Heart, blood and circulation

Organs: Heart · Blood · Blood vessels

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Self treatment

Blood Shukla Heart, blood and circulation

From The Low Back

BLOOD SUPPLY TO SIDES — its own entry

The same sole, the same sweep, at the hip — to relax the muscles around it

One method, two places. Blood Supply to Sides and (6) L3,4,5 on one prone back — the same sole, the same outward sweep, the same count, with only the place changed — and the navel-to-bead landmark that fixes the second of them.

The method was taught in full above, because (6) L3,4,5 cannot be given without it. Here is the point in its own right, with the indication that belongs to it. (Figure 22.3)

Taking the full support of the chairs and putting the body weight on your palms, with the soft inner part of your sole, rub at the side of the hip, from the side outward, at different places, 6 to 12 times. It is given to relax the muscles around the hip.

Patient's position	Prone, 1½ pillows; therapist taking the full support of the chairs, body weight on the palms Prone
Where the feet are placed	The soft inner part of the sole, at the side of the hip, sweeping from the side outward, at different places
Duration and repetitions	6 to 12 times at each place
What it is for	Relaxing the muscles around the hip

Note the modesty of the stated purpose and keep it. The name promises a blood supply; the sentence after it promises relaxed muscles around the hip, which is the smaller claim and the better one. When a patient asks what this is doing, give her the second sentence.

From The Low Back

BLOOD SUPPLY TO LEGS — the stance that faces the wrong way

The one treatment given facing the heels, 30 to a thigh, crossed feet

The last four prone points. Blood Supply to Legs, Sciatica point, Pelvic and Bindu on one sheet — four different contacts on one prone body, with the stance, the pillows, the 90-second ceiling and the anchoring foot that makes the moving foot mean anything.

Note that in this treatment there is one main change in the therapist's standing position. Taking the support of the chairs, stand the reverse way compared with the other treatments — that is, facing toward the patient's heels. The treatment is given with the soft middle part of the sole only. Prone Left Right (Figure 22.5)

Tell them to keep their legs loose, the toes turned outward, and both heels facing each other. Now, on the back of their left thigh, with your right foot, rub from hip to knee 30 times. Then with your left foot, rub their right thigh in the same way, 30 times. Each time, slide the sole gently, so that the skin below is not hurt, but the blood circulation in the nerves and muscles below is increased.

This is an excellent treatment for polio and for weakness in the legs.

When writing it on the card, its symbol is → → → an inverted triangle marked 30, with two downward arrows beneath it.

Patient's position	Prone, 1½ pillows; legs loose, toes turned outward, both heels facing each other. Therapist taking the support of the chairs, standing the reverse way — facing the patient's heels Prone
Where the feet go	The soft middle part of the sole only, back of the thigh, hip to knee — your right foot on their left thigh, your left foot on their right Left Right
Duration and repetitions	30 times each side. Slide the sole gently, so that the skin below is not hurt
What it is for	Increasing blood circulation in the nerves and muscles below; an excellent treatment for polio and for weakness in the legs

The reverse stance has a reason you feel at once: the sweep runs hip to knee, away from you, and a foot pushing away has a long clean travel where a foot pulling toward the body runs out of range in a hand's breadth. The crossing is written too — the crossed foot is the one that arrives square on the muscle and can travel the whole thigh.

The patient's position is half the treatment. Legs loose, toes turned outward, heels facing each other rolls both thighs outward at the hip and slackens the back-of-thigh muscles, so the sole rides soft bellies rather than a drawn bowstring. And gently is load-bearing: thirty repetitions with a therapist's whole weight available is a great deal, and the instruction names its own limit — so that the skin below is not hurt. The check is the skin. Pink is treated; scuffed, hot or marked is dragged.

What lies beneath, and the honest boundary. The sweep covers the three muscles at the back of the thigh, from the sitting bone to below the knee, with the great sciatic nerve running down the middle between them. For a weak leg, no amount of rubbing substitutes for using the muscle — what rebuilds a weak muscle is loading it and practising the task. What a slow thirty-stroke sweep gives is a leg less stiff, less sore and more willing to be moved, and a patient more willing to move it. Say it at that size and it is entirely true, and worth giving every day.

A CASE FROM PRACTICE

The boy with the thin left leg

A composite, assembled to teach the stance and the honest limit.

Ajinkya Raut · 9 · schoolboy · Beed district · came with a left leg that had never grown properly after a fever at eighteen months

What his mother said. "Doctors said polio. He walks, but he throws the leg. School is on the first floor and he cries about the stairs. People tell me nothing can be done now, so tell me the truth — can anything be done or not?"

What was observed and palpated. Prone Left calf noticeably thinner than the right, the left thigh a little thinner, the foot turned slightly in. Sensation normal in both legs — eyes closed, he could say which leg was touched and where. No swelling, no heat, both calves the same temperature. Const tender at two plus; stools every second or third day, hard; tongue coated.

Several findings read as one picture. An old injury to the nerve supply of one leg, on a body whose digestion was running slow. Nothing about the first was going to be reversed and a good deal about the second could be — said to his mother on day one in exactly those words, because the question she had actually asked was whether she was being sold something.

Which reports mattered. He had none and none were sent for. What mattered were three things anyone can check: both calves the same temperature, neither swollen or tender — a hot, swollen calf is not rubbed and not mobilised; sensation intact, so he could report pain; and a child able to say when something hurt.

The choice, and why. Blood Supply to Legs is named for exactly this. The constipation work came first and ran alongside, because a nine-year-old who strains every second day is short of stores.

Session by session. The therapist stood facing the boy's heels, which felt wrong for three days and then stopped feeling wrong. Toes out, heels facing each other, soft middle of the sole, thirty on the left thigh with the right foot, thirty on the right with the left. Week one: nothing measurable, but he stopped saying the leg felt tight in the morning. Week three: managing the school stairs without holding the rail every step. Week six: the thin calf had not thickened — said aloud rather than left to be noticed.

What was done when the first approach did not do enough. At six weeks the therapist admitted the limit of his own treatment: a leg gets stronger by being used. A daily programme was added — a set number of stairs and stands from a low stool, counted on a card by the boy himself. The rubbing continued; the gains after that came from the counting.

What went wrong because something was withheld. In week nine he went quiet and the leg went backwards. It took two sessions to learn that a schoolteacher had told him he would never play kabaddi and he had stopped doing his stairs. The plan was being carried by a nine-year-old's morale, and nobody had thought to ask him about it.

What this case teaches

The stance is written, and it is backwards. Facing the heels is what lets the sole travel hip to knee.

Say the limit out loud, early. A mother told on day one that a thin calf will not thicken does not leave in week six feeling deceived.

Rubbing makes a leg willing. Using it makes a leg strong. Give both, and do not let the first take credit for the second.

Ask the child, not only the mother.

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Language

Heart, blood and circulation

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BLOOD SUPPLY TO SIDES — its own entry

BLOOD SUPPLY TO LEGS — the stance that faces the wrong way

Also explained in

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