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One disease, several points, one plan
Four polio entries doing four different jobs in one disease
Students meet polio in four separate entries of this article and are sometimes puzzled by it. They should not be. Read the four together and what appears is not a disagreement but a treatment plan for one disease, written across four points that do four different jobs.
Key teaching How the polio entries fit together (6) Adr is given for polio — because polio is an inflammatory disease, and (6) Adr is the point that ends inflammation , given for any disease whose name ends in -itis. Its own caution stands with it: it reduces immunity , so it is not given where immunity is already low — in septicaemia , in HIV, in cancer .
Blood supply to legs is given for polio — for the leg weakness , the numbness in the legs and the front or the back of the thighs, usually thirty times on both legs . That is the limb, not the inflammation.
The Armpit point and the Thymus and Thymus + Chest group are withheld in polio — they carry their own bar, printed with them, alongside diabetes and the autoimmune disorders .
And Spl carries an open question : to be tried on polio patients, to see whether they benefit from it? — printed as a question, and to be read as one.
Four points. One inflammation to end, one weak limb to supply, one group held back, one question still open. That is a plan, and it is how the whole of this article is meant to be read : not point against point, but each point doing its own work in its own condition, with its own qualifying detail attached.
FROM AYURVEDA AND YOGA The old idea that two right things can be wrong together Classical Indian medicine has a word for food combinations that are harmless apart and harmful together — viruddha, "contrary". Milk with fish, curd heated, honey warmed, cold water on hot ghee. None of the items is a poison. The objection is to the pairing, and to the moment.
It is an unfashionable idea until you meet it in your own hands. BOF is a good treatment. JJ⁺² is a good treatment. On the same day, in a patient with knee pain and sole pain, they undo one another — because they pull in opposite directions, and the entry says so and says when the bar lifts.
The old physicians would have recognised the whole of Table 21 at once. What they would have envied is the last column: the reason, written down beside the rule.
Two cases from the reference
A card refused for the child she wants, and a card that got shorter
A CASE FROM PRACTICE The woman who was told her womb had slipped, and wanted a child A composite case, assembled from several patients seen over one season at a district centre.
Sunita Barman · 29 · anganwadi worker · Cooch Behar · came with a sonography report reading "second-degree uterine prolapse", eight months after her second delivery
What she came with. She had the report in a plastic folder and had clearly read it many times. "They have said the bag has come down. There is pain here" — below the navel — "and in the back, all day. White discharge . And the dates are all wrong now, sometimes twenty days, sometimes forty." Then, at the door, half turned away: "We want one more child. They are saying operation."
What was observed and palpated. A young woman carrying a heavy load daily; a soft abdomen ; the low back tender across the sacrum. On gentle inward pressure around the navel she was tender at Mu° and at Const , and not at Liv° . She had been constipated since the second delivery and had not connected the two. She was cold-handed and said she felt cold when nobody else did.
Which reports mattered. The sonography mattered, and mattered specifically, because P point is given to those women in whom sonography shows that a prolapse of the uterus has occurred — the imaging is written into the indication itself. Her haemoglobin mattered, because she was pale and had been bleeding irregularly. An old thyroid report from before her first pregnancy changed nothing; it was repeated.
The choice, and why it was made the way it was made. Her symptoms were the classical set printed with P point itself — severe pain below the navel and in the back, white discharge, irregular menstruation, and infertility because of the low temperature of the body. And there is a treatment in this atlas described as unmatched for setting a prolapsed uterus back in its place: Ton 'P' .
It was not given, and she was told why, in full and in the order it is written: from this there may perhaps be some adverse effect on conception; therefore it is not given to women who want children. It is also not proven that it prevents conception — so nobody may call it a contraceptive treatment. The research is still to be done. She asked the obvious question — "so is it safe or not?" — and got the honest answer: we do not know, and because you have told me you want a child, I am not going to find out on you.
What was given instead. P point, with the sonography in hand and the heel on the middle of the thigh, left thigh first — and, written on the same line of the card so that it could not be forgotten, (6) WD immediately afterwards. Triangle for piles , which strengthens the muscles of the pelvis and tightens the sphincters of the bladder , the uterus and the anal opening. (1) Acid for the symptoms of acidity — the piles and the constipation and the descent from its place — the tenderness at Mu° being present, as that point requires. Raman , which is excellent for problems of the uterus. And the digestive work for the constipation, because a woman straining daily is undoing the pelvic work every morning.
Session by session. In the first fortnight the back pain settled and the bowel changed, which she reported as the main event; the discharge took six weeks. At ten weeks her cycle came at twenty-nine days for the first time since the delivery. The prolapse itself was reassessed by the doctor who had made the report, not by the therapist.
What went wrong because something was withheld. In the fifth week she stopped improving. Asked not "has anything changed?" but "what do you lift, and how many times a day?", it came out that she had gone back to carrying a full water pot up an outside stair four times each morning, having felt better. Nothing on the card changed. The stair did.
What this case teaches
The best treatment for a condition is not always the treatment for this patient, and the reason may be one line long. Ton 'P' is unmatched for prolapse and it was refused, because she wants a child.
Give a patient all three parts of that instruction — the withholding, the refusal to claim, and the open question. A woman told only no goes looking elsewhere for a yes.
P point and (6) WD are one line on a card. A muscle deliberately loosened and left loose is worse than the one you began with.
The indication itself may name the evidence it requires. Here it named the sonography, and that clause is part of the instruction.
Twenty-three and a half hours belong to the patient. Ask what she carries.
A CASE FROM PRACTICE The man whose card kept getting shorter A composite case, written to teach the habit of reading the last column first.
Ishwar Prasad Meena · 58 · bus depot supervisor · Kota · came with knee pain and "sugar, BP, everything"
What he came with. "Both knees . Stairs are finished for me. And sugar for twelve years, BP for six, and the chest gets tight in the cold." He produced a carrier bag of medicine strips rather than reports, which is its own kind of history.
What was observed and palpated. A heavy man, breathing shallowly, thigh muscle hard. Tender at Pan , at Const, and on the right at Liv°, not at Mu°. Both knees crepitant, neither hot. The feet were the finding that mattered most and that he had not mentioned: he could not feel a light touch on either sole, and there was a thickened, painless callus under the right great toe.
Which reports mattered. His HbA1c mattered; his kidney function mattered, after twelve years; his inhaler mattered more than any paper, once it was found in the bag. A knee X-ray from four years earlier changed nothing at all.
How the card was built — the last column first. A student watching was asked to write the card from the indication lists alone, and wrote a long one: Gal for the skin ; (4) Thrd for the sluggishness and the cold; Armpit for the winter cough ; (10) Pan for the joint pain of many years, where the relief is immediate; Lu + Sh for the chest; Spl for the constipation and the left chest.
Then the right-hand column was read across the same six entries, out loud.
Gal — in asthma this point increases the trouble, so do not give it. Off.
(4) Thrd — in asthma the cough increases, so do not give. Off.
Armpit — do not give in lymph node cancer, polio, diabetes, or any autoimmune disorder. Off.
Lu + Sh — this raises blood pressure, so do not give in high blood pressure and in heart disease. Off.
Spl — in cold, allergy , asthma and the like this does harm, so do not give it to asthma patients, and it is not given in diabetes or other autoimmune disorders. Off, twice over.
(10) Pan — stays. It stimulates insulin ; it is given to diabetic patients to maintain the sugar level; and for joint pain of many years' standing the relief is immediate.
Six lines became one, and the student's face fell. That is the correct reaction and it is also the wrong conclusion.
What was actually given. (10) Pan. (1) Const and the digestive work for the bowel, the tenderness being present. (1) Liv° for the right kidney and the raised pressure, the tenderness being on the right — and not Mu°, because those who have pain only at Liv°, do not give it to them. Stretch for the breathing, which is used in asthma and bronchitis , the left side first and the right afterwards. Knee cap free and Giriraj for the knees. And nothing whatever on the feet — the leg was worked and the sole was left alone, and the callus went to the diabetic foot clinic the same week.
What was done when the first approach did not hold. At three weeks the knees were better and the sugar readings were worse, and he admitted he had halved one tablet on his own "because you people say no medicines". He was told what every patient is told: we give no medicine, and we do not tell you to stop yours. He restarted it that evening and went back to his physician with his diary at three months.
What this case teaches
A short card is not a poor card. Six indications matched this man; five of them were barred by one line each, and the one that remained was the one that fitted him rather than his diagnosis list.
The bars come from different conditions in the same man — asthma took two points, diabetes took three, blood pressure took one. Read the whole patient before you read the atlas.
A laterality rule is a rule. Pain only at Liv° closed Mu°, and that is the atlas refusing to let the therapist treat a side he has not found.
The most important finding of the visit was a foot he did not mention, in a man who could not feel it.
At a glance
Sulta Ulta in angina: both arms at 135°, the left side first
WHAT TO CARRY AWAY This article is read right column first. The indication list will always offer you something; only the prohibition column can stop you harming somebody. Point, bar, use, note — in that order, every time.
The number in the bracket is a selector, not a dose. (2) Adr , (4) Adr and (6) Adr are three treatments with three different targets and three different bars, and a prohibition attached to one does not travel to the others. The same is true of every count of Pan, of Swt, of Thrd, of Ku.
A prohibition that names a substitute is obeyed with the substitute. (4) Down arrow in place of Mu . (4) Pan or (10) Pan in place of (2) Pan for a child being treated for height . (2) Thrd in place of (4) Thrd in heart patients. Gas 'I' alongside Gas Only in constipation, piles or fistula — and (2) S4, S5 too if the constipation is severe. The full 1,25 DCC formula in place of (4) Para given alone in osteoporosis .
Two instructions are single lines and never two. P point → (6) WD, immediately — otherwise that woman will have still more trouble. Ton 'T' → Sangam points , immediately. And Th + Ch is never given without the armpits.
(2) Pan is given for exactly six seconds. Hold it longer and it acts like (4) Pan, which is harmful in cancer. The atlas attaches its worst consequence to its laziest habit.
The therapy withholds points to protect a child's growth, twice, for two different reasons — (2) Pan because it stops growth hormone, Lt. Ov. and Rt. Ov. because oestrogen and progesterone close the epiphyseal line of the long bones before their time.
(4) Para is not forbidden in osteoporosis; (4) Para alone is. Given separately by itself it lifts calcium out of the bone and into the blood — which is exactly why it is the point for bone grown at an unwanted place.
Left and right are two treatments, not two sides. (6) Left Swt opens and is refused to a diabetic; (6) Right Swt closes and is refused to a hypertensive. Liv° reduces alkali and corrects high blood pressure; Mu° reduces acid and corrects low blood pressure — and Mu° is not given to a patient whose pain is only at Liv°.
Some bars are same-session, not permanent. No JJ⁺¹ for a knee patient, who gets Pradip instead, in which the muscles are pulled in the opposite direction — but JJ⁺² may be given. No JJ⁺² on the day BOF is given for sole pain, because the two work in opposite directions; after the sole pain has gone, JJ⁺² can be given.
Ton 'P' is not given to women who want children, and it is not to be called a contraceptive treatment, because that is not proven. Both halves are said to the patient. The research is still to be done.
Dys carries three brakes — give only if there is pain in the upper part to the right of the navel, for no more than a day or two, and only after great thought, because it works against the natural motion of the intestines .
Physical points are withheld for mechanical reasons. No L3, 4, 5 if there is a fracture anywhere between L1 and S1. No Folded legs if there is inflammation in the abdomen. No Loveleen to a heart patient, because pressure falls upon the chest. No (2) S4–S5 to somebody passing too much urine ; no Triangle for piles to somebody passing little.
Where the therapy does not know, it says so — the question marks under (10) Pan, research is continuing under the long Ku holds, research is still going on under Dorsal, to be tried on polio patients, to see whether they benefit from it? under Spl, and nowadays twice, marking a rule that changed.
And the closing line of the chemical half is an instruction, not a licence: whatever the disease may be, giving the appropriate chemical point to correct the point at which there is pain will of itself bring relief. Treat what you find under your hands — and keep every bar above.
