Tender points (Druckpunkte)
Tender Points. oder Schmerzpunkte, und ihre Behandlungsmöglichkeiten.
Was haben die heutigen Tender Points mit den Shiatsu Punkten, den Weiheschen Druckpunkten und den Headschen Zonen gemeinsam?
Wie wird behandelt in diesen Punkten? Der menschliche Körper hat nach den bisher bekannten Tender Points 75 unterschiedliche Schmerzpunkte welche auf physikalische Behandlungen ansprechen. Die Shiatsu Massage bietet eine Fülle von Behandlungspunkten, so an der Vorderseite des Körpers 405 und an der Rückseite des Körpers 136, einschließlich der Extremitäten.
Ebenso ist die Insertions- und Periostzonen Behandlung des Körpers in den Tender Points, nnmm hier sind es insgesamt 160 Punkte. Es war schließlich Head, der 1898 darauf hinwies, dass bei Erkrankungen innerer Organe ganz bestimmte Hautabschnitte die vom gleichen Rückenmarksabschnitt nerval versorgt werden, hyperalgetisch, das heißt überempfindlich sind auf Druck, Wärme und Kälte.
Erst Mackenzie hat 1917 die Zusammenhänge im Bezug auf Zonen erkannt und festgelegt. Professor Dr. Kohlrausch hat 1937 nachgewiesen dass bei einem erkrankten Organ die zugehörigen segmental angeordneten muskulären Veränderungen, also Zonen, Ausgangspunkte für eine Therapie sein können. Ferner hat er als erster die topografische Lage der muskulären Zonen und den Maximalpunkte festgelegt. Bereits Bonnet-Lemaire (1935) auf die Übereinstimmung der 123 Weiheschen Druckpunkte im Rumpfbereich mit den chinesischen Akupunkturpunkten hingewiesen. Wichtig ist der Hinweis dass die Bestimmung der Hautpunkte in Richtung der Mittelwahl homöopathischer Mittel übereinstimmt in den Modalitäten. Nutzbar werden sie therapeutisch wenn die Punkte hyperalgetisch sind und die Psyche des Patienten sowie die gesamte Konstitution den Bedingungen des anzuwendenden homöopathischen Mittels entspricht. Weihe war übrigens homöopathischer Arzt. Er und seine Kollegen Göhrum und Leeser-Bonn waren alle Verordnen homöopathischer Mittel in Höchstpotenzen. Der Einsatz C30 und C100 waren für sie eine Selbstverständlichkeit. Die Betrachtungen über die hyperalgetischen Punkte und die heutigen neuraltherapeutischen Erkenntnisse kommen sich sehr nahe obwohl Jahrzehnte dazwischen liegen.
Es ist eine Deckung zu Huneke vorhanden.
Praktische Durchführung der Weiheschen Druckpunkte erfolgt manuell mit einer Fingerkuppe des Zeige- oder Mittelfingers unter langsamen sich steigernden Druck mit einer bestimmten, nicht zu überschreitenden Intensität und richtet sich nach der Konstitution des Patienten. An besonderen Stellen wird der Daumen verwendet. Die bei den Chinesen üblichen langen Fingernägel glichen dabei wohl eher einer schmerzhaften Tortour in den bereits schmerzenden Punkten und werden in den Aufzeichnungen als scharfes Stechen in der Tiefe angegeben. Das führte natürlich zu gewissen Vorbehalten diese Therapie durchzuführen. Wie in der chinesischen Akupunktur heißt es hier
nicht viel hilft viel sondern wenige und dafür gezielt ausgewählte Punkte behandeln hilft mehr.
Wie sagte doch unser Chinesischer Arzt bei der Vermittlung der Akupunktur: „Der Meister der Akupunktur braucht nur eine Nadel“.
Bei allen benannten Punkten gibt es noch zahlreiche lokal begrenzte Nebenpunkte zur praktischen Behandlung. Unter dem Begriff der Sensibilitätsstörungen ist zu unterscheiden zwischen dem spitzen hellen Schmerz und dem dumpfen Schmerz zur Behandlung in den entsprechenden Punkten. Die vegetative Schmerzausstrahlung von inneren Organen zeigt sich als dumpfer Schmerz.
Der spitze helle Schmerz als Neuralgie geht von einzelnen Nerven, einem Nervenplexus oder Nervenwurzeln aus. Sein Auftreten ist attackenartig. Eigentlich gibt es keinen spezifischen Schmerzreiz.
Um einen Schmerz zu spüren muss der Reiz, physikalischer, chemischer oder biologischer Art, eine bestimmte Schwelle erreicht haben. Die Reaktion ist nach dem Alles
oder Nichts Gesetz, d.h. entweder ist die Reizschwelle hoch genug eine Reaktion auszulösen oder sie ist zu niedrig, besteht keine Auslösung des Schmerzes. Dabei sind
als physikalische Schmerzauslöser Temperaturen oder mechanische Reizungen zu nennen. Als chemische Reizauslöser kommen z.B. pH-Wert Änderungen, Blutübersäuerung durch nutritive Noxen die zu rheumaähnlichen Schmerzbeschwerden führen,
in Betracht. Als biologische Auslösefaktoren können Entzündungen oder Ischämie beispielsweise angeführt werden. Durch eine minimale Konzentration von Stoffen wie Bradykinin, Histamin, Kallidin oder Serotonin, können durchaus Schmerzen ausgelöst werden.
Zur Behandlung der Fibromyalgie ist die Kenntnis von achtzehn Tender Points Voraussetzung. Gleichzeitig dienen Punkte aller Verfahren als Diagnosepunkte.
Wenn der Patient mit Schmerzen im Muskelsystem in die Praxis kommt ist eigentlich die ad hoc Diagnose schnell auf Weichteilrheuma gestellt.
Ein Betroffener, Friedrich N., 54, Selbständiger Handwerksmeister, berichtet: „Zunächst hatte ich, beginnend vor 2 Jahren, Kopfschmerz und Nackenbeschwerden.
Die Ursache schob ich auf Zugluft. Die Beschwerden waren in anderen Situationen ebenso da und wurden in den Abständen immer kürzer, an Intensität stärker.
Das Ganze zog sich dazu weiterhin über die Schultern nach vorne zur oberen Brustmuskulatur. Vor etwa zwei Monaten jetzt Beschwerden in den inneren Ellenbeugen, in
der Lendenwirbelsäule und den seitlichen Hüftgelenken“. Nach eingehender Untersuchung wurde der Verdacht bestätigt, Fibromyalgie. Es ist ein Begriff aus dem
lateinischen Fibra und den griechischen Vokabeln „mys“ und „algos“ sowie „ia“. Im Sinne des Wortes zusammengesetzt ergibt sich der Zustand des Fasermuskelschmerzes. Zur Behandlung dieser Erkrankung wurden bereits vor über 200 Jahren typische Punkte festgelegt. 1968 erstmalig als Krankheit erwähnt haben Mediziner diesen nichtentzündlichen Muskelrheumatismus seit 1980 in die Diagnose aufgenommen. Seit 1991 hat WHO die Diagnose Fibromyalgie offiziell als Krankheitsdiagnose anerkannt. Nach bisherigen Statistiken werden von dieser Krankheit zu 80 – 90% Frauen betroffen. Frauen deshalb weil hier mit dem Eintreten der Wechseljahre ein höherer Kalziumverlust aus dem Skelett- und Muskelsystem bedingt ist. Vermutlich sind 4% der Weltbevölkerung an dieser Erkrankung erkrankt, davon schätzt man in Deutschland
3 Millionen der Bevölkerung.
Weiter berichtet eine betroffene Patientin, hier Petra T., 49, Verwaltungsoberinspektorin: „Vor etwa vier Jahren hatte ich erstmals Kopf- und Nackenschmerzen. Es folgte ein dumpfer, brennender Schmerz im Bereich des unteren Rückenbereiches hinauf bis zur Halswirbelsäule. Vor nun etwa einem halben Jahr ziehen die Schmerzen in den Schulterbereich, über die Ellenbogen und Hände. Seit nunmehr 4 Wochen Schmerzen an den Knien und Sprunggelenken. Hinterkopf und Brustbein schmerzt ab und zu“. Auffällig ist das die lokalisierbaren Schmerzen immer in der Gelenknähe zu finden sind. Zunächst ließ dies den Schluss einer Tendopathie zu. Doch dazu war in der Folge der Anamnese die erwähnten Erscheinungen wie, Taubheit in den Extremitäten, Magen- Darmbeschwerden, Herzrasen, zeitweise Atemnot, und bei Frau T. Menstruationsbeschwerden, untypisch für eine Tendopathie. Ein- und Durchschlafstörungen sind gegeben weil sich die Beschwerden nicht nur sitzend, sondern liegend verstärken. Nun begann für Frau Petra T. das Doktor-Shopping. Zugegeben, es ist nicht ganz einfach aus den zahlreichen und unspezifischen Symptomen eine ganz bestimmte Erkrankung als Diagnose festzulegen.
Einen grundlegende Hinweis auf Fibromyalgie geben die Frage:
1. besteht das Leiden bereits länger als 4 Monate mit unbeschreibbaren dumpfen und brennenden Rückenschmerzen.
2. es sind Schmerzen in den Extremitäten vorhanden und wo.
3. die Tastung der Druckpunkte gibt Auskunft wenn diese so genannten Tender points druckschmerzhaft sind. Die Untersuchung gestaltet sich ebenso mühsam wie die Festlegung auf eine entsprechende Erkrankung.
Es gilt die Fibromyalgie durch die Ausschlussdiagnose festzustellen. Das heißt medizinisch ähnliche Erkrankungen die mit Muskelschmerzen verbunden sein können auszuschließen. Niedergeschlagene Patienten weisen das chronische Erschöpfungssyndrom auf, hier ähneln sich die Beschwerden der Fibromyalgie. Zu den ähnlichen Beschwerden gehört vor allem die Lyme-Borreliose, die im Anfangsstadium sich befindliche multiple Sklerose. Es sind Bindegewebs- und Nervenerkrankungen zu nennen
die muskuläre Schmerzen verursachen können. Stoffwechselstörungen und Nebenwirkungen von Medikamente gilt es diesbezüglich auf die Diagnosestellung zu überprüfen. Zu beachten ist das die Patient über die Einnahme von Medikamenten nicht immer wahrheitsgemäß Aussagen. Welche Therapie ist bei Fibromyalgie sinnvoll? Bei allen Erkrankungen ist zuerst die Umstellung der Ernährung ein wichtiger Bestandteil erfolgreicher Therapien (viel Obst/Gemüse/Salat/Getreideprodukte/Kartoffeln/wenig Fleisch/wenig tierische Fette). Es ist den Betroffenen Patienten anzuraten trotz der vorhandenen Schmerzen ein entsprechendes Bewegungspensum, Gymnastik, Radfahren, Schwimmen, Wandern, täglich durchführen, denn eine Schonung tut zwar gut, führt zum schnellen Muskelabbau.
Ruhe ist gut und es sollte eine bestimmte Schlafenszeit eingehalten werden (unterstützend Baldrian/Hopfen/Melisse/Passionskraut/Johanniskraut). Fango o. Kaltpackungen sind hilfreich, wobei das Empfinden des Patienten maßgebend ist, einmal vertragen sie sehr gut die Wärme, z.B. als Fangopackungen oder Moorbäder, ein andermal eher Kühle. Entspannungsmassagen sollten sich nach den temperierten Anwendungen anschließen. Als Entspannungstherapie kann Autogenes Training über Schlaflosigkeit und Schmerzen hinweghelfen. Zur Schmerzlinderung helfen nicht die üblichen Rheumamittel, hier muss im Einzelfall individuell geprüft werden welche Mittel zur Anwendung kommen können. Nach Weihe hat jeder von ihm festgelegte Druckpunkt eine Beziehung zu entsprechenden homöopathischen Mitteln. Dazu hat Weihe eine topografische Beschreibung der 123 Schmerzpunkte mit der Mittelkombination und Einheiten genau festgelegt.
Wichtige tender points
Für das Verständnis und die Diagnostik dieser Krankheit gleichermaßen bedeutsam sind die bereits mehrfach erwähnten Druckpunkte, die "tender points".
Sie können das Phänomen am besten verstehen, wenn Sie ein kleines Experiment machen. Ertasten Sie die Stelle, an der die Muskeln des Unterarmes in die Sehnen am Ellenbogen übergehen, und drücken Sie kräftig mit dem Daumen darauf. Möglicherweise müssen Sie ein bisschen suchen, bis Sie diese Stellen auf der Vorder- und Rückseite des Ellenbogens gefunden haben.
Wenn dieser Druck schmerzt, haben Sie einen "tender point" gefunden. Sie müssen nun aber keinen Schreck bekommen: Ein tender point macht noch keine Fibromyalgie!
Die beiden Punkte am Ellenbogen sind bei den meisten Menschen schmerzempfindlich. Es sind in etwa die Stellen, die auch beim "Tennisellenbogen" so ziehend wehtun.
Im Falle des Tennisleidens sitzt die Schädigung allerdings knapp daneben im Übergang von der Sehne in den Knochen.
Schmerzt es auf der anderen Seite, spricht man gern vom Golfer-Arm. Nebenbei: Die meisten Menschen, die unter den Beschwerden leiden, spielen weder Golf noch Tennis!
Nun gibt es natürlich nicht nur diese beiden Muskel-Sehnen-Übergänge. Im Prinzip kann jeder Muskel davon betroffen sein. Bevor Sie weiter lesen, sollten Sie einmal schätzen, wie viele Muskeln Sie besitzen? Es sind genau 424 quergestreiften Muskeln, die wir bewusst steuern können. Es gibt noch weitere, unzählige längsgestreifte Muskeln (Verdauungskanal) arbeiten. Etwa 40% des Körpergewichtes besteht aus Muskeln. Diese sind damit das größte Organ des Menschen. Glücklicherweise treten die Schmerzpunkte nicht an jedem dieser Muskeln auf. Über die genaue Zahl der in der Regel betroffenen gibt es keine Einigkeit. Bis zu 75 Schmerzpunkte wurden beschrieben, doch sind sie nicht alle gleich wichtig.
Wenn Sie die Abbildung genau betrachten, werden Sie feststellen, daß nicht nur die Übergänge von Muskeln zur Sehne eingezeichnet sind. Ein weiterer Übergang am Brustkorb, nämlich die Knorpel-Knochen-Grenze im Bereich der Rippen kann Schmerzen verursachen. Tastet man von außen, kann man sie unter der Haut bzw. unterhalb
der Brustmuskeln spüren. Häufig ist jeder einzelne Knorpel-Rippen-Übergang betroffen.
Da die Rippen nicht gleich lang sind, sondern von oben nach unten immer kürzer werden, liegen die Schmerzpunkte von oben nach unten gesehen immer weiter außen.
So lassen sie sich leicht von anderen sensiblen Punkten unterscheiden.
Bedeutsam sind diese tender points im Brustbereich, weil sie vermutlich für die sehr unangenehmen Brustschmerzen verantwortlich sind, unter denen viele Fibromyalgie-Patienten leiden.
Oft genug sind sie so heftig, dass die Beschwerden mit einem Herzinfarkt verwechselt werden, und die geplagten Menschen auf eine Intensivstation aufgenommen werden.
Noch ein zweiter Bereich bildet eine Ausnahme von der Regel: Im Bereich der kleinen Hand- und Fußgelenke kann das umliegende Gewebe befallen sein. Ein Zustand, der mit einer schmerzhaften Bewegungseinschränkung einhergeht.
Ich nehme an, daß Sie in der Zwischenzeit bei sich selbst überprüft haben, ob die angegebenen Stellen schmerzen. Vermutlich haben Sie bei dieser Überprüfung festgestellt, daß viele dieser tender points Beschwerden machen, wenn Sie nur fest genug drücken. Muskel-Sehnen-Übergänge sind nämlich von Natur aus empfindlicher als die Mitte
des Muskels sog. "trigger points", die mit den Druckpunkten der Fibromyalgie nichts zu tun haben. Dies sind tastbare Verhärtungen in der Muskulatur.
Über die Bedeutung der tender points wurde in der Vergangenheit viel diskutiert. Derzeit ist mein Verständnis Folgendes: Das Fibromyalgie Syndrom zeichnet sich durch eine abnorme Absenkung der Reizschwelle aus. Man wird über die Maßen schmerzempfindlich. Dieses ist im Bereich der tender points nur besonders ausgeprägt.
Aber: Es trifft letztlich den gesamten Körper. Jeder Stoß tut praktisch überall weh!
Tenderpoints - Druckpunkte bei Fibromyalgiesyndrom
11 der 18 Druckpunkte müssen positiv sein
In der nachfolgenden Grafik werden die 18 Tender points zur Diagnose des Fibromyalgiesyndroms paarig dargestellt.
Von diesen 18 Druckpunkte am Übergang von Muskeln zu Sehnen müssen bei mindestens 11 dieser Punkte vom Untersuchten Schmerzen angegeben werden.
a = Knorpel- und Knochengrenze der 2en Rippe
b = Trochanter major
c = Fettkörper im Bereich des mittleren Kniegelenkes
d = Trapezius-Ansatz am Hinterkopf
e = Bänder zwischen den Halswirbeln (C4 - C7)
f = Mitte des oberen Randes des Trapezmuskels
g = M. supraspinatus am Ursprung oberhalb der Spina scapulae
h = Ellenbogen (Epicondylus lateralis)
i = oberer, äußerer Quadrant der Glutealmuskulatur
Mindestens 11 der insgesamt 18 Hauptschmerzpunkte (Tender-Points) sollen spontan schmerzhaft auf Druck reagieren!
1. Hinterkopf im Ansatzbereich der oberflächlichen Nackenmuskeln
2. Ansatz des Schulterblatthebers am oberen Schulterblattwinkel (M. levator scapulae)
3. Knochen-Knorpelübergang der 2. - 4. Rippe in der Nähe des Brustbeins
4. Großer Oberarmhöcker (Tuberculum majus)-Vorderseite des Oberarmkopfes
5. Ellenbogenhöcker außenseitig (Epicondylus radialis), evtl. etwas abwärts (distal) davon
6. Ellenbogenhöcker innenseitig (Epicondylus ulnaris), evtl. etwas abwärts (distal) davon
7. Mitte des inneren oberen Quadranten der Gesäßregion
8. Hintere Spitze des Hüft- Oberschenkelhöckers (Trochanter major)
9. Medialer Kniegelenksspalt evtl. etwas abwärts (distal) davon (Pes anserinus-Ansatz)
Tender
Points
Fibromyalgia is an excellent example of the "switching"
phenomenon ? we may ingest a food which causes inflammation in the intestinal
tract, sending signals to the brain, which are then expressed as diffuse pain
in the muscles. This phenomenon happens because the body uses many of the same
neurotransmitters and hormones to activate pathways in many different organ
systems. Fibromyalgia is an extremely common chronic condition that can be
challenging to manage. Although the etiology remains unclear, characteristic
alterations in the pattern of sleep and changes in neuroendocrine transmitters
such as serotonin, substance P, growth hormone and cortisol suggest that
dysregulation of the autonomic and neuroendocrine system appears to be the
basis of the syndrome. Fibromyalgia trigger points are specific areas of the
body that are highly sensitive to the touch and cause great pain, but without
redness, swelling or heat in the surrounding joints or muscles. These trigger
point areas, also referred to as a tender points or pressure points, feel sore
when pressed.
Tender points are specific places on the body, generally the neck,
shoulders, back, hips, and upper and lower extremities, where pain occurs in
response to pressure. Like arthritis, fibromyalgia can cause significant pain
and fatigue, and it can interfere with a person's ability to carry on daily
activities. Tender points are sharply localized and often bilaterally
symmetric. Some points may correspond to sites of pain and others may be
painless until palpated. Tender points are specific places on the neck,
shoulders, back, hips, arms, and legs. These points hurt when pressure is put
on them.
Tender points are the areas physicians touch or feel to determine the
diagnosis of FMS and are not areas in which the muscles are knotted or have a
lumpy feel.Trigger points have been well studied by two physicians, Dr. Many
massage therapists, physical therapists, and myofascial trigger point
therapists have training in defusing trigger points. Tender points are specific
places on the body where people with fibromyalgia feel pain from even the
slightest pressure. These places include but are not limited to the neck,
shoulders, back and hips. Tender points are areas on the body that are tender
and painful when palpated (“Palpate” means to use one’s hands to assist in
diagnosis, pressing and feeling the area). Palpation is usually fairly gentle,
but not in the case of FMS diagnosis.
Tender points are used to diagnose fibromyalgia. The 18 specific spots
are located at insertion points of muscles by the knees, elbows, neck and back.
Tender points are commonly found around the elbows, shoulders, knees, hips,
back of the head and around the breast bone. Fatigue and sleep disturbance are
common complaints. Tender points are commonly found around the elbows,
shoulders, knees, hips, back of the head, and the sides of the breast bone.
There are 18 designated tender points that should be checked.
Tender points are often found in the neck area, around the elbows and
knees, down the spine, and in the hips. This condition may cause a feeling of
fatigue that can be mild or severe. Tender points are sites where nociceptors,
such as polymodal-type receptors, have been sensitized by various factors. Our
data suggest that acupuncture stimulation of tender points may activate
sensitized polymodal-type receptors thereby relieving pain.
Trigger points, when pressed, refer pain to another part of the body;
they are not sore themselves. The locus of the referred pain may be quite near
to the trigger point, or quite distant from it. Triggering Event: This theory
states that there is a single event, or a series of events, that somehow breaks
down the body’s ability to handle the stresses of everyday life. Examples of
these events may be a car accident, an allergic reaction, an exposure to a
toxin, severe illness or emotional trauma.
Ein Tender Point ist wörtlich genommen einfach ein ‚empfindlicher Punkt’. Gemeint ist eine auffällig erhöhte Druckempfindlichkeit an bestimmten Punkten bei Überprüfung mit einem definierten Druck des Untersucherfingers (genau genommen nur mit einem speziellen Gerät, dem Dolorimeter exakt einzuhalten).
Der definierte Druck soll 4 Kilopond pro cm2 betragen. Dieser Auflagedruck wird z.B. mit dem Daumen erreicht, wenn sich am Daumennagel des Untersuchers etwa ½ cm weiß färbt.
Wichtig ist, dass die Punkte wirklich als schmerzhaft empfunden werden und nicht nur als druckempfindlich.
Die Tender Points werden oft verwechselt mit den so genannten Triggerpunkten (Triggerpunkte sind im Muskel gelegene Punkte, von denen bei Druck ein ausstrahlender Schmerz ausgeht, verbunden mit einer Muskelzuckung).
Folgende typische Punkt-Lokalisationen werden beidseits untersucht:
Am Hinterkopf: Ansatz der Halswirbelsäulenmuskulatur
An der Halswirbelsäule: seitlich bei den Querfortsätzen vom 5. bis zum 7. Wirbelkörper
Am Schultergürtel: Oberrand des Trapeziusmuskels
Am Schulterblatt: Ursprung des Supraspinatus-Muskels
Am Brustkorb: Übergang vom knorpligen zum knöchernen Anteil der 2. Rippe
Am Ellbogen: der ‚Tennisellbogen-Punkt’
Am Gesäß: das obere äußere Viertel des großen Gesäßmuskels
An der Hüfte: der seitliche Rollhügel an seinem hinteren Rand
Am Knie: etwas oberhalb des mittleren Gelenkspaltes über einem kleinen Fettpolster
Pain is an experience produced by a body and
mind trying to interpret sensation and determine whether a threat is
present." As a warning signal, pain is helpful. It usually indicates
injury and encourages change to promote healing and prevent further harm.
Unfortunately, pain messages can outlive their useful purpose and take on a
life of their own. Fifty million Americans live with chronic pain and an
additional 25 million have acute pain from an illness or injury according to
Kathryn Weiner, PhD, the Director of the American Academy of Pain Management.
More important than statistics is the fact that hurting prevents people from
enjoying life. If not stopped in its early phases, pain can create a cycle that
lingers and eventually becomes chronic. Therefore, it's important to relieve
pain as soon as possible.
Pain may be alerting you to one of the
following five cycles, which can be resolved.
Cycle #1 -
Inflammation Gone Wild
Inflammation is a natural part of the acute
healing process. Blood flow increases to injured areas of the body in order to
bring nutrition and carry away damaged cells. When the
inflammatory process doesn't turn off,
internal swelling puts pressure on sensitive tissues and creates more pain and
prolonged injury. Control of inflammation naturally with RICE: Rest, Ice,
Compression, and Elevation.
Notice the first criterion is rest, which
means the body needs a break from all stressful activities. Ice, compression
and elevation take time, but it's worth it to spend 15 minutes icing with the
body part elevated 3 – 4x daily.
Diet is also a factor. Hydrogenated oils,
saturated fats, and sugar contribute to inflammation. Omega-3 oils and dark,
leafy, green vegetables counteract those effects. If natural remedies aren't
enough, there are always over-the-counter anti-inflammatories such as ibuprofen
and naproxen. Note that acetaminophen does not reduce inflammation. Some people
resist taking any pills. However, if you are caught in an inflammatory pain
cycle, you will be tempted to take even stronger pain relievers unless you get
inflammation under control. (Note that your physician can prescribe even
stronger anti-inflammatories.)
If all else fails, cortisone injections can be
used to dramatically reduce swelling in a particular area. How ever, this
option is used after others have failed.
Cycle #2 -
Unconscious Repetitive Injury
Sometimes pain tells us that we have a bad
habit which causes internal injury. The habits are so ingrained that we aren't
conscious of ourselves or the negative effects. It may start with tension in
the neck and shoulders and then send pain into the arms and hands. Poor posture
in front of a computer or in a car is often the culprit. Other posture habits create
different injuries. Lower back pain is commonly the result of sitting back on
the pelvis. Assessment of posture and movement patterns can determine if the
pain is the result of an ineffective movement pattern. Structural integration
practitioners are trained to spot these patterns as are physiatrists and
physical therapists who treat the body holistically. Once diagnosed, the
challenge is to stop the behaviors that create injury and develop new, better
habits for movement.
The process cannot be started without becoming
aware of the harmful patterns.
Cycle #3 - Cascade of
Trigger Points
Tension is a natural reaction to pain.
Muscular tension adds strain to already overloaded or weakened muscles, which
increases pain. Trigger points are small sections muscles that are stuck in
contraction and send pain to the surrounding or a distant area. If trigger
points persist, new pain points will develop in surrounding muscles which can
become a web of agony that is hard to unravel - not to mention the tension that
increases every step of the way. One solution is to decrease tension with
relaxation techniques to reduce stress in the muscles. Progressive relaxation
is one of the easiest techniques to try on your own and can be done in as 15
minutes.
Lie in a quiet place and tune into your
breath. Tighten the muscles in your toes as you inhale and as you exhale relax
them as much as possible. Work up the muscle groups in your body (calves,
thighs, buttocks, etc.) squeezing the muscles on inhale and letting go as much
as possible on exhale. By the time you tighten and release your jaw, your whole
body will be much calmer.
Relieving the entire pattern of trigger points
is also necessary, which requires a combination of warming the muscles,
pressing the points, and stretching. Many times you can do this yourself. It's
important, however, to get every point or the pattern can return. Massage
therapists who specialize in trigger point therapy can help. The most extreme
cases might need trigger point injections (usually injected with an analgesic
called lidocaine), which can be administered by a physician or physical
therapist.
Cycle #4 - Pain and
Depression
People with chronic pain are at higher risk of
developing mood and anxiety disorders and people who are depressed are more
sensitive to pain sensations, as the brain pathways that process pain and mood
are related. Depression or anxiety and pain can become a vicious cycle as
stress increases pain and pain increases stress.
The progressive relaxation exercise noted above
can be used, as well as other activities you find to be restful. Mindfulness
Based Stress Reduction, a form of meditation, has been found to be extremely
effective in increasing the ability to relax and the ability for patients to
cope with their symptoms including pain. Exercise produces endorphins
that reduce the perception of pain and
increase the feeling of wellbeing.
Walking is one of the most common and helpful,
but any enjoyable exercise such as biking or dancing will help combat a pain
and anxiety/depression cycle. Slow breathing is also effective.
Researchers at the Barrow Neurological
Institute in Arizona found that study participants who tried to slow the breath
rate to half could diminish pain and improve their mood. One way to slow your
breath is to exhale through pursed lips, like a whisper. Another technique is
to count the inhale and exhale and increase the count of each (especially the
exhale) slowly and incrementally. Medication is another option if natural
remedies aren't successful enough. Certain pain conditions respond to
anti-depressants or a combination of anti-depressants and analgesics.
Physicians who are experienced in treating patients with chronic pain, such as
physiatrists or rheumatologists, have the best knowledge to determine if this
will work for you.
Cycle #5 - Amplified
Pain Messages
Some of the latest research is finding that
pain receptors can become oversensitive and produce pain signals out of proportion
to the actual condition of the body. In this case, the message is a bit like
Peter crying wolf.
Neal Pearson in the article noted in the
opening paragraph puts it so well. "The body and nervous system may
amplify the signals to get attention. Pain could then intensify without further
tissue damage, the experience of pain could spread to new areas, previously
non-painful movement might become painful."
"New Culprits in Chronic Pain" in
the November 2009 issue of Scientific American details how the sensing neurons
can become overly excited and create pain without a stimulus. In this case the
body-mind is misinterpreting sensation, but that doesn't change the amount of
pain felt. In some cases the pain gets worse and worse. Researchers are developing
new medicines to affect the sensing neurons and combat pain in a different way.
That doesn't mean that current natural methods won't work. Alternative health
care like acupuncture and yoga therapy can affect the nervous system to restore
a more accurate internal sense of sensation, called proprioception.
Finding the Right Solution It's also possible
that pain cycles are the result of more than one cause, for example
inflammation and depression or unconscious habits and tension. As a result it
can take a bit of trial and error to find a combination of approaches that work
for a particular situation. A daily journal can help to recognize and track
your cycles and document what techniques are most helpful.
Was sind TPs?
Umschriebene, ca. 1cm große Punkte in der Muskulatur (incl. Sehnenansätze), die bei „normalem“ palpatorischen Druck schmerzhaft sind. Sie können auch außerhalb des palpierten Punktes einen fortgeleiteten Schmerz (referred pain) in dem betroffenen Muskel +/o. in der zugehörigen Region „triggern“.
Der Begriff „Tenderpoints“ wird z.T. synonym verwendet. Sie finden sich vor allem im Bereich krankhaft veränderter Gelenke und Sehnenansätze. Ihre Ausdehnung ist hier eher flächenhaft, oft verbunden mit tastbaren Veränderungen der Bindegewebsstruktur.
Gesunde Muskeln, Sehnen und Gelenkkapseln sind relativ indolent. Ihre Druckschmerzschwelle (DSS) und Konsistenz sollte zunächst palpatorisch erfaßt werden. Im Vergleich hierzu ist die DSS an TPs erheblich herabgesetzt. Palpiert wird mit einem zunehmenden Druck des leicht kreisenden Daumens, bis der Patient bei Erreichen der DSS ein entsprechendes Feedback gibt.
Vorkommen
· Akute oder chronische Muskelüberlastung, z.B. im Rahmen von Fehlstellungen des Achsenskeletts, peripherer Gelenke
· Arthrosen, chronische Arthritiden
· Folge von Muskel- oder Gelenkverletzungen.
· Im Rahmen generalisierter Erkrankungen mit Beteiligung des Bewegungsapparates wie z.B. Fibromyalgie, RA, Kollagenosen, Infektionserkrankungen
· Pseudoradikuläre Reizzustände (reflektorische arthromuskuläre Krankheitsbilder mit Beteiligung ganzer Muskelketten)
Pathophysiologie
Nur wenig bekannt. Fakultativ sind Strukturen mit erhöhter Konsistenz bzw. erhöhtem Myotonus („Myogelosen“) palpabel, an Sehnen und anderen bindegewebigen Strukturen sind z.T. Verquellungen tastbar.
DD.: Entzündlichen Veränderungen (Enthesitiden) aus dem Formenkreise der seronegativen Spondyloarthropathien (M. Bechterew und Verwandte)
Radikuäre Irritationen und Kompressionssyndrome
Beispiele für TPs
· Haltemuskulatur im Schulterbereich (PC-Arbeit)
· Auslösung von Kopfschmerzen durch Druck auf die Nackenmuskulatur unterhalb der Linea nuchae (Fehlhaltung).
· M. Temporalis Ansatz (Kopfschmerz z.B. bei Knirschern)
· Empfindlichkeit am dominanten Epicondylus lat. (Tennis)
· In die Hüfte ausstrahlende Schmerzen bei Druck auf die kleinen Glutäen (Jogger/einseitig bei Beinlängendifferenzen)
· Schmerz bei Druck auf Quadrizeps-Ansatz, supra- und infrapatellar (Jogger/Radfahrer)
Diagnostik am Beispiel Fibromyalgie
Die DSS ist bei Fibromyalgie am gesamten muskulo-skelettalen System erniedrigt. Zur Definition einer Fibromyalgie nach ACR-Kriterien werden 2 x O 9 typische tender points (siehe Abb. 15) mit steigenden Druck bis ca. 4kg/cm2 palpiert. Mindestens 11 druckschmerzhafte Punkte stützten die Diagnose einer Fibromyalgie. Die 9 tender points befinden sich bds. an:
1. suboccipitaler Muskelansatz (splenius capitis)
2. C5-C7 Querfortsätze, anteriolateral
3. M. Trapezius, Mitte des oberen Randes
4. M. Supraspinatus, oberhalb der Mitte der Spina scap.
5. II. Rippe, Knorpel-Knochengrenze
6. Epicondylus lat., 2 cm distal
7. M. Glutäus, oberer lateraler Quadrant
8. Trochanter major, dorsal der Prominentia
9. Kniegelenk medial; proximal der Gelenklinie
Abb. 15: Die Lokalisation der „tender points“. Nach „die drei Grazien nach Baron Jean-Baptiste Regnault 1793, Louvre, Paris.
[Filip Degroote]
The Energetic Examination in Homeopathy
What does the energetic examination consist of?
Energetic Examination (Filip Degroote – method) based on principles of kinesiology using:
Weihe points
Accupuncture points
Hyotonic and hypertonic
muscles (muscle tests)
Sensitive nerves along the
spine
Chakras
This Energetic Examination can only be executed under very specific
conditions:
– the physician is energetically
OK, or at least not energetically switched
– neither the patient nor the
physician wears something which contains a metal
– the area where the
examination takes place must be free of any disturbing magnetic field. That’s
why electronic devices, especially cell phones, must be turned off.
Extract from the introduction of the ‘Dreambook’
I. Of the first part: Methodology
(p. 11 – 73)
As introduction, I’d like to give the reader and the user a sketch of my
own evolution in forming my present homoeopathic views and ideas over the
years.
– 1st view: 1985: Set aside and judge separately the nosode
symptoms (rubrics in the repertory which contain Carc./Med./Syph. +/o. Tub.)
(hereditary energy) and prescribing the individual remedy only on the non-nosode
symptoms.
– 2nd view: 1989: Energetic examination using principles of
kinesiology: This allows the correct remedy to be verified, before being taken
by the patient. It is consequently easier to get a deeper insight into the
broad Materia Medica.
– 3rd view: 1992. By administering the appropriate nosode
(see, footnote 2 and 3) with or shortly after the correct individual remedy,
the case gains momentum and the patient recovers more quickly from his acute or
chronic problem.
There’s no homoeopathic aggravation and there’s a quicker evolution
towards stable health. The explanation may be, that by administering the
matching nosode, you get protection from the negative hereditary information in
the
chromosomes. Using this method, the energetic and physical expression of
some bad genes will be kept dormant.
I’m aware that this last proposition is rather revolutionary and may
provoke a reaction (or protest) in the homoeopathic world. Although a large
number of homoeopaths (especially Belgian) have trained in energetic
examination and
come to the same conclusions, it may be years before this will be
accepted generally by classical homoeopaths. Only when homoeopaths make
themselves familiar with doing an energetic examination, will they come to the
same conclusions.
When we accept this proposition as a hypothesis, we can practice’
classical homoeopathy’ in two different ways:
1st Most homeopaths search for and prescribe only on the
individual (basic) remedy of the patient. Mostly this remedy originates from
the mineral, the vegetable or the animal kingdom, and thus not a miasmatic
remedy which has a human origin.
(nb: The miasmatic remedies are remedies which have a human pathological
origin and which by their nature, are linked directly with the five known
miasms. They include the following group of remedies: Psor., Med., Syph., all
Tuberculinums, all Carcinosinums and all bowel-nosodes.)
By prescribing this homoeopathically correct remedy, he touches only the
personal energy of the patient, but not his hereditary energy. While the
patient’s complaints improve, the homoeopath often misses the ‘awakened
ancestral energetic disorder’ completely, because this disorder cannot for the
most part be observed by symptoms. This problem occurs for many homoeopaths,
because they have no knowledge or experience with energetic examination. This
‘awakened ancestral energetic disorder’ is often the reason
why the patient goes through an aggravation. During this aggravation the
patient produces known and/or new symptoms of the administered homoeopathic
remedy.
The homoeopath will mostly adopt a wait-and-see attitude. In that way
the aggravation picture, as well as the original complaint, then disappears
progressively. The disturbed buried ancestral energy which came temporarily to
the surface has then finally returned again into a dormant state. In that way
we, as homoeopaths, miss an opportunity offered to us, to treat the deeper
hereditary energetic disturbances.
We can see that the pattern of symptoms often keeps repeating itself in
the future, as if the remedy wasn’t able to effect a deep or complete cure.
When the patient consults us again, we frequently administer again the previous
remedy, with the same reaction. It is as if the patient wants to get out of a
pit, yet can never really reach the edge and so falls to the bottom again and
again. That’s why there’s a high likelihood of repeating the (basic)
prescription. This results in a ‘slow’
energetic correction of the patient, by which we don’t protect the patient
against his inherent tendency to suffer from degenerative diseases.
This manner of practicing homoeopathy refers also to the experience of
Hahnemann who, after treating his patients for many years, had to conclude that
they still suffered and died from the same degenerative diseases as people who
‘had not’ been treated homoeopathically.
2nd The energetically schooled classical homoeopath on the
contrary can diagnose this ‘awakened ancestral energetic disorder’ directly, or
fairly soon, and can correct it by the most fitting nosode. In this manner he
avoids an (constant) aggravation with intensifying symptoms. He gets a quicker
cure of the current problem. There is faster development of the case, and a
speedier evolution following a complementary individual remedy.
It is as if the patient gets out of the pit in one movement and can
evolve energetically right away.
This results in a ‘quick’ energetic correction of the patient, in
addition to which we also protect the patient against his inherent tendency for
degenerative diseases.
The classically-trained homoeopath will have to excuse me, because I’ve
written this book totally suited to the level of the energetically schooled
classical homoeopath. However, I believe that all the new dream rubrics, will
be a bonus for the general classical homoeopathic approach.
Let me say that I certainly don’t want to dissociate myself from how
homoeopathy is practised nowadays! I hope that I’ve been able to deliver to all
homeopaths, a useful addition to the Materia Medica.
1st Without administration of the appropriate nosode, there
is a fall back again and again into the same energetic pit.
2nd When the simillimum is followed by the administration of
the appropriate nosode there will be no more a fall back again and again into
the same energetic pit but on the
contrary the patient gets completely out and gets the possibility to further
energetic evolution.
–
Footnote 1: Personal remark: This proposition is right, provided that the
remedy which was prescribed is indicated again at the next prescription.
When changing correctly at a certain moment to a next remedy, the not
yet known (new) symptoms (since taking the previous remedy) will belong to the
present newly prescribed remedy. It will be like this, provided that this
remedy indeed makes these (new) symptoms disappear as well.
–
Footnote 2: A nosode is mostly administered on a complementary basis when the
simillimum is prescribed in a dose which has to be taken only once. Depending
on the miasmatic background this can be (beginning the treatment, a classical
nosode such as Carc., Med., Syph. or Tub., or also a Bowel nosode. Sometimes
this nosode is even followed by a (second) nosode, namely ‘Psorinum’.
In the further course of the treatment, it is a widespread classic
experience that the nosode which follows the simillimum seems to be ‘Psorinum’.
(cf. H. who compares psora with a monster with one thousand heads). Every time
you prescribe a simillimum in the further course of the treatment, this will
mostly be completed by Psorinum. It is as if you can release every time, the
handbrake of the lethargic effect of the ‘psora’ (as you start your parked car
and release your handbrake first).
Note: The administering of a trauma remedy, whether the trauma was
physical or emotional, never requires to be succeeded by a nosode, because the
disharmonious energy is not coming from within.
– Footnote 3: Not every energetically trained classical homoeopath finds
that a simillimum has to be followed by a nosode. This depends on the healing
power of the therapist.
– Footnote 4: cf. Degroote, F., Notes on miasms, heredity and
remedy-interactions, p. 40: ‘This fall-back is due to a hereditary layer,
coming from one of the known miasms or diatheses. This protraction of the
disease
is annoying to the patient at that moment, but gives us the opportunity
to treat a deeper, normally hidden layer and to save him from some worse evil
in the future’.
MODEL I: How the standard classical homoeopath works:
First the classical homoeopathic interview occurs with simultaneous
observation of the body language and external (physical) characteristics. After that follows the evaluation of the
obtained information, which leads to a prescription.
There is no 100% certainty that this prescription is the simillimum.
This prescription is often ‘trial and error’.
Each case involves waiting for the reactions of the patient.
If the patient reacts insufficiently or not at all, the classical
homoeopath goes on to
– another dilution of the same remedy
– another remedy (!!! sometimes wrongly – see
further)
If the patient reacts well
– the prescribed remedy is the
simillimum indeed
– the prescribed remedy is
only a simile
MODEL II: How the energetically schooled classical homoeopath works:
The classical homoeopathic interview with simultaneous observation of
the body language, external (physical) characteristics. Then follows the
evaluation of the information and an energetic examination to identify and
verify the simillimum,
from among the selected remedies.
You are about 100% certain of the correctness of the homoeopathic
prescription.
It is striking that the energetically schooled homoeopath also notices
other energetic phenomena, such as:
– observation in connection
with the communication between both brain hemispheres
– observation of the
dominating brain hemisphere: the energetic dominating brain hemisphere versus
the congenital dominating brain hemisphere.
– which physical or energetic
layer should be treated first (in order)
– which blockage may be
present preventing even a well selected remedy from working
Such blockages can be:
– switching (breakdown in
communications between both brain hemispheres), which may prevent the
simillimum from working.
– need of a classical nosode
(Psor., Med., Carc., Tub., Syph. and all bowel nosodes), which balances the
ancestral energy and makes the prescribed remedy work on ‘deeper’ levels.
– trauma (emotional or
physical trauma, vaccination, …)
– isotherapy (nosode therapy
with viruses, bacteria, fungi, …)
When these blockages are recognized and corrected, the correct remedy
can affect much deeper levels.
Energetically trained homoeopaths can ascertain that the interaction of
the individual remedy (simillimum) of the patient ‘directly’ brings an
ancestral energetic layer to the surface.
An almost simultaneous treatment of these ancestral layers (classical
nosode), directly after correction of the individual energetic disturbance by
administering the simillimum, will therefore bring on an accelerated action and
a greater profundity
of the action of this simillimum.
In practice this can be done in two ways:
– The simillimum is taken ‘together’ with the nosode.
My own practice shows that ‘during’ the taking of both remedies, the
patient (with eyes open) should not be allowed to blink, because this opens an
energetic valve between the individual energetic channels (the classical 10
acupuncture meridians) and the ancestral energetic channels (with for instance
the wonder meridians, the governing vessel and the conception vessel). When
these valves open, by blinking during administration, then the administered
energetic signal does not reach its destination. This only can be administered
again and repaired after an interval of half an hour.
– Or, and this is the easiest way of administering, you let the patient
take his simillimum first, followed a
‘minimum’ half an hour later, by the ancestral remedy (nosode).
By correction of above mentioned blockages and correction of the
ancestral energy, we also see that the patient reacts quicker and also that his
homoeopathic remedy can change quicker.
How an energetically schooled homoeopath works:
First, the homoeopath has to be perfectly fluent in the method of the
energetic examination (as described in ‘Physical examination and observations
in Homoeopathy’) and has to be in a good balanced energetic state.
Besides this, he or she has to consider possible disturbing influences
of the direct environment (electromagnetic fields and rays) during the
energetic examination. Furthermore, removable dentures and also the slightest
metal on the body
of both the patient and the researcher must be removed during the
energetic examination.
II. Of the second part (p. 77 – p. 900): ‘Casuistry’
which contains about 250 remedies:
Example, the first remedy ‘Abrotanum’:
ABROTANUM :
Botanic:
Artemisia abrotanum (English name is: ‘Lady’s Love, Lemon Plant or
Southernwood) is part of the family of the Asteraceae (Compositae) and the
subfamily Corymbiferae. The plant is
native of southern Europe and Asia Minor. Now it can be found in whole Central
Europe.
English southernwood is a contraction of southern wormwood; indeed,
southernwood can be seen as a Southern (Mediterranean) variant of wormwood,
which has been grown in West and Central Europe only since the Middle Ages. The
British name old man also was given in contrast to wormwood (Absinthium), which
is known as old woman in some parts of Britain.
Abrotanum is an evergreen strongly aromatic under shrub of 1 to 1.5
metre high and greyish-green, alternate leaves. The yellowy-white flowers only
bloom in warm climate. The plant looses its leaves from below upward.
Mythology:
Abrotanum belongs to the ‘Artemisiae’.
The different Artemisiae are:
Abrot., Absin., Art-v., Cham., Cina, Mill., Tanac.
Until Middle Ages these plants were of high standing and they were count
among the holly herbs.
These plants were devoted to the Greek goddess Artemis, the twin sister
of Apollo.
Artemis, or for the Romans Diana, is especially known as the goddess of
hunting.
As a virgin goddess, she is also the goddess of prosperity and fortune,
but also from time to time of misfortune and disasters. She gives protection to
women in labour and intervenes when chastity is defiled. So she kills
lawbreakers with her arrows.
Homeopathically:
The remedy is made of the fresh leaves and young shoots of the plant.
The key-note of Abrotanum is ‘Metastasis‘. It is mostly at the occasion
of the shifting of the disease from one organ to another organ or system, that
we trace Abrotanum:
case 1 and 2. Very little dream
symptoms of Abrotanum are known!
In the repertory we only find the following dream symptoms:
Dreams: anxious, frightful, dogs (mad dog) and many.
Therefore, I hereby mention some Abrotanum cases with their respective
dreams.
Case 1:
An eloquent little boy of 4½ has a nasty cough for the last a couple of
days. His mother explains that the cough started after he had diarrhoea for
some days. It’s a little plague that now, just before winter, is making a tour
in the toddler’s class.
Since his cough, the diarrhoea has stopped abruptly!
Further he can precisely tell a dream:
He stands together with his girlfriend from class close to an empty
round stone well, which is fully dried up. At the bottom of the well there are
little children and they can’t get out. At the side of the well there are
handles attached, however they do not reach the deepest level of the well. He
goes down the well, using these handles, and helps the little children to get
out.
Symptom:
Cough, diarrhoea after
By applying the energetic examination I find a confirmation of
Abrotanum, which he is prescribed in LM-potency, to take for several days. This makes the cough disappear almost
immediately followed by again some diarrhoea which then
disappears by itself.
Fall:
Another patient, a woman of 37 years old, had a light diarrhoea for two weeks.
After a marital dispute, the diarrhoea suddenly stopped and then she developed
eczema.
She likes people around her and she is very social-minded.
The dream she had is the following:
Her husband has moved her piano to his job with the excuse that there
was too little wood. During her dreaming she felt very aggrieved. In reality she plays piano as a pastime and
her husband does some ‘woodworking ‘in his leisure time.
Here it is remarkable that he takes possession of something of hers and puts it in his
territory, as if he is a mad dog who becomes master over (takes possession of)
her territory.
Symptoms:
Generalities, metastasis
Dreams, removing * (cf. supra)
Theme: Need of being surrounded by people
Prescription and follow-up:
After taking Abrotanum MK the eczema disappears and the diarrhoea
returns which then disappears after some days.
Discussion:
Abrotanum is a plant which cannot propagate by itself as a solitary
plant, because the plant can only multiply itself when it is closely surrounded
by other plants. The plant Vampirises and intoxicates the surrounding plants in
order to maintain and develop itself, as if the plant is missing an essential
element on its own!
Mythology:
– The moon versus the sun: the moon does not give off light itself but
reflects the light coming from the sun, and the fact that Artemis is considered
as a moon goddess and her brother as a sun god.
– Diana as goddess of hunting (by which hunting can be interpreted as
killing of others, so as to live oneself in a more wealthy manner).
The Abrotanum patient often has skinny legs with swollen feet and a
swollen belly because of a shortage of proteins.
(cf. Loutan: In fact Abrotanum wants, in contradiction to the reality
where he is energetically dependent of its surroundings, his own vital energy
so he can operate ‘autonomously’.)
Also the individual Abrotanum Vampirises (unterdrückt) his entourage and
captures the energy of other people in his surroundings and then leaves them
behind, worn-out.
Abrotanum therefore takes control over the territory of others in order
to appropriate something dear from them. In the dream this happens as a kind of
projection: her husband appropriates to himself her piano, something which is
very
dear to her and something which is a source of positive energy to her.
This case illustrates also a kind of ‘male threat’.
[Bernard Vial] in his ‘Le dictionnaire affectif des plantes’, writes
about this as follows:
Abrotanum has the idea that male sexuality needs to be suppressed
because of its destructive effect during the last trimester of pregnancy. nb: Here the pregnancy can also be expanded
to the carrying and expression of ‘ideas and creativity’.
An ever returning theme in these two dreams is that something or someone
is being displaced (moved). Indeed, this is analogue to the symptom of
‘Metastasis’ which we recognize as key-note of Abrotanum.
Case 3:
A twelve-year-old girl has an acute fever up to 40° C in combination
with coughing and right earache when she blows her nose. A clinical examination
reveals a lightly infected right tonsil. The auscultation of the lungs is
normal.
Some time ago she had the following dream:
She is biking together with her father to the city to do some shopping.
She cannot find the first shop where she has to be and she asks her dad where
the shop is. He answers that the shop is just behind a little wall, nearby.
They do some shopping there and then they go to the bakery. The counter is
placed ‘against’ the wall and the waitress, therefore, stands in front of the
counter. There lies a big (huge) cheese-knife, measuring 2 metres of length,
across the counter so that it is difficult to pass. Her dad takes this long
knife in his hand and places it on the head of the waitress. This makes the
waitress fall backwards on the counter. All the people present have to laugh
about it. - - - - -
The last remedy to which she has reacted positively is ‘Lycopodium’.
Themes:
A wall is referring to the ‘marking off‘ of space. Delineation means
isolation and Abrotanum needs space and (social) ‘contacts’. The waitress is standing to the side of the
customers because there is no place left on her side behind the counter.
Here there is also an infringement by the father of the territory of the
waitress and he makes her ridiculous by doing so. nb: Abrotanum has, according
to Frans Vermeulen,
an anti-authority attitude just like the other Artemisiae.
Case 4:
Another patient has a general back-burden since she has suppressed the
diarrhoea about two weeks earlier by taking a couple of Imodium-capsules
(contain loperamide).
Since then she always wakes up around 2.15 – 2.30 h.
then can not get back to sleep for one hour. Sometimes she wakes up to
read something.
These days she feels as if her husband and her children are taking away
her energy, as if they are parasites living on her back (1).
She remembers a dream that she had this night:
She saw her son of twelve years old as a toddler playing together with
his nephews on a protected place, close to the street. Because the gates of
that safe place needed to
be closed, she incidentally passes by the moratorium which is located a
little bit further and goes inside because the entrance-door was left open, in
the expectation of some
real guests (2). She was, together with other people, looking for her
son and his nephew. Because of the mere fact that the door from the moratorium
was open, she suspected them to have entered and therefore she walked in to
look for them. What she furthermore can remember is that the whole of the
entrance hall was painted yellow (3).
She therefore made the reflection: ‘I hope, we do not have to come to
greet our own relatives.’ On that particular moment, the children came running
to her. - - - - -
Discussion:
(1): the theme that others take away her energy.
(2): signature of the plant, symbolized by her children who, as a kind
of extension of herself, enter a ‘deadly’ area, which corresponds to the plant
which, once having extended its territory, makes other plants pine away.
Furthermore,
the dead area is situated ‘directly’ in her surroundings, which confirms
again the signature of the plant.
(3): yellow = signature because yellow is the colour of the flowers of
citronelle.
DD.: Peganum harmala (Homoeopathic Links, 1/00): vampirises
(unterdrückt) the others in an energetic way; Art-v.
Energetic examination:
– Hypersensitivity of the fourth cervical nerve along the spine on the
right side.
– Hypotone muscles are the left or right deltoideus posterior, the left
romboideus, the right serratus anterior, the left or right pectoralis major
(pars sternalis) and the right triceps brachii.
– The acupuncture points Bladder 4, right and Bladder 21, left and
right, are out of balance.
– The Weihe point of the
Abrotanum is located on the left side under the umbilicus.
INTRODUCTION TO THE ENERGETIC EXAMINATION:
The correct homoeopathic approach requires the establishment of a total
image. This image should take into account all levels: the pure energetic, the
mental-emotional and the physical level.
The information coming from the mental-emotional level comes highest in
the hierarchy. This however shouldn’t exclude examining the two other levels
which were either less controllable, like the pure energetic level, or less
substantiated, like the physical examination. In this way these additional data
can substantially enrich the remedy image and total diagnosis.
As is commonly known, homoeopathy is an ‘energetic’ way of healing,
where the homeopath tries to analyze the energetic disturbance through the
symptoms of the patient. These symptoms are mostly subjective in nature, but
are for us, a sufficiently reliable parameter to come a homoeopathic remedy
image . For these insights we have to thank the genius of Hahnemann. He was the
first to give real value to these subjective symptoms!
The oriental ways of healing, including acupuncture, base themselves on
the quality of the life energy during disease and health. This life force runs
through the body in different forms. One of these forms uses the meridians,
to spread the vital force internally as well as externally.
Some thirty years back the chiropraxis succeeded in establishing the
link between certain muscles and certain meridians. In this way meridians can
indirectly be tested through muscles.
A sickness, as defined by our homoeopathic criteria, fitting into a
certain homoeopathic remedy image, must surely, at the basis, be an energetic
disorder. In the same way it should be possible to make objective this
disorder; namely through the meridians and their corresponding muscles.
On a physical level there is also an objective correlation between the
morphology and inner functioning . As
has been established in analytical psychology, major psychological events are
being resumed and expressed into the image language of symbols. Likewise it can
also be said that a certain energy structure correlates with a certain
homoeopathic remedy, physically expressing itself in a certain appearance of
the person in all his structures.
We call this the ‘physiognomy’.
These structures are, in order of importance:
the central nerve system and the peripheral, the heart and circulatory
system, the hypophysis and endocrine glands, the liver and gastrointestinal
system, the lymphatic tissue, lungs and respiratory system, kidneys and urinary
system, genitals, osseous tissue, muscles and connective tissue, mucosae and finally the skin. These symptoms
can, depending on their hierarchic placement, have an emphasized importance.
For example: someone unconsciously biting the cheek during talking is
expressing a symptom of the nervous system. Because of their clinical
reliability, these symptoms score highly
(e.g..: median cleft of the lower lip), or because of their
reflex-energetic importance can be very valuable (for example : a solitary
naevus located on known Weihe point,
or a wrist cyst which indicates a meridian dysfunction).
Use of the Weihe points (W.P.)
The use of the W.P. goes back to around 1875, when doctor Weihe
introduced the technique of the painful pressure points. This technique implies
that, when a homoeopathic remedy is indicated with a certain patient, one
excites a sharp pain by pressing the corresponding W.P.
A previously used technique was the ‘piano tapping’ (u.a. Dr. Nebel of Montreuil – Switzerland): one
pressed the W.P. gradually harder with the tip of the index finger, and then
all of a sudden let loose. When the WP was sensitive, the releasing of the
point provoked an intense pain (cf. the rebound tenderness phenomenon like with
peritonitis).
[Doctor Pladys]
Used the W.P. as a ‘confirmatory’ technique because the tension points
unique to the physiognomy of each remedy diminish in a significant way by
pressing on the corresponding W.P. Other coincidental valleix-points >
pressurising the W.P. My experience indicates that putting pressure on the
W.P., the corresponding weak muscle test (as an expression of disturbed energy
unique to the remedy) significantly improves.
The pressing of the W.P. is as if you were temporarily administering the
remedy as long as the pressure is maintained.
The location of the W.P., described for each remedy, is only valid for
right-handed people. With left-handed people the W.P. can be found on the
hetero-lateral side.
The laterality of the W.P. depends on which brain-hemisphere is
dominant.
Also the muscle tests and the sensitive nerve exits mentioned in the
book Physiognomy, change in laterality with left-handers!! Many W.P. are located bilaterally, yet
show only a positive reaction on one side (except for Calc-p.).
The W.P.’s are parasympathetic by nature (Bourdiol). This also why there
are no W.P.’s at the limbs. The parasympathetic nervous system is of endodermal
origin, while
the ortho sympathetic nervous system is of mesodermal origin .
Acupuncture points:
I also use all acupuncture points in correlation with homeopathy, which
is called homeosiniatry.
The method originates especially from R. de la Fuye and R. Bourdiol.
To give some illustrations I give you some acupuncture points and their
associated remedies:
RELATIONS BETWEEN CHINESE ACUPUNCTURE MERIDIANS / POINTS AND
HOMEOEOPATHIC REMEDIES : HOMEOSINIATRY.
unknown origin, originating
among others from Tridosha (needs confirmation !!!)
The acupuncture points are referred to the original Chinese meridians as
described in:
Essentials of Chinese Acupuncture, compiled by Bejing, Shanghai, Najing
College of Traditional Chinese Medicine and Acupuncture Institute of the
Academy of Traditional Chinese Medicine, Bejing: Foreign Languages Press, 1980.
LARGE INTESTINE MERIDIAN:
1 : Allox. (r)3, Bapt.°, Calc-s.°, Chin-s.4, Ferr-p., Gels. (l)3,5,
Merc-c.4, Plan.1,4, Plb.5
2 : Abies-n. (r)3, Am-caust.5, Arg-n.1,4,5, Atra-m. (r)3, Bar-c.5,
Croc.°, Eos. (r)3, Fel. (r)3, Iris-foe. (l or r)3, Kali-s.°, Lach.4, Oct-mac.
(r)3, Ovi-p. (r)3, Sep. (l)3, Sulph.4, Tritic-vg.(r)3
3 : Aphis (l)3, Arg-n.1,4,5, Bad. (r)3, Bit-ar. (r)3, Camph.°, Castm.
(r)3, Chol. (l)3, Cypr. (l)3, Dict. (l)3, Eucal.5, Euphr. (r)3,4, Irid-met. (r)3,
Kali-p.°, Kali-s.°, Mand. (r)3, Merc-i-f.5, Morb. (l or r)3, Nitro. (l)3, Odobenus rosmarus (l)3,
Passer-d. (l)3, Salam. (l or r)3, Sulph.4
4 : Acar-w. (l)3, Alum. (l)3,
Am-m. (l)°,3, Atra-r. (r)3,
Bapt.4, Both-in. (l)3, Brass-n-o. (l)3, Buth-a. (l or r)3, Caust.4, Cham.4,
Chin. (r)3, Con. (bil.)3, Hydr.1,4, Lach-l. (r)3, Mag-p.°, Mucoc. (bil.)3, Op.
(l)1,3,5, Pardo-am. (l)3, Pic-ac.5, Pisc. (l)3, Seq-g. (r)3, Spig. (l or r)3,
Verat.1
5 : Agar. (r)3,5, Am-br. (r)3, Am-c. (bil.)3, Chin-s. (bil.)3,5, Clem.
(l)3, Cur. (r)3, Eup-per. (r)3, Hydr.5, Kali-m.°, Lat-m. (l)3, Mag-m.
(l)3, Mag-p.°, Mag-s. (l)3,
Nat-s. (l)3, Nat.-s-f. (r)3, Pil-lup. (r)3, Pitu-a. (r)3, Prot. (l)3, Sin-n.
(r)3, Tung.met. (l)3, Varic. (r)3,Vip-t. (l)3
Vorwort/Suchen Zeichen/Abkürzungen Impressum