A note on treating strong constitutions

KristinWisgirda: September 4, 2019, 11:42pm
Observing in Toby’s clinic last month, we saw 2 of his famous patients: the Eagle Syndrome post stroke patient and
Robert the myasthenia gravis patient. Both have strong K excess constitutions.
Toby noted that both patients do much better with one sided treatments. He posited that their abundant resources
are easily mobilized so that they respond really well to the basic one sided treatment. Treating both sides can create
too much of a good thing. For Robert, treating both sides often creates a strong urge to urinate when he is on the
table because treatment if often about moving fluids with St+, SI+ or LI+.
Something to remember for both the strong and the frail patients. Simple treatments work better.

George_Mandler: September 5, 2019, 10:05pm
@KristinWisgirda Thank you for posting this pearl.
Two questions:
1. Are you talking about treating two sides with the same channel. Such as double ST+ for example. (even
though a strong K exces constitution) Or rather doing ST+ on one side and SI+ on the other?
2. This is interesting because I always have in my mind that for weaker patients less needles are “better”. But
my interpretations of what you shared is that for weaker patients we should consider using two sides if we
do not get a satisfactory response but are sure with our diagnosis. Is that correct?

KristinWisgirda: September 5, 2019, 10:15pm
George_Mandler:
Are you talking about treating two sides with the same channel. Such as double ST+ for example. (even though
a strong K exces constitution) Or rather doing ST+ on one side and SI+ on the other?
2 sides any combination, either doubling up on one channel or using a different channel on each side.
George_Mandler:
This is interesting because I always have in my mind that for weaker patients less needles are “better”. But my
interpretations of what you shared is that for weaker patients we should consider using two sides if we do not25/01/2024, 12:12A note on treating strong constitutions – Sa’am Clinical Questions – Qiological Community
https://forum.qiological.com/t/a-note-on-treating-strong-constitutions/578/print2/2
get a satisfactory response but are sure with our diagnosis. Is that correct?
Thanks for asking for clarification. Both weak and strong patients do better with one sided treatments, for different
reasons. The weaker patient can’t process all the information of a 2 sided treatment. The strong patient almost
processes the information too well which can lead to unwanted effects.
With weaker patients, I would definitely stick with one sided treatments even if progress is slow or not great. A
weak constitution is going to slow response.
I hope this helps.