A lady came with a complain of pain in left breast and heaviness in left leg, occasional numbness sensation in the middle of chest. ️Refer to Pic 2 below.
Assessment:
1) General Listening ( to find the main area of problem to zoom in): Right bronchus
2) Manual Thermal Evaluation (my clients always say is scanning with hand): liver and left pleural on top of Right bronchus.
3) Lymphatic Mapping Assessment: blocked axillary nodes in left side, flow of breast lymphatic goes to the left groin instead of left axillary, left leg lymphatic flow sluggish due to the congestion of left inguinal lymph nodes.
4) Nerve assessment: Right Phrenic nerve and brachial plexus tension with ulnar nerve more affected .
Summary:
Treatment:
Improve the viscoelasticity of the right bronchus , then I work on the bilateral pleural to improve the gliding though the left side is tighter, with the pleural dome ligaments released I can now decongest the thoracic inlet and drain the liver, correct the lymphatic flow of the left axillary nodes and breast which immediately improve the lymphatic flow of left lower leg as the left groin is no longer congested now. In the end of session we fix the nerve issue and client walked home with simple exercises to continue with nerve gliding , diaphragm breathing exercises and self lymphatic drainage technique .
Lady came with complain of swelling in left arm every morning , history of chronic neck and back stiffness and recent left head tension.
Assessment:
1) General Listening: Anterior part of her spine’s vertebral body of C7/T1
2) Manual Thermal Evaluation: Left neck, lateral part of left thorax, liver and ascending colon
3) Lymphatic Mapping Assessment: Same with lady A (Pic 2)
4) Nerve assessment: Left Tentorium cerebelli and Optic nerve
Summary:
Treatment:
First we fix the tentorium tension and improve the optic nerve viscoelasticity and blood flow of the opthalmic artery. Next I released the vertibropericardium and the middle & Deep Cervical fascia (which the vascular , nerve and lymphatic are wrapped within). When I redo the mapping of the lymph flow,it was found to be normal with the lower leg flowing back to the Inguinal nodes, the breast lymph flow back to the left axillary and the speed is adequate . This proved that the tentorium and the thoracic inlet’s tension greatly affect the lymphatic flow in the clavicle and axillary nodes. In the end of session the B lady feels her head is no longer heavy and congested, I am sure the next day she won’t complain of swelling in the arm , soon the neck and back pain will be eased too when we have the review session one week from now.
Lady A needs the active management of Manual Lymphatic drainage as it does not correct itself after releasing the tension in the pleural dome. Lady B, we are able to rectify the factors affecting the lymphatic function and no active management needed. Nevertheless I still teach self drainage as it is better to have preventive care. The moral of the story in this two cases is that no case come to me with pure one issue as our body are interconnected , influences of one structure on another is inevitable thus I provide holistic care of integrated therapy of Visceral (internal organs ) Vascular(blood vessels), Nerve , Lymphatic drainage and Brain therapy.
因为近期看了两位有着相同胸部淋巴引流问题的妇女而想要分享这兩个病例。她们的乳房引流方向異常（見图二）虽然症状一样但是引起症状的问题是不一样的。先谈A女士: 抱怨左胸疼痛且左腿沉重，胸口中部偶尔出现麻木感。
1) 整體傾聽（以查找问题的主要区域以进行细致诊断）: 右支气管是主要区域
2) 徒手溫度排查（我的客户总是说正在用手扫描）: 右支气管以外、也在肝和左胸膜发现有異常的区域。
3) 淋巴循环评估:左侧腋窝淋巴结阻塞，乳房淋巴液流向左侧腹股沟而不是左侧腋窝而引起腹股沟淋巴结呆滞导致左腿淋巴液流缓慢。
4) 神经评估: 右膈神经和臂丛神经紧张，尤其尺神经受压情况嚴重。
评估摘要 :
治疗:
首先，我需要改善右支气管的粘弹性, 再提升双侧胸膜的滑动性，雖然在左侧更紧。释放完胸膜圆顶韧带的张力后，我现在可以處理胸腔入口的淋巴循环問题及为肝脏做淋巴引流。改善左腋窝淋巴结和乳房的淋巴，这瞬間改善左小腿的淋巴流动，因为左腹股沟现在不再腫脹。 最后我们解决了神经问题再指导客户通过简单的運动继续在家进行神经滑动，肌呼吸练习及在家做淋巴按摩。
B女士主诉每天早左手臂水腫，头部左侧沉重感到压力且长期的頸椎疼痛。
1) 整體傾聽: C7/T1 颈椎前方有张力
2) 徒手溫度排查: 左边頸部，左胸部外側，肝及升直腸皆有異常。
3) 淋巴循环评估: 与A女士一样,淋巴循环评估确认左侧腋窝淋巴结阻塞，乳房淋巴液流向左侧腹股沟Left Inguinal Nodes而不是左侧腋窝而引起腹股沟淋巴结呆滞导致左腿淋巴液流缓慢。
4) 神经评估: 左側顱內膜及視神经緊张。
评估摘要 :
治疗:
在做完頸部筋膜及椎体心包膜松动术后淋巴循环自动恢复正常，这證明了淋巴是由於頸部筋膜张力造成压迫而引发異常继而導致手臂腫胀不适。与A女士不同之处是A女士腋下淋巴结阻塞而必须针对淋巴循环做治疗。B女士的淋巴循环自动恢复正常而不須處理（有教居家淋巴引流法）
