The five steps

Watch

knee and muscle pain

Given by a therapist

Knee Muscles TF

Indigestion Problems? How Neurotherapy Helps? अपच की समस्या? जानें न्यूरोथेरेपी कैसे मदद करती है?

Explained

Dyspepsia Digestive system

2nd treatment

Given by a therapist

Digestive system

The five steps

Gather, set the direction, name organs, find the root, decide the work

THE METHOD, STEP BY STEP

Building a plan, in five steps

Step 1 — Gather, by every method, and correlate. Not one instrument but several, and the information from all of them has to be correlated to arrive at a proper diagnosis: the pain points around the navel, graded (The Educated Hand); pain at the B₁₂ and folic acid points at the hip, one of the major tools of this diagnosis; the nature of the stools — a very important aspect of the diagnosis, provided the patient answers your questions correctly (The Fire and the Ash); and, in women, the menstrual history — an additional and a very valuable tool. To these add the history (The History That Cannot Mislead You) and whatever in the folder changed the plan (Reading the Reports).

Step 2 — Establish the direction. Prone Left Right The flank pair, compared against each other, then reversed and compared again. A tender Mu° against a quiet Liv° puts her in the acidic family; the reverse puts her in the alkaline one. This is the first step in diagnosis proper: to check which kidney is sluggish, and everything after it is read inside that answer (The Two Kingdoms).

Step 3 — Name the organs, not the diseases. Supine Convert the graded points into a list of organs working below par, in plain words. A disease name at this step will quietly decide the rest of the plan for you.

Step 4 — Analyse logically, and find the one thing underneath. Is there a single fault upstream of all of it? Usually there is, and usually it is digestive. This is the step students skip, and skipping it is what produces four plans for one patient.

Step 5 — Decide the first work, and write it down. Block the points that must not be given, before the treatment is planned. Choose the first work, which is nearly always the digestion. Name what you will measure. Write the card. Tell the patient what you are doing and in what order, in words she will repeat correctly at home.

Steps 1 to 3 are collection and sorting; a diligent student learns them in a week. Step 4 is judgement, and the whole of the art: what single thing, if corrected, would make most of the rest unnecessary?

Four problems, or one?

Many names, one root — and the signs that decide it

Key teaching

Many names, one root

In allopathy the names of diseases are attached to the symptoms themselves.

When several symptoms come together, and the same cluster recurs in other people, that cluster is given a name, so that one word brings several symptoms to mind at once and choosing a medicine becomes easy. That is all a disease name is for.

Now watch a body. If food is not digested properly in the stomach, the patient will have sometimes a headache, sometimes gas, sometimes loose motions or vomiting, sometimes burning in the chest — on one day or on different days. Named, the headache is migraine, the burning acidity, the gas flatulence, the loose motions diarrhoea, and for each a different medicine is given.

Although the symptoms are different, the root cause of all of them is one and the same — indigestion. Correct that one root cause, and not only these four but even more diseases or symptoms will be corrected, and they will not recur either.

The general form: all diseases — however many lakhs of names may be given to them — come only from a few among eight to ten glands not working in the proper way. That root appears in different persons as different symptoms, and in one person as different symptoms on different days; but on paying attention it will be found that the root cause is one and the same.

The question asked of every patient with more than one complaint is: are these four problems, or one problem with four faces? It is not answered by intuition. There are signs. (Figure 13.2)

The last row settles arguments, and it is why this therapy can afford confidence here: the test is built into the treatment. You act as though the complaints might be one, give the digestive work, and by the tenth day the body has answered you — what belonged together improves together, and what did not stays put, now visible because the noise has gone. (Figure 13.1)

A MISTAKE STUDENTS MAKE

Four complaints, four plans

A student comes away from a careful history with a list — knees, hair, giddiness, sugar — and treats it as a list, assembling something for each and producing a plan four times too long for the time he has, aimed in four directions at once.

Three things go wrong every time. The session over-runs, so the parts he believed in least get dropped at the end, and the plan he gave is not the plan he made. Nothing can be learnt from the result, because four things changed at once. And the patient learns the wrong lesson — that she has four illnesses, which is frightening, expensive and, in her case, untrue.

The correction is not to treat fewer things out of modesty, but to ask Step 4 before writing anything: what one fault, corrected, makes most of this list unnecessary?

One picture, or more than one?. Five signs, side by side, that several complaints are one picture — and the matching signs that they are not, ending with the test built into the treatment: ten days of digestive work.

Four complaints, one picture. Knees, hair falling, giddiness and sugar drop into one funnel — 'Is this four problems, or one?' — and come out as one root: digestion running slow, bowel slowed with it, acidic direction, six years. Dotted arrows carry the answer back to all four complaints by the tenth day.

Which finding leads

The order of precedence, the red flag, and the postmaster's knees

Two findings will point different ways in your second week of practice and go on doing it for the rest of your working life: the complaint says knee and your fingers say stomach. There is an order of precedence, and it is not a matter of taste. (Figure 13.3)

Key teaching

The order of precedence — which finding leads

First: the red flag.

Any finding that belongs to a doctor leaves the room before any plan is made. ▲ Take care

Second: the block. A point that must not be given for this patient's condition is marked off before the plan is built, not weighed against it afterwards. Where a block and a recommendation collide, the block wins.

Third: the digestive fire. Where digestion is not sound it leads, whatever the complaint — the raw materials of every gland are made only from the end products of digestion, so a plan aimed elsewhere is built out of nothing.

Fourth: the direction. Acidic or alkaline decides which of two opposite families of treatment may be used at all (The Two Kingdoms).

Fifth: the tender flank, and the region it belongs to. Where the two sides disagree, the tender side gets the work — and which side is the substance of the instruction, not a detail of it. Left Right

Sixth: the silent finding. A minus is a finding. A quiet Const in a patient reporting hard motions sends you to look at the outlet instead (What the Bowel Tells You); a silent flank is what makes the other side's plus mean anything.

Last: the complaint the patient came with — not because it does not matter, but because it reports where pain is felt, not where the fault lies.

That last line needs saying carefully at the mat, because it can be heard as dismissal. It is not: the complaint decides what you must eventually fix, and everything above it decides what you fix first.

TAKE CARE

The findings that leave the room before any plan is made

Said in the same flat voice you use to ask about sleep, and said today. Blood from anywhere — stool, urine, vomit, cough — even once and even a little. Breathlessness at rest. Chest tightness coming with effort and going with rest. A rigid, board-like belly with exquisite tenderness, vomiting or distension. Fever with a stiff neck, or a rash that does not fade under pressure. Weight coming off without trying, never called the treatment working. A report naming a new growth, a mass, or a raised creatinine nobody has taken to anybody.

A unifying story is exactly the thing that can absorb a dangerous presentation without alarm. The habit of mind this article teaches — four complaints, one root — is what will one day explain away a symptom that should have ended the conversation. So the red flag sits above the reasoning, not inside it.

A CASE FROM PRACTICE

The retired postmaster who came about his knees

A composite case, assembled to teach the reasoning rather than taken from one patient's file.

Shivnath Prasad Tiwari · 66 · retired postmaster · Gorakhpur · came with "both knees, four years — and now I cannot sit on the floor at all"

In his own words. "Knees. Only knees. Doctor has said the grease is finished." He said it three times in two minutes, warned by a relative that this place would want to talk about his stomach.

Observed and palpated. Supine Tongue thickly coated; abdomen soft and heavy. Gas middle ring +++ HP; Liv ++ H; Const middle ring +++ HP; Dys and Spl silent. Prone Liv° R +++ HP against Mu° L −, sides reversed and re-checked. UDF – Yes (tomato skin, jeera). Stools semi-solid twice daily, never hard, which he had taken for good health.

Several conditions read as one picture. Four items by the end of the history: knees; an evening burning in the chest for years, never called a complaint; wind; tiredness by four o'clock, put down to age. One picture — food not being finished, a body in the alkaline direction, joints repaired out of what was left over. The knees were the fourth link.

Which reports mattered. A knee X-ray reporting narrowing and marginal osteophytes — changed nothing, said aloud twice, because he had carried it two years as an explanation. A year-old uric acid at the top of its range and a normal thyroid — changed nothing today, dated (Reading the Reports).

The choice, and why. Not a knee plan. The digestion first. Mu being silent, the inflammation step was not needed, so the undigested-food work ran until the stools became normal, with a parhez of curd, tamarind and lemon named in his own kitchen; ten days at a stretch (Setting the Stomach · Clearing the Ash · Food as Medicine).

Session by session. Day 3: less wind, reported with irritation by a man who wanted to report about knees. Day 6: stools once daily and formed, evening burning gone, Const ++. Day 10: Gas ++, Liv° R ++, and at the door — "Standing up is a little easier. Maybe." Only then did the joint work begin (The Stiffening Joint). Week 5: down to the floor and up again.

What went wrong because he withheld something. Week seven he slid back. The plan was not changed; the history was retaken as "show me what you put in your mouth yesterday, from waking" — and his daughter-in-law had been sending curd with the evening meal for a fortnight, worried that he had lost weight. It was not a sour thing in his mind; it was curd. Taught again, to her rather than him, he was ahead of week six in nine days.

What this case teaches

The complaint names where it hurts; the findings name where the fault is — said plainly on day one, so day four did not feel like neglect.

A silent point is a finding. Mu silent removed a whole step from the order of work.

A report that explains a complaint is the most dangerous kind, because it stops the enquiry.

A parhez must be translated into the actual kitchen and taught to whoever cooks.

Language

The five steps

Watch

The five steps

Four problems, or one?

Many names, one root

Which finding leads

The order of precedence — which finding leads

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