Uncommon Problems

Knee, Leg, Foot finished the body. Head, neck, chest, belly, spine, low back, hip, knee, calf, foot, big toe — the atlas walked all the way down a human being and came out at the toes. This article is what would not go into that order.

These are the treatments found one at a time, for one trouble each, and then kept because they worked: a point for an arm that will not lift after a blow, a point for a scrotal swelling that is felt in the calf, a point for a womb that has descended, a rule for treating the limb you cannot touch by treating the one diagonally across from it. They were never arranged by region because they were never discovered by region. They are arranged by problem, and the only way to learn them is one by one.

Three of them carry more force than anything else in this wiki and are hedged about with the sternest cautions the therapy writes. One of them — the last — uses no force at all, and is the only treatment in the atlas that can be given to a patient who cannot be given any of the others.

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knee and muscle pain

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How this article is arranged, and how to stand

No region to carry the position — every entry names its own

There is no regional order here, so the two things that were carried by the region in earlier articles — the patient's position and where the therapist stands — are carried by each entry instead. Read them off the entry, every time. Nothing in this article may be given in the position you used for the last thing you gave.

The chairs are the load control, not the furniture. Wherever a foot is used, the therapist's weight hangs from his arms and only as much of it comes down as he lets down. In two of the treatments in this article that is not a convenience but the entire safety of the technique.

And everything given face down is given under the arrangement taught at the head of Face Down — 1½ pillows under the chest, compulsory, half the lower pillow projecting, chest on the upper, chin on the lower, head straight. Two treatments in this article replace that arrangement with one of their own, and they say so in their own entries; nothing else here does.

The two shoulder-blade pains

Palms up with the palms; palms down, arms raised, with the feet

The shoulder blade is a flat triangle of bone that does not sit in a socket. It floats on the back of the rib cage, held there by muscle alone, and the muscles that hold it run on into the arm. So a pain in the blade is rarely a pain in the blade; it is a pain in a sheet of tissue that starts at the spine and ends at the fingers.

That is why both of these treatments begin beside the spine and finish at the hand — and why they are told apart by which part of the blade hurts, and by what the arm is doing while you work. (Figure 24.1)

LOWER SHOULDER BLADE PAIN — given with the palms

The six steps are a relay: one hand starts, the other joins it, then both travel together. A table cannot show a relay, so this one is set out in order.

Read step 2 slowly, because the two hands are doing two different jobs. The left palm is an anchor, set down flat beside the spine and not yet moving. The right palm is the traveller, taking hold of the arm, pressing, and — the phrase that matters — drawing the muscles beneath as it goes, not sliding over the skin. It travels as far as the elbow and stops there.

Step 3 releases the anchor without releasing the pressure. Keeping the pressure of the right palm — the travelling hand stays loaded where it is — the left palm is now dragged from the shoulder joint down to the elbow, so that both hands finish at the same place. Only then, in step 4, do both palms move off together, crossing the wrist and running out to the tips of the fingers.

Step 5 is the count and there is only one. Repeat the whole of the above three times. Not three strokes of each stage — three complete runs, spine to fingertips, before you change anything. And step 6 is written as a separate numbered instruction, exactly as Back of knees closes in Knee, Leg, Foot: now do the same on the right side too. The entry is written out on one side and then sends you across.

UPPER SHOULDER BLADE PAIN — given with the feet

As in the figure, bend the elbows and keep the palms facing the ground. With both your feet, sliding along both arms, travel from the shoulder joint to the elbow; then, drawing the muscles inward and taking small close steps, walk on from the elbow to the palm.

After these two treatments, giving BAFA will be of great benefit in cervical problems.

Two different actions in one journey, and students run them together. From shoulder joint to elbow the feet slide — one continuous travelling contact. From elbow to palm they step, closely, and the pressure changes direction: the muscles are drawn inward at each step. Slide above the elbow, step below it.

"With both your feet, sliding along both arms" means both arms at once — one of your soles on each of the patient's arms, the pair of you working as a bridge. That is what the raised, elbow-bent, palms-down position is for: it puts both arms up where two soles can reach them together.

And the closing sentence belongs to both treatments, not only this one. After these two treatments, giving BAFA will be of great benefit in cervical problems. It is a sequencing instruction: lower blade, upper blade, then BAFA — and the condition under which it is written is cervical problems, not shoulder-blade pain in general.

DOWN ARROW and UP ARROW — one stroke, run two ways

Opposite ends, opposite directions, and two opposite ears

Here is a pair that looks like one treatment written twice and is nothing of the sort. Everything about them differs except the strip of tissue they travel over — where the therapist sits, which end the palm starts at, which way it runs, how hard it presses, which positions are allowed, and which of two quite different dizzinesses it is for. (Figure 24.2)

Face Down taught the arrow family of the prone back — Back arrow, H arrow, On the spine, Beside the spine, Round arrow, 3 arrows — and when it came to the bare ring-and-stem glyph it stopped and said: a different point, and not in this article. This is that point, and its partner.

Four of those rows are the treatment, and three of them are easy to lose. The therapist moves between the two — head for one, waist for the other — because a palm cannot deliver a long even stroke running away from a body it is sitting behind. The pressure differs: slightly inward going down, somewhat firmly going up. And Down arrow alone may be given on a chair; Up arrow carries the word must — this treatment must be given with the patient lying down — which is not a preference and not a note about comfort.

HYDROCELE POINT — a scrotal complaint found in the calf

The heel from the side, four to five inches above the ankle

This treatment is for those who have swelling or itching in the scrotum.

In such persons there will be a great deal of pain in the calf muscle, four to five inches above the ankle joint. Press and release at that point with your heel, from the side. Do this two to four times, and they will get much relief from the pain.

According to the pain, it may be done on one leg or on both, together or separately.

The tenderness is a finding, not a coincidence. The entry does not say press the calf and see; it says that in such persons there will be a great deal of pain at that place. So the point is found by palpation before it is treated — four to five inches above the ankle joint, roughly a hand's breadth up from the bony knob on the inside of the ankle, where the big soft calf muscle narrows into the tendon. Press gently there and the patient who has this trouble will tell you at once. (Figure 24.3)

Three details carry the treatment. The tool is the heel, and it comes in from the side — not down from above onto the back of the calf, which is a different contact on a different tissue. The action is press and release, the short loaded press that lifts off. And the count is two to four times — a very small number, which tells you how sharp the point is under a heel.

And "according to the pain" decides the sides. One leg or both; together or separately. The finding chooses, not the habit.

PROLAPSE POINT — also written P point

Left thigh first, an upward jerk — and (6) WD immediately after

It is also written as P point.

This is useful for those women whose womb has moved from its place.

Press the muscles of the middle part of the thigh with the heel and give an upward jerk.

Do the left thigh first, then the right thigh.

Bear in mind that immediately after this treatment, (6) WD is to be given — then the descended womb will set into its own place, and the necessity of an operation can be avoided.

This is a two-part instruction and the second half is not optional. Bear in mind that immediately after this treatment, (6) WD is to be given. P point alone is half a treatment. WD — the womb displacement point — is taught in full in the supine atlas, with its bracketed count of six; it is not restated here. Immediately means in the same breath, not later in the session.

The jerk is upward and the order is fixed. Left thigh first, then the right thigh — written out, like Pradeep's left knee first in Knee, Leg, Foot, and not to be swapped because the right thigh happens to be nearer you.

T8 — a point that is almost entirely a limit

Press and release, and never enough to increase the pain

Press and release the region all around the thoracic T8 vertebra — but the pressure should not be so much that the pain increases further.

This is the shortest entry in the atlas and half of it is a restraint. That is the teaching. Most points tell you what to do and then what it is for; this one tells you what to do, and then sets a ceiling on how hard you may do it, and stops.

Finding T8. Count is slow and honest work. With the arms resting at the sides, the bottom corner of the shoulder blade sits at roughly the level of the eighth thoracic bead — a useful first landmark, to be confirmed by counting from the big prominent bead at the base of the neck downward.

ROCKET POINT — driving the muscles back up

Everything in it travels upward — the arm three times, then the ear

When some blow has been taken on the shoulder, neck or arm, the muscles come down, so that they cannot raise the arm; to drive them up again, this is given.

With the base of your palm, from the wrist of the arm that has the problem, draw the muscles upward and drive them up towards the shoulder. Do this three times.

Then with the tip of the thumb, giving quite strong pressure to the tissue of the back part of the ear, push it upward.

The patient may be given it either seated or lying down.

Now the name. Everything in this point travels in one direction: up. The palm goes up the arm; the thumb goes up behind the ear; the whole idea named in the first sentence is that something has come down and must be driven up again. The atlas has techniques named for a sound, for a place and for a person. This one is named for a direction of travel — and a rocket is a thing that is entirely about going up. Once you have seen that, the name tells you the treatment.

The tool in stage 1 is the base of the palm — the firm heel of the hand at the wrist, not the fingers and not the flat of the palm — and it starts at the patient's wrist, the far end, and travels to the shoulder. Three times. Stage 2 is a separate action with a separate tool at a completely different place: the tip of the thumb, behind the ear, on the tissue there, pushed upward, with quite strong pressure. It is the only place in this article where those words appear, and they appear about a thumb rather than a foot. Behind the ear you are on the hard knob of bone below and behind the ear lobe — firm bone under the thumb, and the front of the throat nowhere near it.

GAL–SPL GHISAI — the pelvic rim, softly, six times

Soft mid-soles, inside outward, and no weight onto the bone

Lay the patient straight. On both sides of the waist, support your palms well on chairs. Then, putting the full weight onto the chairs, at one and the same time rub softly from inside outward on the outer side of the patient's pelvic bone — the hip bone — 6 times.

Bear in mind that only the soft middle part of the soles of both your feet is to be used, and rub in such a way that weight does not come onto the bone.

This corrects blockage in the lymph nodes and reduces swelling in the leg. Especially for those who wear tight trousers, if they have this kind of trouble, this treatment is very beneficial.

The name records the method's parents. GAL and SPL are the gall bladder and spleen codes of the supine atlas; ghisai is the therapy's own word for a rubbing, sliding application rather than a still press. This entry is that pair of actions performed at the rim of the pelvis.

Three instructions here are all about keeping force off a bone. Putting the full weight onto the chairs — more of the therapist's weight goes into his arms in this treatment than in almost any other. Only the soft middle part of the soles — the softest tool there is, on both feet. And rub in such a way that weight does not come onto the bone — the hip bone's front rim lies just under the skin and is sharp to a sole. The stroke crosses it; the weight does not rest on it.

And the direction is written: from inside outward, both sides at once, six times. Not up, not down, not round — outward from the midline, the same idea as the widening actions of The Low Back and Knee, Leg, Foot, arriving here at a new border.

ABDOMEN SETTING — four movements, and nothing touches the abdomen

The knees are the handle, and every count is three

For those whose stomach is very bad, this is one more excellent treatment for setting the abdomen.

Read that sentence and then read the method, and notice what is missing: no hand goes near the belly at all. Every one of the four movements is done by holding the knees. The abdomen is set by moving the hips and the lower back through directions they have stopped going in. (Figure 24.4)

Every count in this treatment is three, and every movement but the first is done to both sides. Movement 4 is the one students shorten, and it is the largest: the face turns one way and both knees turn the other. Turning only the knees is a different, smaller movement. The counter-turn of the head is what makes it the treatment.

And the movements are passive. The therapist holds the knees and moves them; the patient supplies nothing. A patient who "helps" has tightened the very muscles the movement is meant to lengthen. Tell her, once: let your legs be heavy and let me do the work.

OPPOSITE POINT — the mirror across the body

Diagonal, not mirror — the address that stays open

According to the affected limb, pressing the opposite hand and foot, rotating clockwise and in the reverse direction, and so on. — The opposite of the right hand — that is, the reverse side — is the left leg; and the opposite of the left leg is the right hand: treatment is to be given there.

"Opposite" here means diagonal, and the entry spells it out so that it cannot be mistaken for the mirror limb. Not right hand to left hand. Right hand to left leg. The diagonal partner, across and down.

And this is the rule to reach for when the affected limb cannot be touched — broken, plastered, freshly operated on, hot and swollen, or simply too painful to bear a hand. There is still somewhere to work that reaches the same nervous system, and the entry tells you where. That is the version of this rule most worth learning: when the place that hurts is closed to you, the atlas gives you an address that is open.

Say it to the patient plainly, because it sounds like a trick until it is explained: the two sides of your body are wired together and cross over on the way to your brain; when I cannot reach the arm, I work the leg that shares its circuit.

SUPERFAST — for the leg that slipped

Down the inside, pillows, back up the outside — on the other leg

When the leg suddenly slips, the muscles of one side go over to the other side, because of which sharp pain comes in the groin or the waist. This is useful for giving relief in that. Whichever side the pain is on, do it on the other.

With the soft middle part of both your soles, from the thigh down to the ankle, taking close overlapping steps, press and draw the inner muscles of the leg downward and come down. Then, turning the knee over, place two or three pillows below for support.

From the outside of the thigh, going by the side of the calf, come back up to the heel in the same way. Doing three or four such rounds gives considerable relief.

The instruction you will be tempted to skip is the pillows. Turning the knee over, place two or three pillows below for support sits between the two halves of the journey, and it is what makes the second half possible: the outer side of the thigh and calf are not reachable with a sole until the limb has been rolled and carried. Angle the leg instead of turning it and you will be walking down the front of a thigh calling it the outside — the same shortcut Knee, Leg, Foot blocks in writing at BOF.

Note the shape of the round. Down the inside from thigh to ankle; turn; back up the outside, and the return ends at the heel — not at the thigh. One round is down-and-back. Three or four rounds is the treatment. And the counts belong to rounds, not to steps: the steps are close and overlapping, as many as the limb is long.

The two points that are given only after much thought

Four pillows, a three-finger gap, and only a mild jerk

Katka and Motor neuron point are the most forceful things in this atlas. They share a set-up, they share a warning, and the material states that warning about both of them together rather than separately. Read the shared note before either method, every time, and read it again before you use them on a patient you have not used them on before.

Three things in that note are instructions and not advice. (Figure 24.5)

Four pillows, not one and a half. This is the one place in the atlas where the standing prone arrangement of Face Down is set aside and replaced. Three under the chest raise the whole upper body; one under the chin carries the head so the neck is not left hanging.

The three-finger gap is a check you perform with your hand, not an estimate you make with your eye. Put your hand there and see — two fingers or three, laid flat at the front of the throat between the chin and the collar-bones, and there must be room for them. A patient face down on a stack of pillows can have her chin pushed down onto her own windpipe and will be too polite, too old, or too short of breath to say so. Check it after the pillows are placed and before a foot goes anywhere near her.

"Only after much thought" is written by the material about its own technique. Take it at its word. These two are not part of a routine and are not given because the card is blank.

KATKA

Stage 1 is the preparation and it has the only count in the treatment. Soles near L5, pressing over the vertebrae, travelling upward as far as T1 — the full length of the back — three times, and the entry states its own purpose: this is for relaxing the spine. Nothing is jerked until that has been done three times.

Stage 2 changes the tool. The feet are turned sideways and it is the outer edges — the narrow little-toe borders — that deliver force, on both sides of the spine, not on the beads. Then the jerk. One. And the entry tells you what the noise means if it comes: sometimes a slight sound may come from this; understand then that the vertebrae are setting. It may equally not come, and the entry does not make the sound a requirement. Do not chase it. A therapist working for a click is a therapist adding force.

Stages 3 and 4 are the same thing with the head turned, plus a new action. Neck to the left: the jerk again, and then — without stopping, immediately — the soles slide from the shoulder blade to the elbow. Neck to the right: repeat procedure number three, which is the whole of stage 3, jerk and slide together. The words without stopping, immediately join the jerk and the slide into one movement. Give them as two and you have given something else.

MOTOR NEURON POINT

Taking the weight of the body on the hands with the support of chairs, place your heels one by one on both sides of the C7–T1 joint, in such a way that the front part of the toes does not press on their skull. Then, standing straight, give pressure with the heel for a few moments, and release. Ordinarily it is given only five times.

Take note — while giving the pressure, make your foot at a 90° angle on the patient's back, so that pressure does not come onto the cervical vertebrae.

Four safeguards are written into eight lines, which tells you what the material thinks of this point.

"One by one" — the heels are placed separately, one and then the other, never both dropped together. "On both sides of the C7–T1 joint" — either side of the bead, never on it. "The front part of the toes does not press on their skull" — with the heel at the base of the neck the toes point up over the head, and they must be clear of it. "The foot at a 90° angle on the patient's back" — the sole set square across the body, so the load runs into the muscle beside the spine and not down into the neck bones. And the count is a small, specific number: ordinarily only five times.

PARALYSIS CLOCKWISE — down the inside, up the outside

One pattern for both limbs, and a lift at the end of each

The hands of paralysis patients stay bent inward, and they walk dragging the leg; to open them out, this is the proper treatment.

The therapist is to gather the fingers together and rotate them round and round clockwise — that is, in the direction of the hands of a clock — on the muscles of the hand and of the leg.

One pattern governs both limbs: inner side downward, outer side upward. Learn it as a single sentence and you have the whole treatment. Down the inside, up the outside — and each half is covered in two named segments, so that nobody sweeps the whole limb in one pass. Arm: shoulder→elbow, elbow→wrist; then wrist→elbow, elbow→shoulder. Leg: thigh→knee, knee→heel; then heel→outer knee, knee→side of thigh. (Figure 24.6)

And each limb ends with a lift that is not part of the line. In the arm, lift the muscles behind the shoulder upward. In the leg, lift the muscles behind and above the waist upward. Both of those are past the end of the limb — the shoulder blade for one, the buttock and low back for the other — and both are easy to leave out because the hand has by then arrived where it thought it was going.

"Clockwise" is defined for you and is the same action as in Giriraj: the bunched finger pads take the muscle with them as they turn, rolling the tissue rather than stroking the skin, and each turn carries it along the named direction before the hand lifts and moves on.

Why down the inside and up the outside? Because that is where the limb has gone. The material's own first sentence describes the posture exactly: the hand stays bent inward, the leg is dragged. The inner surfaces are the ones that have shortened; the outer surfaces are the ones that have been overpowered. The directions run along the shortened tissue in the direction of its lengthening, and along the slack tissue in the direction of its work.

SHUKLA — the wrist and the ankle, four ways each

Fix the joint, interlace, six of each — never in osteoporosis

To be done on both the affected hand and the affected leg. It is given in two stages — a. in the hand; b. in the leg.

In the hand. With one palm, hold their hand near the wrist so that the hand or forearm above the wrist does not move. Then, interlacing the fingers of your other hand inside their fingers, move their palm in the following ways, 6–6 times.

In the leg. With one palm, hold firmly near the bone of their heel. Then, interlacing their toes well in the fingers of the other hand, move and rotate the ankle upward in the same four ways.

The holding hand is the whole technique. Fix the forearm and the movement happens at the wrist; let the forearm travel and the movement dissipates up the arm and nothing has been lengthened. The instruction says so in as many words: so that the hand or forearm above the wrist does not move. At the leg, the same job is done by holding firmly near the bone of the heel.

The interlacing does a second job. Fingers laced into fingers, toes laced into fingers, spreads the small joints apart and opens the webs between them — and the webs are exactly where a hand that has been closed for a year stiffens first and yields last.

"6–6 times" means six of each, in both places — six up-and-down, six right-and-left, six clockwise, six the reverse way, at the wrist; then all four again at the ankle. Twenty-four movements a limb, forty-eight in all, for a patient who can supply none of them himself.

VASANTI — very softly, fifteen to twenty times

Numbness in diabetes, and softness as the whole safeguard

Lay the patient straight and stand between both their legs. Then, with the soft middle part of your sole, rub very softly from the heel up to the knee, on both sides of the legs in turn.

After that, lay them face down and, in the same way, rub the back part of the calf from below upward, 15 to 20 times.

This is especially beneficial for removing numbness in the limbs in diabetic patients.

If there is numbness in the hands, then rub softly in the same way with the sole, from the fingers up to the elbow.

Two positions, three territories. Face up, between the legs: both sides of each leg in turn, heel to knee. Face down: the back of the calf, from below upward, 15 to 20 times. And a fourth territory for a different complaint — the hand, if that is where the numbness is, worked from the fingers up to the elbow with the same sole and the same softness. (Figure 24.7)

The direction is always towards the body — heel to knee, fingers to elbow. And "very softly" is not a style; it is the safeguard. The patients this treatment names are the patients least able to tell you that you are pressing too hard.

FEATHER TOUCH — the lightest thing in the atlas

The one entry that stays open when every other one has closed

With the finger tips of the hands — that is, with the tips of the fingers — stroke the required part of the patient's body with a very soft touch, like a peacock's feather.

This is given for sending impulses through the whole body. It is very beneficial in paralysis, stiffness, pains and in all diseases of the brain.

This is the treatment for the patient who can be given nothing else. No weight, no jerk, no position that must be held, no bone under a heel. A newborn, a woman in the last weeks of pregnancy, a man whose bones break from a knock, a patient in the acute days after a stroke, a child who will not tolerate being handled, somebody in too much pain to bear a palm — for every one of them the atlas closes, and this one entry stays open. Learn it as the point of last resort and you will use it more than you expect to.

Take that passage as the instruction it is. It says three things a therapist can act on tonight. The body answers to expectation — the mouth waters at the name of a fried thing, without any fried thing. The therapist's own state is part of what is delivered — hurry, irritation and distraction travel down an arm as surely as pressure does. And hold no enmity, which is put as a condition of skill rather than as a piety.

TON 'P' and TON 'T' — the same three rubs, different counts

Twelve, six, three against six, twelve, three — read the letter

TON 'P' — this is for stimulating the parotid glands situated at the side of the cheek.

TON 'T' — this is for stimulating the tonsil glands situated in the neck.

In both treatments exactly the same thing is to be done; only the count differs. In the following three places, rub with normal pressure, in this order. The first two treatments are to be given keeping the palm flat, but the number three treatment is to be given with the edge of the palm. Do the left side first, then the right side.

The whole difference between two treatments is four numbers. Rub 1 is 12 for P and 6 for T; rub 2 is 6 for P and 12 for T; rub 3 is 3 for both. Everything else — the three places, the order, the flat palm for the first two, the palm edge for the third, the left side before the right — is identical. Which is exactly why a card that reads only Ton has told you nothing, and why the letter must be read.

SANGAM POINTS — the three confluences

Six below the elbow, six in the web, twelve below the heel bone

This treatment is given after Ton 'T'. In it, pressure is to be given at three places.

Two of the three are press-and-release; the third is a rub, and it runs downward. Places 1 and 2 are the short loaded press that lifts off, six each. Place 3 is different in tool, action, direction and count: the side of the heel, light, rubbing downward, twelve times.

Place 3 also teaches you something worth more than the treatment. Just below the heel bone there is a place where the pulse can be felt beating. Learn to find that pulse and you have learnt to check the blood supply of a foot — and a foot with no pulse there, in a patient with diabetes, is a referral and not a treatment site.

ANKLE POINT

Clockwise all round, outside first, until the tissue is loose

Rotate the fingers clockwise — that is, in the direction of the hands of a clock — all around the skin of the ankle, so that the tissue underneath becomes loose. First do it towards the outside, then towards the inside. Do it on the leg which has the problem.

Where no count is written, the stated aim is the count. The entry gives you an endpoint you can feel: the skin and the layer beneath it, which after a sprain or a plaster or a long stillness lose their ordinary glide, begin to move again over the bones. Work until they do, and no longer.

The order is written and it is outside first. And the side is written too — only the leg that has the problem, unlike several treatments in Knee, Leg, Foot that are given to both. Each entry names its own sides; none of them carries across.

T8, Rocket, Katka — and how these names were made

Four kinds of name: a sound, a place, a metaphor, a person

The atlas ends, and the number under it

Where no number is written, six seconds is still the unit

That is the last point. Every physical point in this therapy has now been taught — where it lies, how the patient is placed, what the hand or the foot does, how many times, in which direction, on which side, and under what condition it is withheld. (Figure 24.8)

And under almost all of it sits one number. Six seconds. The material stops at exactly this place, having finished the atlas, and turns round to ask why the pressure should be six — why a contraction should last six and no longer, what the agonist and the antagonist are and why their rhythm must be kept, what happens to the oxygen and the glucose in the blood held ahead of a pressure and behind it, and why lactic acid rises on release if the hold has run long. That whole account, with the comparison to the mathematician whose results were proved by experience long before anyone proved them by explanation, is taught in full in Six Seconds. It is not repeated here.

What belongs here is only the reminder it leaves behind. Where an entry in this article gives no count, the standing unit still applies — T8, whose only instruction is press and release, is pressed for six. And where an entry gives its own number, that number replaces the unit and is not negotiable: two to four, three, five, six, twelve, fifteen to twenty.

After the treatment is over

Re-check, write the plus and the minus, and get her up slowly

The atlas closes and the session does not. What happens in the last ten minutes decides whether the patient comes back, whether you can tell next week what worked, and — occasionally — whether somebody goes home safely.

Along with checking the pain, also show or tell the patient at which places, and by how much, the pain has decreased. Guruji gives two reasons for that instruction, and the second is the one students underrate.

"By showing or telling them in this way that the pain is decreasing, their faith in this therapy increases greatly. They feel that this is magic!

Apart from this there is one more principal use — sometimes patients, after taking two or four days of treatment, do not come for many days. When they have trouble again, they come and say that they got no benefit from the treatment, because their pain came back just as it was. In this therapy, removing or finishing the pain of the pain points is the main aspect of the treatment. In such a situation, by looking at their card from the previous day — which point has a + and which has a – before the treatment and after the treatment — we will come to know whether the patient really did benefit from that day's treatment or not. Then we can decide whether the old treatment is to be given again, or a different treatment is to be given. The thing to note here is that so long as any treatment reduces the pain of the pain points, there is no need to change it and give another."

That last sentence is a decision rule, and it is worth learning by heart. The card decides whether the plan continues, not the patient's memory of how last month felt.

Getting up, and going home. After the treatment is over, tell the patient to turn onto their side and get up comfortably, and to gather their things. If it is a pain patient, tell them to walk about a little, and then ask how the treatment felt — certainly they will say that they felt good. Then tell them that they may eat food after half an hour. And give them the assurance that if they keep taking treatment regularly and observe the dietary restrictions, they will feel very well indeed.

If the patient feels giddy. If, during the treatment or after getting up, the patient feels somewhat giddy, do not be alarmed. It means that by the treatment the digestive system has improved so much that insulin has come out from the pancreas, on account of which the quantity of sugar in the blood has become less. This is momentary. Sit them on a chair, and stand near them giving support until their nervousness has gone. If need be, dissolve a little jaggery in half a glass of water and give it to them to drink, and tell them to rest for some time and only then to set out for home.

If the head feels heavy. Some people, because the flow of blood in the forehead has increased, may feel the head heavy for a little while. If this happens, tell the patient not to be alarmed. Sit them on a chair, place your palm behind their neck like a cup, draw the muscles and nerves backward for a second or so and release them slowly — the heaviness of the head will go.

The telephone. Only after doing all this may you, or they, talk to anyone on the mobile — not before this. If you yourself observe the rules, the patient too will observe this rule, and from that the feeling of respect towards you and towards the therapy will increase.

Before the next patient. Clean the mat below and spread the pillows properly again, so that no dust, dirt or any unwanted fold remains in it.

Questions students ask

1. I am nineteen and this article feels like a list with nothing to hold on to. How do I learn it? By the problem, not the name. Ask yourself what walked in: an arm that will not lift after a blow → Rocket. A womb that has descended → P point and (6) WD. A leg that slipped and a sharp groin pain → Superfast, on the other side. A hand closed since a stroke → Paralysis clockwise and Shukla. The earlier articles were learnt by walking down a body; this one is learnt by walking down a list of troubles.

2. I am a retired bank manager learning this for my wife, who is seventy and has thin bones. How much of this article is open to me? Less than half, and that is the correct answer rather than a disappointing one. Shukla is closed — the material names osteoporosis and says do not give it. Katka, Motor neuron point and P point are closed, because each carries a jerk. Abdomen setting is closed if a spinal bone has already crumbled. What stays open is a great deal: Vasanti, Feather touch, Ankle point, Paralysis clockwise, Sangam, Ton 'T'. Learn those to a high standard.

1. 3. T8 has no count and Knee cap free had none either. What am I supposed to do? Two different answers, and each entry tells you which. Where the entry states an aim you can feel — the cap loose, the ankle tissue loose — the aim is the count. Where it states only press and release, as T8 does, the therapy's standing unit applies: six seconds. See also → Six Seconds, "Six Seconds".

4. I am a physician. What is actually being claimed by Down arrow and Up arrow — that a stroke along the back alters the fluid in the inner ear? Separate the parts, as you would anywhere else. The clinical distinction the entries draw is a real one and drawn more carefully than you might expect: Meniere's disease genuinely is understood as a disorder of too much fluid in the inner ear. The claim of effect is the therapy's own, made from a long clinical experience, and you are entitled to hold it as unproven. What is not in dispute is that a dizzy patient is usually a guarding patient, and that a long, slow, even stroke along the spine reliably reduces that guarding. Be honest with a patient about which of those you are promising.

5. Why is Motor neuron point called that if it is not a treatment for motor neurone disease? Because it lies over the stretch of the spinal cord from which every nerve of the arm departs, and those cells are motor nerve cells. It is an anatomical name, not an indication — like T8 or Ankle point. The material never claims the disease; it names the place and then spends most of its eight lines telling you to be careful. Never let a family hear the name as a promise.

6. I am a village therapist with one mat and no spare pillows. Can I give Katka with the usual one and a half? No. The four pillows are part of that treatment, not part of the furniture: three under the chest and one under the chin, and then the three-finger gap checked by hand. Without them the patient's chin goes down onto her own windpipe while you deliver a jerk. If the pillows are not there, the treatment is not given today. Write on the card why.

1. 7. A patient wants me to make the click come. It came last week and she liked it. Then tell her what the material says, which is sometimes a slight sound may come from this. Sometimes. It is not the treatment and it is not a measure of the treatment. A therapist adding force to produce a noise has left the instruction behind — and the same entry says only a mild jerk is to be given.

8. I have no science at all. Why does pressing a calf help a swelling in the scrotum? I will give you the honest version, because you will be asked it. The material's claim is that such a patient has a great deal of pain at that place in the calf, and that relieving it helps. The relief in the calf you will see for yourself in ten minutes. Whether the swelling changes is a separate question and belongs to a doctor who can examine it. Give the point; make the referral; do not join the two sentences together.

9. Opposite point says right hand to left leg. Why not right hand to left hand? Because the entry says diagonal and spells it out twice so that nobody takes the easy reading. Right hand ↔ left leg; left leg ↔ right hand. And its practical value is in the patients for whom the affected limb cannot be touched at all — plastered, freshly operated, too painful — where the atlas would otherwise close and this rule keeps it open.

1. 10. Our card says Ton. Nothing else. Can I just give both? No. They are two treatments with a restriction attached to one of them, and Ton 'P' is not given to a woman who wishes to become a mother. Go back and ask which was meant. A code with the discriminating letter missing is not a prescription. See also → The Record That Shows the Truth, "The Record That Shows the Truth".
2. 11. A woman came for Abdomen setting and stopped me at the third movement. Do I finish it next time from where I stopped? No — you begin it again from the butterfly. These four are a sequence and each prepares the one after it. And find out what stopped her: a movement that meets a wall has reached its end for today, and a movement that meets a wince has reached somebody else's question.
3. 12. How often should Katka and Motor neuron point appear on my records? Rarely. That is the whole force of use only after much thought. If you look at three months of your own cards and find either of them given routinely, something has drifted — not in the material, in you.

Questions patients ask

1. "You are pressing my leg. My problem is in my private parts. Are you avoiding it because you are embarrassed?" No — I am treating a point that is genuinely there in the calf and that I expect will give you relief in that leg today. But I want to be very clear with you about the other thing, because it matters more than anything I will do: I cannot examine a swelling like that and I am not going to pretend otherwise. You need a doctor to look at it, this week. What I do here goes alongside that, never instead of it.

2. "The doctor says the womb must be removed. If I come to you, can I cancel the operation?" Please do not cancel anything on my account. Here is what I honestly expect: this treatment often gives real relief from the dragging and the heaviness, and there are other things — how you lift, your cough, your constipation — that we can change and that matter as much as anything I do. But whether the womb has moved back is decided by an examination, not by how you feel, and I am not the person who examines. Take what changes back to your doctor and let her tell you what it means.

1. 3. "You made a cracking sound in my back. Did something break?" No. That sound is a small pop from inside a joint — the same kind of noise your knuckles make — and it means nothing has broken. It is not the point of the treatment either. Some people make the sound and some never do, and both get the same benefit. I will not be trying to make it happen.

4. "My father has had a stroke. Will this bring his hand back?" I will not promise you that, and please be careful of anyone who does. What I expect is that the hand becomes easier to open and to clean, that the stiffness settles, and that he is more comfortable — and every bit of that matters daily to the person who cares for him. The bigger gains come from doing a little several times a day, so I am going to teach you. We work alongside his doctors and his physiotherapist, and I would like them to know exactly what he is getting here.

5. "Why did you press so gently? I hardly felt it." Because for what you have, gentle is the treatment and not a soft version of it. The instruction for numbness says very softly, in those words. And there is a plain reason: where feeling in a foot is reduced, the foot cannot warn you that it is being hurt — so my hands have to be careful on its behalf. Pressing harder would not help you and could harm you.

6. "I felt dizzy getting up. Is something wrong?" Very likely not, and it is common after lying still and warm for half an hour — the body needs a moment to gather itself. Sit here; I will stay with you. If it does not settle in a few minutes I will take that seriously rather than wave it away, and there are a few things I always check before you leave. Next time, turn onto your side first and come up through your side rather than straight up. Eat something in about half an hour.

1. 7. "Why can't I take my phone call? It is my son." Because the treatment is not finished until you have got up, walked a little and told me how it went — and I will not take calls during your session either. I keep the rule first so that I can ask you to keep it. Two more minutes and the phone is yours.

Words used here