Piles

From What the Bowel Tells You

Piles, fissure, fistula and prolapse — one family, not four diseases

Loose flesh-muscles, the Triangle for Piles, and bleeding to refer

Three conditions carry pain at Mu° with them: prolapse of the rectum — the rectum coming down from its place; prolapse of the uterus — the womb coming down from its place; and hernia — an organ shifting from its fixed place and entering inside some other organ or part.

The treatment named for this family is the Triangle for Piles — so named because it is given for piles, and given across the triangle of the sacrum. It strengthens the muscles of the pelvis, and tightens the sphincters — of the urinary bladder, of the uterus, of the anal opening and so on.

Therefore, besides piles, it gives benefit in: anal fissure · fistula · prolapse of the rectum. It is also beneficial for control of urine in children and in the elderly — give it to children who wet the bed — and in women for prolapse of the uterus and for controlling excessive bleeding in the menses.

Two details of its giving are the instruction itself and must never be dropped: the pressure is in the direction of the head, and never in the direction of the ground — the chairs are placed so that this is what happens — and for an ordinary person three times is enough, but for very severe piles one may give five or six times for a day or two at first. Prone (Figure 10.3)

From Face Down

TRIANGLE FOR PILES — ट्रायंगल फॉर पाईल्स

This is given for piles (बवासीर). That is why it has been given this name.

Method:

As per the figure, stand with the feet on the ground between the waist and the thigh. First place the heel of one foot on their hip near the tail bone — that is, the last end of the spinal column.

Then, taking the full weight of the body on the hands with the support of the chairs, place both heels above the hip, near the S5 bead (at the place marked 1 in the figure).

Simultaneously pressing with the heels in the direction of the head, with one jerk push the muscles below upward.

Then change the position of your heels, placing them slightly outward, near the S3 bead, and give an upward jerk.

Finally, do the same near the S1 bead.

Repeat as many times as needed.

In the symbol above, the numbers '1', '2', '3' on the sides of the triangle show where to start and where to finish; but the number '3' written in the middle of the upper line shows how many times to repeat.

For an ordinary person three times is enough, but for very severe piles one may give 5–6 times for a day or two at first — then the middle number will change to 5 or 6.

Besides piles, it also gives benefit in anal fissure, fistula and prolapse of the rectum. It is also beneficial for control of urine in children and in the elderly, and in women for prolapse of the uterus and for controlling excessive bleeding in menstruation.

The three stations trace the shape of the bone — a triangle standing on its point: place 1 low and close to the midline at S5, place 2 further out at S3, place 3 highest and widest at S1. The first placement, one heel near the tail bone, is a settling, not a treatment. Then every station is one jerk, upward — a single quick lift of the tissue toward the head, both heels together, after which the heels are moved. You do not jerk twice from the same place. (Figure 21.6)

What lies beneath. The heel sits on the back plate of the sacrum, over the origin of the great buttock muscle and the flat tendon of the long back muscles; the small holes through which the sacral nerves reach the buttock lie in rows under the stations. The nerves running to bladder and back passage come off the same levels but turn forward, where no heel follows. The upward vector is coherent — but coherent is not demonstrated, and both words should be used. And one fact, because patients ask: the cushions inside the back passage are normal anatomy, and piles are what happens when the tissue anchoring them gives way.

From When the Hand Must Stop

Fistula · anal fissure · descent of the rectum · piles

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

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.

Also explained in

• Two bodies, read as this article teaches What the Bowel Tells You

  tailor operated twice for piles, and a boy who had stopped going A CASE FROM PRACTICE The tailor who had been operated twice A composite case, assembled to teach the reasoning rather than taken from one patient's file.

• At a glance What the Bowel Tells You

  he Triangle for Piles, and the bowel interview on one sheet WHAT TO CARRY AWAY Constipation is not a disease; it is a symptom, indicating improper functioning of the digestive tract, and the large intestine shows its fa

• Introduction What the Bowel Tells You

  She was forty-four, she made blouses to order, and she had been operated on twice for piles.

• Reading the stool What the Bowel Tells You

  On the hard end: constipation, piles, fissure at the anus, fistula, pimples, dandruff and scaling, hair falling or greying before its time, prolapse of the uterus or of the rectum.

• Questions patients ask you What the Bowel Tells You

  "It's piles.

• Straining, posture, and the act of passing stool What the Bowel Tells You

  The pressure of a long forced push is taken by the vessels and the soft tissue at the anus — the mechanical half of how piles arise, how a tear becomes a fissure, and how the rectum is pushed down out of its place.

• The questions to ask, and how to ask them What the Bowel Tells You

  Alternating hard and soft indicates improper dietary habits — the hard motions from too little roughage or water, the soft ones indicating undigested food from poor digestion "Does it come out easily, or do you have to p

• Recording it, so that improvement can be shown What the Bowel Tells You

  Const is tender whenever there is constipation — so a silent Const in a patient claiming constipation is itself a finding, and sends you back to look at the outlet The family · Ask once, write once: piles · fissure · fis

• The cord Treating Women

  The family is one of the chief signs of acidosis in this therapy's reading, sitting in the same column as constipation, piles, fistula and fissure, and beside the row that says the muscles become soft and loose in acidos

• What this article hands to the next Face Down

  Plate — Triangle for piles: the chairs, the stations and the direction · PLATE — AND THE PROMPT TO REDRAW IT Caption: The patient lies face down with the 1½ pillows under the chest — half the lower pillow projecting

• The low back, the sacrum and the tail bone Each Point in Use

  Triangle for piles Prone This strengthens the muscles of the pelvis, and tightens the sphincters of the urinary bladder, of the uterus, of the anal opening and so on.

• The last observations Cranial Nerve and Brain Formulas

  (15) Right Medulla (6) Right Swt × 3 treatments + Piles triangle For · No control over urine — leaking with a sneeze or with hard laughter; especially middle-aged women, because by that age the muscles below the navel ha

• Lighter formulas exist, and they are named The Child, the Elder and the Frail

  Chest only within the first few sneezes; Triangle for piles for control of urine (4) Pan to increase appetite and height Jeevan Dhara, light version, for fatigue or weakness at any age; single points for instant relief J

• The master list — every treatment point, by the position the patient is placed in The Shorthand

  Parkhoo Left Parkhoo On the Side Folic Folic acid On the Side · Vitamin and Gene Formulas Thia Thiamine (B₁) On the Side B₁₂ Cobalamin On the Side · Vitamin and Gene Formulas Nia Niacin (B₃) On the Side Right and left Vitamin formation Vitamin formation, both sides On the Side Fluid or alkali Flui