施術のビフォーアフターにこだわり過ぎると…

おはようございます!

日本整体協会
インストラクターの西村です。

本日は20代の留学生の症例を
お伝えしたいと思います。

当初、この方は
腰痛と下肢のしびれで
当院に来院されました。

問診をしたところ、

数か月前から
夜間・就寝時の胸やけ、
呑酸やゲップの症状が続き、

内科にて『逆流性食道炎』
診断されたとのことでした。

またこの他にも
ここ数カ月の間、

~~~~~~~~~~~~~~~~
・不定期に起こる顔面部の疼痛
・腹部のチクチクとするような疼痛
・慢性的頭痛
・便秘
・頸部痛
・不眠傾向
~~~~~~~~~~~~~~~~

などの様々な症状も
呈しているようでした。

生活環境はというと、
もう一人の留学生
(あまり仲良くはないようです…)
とルームシェアの形で2人暮らし。

食生活はコンビニや
ファーストフードばかりを
摂取しているとのこと。

また、大学受験のための
日本語の認定試験が近いそうで、

その勉強も重なって
食生活や睡眠などの
生活リズムの乱れにも
悩んでいるようでした。

身体の状態を確認すると、
頭部は重く、伸展が浅く、
全体的な歪みも強い状態でした。

腹部の所見は、
心窩部を含めた左右季肋部と
臍部周囲や右下腹部の硬さが顕著で、
呼吸も浅い状態です。

また、左腰部の硬さもあり、
左寛骨のPIも強く呈していました。

…先生ならこれらの情報から
この方の問題となっていそうな
内臓諸器官はどれだと
仮説を立てますか?

少しのあいだ、
考えてみて下さい。

如何でしょうか?

実際に挙げてみると
かなり多くの内臓器官が
思い当たるのではないでしょうか?

例として挙げてみると…

===========

・食道
・胃
・肝臓
・胆嚢
・膵臓
・副腎
・腎臓
・小腸
・回盲
・虫垂
・S状結腸
・頭蓋骨(硬膜)など

===========

かなり多数のものが
関連してあげられて
しまうと思います。

これら全ての器官に対して
当協会の『内臓クラ二アル』の
技法は存在します。

そのため、どの器官にも
施術を行うことは可能です。

しかし、
これら全ての器官に対して
手技を行うべきでしょうか?

治療において
大切な要素の一つに、

~~~~~~~~~~~
いかに患者さんの
体力を奪わずに行うか
~~~~~~~~~~~

という考え方があります。

この方のように、
身体の兆候が複数存在し、
複数の器官系が
関連して考えられるときには

いかに手数を少なくして
実施するか?という要素も
大変重要になってきます。

考えられるすべての要素に
施術するという選択は
好ましくありません。

その日のビフォーアフターに
こだわりすぎたり、

最適な手技が想い描けずに
考えられるものすべてを
実施してしまう。

そういった治療は
返って患者さんの体力を
落としてしまうことに繋がり
思うような結果が
出せなくなってしまいます。

このように
様々な問題が考えられるときは、
急性、慢性、器質的な問題などを
考慮する必要があるでしょう。

そして初診時から治療のゴールまで
どのように患者さんの健康状態を
引き上げていくか?

そのような視点の元
都度最適と思われる手技を
選択することで、

患者さんの治癒力を
最も引き出せる環境を作ることが
大切になってきます。

また、健康状態に導くために
患者さんに最適な刺激は何かを考え、

段階的な回復を目指して
その日の治療プロトコルや
経時的な治療計画を立てる必要も
あるのではないでしょうか。

臨床は仮説と検証を
実践する場でもあります。

治療とは、入力(刺激)
に対する身体の反応です。

仮説を立て、
実施した上で、
患者さんの体の反応を見る。

その結果を検証して、
次の治療にフィードバックする。

その日の症状の
変化にこだわり過ぎて、
多くの手技を実施してしまうと
体力を奪ってしまいます。

「今日の治療はここまで」

という、勇気ある終了も
必要なのではないでしょうか。

その結果
思うような変化が出なければ、
また検証して新たな仮説を立てて
準備して臨む。

この繰り返しにより、
本当の意味で臨床の経験が
培われると思います。

もちろん、
臨床では結果を
出す必要があります。

しかしながら
結果を出すために、
やみくもに全てのものを
実施するのではなく、

患者さんの治癒力を
段階的に改善する仮説を立て、
優先すべきことを考える。

そして治療の戦略を立てた上で、
その都度、目的に応じて考えられる
最善な刺激(手技)を選択し、

その変化(結果)を検証していくことが
大切であると思います。

このような習慣を
繰り返していくことにより
しっかりとした経験が培われます。

そうすることで
患者さんの症状にとらわれず、
最適な手技や刺激量の選択が
可能となるのではないでしょうか。

次回は、今回の症例において
『健康状態を目指す』
という大きな目的のもと、

初めに何を目的として、
どのようにアプローチしたか?

その後、これらを段階的に
どう変えていったか?

といった点を
お伝えしたいと思います。

本日も最後まで
お読みいただき
誠にありがとうございました。

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