Right follows left

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LMNT Neurotherapy Diagnostic Pain Points

Explained

Navel Liv°Mu°

हर तरह के बुखार का इलाज (Cure all types of fever) By BK Dr. Diwakar Shukla

Given by a therapist

Liver Shukla

for constipation

Given by a therapist

Const

Right follows left

Work with the bowel’s own wave — and the two sides of the sixth bead

One rule of order belongs to this article rather than the formulary, because it is a rule about the belly itself — and without it no student will understand why any formula is arranged as it is.

Key teaching

The peristaltic principle — right follows left

Pressure cannot be applied in any random sequence.

The general rule for proper peristaltic movement is: right follows left. That is — first stimulate the organs on the right side of the navel, and then stimulate the organs on the left side of the navel.

A reverse order can cause constipation, and is to be resorted to only when we wish to arrest the peristalsis — for example while treating loose motions.

Peristalsis is worth a sentence of plain English, because the whole rule hangs on it. The intestine is a long muscular tube that moves its contents along by squeezing behind and relaxing in front, in a travelling wave — the way you work a stiff toothpaste tube from the closed end. That wave has a fixed direction: up the right side of the abdomen, across the top, down the left, out. Right, then left. Everything in the belly runs that way.

So the ordering rule is not a ritual but a decision to work with the wave. Stimulate the right-hand organs first and the left after, and you have pushed in the direction the bowel was already going. Reverse it and you have pushed against it — which slows the bowel and, in a patient already sluggish, constipates him. And precisely because reversing it slows the bowel, reversing it deliberately is a treatment: for loose motions, arresting the wave is the object. That is why reversed forms of certain formulas exist, why they are given for a short time only, and why the normal order must be restored afterwards.

The same principle of sided opposites appears in a second place a therapist meets early, and the two teach one lesson.

Key teaching

The two sides at the sixth thoracic bead

Pressure applied on the left side of the spine, in the region of the sixth thoracic vertebra, in a particular fashion, has a dilatory function — it opens — and is used in situations associated with narrowing of arteries or of the ring-shaped closing muscles of the body: for example, narrowing of the food pipe. Left Prone

A similar pressure applied on the right side of the spine constricts — it closes — and has been used to relieve, effectively and in a great many patients, the swelling in the legs caused by varicose veins. Right Prone

Same bead. Same manner of pressure. Two sides. Opposite results.

Nothing makes the point about sides more sharply. Two treatments, an inch or two apart on the same back, and one opens what the other closes. A therapist vague about which side he worked has not been slightly imprecise; he has possibly given the opposite treatment.

FROM AYURVEDA AND YOGA

The old teaching that the two sides do different work

The yogis of India noticed long ago that the two nostrils do not do the same work: breathing chiefly through the right, they held, raises the burning-down side of metabolism and warms the body; through the left, the building-up side, and cools it; and from the two alternating through the day the balance is kept. They built a practice on it — alternate-nostril breathing, to swing that balance back when it has gone one way too long.

Whether or not one accepts the account, notice the observation underneath: a symmetrical-looking body is not a symmetrical body, and its two sides can be worked on separately for opposite ends. Two ovaries, two kidneys, two adrenal glands, two sides of one bead of the spine, two nostrils.

What you are actually pressing over

Four fields of the trunk, and why a code name is not an address

A therapist who knows what is beneath his hand presses differently, and stops at the right moment. Four fields hold the whole map: the upper field, rib margins to navel — liver, gall bladder, stomach, duodenum, pancreas behind them, spleen far back on the left; the middle field around the navel — small intestine, twenty feet packed into the space of a melon; the lower field down to the pubic bone — bladder, uterus, the last loop of colon; and the rim and flank, carrying the vitamin points, Acid and Fluid at the groin, and behind, the soft window to the kidneys. (Figure 6.7)

The code names are, the teaching itself says, in general indicative of the major organ of that area — though not necessarily always so, and the qualification is load-bearing. Spl is the clearest case: a healthy spleen sits high and far back on the left, behind ribs nine to eleven, and cannot be felt through a belly wall at all. Lt.Ov is another — an ovary lies deep on the side wall of the pelvis, and in a man there is no gonad in that quadrant. So the honest statement of the map is: tenderness at the place named Spl accompanies disorders connected with the spleen, and treating it helps. A claim about a finding and a technique, not a claim about what your fingertip is resting on. (Figure 6.6)

Finding a point at the navel. Kneeling at the patient's side, two fingertip pads rest a little to the patient's left of the navel and press gently inward; the pillow lies under the thighs, none under the head; the eyes stay on the patient's face.

A MISTAKE STUDENTS MAKE

Reading a code name as an anatomical address

A student learns that Liv is the liver point, and thereafter tells every patient tender there that his liver is blocked. Three things go wrong at once. He has over-read the map — the name records where tenderness is found in liver trouble, not where the liver is. He has frightened the patient: your liver is blocked will be repeated at home that evening and believed, and frightening explanations produce real symptoms in real bodies. And he has stopped looking — having named the finding, he no longer asks what else it might be, and tenderness in that quadrant may be bowel, muscle, or a wall held tight for years.

The right sentence exists and is not much longer: "There is a tender spot here. In our system this one is connected with the working of the liver, and it is one of the things we will be working on. It does not mean there is damage."

The four fields of the trunk. The trunk from the front divided into upper, middle and lower fields and the rim, each with what lies beneath and its point codes, plus an inset of the flank from behind showing Mu° and Liv° in the soft place with no bone over it.

Two bodies, read from the navel

A camp lesson and a four-complaint case, read from the pain points

A CASE FROM PRACTICE

The woman at the Chandigarh camp who was treated without being examined

A recorded episode from a Neurotherapy camp at Chandigarh in 2001.

Name not recorded · a woman with school-age children · Chandigarh · came on the second day of a camp asking for yesterday's treatment again

What she came with. The second day of the camp, a very large crowd, the midday meal in progress. A woman came out of the crowd and said: "My children will be coming home from school; I am not able to wait until I can meet Guruji. I got a great deal of benefit from yesterday's treatment, so please give me the same again today."

What was done. Because the crowd was so large it did not seem right to disturb Guruji at his meal. So — without making any examination at all — she was given the treatment of the first day.

What followed. As soon as it finished she began to weep loudly and said that pain had come into her whole body which had not been there before. Everyone was astonished. A treatment that had helped her twenty-four hours earlier had hurt her now.

What was found. Guruji, hearing the matter, did two things at once: he examined the woman himself, and he called for her card. Her pain points were not the pain points of the previous day; the treatment had been correct for a body that no longer existed.

The order that came out of it, and which every therapist should carry: "Do not change your working method on the patient's insistence. If they are in a great hurry, then by all means tell them to come the next day without giving them treatment. But under no circumstances give treatment without examining their pain points."

What this case teaches

The examination is not the preliminary to the treatment; it is part of the treatment. A session without it is not a shortened session but a different and unpredictable one.

A pain-point picture belongs to a day, not to a patient. Yesterday's picture has since been treated.

Kindness and hurry are the two commonest reasons for skipping an examination, and both feel like good reasons at the time.

Not treating is a permissible outcome of a consultation. "Come tomorrow, when I can examine you properly" is a complete and professional answer.

A CASE FROM PRACTICE

The autorickshaw driver whose four complaints were one complaint

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

Shivkumar Yadav · 41 · autorickshaw driver, night shift · Nagpur · came with burning heels and cramping calves for a year

What he came with, in his own words. "Feet burn at night, sir. Like somebody has put them on a hot tawa. And the calf catches — I have to get out of the auto and walk it off." Asked what else, he said nothing else. Asked differently — "and how are motions?" — he shrugged: "Every third day. Hard. That is normal, no?" Asked a third time, he added that his mouth was always dry and that he had given up trying to sleep before four in the morning.

What was observed and palpated. A dry tongue, dry scaly shins, a belly that looked soft and was not. On gentle inward pressure he was tender at Const in the left upper quadrant — sharply, and to his own surprise — at Mu on the left of the navel, and at the B₁₂ point over the left crest. The flanks were compared one against the other: Mu° tender, Liv° quiet. All of it written down before anything was given. Left Right

Several complaints read as one picture. Not four problems but one direction with four faces: hard infrequent stools, a dry mouth, dry scaly skin, and a man who drank two cups of tea in a twelve-hour shift and no water at all, because stopping the auto to pass urine costs a fare. The burning feet and the cramps sat on top of that.

Which reports mattered. He had none and wanted none. But tenderness at B₁₂, with burning feet for a year, made one test worth insisting on, and his B₁₂ came back low — a single result that explained a symptom no amount of local work on the heels would have shifted. A knee X-ray from four years earlier changed nothing.

What was chosen, and what happened. Nothing aimed at heels: digestive work first, on the findings as recorded; water raised to a measured amount he could carry in the auto; a plain instruction about the four in the morning; and the B₁₂ finding sent to a doctor, who supplied what a fingertip cannot. Week one, motions daily by the fifth day — and he mentioned it before he mentioned his feet. Week two, the Const tenderness a fraction of what it had been, the burning unchanged. Week three, no change anywhere, and irritation on both sides.

What was done when the first approach stopped working. He was re-examined from the beginning as though it were a first visit, and the picture had moved: Const almost quiet, Dys now tender on the right, the right flank no longer silent. A plan built for a bowel that would not move is the wrong plan for a bowel that has begun to. The plan was changed to match the day, not the card.

What went wrong because something was withheld. In week five he slid backwards. Asked not "are you taking anything?" but "show me what you put in your mouth yesterday", he produced a sachet of bitter digestive powder a shopkeeper had recommended, taken twice daily for eleven days. He had not thought of it as a medicine; it came from a shop that sold biscuits. It stopped, and the following week he was back where he had been.

What this case teaches

He came about his heels and the map answered about his bowel. Treat the direction, not the loudest symptom.

Compare the two flanks against each other. One flank alone tells you almost nothing.

A vitamin point is a prompt to test, never a licence to diagnose.

The pain-point picture moves under treatment. When it moves, the plan moves — that is the method, not an inconsistency.

"What medicines do you take?" gets an honest "none". "Show me what you put in your mouth yesterday" gets the sachet.

The map of the navel, at a glance. A one-page summary: the sixteen front codes in their places, the four back points on the flank, the three rings and their inverted rule, and the order — right follows left.

WHAT TO CARRY AWAY

Every consultation begins at the navel. Specific points around it exhibit pain or hardness, the same points in all patients sharing a symptom or group of symptoms; any disease, whatever its individual symptoms, is generally accompanied by pain or hardness around the navel and the hip, at one or more of eighteen specific points.

Pain in an area indicates disturbed blood flow to that area and to the organs associated with it — and if the pain is relieved, the supply has been restored. The technique is fingertips, gentle inward pressure, at pre-determined places — a different act from a physician's palpation, in both technique and purpose.

Sixteen code names on the front chart: Pan pancreas · Gal gall bladder · Spl spleen · Liv liver · Mu mucus, the membrane of the entire digestive tract · Gas stomach and duodenum · Gas 'I' jejunum and ileum · Const constipation · Dys dysentery · WD uterus and prostate · Rt.Ov and Lt.Ov the gonads · Acid corrects acidosis · Fluid corrects alkalosis · FA and B₁₂ at the hip. Four on the back chart: Mu° the left kidney · Liv° the right kidney · Thia and Nia above the back of the hip bone.

Mu° and Liv° lie in the soft part between the last rib and the hip bone, left and right, found by pressing gently in that gap. The names exist to spare the patient the alarm the word kidney causes and as a memory aid — the right kidney sits behind the Liv point, the left behind the Mu point. The small ring says two further things: one place instead of three, and the hand point moves up near the shoulder.

The numbers are rings, not grades. Eight directions, three distances along each. The pain nearest the navel will go only from the number-three treatment place — furthest down the limb; ring one is answered nearest the trunk. Gal ring 1 → the waist end of the left thigh, ring 3 → near the knee. WD ring 1 → both elbows, ring 3 → both wrists and not the elbow.

Right follows left — first the organs on the right of the navel, then the left, in keeping with the intestine's own wave. The reverse can cause constipation, and is used only to arrest the wave, as in loose motions. At the sixth thoracic bead the left side dilates and the right constricts: same bead, same pressure, opposite results. Say the side aloud before every application.

A code name is a label for a technique, not an anatomical address. The names are in general indicative of the major organ of the area — though not necessarily always so.

Language

Right follows left

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Right follows left

The peristaltic principle — right follows left

The two sides at the sixth thoracic bead

What you are actually pressing over

Two bodies, read from the navel

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