P point

How it is given: Uncommon Problems
What it is used for: Each Point in Use · Treating Women
Take care: followed at once by (6) WD

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WD 2nd treatment

Given by a therapist

WD POINT

Given by a therapist

From Uncommon Problems

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.

Patient's position	Lying; both thighs reachable, the therapist's weight carried on the palms through the chairs Supine
Where the foot is placed	The heel on the muscles of the middle part of the thigh — pressing, and then giving an upward jerk
Order of the sides	The left thigh first, then the right thigh Left Right
Duration and repetitions	No count is given. The action is one press and one upward jerk
What must follow it	Immediately after this treatment, (6) WD is to be given 6 sec
What it is for	Women whose womb has moved from its place — with the (6) WD following, the descended womb will set into its own place, and the necessity of an operation can be avoided
Sign	A figure with two arrows converging downward onto the thighs

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.

THE WORDS WE USE

P — the letter that means three different things

This is why the wiki keeps saying: read the whole code, never the letter. Three separate entries in this atlas hang a capital P off a shared stem, and they have nothing to do with one another.

P point — this entry. P is for Prolapse. The heel, the middle of the thigh, an upward jerk, left thigh first, and (6) WD immediately after.

Thrd 'P' — a thyroid point of the supine atlas, at the neck, with a standing caution of its own about the great vessels of the throat. A different site, a different tool, a different purpose.

Ton 'P' — later in this article. P is for parotid, the salivary gland in the cheek, and it carries a restriction that Ton 'T' does not.

A card that reads only P has not told you anything. Send it back and ask.

TAKE CARE

The jerk, and the women who do not get it

A jerk cannot be graded and cannot be withdrawn once begun. That single fact governs every use of this point.

It is not given in pregnancy or in the weeks after a birth, when the floor of the pelvis and everything attached to it is at its laxest; after recent abdominal, pelvic or hip surgery; in bones that break easily — a frail elder, a woman on long-term steroids, a woman who has broken something from a trivial knock; or in anybody on blood-thinning medicine.

And these findings are sent, not treated: bleeding after the menopause; any bleeding with a new or worsening descent; a protruding part that is ulcerated or bleeding; inability to pass urine properly, or repeated urinary infections; pelvic pain with fever.

Say the honest thing about the claim as well, because a woman in this situation is frightened and will hear whatever she wants to hear. Most prolapse genuinely does not need an operation — that instinct in the material is sound. But whether a womb has gone back into place is something an examination decides, not something a patient can feel. Treat alongside her gynaecologist's plan; never in place of the appointment.

A CASE FROM PRACTICE

The woman who had been given a date in January

A composite, assembled to teach the two halves of P point and the size of the promise.

Meenakshi Rao · 39 · anganwadi worker · Warangal district · came with a diagnosed descent of the womb and a surgical date six weeks away

What she said. "Doctor madam has said the bag has come down and it must be removed. I have two children only and I am not even forty." Then, quietly: "Walking to the centre, by evening it feels like everything will fall out."

What was observed and palpated. Supine A soft, slack abdominal wall; three years of a cough from cooking on wood; hard stools most days with long straining; tenderness at Const and at Mu° around the navel, of which she knew nothing. She was asked what she lifted at work and she laughed: sacks of rice, twice a week, alone.

Several findings read as one picture. Not a prolapse. A pelvic floor asked to do too much for too long by three separate loads — a chronic cough, daily straining at stool, and repeated heavy lifting — in a woman who had also borne two children. The descent was the report. Three things were producing it, and two of them were correctable without anybody touching her.

Which reports mattered. The gynaecologist's own examination mattered, and was asked for in writing. That there had been no bleeding since her periods became irregular mattered a great deal, and was asked about directly. An old ultrasound of her gall bladder changed nothing.

The choice, and why. P point — the heel on the middle of the thigh, an upward jerk, left thigh first, then the right — and (6) WD immediately after, every single time. Alongside it, from the first week, the digestive work for the straining, and the plain instructions that were worth more than either: how to lift, and to see somebody about the cough.

What went wrong in week two. The therapist, running late with a hall full, gave P point and moved to the next patient, meaning to come back for the WD. He did not come back. He noticed it on the card that night. The entry says immediately, and immediately is not a figure of speech; from then on the two were written on her card as a single line so that they could not be separated by a queue.

Session by session. By week three the evening dragging feeling came later in the day. By week five it came only on the days she lifted. The stools had softened in week two, which she reported as an irrelevance. She kept the January date.

What she was told about the operation. Exactly this: "I am not going to tell you to cancel anything. I will tell you what I find and you will tell your doctor. She examines; I do not. If she says it has improved, that is her sentence to say, not mine."

What happened. At review her gynaecologist offered a supportive ring and a course of pelvic floor exercises and put the surgery back for six months. Meenakshi described this to the whole hall as a cure. Her therapist described it to her, privately, as a postponement that she had earned and could lose again by lifting rice sacks.

What this case teaches

P point and (6) WD are one instruction. Write them on the card as one line.

The descent is the report; the loads are the cause. Cough, straining and lifting were doing more damage than any treatment could undo weekly.

"The necessity of an operation can be avoided" is the material's sentence, and it is not yours to say to a patient. Say what you find; let the examiner say what has changed.

A patient will upgrade your words when she repeats them. Give her a sentence plain enough to survive being repeated.

Also explained in

The cord Treating Women
These will benefit from P Point, WD, Round Normal, Round Arrow and so on.
The navel, the womb and the paralysed limb Each Point in Use
TAKE CARE P point is written on the card with its partner, on the same line The entry is unusual in that it says what the treatment does and then says that the doing is not finished.
Two cases from the reference Each Point in Use
The sonography mattered, and mattered specifically, because P point is given to those women in whom sonography shows that a prolapse of the uterus has occurred — the imaging is written into the indication itself.
Introduction Uncommon Problems
P point.
After the treatment is over Uncommon Problems
Prolapse point, also P point: for women whose womb has moved from its place — the heel on the middle of the thigh with an upward jerk, left thigh first, then the right.
Questions students ask Uncommon Problems
A womb that has descended → P point and (6) WD.
Questions students ask Each Point in Use
Three entries in this atlas hang a capital P off a shared stem and none of them is the others: P point, the prolapse point, which must be followed immediately by (6) WD; Thrd 'P', a point of the anterior pituitary with i
How this article is arranged, and how to stand Uncommon Problems
Where the therapist is Named in Sitting at the patient's head Down arrow Supine Seated Sitting at the patient's waist Up arrow Supine Beside the patient, hands only, no chairs Lower shoulder blade pain Prone · Pa
Introduction Each Point in Use
Give the two paired instructions that must never be separated: P point followed immediately by (6) WD, and Ton 'T' followed immediately by Sangam points.
The points of immunity Each Point in Use
P point → (6) WD, immediately.
The points of generation Each Point in Use
(6) WD is what follows P point immediately.
The exclusions that are same-session, not permanent Each Point in Use
Give this And with it, always The reason as given Th + Ch Armpits, without fail Printed as a standing instruction above the entry Gas Only in constipation, piles or fistula Gas 'I' — and (2) S4, S5 too if the constipatio
At a glance Each Point in Use
P point → (6) WD, immediately — otherwise that woman will have still more trouble.
The chaperone, in this territory particularly Treating Women
— the middle of the thigh for P point, the sacrum for Triangle for piles and (2) S4, S5, and the side of the neck and cheek for Ton 'P' and Ton 'T'.

Language

P point

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PROLAPSE POINT — also written P point

Also explained in

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