Concave diseases vs Consolidation

alinacee: June 27, 2020, 9:24pm
Hello everyone,
I am a new and enthusiastic Sa’am student. I have quite a nr of questions, but here’s one that’s been bugging me
lately.
How does one differentiate btw a convex disease (GB) or consolidation (like hard masses in the abdomen)? i
remember that Toby gave as an example of convex disease raised shoulders and swellings, but what about a tumor?
what if it’s not in the lower abdomen? of lumps? Or is it that convex things on the exterior are GB and convex
things on the interior are KD?
Thanks,
Alina

KristinWisgirda: June 28, 2020, 4:12pm
Hi Alina,
Welcome to the forum! The more Saam enthusiasts the better. We all learn from one another.
Not all convex things have been created by a GB excess.
Hard masses in the lower abdomen that are palpable/visible have more clinical significance for pointing to K
excess. There is much less clinical K excess significance of masses if they are not palpable/visible, not in the lower
abdomen, not hard.
Keep going back to the intro Powerpoint and take every word seriously so that you know the essence of the excess
pictures. Toby crafted it carefully to reflect the gems his teacher taught him.
When looking at a particular aspect of the patients presentation, be open to noticing as many qualities that pertain
to the Saam channel qualities a you can. For instance with a mass look for:
convex/concave
hard
fluid filled
hot/cold
skin moist or dry
red/pale/purple/brown
location: channel(s), side of the body and body area
Grade these qualities on a scale of +1 to +10.
You will answer your own question.
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alinacee: June 28, 2020, 4:33pm
Thanks Kristin for taking the time to reply!
Got it! Of course we really are to try and investigate all these qualities at all times. I should have figured it out.
I guess I was wondering if there was a special link btw Gb and all types of swellings as there is with the KD and
hard masses in lower abdomen.
Good to know.

michaelmax: July 2, 2020, 11:40pm
Hi @alinacee
Delighted to have you here. Thanks for the question.
I think of GB convex issues as having an aspect of heat and excess. Sometimes this kind of “convex” shows up in a
person’s posture and way of holding themselves. Think of a swaggering gunslinging cowboy compared to a meek
geeky computer programmer. (yes, stereotypes, but these do help us to “see” patterns)
GB convexity tends to have some kind of outward energy about it. KD consolidated convexities tend more have an
aspect of stagnation and stuckness.
These are my observations based on what I’ve heard from Toby and my clinic experience. Watch for it and see
what shows up for you.

alinacee: July 4, 2020, 7:24pm
Thank you Michael for your insights!
This is very helpful!