When the Hand Must Stop

Two cards, written eleven minutes apart

A composite, assembled from many first mornings to teach the habit rather than taken from one file.

At the Nagpur centre the cards were kept in a steel box, and on a Monday in July two new patients were entered into it within a quarter of an hour of each other. Both were men in their fifties. Both had come about their knees. Both had diabetes of some years' standing, and both said so in the first minute, because everybody does.

The first card was written by a therapist of nine months. She wrote the name, the age, the complaint, the findings at the navel, and the plan. Diabetes went into the history box, where diabetes goes. Then she turned the card over and, before she wrote a single point, drew a line down the back of it and wrote under it, in a different ink: Th · Th+Ch · Spl · Lymph · Armpits · Ton P · Ton T · Pit · (4) Adr · (6) Adr · (4) Pan · (10) Medulla. Twelve entries. Beside each, in three or four words, the reason. It took her four minutes and she had to look six of them up.

The second card was written by a therapist of nine years, who did not need to look anything up, and who therefore did not write anything down. He knew the diabetes list. He had known it for years. He was, as it happens, entirely right about all twelve.

Eight days later both men were being treated, on the same morning, by a third therapist covering for the other two. She turned the first card over, read the twelve lines, and gave a treatment built around them. She turned the second card over and found the history box, the findings and a plan — and no list at all, because the man who wrote it had never needed one. She was a careful therapist. She asked. She was told. Nothing whatever went wrong. But the safety of that second patient on that morning rested on a conversation in a corridor, and the safety of the first rested on four minutes of ink.

WHAT YOU WILL LEARN HERE

By the end of this article you will be able to:

Explain what blocking is, why it is done on the card before the first treatment, and why the therapy regards it as one of its own special features rather than as a list of failures.

Look up any condition a patient arrives with and say at once which points are barred, what reason is given for each bar, and what is given in its place.

Handle the patient who has two or three conditions at once, whose blocked lists add together and whose permitted lists contradict one another.

State exactly what changes in heart disease, diabetes, cancer, kidney disease, high and low blood pressure, epilepsy, asthma, infection and septicaemia — including the substitutions written for each, with their counts, sides and angles.

Give Sulta Ulta in angina at 135°, arms a little upward, not parallel to the shoulders, left side first — and say why that is an instruction and not an exception.

Recite the Thymus and Thymus + Chest bar entire, name the three heparin formulas it closes, and say what to do when no substitution is written.

Gather every bar this wiki has laid down in forty-one articles into one condition-first index — osteoporosis, the growing child, the woman who wants a child, the numb foot, the replaced joint, the blood-thinned patient, the dialysis arm.

Know which treatments must not meet in one session, and which must never be separated.

Recognise the findings that end a session on the spot, stop, and say so in words that do not frighten the patient.

Say plainly, with dignity and without apology, that you cannot treat somebody — and know where to send them and what to write.

Know when a block may be lifted, who lifts it, and what must be true before it is.

Watch

How to Give 4 Medulla, Raman & T1 T2 in Neurotherapy | LMNT Cervical, Shoulder pain & Numbness

Given by a therapist

Neck Medulla Raman

रात को नींद न आए तो 5 मिनट करें ये काम | Insomnia Self Treatment | भयंकर अनिद्रा का पक्का समाधान

Self treatment

Sleeplessness Medulla

भयंकर Migraine और सिरदर्द से तुरंत आराम | Migraine Pain Relief | 15 Medulla & Head Massage Point

Self treatment

Migraine Medulla

How this article differs from Each Point in Use — read this first

Chapter 25 is indexed by the point; this one by the condition

Each Point in Use is indexed by point. This article is indexed by condition. The facts are the same facts; the door is on the other side of the building.

That is not a tidy distinction, it is the difference between a article you read and a article you use. In Each Point in Use, "Each Point in Use", you look up (6) Adr and learn what it is for and who must not have it. That is the right shape for a student who is learning the atlas, and the wrong shape entirely for a therapist with a patient on the mat. The patient does not arrive as a point. She arrives as a woman of fifty-one with diabetes, a thyroid on tablets, one kidney that was operated on nine years ago, and a knee — and what that therapist needs, in the four minutes before treatment begins, is not twenty point entries read one after another. It is one entry, headed with her condition, carrying everything that is shut off and everything that opens in its place. (Figure 42.1)

So the two articles divide cleanly and neither repeats the other.

	Each Point in Use	This article
Indexed by	The point	The condition
Question it answers	May I give this point to this patient?	What may I not give to this patient at all?
Used	While learning, and while checking one decision	Before the first treatment, with the card open
Holds	Every point's indications, its own prohibitions, the notes attached to it	Every condition's blocked list, its reasons, its substitutions — and every bar the rest of the wiki laid down, gathered
Same-session exclusions	The paired treatments that pull against each other — Table 21 there	Re-indexed by the finding in front of you today, and when the bar lifts

Wherever a point is named here, its own full entry stands in Each Point in Use and the cross-reference is given. Nothing is taught twice in full. What is done here — and done nowhere else in this wiki — is the inversion: every prohibition in the therapy, sorted by the person it protects.

The same knowledge, entered from two sides. Each Point in Use and this article as two doorways into one column of facts — by the point, and by the condition — with the question each door answers and three sample entries from each.

Key teaching

Why a therapy that stimulates must know what is already overworking

Read the reasoning that produced this article, because it is honest and it is the whole argument.

In some diseases certain glands become hyper — that is, they work more than they should. Since through Neurotherapy we provoke many glands, it is necessary for us to know in which diseases which glands must not be provoked.

That is the entire premise, and notice what follows from it. A prohibition here is almost never this will hurt her. It is this will give her more of the very thing she already has too much of. A thyroid point in a body whose metabolism is already racing. A sugar-raising point in a body that cannot manage its sugar. A point that suppresses immunity in a body whose immunity has already failed.

So a blocked point is not a dangerous point. It is a good point, aimed the way the disease is already travelling. The same point, in the patient on the next mat, may be the best thing you have.

What blocking is

A verb before it is a noun — the boxed point, written before the plan

THE METHOD, STEP BY STEP

Blocking a card, at the first visit

The instruction is that this is done at the first visit, before treatment begins — not after the first session, not when the point next comes up.

1. Take the history and the findings in the usual order, and write them where they go.

2. Before planning a single point, turn to the condition entries in this article for every diagnosis the patient carries — not only the one they came about.

3. On their diagnosis card, block those points which, according to their disease, are not to be given — written in a fixed place on the card, in a form that cannot be mistaken for part of the plan. Loveleen is the model the material itself gives: write it as . Loveleen . so that on later days too it is remembered that this point is not to be given.

4. Beside each blocked point, write the reason in three or four words — raises sugar; pressure falls on the chest; thymus hyper. A block without its reason survives one therapist. A block with its reason survives the card.

5. Where a substitution is written, write the substitution on the same line. (4) Thrd → (2) Thrd. Th + Ch → (8) Ch. Only (20) ↑|↓. A closed door with another door beside it is a rule a therapist can actually keep.

6. Read the blocked list aloud at the start of every session, the way you read the findings. It takes fifteen seconds and it is the only step that survives you being tired.

The stated purpose, in the therapy's own words: so that both you and the therapist will remember this, and no harm will come to the patient.

And the block is not for ever

It lifts when the chief symptoms end, and the lifting is itself a result

This is the sentence students most often miss, and it changes the whole character of the article. (Figure 42.2)

Key teaching

When a block comes off — and what lifting it proves

By our treatment the working of the glands goes on improving. It is not necessary that this warning is for ever.

This avoidance is needed only for as long as the chief symptoms of that disease have not ended. Afterwards, if the need arises, those points can be given.

In fact this is one more special feature of Neurotherapy, and it is the proof that by our treatment the glands have improved.

Read the last line twice. The therapy is not merely tolerating its own restrictions; it treats the day a block can be lifted as a clinical result — as good evidence of improvement as any number on a slip of paper. A card that carried twelve blocked points in January and carries four in November has recorded something.

Two working consequences follow, and both belong on the card rather than in the memory.

A lifted block is a dated, named decision. Write un-blocked, with the date and whose decision it was, exactly as you would write a change of formula. A block that quietly stops being observed has not been lifted; it has been forgotten, and the two look identical from outside.

And a block is lifted on the chief symptoms of the disease having ended, which is a clinical judgement and not a mood. He feels much better is not the test the sentence sets. The chief symptoms of that disease have not ended is. Where the condition has a measure — a sugar, a pressure taken properly over two weeks, a thyroid reading — let the measure answer, because it is the honest reading of the instruction and because it protects you.

Blocking a card, and taking a block off. What blocking is and what hyper means; the order the material gives set against the order students use instead; the six steps of the method with a card drawn as it is written; and what it means when a block later comes off.

A MISTAKE STUDENTS MAKE

Blocking the card after the first session instead of before it

It is the most natural order in the world and it is the wrong one. The therapist examines, plans, gives a good first treatment, walks the patient to the door — and then, writing up, remembers the diabetes and goes back to the card.

Nine times in ten nothing has happened, because a first session is usually digestive work and touches nothing on the list. The tenth time the list contained (10) Medulla, and (10) Medulla sits inside more formulas than any student expects — including the UDF treatment, from which it is withheld in a diabetic by name.

The order the material gives is: card first, blocks second, plan third, treatment fourth. It is written in that order for the same reason a surgeon's checklist is read before the knife and not after it. ▲ Take care

The master index

Every condition the therapy warns about, and the points each one closes

This is the page to photograph and keep. Every condition named in the therapy's own warnings, with the points blocked in it. The reasons, the substitutions and the qualifying detail follow, condition by condition, in the rest of this article — and this table is no substitute for them, because a bar without its context is half an instruction. (Figure 42.3)

The entries follow the therapy's own order of teaching, gathered into six families so that the reasoning of each family can be seen at once. Every bar carries the reason given for it. Where a reason is given as a perhaps, it is written as a perhaps. Where no reason is given, the bar stands bare and none is invented.

DID YOU KNOW?

The gland that shrinks when the body is under strain

The thymus sits behind the breastbone, and in a child it is large enough to show on a chest picture. It was noticed, long before anybody understood why, that in people who had died after a long illness the gland was often tiny — so small that a whole medical theory was built on the mistake of thinking the normal size was abnormal.

The explanation turned out to be the body's own stress hormone, which genuinely thins the thymus and reduces the lymphocytes it turns out. That is the mechanism this article's most repeated instruction rests on: (6) Adr is given in autoimmune disease precisely because it suppresses the thymus by way of cortisol, and withheld wherever immunity is already low. One hormone, two opposite clinical situations, and the same point on the back.

Six families of blocking. All twenty conditions of the master index grouped into the six families, each family carrying the one idea that runs through it, each condition its blocked points and the exact count — with the Thymus and Thymus + Chest bar set out whole beneath.

Family one — The immune group

Defences not raised where they already attack, nor lowered where they failed

Five conditions sit together here because one idea runs through all five: the points that raise the body's defences are withheld where those defences are already attacking their owner, and the point that lowers them is withheld where they have already failed. Learn the family and you have learnt most of the individual lists.

Autoimmune disorders · arthritis · inflammatory diseases · polio

Blocked: Th · Th+Ch · Lymph · Armpits · Ton 'P' · Ton 'T' · Spl ▲ Take care

Blocked	The reason as it is given	Given instead
Th, Th+Ch, Lymph, Armpits, Ton 'P', Ton 'T'	Auto-immune disorders are those diseases in which the thymus becomes hyper. These points increase the working of the lymphocytes by various means, which is harmful in both auto-immune disorder and inflammation	—
Th + Ch, where there has been an injury	As above	Give (8) Ch. Only and (20) Rd Arrow in place of Th+Ch
Spl	Spl makes antibodies and WBCs. So it is not given in auto-immune disorder	—

And what these patients are given: (30) Medulla, (6) Adr, and (1) Single point liver × 6 treatments.

Arthritis is also considered an auto-immune disorder — and therefore carries this whole list.

And one line is kept exactly as it stands, because it is a record of practice changing: nowadays Spl has begun to be given in inflammatory diseases. It was not given before. Read it as it is written. The bar on Spl in autoimmune disorder is not touched by it; what has changed is the inflammatory half.

TAKE CARE

Polio — one disease, four points, four different jobs

A student who meets polio in this entry and again under (6) Adr sometimes thinks two pages are fighting. They are not. This is a treatment plan, and every part of it carries its own qualifying detail.

(6) Adr is given for polio — because polio is an inflammatory disease, and (6) Adr is what ends inflammation, given for any disease whose name ends in *-itis*. Its own caution travels with it: it reduces immunity, so it is withheld where immunity is already low — septicaemia, AIDS, HIV, cancer.

Blood supply to legs is given for polio — for the numbness and the weakness in the legs, in the front or the back of the thighs, usually thirty times on both legs. That is the limb, not the inflammation.

The Thymus group and the Armpit point are withheld in polio, by the list above.

And Spl carries an open question, printed as a question: to be tried on polio patients, to see whether they benefit from it? It is not to be resolved here.

Four points. One inflammation to end, one weak limb to supply, one group held back, one question still open.

Diabetes

Blocked: Th · Th+Ch · Spl · Lymph · Armpits · Ton 'P' · Ton 'T' · Pit · (4) Adr · (6) Adr · (4) Pan · (10) Medulla ▲ Take care

The longest list in the therapy, and the one a village therapist will use most often.

Blocked	The reason as it is given	Given instead
Th, Th+Ch, Lymph, Armpits, Ton 'P', Ton 'T'	Diabetes too is considered an auto-immune disorder. All these points provoke the working of the thymus and the lymphocytes by various means	—
Th + Ch, on injury	As above	Give (8) Ch. Only (20) ↑\	↓ in place of Th + Ch
Spl	It will provoke the working of the WBCs, which is harmful in auto-immune diseases	—
Pit, (4) Adr, (4) Pan	They raise sugar	(10) Pan may be given
(10) Medulla	From it the quantity of blood sugar will increase. Therefore it is not given even in UDF treatment	—
The Full Round Arrow — modified, not abandoned	Giving the Full Round Arrow will provoke both the thymus and the adrenal gland. So that the patient is not harmed by one or the other	Round Arrow is to be given only as far as L1–L5

And the treatment written for the diabetic who is (6) Adr's own best case: many people have benefited from (6) Adr, because it suppresses the thymus by way of cortisol. Giving such people Lt. Ov. treatment brings the sugar under control quickly — Lt. Ov. will make oestrogen, which will inhibit the thymus.

And immediately beside it, in the therapy's own italics: *but some people do not feel well after being given (6) Adr; then perhaps giving them Thymus may be of benefit.* That sentence is preserved exactly as it stands. It is an instruction that the patient's own report outranks the scheme, and it is not to be tidied.

For infection in a diabetic patient, in place of the viral formula one may give — TF 'Gal-Liv', or (½) Ku – 20 secs, or (½) Ku – 13 secs, or (1) Single point liver × 6 treatments.

TAKE CARE

The diabetic foot — the one contraindication the patient cannot report

This is not a point bar; it is a bar on the tool, and it belongs beside the diabetes entry because that is where it will be needed.

In long-standing diabetes the nerves of the feet can die back, and a foot can lose the ability to feel pressure entirely. The danger is not that firm pressure hurts such a patient more. It is that it does not hurt at all — and in an intact foot, pain is what ends the load.

Ask every patient with any history of diabetes whether they can feel their feet normally, and check it — eyes closed, a light touch at three places on the sole, and ask where. Where sensation is reduced: light hand contact only, never body weight, never prolonged; look at the skin before and after; and treat any blister, ulcer, red patch, new deformity or hot swollen foot as urgent, the same day.

BOF, Big Toe Gas and the foot stage of the calf ghisāī are all delivered to a foot, several of them under a therapist's body weight.

Kidney disorders

Blocked: Th · Th+Ch · Spl · Lymph · Armpits · Ton 'P' · Ton 'T' · Spl ▲ Take care

Blocked	The reason as it is given	Given instead
Thymus and its group	Most of these are auto-immune disorders — that is, they have come from the thymus being hyper. So Thymus is not given	—
Th + Ch, where there has been an injury	As above	In place of Th + Ch give (8) Ch. Only (20) ↑\	↓

These are to be given only (2) Pan, (6) Adr, (1) Single point liver × 6 treatments, P. Heparin and so on.

And one bar reaches this patient from another article and must be carried here: Loveleen is not given to kidney patients or to heart patients — and on the card of such a patient it is written . Loveleen . in that form, so that on later days too it is remembered.

Notice the architecture doing the work in the permitted list. P. Heparin is named as suitable, and T., TT. and PT. Heparin are not — because those three contain Thymus + Chest, and Thymus + Chest is blocked here. The patient who needs the heparin family and has a kidney disease is a patient for the forms without a thymus in them.

Diseases of infection

Blocked: (6) Adr · (30) Medulla ▲ Take care

Two lines, and they are the exact mirror of the autoimmune entry. There, (30) Medulla and (6) Adr are what the patient is given and the thymus group is shut off. Here the same two lists have changed places. Nothing has been contradicted: in one disease the defences are attacking their owner and must be damped; in the other they are losing and must be raised. The direction of the disease chooses the direction of the treatment, and the points are the same points.

Two patients, one point. The same point marked identically on two identical backs — given in autoimmune disorder, arthritis and polio, blocked in septicaemia, HIV and cancer — and beneath it the four rules by which two blocked lists are added on one card.

Septicaemia

Blocked: (6) Adr ▲ Take care

If it is given by mistake, fits can come on immediately. There is no other sentence in this wiki quite like it. Almost every bar in this article describes a harm that arrives slowly — a sugar that climbs over a week, an inflammation that worsens over days, a height that is quietly lost over years. This one describes something that happens in the room, while your foot is still on the patient. (Figure 42.4)

It is also the sentence that tells you what kind of patient is being described. A body in which bacteria have got into the blood in very large quantity is not a body that has come for a course of treatment. How that patient is recognised, and what is done with them, is Part five of this article.

Family two — Acid, and the two ends of the bowel

Acid is the axis, and the fourth entry is the mirror of the third

Four conditions, one model, and a symmetry so exact that a student who learns two of them has learnt all four. Acid is the axis. Three of the four are read as diseases of acid, and the same two points are shut off in all three for the same stated reason. The fourth is the mirror image of the third.

Acidity, or ulcer in the stomach

Blocked: Gas Only · (10) Medulla ▲ Take care

Blocked	The reason as it is given	Given instead
Gas Only, (10) Medulla	From Gas Only and (10) Medulla the acid of the stomach will increase three times, and the trouble will increase	Acid Treatment formula, Normal, Ajay Normal, Round Normal and so on

And the sequencing rule that travels with Gas Only everywhere: if UDF treatment is to be given, then after Gas Only one must give Gas 'I'; otherwise constipation can occur.

Fistula · anal fissure · descent of the rectum · piles

Blocked: (10) Medulla · Gas Only · Dys ▲ Take care

Blocked	The reason as it is given	Given instead
Gas Only, (10) Medulla	All four of these are diseases of acid, and one chief cause of them is hard constipation. From these two points the acid of the stomach will increase three times, and the trouble will increase	Triangle, Round Normal, Round Arrow and so on
Dys	Carried from the constipation reasoning — the Dys point stops the movement of the intestine	—

And again: if UDF treatment is to be given, then after Gas Only give Gas 'I'; otherwise constipation will increase.

One further bar rides on the substitution itself, and must be written on the card with it. Triangle for piles is what these patients are sent to — and Triangle for piles is not given to those who pass little urine, because it tightens the sphincters of the bladder, the uterus and the anal opening.

Constipation

Blocked: Gas Only · (10) Medulla · Dys ▲ Take care

Blocked	The reason as it is given	Given instead
Dys	Constipation is a disease of acid. The Dys point stops the movement of the intestine. So from it the constipation will increase further	—
Gas Only, (10) Medulla	The acid of the stomach will increase three times. And constipation will increase	Gas 'I', Round Normal, Round Arrow, (2) S 4-5 and so on

And the sequencing rule a third time: if UDF treatment is to be given, then after Gas Only give Gas 'I'; otherwise constipation will increase. It is written three times in three entries. Write it three times on three cards.

And the bar riding on the substitution: (2) S4–S5 is not to be given to those who pass too much urine, because it opens the sphincters and is given to increase urine.

Dysentery, or loose motions

Blocked: Gas 'I' · Const ▲ Take care

Blocked	The reason as it is given	Given instead
Gas 'I'	Gas 'I' increases the motility of the intestine. So there will be still more loose motions	Gas khali and Swt
Const	Const corrects constipation. So those who have loose motions are not to be given Const	—

Hold this entry beside the one above it. In constipation, Dys is blocked and Gas 'I' is prescribed. In loose motions, Gas 'I' is blocked and Const is blocked too. Neither point has changed what it does; the bowel has changed which way it needs pushing. This is the plainest demonstration in the therapy that a prohibition belongs to a body and not to a point.

Family three — Pressure, and the heart

Four ways a pressure can be pushed up, and the point for each shut off

Low blood pressure

Blocked: Ku (old version) · Gas 'I' · (30) Medulla ▲ Take care

Blocked	The reason as it is given	Given instead
Ku — the old version	This comes from a lack of water in the blood, or from acidosis. From the old Ku treatment acid increases. So the old Ku is not given	UDF treatment, Acid treatment + (2) Adr and so on
(30) Medulla, Gas 'I'	They lower high blood pressure. So they are not to be given to low-BP patients	—

And four further instructions belong to this entry whole, each with the detail that qualifies it.

The heparin caution, with its hedge intact. From Heparin treatment the diastolic BP falls. So perhaps giving it to low-BP patients could lower the BP still further. So give it thoughtfully, if there is need. That is not a bar. It is a think first, written as one, and it is to be carried as one.

The two kinds of low blood pressure, which are treated in opposite ways. This is the sharpest distinction in the whole article and it turns entirely on how the low pressure arrived.

Which patient	What is given	What is not given
Those who have had low BP for years	Only (2) Para	The Angiotensin #2 formula is not given
Those in whom low BP came on suddenly — because of an accident, a miscarriage, or heavy bleeding in menstruation	Only the Angiotensin #2 formula	(2) Para is not given

And the Swt note, with its perhaps: from Swt the adrenal medulla is provoked, so BP will rise. Perhaps it will be of benefit for low BP. Written as a possibility, carried as a possibility.

TAKE CARE

The second row of that table describes an emergency before it describes a treatment

Read it again: low blood pressure that came on suddenly, because of an accident, a miscarriage, or heavy bleeding in the menses. The therapy has identified the three commonest ways a body loses blood quickly, and has separated them from ordinary low pressure as a different thing — which is a good piece of clinical noticing.

A patient in front of you in that state is losing blood now. Cold and clammy, pale, a fast pulse, faint or giddy on sitting up, confused or drowsy, passing little urine, still bleeding — that patient is not treated, she is moved, today, to a place with a drip and a blood bank. A woman of childbearing age with abdominal pain and collapse is that emergency until somebody qualified says otherwise.

The Angiotensin #2 formula is for the patient whose bleeding has been stopped and who is being built back up. It is not for the hour in which the bleeding is still happening.

High blood pressure

Blocked: Pit · Mu° · Swt · Lu + Sh · (20) Medulla · (2) Adr · (6) Adr ▲ Take care

Blocked	The reason as it is given	Given instead
Pit	Pit increases alkali. And high BP has come precisely from an increase of alkali	—
Swt	Swt will provoke the adrenal medulla, from which BP will rise further	—
Mu° — not to be given alone	Because if acid falls, the symptoms of alkali will increase	In its place give Mild Alkali or the Ulta Kidney formula. And if there is pain at the Mu° point, giving the B₁₂ formula or Left vitamin formation will bring relief
Lu + Sh	We give it in order to make angiotensin #2 by way of the converting enzyme, from which BP will rise	—
(20) Medulla	From it dopamine will be made, whose effect will make the heart contract more forcefully, so blood will come out in greater quantity and with greater pressure. So BP will rise	In its place give (30) Medulla or the Chole formula
(2) Adr	From it aldosterone will come out, whose effect will make the kidney hold on to salt, from which BP will rise further	—
(6) Adr	Giving (6) Adr will lower acid and raise alkali. So it is not given	—

Read that column downward before you move on. Four separate machineries by which a blood pressure can be pushed upward are named — the fright chemicals of the adrenal medulla, the converting enzyme and angiotensin, dopamine acting on the force of the heartbeat, and aldosterone making the kidney hold on to salt — and the point believed to act on each one is shut off. Whether or not one agrees with every step, that is a therapy reasoning about its own mechanisms rather than reciting a list, and it is worth saying so to a doctor who asks what this article is.

Note also that Mu° is not blocked outright. It is not to be given alone — a bar on the point standing by itself, with two named replacements and a written remedy for the pain that prompted it. Copy the whole line onto the card, not the first three words.

Heart disorders

Blocked: (10) Medulla · (20) Medulla · (30) Medulla · Lu + Sh · Swt · Katka · Loveleen · Thymus · (4) Thrd ▲ Take care

Blocked	The reason as it is given	Given instead
(10) Medulla — not on both sides	The vagus nerve inhibits the heart — that is, it slows its rate. Nowadays (10) Left Medulla is given	(10) Left Medulla Left
(20) Medulla	From it dopamine will be made, which increases cardiac contractility and output. Those who already have heart trouble will be burdened further by this	(2) Medulla, (4) Medulla or (6) Medulla may be given
(30) Medulla, and G. Heparin	Blocked together in one line	In their place give J. Heparin or P. Heparin
Lu + Sh, Swt, Katka	In all three of these, when giving them, physical pressure — that is, a good deal of force — is applied, so pressure will fall on the heart; therefore they are not given	—
Swt, again	Swt will provoke the adrenal medulla, from which BP will rise. Therefore it is not given	—
Loveleen, Thymus	The place of the Loveleen and Thymus treatments is very close to the heart. So from those treatments the heart can be troubled	Not giving Loveleen, give only Ulta Sulta — but with the hands kept up at 135°
(3) Gal (7) Liv	It improves the digestion of fats, from which the quantity of cholesterol in the blood will increase, which will increase the trouble in heart diseases	(1) Single point liver × 6 treatments
(4) Thrd	From (4) Thrd the metabolism — chayāpachaya — will increase, from which a burden will fall on the heart and the trouble can increase	In place of (4) Thrd, (2) Thrd is given

This entry contains two of the most instructive rules in the wiki, and both are instructions rather than exceptions.

Key teaching

Sulta Ulta in angina — the angle and the order are the treatment

Two things are said about the chest in a heart patient, and both are true because each carries its own qualifying detail.

Loveleen and Thymus are withheld, because the place of those treatments is very close to the heart, and from them the heart can be troubled.

And Sulta Ulta is given. Sulta takes out the pain at the front of the chest; Ulta takes out the pain of the back behind the chest. For those who have angina or heart disease, keeping both arms extended — not parallel to the shoulders, but a little upward, at 135° — and giving it, the pain of the chest, or the suffocation that is felt in it, will end.

And the order: it is not necessary to give both sides at the same time. Give the left side first and the right afterwards. Left then Right

The angle is not a comfort adjustment and the order is not a convenience. Arms at 135° rather than parallel to the shoulders change what the chest wall does under the hand; one side at a time, left first, is how the instruction is written and how it is given. Strip either detail away and you no longer have the treatment that was described.

Key teaching

(10) Left Medulla names the half that may be given

(10) Medulla is not to be given on both sides, because the vagus nerve inhibits the heart — that is, it slows its rate. Nowadays (10) Left Medulla is given.

Read that as literally as it is written. It does not withhold the treatment from a heart patient. It names the half that may be given — and side is part of the identity of a point, not a detail of technique. (10) Medulla and (10) Left Medulla are two entries, and a card carrying the second has not been given a reduced version of the first.

The bars attaching to (10) Medulla are inherited by every formula that contains it and by no formula that does not.

And the gate before the formula. A heart patient for whom the Vater formula is intended does not receive it first. Patients of heart disease must first be given the Angina treatment only. After two to four days of that, when their health improves a little, the Vater treatment may be given — and then in its cardiac form.

TAKE CARE

Chest pain is not treated until somebody qualified has said it is not the heart

The patient this entry does not protect is the one whose heart disease has not been found yet — the man of fifty-four with "gas in the chest", who has never had a heart tracing in his life, and whose card therefore carries no cardiac block at all.

Any chest pain or suffocation reported in your room stops the session. Sit the patient up; do not lie them flat. Ask whether they have a heart condition and whether they carry a tablet or a spray for it. A person whose chest pain has changed — coming at less effort, lasting longer, arriving at rest, or not settling with the tablet that usually settles it — needs emergency assessment now, not an appointment. So does chest pain with breathlessness, sweating or sickness, or pain going into the jaw or the arm; and so does a severe tearing pain in the chest or the back.

This is the reason Loveleen is written on the card as . Loveleen . — the boxed form exists because the mistake it prevents is silent.

Family four — Bone, growth and the years that cannot be given back

The only bars in the chapter whose harm cannot be undone

Bamboo spine, and spur

Blocked: Thrd 'P' · Thrd ▲ Take care

Blocked	The reason as it is given
Thrd 'P', Thrd	Bamboo spine comes because of the deposition of calcium between the bones, whereas spur comes because of the bone growing in an unwanted form. Thrd 'P' through the osteoblasts, and Thrd through calcitonin, will increase calcium in the bones — so the disease will increase

Two points, two named mechanisms of bone building, and a disease of too much bone being built. It is one of the cleanest arguments in the therapy: the levers by which bone is laid down are identified, and in a disease of excessive laying-down neither lever is pulled.

And the same bar in its other wording, from the point's own entry, which reaches further than the two named diseases: in a disease in which the osteoblasts are hyper — bamboo spine, or spur, or where bone has grown unwanted anywhere in the body — (4) Thrd 'P' is not given. That last clause matters, because it covers the patient whose report says calcification at a shoulder or a heel and who has never heard either of the two names.

The teenage years

Blocked: Lt. Ov. · Rt. Ov. · WD · Ton 'P' · Ton 'T' ▲ Take care

Blocked	The reason as it is given
Lt. Ov., Rt. Ov.	Oestrogen and progesterone provoke the epiphyseal line to close early. If it has closed, after that the height will not increase. Therefore those whose height is low are not to be given Lt. Ov. and Rt. Ov.
WD	It provokes the genital organs, so from that too perhaps oestrogen will be made
Ton 'P', Ton 'T'	The parotid glands at the side of the cheek have some kind of relation with the testes. Because when, in the disease called mumps — kanphūl — the parotid glands swell, during that disease in some boys the testes disappear, after which they are not able to become fathers. Therefore it is thought that Ton (P) and Ton (T) have some relation with infertility. So to those young people — especially to women, up to the age of bearing children — Ton (P) and Ton (T) are not given

No substitute is named for any of the five, and none is to be invented.

Two further bars belong to the same growing body and are written elsewhere, and both must go on the card together with these. (2) Pan is not given to a child whose height is less, or who is taking treatment to increase height — it stops growth hormone; (4) Pan or (10) Pan may be given instead. And (6) Medulla is withheld from a boy or girl between 13 and 20 who is being treated for height — somatostatin stops growth hormone — unless there is special need.

This is the only family of bars in the article whose harm cannot be undone. A sugar that rose comes down. An inflammation that flared settles. A growth plate that has closed does not open again. Write these blocks in the same ink as the others and treat them as a different order of thing.

Family five — Cancer

Nine points closed, and one portable question about the organ

Blocked: Lt. Ov. · Rt. Ov. · WD · (10) Medulla · Pit · (4) Adr · (6) Adr · (4) Pan · Spl ▲ Take care

Blocked	The reason as it is given	Given instead
Lt. Ov., Rt. Ov., WD	The disease of cancer has come because of an increase of alkali and oestrogen. It has been found that Lt. Ov. makes oestrogen in greater quantity and Rt. Ov. in lesser quantity; WD provokes the genital organs, from which the quantity of oestrogen can increase. Therefore these three are not given	—
(10) Medulla	It provokes the digestive system by way of the vagus nerve. From this the sugar in the blood can rise, from which the cancer cells will get nourishment and the disease can increase	—
Pit	From Pit both alkali and sugar increase	—
(4) Adr, (4) Pan	They increase sugar	In their place give (2) Pan — and see the six-second rule below
(6) Adr	Adr will reduce the thymus and immunity. In this disease immunity is to be increased	—
Spl	By Spl we provoke the spleen, which stops inflammation. Perhaps from this they may be harmed. So do not give	—

And the rule that is worth more than the list.

Key teaching

Do not stimulate the organ the cancer is in

Do not give a treatment that stimulates the organ in which the cancer is — for example, in cancer of the pancreas, do not give (2) Pan.

This is the most portable sentence in the article. It is not a list to memorise; it is a question to ask, and it works for organs that appear in no table anywhere: what is the name of the organ this cancer is in, and which point in my plan is aimed at that organ?

And its worked example, given in full: in lung cancer, do not give Ch Only or Thymus. In their place one may give 'Pan', or 'Gas Only', or (1) Single point liver × 6 treatments.

Note what has happened there. The general rule barred the chest points because the cancer is in the chest; the entry then names three substitutes that are nowhere near it. That is the pattern to copy when your patient's cancer is somewhere the tables do not mention.

TAKE CARE

(2) Pan and the six seconds — the count is the safety {{6s}}

(2) Pan is what a cancer patient is given in place of (4) Adr and (4) Pan. Remember that when giving (2) Pan, pressure must be given for exactly six seconds — otherwise there can be gaṛbaṛī, a disturbance.

The reasoning is written out and is worth learning entire. (2) Pan will make somatostatin, which will kill the cancer cells. But (4) Pan makes glucagon, which will give nourishment to all the cells of the body and increase their growth — by which the cancer cells too will get food, and instead of dying will begin to grow further. Therefore, while giving (2) Pan, this must be kept in mind: that you are giving the pressure for exactly six seconds only. Because if by mistake the therapist stays for more seconds instead of six, it will act like (4) Pan — which is harmful in the disease of cancer.

This is the only place in the whole wiki where holding a point too long converts it into a different point with an opposite effect. Count aloud if you must.

And one line preserved exactly as it stands, hedge and all: on Spl in cancer — nowadays it is not given in cancer. The nowadays is part of the sentence and stays in it.

TAKE CARE

What a therapist may and may not say to a family about cancer

Nothing in this therapy treats a cancer, and no therapist of this therapy says otherwise. That is not modesty; it is the boundary of the work, and it is the same boundary The Hand That Heals drew around medicines: we use no medicine of any kind, and we do not even tell a patient to stop theirs.

Never press repeatedly over a known or suspected tumour, over a bone known to carry a spread, or over a place that has been irradiated. Never work a limb that has swollen after lymph nodes were taken out without the treating team's word. And a patient on chemotherapy bruises easily and takes infection easily — a fact about the hands, not about the points.

The danger here is not the touch. It is what the touch is allowed to replace. A family that delays an appointment because the pressing is helping has been harmed by this therapy without a single point being given wrongly. Say at the first visit, out loud, and once more in writing: this runs alongside, never instead.

Family six — The rest, and the ones with no family

Five entries, two of them observed rather than reasoned out

Asthma

Blocked: Spl · Thrd · Gal ▲ Take care

Blocked	The reason as it is given	Given instead
Spl, Thrd	With Spl and Thrd their trouble increases	—
Gal	Gal can increase inflammation in the lungs. So Gal, Spl and Thrd are not given	—
(4) Thrd, at its own entry	In asthma the cough increases, so do not give	—

With other treatments, they will benefit from (1) Single point liver × 6 treatments.

Two of those three bars are of the rarest and most valuable kind: observed, not deduced. With Spl and Thrd their trouble increases offers no mechanism at all. Nobody worked it out; somebody watched it happen and wrote it down. Follow that kind exactly, and keep the same sort of record yourself.

And note what is not blocked, and is in fact given for breathing. (6) Left Swt, to open any sphincter, valve or duct that is narrowed, is given for those with difficulty breathing in asthma; Stretch and Electrical Waves are both named as excellent for asthma and breathing difficulties. An asthma card is not an empty card.

Cold, running nose

Blocked: Mu · (6) Adr · Spl ▲ Take care

Blocked	The reason as it is given	Given instead
Mu	It is not to be given, because already more mucus is coming out of the nose	(4) Down Arrow will be of benefit
(6) Adr	Giving (6) Adr lowers acid and opens the blocked nose. Giving these will make the nose run more	—
Spl	Giving Spl also makes the nose run more in some people. Do not give them Spl	—

Notice the precision of the second row, because a careless reader will miss it. The entry distinguishes a blocked nose from a running one, and blocks accordingly. Mu is given for a blocked nose and withheld in a running one. (6) Adr opens a blocked nose — which is why it is on the list here, where the nose is already running. The complaint is not "cold". The complaint is which direction the nose is going.

And the third row carries its own hedge — in some people. It is an individual observation, not a universal law, and the instruction attached to it is: do not give them Spl — them, the ones in whom you have seen it.

Convulsions · epilepsy · fits · seizures

Blocked: Pan · Pit ▲ Take care

Blocked	The reason as it is given	The exception, written
Pan, Pit	This disease comes from an increase of alkali. Pan and Pit both increase alkali. So they are not given	But in the Heparin formula, 'Pan' may be given

That line, exclamation mark and all, is how this therapy fixes its most important bar in a student's head, and it works. Say it aloud to yourself the first hundred times you write a card for a patient with epilepsy.

And the exception is as exact as the bar. Pan is barred in Normal treatment and permitted inside the Heparin formula — not because the bar has been softened, but because that is the instruction as it is written. It is the same exception granted in schizophrenia, and it appears in both entries.

One further bar reaches this patient from the atlas and must go on the same card. Electrical Waves was formerly given in fits. But now several other good treatments have come for fits. Therefore it is not given. Carried exactly: this is a practice that changed, not a danger that was discovered.

TAKE CARE

Two things a therapist never does with a patient who has fits

Never advise stopping or reducing an anticonvulsant, and never let improvement be heard as permission to. Fits that were controlled and return uncontrolled are a graver matter than the fits that were being treated. The rule of The Hand That Heals applies here with more force than anywhere: we use no medicine of any kind, and we do not even tell a patient to stop theirs.

And know what to do in the room. A fit during a session: protect the head, move hard things away, do not restrain, and put nothing whatever in the mouth; turn them on their side once the movements stop and stay with them. Call for help if it goes past five minutes, if a second begins before they have come round, if it is their first ever, if they are injured, or if the patient is pregnant.

Schizophrenia

Blocked: Pan ▲ Take care

Blocked	The reason as it is given	The exception, written
Pan	On being given 'Pan', some patients began to hear the sound of bells in the ear. So 'Pan' is not given in Normal treatment	But in the Heparin formula 'Pan' may be given

One line, one observation, one withdrawal. Somebody gave a point, a patient reported something new, the point was taken off the list, and the fact was written down where other therapists would find it. That is what a safety record looks like when a tradition keeps one honestly, and it deserves to be recognised as such rather than read past.

And two things about the patient rather than the point. A person with these symptoms may experience a close position, an intimate posture, or pressure applied by a foot as frightening rather than merely uncomfortable. Explain before you touch, ask before each region, and stop instantly at any distress. And never frame improvement as evidence that an antipsychotic can be reduced.

Wounds

Blocked: the Heparin formula ▲ Take care

Blocked	The reason as it is given
Heparin treatment	It is not to be given, because heparin prevents the blood from clotting, so the wound will not heal quickly

The shortest entry in the article and one of the best reasoned. A clot is not the obstacle to healing; it is the scaffolding on which healing is built — the first thing a body does to a wound, and the mesh on which everything that follows is laid. A treatment aimed at keeping blood from clotting is aimed at the first stage of the repair.

And it is time-limited in its own terms. The heparin family's blow treatments are written for after the wound has dried — T. Heparin for the ordinary blow, TT. Heparin for the deeper or older blow and the haematoma, at ten to fifteen days once the serum has dried. The bar is on the open wound, and it lifts when the wound closes.

Do not work over or immediately around an open wound, a fresh incision, a graft or a burn. And send, rather than treat, a wound that is spreading red, increasingly painful, discharging pus, or accompanied by fever — and any wound in a diabetic foot that is not healing.

The twenty entries above are the therapy's own list of warnings. They are not the whole of what is barred. Across forty-one articles, bars have been set down one at a time, each beside the point it belongs to, where it belongs. Scattered, they are unusable at the mat. Gathered and sorted by the patient, they become the second half of this article's index. (Figure 42.7)

Each is given here with the condition that triggers it, the reason as it stands, and the article that teaches it. The point's own full entry is always elsewhere; this is the finding aid. (Figure 42.8)

Table 2 — Barred by a condition of the body

The condition	What is withheld	The reason as it is given	Taught in
Osteoporosis	The foot, as the tool — the whole treatment is given with the hand only	Printed among the precautions before any treatment: small children, very weak persons, and any patient with osteoporosis are to be treated with the hand only	The Child, the Elder and the Frail
Osteoporosis	Shukla	For osteoporosis patients this treatment may perhaps increase the pain — so do not give them this treatment	Uncommon Problems · Each Point in Use
Osteoporosis	(4) Para given separately, by itself	Given alone it will lift calcium from the bone and put it into the blood. They must be given the full 1,25 DCC formula	The Front of the Body II · Correcting the Two Kingdoms
Osteoporosis · frail bone · long-term steroids · a bone broken from a trivial knock	Every jerk in the atlas — Katka, Motor neuron point, P point, the Pradeep jerk and its full-weight stage, Abdomen setting where a spinal bone has already crumbled	A jerk cannot be graded and cannot be withdrawn once begun	The Low Back · Knee, Leg, Foot · Uncommon Problems
Menstruation — the four days	Every treatment, except for the four named complaints of the menses themselves	No reason is given, and none is to be invented	Between Two Sessions · Treating Women
Menstruation	Ku — every form	No reason is given. None is to be invented	Face Down · Each Point in Use · Treating Women
A heavy menstrual flow	Every heparin formula	Heparin does not let the blood clot, so the flow will be still greater	The River — Heparin · Treating Women
Pregnancy	Thymus, Thymus + Chest	After giving this the babies begin to move about vigorously, from which it may be judged that the baby must be experiencing discomfort	The Front of the Body II · Each Point in Use · Treating Women
Pregnancy	Any treatment from which the child may have trouble; and the jerk points	Stated as the governing rule of the season	Treating Women
A woman who wishes to become a mother	Ton 'P'	At the point's own entry, no reason at all. Elsewhere: from this there may perhaps be some adverse effect on conception; it is also not proven that it prevents conception, therefore do not call it a contraceptive treatment. Research is to be done	Uncommon Problems · Each Point in Use · Treating Women
Uterine prolapse	Gas Only, (10) Medulla	Prolapse being read as a disease of acid — the acid of the stomach will increase three times	From Findings to a Plan · The Front of the Body I · Treating Women
Long-standing diabetes with numb feet	Body weight through any foot treatment — BOF, Big Toe Gas, the foot stage of the calf ghisāī	Sustained loading damages tissue whether or not it is felt, and in that foot the alarm is gone	Knee, Leg, Foot
A replaced or resurfaced joint	Body-weight compression and every jerk, permanently	Ask — people forget to mention a joint they have had for nine years	Knee, Leg, Foot
Blood-thinning medicine, or a bleeding disorder	Deep work and every jerk	Deep work leaves a bruise at pressure an ordinary patient does not notice	Knee, Leg, Foot · Uncommon Problems
A stroke, or a passing weakness, numbness or loss of vision, within three months	All neck work	For these patients there is no version of neck pressure that is acceptable	The Front of the Body II · Seated I — Brain, Medulla, Neck
A swelling in the neck, a goitre, a thyroid running fast	All neck work	Pressure there can squeeze the airway and push hormone into the blood	The Front of the Body II
Every patient, always	Pressure on the front or the sides of the neck, by foot or by hand, in any treatment, whatever a card says	At the fork of the great artery lies a patch of pressure sensors; squeeze it and you tell the brain a lie	The Front of the Body II · Seated I — Brain, Medulla, Neck
A dialysis patient	Pressure on the arm carrying the fistula, and abdominal work where a peritoneal catheter is in place	The access is the patient's lifeline and is not loaded, rubbed or used for a blood pressure cuff	Practice; see also Before You Touch Anyone
A pacemaker or implanted device	Work over the device site	—	Practice; see also Before You Touch Anyone
Inflammation in the abdomen	Folded legs	But if there is inflammation in the abdomen, do not give	Each Point in Use
Fracture in any bone between L1 and S1	L3, 4, 5	If there is a fracture in any bone between L1 and S1, it is not to be given	The Low Back · Each Point in Use
Passing little urine	Triangle for piles; and Gal	The Triangle tightens the sphincters. For Gal, the line attached is: this is a matter of experience	On the Side · Face Down · Each Point in Use
Passing too much urine	(2) S4 – S5	It relaxes and opens the sphincters, and is given to increase urine	Face Down · Each Point in Use
Loose motions, or no pain at Mu°	(1) Acid / (2) Acid	Stated as written, at the point's own entry	On the Side · Each Point in Use
Ulcer in the stomach or duodenum	Gas Only	Do not give to those who have an ulcer in the stomach or duodenum	The Front of the Body I · Each Point in Use
Kidney failure, or kidney cancer	Mu° and Liv° — do not stimulate them	The instruction is do not provoke — उकसाना — rather than do not treat the patient	On the Side · Each Point in Use
Cancer in the liver	Liv — otherwise the point that may be given in any disease	But if there is cancer in the liver, do not give it	The Front of the Body I · Each Point in Use
Cancer in a lymph node	Lymph	If there is cancer in the lymph node, do not give	The Front of the Body II · Each Point in Use
Leukaemia, blood cancer, or a raised white cell count	Gal	Stated at the point's own entry	The Front of the Body I · Each Point in Use
Lung cancer	Ch. Only, Thymus	The organ rule — and three substitutes are named	The Front of the Body II · Each Point in Use

TAKE CARE

Thymus and Thymus + Chest — the bar entire, and the three formulas it closes

This bar is quoted in pieces in six articles. Here it is whole, because a therapist needs it whole.

Thymus and Thymus + Chest are not to be given: to pregnant women — after giving this, the babies begin to move about vigorously, from which it may be judged that the baby must be experiencing discomfort, so they are not given during pregnancy; in polio or inflammatory diseases; in heart disease and diabetes; in RA and autoimmune disorder; and also not in kidney diseases, because almost all kidney diseases are autoimmune disorders.

And the requirement that travels with it wherever it is given: when giving Th + Ch, the armpits must also be given, without fail.

Now the consequence that a formulary reader must draw. Three formulas in the heparin family contain Thymus + Chest — T. Heparin, TT. Heparin and PT. Heparin — and each of them inherits this bar entire. So a patient with a heart disease, a kidney disease, diabetes, rheumatoid arthritis, an autoimmune disorder or a pregnancy is not a patient for T., TT. or PT. at all, however well the indication fits.

And no substitution is written for those three. None is to be invented. What that leaves a therapist with is a question for whoever supervises their practice, and a card that is not written until it is answered.

Key teaching

When one patient carries three conditions

This is the ordinary case, not the difficult one. A man of sixty with diabetes, a heart condition and a kidney that has been failing for two years is not unusual in any clinic in India, and his card is where this article earns its place.

1. The blocked lists add. They never cancel. Write out every list in full and keep them all. Diabetes closes twelve points; the heart closes nine; the kidney closes seven. Several appear on two lists or three, which is a convenience and not a discount.

2. Where a permitted list in one entry meets a blocked list in another, the block wins. (6) Adr is named as suitable in the kidney entry and blocked in the diabetes entry and again in infection, in cancer and in septicaemia. For a diabetic with kidney disease it is blocked. There is no line anywhere in this therapy that lets a recommendation outrank a prohibition.

3. A substitution must clear every list, not the one that produced it. The kidney entry sends you to P. Heparin; check P. Heparin against the heart list before you write it. The heart entry sends you to (10) Left Medulla; check (10) Medulla against the diabetes list — where it is blocked outright, on both sides, even inside UDF treatment.

4. What is left is usually smaller than a student fears and larger than a nervous one believes. Work it out and write it down. A short list you are certain of is a better card than a long one you are hoping about.

Some bars in this wiki do not say never. They say not today, or not with that — and they are the hardest kind to hold, because the point is not forbidden to the patient at all. It is forbidden in that company, and next week it may be exactly what is wanted. (Figure 42.5)

Each Point in Use holds these as pairs of treatments, in its Table 21, which is where a student learning the atlas needs them. Here they are re-entered from the other side — by the finding sitting in front of you today — with the column that only this article can carry: when the bar lifts.

Three different things, and they are not to be confused. A blocked point, a same-session exclusion and a finding that ends a session, each given its own shape and its own words; then what today's finding closes and when it opens again; then the six pairs that must never be given apart.

And the exclusions' opposite — the treatments that must never be separated. These are same-session rules of the other kind: not do not give both, but do not give one without the other.

Everything so far has been about what you write before a treatment. This part is about what happens during one, and it is the part of the article that will one day matter more than all the rest of it together.

Key teaching

Three different things, and they are not to be confused

A blocked point is a point not given to this patient, in this condition, for a stated reason. The session goes ahead without it.

A same-session exclusion is a point not given today, in this company. The session goes ahead differently.

A finding that ends a session is neither. It stops the treatment where it stands — the patient still on the mat, the formula half-given — and turns the appointment into a referral. There is no reduced version of it, no "just the gentle points", no "one session and we will see tomorrow".

A MISTAKE STUDENTS MAKE

Reading the blocked list and stopping there

A therapist looks up heart disorders, copies nine points onto the card, and thinks the safety work is done. It is about a third done.

The blocked list is the smallest part of an entry. The heart entry also contains a substitution with a side attached — (10) Left Medulla, not (10) Medulla; a substitution with an angle and an order attached — Sulta Ulta, arms at 135°, not parallel to the shoulders, left first; a substitution within a family — J. or P. Heparin in place of G.; a replacement of one point by its neighbour — (2) Thrd for (4) Thrd; a whole formula put in front as a gate — the Angina treatment first, for two to four days.

A card carrying only the nine blocked points has recorded what may not be done and nothing about what should. Write both columns. The second is what you are actually going to give. ▲ Take care

The findings that were established for the back, and belong to every patient

Six findings from Chapter 22, listed where a therapist looks for them

The Low Back set these out for the low back, because the low back is where the commonest complaint in a clinic and the most dangerous one arrive wearing the same clothes. They are not repeated here in full and they are not weakened here. They are listed so that a therapist reading the safety article finds them where they look for them, and each names the article that teaches it.

The finding	What it may be	What you do
Numbness in the seat or between the legs · new trouble starting, holding or leaking urine or motion · weakness or shooting pain in both legs	The nerve bundle at the base of the spine being crushed	Hospital today. Do not treat
Back pain in anyone ever treated for a cancer · pain that wakes from sleep · band-like pain · new weakness or a changed walk	Spread of a cancer to the spine	Same day. No pressure, no loading. Send with a note
A fall or a sudden dated onset, in a frail elder, a woman past the menopause, anyone on long-term steroids, anyone who has broken a bone from a trivial knock	A broken vertebra	A picture and a doctor first. No jerks, no body weight
Severe unrelenting spinal pain with fever, sweats or shaking · a recent injection into the back · tuberculosis in the house	Infection in the spine	Hospital. No spinal work at all
One leg hot, swollen and tender, after surgery, illness, a long journey or a pregnancy	A clot in the deep veins	That limb is not rubbed, not walked on, not mobilised. Send urgently
Weight falling off without trying	Anything that needs finding	Investigate before you treat. Never call it progress

And the findings that arrive in the room

The eight that stop a session while your foot is still on the patient

These are the ones this article must add, because they do not belong to a back and they are not part of a history. They happen while you are working. (Figure 42.6)

THE METHOD, STEP BY STEP

What ends a session on the spot

1. The patient says it hurts, or the face says it. If the patient screws up their face, or tells you that it is hurting, then without arguing change the angle of your foot or reduce the weight. Only they know the pain; you do not. Do not think, "I have seen many patients, nobody has ever said such a thing." If the pain does not settle with the angle changed, the treatment stops. The reason given is entirely practical: out of fear of that pain a patient may not want treatment from that therapist, or may turn so negative towards the therapy that they stop coming to the centre altogether — and arguing in this way will damage both you and the therapy.

2. Chest pain, or suffocation in the chest. Stop. Sit them up — do not lie them flat. Ask about a heart condition and about a tablet or spray they carry. Arrange emergency assessment now for pain that has changed, or comes with breathlessness, sweating or sickness, or travels to jaw or arm; and for severe tearing pain in chest or back. See the heart entry above.

3. Sudden dizziness with a hard sign beside it — unsteadiness or staggering, double vision, slurred speech, a drooping face, weakness in an arm, or the worst neck pain of their life. Ambulance, and no pressure whatever on that neck.

4. A headache that is new and unlike any they have had — full strength within seconds, or waking them, or with fever, or with any weakness, numbness or change in vision. Give nothing at the neck and send them.

5. Fever with shaking chills, a racing pulse and fast breathing, drowsiness or confusion, no urine for many hours, mottled skin — or a relative saying the patient is "not themselves". In a child: grunting, chest indrawing, a weak high cry, refusal to feed. This is the condition the septicaemia entry is written about, and the entry's own instruction is that (6) Adr given by mistake there can bring on fits immediately. Such a patient is moved, not treated.

6. Sweating, trembling, confusion or drowsiness in a patient on insulin or a sugar-lowering tablet. Treat it as a low sugar until proved otherwise: fast-acting sugar at once if they are awake, an ambulance if they are not. The classic setting is the one this therapy creates by design — a long session in a patient who came with the emptier stomach. Ask every such patient when they last ate and what they take.

7. A fit. Protect the head, move hard things away, do not restrain, put nothing in the mouth, turn them on the side afterwards, stay. Call for help past five minutes, for a second fit without recovery between, for a first ever fit, for injury, or in pregnancy.

8. Heavy bleeding, or collapse with abdominal pain in a woman who could be pregnant. Move her. See the low-blood-pressure entry above, and Treating Women, "Treating Women".

In every one of the eight: stop, do not finish the formula, write down what happened and at what time, and stay with the patient until they are in someone else's hands.

What ends a session on the spot. The eight findings that arrive while you are working and what is done about each, with the sentence that closes all eight; the six findings the low back established, which belong to every patient; and why a therapist of this therapy is more likely to miss them.

TAKE CARE

Why a therapist of this therapy is more likely to miss these, not less

This has to be said, and it is not a criticism of the method but a consequence of it. From Findings to a Plan teaches you to read four complaints as one picture. That habit is the strength of this therapy — and it is the exact habit that will one day absorb a dangerous symptom into a tidy story. "The weakness is the B₁₂ picture." "The bladder trouble is the alkaline direction." "The weight loss is the digestion improving." Every one of those is a sentence this wiki has trained you to make, and every one can be the last sentence somebody hears before a delay.

So these findings sit above the reasoning, not inside it. They are asked first, answered plainly, and never explained by the picture.

A therapist who reliably sends the right patient to the right place on the right day has done more good in that minute than any technique in this wiki can do in a month.

The last thing this article has to teach is not a list. It is a sentence said out loud, across a mat, to somebody who came to you for help.

Not everybody who comes to you can be treated by you. That is true of every therapy and every physician who ever lived, and the therapists who get into trouble are not the ones who know too few points. They are the ones who cannot say the sentence.

Key teaching

The boundary of the work, stated plainly

We use no medicine of any kind, and if a patient is already taking some medicine or tablet, we do not even tell them to stop it.

Treatment goes on alongside it.

When the complaint has gone entirely, the patient is told to say to their own doctor: "Now I have no pain at all — must I still take the tablets in the same quantity?" Then the doctor himself tells them what to do.

We do not advise anyone to reduce medicine without the doctor's opinion.

This is not timidity. It is the shape of the work. Prescribing and un-prescribing belong to the person who prescribed. What belongs to you is to treat well, record what changes, and send the patient back to that person with something worth reading.

How to say it

Early, sitting, dressed — the day named, and a note they can hand over

Five rules, and they are all about the patient's dignity rather than your comfort.

Say it early, sitting, and with them dressed. Nobody should receive this news lying on a mat with their clothing arranged for treatment. If you know at the history, say it at the history.

Say what you found, not what you fear. "You have told me two things that I do not treat around." Not "this could be something serious" — which tells them nothing and frightens them completely.

Name the timescale out loud. Today means today. Patients hear "see a doctor" as "see a doctor sometime", and the gap between those two has cost people a great deal. Say the day. Say the hour if it is that kind of finding.

Give them something to carry. A short written note: what they told you, what you found, what you did not do, and the date. It converts an anxious patient repeating a half-remembered conversation into a patient handing over a document.

And do not discharge them. "This is not me sending you away. Come straight back when they have seen you, and we will go on." A patient who feels dismissed goes to somebody who will not ask the questions — and that, not your refusal, is what harms them.

A CASE FROM PRACTICE

The man whose two diseases wrote his card between them

A composite case, assembled from several patients at a district centre to teach the arithmetic of two blocked lists.

Shrikant Kulkarni · 61 · retired postal clerk · Solapur · came with pain and stiffness in both knees, unable to sit cross-legged for two years

What he came with. "Knees. Only knees. Everything else is under control — sugar is with tablets, heart they put one stent in 2016, doctor says it is all fine." He said it in one breath, in the tone of a man who had been told to mention these things and did not consider them relevant.

What was observed and palpated. Heavy build, breathless on the stairs to the room; both knees thickened, no heat, no redness, both the same temperature as the thighs; calves equal. A soft abdomen. On gentle inward pressure around the navel, tender at Pan and at Const, not at Liv°. Stools every second day, hard. He could feel light touch on both soles correctly at three places with his eyes closed — checked, because of the diabetes, and written on the card as checked.

Which reports mattered. His HbA1c mattered, because it says what three months were like rather than what this morning was. The letter from his cardiologist mattered, for one line in it: which vessel was stented and what he takes. His blood thinner mattered most of all, and he had not mentioned it — it came out of the letter, not out of him. An X-ray of the knees showing what such knees always show changed nothing.

What was done before the plan. The card was turned over and both lists were written out in full. Diabetes: twelve. Heart: nine. Four names appeared on both. (6) Adr was struck through twice, once for each list. (10) Medulla went down as blocked outright, not as (10) Left Medulla — because the heart entry names the left half as permitted and the diabetes entry blocks the point on both sides, even inside UDF treatment, and where two entries meet, the block wins. Against (4) Thrd he wrote → (2) Thrd. Against Round Arrow he wrote L1–L5 only. Against the blood thinner he wrote no jerks, no full weight, which closed the Pradeep jerk and its fifth stage before a knee was touched.

The choice, and why. Not a knee plan. The tenderness at Pan and Const and the hard stools said where the work began, and digestive work ran for nine days before anything went near a knee.

Session by session. Week one: stools daily by day six, and he volunteered — without being asked — that he was sleeping through the night. Week three: knee work begun, Knee Cap Free and Giriraj and Back of knees, no jerk and no full-weight stage, and the first improvement in getting out of a chair. Week six: cross-legged for the length of a meal, with a cushion.

What went wrong because something was withheld. In the fifth week his wife mentioned, while he was putting his shoes on, that he had been having "gas in the chest" walking to the market, twice, for a fortnight. He had not said so because it went away when he stopped walking, which is exactly the description that makes it urgent. The session that morning had not started. It did not start. He was sat up, asked about his spray, and sent the same day; the cardiology department admitted him that evening. He came back nineteen days later and the knee course went on.

What this case teaches

Blocked lists add and never cancel. Twelve plus nine, with four shared, is not nine.

Where a permitted line meets a blocked line, the block wins — which is how (10) Left Medulla was written out of a heart patient's card by his diabetes.

The medicine list is a source of contraindications, and patients do not think of a blood thinner as relevant to a knee.

"It goes away when I stop walking" is the sentence. He thought it was reassuring. It is the opposite.

A CASE FROM PRACTICE

The session that lasted four minutes

A composite, assembled to teach the recognition and the sentence said at the door.

Iqbal Ahmed Ansari · 47 · powerloom operator · Malegaon · came for the eleventh session of a course for rheumatoid arthritis

What he had been having. Ten sessions over five weeks for rheumatoid arthritis of four years, with the autoimmune list blocked on his card from the first day — Th, Th+Ch, Lymph, Armpits, Ton 'P', Ton 'T', Spl — and the permitted work built around (30) Medulla, (6) Adr and (1) Single point liver × 6 treatments, as the entry names. He had been doing well: morning stiffness down from two hours to about forty minutes, and both hands closing further than in March.

What was different on the eleventh morning. He arrived late, which he never did, and his brother had brought him on the motorcycle, which he never needed. He had a dressing on his left shin from a burn at the loom eight days earlier. He was shivering under a shawl in a room at thirty-one degrees, and he said, twice, that he was fine. His brother said the thing that actually mattered: "Since yesterday he is talking differently. He asked me who had come, and I was standing in front of him."

What was observed. Not palpation — observation, from three feet away, before anything was touched. Breathing fast and shallow. Pulse fast at the wrist and easy to feel from across the mat. Skin hot at the forehead and cold and mottled at the knees. The dressing on the shin was soaked and the skin above it was red for a hand's breadth beyond the edge of the gauze. He had passed urine once since the previous morning.

What was nearly done, and why it was not. His card said (6) Adr. (6) Adr was the right point for his disease, had been given ten times, and had helped him. And (6) Adr is the one point in this wiki whose entry says that, given by mistake in this situation, fits can come on immediately — because in septicaemia, immunity has already failed, and Adr reduces the thymus and immunity further.

What was done. The session ended before it began. Four minutes from the door: the shawl, the brother's sentence, the leg, the pulse, the urine. He was sat in the chair, his brother was told plainly and without drama that this was a finding the therapist did not treat around and that Iqbal needed a hospital now, this morning, not this evening, and a note went with them: the eleven sessions, the dates, the improvement, the burn, the fever with shivering, the confusion since yesterday, the spreading redness, the one passing of urine — and the line no treatment given today. The brother was asked to go with him rather than send him, which turned a worry into a job. He was admitted, given antibiotics through a drip, and kept nine days.

Which reports mattered. None. There were no reports, and none were needed. What ended that session was a shawl in a hot room, a brother's sentence and a wet dressing.

What went wrong because something was withheld. Iqbal had burned himself eight days earlier and had not mentioned it at the ninth or tenth session, because it was a small burn and "it had nothing to do with the joints". Patients file their symptoms under the complaint they came about. The clinic's card afterwards carried one printed line at the top: anything new since last time — anywhere?

What this case teaches

A correctly blocked card is not the same as a safe session. His card was right. The danger came from a condition that had arrived since it was written.

The permitted point was the dangerous one. (6) Adr had helped him ten times. On the eleventh morning it was the worst thing in the room.

The most useful sentence came from the relative, not the patient — "he is talking differently". Ask the person who came with them.

Stopping is a treatment. Ten sessions of good work were not wasted by the eleventh being refused. They were protected by it.

A CASE FROM PRACTICE

The blocks that came off in November

A composite, assembled to teach what lifting a block does and does not mean.

Sulochana Rane · 38 · schoolteacher · Ratnagiri · came with asthma of eleven years and constipation

What she came with. "Every year from June to September I am on the pump four, five times a day. Rest of the year, two. And motions — not every day, never every day." She had been told at eighteen that she would have it for life and had arranged her life around it.

The card, in June. Asthma blocked Spl, Thrd and Gal, each with its reason written beside it: trouble increases · trouble increases · increases inflammation in the lungs. That removed a good deal, including the point she would otherwise have reached for first — Gal is what is given for skin disease with constipation, and she had both. What the entry gave instead was (1) Single point liver × 6 treatments, with the other treatments. Constipation blocked Gas Only, (10) Medulla and Dys, and sent the plan to Gas 'I', Round Normal, Round Arrow and (2) S4–S5 — and she passed a normal amount of urine, so (2) S4–S5 was open to her, which it would not have been had she been passing little.

What was done when the first approach did not do enough. Six weeks in, the bowel had changed completely and the chest had not. The therapist did not add force and did not add points. She re-examined from the beginning as though it were a first visit, and retook the history differently — not has anything changed but about the room, the bedding, the kitchen, the sleep. The answer was a mattress aired once a year and a bedroom that had not had its window open at night since 2009.

Session by session. July: stools daily. August: pump down from four or five to two on most days. September, for the first time in eleven years, she went through the monsoon without a night she could not lie down in. November: no pump for nineteen days.

What happened to the blocks. In November the therapist did not rub the asthma line off the card. She wrote a new line under it, with the date, and her own name beside it: chief symptoms ended — Gal un-blocked for skin/constipation work, Spl and Thrd remain blocked pending review. One point back, not three; a dated decision with a name on it; and the reason preserved above it so that the next therapist could see both what had been true and when it stopped being true.

And what she was told, and not told. She was told that the blocks coming off was itself a result, and a good one — it is the proof that by our treatment the glands have improved. She was not told to reduce her preventer inhaler, and when she asked whether she could stop it she was given the sentence every patient of this therapy gets: "Go to your doctor and say — I have had no attack for two months, must I still take the same quantity? That decision is his."

What this case teaches

A blocked list is not a smaller treatment. Three points closed and the entry named what to give instead; the course was built out of the substitutions.

Blocks lift on the chief symptoms of the disease having ended — not on the patient feeling better, and not all at once.

Un-blocking is written, dated and signed, or it has not happened.

The best week of a patient's decade is the week they are most likely to stop their medicine on their own. Say the sentence before they ask.

The blocking sheet — I. The ten longest condition lists as reference cards: the blocked points as crossed-circle chips with their exact count, the reason as it is given, and a give-instead strip that is left empty in words wherever no substitution is written.

FROM AYURVEDA AND YOGA

असाध्य and याप्य — the old physicians' three classes

Classical Indian medicine divided illnesses into three, and the division was a physician's working tool rather than a philosophy. Sādhya — curable; treat it. Yāpya — not curable but manageable; keep the patient comfortable and functioning for years, and be honest that this is what you are doing. Asādhya — beyond this physician's means; do not take it on.

The teaching attached to the third class is the interesting part. A physician who accepted an asādhya case and promised a cure was held to have done something worse than fail: he had taken a family's hope and their money for a thing he knew he could not do. Refusing was a professional duty and a mark of standing, not an embarrassment.

Two thousand years later the same sentence still has to be taught to every new therapist, usually twice.

A MISTAKE STUDENTS MAKE

Softening the refusal until it stops being one

A therapist knows perfectly well that this patient needs a doctor today. He also knows the family has travelled four hours, and that the mother is looking at him the way mothers do. So he says: "You should also show this to a doctor when you get a chance — but come, let us do a little something today."

He has given the family two messages and they will keep the one they want. They will remember that the pressing was done, that it helped a little, and that the doctor was mentioned. The appointment gets made next month.

A referral that comes with a treatment attached is not a referral. It is a reassurance, and reassurance is precisely what this patient must not be given. The kind version is the clear one: "Not today. Today you need somebody who can look inside. I will write down what I found. Come back to me afterwards and we will start properly." ▲ Take care

WHAT TO CARRY AWAY

In some diseases certain glands are already hyper. Since this therapy provokes glands, it is necessary to know in which diseases which glands must not be provoked. A blocked point is a good point aimed the way the disease is already travelling.

Blocking is done on the diagnosis card at the first visit, before treatment is planned — the points boxed, the reason beside each, the substitution on the same line, the list read aloud at the start of every session.

The block is not for ever. It is needed only for as long as the chief symptoms of that disease have not ended; afterwards, if the need arises, those points can be given. Lifting a block is itself the proof that the glands improved — and it is a dated, named decision, never a drift.

Twenty conditions carry their own blocked lists, from Wounds with one entry to Diabetes with twelve. Every one carries the reason and, where written, the substitution — and the substitution is the half a hurried therapist leaves out.

Where a permitted list meets a blocked list, the block wins. Blocked lists add and never cancel. A substitution must clear every list on the card, not the one that produced it.

The instructions that look like exceptions are instructions. Sulta Ulta is given in angina — arms at 135°, a little upward, not parallel to the shoulders, left side first. (10) Left Medulla is given to heart patients — the side names the half that is permitted. Pan is given inside the Heparin formula to a patient with fits or schizophrenia. (6) Adr is given in polio, which is an inflammatory disease. Each carries its qualifying detail, and the detail is the teaching.

(2) Pan in cancer is exactly six seconds. Longer and it acts like (4) Pan, which feeds the cells it was given to kill. Do not give a treatment that stimulates the organ in which the cancer is.

Thymus and Thymus + Chest are barred in pregnancy, polio, inflammation, heart disease, diabetes, RA, autoimmune disorder and kidney disease — which closes T., TT. and PT. Heparin to those patients. No substitution is written for the bar; none is invented. Where Th + Ch is given, the armpits are given without fail.

The teenage bars are the only ones whose harm cannot be undone. A growth plate that has closed does not open.

Some bars mean not today, not *never* — JJ⁺¹ against Pradip, JJ⁺² against BOF on the same day, Folded legs in an inflamed abdomen, L3,4,5 over a fracture, (2) S4–S5 and Triangle for piles at opposite ends of one range. And some pairs are never separated: Th + Ch with the armpits, Gas Only with Gas 'I', P point with (6) WD, Ton 'T' with Sangam.

A finding that ends a session is not a blocked point. It stops the treatment where it stands and turns the appointment into a referral. There is no gentle version.

We use no medicine and we do not tell a patient to stop theirs. Prescribing and un-prescribing belong to the person who prescribed.

Not everybody who comes to you can be treated by you. Say it early, sitting, plainly; name the day; write a note they can hand over; and make clear you have not sent them away.

The blocking sheet — II. The ten shorter condition lists in the same form, with the septicaemia callout; and beneath them, as a scan strip, every condition under which the rest of the wiki has laid down a bar, pointing to Table 2 for the reason and the article.

Questions students ask

1. I am nineteen and this article frightens me. Am I going to hurt somebody? Not if you write the card before you plan the treatment, which takes four minutes and is the whole of the discipline. Notice also what the article actually says: almost every bar is a point aimed the wrong way for one body, not a dangerous act. The frightening article is the one that does not exist — a therapy that stimulates glands and has never written down which glands are already overworking. This one has, in twenty entries, with reasons.

2. I am a retired bank manager learning this for my wife, who has diabetes and a thyroid problem. Do I need to know all twenty conditions? No. You need to know hers, completely — the twelve blocked in diabetes with their reasons and substitutions — and you need to know that a second condition adds a second list. Read the rest once so you know what is in the article, and look up what you meet. A reference is for looking things up in; that is not a weakness in you.

3. If (6) Adr is given in autoimmune disease and blocked in infection, what do I do for an autoimmune patient who catches an infection? You follow the standing rule: the block wins. For as long as the infection is there, (6) Adr is off. The infection entry names what is given instead — Viral formula, Thymus, Th + Ch — but check each of those against his autoimmune list, where the thymus group is itself blocked. That is not a trap; it is the arithmetic of two conditions, and it is why this article exists.

4. I am a physician. Which of these prohibitions would you defend to me, and which would you not? I would separate three kinds. The mechanical ones transfer without argument: Lu + Sh, Swt and Katka withheld in heart disease because a good deal of physical force is applied and pressure will fall on the heart; the six-second limit on (2) Pan; Round Arrow stopped at L5; (10) Left Medulla. The endocrine reasoning is often exact in its targets — oestrogen and the epiphyseal line, cortisol and the thymus, dopamine and cardiac contractility, aldosterone and sodium, heparin and the first stage of wound repair — whether or not you accept that a foot on a back moves them. And some of the models are pre-modern, cancer as a disease of alkali among them. This wiki does not ask you to accept the third to use the first. It asks you to notice that the targets are the right targets.

5. I practise in a village with no laboratory. How do I know whether my patient's diabetes or heart disease is "under control" enough to lift a block? You mostly do not, and that is the honest answer. So you lift blocks rarely, late, one at a time, and never on how the patient feels alone. Where a measure exists and can be got — a sugar at the nearest town, a pressure taken properly over two weeks — get it. Where it cannot, leave the block on. A block left on costs a patient one point. A block lifted wrongly costs them something else. See also → Reading the Reports, "Reading the Reports".

6. My teacher gives Thymus to a diabetic patient who did not do well on (6) Adr. Is he wrong? He is following a sentence that is printed in this therapy in its own italics: but some people do not feel well after being given (6) Adr; then perhaps giving them Thymus may be of benefit. Carry it as it is written — with its some, its perhaps and its may. It is not a general permission to give Thymus in diabetes, and it does not cancel the bar for the patients it does not describe. Ask him which patients he has done it in and what he watched for; that is the useful conversation.

7. Nobody taught me the word "blocking" in my class — we said "contraindications". Does it matter? Only in one way, and it is worth having. Contraindication is a fact about a point. Blocking is a thing you do with a pen, at a particular moment, in a particular place on a card. The word carries the action inside it, which is why this therapy chose it. Use whichever word your centre uses, and do the action either way.

8. Why does this article repeat the Gas Only → Gas 'I' rule three separate times? Because it appears three separate times where it is taught, and it appears three times because three different conditions need it and a therapist will only look up one of them. That is what a reference does. A rule written once, in the entry the reader did not turn to, has not been written.

9. What do I do when the material gives a bar and no substitution — like Th + Ch in a kidney patient who needs it? You do not invent one. You take the question to whoever supervises your practice, and until it is answered the card is not written. This wiki will not fill that gap for you, and a therapist who fills it themselves has stopped practising this therapy and started practising their own. See also → The River — Heparin, "The River".

10. I have a patient who is blocked for so much that I do not know what is left. Is there any point treating him? Work it out on paper rather than in your head, and you will usually find more than you feared. Even the patient with the four longest lists on one card keeps the digestive work, the single-point liver, the ghisāī of the neck and back, the physical points that carry no jerk, Feather touch, Vasanti, Sangam. And The Hand That Heals's whole argument still holds: the abdomen is where the raw materials come from, and almost nothing in this article closes the abdomen.

11. Should I tell the patient which points are blocked? Tell them that some are and why, in one sentence, in plain words — "Because of your heart, three or four of the treatments we use are not for you; I have written them down so nobody gives them by mistake." Do not read them the list of codes; it means nothing and it worries people. What it buys you is enormous: a patient who understands that you are keeping a written safety list will tell you about the second condition they had not thought worth mentioning.

12. I am a housewife treating my family at home. If somebody in my house has one of the eight findings in Part five, what am I actually supposed to do? Exactly what a therapist in a centre does, and you have one advantage over them: you know this person. Stop, do not finish what you were doing, and take them to be seen — today when the article says today. Do not argue them out of it and do not let them argue you. Write on a piece of paper what you saw and at what time, and hand it over at the hospital. You do not need a qualification to do any of that.

Questions patients ask

1. "You keep saying you cannot do this and cannot do that. Is your treatment even going to work on me?" The list of things I will not do is long because I have written it down, not because there is little left. Every therapy has these; most do not put them on the card where you can see them. What I am not going to give you are the few treatments that would push your condition the way it is already going. What I am going to give you is everything else, and with your condition that is a great deal. Judge me on what changes, not on the length of my list.

2. "My sugar has been normal for three months. Can you give me those treatments now?" Possibly, and that is genuinely good news, because it means your glands are working better — which is what we were trying to do. But I take those restrictions off one at a time, and only when the main symptoms of the condition have really ended, not on a good few weeks. Bring me the reading from your doctor. When I do take one off, I will write it on your card with the date, so that there is no confusion later.

3. "My doctor says my tests are all normal. So why are you refusing to treat me today?" The two are separate things and both can be true. Your tests being normal is good and worth having. What I am acting on is not a test — it is something you told me a few minutes ago, and it is one of a small number of things I do not work around, whatever the reports say. It may well turn out to be nothing much. The only way to find out is for somebody to look, today. Then I will treat you properly.

4. "You are sending me away. Have you given up on me?" No, and I want to be clear about that because it is the part people take home. I am sending you to somebody who can do one thing I cannot — look inside you. That is not the end of your treatment with me; it is one appointment in the middle of it. I am writing down what we have done, what has improved and what I found today, so you do not have to remember any of it. Come straight back when they have seen you.

5. "Since I started coming here I feel wonderful. Can I stop my tablets?" I am very glad, and I am not the person to answer that — genuinely not, not out of politeness. We use no medicine here and we never tell anybody to stop theirs. What you do is go to the doctor who gave them to you and say exactly this: "I have no trouble at all now — must I still take the same quantity?" That decision is his. And if he reduces something, tell me, because it changes what I watch for.

6. "My neighbour got a treatment here for her knees and you will not give it to me. Why is she more important?" She is not, and it is not the same knee. Every card here carries a short list of treatments that are not for that person, because of some other condition they have. Hers says one thing; yours says another. It is the reason you are both being treated for a knee and not getting the same half-hour. If I gave you her treatment I would be treating her, and she is not the one on the mat.

7. "My son has a fever and is shivering, but he has an appointment today. Can you just do the usual?" Not today. A fever with shivering is one of the things I stop for, in anybody, and I would rather be wrong about it than right too late. Take him to be seen this morning. His course does not lose anything — we pick it up the day after he is cleared, and nothing we have done so far is wasted.

Words used here

Hindi	English	Neurotherapy code / usage
ब्लॉकिंग / रोकना (blocking)	Blocking	Writing on the diagnosis card, boxed, the points not to be given in this patient's condition — done before treatment is planned
हाइपर (hyper)	Working more than it should	Of a gland: the state in which a stimulating point becomes harmful
चेतावनी (chetāvanī)	Warning	The condition entries of this article
कर्क रोग (kark rog)	Cancer	9 blocked; and do not stimulate the organ the cancer is in
डायाबीटीस	Diabetes	12 blocked; considered an autoimmune disorder; Round Arrow L1–L5 only
हृदय की बीमारियाँ	Heart disorders	9 blocked; (10) Left Medulla Left ; (2) Thrd for (4) Thrd; Sulta Ulta at 135°, left first
किडनी की बीमारियाँ	Kidney disorders	Blocked as autoimmune; Loveleen also withheld — written . Loveleen .
फिट् / मिरगी (phiṭ / mirgī)	Fits, epilepsy	Pan and Pit blocked — do not give Pit to a Fit — but Pan permitted inside the Heparin formula
सेप्टीसीमिया	Septicaemia	(6) Adr blocked — if it is given by mistake, fits can come on immediately
अस्थमा	Asthma	Spl, Thrd, Gal blocked; (1) Single point liver × 6 treatments given
कब्ज (kabz)	Constipation	Gas Only, (10) Medulla, Dys blocked
दस्त / लूज़ मोशन (dast)	Loose motions, dysentery	Gas 'I' and Const blocked — the exact mirror of constipation
बवासीर (bavāsīr)	Piles	With fistula, fissure and rectal descent: read as diseases of acid
भगन्दर (bhagandar)	Fistula	As above
घाव (ghāv)	Wound	The Heparin formula blocked until the wound has dried
बैम्बू स्पाइन / स्पर	Bamboo spine / spur	Thrd 'P' and Thrd blocked — osteoblasts and calcitonin
तरुण अवस्था (taruṇ avasthā)	The teenage years	Lt. Ov., Rt. Ov., WD, Ton 'P', Ton 'T' blocked — the epiphyseal line
कनफूल (kanphūl)	Mumps	The observation behind the Ton 'P' / Ton 'T' reasoning
चयापचय (chayāpachaya)	Metabolism	Raised by (4) Thrd; the reason (2) Thrd replaces it in heart disease
गड़बड़ी (gaṛbaṛī)	A disturbance	What follows if (2) Pan is held longer than six seconds 6 sec
उकसाना (uksānā)	To provoke, to stimulate	The verb of every bar in this article — do not provoke, not do not treat
सावधानी (sāvdhānī)	Precaution	The general word; blocking is its written form

Watch

How this article differs from Each Point in Use — read this first

Why a therapy that stimulates must know what is already overworking

What blocking is

And the block is not for ever

When a block comes off — and what lifting it proves

The master index

Family one — The immune group

Autoimmune disorders · arthritis · inflammatory diseases · polio

Diabetes

Kidney disorders

Diseases of infection

Septicaemia

Family two — Acid, and the two ends of the bowel

Acidity, or ulcer in the stomach

Fistula · anal fissure · descent of the rectum · piles

Constipation

Dysentery, or loose motions

Family three — Pressure, and the heart

Low blood pressure

High blood pressure

Heart disorders

Sulta Ulta in angina — the angle and the order are the treatment

(10) Left Medulla names the half that may be given

Family four — Bone, growth and the years that cannot be given back

Bamboo spine, and spur

The teenage years

Family five — Cancer

Do not stimulate the organ the cancer is in

Family six — The rest, and the ones with no family

Asthma

Cold, running nose

Convulsions · epilepsy · fits · seizures

Schizophrenia

Wounds

When one patient carries three conditions

Three different things, and they are not to be confused

The findings that were established for the back, and belong to every patient

And the findings that arrive in the room

The boundary of the work, stated plainly

How to say it

Questions students ask

Questions patients ask

Words used here

Ready to begin?