Sunday, May 24, 2009

Brief Discussion about the Pathology of Bruises Formation and Bruises Permeable Treatment

Bruises permeable treatment has no fixed terminology in the past. It was originated from China as a folk treatment through tapping on the skin until local congestion (erythema) is visible, subsequently it will appear as bruises (hematoma) on the skin in order to relieve and reduce the pain and illness. Therefore, it is also known as “tapping treatment”. However, within the past few years, the writer discovered that this treatment is unable to achieve the excellent therapeutic outcome in certain area. Hence, we need to strengthen it by using the cupping glass treatment, cutaneous scraping therapy (“Gua Sha”) or hemospasia[1]. The bruises require these combined treatments to permeate to the superficial skin in order to achieve the excellent outcome. Therefore, the writer suggests naming the combined treatment as “Bruises Permeable Treatment (BPT)”.

The bruises which permeate to the superficial skin can be seen in the forms of spots (petechias), small patches (ecchymosis) or big patches. Some of them appear in groups and some of them are scattered. An experienced practitioner is able to determine the progression of illness through the appearance of the bruises. Through the treatment, the bruises can be gradually lysed and eventually eliminated, so the illness can be gradually improved and eventually recovered. Therefore, the writer believes that it is essential to focus and research the bruise formation and its mechanism of mutual influence with the illness.

The Traditional Chinese Medicine (TCM) believes that we are able to remain healthy and resist to disease whenever our blood circulation is functioning well in a normal, smooth condition. This concept can be explained as “when the blood flows smoothly in the blood vessels, painful sensation will not occur. However, when there is a partially occlusion in the blood circulation, we will have various kinds of diseases”. This concept is similar to the statement of which “when the blood flow is partially occluded, painful sensation will occur”.

Clinically, the writer has discovered that patients who had taken long term medication, meat consumers, having long term emotional stress, previously neglected trauma, weak and entering aging process, their bruises normally appeared more obvious on their skin after undergoing their treatment. This represents their level of disease are not only more serious, but also more chronic. The reasons are those patients who were taking long term medicines, the residual of medicines have been deposited in their body, while patients who are meat consumers has higher blood acidity than normal individual.

Modern medicine has confirmed that mentally stressed patients not only have faster accumulation of free radical in their body than normal people, but they also contain certain toxins secreted from their blood stream as well. Furthermore, the weaker and aging body that result in slower metabolism of blood circulation will easily cause hypoxemia. The above mentioned phenomenon leads to increased blood viscosity resulting in blood flowing slowly, causing the formation of blood clot (thrombosis). This type of dead and damaged materials partially occludes the blood vessels, which lead to poor blood circulation over a long period of time, subsequently deteriorating the medical condition.

Using drainage system as an illustration example, if there is a small amount of sedimentation accumulated in drainage system, it will not cause the occlusion. However, with the sediments in the drainage system will gradually increase, distend and expend after a period of time, this results the water unable to flow smoothly. Eventually, the drainage system becomes totally occluded. This example has the same mechanism as the phenomenon that is caused by the deposition and retention of dead and damaged materials in the body.

Japan traditional Chinese physician Dr. Kyushin Yumoyo ever stated that blood clots are unphysiological dirty blood that can be the medium for bacteria growth, which cause the formation of thromboembolism. In 1941, Dr. Yoshio Manaka had used the Modern medical terms of hypohepatia or hepato splenopathy to describe blood clots (Hematoma). Besides, after the World War II, the Japan traditional Chinese physician had had mentioned that “blood clot”, “hydropoisoning” and “food poisoning” are the three major causes for disease formation. In addition to that, America Air Force Hospital had emphasized that blood in normal condition should contain high concentration of oxygen, and it should appear in bright red colour. In contrast, oxygen depleted blood (hypoxemia) would appear in dark red colour. This type of oxygen depleted blood will cause harmful effect to human body if it cannot be eliminated through normal metabolism. This statement is similar to the TCM statement of “bruises”.

From the aspect of the muscles anatomy, there are spaces in between each strand of muscle in the muscle groups in order to maintain the mobilization between muscles. If there is one strand of oxygen depleted muscle lead to bruises due to the mentioned reasons, it will easily inflamed and swollen. This condition would narrow the muscles interspaces causing the muscles constriction that would lose its original elasticity. In this circumstance, based on the special point of view of anatomy and theory of biomechanic, the capillaries in the muscle can be damaged by certain movement, causing the blood seeps into the surrounding tissue (extravasation blood), this blood always hypoxic due to slow metabolism and result in occlusion of bruises (extravasated blood). This type of occlusion is still unable to be detected by modern medical technology and results in medical maltreatment due to clinical negligence. The burden of muscle group will gradually increase as a result of the viscous cycle, which leads to deterioration of inflammation and pains. In addition, patients with more severe medical condition will transform to other or similar internal medical illness.

For instances,

a) The inequality of the muscles at the both sides of the vertebral column will lead to the vertebral column slowly being pulled till curvature/distortion and subsequently compress the vertebral nerve.

b) Peptic nerve compression will lead to chronic gastritis

c) Patients with lumbar nerve compression can have chronic lower back pain.

d) The cervical spondylosis will develop symptoms of vertigo, headache and abnormal blood pressure as a result of the compression of cervical nerve and blood vessels.

e) Occlusion of the bruises (extravasated blood) in the posterior trunk can lead to symptoms which are similar to angina pectoris.

If the doctor neglects the above mentioned factors and effects by adopting the treatment of internal medicine, the treatment outcomes are normally not effective and result in slow recovery or even deterioration of the illness.

The healthiness of epithelium can be changed as a result of the occlusion which caused by the oxygen depleted blood (lack of oxygen supply in the blood). Therefore, an experienced doctor able to palpate the lump from the skin around the patient’s main complains area. Through the bruises permeable treatment, the lump and its surrounding area will appear as bruises (represent oxygen depleted blood) on the skin. All those bruises will gradually fade to yellowish colour and disappear during healing process via the metabolism of the capillaries, and the pain or ache at the affected area will be reduced or even completely recovered. Besides these, the writer has noticed that the patches and the size of the bruises appear bigger on serious illness or chronic illness patients and vice versa.

If there is an occlusion in the thin internal lining where human cortical neurons are lesser, the patients would only feel occasionally muscle constriction and mild discomfort at the affected area. As there is no obvious pain, so the patients would usually neglect those symptoms which would leads to maltreatment. However, when occlusion gradually increase, permeate from the internal lining to external lining and stimulates cortical neuron, the patients will develop obvious discomfort like numbness and painful sensation. In fact, most of the occlusion of bruises (extravasated blood) are appear in bigger muscles group, for examples, muscles group of buttocks, thigh and so on. All these occlusion will lead to patient’s mobility status being affected.

From the clinical experiences, the writer discovered that, if the treatment focus on the patients’ main complaint area, the symptoms will normally improved immediately, but the disease condition is not stable, and the pain will recurrent and relapse during long observation period. However, if we provide integrated treatment to the main complaint area and its surrounding area, the patients’ disease condition not only can be improved effectively immediately, but also can achieve excellent outcome in a long period of time. This concludes that the integrated treatment should not be overlooked. Now, the writer is going to report his findings which obtained from his clinical experiences pertaining to the occlusion that are caused by the oxygen depleted blood in parts of the tissues and its related consequences.

1) Occlusion of the bruises (extravasated blood) in the shoulder joint muscular tissue can cause limitation in the mobility of shoulder joint, soreness and painful sensation at the shoulder joint. The stiffness of the supraspinatus would lead to shoulder pain and the patients will easily feel tired. If these conditions remain untreated, it can lead to neck pain and discomfort. Moreover, the unequal constrict level of muscles at both sides of the neck can force the cervical vertebrae curved towards the more constrict side, and results in formation of lateral flexion of cervical vertebrae which will lead to cervical syndrome.

2) Extravasated blood in the muscles of the anterior and posterior shoulders, muscles of the upper arm, muscles of the forearm or muscles of the back (the posterior trunk) can lead to spasm, numbness and painful sensation at the arm and fingers.

3) Extravasated blood in the triceps, brachialis and radio carpus could easily cause tennis elbow (radiohumeral bursitis).

4) Extravasated blood in the brachioradialis and short supinator easily lead to stenosing tendovaginitis of radial styloid.

5) Extravagated blood in the supraspinatus, infraspinatus and levator scapulae can cause the neck pain or unequal constriction level for both sides of the neck muscles. It forces the cervical vertebrae curved towards the more constricted side which compress the cervical nerves and blood vessels, end up as cervical syndrome.

6) Extravagated blood in the muscles of the posterior trunk, rhomboideus major and trapezius can lead to dorsal vertebrae distortion and causing compression to the nerves and blood vessels, which will have the symptoms of internal medical disease as it is caused by the vertebrae pressing on the spinal nerve. Modern treatments for the vertebrae realignment are mostly focus on the vertebrae column realignment but overlooked the primary leading cause of the vertebrae distortion. So this is the reason why the outcomes of the modern treatment are always unstable. At here, the writer emphasizes to dissolve the extravasated bloods in the muscles of the posterior trunk before proceed to the treatments for the vertebrae realignment in order to achieve better outcome.

7) Extravasated blood in the buttocks muscles can cause topical pain and compression of nerve.

8) Extravasated blood in the thigh muscles can cause pain and weakness at the knee joint, especially extravasated blood in the tensor fasciaelatae. It can cause patients significantly experiencing fatigue in thigh during the flexion-extension movement, and she will feel weak and lack of strength at the knee joint area when climbing up the staircases. While extravasated blood in the muscles of the posterior thigh such as the extravasated blood in the biceps femouis, semimembranosus and semitendinosus can lead to spasm and painful sensation at her posterior thigh muscles. The above mentioned extravasated blood in the distal portion of the muscle of posterior trunk, muscles of the knee joint and ligament can lead to painful sensation at the posterior knee joint, which cause patients unable to perform squatting activity.

9) Many patients with sprained ankle would experience relapse in the future after undergoing the topical treatment, this probably due to the leg muscles was injured as well. Usually the writer would treat to dissolve the extravasated blood at the tibialis anterior, the muscles of the long flexion at toes and posterior peroneus muscles for the injury of the internal malleolus. While, the writer would provide treatment to dissolve the extravasated blood in the peroneus longus for the patients with injured external malleolus. All of his patients have achieved rapid improvement and recovered.

10) Extravasated blood in the muscles of the posterior leg such as gastrocremius, soleus, achillis tendon can leads to posterior leg or gastrorcemius spasm, inflammation at the surrounding of the calcaneal tendon, foot pain and so on.
Conclusion

In conclusion, the writer noted that many patients with generalized body aches are unable to detect significant abnormality by modern medical appliance. Therefore, we believe that modern medical appliance still unable to detect these generalized body aches that are caused by partially occlusion in the blood vessels or the extravasated blood in the muscle. These palpable lumps that have undergone certain treatment would appear on the superficial skin as bruises that are similar to the contusion that are caused by trauma.

By adopting the treatments of activating extravasated blood and lysing blood clots via oral medicine and topical oilment, the bruises can be diffused rapidly. While the physician is treating the bruises, those patients’ condition is also improved and eventually recovered.

Current blockage analgesic (restricted) treatment or local treatment has covered the actual signs and symptoms of the disease which has lead to the effect of deterioration in disease condition. In Previous clinical experiences, the writer ever adopted the single treatment of medicine. Acupuncture or massage which has brought certain therapeutic effects on lysing occlusion. However, the writer found that this combined treatment, also called the bruises permeable treatment has created more effective therapeutic outcome as it is using a more direct method to activate the extravasated blood and lyse blood clot which able to accelerate blood metabolism to lyse occlusion, so the affected blood can resume its oxygenation.

Through Eastern clinical experience, the doctors are more afraid to the internal pain that is hidden in the body but has no significant clinical signs and symptoms of medical disease. It is because they knew that this kind of invisible killer is difficult to excrete from human body, which has great harmful effect that will lead to serious illness in the future.

However, this bruises permeable treatment is mainly to permeate the internal injury to the superficial skin whereby the extravasated blood and blood clots are able to be metabolized by the capillaries that are lying in the epidermis layer of the skin. Through this treatment, recovery is attainable.


[1] Hemospasia refers to using a fine sterile needle to pick on the superficial skin in order to drain out a very small amount of extravasated blood from patient’s body.

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