How are you with you Moon Cycles?

你的日子如何，你的身體狀況也如何～

提早更年期？ 經期紊亂？ 

病人甲：女/24歲，9月求診，之前5個月沒有正常經期，間歇性有很少流量，頭痛，求診後3星期月經恢復正常。

病人乙：女/40頭，11月初來求診， 之前14個月沒有來經，婦科醫生的驗血報告顯示卵巢失去功能，9日後來經。

病人丙：女/40多歲，11月中求診，上次來經是暑假前，求診後2星期來經。

病人丁：女/40頭，11月中求診，年初起經期紊亂，婦科醫生診斷為提早更年期，3個月沒有經期，求診9日後來經。

病人茂：女/27歲，9月頭求診2次，月經來時伴隨嚴重偏頭痛，求診後再來經期時沒有頭痛。

同一問題，以上每位的根源問題都不一樣，徵狀卻相似；有關經期問題，心理健康（壓力）佔有一個重要因素，但心理或情緒問題會呈現在實在的身體器官上，並不是一個天荒夜談的關係。病人擔心，因為西醫的診斷看似給病人的身體健康下了一個限制；我覺得西醫的診斷，是一個呈現病人檢查時的狀況，而非絕對是一個沒法子改變的情況。

「內臟手法治療」(Visceral Manipulation, VM）透過改善身體器官的活動能力和器官自身的活力，去改善功能性失調的問題。妳知不知道妳的子宮 有4條韌帶，卵巢有3條韌帶，還未考慮她們週圍的其他器官和組織，縱使有一條韌帶有過分張力，或下層腹膜及小腸與子宮有黏連，子宮及卵巢都不能夠維持正常活動。我還想跟進下去，希望病人不用再覆診，月事也能繼續正常。

我還有很多未能完全處理的個案，所以做治療的學海，真是無涯。

How you spend your life determines how your health would be…..We see now so common for women to have early Menopause, Dysmenorrhea, Amenorrhea, etc….Let me share some case conditions with you:

Patient A：F/24, treatment received in Sep, no regular period for 5 months with scanty flow in between, headache, period resumed normal post-treatment 3 weeks. 

Patient B：F/ Early 40s, treatment received in early Nov, no period for 14 months, blood test from gynecologist confirmed no function from ovaries. Period resumed 9 days post-treatment. 

Patient C：F/40s, treatment received in mid-Nov, last period was around summer, period resumed post-treatment 2 weeks. 

Patient D：F/ Early 40s, treatment received in mid-Nov, irregular period since early 2020, gynecologist suggested early menopause, no period in the past 3 months, period resumed 9 days post-treatment. 

Patient E：F/27, treatment x 2 in Sep, severe migraine during period, no more migraine after 2 treatment sessions. 

Same physical problem with similar symptoms, yet there were actually different root causes on individual patient. Psychological health can be of great influence to menstruation issues, and your mental/emotional issues manifest as physical problems on the body is not something impossible. Western specialist’s diagnoses seem to scare patients by giving a limitation to the potential recovery of the patient. To me, western medical diagnoses is more a report of the patient’s physical condition during the time of consultation/investigation, but not entirely a confirmation of certain diseases that can’t be improved. 

Visceral Manipulation (VM) improved dysfunctional conditions of the body through improving and optimizing the mobility and motility of related internal organs. Do you know the anatomy of your uterus and ovaries and its relationship with nearby structures? Any one of the ligaments being in tension, and the organs cannot move in its optimal position, with time, dysfunctions occur. Hopefully my patients can be in good health without coming back again, but I still have many cases I am not able to help fully and hence this study journey is endless, yet very enjoyable.

Organs … emotions…

很多人以為 Visceral Manipulation (VM) 內臟手法治療（台灣譯：內臟筋膜鬆動術）就只局限做腹部治療，其實 VM 治療師是用雙手去找出身體有活動受限（restricted movement） 的結構，再檢查內臟器官的「能動律」（mobility）和「原動律」（motility）；治療師會用 VM 手法治療去調整身體有活動受限的地方，讓器官重新恢復活動能力。影響身體平衡的組織可以有很多，如筋膜（fascia）、韌帶 （ligament）； 而器官受限又影響到附近的神經線，血管（動和靜脈）、淋巴系統；神經線又直接影響肌肉筋腱，以致受其支配的關節。所以，VM 整個治療範圍包括器官系統（visceral system）、神經系統 （nervous system - central and peripheral nervous systems）、血管系統 （vascular system，血管系統會影響靜脈系統及淋巴系統）、筋膜系統 （fascial system）、骨骼關節系統 （osteo-articular system ）…等。我們處理的並不只是內臟器官，隨著經驗及對人體解剖學和生物學既認識，只要治療師雙手能感覺到的組織，都可以 VM 手法治療改善他，並協助身體回復健康狀態。

而VM 創辦人Jean Pierre Barral 老師（osteopath）在 70 年代開始，已經鑽研內臟器官和情緒之間的關係，從而他發展一套 手感體溫手法 （Manual Thermal Evaluation (MTE) ），以徒手去分辨屬於內臟器官的問題是來自：1）結構性組織，2）功能性狀況，或是 3）情緒問題。當身體發生 生物機械方面（biomechanical）的問題，治療師亦要檢查當中有否情緒問題。Jean Pierre 認為一個問題如果已在身體上已成形，若只處理情緒方面，而沒有處理身體上實際有的組織受限情況，問題還是會復發。

VM 是以聆聽手法找出身體出現毛病的根源，再以適切而準確的手法去協助身體釋放有壓力，有阻塞的地方。這是一個由Osteopathy 發展出的整全性（holistic）手法治療，Jean Pierre 以他多於40年在臨床和解剖室內，對人體結構和功能獲得的經驗發展出來的輕柔手法治療；我們治療師面對的，並不是一個身體毛病，而是一個獨一無二的病人身上出現不平衡的狀態，兩個同一徵狀的病人，需要的治療方法可以完全不一樣。我們做的是找尋身體問題的根源，而非頭痛醫頭、腳痛醫腳。

Majority of people think Visceral Manipulation (VM) treats only abdominal organs, VM therapists actually use their hands to find out the body parts with restricted movements, and to assess the “mobility” and “motility” of the internal organs. After finding out the areas with restricted movements, therapists apply techniques to restore the movement of the area/organ. The causes that disturb the body’s balance / homeostasis can be numerous, it can be due to fascia, ligaments etc. An organ with restricted mobility/motility would also affect the surrounding nerves, blood vessels, lymphatic system. Nerves problems then affect their innervated muscles / tendons, as well as the related joints. Considering this, the areas that VM covers include visceral system, nervous system (Central Nervous System CNS & Peripheral Nervous System PNS), vascular system, lymphatic system, fascial system, osteo-articular system…etc. What we are treating are not confined to internal organs. With further clinical experience, and more understanding of human anatomy and physiology, what we can feel, we can treat.

The founder of VM, Jean Pierre Barral (Osteopath) started to study and investigate the relationship between internal organs and emotions since 1970s. He developed an assessment tool called Manual Thermal Evaluation (MTE), using hands to differentiate whether the problems of an internal organ be due to: 1) structural components, 2) functional conditions or 3) emotional issues. When the body has a biomechanical problem, therapists have to check if this problem has an emotional component. Jean Pierre advocates that if a physical problem already exists in the body, only treating the emotional aspect without addressing the actual physical aspect, the problem will recur. 

By using listening techniques, VM therapists find out the root cause of the problem of a patient, and then using precise and appropriate techniques to treat the area to restore it back to normal. This is a holistic manual therapy originally stems from osteopathy, and Jean Pierre developed it in a more complete and detailed approach, using his more than 4 decades of clinical and dissection experience. What we VM therapists are treating, is not a body illness or dysfunction. Rather, we are seeing and helping an unbalanced state of a patient who is unique and special. Same symptoms occurring on two different patients and the treatment approach/area can be totally different. What we do is to find the root cause and treat it, instead of only relieving symptoms. 

How VM finds out my problems ?

「治療病人時，我們必須做聆聽檢查，因為聆聽檢查讓你知道創傷後的衝力會在去到頭髗的那些地方」

Jean-Pierre Barral 老師解釋訓練我們的手以致在進行聆聽檢查及治療病人時的重要性。

我在 2019 年 1 月德國慕尼黑上這個Jean Pierre 老師的新課程「高階創傷」。老師分享集自己過去多於 40 年如何處理有身體創傷的治療經驗，特別是發生在頭或上胸腔（例：腦震盪症後群，揮鞭捐傷）

“We must do listening when we treat somebody, because the listening show you where the collisional forces are going.” 

Jean-Pierre Barral, Doctor of Osteopathy (DO), founder of Visceral Manipulation, elaborated the importance to train our hands

to assess patients so as to carry out proper treatment. This was taught to us during the new course of Jean-Pierre Barral, “Advanced Trauma” in Munich, Germany in January 2019. Jean Pierre shared his over 40 years of clinical experience on how to treatment patients with physical trauma, particularly on head and upper thorax (eg for patients with condition like whiplash injury, post-concussion syndrome etc).

It seems impossible, but with practice, and ceaseless study, and you can really use your hands to feel the body in such a subtle way. A few patients reported of decreased tension of head, or headache after treatment, and asked me why VM could help in this way. In Barral Institute, we have Visceral Manipulation (VM), Neuro-meningeal Manipulation (NM, 腦神經及腦膜手法), Viscero-Vascular Manipulation (內臟血管系統手法), Manual Articular Approach (關節手法). 

For therapists, you can go to the link below to check for courses all over the world

治療師可在以下網頁找到在世界各地都有舉辦的 Barral Institute 課程:

http://shop.iahe.com/Workshops/Barral-Institute

For people who want to seek for therapists, you can find a therapist in your city and check their qualifications using the link below

以下網頁可讓你找到在你城市的Barral Institute/Upledger Institute 的治療師:

https://www.iahp.com/pages/search/index.php