N.A. Ivanova, M.D., Ph.D., Su Jok Academy faculty member

Female patient, age 62

Diagnosis: diabetes mellitus, type 2, insulin-dependent form. Diabetic angiopathy, retinopathy. Ischemic heart disease, constriction of the heart. Arteriolonephrosclerosis.

She presented with a steady increase in arteriotony (170/110 mm Hg), not amenable to treatment with hypotensive preparations; attacks of stenocardia have been precipitated, and occurred not only by exercise, but at rest as well, 2-3 times a day. Numbness of toes was also observed. There was an unceasing cold sensation in the arms and legs, a diminished visual acuity (especially manifest over the past six months). All the symptoms became aggravated secondary to influenza. She is specifically worried by the sense of general weakness and inability to bring herself to doing something.

On physical examination the patient demonstrated waxy rigidity of the hand tissues. She had difficulties in trying to clench her hands into fist; her hands feel cold, the hands skin color is uneven. Her legs were noted for paleness with cyanotic tint, and foci of congestive hyperemia. She had a feeling of oppression or distress. Her voice was very low (of murmur type). She was of taciturn disposition.

Su Jok diagnosis: the constitution of deficiency in the unified energies of Wind, Heat and Humidity (constitution of the cross axes) (fig. 1).

Fig. 1. The cross-link constitution of the axes - deficiency in the unified energies of Wind, Heat and Humidity

Given the somatic energy insufficiency, her treatment was begun with the moxas-based warming up of basic energy-related points (which the patient continued to carry out on her own in the course of two weeks). As to the Six Ki principle of treatment - tonification of Heat and Wind and sedation of Coldness in the Vertical Core meridian were performed in the embryonal auricular system of the "head-down" Hotness stage (fig. 2). After the needles have been inserted the patient had a sensation of warmth gradually radiating into the limbs.

Fig. 2. Tonification of Heat, Wind and sedation of Coldness in the Vertical Core meridian

In order to have arterial pressure (AP) reduced, a needle was inserted for five minutes, aimed to sedate the Hotness chakra (following which her AP showed a drop from 170/110 to 145-90 mm Hg).

Tonification of the Heat external chakra by means of magnet was conducted for three days (fig. 3).

Fig. 3. Tonification of Heat external chakra

By the next procedure the patient reported the absence of numbness in her toes, with the hands integument objectively demonstrating changes in color. Indeed, the nonuniformity in color had gone, and cyanotic tint became less pronounced. Yet her arms and legs remained cold.

Since the main symptoms of her diseased condition pointed to the pathomorphologic alterations in the arterial system, further treatment included activation of her Heat energy structure (the small intestine meridian and the AH-Heat chakra).

The treatments were following the sequential order indicated below, taking into consideration that the Coldness energy causes spasm; Dryness energy - rigidity and thickening of the arterial wall basal layer; Wind energy - noises in the ears, heard as a pulse wave.

1. Tonification of Heat in AH-Heat (Coldness and Wind sedation).

2. Tonification of Heat in AH-Heat and tonification of Hotness in AH-Heat (Coldness sedation).

3. Sedation of Dryness in AH-Heat (tonification of Humidity and Hotness) within the axial constitution of AH-Heat (fig. 4).

Fig. 4. Symmetrical axial constitution of AH-Heat

After six procedures have been performed, the patient gave up taking nitropreparations (because her heart failure brought on no more troubles). Arterial pressure became stabilized within the range of 140-150 and 85-90 mm Hg.

Her common integuments grew elastic, waxy rigidity and congestive hyperemia disappeared. However, cold sensation in the feet, her proneness to pastiness of feet and shin were still there, especially after walking outdoors (during frosty weather). In terms of the spatial diagnosis the feet would come into category of Coldness. Given a relative excessiveness of AH-Coldness we provided tonification of Heat in UM-Coldness (in order to improve blood supply to the kidney and feet) (fig. 5).

Fig. 5. Tonification of Heat in UM-Coldness

Specifically mentioned by the patient during a procedure was a rapid warming up of the lumbar region and the feet reaching as far as the heels.

When the fourth procedure was completed, her AP showed stability within the range of 130-140 and 80-85 mm Hg. The patient became active, talkative, and more viable. She was able to resume her work. What is more, the proposed therapy allowed her to avoid having to be given complementary injections of common insulin before meals, because her blood suger had also become stabilized. The only thing to be administered included the injection of 12 units of prolonged insulin a day.

Dr. Suresh B.Acharya (M.D.), Mumbai, India

Male patient, age 54. Diabetes mellitus

His complaints concerned the left-eye blepharoptosis, failure to move the eyeball laterally, and the left cataract. The relevant examination revealed diabetic neuropathy of the left ophthalmic nerve involving the left rectus muscle. This brought on a medial deviation of the eyeball. Blood suger index after meals would amount to about 18 mmol/l.

I came to the upshot of stating Su Jok-based diagnosis thus: an excessive Dryness of the gall bladder.

On the strength of the above the patient was subjected to treatment involving his substructure: he underwent sedation of subbranch Dryness, tonification of subbranch Wind in the branch Wind of the main AH-Hotness energy (fig. 1).

Fig. 1. Sedation of Subbranch Dryness within Branch Wind of AH-Hotness

His treatment was also provided following a correspondence system (needles stimulation of the point corresponding to the left eye in the main left hand correspondence system) (fig. 2).

Fig. 2. Needles stimulation of the point corresponding to the left eye in the standard left-hand correspondence system

The treatment resulted in the said ocular symptoms having disappeared within a month's time.

Dr. M.P. Roshko, M.D., Su Jok Academy faculty member

A three year old girl.

Diagnosis: diabetes mellitus, type I, decompensated, first year of illness.

The girl is extremely active, emotional, her physical and neuromental state corresponds to her age. Activity is more displayed in the first part of the day. Day sleep is superficial, often short, she falls asleep with difficulty. Sharp post-sleep fluctuations of blood glucose - from hypoglycaemia to marked hyperglycaemia, general weakness, fatigue. The girl receives insulin preparations, but the optimum dosage has not been found. Diabetes has developed after an ARVI.

The acute onset and Hetero nature of disease, excessive Hetero activity, especially in public and in the first (Hetero) half of the day, asthenic constitution, impairment of the endocrine system are indicative of the dominating vertical (Hetero) axis in the body and insufficient sagittal (Homo) axis. This is possible in the axial constitution of Hotness-Coldness. The nature and intensity of disease that developed so early point to initial predominance of the Coldness pole in this axis. The energies of Dryness (lung diseases, low immunity) and Humidity (impaired adrenal glands and pancreas proper) are also manifested excessively in the girl. The Wind, Heat and Hotness energies are deficient, the most deficient being Hotness (low functioning of the regulatory systems, fast exhaustion of the nervous system). In deficiency of unified energies of Wind, Heat and Hotness in the patient, we can speak of the Heat deficiency constitution (Fig. 1).

Fig. 1. Symmetrical axial constitution of deficient unified Heat (Hotness-Coldness axis)

At the level of individual energies, UM-Humidity manifests itself (impaired pancreas), UM-Dryness (impaired bronchopulmonary system) and UM-Coldness (chilliness, paleness, fear at the emotional level), and also AH-Wind (hyperactivity in the morning, lability of emotions, of blood count), AH-Heat (periodic rises of temperature to high readings, intestinal dysbacteriosis - enteritis, emotionality), and AH-Hotness (neuroendocrine crises ahead of neuromental development). The UM-energies of Humidity, Dryness and Coldness are more manifested (they are also strong at the unified energies level), so the patient's individual constitution should be defined as the UM-Dryness constitution (Fig. 2).

Fig. 2. Symmetrical axial individual constitution of UM-Dryness (Hotness-Coldness axis)

Interestingly, the girl's energies of the month and year of birth coincide with the defined constitution: Dj (month trunk is UM-Humidity and branch is AH-Hotness); Fk (year trunk - AH-Heat and branch - AH-Wind).

The axial constitution allows to trace interrelationships of the energies and select the optimum prescription for treatment. Instruments for treatment were also chosen considering the age and peculiarities of emotional response.

The course of treatment consisted of seven sessions and included:

- warming energy points;

- colour and seed therapy in correspondence systems (red, orange colour, seeds of guelder rose, rosehip, paprika) and in the byol-chakra system (Fig. 3);

Fig. 3. Seed stimulation of byol-chakras: A - Heat in the standard system of the hand; B - Humidity in the "insect" system

- light-therapy with the unit "Su Jok-3" in the correspondence system (red, low-frequency light), in the external byol-chakra system on a finger (tonification of the upper and left byol-chakras with a red low-frequency beam, sedation of the lower and right external byol-chakras with the blue-violet high-frequency beam);

- magnetotherapy: tonification of the upper vertical Core byol-meridian (Hotness) in the hand system prior to day sleep (Fig. 4), sedation of the gall bladder byol-meridian in the morning and during its maximum activity (from 19 to 21p.m.), alternative sedation of the long spleen-lung byol-meridian with tonification of the long liver-brain byol-meridian (Fig. 5).

Fig. 4. Tonification of Upper Vertical Core byol-meridian

Fig. 5. Energy flow therapy on long byol-meridians: A - sedation of the spleen-lung byol-meridian; B - tonification of the liver-brain byol-meridian

As soon as on the third day of treatment sharp fluctuations of blood glucose declined, day sleep improved. The girl became calmer and active throughout daytime, better responded to treatment.

About eighteen months have passed, the girl's diabetes is compensated, insulin dosage is lower on the background of the general active and satisfactory state.

I.A.Maaring, physician, Estonia

Female: age 58.

Diagnosis: diabetes mellitus, Type I. For about 20 years had been receiving insulin two times per day. Came to my surgery with gangrene of the right foot. The whole foot was dark-violet, with purulent-bloody discharge. The patient had been referred to amputation of lower limb. Treatment: I stimulated with needles the points corresponding to the right foot on the left foot and both the hands (in the standard system) tree times per week, then two times per week. At home, the patient was warming up with a moxa the right foot correspondence points in the standard correspondence system of the hands (Fig. 1).

Fig. 1. Correspondence points are stimulated with needles and warmed up with moxas in right foot gangren

The treatment took six weeks and in the end the leg was irrecognizable - no signs of gangrene at all!

Dr. E.M. Tirskaya, M.D., Su Jok Academy faculty member

Female: age 61.

Diagnosis: diabetes mellitus, type II. Obesity, III stage. Arterial hypertension. Atherosclerotic cardiosclerosis.

Complaints of higher BP - up to 220/120 mm Hg. With increased BP there appear a sense of chills and pains in the occipital region of the head. On exertion there appear dyspnoea and cardiac pains. She reports of excessive appetite, increased body weight (105 kg while her height is 162 cm), feeling of distension in the abdominal cavity, heaviness in the body and right hypohondrium, dryness and bitterness in the mouth, thirst, numbness of the left arm, especially marked in the little finger.

On examination there were revealed larger sizes and tenderness of the lower border of the liver, brittle nails, farsightedness, dry and pale skin and mucous membranes, cracked angles of the mouth. Her medical history indicates that the patient is intolerable of heat, alcohol and fatty food, suffers from frequent colds.

The flow of complaints and diversity of symptoms indicative of affliction of various organs and tissues are characteristic of diabetes mellitus, so it is very important to determine correctly the underlying dominating energy and the patient's constitution.

When trying to evaluate unified energies one cannot but notice, first of all, excess energy of Humidity manifest both at the level of the body in general (higher weight, low mobility, heaviness in the body, dyspnoea on exertion) and at the branch level: in UM-Wind (enlarged sizes of the liver, development of fatty hepatosis, heaviness in the right hypohondrium); in AH-Humidity (excessive appetite, feeling of distension in the abdomen, intolerance of fatty food); in AH-Dryness (loose bowels).

Along with Humidity energy, there are manifestations of Hotness energy (higher blood pressure, intolerance of heat and alcohol, moderate thirst, feeling of hotness in the palms) and Dryness energy (dry and pale skin and mucous membranes, cracked angles of the mouth, brittle nails, farsightedness, frequent colds).

According to the Six Energies theory excess energies of Hotness, Humidity and Dryness in the constitution of excess Humidity are accompanied by deficient energies of Coldness, Wind and Heat, tonification of which can contribute to decreasing manifestations of the basic illness.

In order to obtain a stable effect in treatment, one should consider the way diabetes mellitus type II develops. One of its causes is a habit of overeating, so it is important to "calm down" the stomach acting on the individual energy of AH-Humidity and its excess branch energies of Hotness and Dryness (thirst, cracked mouth angles, dryness in the mouth).

In type II diabetes, obesity is not caused by overeating alone, but also by enhanced absorption of nutrients by the mucous membranes of the small intestine which is indicative of excess individual energy of AH-Heat.

To a great extent, diabetes mellitus type II is conditioned by the liver affliction: replacement of sound liver cells - hepatocytes - by fatty tissue does not allow to turn excess blood glucose into glycogen (hepatosis). At the energies level this is caused by deficient individual UM-Wind and in its structure - by deficient branch energies of Wind, Heat and Hotness.

In accordance with this analysis the following treatment was administered:

1) At the level of unified energies, taking into account the symmetrical axial constitution of excess Humidity, the energies of Wind and Heat were tonified, while the energies of Humidity and Dryness were sedated (Fig. 1).

Fig. 1. Tonification of unified energies of Wind and Heat by the axes rule

2) At the level of individual energies - energy flow therapy (on the alternate basis): sedation of the stomach and lung byol-meridians, tonification of the heart byol-meridian.

Considering the individual constitution and aetiology of the disease UM-Wind was tonified, UM-Dryness was sedated, and UM-Heat tonified. The prescription was applied on byol-chakras and byol-meridians. Also, AH-Hotness energy was sedated by the subjugation method (Fig. 2).

Fig. 2. Sedation of AH-Hotness energy

3) At the level of branch energies, in order to lessen appetite, dryness in the mouth, thirst, Hotness energy was sedated in the structure of AH-Humidity energy (employing the subjugation function) (Fig. 3).

Fig. 3. Sedation of branch Hotness of the stomach meridian

4) In the structure of UM-Wind energy the energies of Wind and Heat were tonified according to the axes rule to increase the activity of the liver.

5) In the structure of UM-Heat energy branch Heat was tonified and branch Dryness was sedated to improve the work of the heart.

6) The liver and heart correspondence areas in the standard correspondence system were warmed up with moxas.

Two courses of treatment each consisting of 10 sessions were held with a 7-day break.

As a result of this therapy the patient lost 8 kg of weight, her appetite decreased. Blood sugar went down from 12 mmol/l to 6-5.5 mmol/l. Arterial blood pressure stabilised at 170-160/90-80 mm Hg. Pains in the heart area were considerably more rare. Less gastrointestinal complaints: heaviness in the right hypohondrium and a feeling of abdominal tension and distension disappeared, bitterness in the mouth and dryness of mucous membranes went off.

Dr. E.M. Tirskaya, M.D., Su Jok Academy faculty member

Female: age 60.

Diagnosis: Diabetes mellitus type II. Hyperthyroid goitre. Exacerbated duodenal ulcer.

Presented with complaints of high irritability, sweat, unstable moods, anxiety, disturbed sleep. Reports occasional pains in the cardiac region, heartbeat, high blood pressure. Also she is troubled by heartburn and pains in the epigastrium, excessive weight, unstable stools.

Complaints of decreased vision due to myopia and two-sided cataract, varicose veins along the internal surface of the right shin, numbness in the right arm, pains in the cervical spine, stiffness of movements.

The patient dislikes the brown colour, prefers the green one. On examination one can notice dry skin, lips, parodontosis, brittle nails. Her medical history reports of frequent cases of pneumonia with marked clinical symptoms, decreased hearing.

The majority of the above cited symptoms point to the dominating unified energy of Dryness in the constitution: ulcer with pronounced pain syndrome, cataract, dry skin and mucous membranes, brittle nails, parodontosis, frequent lung problems, decreased hearing, stiffness and pains in the spine, dislike of the brown colour.

Also dominating are the energy of Humidity (excessive weight, anxiety, sweat, renal cyst, fatty hepatosis, varicose veins) and the energy of Hotness (high BP, heartbeat, hyperthyroidism).

The excessive energies of Hotness, Humidity and Dryness and, accordingly, deficient energies of Coldness and Wind form the constitution of the excessive unified energy of Humidity with the dominating Dryness energy.

At the level of individual energies the main complaints and symptoms are related to impairments in the structure of AH-Heat and UM-Wind energies.

Excessive AH-Heat energy is manifest by the affected duodenum, hyperthyroid goitre owing to enhanced absorption of iodine in the small intestine. Since the blood iodine increases, the thyroid produces more hormones.

Deficient UM-Wind energy in the patient is manifest in the development of diabetes mellitus. Presence of diabetes mellitus type II indicates the low functioning of the liver, since contemporary findings show that fatty hepatosis of the liver is an important factor of the development of diabetes mellitus type II.

Information of diabetes mellitus points to excessive branch energies of Dryness and Humidity in the structure of UM-Wind.

Higher anxiety, perturbed moods, obesity are indicative of excess UM-Humidity energy. Dry skin, frequent pneumonias allow to suppose excessive UM-Dryness energy.

Six Energies treatment was aimed at the most unbalanced energies in the patient's multilevel constitution:

1) At the level of unified energies Dryness energy was sedated considering axial relationships on byol-chakras (Fig. 1).

Fig. 1. Sedation of the unified energy of Dryness

2) At the level of individual energies, taking into account the constitution, UM-Wind energy was tonified using the antisubjugation function. Treatment was applied on both byol-chakras and byol-meridians (Figs. 2, 3).

Fig. 2. Tonification of UM-Wind energy on byol-chakras

Fig. 3. Tonification of UM-Wind energy on byol-meridians

At the emotional level UM-Anxiety was sedated, UM-Fear tonified and UM-Sadness was sedated.

3) In the structure of AH-Heat energy treatment was aimed at decreasing the main symptoms of ulcer: sedation of branch Dryness energy and tonification of branch Heat energy on the small intestine byol-meridian and on the AH-Heat byol-chakra (Fig. 4).

Fig. 4. Sedation of branch Dryness energy in the structure of AH-Heat energy

4) Considering deficient UM-Wind energy in the constitution, branch Heat was tonified on the liver byol-meridian using the antisubjugation function (Fig. 5).

Fig. 5. Tonification of branch Heat energy of the liver byol-meridian using the antisubjugation function

After 15 sessions the patient's emotional state grew better and her sleep normalised. Blood sugar decreased from 10 mmol/l to 6 mmol/l. Epigastric pains and heartburn subsided. Pulse and blood pressure were normal, cardiac pains stopped troubling. Stiffness in the cervical spine disappeared, and so did numbness in the right arm.

Another two courses of treatment were administered (15 sessions each) with a one-month break.

Two months later no nodes were revealed during examination of the thyroid.