Caso clínico: da anamnese ao fechamento da síndrome (passo a passo)

Rezumat Scurt

În acest video, Raquel Terra oferă un cadou special: o analiză detaliată a unei fișe de anamneză pe care o folosește de 26 de ani în clinică. Scopul este de a ajuta profesioniștii din domeniul sănătății și terapeuții să abordeze cauzele bolilor într-un mod obiectiv și eficient. Structura fișei este organizată în nouă piloni principali și patru metode de evaluare, oferind o perspectivă holistică asupra pacientului.

  • Observarea, interogarea, palparea și olfacția sunt metodele cheie pentru diagnostic.
  • Cei nouă piloni includ analiza senzațiilor de frig și căldură, transpirația, senzația de sete și foame, urinarea, defecarea, somnul, funcțiile ginecologice și sexuale, emoțiile și durerea.
  • Stagnarea ficatului, deficiența de Yang și dezechilibrul inimă-rinichi sunt identificate ca sindroame principale.

Introducere

Raquel Terra prezintă o fișă de anamneză structurată în nouă piloni, menită să ajute profesioniștii din sănătate să identifice cauzele simptomelor pacienților. Ea promite să demonstreze cum se poate determina originea oricărui simptom și să coreleze diverse aspecte ale sănătății pacientului.

Metoda 1: Observația

Primul pas este observarea pacientului: fața, postura și modul de a vorbi. Raquel introduce un caz ipotetic, Emilia Matos, o terapeută holistică de 58 de ani din Rio de Janeiro, pentru a ilustra procesul.

Metoda 2: Interogarea

Interogarea este a doua metodă, unde terapeuții fac adesea greșeli. Există șapte întrebări standardizate, folosite în universitățile chineze, adaptate în funcție de prezența sau absența durerii. În cazul durerii, se evaluează localizarea, debutul, intensitatea și simptomele asociate. Emilia Matos are dureri în zona călcâiului, apărute după ce a început să alerge, cu o intensitate de 7 din 10.

Antecedente Patologice

Pe lângă simptomul principal, se analizează antecedentele patologice: colesterol ridicat, insomnie și un nodul la sân apărut acum 20 de ani, plus un miom. Raquel menționează importanța ficatului în medicina chineză, care stochează și eliberează sânge, și observă o posibilă afectare a acestui organ din cauza colesterolului, miomului și nodulului.

Genetica și Dorințele Alimentare

Se discută despre antecedentele familiale (mama cu hipertensiune și Alzheimer, tatăl decedat violent) și despre impactul emoțional al acestora asupra pacientului. De asemenea, se menționează dorința de dulce, legată de slăbirea organului Basso conform dieteticii chineze.

Pilonul 1: Analiza Senzațiilor de Frig și Căldură

Primul pilon este analiza senzațiilor de frig și căldură. Emilia preferă vremea rece și soarele, indicând un frig intern, posibil din cauza unui metabolism lent sau a unei deficiențe de Yang. Ea are, de asemenea, senzații de căldură nocturnă, sugerând o deficiență de Yin.

Pilonul 2: Transpirația

Al doilea pilon se referă la transpirație. Emilia are transpirație spontană, indicând o slăbiciune a energiei de fixare care protejează pielea.

Pilonul 3: Senzația de Sete și Foame

Al treilea pilon este senzația de sete și foame. Absența setei indică un metabolism lent, iar absența ambelor senzații sugerează o slăbiciune generală și apatie.

Pilonul 4: Urinarea

Al patrulea pilon analizează frecvența urinării. Emilia urinează o dată pe noapte, ceea ce indică o posibilă afectare a funcției renale.

Pilonul 5: Defecarea

Al cincilea pilon evaluează defecarea: frecvența, volumul, mirosul, forma și textura. Fecalele Emiliei nu au miros, nu se scufundă și au o consistență moale și subțire, indicând o deficiență de Qi sau Yang a stomacului.

Pilonul 6: Somnul și Insomnia

Al șaselea pilon se concentrează pe somn și insomnie. Emilia are insomnie intermitentă, cauzată de o deficiență de energie a stomacului. De asemenea, resimte somnolență după masă, indicând o deficiență a organului Basso.

Pilonul 7: Funcțiile Ginecologice și Sexuale

Al șaptelea pilon analizează funcțiile ginecologice și sexuale. Emilia a avut o menopauză prematură la 47 de ani și are un libido scăzut, ambele legate de deficiența de sânge și de rinichi.

Pilonul 8: Emoțiile și Durerea

Al optulea pilon evaluează emoțiile și durerea. Emoția predominantă a Emiliei este anxietatea, iar durerea se manifestă în călcâi și în zona lombară, indicând o legătură cu inima și rinichii.

Pilonul 9: Inspecția

Al nouălea pilon este inspecția, care include analiza feței, a pielii, a unghiilor și a limbii. Emilia are o față palidă, piele rece, unghii slabe, ochi uscați și o limbă obeză și palidă, cu o sabură mai groasă pe partea din spate.

Metoda 3: Palparea

Palparea include evaluarea pulsului, care este profund și ușor accelerat (77 bătăi pe minut).

Metoda 4: Olfacția

Pentru a închide diagnosticul, este necesară olfacția, care implică mirosirea pacientului pentru a detecta eventuale tuse sau zgomote intestinale.

Cauza Principală

Raquel explică cum se corelează toți acești factori pentru a determina cauza principală a problemelor Emiliei: pinten calcaneal, anxietate și insomnie. Ea identifică trei sindroame principale: stagnarea ficatului, deficiența de Yang și dezechilibrul inimă-rinichi. Stagnarea ficatului, cauzată de pierderea tatălui și de responsabilitățile asumate de timpuriu, a dus la o circulație deficitară și la dezechilibrele ulterioare.

Concluzie

Raquel încheie, subliniind importanța combinării celor patru metode de diagnostic (observația, interogarea, palparea și olfacția) cu cei nouă piloni și cu analiza spiritului, a feței și a stării fiziologice a pacientului. Ea promite să revină cu mai multe tehnici și sfaturi practice în videourile viitoare.

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Transcript

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0:00 In today's video, I prepared a gift for you. A special gift. Nine organized pillars, very objective. I'm going to open a anamnesis sheet, the one I've been using here at the clinic for 26 years. And I'm going to introduce you to what is possible. You, who are health professionals, you, who are therapists, to serve in a different way. to the cause of any disease. I'll prove it to you today. Today is a great day. You who want to serve in a way that shows the patient where any symptom started. And I'm going to bring here three important changes with four, five other symptoms. I will put everything together,

0:49 correlate. The cause is here. If you stay until the end of this video, you will see. This is the cause. In a very objective, unprecedented way, as I never did before. If you are starting here now, go to the YouTube game. subscribe, ring the bell, notify this video and stay with me because his biggest goal is to take you to transform lives every day. I'm going to share the screen with you now, open the sheet, straight to the point and let's go together because excellence awaits you, ok? With me, an amnesia sheet with a millennial methodology to change your practice. Come with me. The anamnesis sheet. The first item is here for

1:35 you. First method: observation. Observe the patient. I'm going to put a hypothetical name here: Emilia Matos, Rio de Janeiro. She is a holistic therapist. Married, 58 years old. First method: observe. And then I observe what? The face, the posture, the speech. And I go to the second method. Soon you will understand the importance of the face, okay? So I have here for you, method 1, observation, method 2, interrogation. In the interrogation I have the part where the therapist makes the most mistakes, 7 questions. On the left side you will have, if it is not pain, 7 questions, ok?

2:21 This is the diamond from Chinese universities because it is the exact order that is taught standardized for any country in the world ok Raquel when it's pain go to the right jump with me here the main jaw is calcaneum spore ok I have a bone change the patient has pain in the Achilles tendon region is here for you or from the base of the calcaneum And then I come to these 7 questions so that I can close the cause, it is mandatory the 7. Location of pain in the heel. Beginning, associates a beginning of a run that the patient started in February 2025, the patient of last year. You will

3:07 put the intensity of the pain, in her case from 0 to 10 she put 7. daily pain in the tip gets worse when she walks arrived at the office with pain and pain symptoms that follow the feeling of pulling the leg back and the very specific discomfort in the calf region treatments performed she said Raquel I'm doing some exams is a patient here from the operating room that we attended on Friday and in this order We move on to pathological antecedents. I'll explain why. She presents, along with the pain, I have to isolate the main symptom, but along with

3:53 that I come to pathological changes. And she said: "I have high cholesterol, insomnia and a nodule in the breast that started 20 years ago. I'm following the tests, everything is ok and I also have a myoma. Stop everything here. Stay with me if you're following me now. Start here, go in order with weekly content. If you already know me, you know something that I'm going to go back to who's at the beginning. I already have here the function of an organ, by Chinese medicine, which stores and releases blood in all directions, which is the liver. The function of the liver, Raquel, I'm a nurse, I'm a doctor, leave your concept aside a little bit, everything is fine with

4:40 medicine. In parallel, it opens to another concept. The liver has differentiated relationships with the body, since it has here, look, a system of channels. We have a relationship of a closed system that impulsives blood and controls the whole body. So, what is the point of looking at this system? It is not difficult, because everything is organized for the accident I see that she has an alteration of this organ by cholesterol by the myoma and by the nodule because the liver that works with the release of blood I didn't close anything just lit up the yellow signal here ok did a cesarean and

5:26 appendix surgery the mother is alive has hypertension and alzheimer's it was missing to put there depression and rheumatoid arthritis the father He was killed in a street violence at the age of 50. Why would you want to know that? All ancestors are housed inside the organs, mainly in the kidney, through cells, through the knowledge of channels. It is important to know the health of the father and mother because this is called genetics according to the West, which is modern medicine. So her genetics, she has a mother with some diseases and the fact of losing

6:12 her father when she was very young made her take on responsibilities and intensify emotion. This already brings an alteration in internal circulation. Keep it because I will refer to this information soon. There is a desire for sweets. According to Chinese dietetics, when organs weaken, I can have a desire or aversion for some flavor. The desire for sweets is linked to the basso organ and it has no food intolerance. That said, I'm going to pillar number 1. I said this video is organized, unprecedented and practical. So, number 1 of the 9 pillars: analyze about cold and heat. As

6:58 I ask, first I say that the patient feels more what she prefers. And the patient can tell you: "Look, I don't know, I don't know what I feel, whatever, for me." Then you will ask: "Do you prefer summer, do you prefer winter? Wow, I hate summer!" already knows that the person is accelerated the circulation can be there in disharmony due to acceleration ok I prefer cold drink already frozen are already people with internal heat with gastritis with burning and the other point the person is very cold and this patient said wow I live from casaquinho even in the summer

7:44 I love the sun, I'm cold. And then we have a type 2 cold, which is a cold due to a deficiency. What does it show, Raquel? Either slow metabolism or lumbar pain, a deficiency of internal heat. What heat? The organs internally have a function called yang and have a structure called yin. So she has internal cold, she lacks yang, she lacks heat. So I already did the first pillar, she has cold. This shows that she has a metabolism, she has a lower circulation, a fatigue, an apathy. And

8:29 I only saw it because of the feeling of cold. This is the importance of following the pillars, okay? But she also has in the analysis of heat a little bit of night heat, which is a sensation of a hot body at night, and this means Yin deficiency. What is Yin? Yin are the liquids, the material structure and everything that cools the body. Yang is function, is movement and is everything that is immaterial. If the yin is missing, which is what cools the body, I feel very hot. I came back. If yang is missing, which is what heats the body, I feel cold. Recapitulating,

9:14 lack of yin, people feel more hot. Lack of yang, feel colder. In her case, Raquel, but she feels cold. So she has a deficiency of an organ that generates cold and possibly a deficiency of another organ that generates heat. It's called incombinant syndrome, okay? And I'm going to pillar number two, which is the sweat. And here I summed up the sheet in a very practical way. We have two types of sweat: anhydrose, the patient does not sweat when he should, and hyperhidrosis, the patient sweats when he should not. It has a spontaneous sweat, which is a sweat due to a function that fixes the pores, that closes the pores. It is the

10:01 energy of fixation that protects the skin that is weak. So she has a spontaneous sweat, which is also not normal. Pillar number 3: thirst. There is no thirst. This is precious because a person without thirst has a slow metabolism. So I'm already on the third pillar, it's very common. Go in the comments if you have any questions about this. that the patient who is not thirsty, he is also not hungry, this is serious, this is serious. The absence of thirst, the absence of hunger shows slow metabolism, weakness, apathy and we already have here the beginning of the disease. The patient does not go to the doctor

10:48 and will treat with all the affection and respect for our medicine I've already done umbilical hernia surgery, I've already done a cesarean it is fundamental to modern medicine we have to have a union with doctors health professionals united but the absence of thirst, the absence of hunger is recognized by Chinese medicine and you as a health professional should already know that you can start knowing that now because Identifying this disharmony, you can stimulate, whether it is hunger, to stay normal and the patient already have disposition, strength, mental focus, because here the illness began and he does not know. But

11:34 now you know. Go there in the comments and tell me: did you know or not? Another important part, no professional asks, but you with this knowledge will ask: What is the frequency of the mixing? How many times do you urinate during the day? 4 to 6 times is normal, varying a little with the intensity of the liquid, volume, more. When the patient urinates more than that, he has weakness of the function of the organ. Remembering that the patient will not run to the urologist, to the gynecologist. You will look here, another place. Write there, I'm looking elsewhere, looking at the channels. This

12:20 holistic therapeutic patient was there with the frequency of once a night, while normal is none. And then, When I analyze that she has an altered urine, I see that the function of the kidney, the function of the kidney starting to be affected, the function of the liver affected by the nodule, by the myoma, And then I have a lack of thirst, a lack of hunger, and the function of the basso affected, because the basso is the main organ of metabolism. I can't close anything here because I'm on the number pillar. Let's see here, number one, cold and heat. Number two, sweat. Number three, thirst and hunger. Number

13:06 four, mixing. I'm on the fourth pillar, I can't close anything, but another yellow signal lit up. Then I come here to evacuation. What do I evaluate here, Raquel? Frequency, volume, smell, if they float, shape, texture. And to synthesize here, there is no smell, it does not sink, it has softened and thinned for many years. What does it mean? I said I'm here to give you a gift and I'm not here playing or wanting to present something magical quick recipe for you to be successful because honestly I would be at home resting if I came to do this here I came to give you a hand deliver valuable

13:51 content is with you forever make you change your practice look how beautiful in front and the type of fezes already have here what it means this does not exist Serrano go there in comment you who already work already did a postgraduate degree have you seen a sheet like this The sheet already has structurally what it means in front. Take this sheet, type, copy, do it in your office if you are a Chinese medicine professional. I came to support your post-graduation. Raquel, I've been working for 20 years, I'm already graduated, my office is full. Do you do this sheet? Write it down for me. Did you know? Qi deficiency, which is energy, or Yang of the

14:37 stomach. And then I'll go through diarrhea, constipation and I'll go to insomnia and insomnia. What does it mean? More than 40%, right? Because according to the World Health Organization, the official bodies in Brazil, we have 40% of the population with change of sleep. But according to Chinese medicine, it's much more than half of the Brazilian population. Needing you, your care. Want to see an example? For Chinese medicine, insomnia is: "Sono leve" , "to dream a lot", "to move too much", "wake up even if you come back to sleep". All of that. Insomnia is not waking up

15:24 and staying awake. If you don't sleep, if your patient not sleeping for 8 hours straight, he already has insomnia. In the case of our patient, she has intermittent insomnia, which is waking up several times and already has the cause, a energy deficiency that, put it there, energy is equal to function, from the bottom, the stomach. So, the fifth pillar is insomnia along with insomnia. I don't analyze only insomnia. the patient has lunch and has that in this fifth pillar that sleep of lying down and having to sleep this is also a deficiency of the basso since the basso looks interesting has as a

16:09 function to produce energy blood and throw the circulation to the head how many people do you know How many patients or people do you know who have sleep, fatigue, apathy, too much concern? The more you worry, the weaker you get. It is not known, but Chinese medicine is sure that the greater the thought, the greater the intensity of not knowing how to work with this here, which is the mind, the more the patient weakens, the more he gets sick, okay? So she has both insomnia and insomnia in the fifth pillar. Sixth pillar: gynecological and sexual function. The patient had

16:54 A premature menopause, which is not written here. How is the normal of menopause, Raquel? Menarche near 14 years, menstruate for 40 years, which in this case she would have to enter menopause at 54 years old. This is normal. Go there in comments. Do you know any woman who stopped menstruating and already interrupted the call of amenorrhea? You can have the climatere when menstruation starts to become irregular, but when it doesn't come for a year and then menopause begins. Menorrhea at 45 years old, we have some women here with 40, total absurdity, not only the climatere, menstruation ceases for more than a year,

17:40 women with 46, 47, 48, called early menopause, deficiency of blood, kidney deficiency. In her case, at 47 years old, she entered menopause and began menstruating at 13 years old, which shows an early menopause. Dysmenorrhea, which the colic had for many years, very strong with the clavicle, means stagnation of energy and blood. How many women do you know with endometriosis, myoma, nodules, blood stagnation, or in the endometrium, which is the internal tissue of the uterus, or even outside the uterus, causing severe pain? Endometriosis

18:26 is a blood stagnation of the liver and has treatment. In her case, a strong colic, but without endometriosis. Menstrual cycle, but along with menstrual cycle, you will put in this sixth pillar, sexual function. And then comes the frigidity, the low libido, women with dryness in the vaginal canal, men with impotence, men with premature ejaculation, all this has a cause. And it's linked to what? The function of the kidney. This patient had reduced libido. Everything related to the gynecological part, note there, you will think of liver, basso and kidney. There are three channels that take care of the gynecological part,

19:13 okay? And the low libido you will directly relate, mainly to the kidney. And the deficiency of blood in the case of women, because women have blood as a noble liquid that takes care of all this relationship with hair, with libido, with humor. The blood stored in the liver, produced by the basal and the kidney, keeps women with moist skin, strong hair, longevity, a good sexual function and a good ability to get pregnant. Now, the special moment, which is the 7th pillar and the inspection evaluation, okay? The 7th pillar, which is not here, I will complete for you, it was

20:00 missing here on the sheet, it is the analysis of emotion and the analysis of pain. Note that it is mandatory for Chinese medicine to analyze this 7th pillar. What am I going to do here, Raquel? What is the predominant emotion? How do you feel? Did you have any trauma? And she said: "My predominant emotion today is anxiety." In pain you will put: "Is there any place that has more pain?" the intensity of the pain, and it can be headache, burning in the stomach, pain in the spine, cervical pain, knee pain, chest pain, any part of the body, any kind of pain,

20:46 and not just joint pain. In her case, she already put pain in the calcaneum and a slight pain in the lumbar region. Here we identify a direct relationship with the kidney. The calcaneum is linked to the kidney, due to the relationship between the kidney and the canal, the bone and the calcaneum. Note that the kidney takes care of the calcaneum, knee, lumbar and bones. All of this has to do with the kidney. And in the predominant emotion anxiety, a direct relationship with the heart. You know what's most interesting here? It's that each internal organ exceeds the exterior. There is nothing that the exterior does not reveal. Looking at the exterior, I see the interior.

21:36 There is nothing that the behavior, the tissues, the speech, the face, does not reveal. And now remember that at the beginning of this anamnesis I said that I would explain the importance of the face? According to Huang Qinejing, who is the bible, the emperor yellow, the bible of Chinese medicine, the heart opens in the face, manifests itself in the tongue, in speech, because the house of the heart is the vessels, the large-caliber vessels, the arteries, take the circulation to the brain and open in the face. What madness! Write to me, did you know? Look at the power of this knowledge. Looking at the speech,

22:22 the laughter, the look, the organization of words, I see the state of the heart. I will repeat, I see the state of the heart and I can see before the patient has this here, arrhythmia, cardiopathies, which is valve prolapse, cardiomegaly, hypertension, surgeries, heart attacks, everything. From the face I see before, from the speech. Raquel, what is there when you write "without spirit"? The sparkle of the eyes. You don't have to look at your emotion, you'll see something else. The spirit here has nothing to do with belief, with religion, with dogmas. The spirit is the clarity of communication, the

23:08 posture, the way the person lives, the choices, the values. And here I see a tired apathetic spirit. In your anamnesis chart, in my case, I have it. But I took it out of the patient's privacy. You will put here a face photo. will put a face photo and will analyze this photo because the spirit changes the face changes and you will be treating not only the skin muscle blood but also this expression side that is the spirit and then she had a phase a pale face dry weight increase ease to get fat

23:55 dry lips I'm here observation according to the observation method according to the interrogation method along with inspection then you will see the palpation soon so that I close the cause is good So, a cold skin, that's why we can't attend online, I'm teaching you here, you can be anywhere in the world, from 197 countries in the world. Now, not attend. To attend you have to come here, you go to the therapists' office that are here, you will attend in person. Why? Because you have to touch, analyze the nail, analyze if the patient has a cold skin, if they have edema, And then

24:41 I have a cold leg, weak nails, dry eyes, dry lips, tired eyes, dry hair, normal throat, and the thorax here also presenting a picture of normality. And now you're going to do something special, which is the third pillar, the third method. I have nine pillars to close the evaluation. I'll leave the nine here. I have the nine pillars to close the cause and the four methods here that are organizing the nine pillars, okay? Let's go. This pillar here of palpation involves the pulse. So it

25:26 has a deep pulse, the type of pulse is tense, which I press, it looks like a guitar string, and you will see in a very practical way with a watch or a stopwatch, you will see the heart rate. It has a normal pulse, it is from 60 to 80, fast is a pulse above 80, slow below 60 beats. It has 77, going fast, but it's not fast, it's within normal. Deep is: I touched and felt a little, I deepened my fingers in the radial artery, which is this one here, I feel a little more, but when I go deep, I feel more. It's a deep course, when you press your

26:12 finger more, you feel more, okay? And the tongue, it's here for you, her tongue. What do I do? Four body items, four items of this donkey. Her body is obese, don't look at this donkey first, huh? A serious mistake here that you may have learned there in your post. Let's correct it for you to take better care of this fact and also take this growth, I already made a lot of mistakes at the beginning, take this growth to your practice. When I look at saburra, it's here, a tongue without saburra. You already know what it is. A tongue with saburra, it has this little coating. So four pillars are: size and shape, color, vitality and movement. Four pillars of the body.

27:01 It is an obese tongue, a pale tongue, tremulous, which you can't see because it's a photo, but it shakes, tremulous and a good vitality. Saburra, it has saburra, but the sagging is a little thicker on the back. Here on the side you can't see it, but it's a little more absent. The sagging also has four pillars. I see what? Thickness, location, color and moisture of the sagging. It's a sagging absent a little bit on the tip and a little thicker on the white background. Put it all together and help me with the diagnosis, Raquel. First of all, never close a diagnosis by the tongue, because you may have The seven pillars of the questionnaire that are appearing here: pre-heat, sweat,

27:51 thirst and hunger, mixing and evacuation, sleep and insomnia, pain and emotion, and gynecological function. These seven pillars you can have, but you saw the patient there, for example, with no hunger, no thirst, tired, but the tip of the tongue is red. "Ah, the patient has a little heat at night, which in general would be a red tongue, but the tongue is pale, so according to the universities of China I can only close the cause of the diseases. " It's very good to have this level of discernment here. I'm here to support you. It didn't make sense, you can follow your path. Did it. Follow me weekly.

28:42 There are lives and lives in need of us. I can only close when I associate observation with interrogation, palpation and olfaction. I need to smell the patient, see if he has cough, gurgle, which olfaction does with which I close. Keep it there. Four methods to diagnose and nine pillars to perform the diagnosis. the nine pillars are intrinsically within the four methods. Does it make sense to you? Go and write in the comments for me. And now to close the video, cause of what Raquel? This here, calcaneum spore, anxiety and insomnia. Let's put it all together? I told you that here is the organized knowledge in a

29:32 practical way and a video for you to save to watch other times. calcaneum spore, direct relationship with the kidney, anxiety, relationship with the heart, insomnia is also a relationship with the heart and with the basso, but that's not enough, I have to put together thirst, hunger, pain, humor, and now I'm going to do this for you. Now, together with you, I'm going to close the cause of the three diseases in a very practical way. Let's go! Let's put it all together now? I gave seven pillars. And why are there nine, Raquel? There was a lack of wrist and tongue. So now it's here, nine for you. set of the interrogation, wrist and tongue, but in fact the observation, the expression, the spirit, the

30:22 nail, is together with this expression here, okay? So there are nine pillars, but I'm going to leave here parallel, the analysis of the spirit, the face, all together, for you to integrate into these nine, okay? So let's do this together now. is cold, has a lack of thirst, lack of hunger and spontaneous sweating, this shows a lack of energy. The lack of energy in the bass makes me lose my hunger and thirst, but as it is cold, it is not just a lack of energy, it is a lack of yang. The lack of yang in the bass is justified in the cold and in the obese tongue, because the more the lack of yang, the more sluggishness and the tongue begins to swell.

31:12 gets obese. The soft and thin feces occur in the function of the basso, but it has an increased frequency too. Sometimes it evacuates twice a day, sometimes three times. So it justifies here a Yang deficiency of the basso. I'm going to join now with the pain. The calcaneum is linked to the kidney. The cold in the basque is here, the basque dominates the kidney because it is the grandfather of the kidney, I have here the five elements. So the cold in the basque is leading to the cold in the kidney, which justifies the calcaneum and the increase in urine once a night. Cold in the basque, starting cold in the kidney. Let's go a little bit more? The heart is dominated by the kidney. through the canals the kidney has

31:59 to go up and refresh and calm the heart with the cold kidney already with increased urine an apathy a lack of hunger a little pain in the arm that justifies the bass connected to the kidney the bass not nourishing his grandson who is the kidney The kidney also does not rise to calm the heart, which justifies the tip of the red tongue, anxiety and insomnia, which are heart changes. In the whole, everything organized. I said it was a gift, it's here for you. It made sense? When I'm done, you'll share this video so that other therapists have this level of awareness. It's not over yet. Let's go a little bit more. If I

32:46 don't feed the heart, I'll have anxiety and insomnia. All right, but now comes the question that doesn't want to shut up. How did it all start? When the patient lost her father, she started working early, holding on to problems at home, staying quiet, very introverted, emotional problems more and more and more serious, chronic, Who started it all is here for you. Stagnation of the liver, caused a low blood pressure and this initial syndrome caused a disharmony of the two organs that keep strong bones, the nourished lumbar, the heel, as well as the other organ keeps the mind, tranquility, sleep, kidney, first

33:32 organ, heart, second organ. Now according to the Chinese universities, it's here for you. Closing of the cause. My gift. I said that if you stayed until the end, you would receive. Promise made, promise fulfilled. Cause of the three changes, as well as fatigue, early menopause, dry hair, apathy, ease of gaining weight and everything she has. Stagnation of the liver, generated an aneurysm, started a heart and kidney disharmony. The third syndrome is this one, heart and kidney disharmony. Last syndrome, so I have first liver stagnation, second, Yang

34:19 deficiency and finally heart and kidney disharmony, and that's what we're dealing with today, okay? It's delivered to you, Raquel. And now? And now you know the cause. You know it's possible to correlate the five elements with and the four methods are here, look at the interrogation observation, the palpation and the one-way, join the four methods with the nine pillars, the nine pillars with the three bases of the spirit, the observation of the face of speech, the three bases of the blood, the nail, the skin the three

35:04 bases of the mind the focus the brightness of the look these bases here are the physiological bases that keep the pillar of inspection that is there next to the interrogation it's not over yet my gift to you is to stay for the rest of your life so stay with me The first thing you're going to do, if it made sense to you, you're going to take this video to other therapists, other health professionals, expand the way you look and evaluate. Play there, share, it's important. and this access from other therapists your sharing made your part I'll give you a second gift it's not good no I want

35:51 more next week I'll bring this this sheet but I'll introduce you to the techniques that were used how I selected what was the result what I used everything ready and delivered to you so that together with me we can, you, me and your practice, transform lives every day. You didn't arrive on a channel, on a movement. You have reached a movement that has a mission. A mission that has to do with your purpose. A purpose that, when it is clear to you, you are one step ahead of any financial concern. One step ahead of any fear of the patient disappearing. One step ahead of being a hostage of

36:36 a clinic, of a hospital. You decide your life, your practice and your path. From today to the last days you live, okay? Big kiss, together we are stronger and with you everything gets easier. Make sense, go in the comments, answer two things for me. What was the hardest part and what was the part that you liked the most? And I promise. I'll be looking here to answer your difficulties, okay? Leave it to me in the comments. Now, like it, click the bell, prepare everything here so I can bring you a strong gasoline and forever. Doing your part, I'll be here every week producing valuable content, okay? Big kiss and I'll see you in the next

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