The writer has used the bruises permeable therapy (treatment) to clinically treat arthritis patients with effective outcome, who perceived must undergo surgery in order to recover by modern medicine. The complete treatment processes are as following:
Inspection:
Applying the principle of bruises permeable therapy to relieve the muscles constriction, the practitioner has to locate the nearest and furthest occlusion area by using tendon tapper as a main examination tool. From the clinical experiences, the occlusions of bruises normally occur at internal thigh like semimembranosus, semitendinosus, adductus muscles, euadriceps and sartorius for inner arthritis. However for the external arthritis, the occlusion area normally occurs at biceps femoris, rectus femoris, external of quadriceps, tensor fasciae latae.
When the practitioner able to identify the common and regular occlusion area, the inspection time can be reduced and more specific treatment area can be located to achieve the best outcome. According to the principle of Traditional Chinese Medicine (TCM), where, “When the blood circulates smoothly, painful sensation will not occur and vise versa”, by using the tendon tapper to hit the common occlusion area with appropriate strength, normally if there is occlusion area where TCM believes that is the area of extravasated blood occludes in the blood circulation, the blood occlusion area will lead to inflammation and painful sensation as per discovery of TCM.
Therefore, in order to find out more specific occlusion area, we need to compare pain sensation of the healthy side and the disease side. This means that, if we use the same strength to hit both side (healthy side and disease side) and compare the difference of pain sensation, normally, the healthy side will not have strong pain sensation. If the healthy side have similar pain, the practitioner should pay attention to whether he had used the appropriate strength, consistency of inspecting areas, the pain sensitivity of the patient, toleration of pain and psychology effect. If the inspector can exclude the above mentioned factors, then he may suspect the healthy side has hidden symptom of inflammation or confirmed symptom of inflammation. A further enquiry of patient’s history and medical investigation is necessary.
Beside the comparison of pain sensation of contrast side technique, we can also examine the pain sensation of the muscles of disease (occlusion) side, which means that to find out the pain areas of occlusion side and apply the above mentioned methods accordingly on the pain areas and its surrounding areas. The writer discovers that, there will have a great difference of pain experienced by the patients and thus the specific pain spot can be located.
Treatment:
After identified the specific inflammation areas, together with the nearest side to the furthest side of the occlusion area, we can use the suitable techniques like scraping, pushing, pressing, tapping therapy, etc. to treat the patient. The appropriateness of the strength used depends on the individual patient’s condition and must be within the toleration of the patient. Various techniques will be applied according to the disease condition during the treatment process. Normally, there will be redness (erythema) occur in the main treatment area, and the painful sensation will gradually increase as the treatment progress. The physician can reduce the force and slow down the process accordingly at this moment. The painful sensation will gradually increase even with the same force applied in the treatment. This means that the bruise is going to permeate to the superficial skin.
As the treatment continues, the bruised area will appear in the form of spot (petechias), small patches (ecchymosis) on the superficial skin. At this point of time the patient will not only feels the natural pain at the treated area, but also feels comfortable in-depth occlusion areas.
During the progress of the treatment, some of the patients’ bruises will not permeate to the superficial skin, but only present in the form of redness. Observation of response after treatment is required, because sometime the bruises will only permeate after a few hours after the treatment. However, through clinical discovery, some of the patient condition has improved even though their bruises do not permeate to the superficial skin after the treatment.
Normally, the duration per treatment is flexible. The treatment duration and the length of treatment course are depend on the factors such as depth of the bruises, the size of bruise area, the length of illness, the patient’s body condition, age and tolerances of pain by the patient. The practitioner will recommend patients to follow up the treatment after four or five days of their last treatment. This is because the even though the bruises appeared on the skin have not completely disappeared but the bruise in-depth muscles which have not permeated might gradually gather together as a result of slower metabolism. The patients will feel the discomfort at the inflammation area after four or five days of treatment, therefore they need to follow up a new the treatment even though the permeated bruises have not completely disappeared. The permeated bruises normally will take two to three weeks to be completely disappeared, so the physician should inform the patient in advance to reduce the anxiety.
In order to enhance the effectiveness of activating the blood circulation, oral medicine and topical oilmen can be supplemented.
For some of the stubborn arthritis, besides focus the treatment on nearest side to furthest side of arthritis areas, the bruise permeable therapy can be also applied in the arthritis areas, cupping therapy, acupuncture, bloodletting (hemospasia), roasts needle, needle insertion and needle knife therapy can be used concurrently in order to achieve the excellent therapeutic outcome.
Principle:
The essential of TCM theory is to provide comprehensive and holistic care and treatment to all patients. From the past experience of the writer in treating the arthritis, we usually adopt the experience acupuncture points and certain “A Shi acupoints”[1]. The pain can be relieved in short term but the illness is not stable and unable to achieve the desirable results over long term. After consideration of the relationship with structure of human anatomy and the blood circulation, and also through the comparison of healthy and disease side, the writer discovered that the pain sensation of healthy side (whether is nearest side to furthest side) and disease side is extremely different (contrast). At that time, the writer associated some traditional folk therapies like scraping therapy, tapping therapy, whipping therapy, cupping therapy, the knife cure therapy are also achieve the treatment outcome by permeate the bruise to the superficial skin. From understanding of principle of TCM where, “when blood circulates, no pain; Pain occurs, when circulation affected.” the excellent therapeutic outcome had been achieved after the writer has combined the traditional therapy with his new findings.
From the accumulation of clinical experience, the writer had rearranged and identified the common occlusion area.
However, according to the theory of the writer’s thesis of “Brief discussion about the pathology of bruises formation and bruises permeable treatment” published in year 2001 at the fifth academic meeting which organized by Fujian Association of Research and Advancement of TCM in Fuzhou, the occlusion caused by the extravasated blood in the muscle will cause swollen of the muscle. This condition will narrow down the muscles interspaces, causing the muscles constriction and eventually result in inflammation. This had indicated that the swollen muscles, which cause by occlusion of the extravasated blood in any strand of tendon or muscle, will result in muscles constriction and causing inflammation and its complications.
Besides that, the inflamed muscle or tendon will increase its elasticity and coupled with biological mechanism, this will cause the tendon which adheres to the bone to have inflammation. This often misdiagnosed as bone disease because of its vicinity to skeleton (certainly there might have some real bone disease). Therefore, in order to avoid subjective disturbance which affecting the treatment progress, it is very important to carry out the comprehensive and thorough inspection by contrasting the healthy and disease side.
Furthermore, based on the physiology doctrine, the occlusion of muscles will cause the blood circulation being occluded, causing insufficient of blood supply to the affected area in long term and result in deterioration of blood circulation of the small vessels. This situation will cause insufficient nutrition supply and eventually deteriorate the bone structure and causing bone damage
There are many successful cases of using the transplantation of blood vessel insertion technique to treat the necrosis of the neck of thighbone in the previous clinical research. The writer also passed his master graduation thesis though the research of the treatment of transplantation of blood vessel to treat wrist os naviculare necrosis. From that thesis the writer associates the theory of dissolving certain occlusion of extravasation blood to enhance the blood circulation and supply to regenerate the deteriorated joints. In clinical, it had successfully save the patient from surgery treatment and improved the condition and eventually recovered.
Experience:
The acupuncture and moxibustion theories emphasize on the occurrence of “Tian Ying acupoint” (which is same with “A Shi acupoint” or “painful acupoint”). If this is similar to the principle of occlusion described by the writer earlier, the abstraction of acupuncture and moxibustion theories will be cleared based on physiological anatomy relational elaboration. A better understanding of above mentioned pathogenesis can even enhance the clinical effectiveness. The key indicator is the “Tian Ying acupoint” should not only focus on patient’s main complaint area and its surrounding press pain point, but also on the far-ended area, and should treat holistically and comprehensively for best results.
Modern medicine commonly mentioned that the osteoporosis and destructive of bone should not only explained through gerontology, but further research in dissolution of blood circulation due to extravasated blood and the regeneration of ossein cell are require.
By applying the principle of dissolving and lysing the blood clot or occlusion to stimulate the blood circulation and to resume to the normal blood circulation condition, the writer had successfully treated and cures the patients without any surgical operations. However, this is limited to small samples size. In order to enhance the effectiveness of treatment, the writer need to combine and coordinate with other techniques such as moxibustion, acupuncture, bloodletting, the needle knife, etc. During the treatment process, the patients may suffer certain level of pain in body or mind. The misunderstanding of the treatment by western and Chinese medicine had caused slander and results in some of the patients giving up the treatment.
For this, if modern technology and techniques can be applied to detect and locate the accurate and specific occlusion area and coupled with advance therapy, then this might be a milestone in the modern medicine and bring well fare to human being. May this thesis shared with everybody.
[1] In TCM, the “A Shi acupoint” does not denote any particular acupoint of the body, but is the painful site reflected on the body by some disease or occlusion, we can also call it “painful point”.
Inspection:
Applying the principle of bruises permeable therapy to relieve the muscles constriction, the practitioner has to locate the nearest and furthest occlusion area by using tendon tapper as a main examination tool. From the clinical experiences, the occlusions of bruises normally occur at internal thigh like semimembranosus, semitendinosus, adductus muscles, euadriceps and sartorius for inner arthritis. However for the external arthritis, the occlusion area normally occurs at biceps femoris, rectus femoris, external of quadriceps, tensor fasciae latae.
When the practitioner able to identify the common and regular occlusion area, the inspection time can be reduced and more specific treatment area can be located to achieve the best outcome. According to the principle of Traditional Chinese Medicine (TCM), where, “When the blood circulates smoothly, painful sensation will not occur and vise versa”, by using the tendon tapper to hit the common occlusion area with appropriate strength, normally if there is occlusion area where TCM believes that is the area of extravasated blood occludes in the blood circulation, the blood occlusion area will lead to inflammation and painful sensation as per discovery of TCM.
Therefore, in order to find out more specific occlusion area, we need to compare pain sensation of the healthy side and the disease side. This means that, if we use the same strength to hit both side (healthy side and disease side) and compare the difference of pain sensation, normally, the healthy side will not have strong pain sensation. If the healthy side have similar pain, the practitioner should pay attention to whether he had used the appropriate strength, consistency of inspecting areas, the pain sensitivity of the patient, toleration of pain and psychology effect. If the inspector can exclude the above mentioned factors, then he may suspect the healthy side has hidden symptom of inflammation or confirmed symptom of inflammation. A further enquiry of patient’s history and medical investigation is necessary.
Beside the comparison of pain sensation of contrast side technique, we can also examine the pain sensation of the muscles of disease (occlusion) side, which means that to find out the pain areas of occlusion side and apply the above mentioned methods accordingly on the pain areas and its surrounding areas. The writer discovers that, there will have a great difference of pain experienced by the patients and thus the specific pain spot can be located.
Treatment:
After identified the specific inflammation areas, together with the nearest side to the furthest side of the occlusion area, we can use the suitable techniques like scraping, pushing, pressing, tapping therapy, etc. to treat the patient. The appropriateness of the strength used depends on the individual patient’s condition and must be within the toleration of the patient. Various techniques will be applied according to the disease condition during the treatment process. Normally, there will be redness (erythema) occur in the main treatment area, and the painful sensation will gradually increase as the treatment progress. The physician can reduce the force and slow down the process accordingly at this moment. The painful sensation will gradually increase even with the same force applied in the treatment. This means that the bruise is going to permeate to the superficial skin.
As the treatment continues, the bruised area will appear in the form of spot (petechias), small patches (ecchymosis) on the superficial skin. At this point of time the patient will not only feels the natural pain at the treated area, but also feels comfortable in-depth occlusion areas.
During the progress of the treatment, some of the patients’ bruises will not permeate to the superficial skin, but only present in the form of redness. Observation of response after treatment is required, because sometime the bruises will only permeate after a few hours after the treatment. However, through clinical discovery, some of the patient condition has improved even though their bruises do not permeate to the superficial skin after the treatment.
Normally, the duration per treatment is flexible. The treatment duration and the length of treatment course are depend on the factors such as depth of the bruises, the size of bruise area, the length of illness, the patient’s body condition, age and tolerances of pain by the patient. The practitioner will recommend patients to follow up the treatment after four or five days of their last treatment. This is because the even though the bruises appeared on the skin have not completely disappeared but the bruise in-depth muscles which have not permeated might gradually gather together as a result of slower metabolism. The patients will feel the discomfort at the inflammation area after four or five days of treatment, therefore they need to follow up a new the treatment even though the permeated bruises have not completely disappeared. The permeated bruises normally will take two to three weeks to be completely disappeared, so the physician should inform the patient in advance to reduce the anxiety.
In order to enhance the effectiveness of activating the blood circulation, oral medicine and topical oilmen can be supplemented.
For some of the stubborn arthritis, besides focus the treatment on nearest side to furthest side of arthritis areas, the bruise permeable therapy can be also applied in the arthritis areas, cupping therapy, acupuncture, bloodletting (hemospasia), roasts needle, needle insertion and needle knife therapy can be used concurrently in order to achieve the excellent therapeutic outcome.
Principle:
The essential of TCM theory is to provide comprehensive and holistic care and treatment to all patients. From the past experience of the writer in treating the arthritis, we usually adopt the experience acupuncture points and certain “A Shi acupoints”[1]. The pain can be relieved in short term but the illness is not stable and unable to achieve the desirable results over long term. After consideration of the relationship with structure of human anatomy and the blood circulation, and also through the comparison of healthy and disease side, the writer discovered that the pain sensation of healthy side (whether is nearest side to furthest side) and disease side is extremely different (contrast). At that time, the writer associated some traditional folk therapies like scraping therapy, tapping therapy, whipping therapy, cupping therapy, the knife cure therapy are also achieve the treatment outcome by permeate the bruise to the superficial skin. From understanding of principle of TCM where, “when blood circulates, no pain; Pain occurs, when circulation affected.” the excellent therapeutic outcome had been achieved after the writer has combined the traditional therapy with his new findings.
From the accumulation of clinical experience, the writer had rearranged and identified the common occlusion area.
However, according to the theory of the writer’s thesis of “Brief discussion about the pathology of bruises formation and bruises permeable treatment” published in year 2001 at the fifth academic meeting which organized by Fujian Association of Research and Advancement of TCM in Fuzhou, the occlusion caused by the extravasated blood in the muscle will cause swollen of the muscle. This condition will narrow down the muscles interspaces, causing the muscles constriction and eventually result in inflammation. This had indicated that the swollen muscles, which cause by occlusion of the extravasated blood in any strand of tendon or muscle, will result in muscles constriction and causing inflammation and its complications.
Besides that, the inflamed muscle or tendon will increase its elasticity and coupled with biological mechanism, this will cause the tendon which adheres to the bone to have inflammation. This often misdiagnosed as bone disease because of its vicinity to skeleton (certainly there might have some real bone disease). Therefore, in order to avoid subjective disturbance which affecting the treatment progress, it is very important to carry out the comprehensive and thorough inspection by contrasting the healthy and disease side.
Furthermore, based on the physiology doctrine, the occlusion of muscles will cause the blood circulation being occluded, causing insufficient of blood supply to the affected area in long term and result in deterioration of blood circulation of the small vessels. This situation will cause insufficient nutrition supply and eventually deteriorate the bone structure and causing bone damage
There are many successful cases of using the transplantation of blood vessel insertion technique to treat the necrosis of the neck of thighbone in the previous clinical research. The writer also passed his master graduation thesis though the research of the treatment of transplantation of blood vessel to treat wrist os naviculare necrosis. From that thesis the writer associates the theory of dissolving certain occlusion of extravasation blood to enhance the blood circulation and supply to regenerate the deteriorated joints. In clinical, it had successfully save the patient from surgery treatment and improved the condition and eventually recovered.
Experience:
The acupuncture and moxibustion theories emphasize on the occurrence of “Tian Ying acupoint” (which is same with “A Shi acupoint” or “painful acupoint”). If this is similar to the principle of occlusion described by the writer earlier, the abstraction of acupuncture and moxibustion theories will be cleared based on physiological anatomy relational elaboration. A better understanding of above mentioned pathogenesis can even enhance the clinical effectiveness. The key indicator is the “Tian Ying acupoint” should not only focus on patient’s main complaint area and its surrounding press pain point, but also on the far-ended area, and should treat holistically and comprehensively for best results.
Modern medicine commonly mentioned that the osteoporosis and destructive of bone should not only explained through gerontology, but further research in dissolution of blood circulation due to extravasated blood and the regeneration of ossein cell are require.
By applying the principle of dissolving and lysing the blood clot or occlusion to stimulate the blood circulation and to resume to the normal blood circulation condition, the writer had successfully treated and cures the patients without any surgical operations. However, this is limited to small samples size. In order to enhance the effectiveness of treatment, the writer need to combine and coordinate with other techniques such as moxibustion, acupuncture, bloodletting, the needle knife, etc. During the treatment process, the patients may suffer certain level of pain in body or mind. The misunderstanding of the treatment by western and Chinese medicine had caused slander and results in some of the patients giving up the treatment.
For this, if modern technology and techniques can be applied to detect and locate the accurate and specific occlusion area and coupled with advance therapy, then this might be a milestone in the modern medicine and bring well fare to human being. May this thesis shared with everybody.
[1] In TCM, the “A Shi acupoint” does not denote any particular acupoint of the body, but is the painful site reflected on the body by some disease or occlusion, we can also call it “painful point”.
Dear Dr. Hau,
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