁺ Right |
| Lesser degrees of pain | as above | ⁺⁺⁺ or ⁺⁺, according to what is found |
| A blood report is available | Read it | the date of the report, then RA positive — or ANA where that is what is positive |
The grading marks are the ones you already use everywhere else on a diagnosis card, and they mean here exactly what they mean there: what you found, not what you will give. An empty box is not examined; a minus is examined and silent.
And note the value of the negative. A therapist who squeezes both ring fingers of a patient with trembling hands, finds nothing, and writes it down has not wasted thirty seconds. He has removed a question from the case.
The patient whose report says negative
The same finger, the same treatment — and the word you may not write
Then something was seen which turned a treatment indication into a piece of clinical foresight.
Those who had joint pain but whose blood report was found RA Negative had the very same pain in the ring finger as the RA positive patients had. So, according to the experience above, they too were given the New Star Modified Formula, and all those patients' pain went out.
What the ring-finger pain means when the report is negative
This means that pain in the ring finger is an indicator that — this person may perhaps get the disease RA later on.
So a unique method was brought out for it. If a patient has pain in the joints, but either they have no blood test report, or the report says RA negative — and we have found that there is pain in both ring fingers — then we shall write on that patient's card: "RA hai" — "there is RA".
Whether there is a report or not, the treatment of both is one and the same.
The foresight in that passage deserves saying out loud, because it is the most valuable half-page in the article. A person with joint pain and two sore ring fingers and a negative blood test is a person about whom something has been noticed early. Whatever else you do, that is a patient to tell, plainly and without alarming them, that their joints are showing a pattern worth a doctor's opinion — and to keep telling until they have had one. A sign that arrives before a report is only worth having if somebody acts on it.
The full protocol for joint pain and RA
Three parts: the medulla and T1/T2, the formula, then every joint
The best results have been got in the following order. (Figure 36.4)
Table 8 — Card: the full protocol for joint pain and RA Seated Supine Prone 6 sec
| Written | I — (4) Medulla Clockwise + T1/T2; + if there is pain in the neck, also do Neck ghisai. II — the New Star Modified formula: (3) ONS (20) TF (6) NNS (6) Gal (6) WD (½) Ku – 40 seconds (20) ↑\ | ↓. Afterwards — the ghisai of all the joints, in order |
|---|---|---|
| Part I, step 1 — (4) Medulla, clockwise | Seated. Gather your fingers together into a pad — this is not the thumb glide of the rest of the Medulla family. Rotate the pad clockwise on the muscles of the neck, coming from the ear down to the shoulder, worked from above downward in various directions. Begin from the left side and go across to the right. Four, by this lane's count Seated Left Right | |
| Part I, step 2 — T1/T2 | Without moving the patient. Find the prominent bead at the base of the neck; the next two beads down are T1 and T2. That is the station. No count is written for the station itself — the treatment governs it. Light hands Seated | |
| Part I, step 3 — Neck ghisai, conditional | Only if there is pain in the neck. Four stages in order: first, with light hands, the muscles at the front of the neck and the muscles at the back; then the muscles of the right and left sides; then the necklace-like treatment; finally the muscles attached to the shoulder blade Seated ▲ Take care | |
| Part II | The New Star Modified formula, entire, exactly as Table 4 — ONS, TF, NNS, Gal, WD, the forty-second (½) Ku, the Round Arrow | |
| Part III | All joints ghisai — fingers to shoulder, every joint, very very light, one minute between joints | |
| The rule inside part I | Clockwise is a different hand action, not an adverb. Four ordinary downward strokes are (4) Medulla, which is not (4) Medulla clockwise | |
| What must not be given | The Ku bars — not in menstruation, not in low blood pressure. The anterior-neck rule governs Neck ghisai absolutely: glide, never thrust; no rotation, no traction, no leverage ▲ Take care | |
| Points taught in | (4) Medulla clockwise with T1/T2 — The Medulla Family, "The Medulla Family" · Neck Clockwise and T1/T2 — Seated I — Brain, Medulla, Neck, "Seated — I" · Neck ghisai — Seated II — Face, Jaw, Ear, Sinus · Each Point in Use |
Two notes on part I, both of which a student will otherwise get wrong.
The Medulla here is the one member of its family with a direction. (4) Medulla is given clockwise, with T1/T2, and is credited with the neck's own territories — the C1–C4 group, which carries the chest, the mitral valve, the spleen and the upper diaphragm, and the C5–C8 group, which is the arm written out from the shoulder to the fingertips. In a article about pain in the joints of the arm, that is not an ornament at the front of the formula. It is the road the arm's pain travels on.
And the conditional stays conditional. If there is pain in the neck, then also do Neck ghisai. No neck pain, no Neck ghisai. A conditional addition is a gate, not decoration, and the habit of giving it anyway because it seems to belong is how formulas quietly stop being formulas.
The order in which pain leaves the body
Hands first, soles last — and the chart that keeps a patient coming
This treatment proved so successful in sandhi vāta that — as the material puts it — do not ask. People got such relief that those who came weeping and stumbling went home after the treatment as if flying.
But it does not all go at once, and knowing the order is how you stop a patient losing heart in week three.
The order is the same for all patients
It is not that pain will come out of the whole body at once. The coming-out of pain has its own separate and original order, which has been observed to be the same for all patients.
First, within two or three days, the pain goes out completely from the fingers and the wrist of the hands. Then from the elbow. After that from the shoulders. And some days later from the waist, then from the thighs, then from the heels — and last of all, the pain of the feet will come out. In that too the order is such that first the pain comes out from the upper part of the toes, and at the very end from the soles of the toes.
The results told here are after treatment of many months.
Table 9 — The stated order in which pain leaves
| Order | Region | Stated timing |
|---|---|---|
| 1 | Fingers and wrist | within two or three days |
| 2 | Elbow | after the hands |
| 3 | Shoulders | after the elbows |
| 4 | Waist | some days later |
| 5 | Thighs | after the waist |
| 6 | Heels | after the thighs |
| 7 | Feet — the upper part of the toes first | last of all |
| 8 | Feet — the soles of the toes | at the very end |
Give that table to the patient on the first day. It is the single most useful thing you can hand a person with joint pain of fifteen years, because it converts the thing they will otherwise experience as failure — my hands are better but my feet are as bad as ever — into evidence that the treatment is running to time. A patient who knows the order does not stop coming in the sixth week. (Figure 36.5)
And notice what the table asks of you: that you record where the pain is, region by region, at every visit. Without that, none of this is visible; with it, you can show a patient in the fourth month a line of your own handwriting from the first week.
The patient for whom no treatment could be given
Hands could not be laid on her, so the answer needed no hands
Why Mukha Dhauti is given, and to whom
The left finger that comes back in a few hours, and the dose for it
Now understand to whom, how and why Mukha Dhauti is to be done, because it is not an extra for everybody.
The finding that calls for it
It is to be done because we have found that in RA patients some people feel very good immediately after our treatment, but within a few hours the pain returns in the joints.
Then it has been seen that the pain returns in the ring finger of their left hand — from which we understand that every few hours the acid increases.
One reason for this can be that the haemoglobin of RA patients remains lower than normal. When haemoglobin is low, sufficient oxygen will not reach the tissues.
b. So: Mukha Dhauti is to be done by those who, along with joint pain, have much pain at Mu°, or at the middle joint of the ring finger of the left hand — but not as much pain in the same finger of the right hand.
That last clause is the selection rule and it is a comparison, not a threshold. Left worse than right. A patient with both fingers equally sore is not the patient this is written for; a patient whose right finger is the worse one is emphatically not, and you will see why at the head of the Alkaline Star.
And read the chain of reasoning in the first two paragraphs, because it is a good piece of clinical thinking regardless of what one makes of the chemistry. The relief does not hold. It stops holding after a few hours. The finger that comes back is the same finger every time — the left one. Therefore something is rising again on a cycle of hours, and it is rising on the acid side. A therapist who notices which thing returns, and when, has learned something a therapist who only notices it came back has not.
Table 10 — Card: Mukha Dhauti dosing for RA Seated Left
| Who it is for | Those who, along with joint pain, have much pain at Mu° or at the middle joint of the LEFT ring finger — but not as much pain in the same finger of the right hand |
|---|---|
| Position | Seated on a chair |
| The breath | Normal breath in through the nose; immediately, throw it out forcefully through the mouth |
| Set | Ten times together |
| Rest between sets | One minute — very necessary |
| Rounds | Ten rounds, at most fifteen — that is, 100 to 150 times |
| The heavier opening | Up to 150 times for the first one or two days, morning and evening, if there is very much pain in the left ring finger |
| Monitoring | Go forward while repeatedly checking the pain of the finger |
| Stopping rule | Stop as soon as the pain of the left ring finger goes |
| The reason for the rest and for the stopping rule | If too much acid goes out at once, then for some time the alkali will increase, and the body may perhaps not be able to bear it |
| What it is doing | The carbonic acid trapped inside the joints goes out of the body through the breath, as carbon dioxide — and relief is had from the pains |
| The rest in the table | Table 8, How a Formula Is Built |
When the New Star Modified formula is to be given
A two-key rule: Mu-zero at three plus, and any one of four
The indication, in two parts
The New Star Modified formula is to be given in the following conditions.
If, along with pain in the joints, there is Mu° ⁺⁺⁺ — and any one of the following:
equal pain in the ring fingers of both hands, or
more pain in the ring finger of the left hand, or
equal pain in both Liv° and Mu°, or
the pain of Mu° greater than the pain of Liv°
then it is to be given.
From one treatment onward the patient gets considerable relief.
Table 11 — Indications for the New Star Modified formula
| The required finding | Plus any one of these |
|---|---|
| Joint pain with Mu° ⁺⁺⁺ | Equal pain in both ring fingers |
| More pain in the left ring finger Left | |
| Equal pain at Liv° and Mu° | |
| Mu° pain greater than Liv° pain |
That is a two-key rule, and it is the same shape as the two-key rule you used for Kidney Clear: a required finding, and at least one qualifier. Neither key alone opens the door.
Read the four qualifiers together and something obvious appears: three of the four point the same way. More pain at Mu°. Left ring finger. Mu° greater than Liv°. In this therapy's scheme those all say acid — and the fourth, equal pain in both fingers, says acid at least as much as alkali. The New Star Modified is the Star for the patient the therapy reads as acidotic. Hold that sentence, because the next formula is its mirror.