Fibromyalgia Treatment in Tibetan Medicine

Nashalla Gwyn Nyinda

Fibromyalgia in Sowa Rigpa www.holistic-health.org Nashalla G. Nyinda Menpa TMD • • • • • • • • • • • • • • • • Western Medical Symptoms of Fibromyalgia: yི་luགས་kyི་ནད་rtགས་ Chronic muscle pain, muscle spasms, tightness, restless leg or curled toes. A feeling of swelling (without actual swelling) in the hands and feet. A feeling of “being squeezed or bound.” Stiffness upon waking or after staying in one position for too long. Moderate to severe fatigue and decreased energy. Insomnia, sleep disturbances, or waking up feeling just as tired as when you went to sleep. Difficulty remembering, concentrating, and performing simple mental tasks “brain fog”. Abdominal pains, bloating, nausea, constipation alternating with diarrhea chronic, digestive disturbances. Tension or migraine headaches, jaw and facial tenderness or TMJ. Sensitivity to one or more of the following: odors, noise, bright lights, medications, certain foods, cold or hot. Feeling anxious, panicked, obsessive or depressed. Describe feeling of “being plugged in” describing feeling twitches in nerve system, with no evidence to cause by MRI / CT scans. Numbness or tingling all over and non-stationary “roaming pain” or tingling in the face, arms, hands, legs, or feet. Heart palpitations and discomfort. Increase in urinary urgency or frequency (irritable bladder). Reduced tolerance for exercise and muscle pain after exercise. © Nashalla G. Nyinda Generalized Symptoms of Wind Relating to Fibromyalgia from the rGyud bZhi: rgyuད་ལས་rluང་གི་ནད་rtགས་syི་ • Pain which moves and is un-stationary. • Stiffness and joints which feel hard and difficult to move. • Shivering and feeling deep coldness. • Pain worse with movement (exercise can flare symptoms). • Feeling of squeezing or pressure or swelling, even if no swelling or pressure is applied, or as if the body has been bound tightly. • Stiff locked limbs held tight in extension or contraction, or muscle spasms such as restless leg syndrome. • Feeling intense pain, as if the bones are broken or the muscles and tendons are tearing, or as if one has been badly beaten, or as if you are walking on hot thorns. • Pains in the hips, waist, head aches. • Insomnia, desire to stretch, feeling constantly stiff. • Symptoms worse in the morning despite sleeping, heavy fatigue. • Dullness or foggy mind. • rLung points are painful upon touch. • Tingling, numbness and loss of sensation in extremities. © Nashalla G. Nyinda rLung almost never acts alone: In every rLung disorder, the nature of rLung either acts as a conditioner or is directly affected by another imbalance within the system. • rLung spreads, increases, hardens, and intensifies disease. This blending creates disturbed, excess or deficient amounts of rLung. • This in turn travels down a wrong pathway, aggravating other systems as it enters the location it’s attacking. © Nashalla G. Nyinda Always Remember མ་u་བ་ Indigestion © Nashalla G. Nyinda Eight summarized symptoms of the twenty rLung conditions by type: 1 & 2. Stiff and Shrunken: རེངས་དང་འuམས་ 3. Dryness: skམས་ 4. Bloated: sbོས་པ་ 5. Paralyzed: འyེས་ 6. Pain: གཟེར་ 7. Mental / Emotional Instability: འyོས་པ་ 8. Cognitive Challenges: lkuགས་པ་ Comparing manifestations of rLung with allopathic descriptions, a clear affirmation emerges that fibromyalgia is related to a syndrome of rLung. © Nashalla G. Nyinda Of the twenty specific disorders by type, Five specific rLung diseases meet a majority of criteria for matching fibromyalgia symptoms. 1. ཤིང་རེངས་ Shing Rengs translates as “Wood Like Stiffness” 2. བི་ཤ་ཙA་ Bi Sha rTse translates loosely “Loss of Finger and Hand Functions” 3. བrl་རེངས་ brLa Rengs translated literally “Stiff Thighs” 4. ཚAར་མ་stེ་ Tser Ma sTe descriptive of sensation translated as “With Thorns” 5. rkང་བrʦེ་ rKang brTse translated “Walking on Top of Rocks” © Nashalla G. Nyinda 28 Specific Locations Affected by rLung 1. Skin lpགས་ 2. Muscle ཤ་ / ཤ་གནད་ 16. Place of Digest ཟས་ 3. Fat ཚOལ་ * more discussion needed on location of the place of digestion (Duodenum ཕོ་བའི་ཟངས་ཚགས། rgyu་སོར་བcu་གཉེས་མ།) * 4. Nerves rʦ་ 17. Place of Undigested མ་uའི་གནས་ 5. Blood rག་ 18. Post Digestive Place u་བའི་གནས་ 6. Tendons / Ligaments u་བ་ 19. Gallbladder མrིས་ 7. Bone ruས་པ་ 20. Rectum བ ཤང་ 8. Joint ཚOགས་ 21. Urine གཅིན་ 9. Bone Marrow rkང་ 22. Womb མངལ་ 10. Reproductive Fluid u་བ་ 23. Head མགོ་ 11. Heart sིང་ 24. Eyes མིག་ 12. Lungs glོ་བ་ 13. Liver མཆིན་ 14. Spleen མཆེར་ 15. Kidney མཁལ་ 25. Ears rn་བ་ 26. Nose sn་བ་ 27. Teeth སོ་ 28. Whole Body luས་kuན་ © Nashalla G. Nyinda 8 of The 28 rLung disordered by location clarifies the disease as relating to rLung: • rLung spreading on the skin rluང་lpགས་པ་ལ་grམ་ • rLung attacks / enters the muscles rluང་ཤར་rgyས་ • rLung attacks / enters the channels rluང་rʦ་ru་rgyu་བ་ • rLung attacks / enters the ligaments rluང་u་བ་ལ་uགས་པ་ • rLung enters the bones rluང་ruས་ལ་uགས་པ་ • rLung attacks the joints rluང་ཚOགས་ལ་uགས་པ་ • rLung attacks the bone marrow rluང་rkང་ལ་uགས་པ་ • rLung attacks the whole body rluང་luས་kuན་spyིར་yབ་tu་uགས་པ་ © Nashalla G. Nyinda Methods of Treatment - General rLung Diet Warm, easy to digest, nourishing, soothing to the nerve system, keeping in mind correct antidotes for wind attacking muscles, ligaments, tendons and indigestion blocking channels. rLung Behavior Slow, calm, warm, less stimulation, increasing good sleep habits, breathing exercises and mediations which stabilizers the nerve system and vagal nerve. rLung Medicine Warm, opens the appetite, calms the nerve system and mind, relaxes and opens the channels, ligaments, tendons, strengthens the 7 bodily sustainers. rLung External Therapies Nourishing to blood channels and nerve system, generally warming to increases circulation and aid unblocking and cleaning any impurities and providing flexibility. © Nashalla G. Nyinda Methods of Treatment - Specific Diet • Onion & garlic • Bone broths, fish & meats • Boiled half milk / half water • Cooked vegetables • Aged cheeses, butters • Molasses • Warm chang / light alcohol • Many Cooking spices are easy to add / use as dietary medicine © Nashalla G. Nyinda Methods of Treatment - Specific Behavior • Less-stress, peaceful, pleasant locations, good friendships • General cool nature of rLung (unless combined with a heat) requires remaining in warm environments. • Adequate sleep stabilizes the groundless aspects of rLung. • Avoidance of diet and behaviors aggravating rLung can only be done with a focused mind. • It is vital to help patients feel clear, open and grounded enough to begin slowly to implement changes which improve their condition. • Basic meditations, Shamatha ཞི་གནས་, nine fold breath purification benefit inflammatory conditions via access to the vagal nerve. © Nashalla G. Nyinda Methods of Treatment - Medicine 1. Decoctions Thang ཐང་ / Khu ba u་བ་ (broths) – 7 type 2. Fermented grain / medicinal wine Chang ཆང་ – 5 types 3. aDon འདོན་ ‘medicines to dig out disease’ – 4 types 4. Powders phye ma yེ་མ་ – 1 type Nutmeg Powder Compound rǳa་ཏི་yེ་མའི་sbyོར་བ་ / or substation with kitchen spices 5. Medicated Butters sMan mar smན་མར་ – 5 types Pomegranate Medicine Butter སེ་འbru་smན་མར་ © Nashalla G. Nyinda Decoctions & Broths ཐང་དང་u་བ་ • Spiced broths. Less heavy if channels sluggish & combined with Badkan • Vegetarian alternative of aged barley miso s. oup Fermented Grain Medicinal Wine smན་ཆང་ • 1/2 TBS warm sake (chang) in hot boiled water alongside rLung formula. Nutmeg or cardamon on top as an additional Kha Tshar. Medicines to Dig Out Disease / “Cleanser” འདོན་ • The third fermented barley cleanser formula is superior for fibromyalgia. Alleviates weakness, body aches, fatigue or brain fog as well as general rLung. Powder yེ་མ་ • Nutmeg Powder Compound rǳa་ཏི་yེ་མའི་sbyོར་བ་ fifteen ingredients said to suppress all rLung of the upper, lower, inner (mental, emotional) and outer (nerve, bone, ligament and tendons). Medicine Butters smན་མར་ • Pomegranate Medicine Butter སེ་འbru་smན་མར་ increases digestive power, can open blocked channels. Praised for power to suppress any rLung disease. Especially useful in the late winter months to prevent rLung from attacking muscles. © Nashalla G. Nyinda Methods of Treatment - Specific External Therapies • Enemas oily suppositories འཇམ་rʦི་དང་ནི་ru་ཧ་ Massage བsku་མཉེས་ / sku་མཉེས་ * Not for བrl་རེངས་“Stiff Thighs” • Metza མེ་བཙའ་ • Compresses duགས་ • Horme ཧོར་gyི་མེ་བཙའ་ • Warm baths luམས་ * Do not overheat if mixed with mKhrispa © Nashalla G. Nyinda uགས་rjེ་ཆེ་u་བ། Thank You

FIBROMIALGIA TREATMENT IN TIBETAN MEDICINE FEATURE BÜ¨¼¼#ʈBú«Ã INTRODUCTION Ê«Ü Ø «ÃãØÊè «Ã ã«¼ a«ãÃ ÃãÊÂú ãØÂ«Ã«Ã¢ã¨ÂÊÜãÕÕØÊÕØ«ãÂ«¼«ÃãØóÃ- ÃÕ¨úÜ«Ê¼Ê¢úã¨ÊØúʈa¨Ø¡ÊØʃ«ã«Ü¡ÂÊèÜ¼úÜãã- ã«ÊÃ ¡ÊØ "«ØÊÂú¼¢« «Ü ¨¼¼Ã¢«Ã¢ èÜ «ã ÕØ- ã¨ã«¡úÊè¹ÃÊôã¨ØÊÊãʃô¨ãóØ¢ØÊôÜÃÕ- ÜÃãÜÂúØ«Ê¡Õ«ÃÜúÂÕãÊÂÜʈ ÜèÕÊÃÂúù- ÕØÜô«¼¼ó«Ããʈ ÕØ«ÃôÊØ¹«Ã¢ô«ã¨"«ØÊÂú¼¢«Õã«ÃãÜʃ,ÜÜØã aØÃÜ¼ãÊ¡ãÃÜ¡è¼ãʃ¨èÂÊØʃÊØÊÜ¨ʃ¨Ê¡ ã¨ãã¨«ÜÊÃ«ã«ÊÃÕØ«ÂØ«¼ú¡¼¼ÜèÃØã¨a«ãÃ ã¨ã¨Ø¨Ü«ØãØ¼ã«ÊÃÜ¨«ÕãÊã¨Ê«¼úÜúÜ- Â««Ã ã¢ÊØú Ê¡˅ ʭô«Ãʮ ÊØ Ø;èÃ¢ «ÜÊØØÜʈ ,¡ ãÂÜ ¹ÃÊôÃ Êã¨ «Ã a«ãÃ Ã ôÜãØÃ ÃãÊÂú ÊÃÊÃÜè¼ãÜã¨¨ÕãØÊÃô«Ã«ÜÜÜÊÃã«Ã Ã Õ¨úÜ«Ê¼Ê¢úʎ Ü¹¼ã¼ʃ ÂèÜè¼Øʃ Ø«ÊóÜè¼Øʃ ô«ã¨«Ãã¨ã¨«ØóÊ¼èÂÊ¡ã¨¼ÜÜ«¼¡ÊèØʢóÊ¼èÂ «¢Üã«óʃÃØóÊèÜʃÃÊØ«Ãʃ¼úÂÕ¨ÜúÜãÂʃãã- a«ãÃÂ«¼ãØã«ÜÜʃ«ØãÊØØ¼ã«ÊÃÂØ¢- Øʈ,ÃóØú«Øãôúʃô¨Ãô«ÃÂ«ùÜô«ã¨Êã¨Ø Üʈa¨ ØÊÊã èÜÜ Ê¡ã¨«Ü ÊÃ«ã«ÊÃ ØÜãô«ã¨«Ãã¨ ÜúÜãÂÜʃ«ãÃÊÃ¡èÜ«¢ÃÊÜ«ÜÜ«Ã¢ØÊÊã«Ã èÜÜÃÊÃ«ã«ÊÃÜÊ¡ô«Ã«ÜÊØØÜʈèãÊã¨ another humor. Yet it is vital to remember two fac- ¨ØÊÃ«ÃãèØÊ¡ã¨«Ü«ÜÊØØʃ«ÃóÊ¼óÂÃãÊ¡Êã¨Ø ãÊØÜʈHÃʂèÜô«ÃÃãèØ¼ÂÊÜã¼ôúÜÂ«ùÜ Ê«¼ú ÜúÜãÂÜ Ê¡ãÃ ÕØÊèÜ ¡èØã¨Ø ÜúÂÕãÊÂÜ Ê¡ ô«ã¨ Êã¨Ø ÜúÜãÂÜʃ «ã ÜÕØÜʃ «ÃØÜÜʃ ¨ØÃÜʃ «Â¼Ãô¨«¨Âú¡¼¼èÃØÊã¨Ø¨èÂÊØ¼ÊØ¼- Ã «ÃãÃÜ«ăÜ «ÜÜʈ a¨èÜʃ ã¨«Ü ã Ê¡ ¼Ã«Ã¢ ÂÃã¼ ¼ÜÜ«ăã«ÊÃʈ aØãÂÃã ¡Ê¼¼ÊôÜ ¢è«¼«ÃÜ ØãÜ«ã¨Ø«ÜãèØùÜÜÊØă«ÃãÂÊèÃã ¼ÊØãô«ã¨«Ãã¨¼ÜÜ«¼a«ãÃÂ«¼ãùãÜʈ Ê¡ô«Ãã¨ãÂú¡èØã¨ØÊÂÕ¼«ãã¨Ü«ãèã«ÊÃú AÊØÜÕ«ă¼¼úʃô«Ã«ÜÊØØÜãã¹«Ã¢ÂèÜ¼Üʃ ãØó¼«Ã¢ÊôÃôØÊÃ¢Õã¨ôúʃ¢¢Øóã«Ã¢ã¨ÜúÜ- ãÃÊÃÜʃ¼«¢ÂÃãÜÊØô«ÃʯØèÃÃ«Ã¢«Ãã¨¨ÃÃ¼Üʰ ãÂô¨Ø«ãÃãØÜÃ¢ãÜãØÕÕʈaôÊʂú¹ÃÊô- ÜØ«¨ØÕØÊó«ÜèØãÜØ«Õã«ÊÃÜÊ¡Ã «Ã¢ã¨VÊÊãaÃãØʰÜ«ÃãØÊèã«ÊÃÃùÕ¼Ãã«ÊÃÊ¡ ã¨ãØãÂÃãÂÊ¼Ü¡ÊØã¨«ÜÂÊØÃĠ«ã«ÊÃʈ ã¨ ÃãèØ Ê¡ô«Ãʃ «ãÜ ¨ØãØ«Üã«Ü Ã ØÜè¼ã«Ã¢ ,Ã óØú ô«Ã «ÜÊØØ Üʃ ã¨ ÃãèØ Ê¡ ã¨ ô«Ã¨ÜÂ«ùô«ã¨ÃÊã¨Ø«ÜÊØØʰÜÃãèØʈa¨«Ü ÜúÂÕãÊÂÜʃ«ã«Ü¼Øô¨«¨ÊÃ«ã«ÊÃ«Üô«Ã«ÜÊØØÃô¨«¨«Üã¨ÜÊÃØú¨èÂÊØ«ÃóÊ¼óʈ ÂÃÜ «ã «Ü «ã¨Ø ÊÃ«ã«ÊÃØ ÊØ «Ü «Øã¼ú ¡- ÜÕØó«ÊèÜ¼úÜããʃ«ÜÜ«ÜØ¼«ÃãèÕÊÃô«Ã ¡ãúÃÊã¨Ø«Â¼Ãô«ã¨«Ãã¨ÜúÜãÂʈa¨ ãÊ«ÃØÜʃÜÕØÃÜÊ¼««¡ú«ÜÊØØʈ,Ãã¨«Üôú ãØÂÃãèØ«Ã«ãÜã¨ã¨ØÕØ«Ã«Õ¼ÃØ¢«ÜÊ¡ ô¨ÃúÊèÊÃãØÊ¼ã¨ô«ÃʃúÊèÊÃãØÊ¼ã¨«ÜÜʈ Ø;èÃ¢ʃÂ9Ø«ÜÕÃ ¹ÃÊØô«Ãʃ«¼ÃÕ¨¼¢Âʈ ,Ã ăØÊÂú¼¢«ʃ ÜúÂÕãÊÂãÊ¼Ê¢ú ã«¼ «Ã ã¨ ZÊÂa«ãÃÕ¨úÜ««ÃÜÂúÜØ«ô«ÃÜÃè- ô«Ã ¨ÕãØ «Øã¼ú Âã¨Ü ÂÃú Ê¡ ã¨ Êè- ãØ¼¢ÃãʃÂ«ù«Ã¢ô«ã¨¨ÊãÊØÊ¼«ÃÊÃÜ×èÃʈ ú ÂÃã¢ÃØ¼Ü«¢ÃÜÊ¡Ü«Ø;èÃ¢ÊÃ«ã«ÊÃÜʈr«Ã Ø¼ã«Ã¢ã¨ã¨ØãÊã¨«ØÜÜÊ«ãÊ«¼úÜúÜãÂÜʃ or Ø;èÃ¢ «ãÜ¼¡ «Ü óØú ÕØóÜ«óʃ «ã ÃãØÜ ã¨Êè¢¨ ÜúÂÕãÊÂÜ Ã ÜãØ«¢¨ã¡ÊØôØ¼ú ¼ÜÜ«ă óÃ ¼¼ ăó ÕÊÜÜ«¼ ÃãØÃÜ ÊØ Õã¨ôúÜʈ ,ã ÕØ«ÂØ«¼ú ô¨ÃÂ«ù¨èÂÊØÜØÕØÜÃãʈa¨«Ü¼Ø«ãú«Øã¼ú Ü¨ÊôÜ ÜúÂÕãÊÂÜ «Øã¼ú ÊÃ Ü¹«Ãʃ ÂèÜ¼Üʃ ÊÃÜʃ Ø¼ãÜ¹ãÊã¨ăØÜãóÊ¼èÂÊÃÂ««Ãʃã¨VÊÊã ¼«¢ÂÃãÜÃØèÃÜã¨ØÊè¢¨ã¨¨ÃÃ¼Üʈa¨«Ü«Üù- aÃãØʃ ô¨Ø ã¨ èÜ Ê¡ ¨¼ã¨ú Ã èÃ¨¼ã¨ú ã¼úô¨ãúÊèÜ«ÃÜÜÊ¡ăØÊÂú¼¢«ʈ 26 • Sowa Rigpa Journal 4 SYMPTOMS Generalized Symptoms of Wind Relating to Fibromyalgia from the Ø#úè}¨«: ̓ "¼«Ã¢ Ãù«ÊèÜʃ ÕÃ«¹ʃ ÊÜÜÜ«óÃÜÜ ÊØ ÕØÜÜ ̓ #ÃØ¼ ¡¼«Ã¢Ü Ê¡ ʭ«Ã¢ Õ¼è¢¢ «Ãʃʮ ¡¼«Ã¢ ̓ S«Ãô¨«¨ÂÊóÜÃ«Ünot stationary twitches in the nerves system with no apparent ̓ Zã«ėÃÜÜof ¶Ê«ÃãÜô¨«¨¡¼¨ØÃ«Ĝè¼ããÊ ó«Ã¡ØÊÂAV,ÜÃÜ move ̓ Numbness or tingling all over ̓ Z¨«óØ«Ã¢Ã¡¼«Ã¢Ê¡ÕÊ¼ ̓ a«Ã¢¼«Ã¢«Ãã¨¡ʃØÂÜʃ¨ÃÜʃ¼¢ÜʃÊØ¡ã ̓ S«Ã ôÊØÜns ô«ã¨ ÂÊóÂÃã ʛùØ«Ü Ã ĄØ ̓ VÊÂ«Ã¢Õ«ÃÜ ÜúÂÕãÊÂÜʜ ̓ "¼«Ã¢Ê¡Ü×èÿ«Ã¢ʃpressureʃ or swelling even if ÃÊ Üô¼¼«Ã¢ ÊØ ÕØÜÜèØ «Ü ÕÕ¼« Ü «¡ ã¨ Êú ¨ÜÃÊèÃ tightly ̓ Zã«ė¼Ê¹¼«ÂÜ¨¼ã«¢¨ãly in extension or contracã«ÊÃʃÊØÂèÜ¼ÜÕÜÂÜÜè¨ÜØÜã¼ÜÜ¼¢ÜúÃØÊÂ ̓ "¼«Ã¢of intense pain as if – the bones are bro- ̓ )ØãÕ¼Õ«ãã«ÊÃÜ ̓ ,ÃØÜ«ÃèØ«ÃØúèØ¢ÃúÊØ¡Ø×èÃúʛ«ØØ«ã¼¼Øʜ ̓ Vè ãÊ¼ØÃ ¡ÊØ ùØ«Ü Ã ÂèÜ¼ Õ«Ã after exercise ̓ ¡¼«Ã¢ Ê¡ Üô¼¼«Ã¢ ʛô«ã¨Êèã ãè¼ Üô¼¼«Ã¢ʜ «Ã ã¨¨ÃÜÃ¡ã kenʃã¨ÂèÜ¼ÜÃãÃÊÃÜØãØ«Ã¢ʃ one has Ã¼úãÃʃÊØlike walking on hot thorns r¨Ã ô ÊÂÕØ ã¨Ü ÂÃ«¡Üãã«ÊÃÜ Ê¡ ô«Ã ̓ S«ÃÜ«Ãã¨¨«ÕÜʃô«ÜãʃÃ¨¨Ü «ÜÊØØÜ ¡ØÊÂ ¼ÜÜ«¼ a«ãÃ Â«¼ ãùã ô«ã¨ ̓ Insomnia ã¨ÂÊØÃ¼¼ÊÕã¨«ÜØ«Õã«ÊÃÜʃ there is clear af- ̓ Ü«ØãÊÜãØã¨ yet f¼«Ã¢ÊÃÜãÃã¼úÜã«ė ăØÂã«ÊÃã¨ãăØÊÂú¼¢««ÜØ¼ããÊÜúÃØÊÂ ̓ ZúÂÕãÊÂÜ ôÊØÜ «Ã ã¨ ÂÊØÃ«Ã¢ ÜÕ«ã having Ê¡ô«Ãʈ slepãʎ a heavy fatigue ÊØ«Ã¢ãÊa«ãÃ Â««Ã Ê¡¨Êô Õã¨Ê¼Ê¢ú ̓ è¼¼ÃÜÜÊØ¡Ê¢¢ú-Â«ÃÃÜÜ «ÜØãʃã¨ØØăóÕÊÜÜ««¼«ã«Ü«Ã¨Êô«ÜÜ ̓ r«ÃÕÊ«ÃãÜthat are painful upon touch ÃãØÜÃėãÜÃÊØ¢Ã«ÜÂʈ ̓ a«Ã¢¼«Ã¢ʃ ÃèÂÃÜÜ Ã ¼ÊÜÜ Ê¡ ÜÃÜã«ÊÃ «Ã the extremities «ÜÜ Âú Ⱥʈ ZÕØ ÊÃ ã¨ Ü¹«Ã Ȼʈ ó¼ÊÕ ÊÃ ã¨ ÂèÜ¼ ȼʈ Zã«¹ ãÊ ÊÃ ÊØ ¼«¢ÂÃãÜ ȼʈ VèÃ ã¨ØÊè¢¨¨ÃÃ¼ÜʛÃØóÜʜȽʈ;ÃÜèÕÊÃÜÊ¼«ÊØ¢Ã Western Medical Symptoms of Fibromyalgia: ̓ ¨ØÊÃ« ÂèÜ¼ Õ«Ãʃ ÂèÜ¼ ÜÕÜÂÜʃ ã«¢¨ãÃÜÜʃ ØÜã¼ÜÜ¼¢ʃÊØèØ¼ãÊÜ ̓ ¡¼«Ã¢ Ê¡ Üô¼¼«Ã¢ ʛô«ã¨Êèã ãè¼ Üô¼¼«Ã¢ʜ «Ã ÊØȾʈ˅"¼¼Ü«ÃãÊóÜÜ¼ÊØ¢Ãʈ The following are common symptoms arising ¡ØÊÂô«Ãã¨ãÂÃú people withăØÊÂú¼¢«experience by location. ã¨¨ÃÜÃ¡ã ̓ ¡¼«Ã¢Ê¡«Ã¢Ü×èÿÊØÊèÃZã«ėÃÜÜèÕÊÃ waking or after staying in one position for too long Wind spreading on the skin: Skin may be painful Ã sensitive ãÊ ãÊè¨ʃ «Ü- ̓ AÊØããÊÜóØ¡ã«¢èÃØÜÃØ¢ú comfort to Ãúã¨«Ã¢ãÊè¨«Ã¢ Ü¹«Ãʃ èÂÕú ÊØ ØÊè¢¨ ̓ ,ÃÜÊÂÃ«ʃÜ¼Õ«ÜãèØÃÜʃÊØô¹«Ã¢èÕ¡¼- skin thatÂú¨óØ¹ÜʃÜÕ«¼¼ú«Ãô«ÃãØʈ «Ã¢¶èÜãÜã«ØÜ¡ÊØÜ¼Õ ̓ «Ĝè¼ãú ØÂÂØ«Ã¢ʃ ÊÃÃãØã«Ã¢ʃ Ã ÕØ¡ÊØÂ«Ã¢Ü«ÂÕ¼ÂÃã¼ãÜ¹ÜʛØ«Ã¡Ê¢ʜ ̓ ÊÂ«Ã¼Õ«ÃÜʃ¼Êã«Ã¢ʃÃèÜʃÃÊÃÜã«Õã«ÊÃ¼ãØÃã«Ã¢ô«ã¨«ØØ¨ ̓ ¨ØÊÃ««¢Üã«ó«ÜãèØÃÜ Wind attacks / enters the muscles: AèÜ¼Ümay be swollen with rough Ü¹«Ãʃchanges in skin colorʃèÂÕÜʃÕ«ÂÕ¼ÜÊØÕèÜÜʃmay be itchyÃ ØÊØú¼¼Êô«¡«ÃóÊ¼óô«ã¨Õ¼ÜÂ¨ã«ÜÊØØÜʈ Wind attacks / enters the channelsʂ a¨ ėã ¨ÃÃ¼ ÊÂÜóØúó«Ü«¼ú ÜôÊ¼- ̓ aÃÜ«ÊÃÊØÂ«¢Ø«Ã¨¨Ü ¼ÃʃÕÕØ«Ã¢ÜôÊ¼¼ÃÊØÕèėúÃÂúÕØÊãØèʈ ̓ 7ôÃ¡«¼ãÃØÃÜÜÊØaA7 Wind attacks / enters the ligamentsʂ ̓ ZÃÜ«ã«ó«ãúãÊÊÃÊØÂÊØÊ¡ã¨¡Ê¼¼Êô«Ã¢ʂÊÊØÜʃ VØúÜã«ė«Ãã¨¼«ÂÜ with«Â«Ã«Ü¨ÂÊóÂÃãʃ ÃÊ«Üʃ Ø«¢¨ã ¼«¢¨ãÜʃ Â«ã«ÊÃÜʃ Øã«Ã ¡ÊÊÜʃ loss of control or spastic paralysisʃÃÊ¡ãÃÃãØ¼- ÃÊ¼ÊØ¨Êã «ÿãÊã¨¼«¢ÂÃãÜÊÃã¨Ã¹ÊØ¼«ÂÜʈ 27 FEATURE Wind enters the bones: ÂÃãÂã¨ÊÜÊ¡«ãÃ¨ó«ÊØ for both regaining è¼¼ÊÂÕ¼ù«ÊÃÃô¹ÃÕÕØÃʃÂú ¼Ã Ã ÂÃ¢ing ÊÃ«ã«ÊÃÜ are the most im- experience tØÂÃÊèÜÕ«ÃÃ«ÜÊÂ¡ÊØãʃ¡¼«Ã¢Ü ÕÊØãÃãèÜ«ã«ÜÕØ«ÂØ«¼úÂ«Ãã«Ãúã¨Õ- Ê¡ô¹ÃÜÜèãÊÂèÜ¼¼ÊÜÜÃ«Â«Ã«Ü¨Ê«¼ú ã«Ããʃ¢«ó«Ã¢ã¨ÂÜÃÜÊ¡¢Ãú. a¨Âã¨ÊÊ¼Ê¢ú strength. «Ü¢«óÃú×è¼«ăÕ¨úÜ««Ãô¨ÊÃ«Ãã«¡úô¨ã Wind attacks the jointsʂ ¨¼ÕÜÃô¨ã¨ØÂÜʎúãã¨ÕÕ¼«ã«ÊÃ«ÜÃÊãÃ- 7Ê«ÃãÜ ÊÂ ÂÕãúʃ ÜÕÊÃ¢ú Ã ÜÊ¡ãʃ may be- ÜÜØ«¼úÕÃÃãèÕÊÃã¨Õ¨úÜ««Ãʈa¨Ã¼Ê¢ú, ÊÂ Õèėú or Üô¼¼ ʛè ãÊ ô«Ãʜ Ã ¼ ãÊ ÕØÊ- ØãèØÃãÊÊóØÃÊóØùÂÕ¼«ăÜã¨«Ê¡«ÃÜã«¼¼- ãØè«Ã¢Ê¡ã¨ã¨ÊØ«Êèã¼ãÃÜãØÃèÂ. ing a commitment for your patients to become active Wind attacks the bone marrowʂ participantsÊÃã¨«ØÊôÃ¨¼«Ã¢¶ÊèØÃúʈ,¡¢Ê«Ã¢ÊÃ Insomniaʎ may feel tightly ÊèÃʃ ¼«Ã¢ ãÊ ãØ«ÕÃãÊ¼ô¨ããÊã¹ãÊÃÜèØÊÂ¡ÊØã¼ è¼¼ painʎ relief ô¨Ãô«Ã ÕÊ«ÃãÜ Ø pressʃ¨Êô- ¶ÊèØÃúʃ ¼ÊÃ¢Ü« ¢ÊÊ ÂÕʃúÊè Âú ÃÊã Ã óØʃĄØèÕÜÂúÊèØ«¡ÕØÜÜãÊÊ«ÃãÃã¼úʈʛ,˅¡Ø- ¢è«óØúÜãÕÊ¡ã¨ôúʈa¨«Ü«ÜÃÊããÊèÃØ- ×èÃã¼ú Ü «ã ėã«Ã¢ã¨ã¨Ø ÊÃÜ Ê¡ã¨ Õ¼ó«Üʃ Üããʈr¨ã,¨ó«ÜÊóØ«ÃôÊØ¹«Ã¢ãÊ«Ãã¢Øã ¼ÜÊ¹ÃÊôÃÜã¨ʯÜãʰÊ¡ã¨ô«Ãʂã¨«¼«èÂʃ«Ü¨«èÂ rÜãØÃ¼¼ÊÕã¨«ÂÊ¼«ã«ÜÃa«ãÃA««Ã ÃÕè«Üô«ã¨è¼¼¨¨¼ÕúÂÜÜ¢ʈʜ approaches is the servings Ê¡ÊØØã«ãÃ¨ó- Wind attacks the whole bodyʂ «ÊØÜ¨Êè¼ÃÊãÊÃÜèÂÂØ¼úÜÜ««Ü¨ʃèã ZúÂÕãÊÂÜØÜ«Â«¼ØãÊ¢ÃØ¼ô«ÃÜúÂÕãÊÂÜʂ rather Ã¶ÊúÜthe main course!a¨ã¨«ØÂã¨Ê Sè¼Ü«ÜĄÊã«Ã¢ÃÂÕãúʈfØ«ÃlikeôãØʃã¨«ÃÃ ¡ÊèÜÜÊÃÃãèØ¼Â««ÃÜʈa¨a«ãÃÕ¨ØÂ- ¼Øʈ,ÃÜã«¼«ãúÊ¡Â«Ãwith ¡¼«Ã¢Ê¡Â«¼èÃÜ- ÊÕ««ÜóÜãÃ is Ø«ó¡ØÊÂóØ«ÊèÜ¨ØÜʃÕèØ«- «ÃÜÜʃ«ÜãØã«ÊÃÊØãÊã¼Ãù«ãúÃÕÃ«ʈ"Ø×èÃã ăÜãÊÃÜʃÂ«ÃØ¼ÜÊØÃ«Â¼ÜèÜãÃÜʈ¢«Ãʃthe Ü«¢¨«Ã¢ʃ úôÃ«Ã¢ʃ ¡¼«Ã¢ ¼«¢¨ã Ã èÃ¢ØÊèÃ «Ã facts revealã¨ãã¨Ü¡ÊØÂè¼ÜØÜÊÃã¨ăó ÊÃʰÜÊúʃ«ÿÿ«ÃÜÜʃÜ¨«óØ«Ã¢ʃØ¹¼«Ã¢ÊØØ«Ã¢«Ã¢ elementsʰØÜÕã«óÕÊôØÜÊ¡¨ÊãÃÊ¼ʃ×è¼«ã«Ü «Ãã¨ØÜʈZ¨ØÕÕ«ÃÜ«Ãã¨ãÂÕ¼ʃ¨ÜãÃÊ- Ã¨ØãØ«Üã«Üô¨«¨Ãã«Êãã¨ã¨Ø¨èÂÊØÜ ciput area or moving pain that worsens upon move- Ã«ÜÜʈ ment. SèÜ¨«Ã¢ÊÃô«ÃÕÊ«Ãã¡¼Üʭopen.ʮ"¼«Ã¢ The fourth aspect of treatment within Tibetan ÊÃÜãØ«ãʃ Üã«ėÃÜÜʃ ¼Ê¹ ¼«ÂÜ «Ã «ã¨Ø ùãÃ- A««ÃØ¼«ÜèÕÊÃùãØÃ¼ã¨ØÕ«Üʈa¨ÜÊÂ- Ü«ÊÃÊØÊÃãØã«ÊÃʈ ÊÃÜ¡¼ʭbrokenʃʮÂèÜ¼ÜÃ ÕØ¨ÃÜ«ó Âã¨ÊÜ «Ã¼è ¢è¢ ʛÊÂÕØÜÜʜ Ã ãÃÊÃÜ ¡¼ torn. a¨ Êú ¡¼Ü achy as if beaten ;èÂÜ ʛã¨ Ã óÕÊØʜ a¨ØÕ«Üʃ ¢ZØʢ9Õ ʛ#Ê¼Ã Ãã«¢¨ã¼úÊèÃ. eep pain as if eyes were being Ã¼«Ã¢ʜʃ Aãÿ ʛ¹ÃÊôÃ ô«¼ú Ü ÂÊù«èÜã«ÊÃ «Ã push onÃÂú¼ÜÊ appear bulgingʈSain in the ¨«ÃÜ A««Ãʜʃ Aʢ èÂ ʛèÕÕ«Ã¢ ã¨ØÕ«Üʜʃ ¨«ÕÜÊØô«ÜãʈØúʃØÊè¢¨ÊØØ¹ãÊÃ¢è. Bubbles ¢aØʢ9ʛØô«Ã¢Êèã¼ÊÊã¨Ã«×èÜã¨ØÊè¢¨ «ÃÜÕèãèÂʈVÊè¢¨ÃØúÜ¹«Ã. CÊ¼¨ÃÜÃ¡ãʈ ¼ÊÊ¼ãã«Ã¢ʜʈ a¨ ÜèÕØ«ÊØ ãØãÂÃã ¡ÊØ ô«Ã Ã SÊØÜ ¡¼ ÊÕÃ with ¨«ØÜ ÜãÃing ÊÃ ã¨ Ã ap- ã¨ÂÊÜãÊ¡ãÃÂÕ¼ÊúùãØÃ¼ã¨ØÕ«ÜØÜ9èʢ pearing to have ôÊÃã¨ã«ÕÜʈ,ÃÜÊÂÃ«ʃÊúãØÂ- ÂBú AÜÜ¢ Ã Êã¨Ø ¨ÃÜʢÊÃ ã¨ØÕ«Ü ã¨ã ¼«Ã¢ʃÜúãÊÜãØã¼ʈÜ«ØãÊ¡Ø×èÃã¼úÜãØã¨ʈ,Ø- integrate various points or ¢ZÃ¢ ¡ÊØ ÊØ¢ÃÜʃ Ê«¼ú Ø«ãã«ÊÃÃ×è«¹angerʈ«ÜÊÂ¡ÊØãôÊØÜÃÜ«Ãã¨ ÜúÜãÂÜÃã¨ã¨ØÕØ«Ã«Õ¼ÃØ¢«ÜÊ¡ô«Ãʃ«¼ Ø¼úÂÊØÃ«Ã¢ʃãèÜ¹ÊØ¡ãØã«Ã¢ʈ ¼Êã«Ã¢ʃ¢èØ- Ã Õ¨¼¢Âʈ H¡ãÃ «Ã ÊèØ rÜãØÃ è¼ãèØʃ ô ¨ó ¢¼«Ã¢ ÜÊèÃÜ «Ã ã¨ ÊÂÃʈ "¼èãèã«ÊÃ «Ã ÜãÊÊ¼Ü ÊÂ èÜãÊÂ ãÊ «ÜÊóØ«Ã¢ ÜúÂÕãÊÂÜ Ø«Ü- ¡ØÊÂØúãÊ¼ÊÊÜʃÜÂ¼ú¡ÊØÃÊØÜÊÃʈ «Ã¢ʃÊÃÜè¼ã«Ã¢ÊãÊØʃ¢Ê«Ã¢ãÊÕ¨ØÂúô«ã¨ ÕØÜØ«Õã«ÊÃ ¡ÊØ ã¨ ¨«¡ ÊÂÕ¼«Ããʃ Ã ¨ÊÕ¡è¼¼ú METHODS OF TREATMENT ã¹«Ã¢ã¨ ÕØÜØ« Â«ã«ÊÃ Ü «Øãʈ )Êô- a«ãÃA««Ã¨Ü¡ÊèØÂã¨ÊÜÊ¡ãØãÂÃãʈ óØʃ Ü , ¢Ã ãÊ ÊÂÕØ ôÜãØÃ Ã a«ãÃ a¨ÜØ«ãʃ¨ó«ÊØʃÂ««ÃÃùãØÃ¼ã¨Ø- A««Ã ÕÕØÊ¨Üʃ «ã ôÜ ¼Ø «¡ úÊè ÊÃ¼ú ã¹ apies. Treatment usually involves linking the misbe- Â««Ã ¡ÊØ ÜúÂÕãÊÂÜ Ã Ê ÃÊã «Ãã¢Øã Êã¨Ø ¨ó«Ã¢¨èÂÊØ ÊØ ¼ÂÃã ãÊ ã¨ ÊØØã Ãã«Êã «Ã ÂÊ¼«ã«Ü ÊØ ¨ó«ÊØ ÂÊ«ăã«ÊÃÜʃ ã¨«Ü ÜãÕ Âú ã¨Ü¡ÊèØÂã¨ÊÜʈ"ÊèÜ«Ã¢ÊÃã¨ăØÜããôÊãØã- ÃÊã ÃÜÜØú ¼ ô«ã¨ ã¨ ØÊÊã èÜ Ê¡ ã¨ «ÜÜè 28 • Sowa Rigpa Journal 4 ÃÂÊÜã¼«¹¼úã¨ÃÃÊãã¨ÜúÂÕãÊÂÜØãèØÃÜÊÂ- ÕÕ¼««Ãã¨ÊØØãÂÃÃØʃ«ã¼ÊÃÃ¨¼ times with a vengeance. ¢ØãÂ¶ÊØ«ãúÊ¡such illnesses. ,¡úÊèèÜ«ãÃ¨ó«ÊØÜúÊèØÕØ«ÂØú¡ÊØÂÜ I tell my patients to always think about their na- Ê¡ ãØãÂÃãʃ ÃÊã ÊÃ¼ú «Ü «ã ¼«¹ ¨ó«Ã¢ ãôÊ ¼¢Ü ãÊ ãèØʃto look for Ü«¢ÃÜÃÜúÂÕãÊÂÜthat show what ÜãÃèÕÊÃʃèãúÊèÃô¼¹ÊôÃã¨ØÊÂÂÃ- ¨èÂÊØ «Ü «Ã ùÜÜ ʛÂÊÜã ÊÂÂÊÃʜ ÊØ ă«Ããʃ ãÊ ØÊô«ã¨ÊØØããÊÊ¼ÜÃÂÕ¡ÊØúÊèØèÃ«×è search for the opposite – that is theÃã«ÊãʈfÃØ- ¨¼ã¨ØÃÜʈ"Ê¼¼Êô«Ã¢Ã˅Üã¼«Ü¨«Ã¢«ãÃ ÜãÃã¨ėãÜÊ¡ seasonÜÃ¨ÊôãÊăÃ¼Ã ¨ó«ÊØÂÊ«ăã«ÊÃÜ«Üã¨Â«ÃãØãÂÃãʈa¨Ø ô«ã¨«Ã Üè¨ʃ Ã mÊÜã «ÂÕÊØãÃã¼úʃ to know what Øã«ÂÜô¨ÃúÊèÂúÃãÊÂ««Ã¼¡ÊØ- ¡ÊÊÜ ÕØÊó« Ã Ãã«Êãʃ Ã how ãÊ óÊ« ã«Ã¢ Âè¼Ü «ÃãÊ ã¨ ÕØÊãÊÊ¼ʈ Ê«Ã¢ ÜÊ ¨¼ÕÜ ãÊ Ã¨Ã ¡ÊÊÜÊÃã¨ÃÊ¼«ÜãÃfeel great eatingã¨¡ÊÊÜÊÃ Ã Ø«Ã¡ÊØ ã¨ ãØãÂÃã Õ¼Ãʈ )ÊôóØʃ ¨ó«Ã¢ the yes list. ÕÕ¼« ã¨ Êó Âã¨ÊÜ ô«ã¨ èÃÜã«Ü¡ãÊØú ¡¡ãÜʃÜÕ«¼¼úô¨Ãã¨Ü«ÜÂÊØèãʃØ«ã«¼ General Diet for Wind: ÊØ¨ØÊÃ«ʃúÊèùãØÃ¼ã¨ØÕ«Üʃô¨«¨«Ü¼«¹ In generalʂ ¡ØÜ¨ʃ ôØÂʃ ÃèãØ«ã«ÊèÜ Ã Ü¼«¢¨ã¼ú having all 4 legs supporting the seat of a chair. Each Ê«¼ú ÊØ ÜÂÊÊã¨ ¡ÊÊÜ that absorb easily are best for ãØãÂÃãÂÊ¼«ãúÜÜãØÃ¢ã¨ÃÜã«¼«ãúãÊã¨ ã¨ÊÜ ô¨Ê Ø ÜèėØ«Ã¢ ¡ØÊÂ ã¨ óØ«ÊèÜ «ÜÊØØÜ ãØãÂÃã Õ¼ÃÜʈ A«Ãã«Ã«Ã¢ «ã Ã ¨ó«ÊØ Ü Ê¡ ô«Ãʈ HÃ«ÊÃʃ ¢Ø¼«ʃ ÂãÜʃ ÊÃ ØÊã¨Üʃ ăÜ¨ ʛÃÊ the primary legs upon which a patient must learn to Ü¨¼¼ăÜ¨ʜʃ Ê«¼ ¨¼¡ Â«¼¹ Ã ¨¼¡ ôãØʃ ÊÊ¹ Ãó«¢ãÃã¹ØÜÕÊÃÜ««¼«ãú¡ÊØã¨«ØÊôÃ¨¼«Ã¢ ó¢ã¼Üʃ ¢ ¨ÜÜʃ èããØÜ Ã ¢ ÂãÜʃ ¶ÊèØÃúô«ã¨ÃÊèØ¢ÂÃãÃÊØØã¢è«Ã«Ü ÂÊ¼ÜÜÜʃôØÂÜ¹ÊØTibetan¼Ê¨Ê¼¼¼¨Ã¢ the key to success. ʛÊ¡ãÃ¡ØÂÃã¢Ø«ÃʜʃØÊ¡Ãăãʈ qØúÜØ«ÊèÜ«¼¼ÃÜÜÃÜÜÊÃô¨«¨ãÊÜã«- AÃú ÊÊ¹«Ã¢ ÜÕ«Ü Ø Â««ÃÜ Ã Ã ¼«ÿʈ,ÃÜè¨ÜÜʃhaving all four ãØãÂÃãÂã¨ÊÜ èÜ «Ã Êã¨ ã¢ÊØ«Üʃ Ü ¡ÊÊ Ã as Â««Ãʈ ÕØÊó«ã¨ãÜèÕÕÊØãʈÜã¨Õã«Ãã¨¼ÜʃÜúÂÕãÊÂÜ This is a simple way to treat ongoing ô«ÃÊÃ«ã«ÊÃÜ ØÃã¨ÊØÜãØÃ¢ã¨Ê¡ã¨person functions because spices can be easily ãÊ ¡ÊÊʈ Ø- ããØÊóØ¼¼ʈHÃã¨«Ü¡ÊèÃã«ÊÃÊ¡ØÊóØúÃ ÂÊÂ «Ü ù¼¼Ãã ¡ÊØô«Ã in ã¨¨«Õ ÊÃÜ Ã¼Êô basic wellness arrivesʃ ã¨«ÜÊè¼ã¨ã«ÂãÊôÃ backʃ ÊØÃØóÕ«ÃʈèÂ«ÃʃØôúʃÃèãÂ¢ʃ¢«Ã¢Øʃ Êė ¡ØÊÂ ÜãØÊÃ¢Ø ã¨ØÕ«Üʃ helping the patient re- ¢Ø¼«ʃ¼ÊÃ¢ ÕÕÕØʃ ¼¹ ÕÕÕØʃ Ü¼ãʃ èØØú ÜÕ«Üʃ ¢«Ãã¨«Ø«ÃÕÃÃãÊÜãÃÊÃã¨«ØÊôÃ. In this «ÃÃÂÊÃʃ ¼¹ Ü¼ãʃ Ã Ü¡Êã« are all excel- caseʃ«ãÃ¨ó«ÊØÊÂã¨ÊÃ¼úÃãÊÊ¼Ü ¼ÃãÂ«ÃÊØ«ã«ÊÃÜãÊthe «¼ú«ãô¨«¨Ã¨¼Õ Ãincorporating these two Âã¨ÊÜcan be sustain- Üãã¼ùÜÜ«óô«Ãô¨«¼«ÃØÜ«Ã¢«Øè¼ã«ÊÃÃ able«Ã«ÜÜÂÃ¢ÂÃãʈ Ê«¼úôØÂã¨ʈ r«ã¨èã«ÊÃÊèã«ãØúÊÃÕãÜ¼«Ã¹«Ã¢èÜ ãÊÊã¨ã¨ÃãèØÊ¡¨èÂÊØʃ«ãÜÜÜÊ«ãØÊÊãÕÊ«ÜÊÃʃ ×è¼«ã«Üʃ ėãivenessʃ ¨ØãØ«Üã«Ü Ü ô¼¼ General Behavior for Wind: ¹«Ã ãÊ «ãØú ¢è«¼«ÃÜʃ ¨ó«ÊØ Ü ãØã- ÜÃã«ÊãÜʃô¢«ÃÕØÊ¡ÊèÃôØÃÜÜ«ÃãÊô¨ã ÂÃãÂã¨Êmust be ÊÃÜ«ÜãÃã¼úÕØã«in ÊÃʰÜ may aggravate èÜ ÕØÜÊÃ¼¼ú ÊØôÊØÜÃÜ ÊèØ ÊÃ«- óØúú¼«¡ʈ)«ãè¼ãÃÃ«Üthat help or harm ã«ÊÃʈ"ÊÊÃÊôÊÂÜã¨ÕØ«ÂØúÂ««Ãʈ Ã the awareness of its óØ«Ã «Ü ×è¼¼ú ó«ã¼ ãÊ As holistic approaches are being integrat into ã¨ÕØÊÜÜʈa¨«ÜÃ¡¼¼èÃØã¨ã¢ÊØúÊ¡¨Êô ôÜãØÃ ¼¼ÊÕã¨« ãØãÂÃãÜ Ã Â«¼ Ü¨ÊÊ¼Ü Âè¨Ü¼Õʃ¨ÊôÂè¨ùØ«Üʃ¨ÊôÃô¨ããúÕÊ¡ ØÜÕÃ«Ã¢ÂÊØã«Âèã«Ã¢future ÊãÊØÜÊÃ ÜãØÜÜÂÃ¢ÂÃãÊØÂ«ãã«ÊÃ«ÜÂÕ¼Êúʈ Êã¨ÃèãØ«ã«ÊÃÃÂ«ÃʢÊú¨¼ã¨ʃôØÜ«Ã¢ a¨ÊÜ ėã ú ô«Ã «ÜÊØØÜ ×è«ã ¡ØÃ¹¼ú better results with Øèã«ÊÃ «Ã Ü« «¼¼ÃÜÜÜ Ã ÃãÊʢÜãØÜÜʃ«¼¼ú«ÃÕ¡è¼ʃÕ¼ÜÃãÃ ã¨ Ã ¡ÊØ¨óú ÕØÜØ«Õã«ÊÃÜʈ ,ã «Ü Âúó«ôÕÊ«Ãã simple location that ô«¼¼ÃÊã«ÜãØã aÂ«ÃÕØÊÃãÊ ã¨ã ãØãÂÃã Ü¨Êè¼ ¼ôúÜ ¢«Ã ¡ØÊÂ ã¨ Ü«Ü roamingÃÊóØã¨«Ã¹ing. It is written «Ãã¨Â«¼ Ê¡ «ãØú ¨¼«Ã¢ʈ ,ÂÕØÊÕØ «ã Ã ¨ó«ÊØ Ø- tantrasã¨ãʃʭÊÃÜ¨Êè¼«ÃôØÂʃØ¹ʛÃÊãóØú ãã¨ Â¶ÊØ«ãú Ê¡ «¼¼ÃÜÜes. Thusʃ «¡ã¨ Ãã«Êã «Ü Ø«¢¨ã¼ú¼«ãʜ Õ¼ô«ã¨ ¢ÊÊ ¡Ø«Ã ÊØ¼ÊóØô¨ÊÂ 29 ã¼¹ÜÜôã¼úãÊã¨ÂʈʮZ¼ÕÃØÜãØóØú«ÂÕÊØ- ÂÃãÜ¡ÊØô«Ã«ÜÜÜʈa¨ÜÂã¨ÊÜ¼¼«Øã¼ú ãÃããÊã¨ô«ÃÃãèØÕØÜÊÃʃÜ«ã«ÃØÜÜØã¨ Õ«¡úô«Ãʈa¨ãØãÂÃãÂã¨ÊÜÂÃã«ÊÃÃ Ã ôãØʃ Üã«¼«ÿing ã¨ ÂÊóÂÃã Ã ¢ØÊèÃ- ¼«óØ «ã¨Ø ¢Ãã¼ú ÊØ ÜãØÊÃ¢¼úʃ ÕÃ«Ã¢ ing the ¢ØÊèÃ¼ÜÜ ÜÕãÜ of ô«ÃʈThough not ex- on the severity of each situation. The large intestine ÕØÜÜ¼ú ¼«Üã ô«ã¨«Ã the a«ãÃ A««Ã ÜúÜãÂʃ «Ü Õã¨ôú Ê¡ ô«Ãʃ Ã ã¨Ø¡ÊØʃ èããØ ÃÂÜ vagus nerve breathing is a promising new area to help Ø ÕÕ¼« ô¨Ã ã¨ã ÕØã«è¼Ø Õã¨ôú «Ü ÂÊØ ăØÊÂú¼¢« Õã«ÃãÜʈ )ÊôóØʃ what is long known ¼Ê¹ʈ,Ãã¨ÜÊ¡ÜÊÂÃèØÊ¼Ê¢«¼«ÜÊØØÜʃ «ÃÊã¨a«ãÃA««ÃÃÂ«ãã«ÊÃ«Üã¨Ø¼«- atrophy of the sphincter muscle may be an issue as Ã èÕÊÃ ã¨ Øã¨ʈ èØ«Ã¢ Â«ãã«ÊÃʃ following «ã¼ÜÊØ¼ãÜãÊô«ÃèÜã¨ÃØóÜô¨«¨¨¼Õ ÃÕÃ«Ã¢ã¨Øã¨«ÜÃÜúôúãÊÜã«¼«ÿ ã¨ÜÕ¨«ÃãØÂÊóØėãʈ ã¨ Â«Ã Ã ¼Â ã¨ ô«Ãʃ Ü this is now known ,Ã Âú ùÕØ«Ãʃ ăØÊÂú¼¢« Õã«ÃãÜ ØÜÕÊÃ ãÊØÜ«ÃĄÂÂãÊØúØÜÕÊÃÜÜʈZãè«ÜóØ«ă best to massage which is neither vigorous or with ã¨ÊÃÃã«ÊÃÃÃăãÜÊ¡ó¢èÜÃØóÜã«Âè¼- ùãØÂ ÕØÜÜèØʈ ZÕ«ă Ê«¼Ü ¡ÊØÂè¼ã ¡ÊØ ã¨ tion through breath work on «ÃĄÂÂã«ÊÃʈBreathing Ãăã Ê¡ô«Ã «ÜÊØØÜ Ø èÜʈa¨ Â¨Ã«ÜÂ must¨ÕÕÃ«¼úÃÂÊØÜÊÂÊÂÃããÊÂÊÂÃãʈ Ê¡ã«ÊÃ«ÜãÊÃÊèØ«Ü¨ã¨ÃØóÜúÜãÂÃØÜ ú«ÃãØÊè«Ã¢Ü«Â«ãã«ÊÃÃÕ¼«Ã¢ÂÕ¨- «ÃĄÂÂã«ÊÃ ú «ÃØÜ«Ã¢ ã¨ «Øè¼ãÊØú ÜúÜãÂ sis on following the breathʃô¨«¨ØÜè¼ãÜ«Ã calming the nervous systemʃã¨«Ü«Ü¹ÃÊôÃãÊ¢Øã¼úÃăã FEATURE ô«ÃÊÃ«ã«ÊÃÜÜè¨ÜăØÊÂú¼¢«ʈ General Medicine for Wind: "«ó¼ÜÜ«ăã«ÊÃÜÊ¡Â««ÃÜØèÜãÊãØã ô«Ãʈ,Ãã¨Â«¼ãùãʃã¨ØØÂÃúØ«ÕÜÃ «Ã¢Ø«Ãã ¼«ÜãÜ Ø¢Ø«Ã¢ ã¨Ü ăóʈÊã«ÊÃÜ 9¨è ba ǶāŌāʛØÊã¨Üʜʡa¨ØØÜóÃãúÕÜÊ¡Êã«ÊÃÜ or broth recipes known for their power to suppress Ã ¨¼ ô«Ã «ÜÊØØÜʈ AÊÜã ÃÊã¼úʃ ÊÃ ØÊã¨ ¡ØÊÂ¨¼ã¨úÃ«Â¼Üô¨«¨¨ÜÃÊ«¼¡ÊØ¼ÊÃ¢ time is very nourishing. Ⱥʈ "ØÂÃã ¢Ø«Ã ˯ Â««Ã¼ô«Ã ¨Ã¢ ĽĻā – "«óÜÕ«ăØ«ÕÜ¡ÊØ¡ØÂÃãØ¼úô«ÃÜ ô«ã¨¨ØÜʃ ÂÊ¼ÜÜÜʃ èããØÜʃ ÊÃÜ Ã ÜÕ«Ü Øã«¼«Ãã¨ãùãÜʈ 2. ÊÃ ŖŇŬŉā ʯÂ««ÃÜ ãÊ «¢ Êèã «ÜÜʰ ʡ "ÊèØ cleansing formulas are themselves very interest«Ã¢ÃÊÃã«ÃăóÜèÜã«ÊÃÜ«Ãã¨¨ÕãØʈ 3. SÊôØÜÕ¨úÂ ŋƜŪāŎāʡ"ÊØÂ¼¼ú¹ÃÊôÃÜBèãÂ¢SÊôØÊÂÕÊèÃʃÊÃã«ÃÜă¡ãÃ«Ã¢Ø«ÃãÜʃÂÃúÜ«ÜÕ«Üã¨ãØÜãÕ¼ÜãÊa«ãÃA««ÃÃèÜ«ÃÊÊ¹«Ã¢ʈ 4. A«ã èããØÜ ÜAÃ ÂØ ɥŉā ʡ "«ó Â««Ã¼ èããØ Ø«ÕÜʃ «Ã¼è«Ã¢ Âú ¡óÊØ«ã ¼¼ʃ ʭSÊÂ¢ØÃãA««Ã èããØʈʮ˅ General Treatment by External Therapy: ÃÂÜʃ ÂÜÜ¢ʃ Âãÿ Ã ÊÂÕØÜÜÜ ÊØ ¨ÊØÂ ãØãÂÃã Ø ¼¼ ¨«¢¨¼ú Ãă«¼ ãØã- 30 • Sowa Rigpa Journal 4 Fig.+RUPH̰KRWRLOFRPSUHVV ÃØ¼ù«Ã¢ãÃÊÃÜʃÂèÜ¼ÜÃ¼«¢ÂÃãÜʈr¨Ã ¨óúʃ ÊÊ¼ Ã Üã«¹ú ÊÃ«ã«ÊÃÜ Ê¡ Õ¨¼¢Âʈ ,Ã ÊÃÜ«Ø«Ã¢ ã¨ ÜúÂÕãÊÂÜ Ã Õ«Ã ØÜ Ê¡ ăØÊ- ã¨a«ãÃ ÜúÜãÂʃ «ã «Ü ÂÃ¢ ã¨ØÊè¢¨ ÕØÊÕØ Âú¼¢«Õã«ÃãÜʃ«ã«ÜÜÕ«¼¼ú«ÂÕÊØãÃãÃÊããÊ¢- «ãʃ ¨ó«ÊØʃ Â««ÃÜ Ã ùãØÃ¼ ã¨ØÕ«Ü ¢Øóã ã¨ Êú ã«ÜÜèÜ ã¨èÜ Øã«Ã¢ ĄØ èÕÜ Ê¡ ¹ÃÊôÃ ãÊ Øè Ã ¼«Â«Ãã ùÜÜʃ ¡««Ãú Õ«ÃÃ«ÃĄÂÂã«ÊÃʈ ÊØÕØóØÜ¼ó¼ÜÊ¡ô«Ãʈa¨«Ã¢Õã«ÃãÜô¨«¨ rØÂã¨ÕÕ¼«ã¨ØÊè¢¨¨ÊØÂÃôØÂÊÂ- ¡ÊÊÜÃ¨ó«ÊØÜ¨ØÂÃ«ÃØÜÜúÂÕãÊÂÜ ÕØÜÜÜ ãÊ¼«¢ÂÃãÜ Ã ÂèÜ¼Ü Ã Ü ãÃÜ«ÊÃ «Ü«ÃØÜãÊØ«Ã¢ó«ã¼«ãúʈÃ¢¢ÂÃãÃ«ÃÜÕ«Ø- Ã ÃØó Õ«Ãʈ ÕÕ¼«ã«ÊÃ Ê¡ ôØÂ ÊÂÕØÜÜ Ê¡ tion to relate with the basics of the Tibetan system barley softens the muscles prior to giving a massage is helpful in creating a relationship with patients «ÃØÜÜ ã¨ Ĝú Ê¡ ã¨ ãØãÂÃãʈ ZÊ ãÊÊ «Ü ô«¼¼«Ã¢ ãÊ ã«ó¼ú ôÊØ¹ ãÊôØÜ ÂÃ¢ÂÃã Ê¡ ôØÂÊÂÕØÜÜÊ¡¨ãÜãÊÃÜʈAÜÜ¢«ÜãÊèã ã¨«Ø ÜúÂÕãÊÂÜʈ a¨ Êú Ã Â«Ã ÊÃÃã«ÊÃ Üã¨ʭÜããØãÂÃã¡ÊØô«ÃʮÃ¡ÊØã¨Â¶ÊØ«ãú Ã¡èØã¨ØÃ¨Ãô«ã¨Øã¨«Ã¢Üè¨Üó- Ê¡ Âú ăØÊÂú¼¢« Õã«ÃãÜʃ ã¨«Ü «Ü ¼Ø¼ú ó«Ããʅ ¢èÜÃØóØã¨«Ã¢èØ«Ã¢Â«ãã«ÊÃãÊØÜ )ÊØÂ«Ü¢Ãã¼ÜÊ¡ããØãÂÃãô¨«¨ÃØ¼Ü inflammatory responses. tension by accessing the nervous system via warm ͂ Ê«¼úÕÕ¼«ã«ÊÃÜãÊô«ÃÕÊ«ÃãÜÊØÕÊ«ÃãÜÊ¡ãÃÜ«ÊÃʈ rØ«ããÃ ¡ÊØ ĝ Ƚã¨ ÃÃè¼ ZúÂÕÊÜ«èÂ ÊÃ rÜã- )ÊØÂÃÂô«ã¨ÂÃúÊ¡ã¨ÜÂ¹«ã¨Ã ØÃ˅˯a«ãÃA««ÃʃZãÃ¡ÊØÕØ«¼ȻȹȺɀʃ¶èÜã ÜÕ«ÜʂÃèãÂ¢ʃØôúʃÜ¼ãʃÜÜÂʃ¼¹ÕÕÕØʃ ¡ÊØã¨ZÊôV«¢Õ7ÊèØÃ¼ȽʏȻȹȻȹʈ ¼ÊÃ¢ÕÕÕØããØʎ¼¼ô«¼¼Ø«Ã¢ÃăããÊô«Ã Ü ¨ÊØÂ Ê«¼ú ÊÂÕØÜÜ ú ăØÜã ôØÂ«Ã¢ ã¨ Ê«¼ BIBLIOGRAPHY: Ãã¨ÃÕÕ¼ú«Ã¢ã¨¨ÊØÂ«Øã¼úÊÃã¨ÕÕØÊ- #ÊÃÕÊʃxèã¨Ê¹xÊÃãÃȺɂɁȻʃȻȹȹȻØ#úè}¨«ʠa¨"ÊèØaÃtrasʃa«ãʏ¨«ÃʂÊ¼ÿÊÃ¢ÜÂ«ÂÃ¢ÜÕÜ¹ØèÃ¹¨Ã¢ Bú«ÃʃBÜ¨¼¼#ʈBÊãÜÃãØÃÜ¼ã«ÊÃÜÊ¡ã¨Ø#úè}¨« ÕØ«ãô«ÃÕÊ«ÃãÜʈ Aãÿ can be a more wrathful or strong treatÂÃã¡ÊØô«ÃÃ«ÜèÜè¼¼úØÜØó¡ÊØ«ØÃÜʈ ,ã Ã óØú¨¼Õ¡è¼ãÊ ¼Ø ÂÃã¼ ¡Ê¢ Ã ¡¼ings of cognitive challenges especially in the morn«Ã¢Ü Ã ¡ãØ ¼èÃ¨ è ãÊ Â«ùãèØ Ê¡ ô«Ã Ã Õ¨¼¢ÂʈôØÂ«Ã¢ÂãÿʃÃÊã¡è¼¼èØÃʃÃ¼ÜÊ ¼ÂÃù«ãú«Ã¢ÃØ¼Üô¼¼ÜÊÜÜÜ«ÊÃØÊèÃ Õ«ÃÜÃÜã«ÊÃÜ¡ØÊÂăØÊÂú¼¢«ã¨ã¡¼Ü¼«¹ʃʭ«ã «Ü¼¼ÊóØÃÂÊóÜØÊèÃã¨Êúʃʮô¨«¨Ã «ÜÊÃØã«Ã¢ãÊÂÃúÕÊÕ¼ʈ,Ã¢ÃØ¼ʃÃú¨Ø¼ Ê«¼ú¨ÊØÂÊÂÕØÜÜ«ÜÜèÕØ«ÊØãÊÂãÿ¡ÊØăØÊÂú¼¢«èÃ¼ÜÜ¨ó«¼ú«ÃĄèÃúÕ¨¼¢ÂÊÃ«tions. rØÂ ã¨Ü ô«ã¨ «ã¨Ø ã¨ "«ó BãØ ã¨ʃ ¹ÃÊôÃÜʃʭèãÜ«"«ó;èÂÜʃʮ or hot salty baths are both ù¼¼Ãã ùãØÃ¼ ãØãÂÃãÜ ¡ÊØ ăØÊÂú¼¢«ʈ )ÊôóØʃ«ã«Ü«ÂÕÊØãÃãÃÊããÊÊóØ¨ãã¨ÜúÜãÂÜã¨Ø «Ü¼ÜÊ¼Êôʢ¢Ø«ÃĄÂÂãÊØúÜ«ãèã«ÊÃ¨ÕÕÃ«Ã¢ʈ a¨Ø¡ÊØʃ ã¨ ÃÊØÂ¼ ÕØÜØ« ¨«¢¨ ãÂÕØãèØÜ Ê¡ã¨ã¨ÜØ«ÜÜ¨Êè¼Ü¼«¢¨ã¼úÂÊ«ăʈʛ"ÊØÃ Øã«¼ÊÃã¨ăóÃãØã¨ʃÕ¼ÜØ¡Ø¹ãÊã¨ ¼«Ã«ôÜ«ãôôôʈ¨Ê¼«Üã«ʢ¨¼ã¨ʈÊØ¢ʜʈ ,Ã ÊÃ¼èÜ«ÊÃʃ ¡«ØÊÂú¼¢« «Ü ¼ÜÜ«¡« Ü ô«ÃÃãèØ«ÜÊØØʈ,ãÃ¼Ãô«ã¨«ã¨Øã¨ ¨ãÊ¡«¼Ã«Ã¡¼ÂÂã«ÊÃʃÊØØã¨ÃôãØʰÜ DR. NASHALLA G. NYINDA Menpa, TMD LV DPRQJ D KDQGIXO RI IXOO\ WUDLQHG ZHVWHUQHUV ZLWKWKHWLWOHRIMenpa: 'RFWRURI 7LEHWDQ 0HGLFLQH +HU VWXG\ RI 7LEHWDQ0HGLFLQHEHJDQLQ (QFRXUDJHG E\ KHU URRW WHDFKHU 9HU\ 9HQHUDEOH 7KUDQJX 5LQSRFKHWRFRPSOHWHKHUPHGLFDOVWXGLHVVKHFRQWLQXHG LQ,QGLDDWWKH&KDJSRUL,QVWLWXWH&OLQLF1DVKDOOD̵V0HQSD GHJUHHZDVFRQIHUUHGE\4LQJKDL7LEHWDQ0HGLFDO&ROOHJH 7LEHW &KLQD DQG 7KH 6KDQJ 6KXQJ ,QVWLWXWH RI 7LEHWDQ 0HGLFLQH LQ +HU ,QWHUGLVFLSOLQDU\ 6WXGLHV %$ IURP 1DURSD8QLYHUVLW\LVDIRFXVHGRQ$VLDQ0HGLFLQHDQG%XGGKLVW3V\FKRORJ\'U1\LQGDSUDFWLFHVDQGWHDFKHV7LEHWDQ PHGLFLQH PHGLWDWLRQ DQG OHFWXUHV ZRUOGZLGH WR 7LEHWDQ DQG :HVWHUQ VWXGHQWV SUDFWLWLRQHUV DQG GRFWRUV DV ZHOO DVWHDFKLQJDVDQDGMXQFWSURIHVVRUDW1DURSD8QLYHUVLW\ 6KHIRXQGHG6RZD%LUWKLQJ0HWKRGkDSURWRFROIRUSUHJQDQWZRPDQZKLFKSURPRWHVUHGXFWLRQDQGSUHYHQWLRQRI SRVWQDWDO GHSUHVVLRQ DQG ELUWK WUDXPD DQG LV GLUHFWRU RI WKH1\LQGD&OLQLFRI7LEHWDQ0HGLFLQH +ROLVWLF+HDOLQJLQ %RXOGHU&RORUDGR86$ 31

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