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DIAGNOSIS CARD · Reg. 2107

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Given by a therapist
for constipation
Given by a therapist

DIAGNOSIS CARD · Reg. 2107

One patient's card, written exactly as it should actually be written

Name · age · occupation · townMurugesan K. · 52 · sizing worker, powerloom unit · Chennimalai, Erode dist.
Accompanied by · journeyWife · 25 min by bus · can come 6 days a week; Sunday unit is closed
Date · time · relative to food4.7 · 9.20 a.m. · two hours after idli

In his words — "நெஞ்சு எரியுது." Burning from here up to the throat, four years. Motions once in three days, with force, always like this. By evening the head is heavy. BP tablet five years, morning, never missed.

Complaint mapped — Chest and throat burning 4 yrs, worse lying down after the night meal · constipation "always", ≥20 yrs · heaviness of head from about 4 p.m., 8 months · cannot lie flat to sleep, which is the loss he minds · high BP 5 yrs, one tablet

Baseline six — Hunger 2/5 · Sleep 2/5 · Energy 2/5 · Weakness ++ · Lightness − · Water (glasses yesterday) 4

Digestion and bowel — Tongue coated, white, thick at the back · belching after meals · UDF — ? (asked; describes "pieces" — to observe 3 days) · Stool form 2 / 4 · once in 3 days · strain +++, 15 min sat · incomplete ++ · blood nil · night meal at 10.45 p.m., sleeps at 11.15

Head to foot — night cramps ✓ · dry skin ✓ · cold hands ✗ · breathlessness ✗ · chest pain ✗ · weight loss ✗ · bleeding ✗ · swelling of feet ✗

The life · the past — Standing 9 hrs, starch tank, hot shed · tea 6 times daily · tamarind daily, rasam twice daily · sleeps on two pillows because of the burning · no operations · father died of a stroke at 61

Swallowed — Amlodipine 5 mg, morning (Dr. ——, 5 yrs) · antacid syrup "when it is bad", bought himself, 3 yrs · pachai karpooram in warm water most nights, 10 yrs — he counted neither of the last two as medicine until asked

Findings Supine Left Right

PointSideRingGradeH / PNote
Liv° · Mu°R · L—− · ++++HPflanks first; re-checked
Gal · SplR · L1+ · −P
Pan—2+++H
Dys · ConstR · L2− · ++++HP"there is something there"
Gas—2++H
Gas 'I'—3+P
Acid · FluidL · R1++ · −HP
FA · B₁₂L · R—− · +P
Tongue—coated, white, thick at back

Eighteen points examined. Seven minuses.

Direction — Acidic. Mu° L ++++ HP against Liv° R −; hard infrequent stool; burning; dry skin; four glasses of water.

Reports — BP book from his own doctor, 3 readings over 6 weeks, 148/92 · 152/94 · 146/90 — changed the plan, dated · Nothing else. Asked for through his own doctor: a thyroid reading and a haemoglobin.

Diagnosis (organs, direction, duration — not a disease name) Digestion running slow, probable undigested food; large bowel slowed with it, twenty years or more; acidic direction, four years symptomatic; hypertension five years, treated. Three complaints, one picture.

BLOCKED — written before the plan was built ▲ Take care

Seven points closed for the blood pressure, two for the constipation

High blood pressure — 7 Pit — raises alkali; BP came from alkali · . Mu° . — not to be given alone; if acid falls, alkali symptoms increase. In its place Mild Alkali or the Ulta Kidney formula. If there is pain at Mu°, the B₁₂ formula or Left vitamin formation will bring relief · Swt — provokes adrenal medulla; BP rises · . Lu + Sh . — makes angiotensin #2; BP rises · (20) Medulla — dopamine; heart contracts harder; BP rises. In its place (30) Medulla or Chole · (2) Adr — aldosterone; kidney holds salt · (6) Adr — lowers acid, raises alkali

Constipation — 3 Gas Only and (10) Medulla — stomach acid ×3; constipation increases. In their place Gas 'I', Round Normal, Round Arrow, (2) S4, S5 and so on · Dys — stops intestinal movement; constipation increases

Riding on a substitution: (2) S4, S5 is not given to those who pass too much urine. Urine normal — asked 4.7 — (2) S4, S5 open.

Both lines stand, as they are given: Gas Only is blocked in constipation — and — if UDF treatment is to be given, then after Gas Only give Gas 'I', otherwise constipation will increase. Chief therapist's decision, 4.7: Gas Only not given in this patient; Gas 'I' given. — S.R.

Un-blocking is a dated, named decision. Nothing above this line is to be erased.

First work — Digestion first. Ten days at a stretch, without break — the undigested-food work only. Parhez: tamarind, lemon, curd. Two rules only: night meal finished by 8.30 p.m.; water out of the middle of meals, eight glasses across the day, sitting. Estimate given aloud, 4.7 — "Four years of burning and twenty of the bowel. Months, not weeks. I will tell you in the fourth week exactly where we have got to." Said in front of his wife. Measured — the baseline six · stool form, frequency, strain · Mu°, Const, Pan re-pressed every session · "can lie flat on one pillow", weekly. Referred · Not answered — Thyroid, Hb requested through Dr. ——, 4.7 · UDF — ? outstanding, due day 4. Therapist — K.M.

RUNNING RECORD · Reg. 2107 · Murugesan K.

Twenty-six lines, one to a day, from the first morning to the last

DateWkDayGivenBefore → afterFiguresOne line—
4.71Examination. UDF wk begun — Gas 'I' · Round NormalMu° ⁺⁺⁺⁺ → ⁺⁺⁺ Const ⁺⁺⁺⁺ → ⁺⁺⁺ Pan ⁺⁺⁺ → ⁺⁺H2 S2 E2 W++ L− · water 4Estimate given aloud, wife presentK.M.
5.712as aboveMu° ⁺⁺⁺⁺ → ⁺⁺⁺ Const ⁺⁺⁺⁺ → ⁺⁺water 6—K.M.
6.713as written 4.7Mu° ⁺⁺⁺ → ⁺⁺ Const ⁺⁺⁺ → ⁺⁺water 7"Last night I slept without waking"K.M.
7.714as written 4.7Mu° ⁺⁺⁺ → ⁺⁺ Const ⁺⁺⁺ → ⁺⁺ Pan ⁺⁺ → ⁺H3 S3 · stool form 2, day 3UDF confirmed — describes pieces, 2 of 3 daysK.M.
8.715as written 4.7Mu° ⁺⁺⁺ → ⁺⁺ Const ⁺⁺⁺ → ⁺—K.M.
9.716as written 4.7Mu° ⁺⁺⁺ → ⁺⁺ Const ⁺⁺ → ⁺E3 W+Unit closed Sunday — no visit 10.7, plannedK.M.
11.727as written 4.7Mu° ⁺⁺⁺ → ⁺⁺ Const ⁺⁺ → ⁺stool form 3, day 2—K.M.
12.728as written 4.7Mu° ⁺⁺ → ⁺ Const ⁺⁺ → ⁺—"Burning comes only twice a week now"K.M.
13.729as written 4.7Mu° ⁺⁺ → ⁺ Const ⁺⁺ → ⁺—K.M.
14.7210as written 4.7Mu° ⁺⁺ → ⁺ Const ⁺⁺ → ⁺ Pan ⁺⁺ → ₋H3 S4 E3 W+ L+ · stool form 3, daily 2 daysSee decision line 14.7K.M.
15.7311UDF wk continuedMu° ⁺⁺ → ⁺ Const ⁺⁺ → ⁺—K.M.
18.7314UDF wk continuedMu° ⁺⁺ → ⁺ Const ⁺ → ₋stool form 4, daily, strain +—K.M.
21.7417Treatment proper begun — see decision line 20.7Mu° ⁺⁺ → ⁺ Const ⁺ → ₋—K.M.
22.7418as written 20.7Mu° ⁺⁺ → ⁺—Giddy on rising; sat where he was, settled 3 min; jaggery water half glass; rested 15 min; walked out steady. BP tablet taken as usual.K.M.
25.7421as written 20.7Mu° ⁺ → ⁺ Gas ⁺⁺ → ⁺H4 S4 E3 · water 8"I am sleeping on one pillow" — the eventK.M.
1.8526Fourth-week review — re-examined from the beginning, 18 points Supine Both sidesMu° ⁺ → ⁺ Const ₋ Pan ₋ Gas ⁺⁺ → ⁺stool form 4, daily, strain ₋See decision line 1.8K.M.
8.8631as written 20.7Mu° ⁺ → ⁺ Gas ⁺⁺ → ⁺⁺—Attendance 26/28 actual daysK.M.
11.8633as written 20.7Mu° ⁺ → ⁺ Gas ⁺⁺ → ⁺⁺stool form 3Nothing moving 3 sessions. Plateau — not changed yetK.M.
12.8634—See decision line 12.8K.M.
19.8739as written 12.8Mu° ⁺ → ₋ Gas ⁺ → ₋stool form 4, dailyExpectation of 12.8 met on the day namedK.M.
26.88—as written 12.8Mu° ₋ Gas ₋H4 S4 E4 W₋ L++See decision line 26.8K.M.
9.910—as written 12.8 · alt. daysall watched points ₋—"The burning has not come for three weeks"K.M.
16.911—as written 12.8 · alt. daysall watched points ₋stool form 4, daily, 6 wksSee decision line 16.9K.M.
7.1014—as written 12.8 · twice weeklyall watched points ₋—Thyroid and Hb received — both normal; filed with date; changed nothingK.M.
21.1016—Examination only Supine Both sidesall watched points ₋, both flanks ₋H4 S4 E4 W₋ L++ · water 8 · stool form 4 dailySee ending line 21.10K.M.

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