Tonifying Heart in someone who is not cold

mtewksbury: May 1, 2019, 3:22am
Hello Fellow Sa’am focused Qiologicians!
I have a question about tonifying Heart in someone who is not cold.
I have a client who is VERY fearful and deminished in her spirit, but who does not present with cold signs. Her
tongue is thin and red and dry. She is often afraid to leave the house, afraid of large social gatherings, afraid of
public transportation, and afraid of eating out. Has anyone treated someone with Heart tonification, when there was
not a lot of cold signs? I just don’t want to burn her up.
Thank you!
Marintha

michaelmax: May 1, 2019, 1:56pm
Ahhh great question @mtewksbury
So, very good that you caught that she is dry and already has some heat. In some ways you can see this her
condition as one of hyper-awareness of her surroundings. And she doesn’t really have a “shield” or “boundary” to
protect her.
This leads me to think she might be a san jiao excess. In which case tonifying her Liver will bring some coolness,
nourish her blood (which in turn roots the spirit) and give her kind of a “shield” against all the sensory input that
comes into her and makes her feel overwhelmed.
If Liver is helpful for her, I suspect you will see changes on the tongue quite quickly. And she will rapidly settle
into the treatment.
Keep us posted!

mtewksbury: May 1, 2019, 5:03pm
Michael
Thank you for your reply. I think that you are right about the shielding. I will give it a shot & see what happens.
The only reason I was considering tonifying heart for her was that I had a miracle treatment tonifying Heart in
someone who is not very cold. He had very acute sciatica down the UB channel of his left leg and was unable to
stand, sit, or move for many days. I started by tonifying UB and he emmidiately got very cold. I took the needles
out and tonified Heart. He was able to relax in a deep way during the treatment and was completely free of pain
and able to stand and walk and put his socks on in a way that he had not been able to do for days. As I was trying to
understand why this worked so well, I realized that he was someone who lived with a great deal of fear, although
he probably would not have discribed it that way. But ther is a way that he is constantly worried about being able to
survive in a very core way. I had not brought that into the equation & instead was focusing on the pain he was in &26/01/2024, 12:22Tonifying Heart in someone who is not cold – Sa’am Clinical Questions – Qiological Community
https://forum.qiological.com/t/tonifying-heart-in-someone-who-is-not-cold/173/print2/3
the fact that he was generally a hotter person. I think I just lucked out with this one.
This system requires deep observational skills! Weighing the emotional signs with the physical signs is tricky.

michaelmax: May 2, 2019, 1:48am
mtewksbury:
The only reason I was considering tonifying heart for her was that I had a miracle treatment tonifying Heart in
someone who is not very cold. He had very acute sciatica down the UB channel of his left leg and was unable
to stand, sit, or move for many days. I started by tonifying UB and he emmidiately got very cold.
HI @mtewksbury, actually it sounds like there was some considerable cold in him. Fortunately you caught the
problem when you needled his UB and wisely reversed it by then +HT. So it is not really a miracle, but rather you
carefully attending to your patient and correctly reading the signs of misdiagnosis.
Yes, not only this system, but medicine in general requires paying attention.

Tobydaly1: May 4, 2019, 7:40pm
Hi Marintha! Be cautious here, I like MM’s idea of maybe supplementing Liv first.

KristinWisgirda: May 6, 2019, 1:14pm
mtewksbury:
As I was trying to understand why this worked so well, I realized that he was someone who lived with a great
deal of fear, although he probably would not have discribed it that way. But ther is a way that he is constantly
worried about being able to survive in a very core way.
Could another explanation be simply that his pain was on the UB channel? Sometimes channel, sometimes
constitution.
I had a similar case of H+ treatment working miracles on UB channel sciatica in a warm bodied, very loving
patient. Later I learned that his nurse wife was telling him to learn to live with the pain because it wasn’t likely to
improve- cold! Sure I like the neatness of the this story. But he had also had his hip replaced on the same side of
the sciatica- maybe cold invaded the channel locally during the surgery. I don’t know but this patient was for sure
memorable for me.
More practically, it is helpful to list all of the possible channels involved when you meet each patient and then
michaelmax:26/01/2024, 12:22Tonifying Heart in someone who is not cold – Sa’am Clinical Questions – Qiological Community
https://forum.qiological.com/t/tonifying-heart-in-someone-who-is-not-cold/173/print3/3
carefully attending to your patient and correctly reading the signs of misdiagnosis.