Hara Diagnosis: Reflections on the Sea

496 Pages·1988·84.332 MB·English

by  Kiiko Matsumoto, Stephen J. Birch

Hara Diagnosis:
Reflections on the Sea

Hara Diagnosis:
Reflections on the Sea
- by -
Kiiko Matsumoto & Stephen Birch
Paradigm Publications • Brookline, Massachusetts
- 1988 -
Published by
Paradigm Publications
44 Linden Street
Brookline, Massachusetts, 02146 U.S.A.
ISBN0-912111-13-5
Copyright© 1988KiikoMatsumotoand StephenBirch
All rightsreserved. Nopart of thispublicationmaybe reproduced,storedin a retrievalsystemor transmittedin any
form by any means, electronic,mechanical,photocopying,recording,or otherwise,without the prior written permis
sion of the publisher.
LibraryofCongress Catalogingin Publication Data:
Matsumoto,Kiiko.
Haradiagnosis.
Bibliography:p.
Includesindex.
1.Medicine,Chinese. 2.Medicine,Chinese-Japan.
3.Abdomen—Examination.4.Palpation.I.Birch,
Stephen.II.Tide.[DNLM: 1.Abdomen.2.Diagnosis.
3.MedicineOrientalTraditional.4.Palpation-
methods. WB275M434h]
R602.M36 1988 616.07'54 88-17955
ISBN0-912111-13-5
ParadigmPublications
Publisher:RobertL.Felt
Editor:MarthaLeeFielding
CoverIllustration:YoshioManaka
TextIllustration&CoverDesign:HerbRichIII
FormattingSupervisor:T.DianePutt
TypesettingSoftware:
TextwareInternational,Cambridge,Massachusetts
ChineseCharacterTypesetting:
LinguisticSystems,Cambridge,Massachusetts
AdditionalSoftware& WorldDistribution
provided by
RedwingBookCompany,Brookline,Massachusetts
Acidfree,archive-qualitypapershavebeenused
intheproductionofthistexttoinsurelongevity.
Coverillustrationfromascroll
byYoshioManaka, depicting
ShenNung, thefatherofChinesemedicine.
Acknowledgements
Acknowledgements
Iwish to extendmydeepestgratitutde to Sensei Kuzome, for teaching
me the essenceof his styleof abdominal diagnosis;and to SenseiYoshio
Manaka, for his generoussharingof his greatknowledgeand research,and
for hisboundless inspiration.
My deepest gratitude is extended to Soshichiro Tobe and Yuichiro
Tobe,ofIdoNoNipponSha,for theirunflaggingassistanceand encourage
mentgiventomeoverthemanyyearsofmyfriendship with them.
I also thank my colleague, Stephen Birch, for his unremitting efforts
and exhaustive research, without which this book might not have been
completed.
I dedicate this book to the memory of my dear father, Tojiro
Matsumoto.
Kiiko Matsumoto
Natick, Massachusetts.
(cid:143)
Acknowledgements
* * *
The work involved in translating, compiling, researching, writing, and
rewriting this book has been considerable. It would have been much
slowerand moredifficultorperhaps impossiblewithoutthekind helpand
contributions of many people.
Firstand foremost are my teachersand friends Dr.Jim Oschman and
Dr. Yoshio Manaka. Dr. Oschman provided considerable support and
enthusiasm, with numerous articles, references, ideas, and brainstorms.
Hisknowledgeand wisdom is quite somethingto encounter. Dr.Manaka
shared his knowledge and clinical experiences with me by hosting my
study-visitto his clinicin Japan. His papers, books, questions, answers,
discussions,experiments,clinicaldemonstrations,and greatkindness have
profoundly influenced my work and much of my contribution to this
book. Ithas been my heartfeltpleasure tq facilitate a greaterpromulgation
of the ideas of these two remarkable individuals throughout the pages of
thiswork. Mydebt toboth ofthem isconsiderable.
My family and close friends provided much-needed emotional sup
port;Ithank them for "puttingup" withme,especiallymyparents,mysis
ter Helen,and friends such asJunko, Rick, Marty, April,Natalie, and Tim.
BobFelt,MarthaFielding, DianePutt,and HerbRichshowedgreatpatience
and perseverance working on this text; their advice and our exchanges
alwaysproved fruitful.
I would like to thank Dr. Victor Penzer and Dr. RobertSampson for
their useful feedback; and Dr. Paul Zmiewski for his technical and transla-
tional assistance with the bibliography. My students and patients issued
numerous challengesfor which Iam alsogratefulas a learningexperience.
Icannot begin to mention everyoneby name without leavingsome out, the
support I have had and found has been extensive,I am indebted to many
more than mentioned above.
Kiiko Matsumoto's tireless dedication and committment to the materi
alspresented in this book provided the essential foundation for our work.
Ithasbeen mygreatpleasuretoexpand and buildupon thatfoundation.
Perhaps the most continuous debt I have is to my inspirational teach
ers, the great masters of the past, Johann Sebastian, WolfgangAmadeus,
George Frideric, FranzJoseph, Antonio, Georg Philippet al. Their works
havehelped generate the focus necessary for thisbook.
Lastbut not least, the debt we have to the geniuses of ancient China
andthegenerations ofpractitioners andscholars fromChinaandJapancan
neverbe forgotten.
Stephen Birch
Cambridge,Massachusetts
(cid:143)
Table of Contents
Introduction 1
Chapter One:The Hara 7
ChapterTwo: Palpation 15
Usesof Palpation 18
Acupoints&BodyLandscape 20
PalpationinClassicalLiterature 21
ExtrapolatingfromtheClassicalTexts 25
PalpationSystems 26
Chapter Three: Spiritual, Mental, and Emotional
Aspects ofChinese Medicine 31
Chapter Four: InternalTrajectories ofthe Twelve Meridians 47
InternalTrajectoriesoftheLungMeridian 51
InternalTrajectoriesoftheLargeIntestineMeridian 53
InternalTrajectoriesoftheStomachMeridian 53
InternalTrajectoriesoftheSpleenMeridian 54
InternalTrajectoriesoftheHeartMeridian 54
InternalTrajectoriesoftheSmallIntestineMeridian 55
InternalTrajectoriesoftheBladderMeridian 56
IntemalTrajectoriesoftheKidneyMeridian 56
InternalTrajectoriesofthePericardiumMeridian 58
InternalTrajectories oftheTripleWarmerMeridian 62
InternalTrajectories oftheGallbladderMeridian 63
InternalTrajectoriesoftheLiverMeridian 64
Chapter Five: Origins and Energetics 67
Transformations 86
Chapter Six: SourceTheory 95
LingShuSourceTheory 97
AnatomicalRelationships 106
NanJingSourceTheory 108
Chapter Seven: Classical Energetic
Anatomy& Physiology 131
Sources& Myths 133
The Huang,Gao,and TripleWarmer 135
TheMoand Luo 141
Muscles& Membranes 148
EmbryologicalDevelopment 153
(cid:143)
Table ofContents viii
Chapter Eight:Modern Anatomyand Physiology
ofthe Fasciae and ConnectiveTissues 157
TheFascialSystem 160
FascialConnections 161
TheFasciaeinEmbryology 165
EmbryologicalDevelopmentoftheMeridianSystem 174
AnElectrodynamicModeloftheTripleWarmer 189
Dantian 190
RelationshipstoPhysicalPrinciples 191
MeridianSystems 193
Electricaland MagneticFieldEffects 197
Summary 200
Chapter Nine: Science Revisited 203
ElectricalPropertiesofAcupunctureSystems 206
ElectricalPropertiesofMoxibustion 213
PhysiologicalEffectsofFingerPressureandMassage 214
ClinicalPerspectives onAbdominalPalpation 214
Integration 216
ChronobiologicalEffects 216
ModelsofEnvironmentalInfluences 221
SensorialCorrespondences and PossibleFieldEffects 224
PhaseEffectsina FieldModel 228
Summary 232
ChapterTen: Integration and Differentiation:
Clinical Perspectives 237
TheHealthyHara 244
ClinicalApproaches 245
Chapter Eleven: HaraDiagnosis in Practice 247
DifferentiationofAbdominalFindings 249
SignificantReactions 250
SignificantFindings 251
DiagnosticProcedure 255
CommonPatternsofAbdominalReactions 259
AbdominalDifferentialDiagnosis 262
Summary 267
ChapterTwelve: HaraShiatsu 269
GeneralTreatmentProcedure 275
SpecialTreatmentTechniques 276
SubsternalRegion 278
MedialSupra-umbilicalRegion 281
SubsternalRegiontoUmbilicalRegion 283
Supra-umblicalRegion 283
Supra-umbilicalRectusAbdominusRegions 284
FluidAccumulationintheStomach 286
SubcostalRegion 287
EpigastricRectusAbdominus Region 290
LeftUmbilicalRegion 291
RightUmbilicalRegion 293
LateralRectusAbdominus Regions 294
LateralSub-umbilicalRegion 296
MedialSub-umbilicalRegion 297
(cid:143)
ix Table ofContents
UmbilicalRegion 299
LeftandSub-umbilicalRegion 300
RegionoftheAbdominalMidline 301
Lateraltothe MedialLineintheUmbilicalRegion 302
LateralHypogastricandIliacRegion 302
AbdominalPalpitations 303
AbdominalFlacciditywith Lines 304
Supra-andSub-UmbilicalMidlineRegions 304
Sub-umbilicalandHypogastricRegion 305
LumbarRegionsoftheAbdomen 306
LowerLeftQuadrantRegion 307
Hypogastric—IliacRegions 307
UpperRightQuadrant 308
SpleenandKidneyMuPoints 309
Scars 309
VisibleBloodVessels 310
FinalComments 310
Summary 311
ChapterThirteen: Anpuku:Japanese Anma Massage 313
PrepatoryWork 316
BasicTechniquesofAnpuku 318
UsingAnpukuforChildren 320
AnpukuforPregnancy 320
Self-AdministeredAnpuku 321
ChapterFourteen: Exercises to Strengthen
and Maintain aHealthy Hara 323
ProperBreathing 326
ExerciseOne 327
ExerciseTwo 328
ExerciseThree 329
ExerciseFour 329
SotaiExerciseforAbdominalTension 330
Chapter Fifteen: NanJingFive Phases 331
NanJingAbdominalPalpationDescriptions 336
NanJingLumpDescriptions 337
ModernExtrapolationsandApplicationsofNanJingTheory 341
Summary 346
Chapter Sixteen: Manaka'sUses oftheExtraordinaryVessels 347
Manaka'sMu Points 350
Manaka'sIsophasalConceptsoftheFivePhases 352
History&DevelopmentoftheIonCords 354
GeneralRules forUseofIonCords 358
ManakaExtraordinaryVesselTreatments 361
TheoreticalPerspectives 362
DeterminingaDiagnosticFramework 363
SpecificDiagnosticSteps 365
DifferentialDiagnosisoftheExtraordinaryVessels 369
ManakaExtraordinaryVesselSymptomology 372
UseoftheIonCords 373
Summary 375
(cid:143)