問診が”出来ない”患者さんのどこを診るか…?

 

こんにちは。
日本整体協会の大嶋です。

 

突然ですが、
先生に一つ質問があります。

 

初診の方で問診をしたくても
何も話をしてくれない、

あるいは会話が出来ない、成立しないなど、

 

会話による問診が出来ないとき、
先生ならどのような
治療を行いますか?

 

また、何を指標にして

判断をされますでしょうか?

少し、考えてみてください。
……

 

どうして突然
このような質問を
するのかといいますと

 

本日は、精神疾患の一つである

『統合失調症』

についてお話をさせて頂きたいからです。

 

統合失調症の患者さんは
初診の段階では、話をする事が
難しいケースが多く見られます。

つまり、会話による問診が出来ないのです。

 

しかし、
たとえ問診が出来なくても

私たちは治療をしなければなりませんよね。

 

この様な場合、
どこをどう見ればよいのか…?

 

本日は、
そのポイントについて
お伝えしたいと思います。

 

では早速本題に入りますね。

問診ができないときに
私が重要視している指標の一つ。

 

それは、

============
『頭の重さと一次呼吸』
============

です。

 

臨床を重ねて行くと統合失調症の方は、

頭の重さが正常よりも遥かに重くなる傾向があります。
また、一次呼吸もロックして
感じにくい状態になるのです。

 

そこを確認した上で
治療では内臓へのアプローチを行います。

 

頭へと栄養を送り
循環を促すのが目的です。

 

次にクラニアルテクニックで
再び内臓へと循環を促します。

 

そうすることで、
一次呼吸の改善とCSFの流れが
スムーズに行き渡るように
なっていくのです。

 

正常に近づいていくと
症状に変化が見られるようになり、
少しずつですが
会話が出来るようになったり、
行動範囲が広がったりしていきます。

 

また、
状態が良くなれば減薬され、

減薬を繰り返す事で離脱にも繋がっていきます。

 

この様に、
会話が出来なかったり問診が出来なくても
私たちは
治療をしなければいけません。
結果に導かなければいけません。

 

そのため
もしよろしければ
先生方も会話が
難しい事を想定して
技術のみで結果を出すには
どうすれば良いのかを考えてみてください。

 

実際に来院された時に
必ず役に立つかと思います。

 

次回は、実際に治療をしている
統合失調症の方の臨床報告や経過をお伝え致します。

 

本日も最後まで読んで頂きありがとうございました。

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