Acidity, or ulcer in the stomach

Category: Digestion, stomach and bowel · Heart, blood pressure and circulation · Skin and hair
What is given: Acid Treatment formula, Normal, Ajay Normal, Round Normal; (8) Pan
What must come first: If UDF is to be given, after Gas Only give Gas 'I', else constipation
What is barred: Gas Only · (10) Medulla — the stomach acid will increase three times
Explained in: Setting the Stomach

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Chole Treatment in Neurotherapy | LMNT Formula for Digestion, Acidity & Fat Metabolism

Given by a therapist

Acidity, or ulcer in the stomach Cholesterol raised Chole Treatment Digestive system

From Food as Medicine

Lemon in a fast, kokum for acidity, and the instruction to test it yourself

The setting is part of the rule — and the patient tries it and sees

Key teaching

The qualification the rule carries with it

In naturopathy they say to drink lemon sharbat during a fast, as a treatment. If you do not fast, but take lemon along with food, then perhaps the pain will increase.

Likewise it is said that kokum is excellent for acidity. But the patient has to try for himself and see whether eating kokum causes joint pain or not.

Every single thing will not have the same effect on every person — this too is not so. This is a matter of experience.

This passage is the most valuable thing here and the most frequently trimmed. Do not trim it.

It says four things in order. One: the same lemon is given as a treatment in one setting — in a fast — and warned against in another, taken along with food. The setting is part of the instruction, exactly as the angle and the order are part of a treatment in of this wiki. Two: the word perhaps is used, and it is used deliberately. Three: for kokum, where the tradition says one thing and this teaching's own principle would say another, the answer given is not an adjudication. It is an instruction to the patient: try for himself and see. Four: the whole is closed with the honest label — this is a matter of experience.

That label has a precise meaning in this teaching and it was established in Between Two Sessions: it marks a rule that rests on observation rather than on a named mechanism. Preserve it wherever it appears. A therapist who can say "this one is a matter of experience, and this one is about the acid in your stomach" is a therapist who is believed about the second, because he has shown he can tell the two apart.

And note what the instruction to test actually gives you clinically: a method. Take one item. Remove it for two weeks. Put it back for a week. Ask the patient — not did it help? but what were your mornings like in the second week compared with the fourth? Then move to the next item. That is slower than handing over a list, and it is the only version of this rule that survives contact with a real household. It also respects the last sentence, which says in plain words that people differ.

THE METHOD, STEP BY STEP

Testing one food on one patient {{x3}}

Choose one item, and only one — the one that appears most often in this household's week. Curd in a Punjabi house, tamarind in a Tamil one, tomato in almost any.

Write down today's state of the pain in the patient's own words, and the time of day it is worst. "Worst for the first hour after waking, cannot close the right hand."

Remove that item completely for two weeks. Not reduced — removed, because a halved portion tells you nothing.

Ask at two weeks, in the reconstructive form: "Tell me about the first hour of yesterday morning." Compare with what was written down.

If nothing changed, give it back and say so plainly: "That one was not it. Keep eating it." A therapist who returns a food to a patient will be believed the next time he takes one away.

If it changed, keep it out, and test the next item. One at a time, or at the end of two months neither of you will know which of nine changes did the work.

Two rules per visit still applies. This method is one of the two.

TAKE CARE

What removing these foods costs, and who cannot afford it

The four things named — curd, tomato, lemon, tamarind — are not luxuries in an Indian kitchen. In a vegetarian household curd is a principal source of protein and calcium; tomato, lemon and tamarind are among the cheapest sources of vitamin C there are, and vitamin C is what allows the iron in dal and green leaves to be absorbed at all. Remove all four at once from a woman who is already anaemic and you have made her worse while treating her.

So: remove one at a time, by the method above, and put back whatever did not earn its removal. Watch particularly the patient whose diet is already narrow — the elderly, the underweight, the very poor, the pregnant woman, the adolescent girl. For those patients the honest instruction is often keep the curd and test the tamarind.

And two findings that are never a diet problem: weight falling without trying, and anaemia in an adult man or a woman past her menopause. Both are questions for a doctor before they are questions for a kitchen.

A CASE FROM PRACTICE

The lady who kept her tamarind and lost her curd

A composite, written to teach the sour rule and the method of testing it.

Meenakshi Sundaram · 59 · retired school clerk · Madurai · came with pain and stiffness in both hands and both knees, five years, worst in the first hour of the morning

What she came with. "Kaalaila kai mudiyala." In the morning the hands will not work. She could not turn a tap before about eight o'clock and had given up her sewing. She had been told she had arthritis, had taken a painkiller most days for four years, and had recently been told by the same doctor to take it less often because of her stomach.

What was observed and palpated. Both ring fingers were involved, symmetrically, which was noted and followed up — see also → The Stiffening Joint, "The Stiffening Joint", for what that sign is worth and how rheumatoid disease is recognised and treated. A soft, heavy abdomen; tenderness at Liv° and at Const; hard thigh muscle. Stool passed on alternate days, incompletely.

Which reports mattered. Her uric acid was normal, and she was told so plainly and told that it stayed normal — "your report is normal and I am not going to pretend it secretly is not." Her haemoglobin mattered, because it was low-ish and because of what was about to be taken out of her food. An X-ray of both knees changed nothing.

What was chosen, and why. Digestive work first; the joint work after. And one dietary rule at the first visit, not seven.

What was taken out first, and why that one. The therapist did not begin with tamarind, although tamarind was the obvious target in a Madurai kitchen and although it is named in the rule. He asked her to describe what she had eaten the previous day, in order, and heard tamarind in the kuzhambu at the midday meal — once — and curd at both meals and again at night, three times a day, every day, for forty years. The item that appears most often is the item to test first. Curd came out for a fortnight; the tamarind stayed exactly where it was.

What followed, session by session. Weeks one and two: no change in the mornings, some easing at the knees which she attributed to the treatment. Week three, after the fortnight was up, she reported the thing that decides such tests — she could turn the tap at seven. The curd stayed out. Tamarind was then removed for a fortnight in the same way, and made no difference at all — so it was given back to her, in those words, and she wept a little, which surprised the therapist and should not have.

Where it went wrong. In the seventh week she went backwards for ten days. Nothing had changed in the plan and nothing, she said, had changed at home. Asked to reconstruct a day rather than to confirm a rule, she mentioned a glass of nannari at her sister's house and then, unprompted, the lime pickle she had been eating with curd rice all her life and had never once thought of as a food, because it is a thodavu — a thing on the side of the plate, not a dish. Lemon by another name, three times a week.

What was done. The pickle was named, out loud, as a sour thing. She was not scolded. She was asked the question that should have been asked in week one: "What is on the side of your plate that you would not call food?"

What this case teaches

Test the item that appears most often, not the item the rule names first. Frequency is the variable, not fame.

Give a food back when it has earned it. The tamarind returned, and from that week she believed everything else she was told.

A normal report is normal. Say so. The rule about sour things is not an argument for telling a patient that her blood is secretly acid, and a therapist who does that has traded his credibility for nothing.

Pickles, chutneys, podi, a glass at a relative's house — people do not count the things on the side of the plate. Ask about them by name.

Two rules a visit, one food at a time, and a note in the record of which food and which date.

The last rule of the day's eating is a rule about a clock, and the clock half of it was given in Between Two Sessions among the rules of the bed, where it decides whether a household can be asleep by half past ten at all. What belongs here is the other half: what the two hours are for, and how a kitchen is actually moved.

Key teaching

Two hours between the night meal and lying down

The night meal should be taken by such a time that there is a gap of at least two hours between eating and the time of sleeping — so that the food which has been eaten in solid form becomes thin like water and is digested properly.

The reason is worth giving to a patient in exactly its own words, because it is a picture rather than an abstraction: the food goes in solid and has to become thin like water. That takes a definite stretch of time, and it happens whether you are awake or not, but it happens best in a body that is upright and quiet rather than one that is lying down.

The rule is easy to state and very hard to keep, and the reason it is hard is never medical. It is that the meal waits for whoever comes home last. In a house where the husband reaches home at nine, dinner is at half past nine and the whole family's night is built around that; the woman of the house eats last of all, at ten, and is asked by her therapist to be asleep by half past. That cannot be done, and telling her again will not make it possible.

So the negotiation is with the kitchen, and it is a negotiation, not an instruction. Three moves work more often than any others:

Ask for four nights, not seven. A household will give you four. Seven it will refuse, and having refused it will stop discussing the matter.

Separate the meals. In many houses the children and the elders can eat at eight without waiting, and often already want to. The person who most needs the early meal is frequently the person who is serving it.

Move what is served, not only when. A lighter night meal is digested in the time that is available, and a household that cannot move the hour can sometimes move the weight.

And say the two rules together, because together they are convincing and separately they are nagging: finish two hours before you lie down, and be asleep by half past ten. Those two produce one arithmetic — the night meal is finished by half past eight — and a patient given one number will go and solve her own household better than any instruction of yours could.

A CASE FROM PRACTICE

The family that moved dinner by one hour

A composite, written to teach the meal hour and the schoolchild rule.

Anita Deshmukh · 41 · housewife · Nashik · came with acidity, "gas", and a headache most afternoons; her son, 13, came with her

What she came with. "Khana khaya nahi ki gas ban jaati hai. Aur sar bhaari rehta hai." I have hardly eaten and gas forms, and my head stays heavy. She had taken an antacid most nights for three years. She mentioned, almost as an aside, that her son also complained of stomach ache most mornings before school, and that the school had asked whether he was well.

What was observed and palpated. In her: tenderness at Gas and at Pan; a hard band across both shoulders; a tongue coated at the back. In the boy, examined with his mother present and with his permission: a soft abdomen, tenderness at Gas, nothing else of note, and a completely ordinary thirteen-year-old who ate well and slept badly.

Which reports mattered. Hers: none of the three she brought changed the plan, and she was told so. His: none had been done and none were asked for.

The two questions that mattered more than any report. "Tell me about last night, from when you began cooking." And, to the boy: "What happens between your last mouthful of breakfast and the front door?"

Her answer: cooking from eight, the family served at nine when her husband came in, herself eating last at about twenty past nine, the kitchen cleared by ten, in bed at half past ten with the acidity beginning as she lay down. His answer, given cheerfully and with some pride: "Main bhaag ke jaata hoon" — I run. Breakfast at 7.20, bag on the shoulder at 7.26, and a hundred metres at a sprint to the corner because the bus does not wait.

What was chosen, and why. The treatment was the ordinary digestive work and is not the interesting part of this case.

First, the boy's morning — because it was the easier of the two and because a household that succeeds at one change will attempt a second. Breakfast was moved to seven o'clock; the shoes and the bag were moved to before the meal instead of after it; and the ten minutes he had gained were spent sitting. His morning stomach ache stopped inside a week. His mother noticed this before the therapist mentioned it.

Second, her own meal — which was the hard one, and it took three weeks and two conversations with her husband, who was invited to one session and given the reason rather than the rule. The family's meal did not move. Hers did. She began eating with the children at eight and sitting with her husband while he ate at nine, which she had assumed would be taken as an insult and which turned out not to be.

What followed. Her acidity was better in ten days and mostly gone in six weeks, and she stopped the nightly antacid on her own. The afternoon headache took longer and went in the third month. She said, in the tenth week, the sentence therapists remember: "Maine socha tha ki dawai badalni padegi. Sirf khaane ka time badla." I thought the medicine would have to change. Only the time of eating changed.

What this case teaches

The rule about the night meal is almost never about the patient. It is about who comes home at nine. Solve it as a household problem or do not solve it.

Ask for four nights and you get four. Ask for seven and you get a polite yes and nothing.

Do the child first. A visible success in a fortnight buys you the credit to attempt the hard change in the same house.

"What happens between the last mouthful and the front door?" is the question. "Does he eat breakfast?" is not.

The woman of the house eats last, eats fastest and sleeps soonest after eating. She is the patient in front of you, and her meal is the one that has to move.

Most of what this wiki has to say about the sick-room table belongs to the two articles that follow this one, because it is about a particular kind of body rather than about eating in general. What belongs here is the general instruction, the one emergency, and a clear statement of where the rest lives.

FROM AYURVEDA AND YOGA

Amla rasa — the sour taste, and why the old texts watch it

Classical Indian dietetics counts six tastes — sweet, sour, salty, pungent, bitter and astringent — and treats taste not as a matter of pleasure but as a property that acts on the body. The sour one, amla rasa, is described as heating and moistening: good for appetite and for the heart in small quantity, and held, in excess, to loosen the tissues, to thicken what should stay thin, and to aggravate exactly the complaints that bring patients to a therapist with painful joints. Curd, tamarind and the sour fruits are its standard examples — the same list, item for item, that these pages give.

And the old texts add the qualification these pages add too: taste acts on a person, not on humanity. What aggravates one constitution in one season leaves another alone. Two traditions, arriving separately at the same instruction — avoid the sour, and then watch this particular patient.

Also explained in

What else the Chole treatment was found to do — and what it was withdrawn from Setting the Stomach
Only in the sixth week, and only because his wife came with him, did it emerge that he had been taking a second tablet — a churan powder from a shop, twice daily, for "gas".
Questions patients ask you Setting the Stomach
Two people who both say "gas" can have entirely different things going on, and the same person can need something different on Thursday from what she needed on Monday.
Introduction Setting the Stomach
He thought of himself as a man with acidity, which in his street was not a disease but a fact about a person, like being tall.
When the burning is not the acid — the Chole treatment Setting the Stomach
It is important because it is a causal ordering, and a therapist who has it can ask a better question than do you get acidity? He can ask after which food, and how long afterwards? — and the answer tells him where in the
The acids that are dissolved in the blood The Two Kingdoms
The acidity of the blood is a different thing from the acid of the stomach.
At a glance The Two Kingdoms
By reducing acidity and stimulating the descending colon, constipation is cured.
What is actually meant by acid and alkali The Two Kingdoms
The pH of any liquid is a measure of its acidity or alkalinity.
Water in decides water out The Two Kingdoms
And it is inevitable that this will be accompanied by acidity in the large intestine, especially the descending colon and the rectum.
The two kidneys do not work alike The Two Kingdoms
Right And read as an instruction rather than an observation: when we provoke the left kidney by means of the point named Mu°, relief comes in the symptoms of acidity; when we work by means of the point named Liv°, that p
When undigested food comes, and to whom The Fire and the Ash
One should understand that the acidity of the blood is a different thing from the acidity in the stomach.
The causes of constipation, and the cure What the Bowel Tells You
our causes, the acid treatment, and the left run in the wave's order Having given a treatment for the acidity behind hard stools, the teaching turns round and says the treatment is not the whole answer, and lists everyth
Piles, fissure, fistula and prolapse — one family, not four diseases What the Bowel Tells You
One chief aspect of acidity is deficiency of water in the body, and these are the symptoms that appear on the organs that get rid of things.
Mu – 3 points — that is, (3) Mu — (1) Mu-3 वाला The Front of the Body I
Sunanda Kulkarni · 52 · retired schoolmistress · Belgaum · came with ten years of acidity, bloating after meals, and "a burning in the chest at night" What she said.
The two kingdoms, and the two families of treatment Correcting the Two Kingdoms
The acidity of the blood is not the acid of the stomach.

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