REVIEW AND ENHANCEMENT MATERIAL FOR MASSAGE THERAPY NC ll

Compiled and Prepared B !"ANITO A# LAMPASA LMT/NTTC 1 TESDA A$$redi%ed Trainer A&&e&&or in Ma&&a'e T(erap and Hilo% Wellne&& Ma&&a'e NC ll

)* Caimi%o S%# Cen%ral Si'nal Vill# Ta'+i' Ci% Con%a$% , )-./0//)0-11-2 )-3)033*033*)

WELCOME4

In line 5i%( %(e 'o6ernmen%& 6ario+& a&&i&%an$e pro'ram 7or ECONOMIC RECOVERY and o+r 8+e&% 7or a $lean and +npoll+%ed9 di&ea&e07ree en6ironmen%9 and o+r $on$ern 7or %(e $on&er6a%ion o7 o+r Mo%(er Na%+re9 %(e +nder&i'ned i& em:ar;in' on a $ampai'n %o enli'(%en and ed+$a%e %(e people a:o+% %(e impor%an$e o7 ma&&a'e %o ;eep a (eal%( :od # O+r 'o6ernmen% (a& re$o'ni<ed %(e impor%an% role %(e en6ironmen% and na%+re (a& pla ed 7or %(e ear%(=& 7+%+re# I% (a& %a;en &%ep& %o pro%e$% %(e en6ironmen% and pre&er6e na%+re 7or %(e 7+%+re 'enera%ion& %o en>o # More and more people (a6e %+rned %o NAT"RE in %(eir 8+e&% 7or (eal%(# T(i& re6ie5 ma%erial 7or Ma&&a'e T(erap i& $omplied and prepared : %(i& a+%(or %o (elp e6er ma&&a'e %(erapi&% 5(o 5an%ed %o pa&& %(e a&&e&&men% 7or Na%ional Cer%i7i$a%ion : TESDA# I% $on%ain& %(e :a&i$ ;no5led'e on (o5 %o $arr %(e >o: : a pro7e&&ional %(erapi&%# I% in$l+de& %(e de7ini%ion and :rie7 (i&%or o7 ma&&a'e a& 5ell a& %(e $ommon di&ea&e& %(a% $an :e pre6en%ed or $an :e %rea%ed alone : ma&&a'e# I% al&o $on%ain& %(e ;ind& o7 &%ro;e&9 i%& +&e& and e77e$% %o %(e :od &+r7a$e and on ner6o+& and 6a&$+lar & &%em&# T(i& Compe%en$ Ba&ed Learnin' Ma%erial 7or Ma&&a'e T(erap i& de&i'ned %o e8+a%e %(e need& o7 %(i& ailin' 5orld# I% $on%ain& manip+la%ion %e$(ni8+e& and 6aria:le& o7 %(erape+%i$ 5ellne&& ma&&a'e %o &+i% %(e need& o7 %(e $lien%&2pa%ien%# T(i& i& aimed %o pro6ide %(e learner& (o5 %o per7orm %(erape+%i$ %rea%men% %(ro+'( &$ien%i7i$ me%(od o7 manip+la%ion&# A7%er learnin' %(i& ma%erial9 %(e learner &(o+ld :e a:le %o? Wor; 5i%(in a (oli&%i$ %(erape+%i$ ma&&a'e 7rame5or;# Per7orm %(erape+%i$ ma&&a'e a&&e&&men%# Plan %(e %(erape+%i$ ma&&a'e %rea%men%# Implemen% %(erape+%i$ ma&&a'e %rea%men%# Per7orm remedial %(erape+%i$ ma&&a'e %rea%men%#

Ma o+ 7ind %(i& ma%erial (elp7+l %o 7ill %(e 'ap :e%5een o+r pre&en% &;ill and %(e &%andard needed %o a$(ie6e %(e Na%ional Cer%i7i$a%ion in ma&&a'e %(erap #

!+ani%o A# Lampa&a LMT/NTTC1 TESDA E&pe$iali&%a

@The doctor of the future will give no medicine, but will interest his patient in the care of human frame, in diet, and in the cause and prevention of diseases. T(oma& Edi&on

DEFINITION OF

!""!#E

Ma&&a'e i& a me%(od 5(erein %(e &+per7i$ial &o7% par% o7 %(e :od are r+::ed or &%ro;ed or ;neaded or %apped 7or remedial or ae&%(e%i$ or ( 'ieni$ or e6en limi%ed %(erape+%i$ p+rpo&e&# I% al&o in$l+de& %(e pra$%i$e& o7 re7leAolo' 9 & n$(ro%(erap 9 m o0 %(erap 9 p( &i$al %(erap and o%(er &imilar %e$(ni8+e& %(a% +&e in&%r+men%& and2or o%(er par%& o7 %(e :od # BTAMAC Ma&&a'e i& %(e appli$a%ion o7 & &%ema%i$ manip+la%ion %o &o7% %i&&+e& o7 %(e :od 7or %(erape+%i$ p+rpo&e&# Al%(o+'( 6ario+& a&&i&%i6e de6i$e& and ele$%ri$al e8+ipmen%& are a6aila:le 7or %(e p+rpo&e o7 deli6erin' ma&&a'e9 +&e o7 %(e (and& i& $on&idered %(e mo&% e77e$%i6e me%(od o7 appli$a%ion9 :e$a+&e palpa%ion $an :e +&ed a& an in&%r+men%& a& 5ell a& a %rea%men% %ool# $I"TO%& OF !""!#E Ma&&a'e (a& :een +&ed %(ro+'(o+% %(e (i&%or a& a p( &i$al mean& %o alle6ia%e pain and di&$om7or%# I% 5a& roo%ed in 7ol; medi$ine in An$ien% C(ina a& lon' a& 1D)) B#C# T(e an$ien% E' p%ian&9 B+dd(i&%&9 Per&ian&9 and !apane&e +&ed ma&&a'e and mo6emen% in %rea%men% o7 6ario+& di&ea&e& and in>+rie&9 and ma&&a'e $on%in+ed %o :e a 6i%al medi$al %rea%men% +p %o %(e 7i7%( $en%+r A#D# Hippo$ra%e& .*)0E// B#C#C9 %(e 7a%(er o7 modern medi$ine 6ie5ed ma&&a'e a& 6er impor%an% %(erape+%i$ %ool and de&$ri:ed 8+ali%ie&9 indi$a%ion&9 and $on%raindi$a%ion& 7or ma&&a'e# %(e mo&% no%a:le $on%ri:+%ion& %o ree&%a:li&(men% o7 ma&&a'e 5a& : Per Henri; Lin' o7 S5eden9 5(o in 1D1E 5a& $redi%ed 5i%( e&%a:li&(men% o7 %(e Cen%ral Ro al In&%i%+%e o7 G mna&%i$ in S%o$;(olm9 S5eden# Lin' or'ani<ed ma&&a'e and %(erape+%i$ eAer$i&e in%o a & &%em %(a% :e$ame ;no5n a& medi$al ' mna&%i$# Lin'=& 7ollo5er& $on%in+ed (i& 5or; and : 1D*)9 %(ere 5a& &imilar in&%i%+%e in En'land9 Fran$e9 A+&%ria9 German and R+&&ia# EFFE'T" OF T$E%!(E)TI' !""!#E ON T$E *OD& ")%F!'E

Mo&% people are a&;an$e 5(e%(er ma&&a'e %(erap $an relie6e pain o7 %(e :od or no%9 or a% 5(a% eA%en% o7 :ene7i%& %(e ma&&a'e $an 'i6e %o a per&on9 5(i$( i& %(e rea&on 5( people (a6e 7e5er ad6o$a$ie& %o al%erna%i6e medi$ine# B+% %(e&e people are no% 7+ll a5are o7 %(e e77e$% o7 ma&&a'e %(erap on %(e :od # An one $an &a6e mone 7or & n%(e%i$ medi$ine and 7e5 6i&i%a%ion& %o %(e do$%or i7 %(e ;no5 5(a% %(e ma&&a'e %(erap $an do %o %(eir (eal%(# Ma&&a'e $an e6en relie6e ar%(ri%i& pain : loo&enin' %(e &%i77ed >oin%&# I% $an impro6e %(e ran'e o7 mo%ion : &%im+la%in' %(e & no6ial 7l+id o7 >oin%&F Ma&&a'e $an :e +&ed 7or

ae&%(e%i$ p+rpo&e&# B impro6in' %(e 'land+lar a$%ion o7 %(e &;in and : impro6in' &$ar 7orma%ion9 i% 'i6e& &+pple and 7la5le&& &;in# Ma&&a'e in$rea&e& &;in %empera%+re# A (a:i%+al li'(% &%ro;e on %(e &;in e&pe$iall on %(e 7a$e 5ill era&e %(e 5rin;le& : &%im+la%in' %(e prod+$%ion o7 &e:a$eo+& 'land& +ndernea%( %(e &;in# I% impro6e& %(e &;in $ondi%ion a& elimina%i6e or'an& : &%im+la%in' %(e &+dori7ero+& 'land& or &5ea% 'land& 5(i$( &%im+la%e& per&pira%ion&# Per&pira%ion (elp& %(e ;idne & in eApellin' :od 5a&%e& and %oAin&# Per&pira%ion $an (elp +n$lo' %(e &;in pore& %(ere: red+$e& %(e po&&i:ili% o7 a$ne# A rapid &%ro;e $an red+$e &+per7i$ial ;eloid 7orma%ion# A deep &lo5 &%ro;e +&in' no oil $an de%a$( %(e ad(e&ion o7 %i&&+e&# I% &%re%$(e& %(e &(or%ened &o7% %i&&+e $alled 7a$ia 5(i$( &er6e& a& a &(ea%( :e%5een m+&$le& %(a% &epara%e& al&o %(e m+&$le& and %(e &;in %(ere: relie6in' %(e lin'erin' m+&$le pain %(a% i& $alled M o0 Pain S ndrome# A li'(% %o modera%e %o (ea6 and :a$; %o li'(% ma&&a'e manip+la%ion& $an relie6e m+&$le %en&ion# T(i& ;ind o7 %e$(ni8+e i& e77e$%i6e in relaAin' %(e m+&$le&# I% ea&il red+$e& m+&$le& &orene&& and 7a%i'+e %(ere: red+$e& or pre6en%& %ri''er poin%& 7orma%ion# A &%ro;e perpendi$+lar %o m+&$le 7i:er $an :rin' :a$; %(e m+&$le %o i%& 7ormer len'%( 5(ile %(e &%ro;e a$ro&& %(e 7i:er $an man+all &epara%e m+&$le 7i:er&# A ma&&a'e aro+nd %(e :on par%& o7 %(e :od $an &%im+la%e %(e deli6er o7 :lood in %(e&e area&# In %(e&e >oin%& are 7o+nd %(e li'amen%& and %endon& 5(i$( are al&o %(e $onne$%i6e %i&&+e&# T(i& par% i& 5(ere %(e deli6er o7 :lood i& &mall or no% a% all# B ma&&a'in' aro+nd i% %(e deli6er o7 :lood i& &%im+la%ed and %(e ran'e o7 mo%ion and 7leAi:ili% in$rea&e&# A &%a$$a%o mo6emen% o7 ma&&a'e on %(e &+per7i$ial &o7% par%& o7 %(e :od $an %one 5ea; m+&$le&# T(i& ;ind o7 manip+la%ion $an pro6ide deep m+&$le relaAa%ion a& 5ell a& &%im+la%in' %(e ner6o+& & &%em %o relea&e dopamine (ormone& 5(i$( (a& a &eda%i6e e77e$% %o %(e :od # T(i& ;ind o7 ma&&a'e al&o $an loo&en %(e p(le'm e&pe$iall in %(e %(ora$i$ re'ion o7 %(e :od # A li'(% %o modera%e ma&&a'e near and aro+nd %(e 5o+nd& $an dra5 %(e 5(i%e :lood $ell& %(a% pro%e$% %(e 5o+nd& a'ain&% in6adin' mi$ro:e&# T(i& ;ind o7 manip+la%ion i& al&o +&e %o 7l+&( 5a%er re%en%ion 5(en done 5(ile %(e a77e$%ed par% o7 %(e :od i& ele6a%ed o6er %(e (ear%# OT$E% EFFE'T" OF !""!#E IN T$E *OD&

Di77eren% ma&&a'e &%ro;e& $an 'i6e di77eren% rea$%ion %o %(e :od # A &lo5 li'(% &%ro;e $an &%im+la%e %(e relaAin' (ormone dopamine %o $alm do5n ner6o+& & &%em9 5(ile a deep &%ro;e $an &%im+la%e %(e endorp(in (ormone 5(i$( i& %(e :od :+il%0in ane&%(e&ia# T(+& : deep &%ro;e :+% %olera:le pre&&+re9 %(e :od pain 'rad+all di&appear&# A li'(% :+% rapid &%ro;e $an &%im+la%e adrenalin (ormone %(a% ma;e& a per&on a$%i6e# T(i& ;ind o7 &%ro;e i& applied d+rin' &por%& e6en%& 5(en %(e par%i$ipan%& are alread 5ear and eA(a+&%ed9 or d+rin' &%ren+o+& a$%i6i%ie&# A $om:ina%ion o7 li'(% rapid &%ro;e and deep &%ro;e $an add9 prolon'& or $an re'ain &%ren'%( %o a 5ear per&on# A li'(% &+per7i$ial &%ro;e $an ind+$e &leep# I% &%im+la%e& %(e ner6o+& & &%em %o relea&e &ero%onin (ormone& %(a% ind+$e& &leep# T(i& i& al&o +&e %o 7l+&( o+% edema#

(%IN'I(+E" OF PATIENT=S PREPARATION

!""!#E

General En6ironmen%al Con$ern For maAim+m %(erape+%i$ re&+l%&9 ma&&a'e &(o+ld :e applied in a 5arm9 8+ie% pla$e %(a% i& 7ree 7rom di&%ra$%in' &%im+li# R( %(mi$ &o+nd a% lo5 6ol+me al&o %end& %o red+$e +n5an%ed m+&$le $on%ra$%ion# (osition T(e pa%ien% m+&% :e $om7or%a:le and relaA and %(e par% %o :e %rea%ed &(o+ld :e 5ell &+ppor%ed# I7 %(e in%en% o7 %(e %rea%men% i& %o red+$e edema9 %(e eA%remi% m+&% :e ele6a%ed a:o6e %(e le6el o7 %(e (ear% %o allo5 %(e 7or$e o7 %(e 'ra6i% %o a&&i&% in %(e draina'e o7 eA$e&& 7l+id# "nle&& o%(er5i&e indi$a%ed9 %(e pa%ien% &(o+ld :e in re$+m:en% po&i%ion %o promo%e relaAa%ion9 :ol&%er and pillo5& ma : e +&ed a& ne$e&&ar # T(e %(erapi&%& m+&% a&&+me a $om7or%a:le &%andin' po&i%ion %(a% 5ill allo5 ea& a$$e&& %o %(e en%ire %rea%men% area 5i%(o+% +nd+e mo6emen% and di&r+p%ion o7 %rea%men%# T(e (ei'(% o7 %(e plin%( &(o+ld :e appropria%e %o allo5 'ood :od me$(ani$& o7 %(e %(erapi&%&# D%!(IN# Onl %(e par% :ein' %rea%ed &(o+ld :e eApo&ed9 and %(e re&% o7 %(e pa%ien%=& :od &(o+ld :e 5ell $o6ered 7or 5arm%( a& 5ell a& mode&% # Ti'(% $lo%(in' &(o+ld :e loo&ened9 par%i$+larl proAimal %o %(e %rea%men% area# !""!#E EDI)

Sele$%ion o7 ma&&a'e medi+m depend& on %(e %(erape+%i$ in%en% o7 %rea%men%# In $a&e o7 m+&$le %i'(%ne&& and &pa&m or edema9 a medi+m i& ne$e&&ar %o allo5 %(e (and& %o &lide &moo%(l o6er %(e &;in and %o a 6oid a:ra&ion o7 %(e &;in and p+llin' o7 (air# Mineral oil9 'l $erin9 $o$on+% oil9 Co$oa :+%%er9 and ni6ea oil i& all appropria%e# B+% 6ir'in $o$on+% i& (i'(l re$ommended &in$e %(i& i& all na%+ral and no+ri&(e& %(e &;in a&ide 7rom i%& an%i0 :a$%erial proper% # Vir'in $o$on+% oil i& 'ood 7or ;idne e6en a:&or:ed : %(e &;in in lar'e amo+n%# S%andard (and lo%ion& are a:&or:ed %oo 8+i$;l in%o %(e &;in ne$e&&i%a%in' reappli$a%ion par%5a %(ro+'( %rea%men%# I7 %(e %rea%men% i& %o loo&en &$ar %i&&+e o7 %(e &;in9 7a&$ia9 or &+:$+%aneo+& %i&&+e9 or %o pre6en% or :rea; +p ad(e&ion in m+&$+lo&;ele%al %i&&+e9 no medi+m i& +&ed &o %(a% %(e %(erapi&%=& 7in'er& and %(e pa%ien%=& &;in mo6e a& one o6er +nderlin' &%r+$%+re&# 'O (ONENT" OF R( %(m and ra%e Pre&&+re Dire$%ion Fre8+en$ !""!#E

Componen%& are de%ermined : %(e &pe$i7i$ %(erape+%i$ in%en% o7 %(e pro$ed+re and emplo men%# %h,thm and %ate T(e r( %(m and ra%e o7 ma&&a'e &(o+ld :e e6en# T(e ra%e ma :e 6ar in'9 :+% in 'eneral9 ma&&a'e 'i6en %o a$(ie6e a relaAa%ion e77e$% or %o red+$e edema &(o+ld :e &lo5 and ma ma%$( %(e pa%ien%=& re&pira%or ra%e# T(e ra%e $an :e 7a&%er 5(en appl in' 7ri$%ion ma&&a'e %o &%re%$( or loo&en ad(e&ion in &+per7i$ial or deep &%r+$%+re&# (ressure T(e amo+n% o7 pre&&+re applied i& $ri%i$al in a$(ie6in' %(e de&ired re&+l% in an %e$(ni8+e&# A &eda%i6e or relaAa%ion e77e$%& i& o:%ained 5i%( li'(% %o medi+m pre&&+re# T(e amo+n% o7 pre&&+re ma :e 6ar d+rin' %(e %rea%men% o7 m+&$le %i'(%ne&&9 B&%ar%in' 7rom li'(%9 %(en dependin' o6er %(e pain7+l area&9 and %(en 7ini&(in' li'(% on$e a'ain#C To (a6e an me$(ani$al e77e$% on ad(e&ion&9 pre&&+re m+&% :e &+77i$ien%l &%ron' :o%( %o &%a:ili<e a& 5ell a& %o di&%or% appropria%e &%r+$%+re&# Direction Gno5led'e o7 ana%om and ;ine&iolo' i& impera%i6e 5(en de$idin' on %(e appropria%e dire$%ion o7 ma&&a'e mo6emen%&# T(e $ommonl +&ed dire$%ion o7 m mo6emen%& i& $en%ripe%al9B %o5ard& %(e (ear%C9and parallel 5i%( %(e m+&$le 7i:er& 5(en %(e o:>e$%i6e i& relaAa%ion or red+$%ion o7 edema# W(en %rea%in' 7i:ro%i$ area&9 %(e mo6emen% m+&% appl %ra$%i6e 7or$e& %o %(e in6ol6ed &%r+$%+reF pre&&+re m+&% %(ere7ore :e applied %o %(e dire$%ion o7 re&%ri$%ion# For de%e$%ion o7 7i:ro%i$ nod+le& and %(e pre6en%ion a %rea%men% o7 ad(e&ion& o7 %i&&+e&9 deep 7ri$%ion &(o+ld :e $arried o+% perpendi$+lar %o %(e dire$%ion o7 %(e a77e$%ed 7i:er& and &pe$i7i$all applied a% %(e &i%e o7 %(e le&ion# Duration and Fre-uenc, T(e d+ra%ion o7 an ma&&a'e %e$(ni8+e& depend& on %(e &i<e o7 an area %o :e %rea%ed9 %(e pa%(olo'i$ $ondi%ion in6ol6ed9 and %oleran$e o7 %(e pa%ien%# Fre8+en$ o7 appli$a%ion i& %(e lea&% +nder&%ood and mo&% $on%ro6er&ial o7 all $omponen%&# T(ere i& 5ide 6aria%ion o7 appropria%e 7re8+en$ repor%ed in %(e li%era%+re# In 'eneral9 i7 %(e appropria%e %(erape+%i$ re&+l%& are a$(ie6ed9 de$linin' 7re8+en$ o6er %(e $o+r&e o7 %rea%men% i& appropria%e#

'O (ONENT" OF
Therapeutic intent General relaxation sedative e ect

!""!#E
Direction Trun%s ollo" direction o the muscle i&er' extremities( centripetal Duration Dependent on the si)e o an area to &e treated' *ull &ac% massa$e 1+ minutes minimum

Rate & Rhythm Pressure !lo" speed# even rhythm li$ht to medium

Decrease muscle spasm and ti$htness' Deep circulation over tri$$er points Reduce edema

slo" speed even rhythm

li$ht to deeper# then to li$ht

parallel direction muscle i&ers centripetal treat proximal se$ment irst all direction

to o

lo" &ac%# nec% & upper &ac% ten minutes

slo" speed rhythm

/even

moderate to deep

loosen/stretch ascia

slo" to moderate speed# even rhythm Prevent or &rea% up moderate adhesion in li$aments# speed/even rhythm tendons and muscles# stretch scar o s%in and moderate speed su&cutaneous tissue even rhythm

moderate heavy moderate to heavy

Perpendicular to direction o muscle i&ers' circular & all direction, minutes

dependent s on si)e o an area dependents on si)e o an area 1, minutes per involve structure

INDI'!TION" OF

!""!#E %o

T(erape+%i$ :ene7i%& $an :e eApe$%ed o7 ma&&a'e 5(en i% i& +&ed appropria%el a$$ompli&( %(e 7ollo5in' o:>e$%i6e&? Red+$%ion o7 eA$e&&i6e 7l+id in in%er&%i%ial B:e%5een narro5 &pa$e&C o7 >oin%&# In$rea&e $ir$+la%ion %o paral <ed m+&$+la%+re Re&%ora%ion o7 %i'(% m+&$le& %o normal re&%in' len'%(# Mo:ili<a%ion o7 %i&&+e& %(a% are a:normall ad(ered %o &+rro+ndin' &%r+$%+re&# Relie7 pain# Spe$i7i$ and 'eneral relaAa%ion# En(an$ed p& $(olo'i$al 5ell0:ein'#

OT$E% *ENEFIT" OF !""!#E T(e %(erape+%i$ ma&&a'e $an $+re and pre6en% $(roni$ illne&&e& 5i%(in %(e ran'e o7 ma&&a'e %(erap # I% (a& no ;no5n &ide e77e$% i7 done : %rained pro7e&&ional %(erapi&%#

%E O.E" I ()%ITIE" @We are %old %(a% @IMP"RITIESH are $on&%an%l %(ro5n o77 7rom %(e :od %(ro+'( %(e &;in# I%& million o7 &pore& are $lo''ed +nle&& ;eep $lean : 7re8+en% :a%(in'9 and %(e imp+ri%ie& 5(i$( &(o+ld pa&& o77 %(ro+'( %(e &;in :e$ome an addi%ional :+rden %o %(e o%(er elimina%i6e or'an&# Leadin' medi$al men :elie6e %(a% -)I o7 all di&ea&e& are d+e %o %(e 7a+l% elimina%ion 5(i$( allo5& poi&on %o remain in %(e :od # A 5arm%( :a%( a7%er a 5or;o+% 5ill +n%en&e o+r m+&$le# E+I IN!TE" +!'TI' !'ID A ma&&a'e i& e77e$%i6e a7%er a 5or;o+%9 7or i% (elp& elimina%e me%a:oli$ 5a&%e prod+$% li;e la$%i$ a$id9 5(i$( de6elop& in %(e m+&$le9 o7 5(i$( an eA$e&& $an $lo' %(e m+&$le# T(e

:od m+&% drain %(i& re&id+e or $on6er% i% in%o &+'ar 7or &%ora'e# I7 la$%i$ a$id i& le7% o+% in %(e m+&$le&9 i% 7orm& %in $r &%al& %(a% $an $a+&e pain and $rampin'# La$%i$ a$id i& al&o de6eloped in %(e m+&$le %(ro+'( eAer$i&e and eAer%ion# W(en %oo m+$( i& de6eloped9 %(e m+&$le& 7eel %ired or (a6e a :+rnion' &en&a%ion# "TI )+!TE" 'I%')+!TION Ma&&a'e in$rea&e :lood 7lo5 %o an area# Help& relaA m+&$le&# Impro6e& per7orman$e# Pre6en%& in>+r # I (%O.E" %E'O.E%& %!TE" Ma&&a'in' %(e &o7% %i&&+e& and m+&$le& &peed& +p %(e relea&e o7 %(e 7l+id %oAin&# I% al&o 'i6e& an impro6ed re$o6er ra%e9 %(a% i&9 &peed& +p %(e a:ili% o7 %(e m+&$le& %o per7orm normall a7%er %(e eAer%ion and re&%# For eAampleF J) p+&( 0+p& prod+$e 3)I re$o6er 9 5(i$( mean& %(a% %(e &+:>e$%& $an mana'e ano%(er %en p+&(0+p&# B+% i7 %(e p+&(0+p& are 7ollo5ed : %5o min+%e& ma&&a'e9 %(e &+:>e$%& i& a:le %o do 7rom E/ %o J) more p+&(0+p&9 or +p %o 1))I re$o6er # %E+IE.E" (!IN A ma&&a'e $an relie6e &%i77ne&&9 pain9 n+m:ne&& and (elp& red+$e &ome &5ellin'# Ma&&a'e $an &%im+la%e di'e&%ionF %one m+&$le&9 and relie6e $on&%ipa%ion# Ma&&a'e $an dila%e :lood 6e&&el&9 relaAe& &pa&m& and in$rea&e %(e n+%ri%ion o7 %(e %i&&+e&# Vario+& ma&&a'e %e$(ni8+e& are 'ood 7or (eada$(e&9 ner6o+& +p&e%9 and in&omnia# $E+(" *!*IE" ENT!+ DE.E+O( ENT

Dr# Field o7 Miami Medi$al S$(ool 7o+nd %(a% :a:ie& 5(o are ma&&a'ed &(o5ed &i'n& o7 7a&%er ne+rolo'i$al de6elopmen%9 and :e$ome more a$%i6e and re&pon&i6e %(a% o%(er :a:ie&# He 7o+nd %(a% &lo5 &%ro;e on :a: =& :a$; and le'& (elp& i% %o relaA9 5(ile li'(% &%ro;e& on i%& 7a$e and :ell or 7ee% %end %o &%im+la%e# Dr# Wa$;& o7 P+rd+e "ni6er&i% 7o+nd o+% %(a% :a:ie& 5(o are (eld more in %(e 7ir&% &iA mon%(& o7 li7e are li;el %o (a6e an ad6an%a'e in men%al de6elopmen% o6er :a:ie& 5(o are (eld le&&# Ma&&a'e i& :e&% $om:ined 5i%( o%(er modali%ie& de&i'ned %o red+$e pain9 promo%er& (ealin' and re&%ore 7+n$%ion# 'ONT%!INDI'!TION" TO !""!#E

Ma&&a'e &(o+ld no% :e +&ed 5(en i%& ;no5n e77e$%& 5o+ld e (arm7+l %o a par%i$+lar pa%ien% $ondi%ion# Ad6er&e rea$%ion $an :e eApe$%ed +nder di77eren% % pe& o7 $ir$+m&%an$e&# W(en ma&&a'e i& medi$all $on%raindi$a%ed W(en %(e par%i$+lar %e$(ni8+e i& inappropria%e 7or %(e $ondi%ion :ein' %rea%ed# #

W(en an appropria%e %e$(ni8+e i& in$orre$%l applied# Ma&&a'e i& medi$all $on%raindi$a%ed o6er mali'nan$ie&9 open 5o+nd&9 %(rom:op(le:i%i& and in7e$%ed %i&&+e# An inappropria%e %e$(ni8+e $an :e dama'in' i7 applied %o $al$i7ied &o7% %i&&+e9 &;in %(a% (a& +nder'one %(rop(i$ $(an'e&9 &;in 'ra7%&9 %i&&+e %(a% i& a$+%el in7lamed9 or d+rin' an%i0$oa'+lan% %(erap # Ner6e dama'e (a& :een repor%ed 5(en a$+pre&&+re 5a& applied %oo 6i'oro+&l 9 re&+l%in' in perip(eral ner6e $ompre&& 7rom (ema%oma 7orma%ion# T(e &a7e% o7 $ommon n+r&in' pra$%i$e o7 appl in' &lo5 &%ro;e :a$; ma&&a'e %o $ri%i$all ill ad+l%& and in7an%& (a& :een 8+e&%ioned# 'O ON 'ONT%!INDI'!TION" TO !""!#E Re$en% &+r'er B&+r'er le&& %(an one earC? Women 5i%( men&%r+a%ion In7e$%io+& di&ea&e& ? Vari$o&e 6ein Hernia ? Ver (air &;in Hi'( 7e6er &pe$iall 5i%( open 5o+nd& ? Open 5o+nd& Fra$%+red :one& ? Re$en% in>+rie& In7lamma%ion ? Ne+ri%i& Pre'nan$ ? O&%eo2r(e+ma%oid ar%(ri%i& H per%en&ion ? O&%eoporo&i& Torn li'amen%& ? A$%i6e (ear% $ondi%ion Mar;ed pi%%ed edema ? Ne5 &$ar %i&&+e !""!#E

*!"I' (%O'ED)%E" !ND (%E(!%!TION IN !D INI"T%!TION OF

%eceive 'lients/ En%er%ain $lien%&F in%rod+$e o+r&el7 %o $lien%& %o e&%a:li&( rappor% and 7or m+%+al %r+&%# Ge% per&onal in7o o7 $lien%# a# Name9 addre&&9 a'e9 $on%a$% , :# Gno5 (i&2(er $omplain%2& A&&e&& $lien%&F a&; or loo; 7or $on%raindi$a%ion& B li&%ed a:o6eC# (erform (re0 assage (rocedure To 'lient/ Per7orm 6i%al &i'n& pro$ed+re&? a# Normal :lood pre&&+re i& 13) B& &%oli$C o6er D) Bdia&%oli$C# :# Normal p+l&e ra%e i& *)01)) :ea% per min+%e# $# Normal re&pira%or i& 1*03) in(ale2eA(ale $ $le per min+%e# d# Normal %empera%+re i& **#J %o E/#3 Cel&i+& $en%i'rade# Pro6ide $lien%& 5i%( pre0&er6i$e o7 %(e e&%a:li&(men%& o+ are in? EA# a# Wa&( (i&2(er 7ee% 5i%( 5arm 5a%er# :# Pro6ide $lien% 5i%( a pair o7 &lipper& and &(or%# $# S(o5 %(e $lien% 5(ere %(e dre&&in' room 5i%( lo$;er 7or %(eir per&onal :elon'in'& i&# Re8+e&% %(e $lien% %o remo6e all %(eir >e5elrie&# Re8+e&% $lien%& %o %a;e &(o5er i7 %(e 5an%ed %o#

%oom (reparation C(e$; %(e ma&&a'e room=& %empera%+reF i% &(o+ld nei%(er %oo $old nor dra+'(%# C(an'e linen and pillo5 $a&e9 (a6e %o5el&9 di&in7e$%an% al$o(ol and ma&&a'e oil read # M+&i$ &(o+ld :e &lo5 and &o7% m+&i$ i& pla ed# Li'(% &(o+ld no% 'larin' "elf (reparation A%%end %o per&onal ( 'ieneF 5ear $lean +ni7orm# Male %(erapi&%& &(o+ld no% &por% lon' (air and al5a & %a;e a :a%(# For 7emale %(erapi&%F 5ear $lean +ni7orm# No &(o5in' o7 $lea6a'e# Don=% o6erdo %(e 7a$e 5i%( ma;e+p# Wear (airne% or %ie (air pon %ail# Don=% 5ear &%ron' per7+me# Prepare (and& 7or ma&&a'eF i% &(o+ld :e dr and &+pple# %ead, The 'lient For assage/

Le% %(e $lien% $(oo&e %(e medi+m o7 ma&&a'e %o :e +&e# Per7orm ro$;in' %e$(ni8+e %o 6alida%e %(e 6era$i% o7 a&&e&&men%# !TE%I!+" IN (E%FO% IN# !""!#E T$E%!(& ? S$r+: &+i%& ? BP Appara%+& ? Lo%ion ? Ma&&a'e :ed ? Pillo52pillo5 &(ee% !""!#E

VCO Ma&&a'e oil T5o %o5el& Al$o(ol Po5der Bed &(ee%

DO1" !ND DON1T1" IN (E%F%O !N'E OF

Don=% p+% DR# :e7ore and M#D# &i'n a7%er o+r name# O:&er6e %(e $lien%& o7 di&$om7or%9 aller' %o oil or >oin%& &o+nd# I7 e6er o+ no%i$e &ome%(in' 5ron' 5i%( %(e pa%ien% 5(ile admini&%erin' ma&&a'e9 &%op %(e ma&&a'e9 'i6e 7ir&% aid and re7er (im92(er %o %(e do$%or# Gi6e $lien% 5arm +p and &%re%$(in' :e7ore doin' %(e ma&&a'e# I7 o+ ran o+% o7 oil in o+r (and&9 %(e proper 5a o7 addin' oil i& %o po+r %(e oil a% %(e dor&al o7 one o7 o+r (and 5(ile ;eepin' in %o+$( 5i%( o+r $lien%# Al5a & mind7+l o7 %(e endan'ermen% &i%e& o7 %(e :od # Don=% a&; an %(in' 7rom o+r $lien% 5(en doin' (ome &er6i$e9 e6en 5a%er9 eA$ep% 5(en i% i& (ear%edl o77ered# Don=% en'a'e &eA+all 5i%( %(e $lien%# Don=% %al; %o $lien% 5(en in ma&&a'e &e&&ion9 eA$ep% 5(en a&;ed# Don=% do ma&&a'e 5(en o+ are no% in 'ood (eal%(# Al5a & ;eep nail& %rimmed# END!N#E% ENT "ITE" OF T$E *OD&

Cer6i$al Re'ion? E e :all

 Fa$e TemKple Po&%erior and an%erior o7 %(e ne$;# EA%remi%ie& AAilla An%e0$+:i%al 7o&&a In'+inal %rian'le Popli%eal 7o&&a T+r&o L+m:ar area A:dominal area Spinal $ol+mn F)N'TION OF I (O%T!NT )"'+E" IN $) !N *OD& F"NCTION Rai&e& &(o+lder mo6e& >a5 %+rn& (ead li7%& &(o+lder rai&e& lo5er arm& &%rai'(%en& lo5er arm p+ll arm a% %(e :a$; p+ll& arm& a$ro&& in 7ron% 7la%%en& a:domen :+%%o$;9 m+&$le 7or &i%%in' &%rai'(%en& lo5er le'& rai&e& lo5er le'& rai&e& (eel T2O 3IND" OF )"'+E" Vol+n%ar M+&$le In6ol+n%ar m+&$le& All m+&$le& o+ $an $on%rol M+&$le& %(a% 5or; a+%oma%i$all o+ $an=% $on%rol &+$( a& in%e&%ine=& m+&$le&# Hear% m+&$le i& :o%( &;ele%al and &moo%( m+&$le# M"SCLE Trape<i+& Ma&&e%er S%erno0Cleido0Ma&%oid Del%oid Bi$ep& Tri$ep& La&&i%im+& Dor&i Pe$%orali& Ma>or EA%ernal O:li8+e Gl+%e+& MaAim+& Re$%+& Femori& Ham&%rin' M+&$le Ga&%ro$nemi+& M+&$le

(O"T Ra%ionaleF

!""!#E (%O'ED)%E

Mo&% people ri&e +p immedia%el a7%er %(e ma&&a'e and 7o+nd %(e are di<< # T(i& i& $alled Orthostatic $,potension9 al&o ;no5n a& postural hypotension in 5(i$( a per&on=& :lood pre&&+re &+ddenl 7all& 5(en per&on &%and& +p or &%re%$(e&# O%(er $lien%& >+&% ri&e +p a7%er %(e ma&&a'e 5i%(o+% :ein' ad6i&ed : %(e %(erapi&% a:o+% %(e po&&i:le re$+rren$e o7 %(eir ailmen% and %(e pre6en%ion o7 i%# I% i& 6er impor%an% 7or %(e %(erapi&% %o ;no5 %(e na%+re

o7 man %(a% %(e ma :e a:le %o 'i6e proper ad6i$e %o %(eir $lien% %o ;eep %(em in 'ood (eal%(# (ost assage !dvices? Ad6i$e $lien% %o %a;e &(o5er a7%er *0D (o+r& a7%er %(e ma&&a'e Clien% ma ea% a7%er one (o+r# Ad6i$e $lien% a:o+% %(e dan'er o7 &mo;in' and al$o(ol drin;& i7 %(e are &mo;in' and drin;in'# Ad6i$e $lien% a:o+% %(e dan'er o7 $ar:ona%ed drin;&# B&o7% drin;& $a+&e& ( per a$idi% 9 i% +&e& ma'i$ &+'ar 5(i$( 5a& 7o+nd o+% %o :e $ar$ino'en# So7% drin;& are &odi+m :i$ar:ona%e 5(i$( paral <e& pan$rea& %(a% pre$ede& dia:e%e&#C Ad6i$e $lien% a:o+% ind+l'en$e in mea% 5(i$( i& (ea6 in pro%ein %(a% re&+l%& %o p+%re7a$%ion and +ri$ a$id# $O+I"TI' 'ON'E(T OF $E!+T$ TOD!& T(e o:>e$%i6e o7 ma&&a'e %(erap i& %o ;eep %(e :od (oli&%i$all (eal%( # Be$a+&e o7 %(i& prin$iple 5e $on$l+de %(a% ma&&a'e $an :alan$e %(e 5(ole 7a$+l% o7 %(e :od namel p( &i$al9 men%al9 emo%ion and mo&% o7 all9 %(e &piri%+al a&pe$% o7 man# W(en &omeone i& :e&e% 5i%( emo%ional pro:lem&9 man di&ea&e& 7ollo5# Man people $anno% 7ree %(em&el6e& 7rom pro:lem& i7 %(e don=% reall ;no5 God# @Medi$al &$ien$e %oda (a& $ome %o reali<a%ion %(a% (+man=& p( &i$al $ondi%ion i& 6er m+$( in&epara:le rela%ed %o (i&2(er men%al or &piri%+al $ondi%ion# Indeed %(e 7o+nd o+% %(a% D)0-)I o7 %(e di&ea&e& $ommon %o man (a6e &ome p& $(olo'i$al or men%al $a+&e# Dr# M$Millen in (i& 7amo+& :oo; None of these Diseases, pp 63-64, 'a6e a par%ial li&%in' o7 di&ea&e& %ri''ered par%iall or 7+ll : emo%ional or men%al &%re&&# DI"O%DE% OF T$E DI#E"TI.E "&"TE +l$er o7 %(e mo+%( &%oma$(9 and in%e&%ine lo&& o7 appe%i%e9 (i$$o+'(&9 $on&%ipa%ion and diarr(ea DI"O%DE% OF T$E 'I%')+!TO%& "&"TE Hi'( Blood Pre&&+re Gan'rene O7 T(e Le'& La$; O7 Men&%r+a%ion R(e+ma%i$ Fe6er Coronar T(rom:o&i& Cere:ral S%ro;e& Or ApopleA DI"O%DE% OF #ENITO0)%IN!%& "&"TE Pain7+l Men&%r+a%ion Fre8+en% And Pain7+l "rina%ion# La$; O7 Men&%r+a%ion Gidne Di&ea&e Pre0Mari%al Ten&ion And Irri%a:l Menopa+&al S ndrome Fri'idi% And Va'ini&m+& Impo%en$e DI"E!"E" OF NE%.O)" "&"TE Heada$(e& O7 Se6eral T pe& P& $(one+ro&i& Al$o(oli&m In&ani%ie&2 S$(i<op(renia Epilep& Dia:e%e& Senile2Demen%ia O:e&i% !++E%#I' DI"O%DE% Hi6e& 2Ha Fe6er2 A&%(ma INFE'TION" In7e$%io+& Monon+$leo&i&9 Polio and per(ap& all in7e$%ion&#

"3IN DI"E!"E" Hi6e& Ha m+nd=& Di&ea&e& A%opi$ Derma%i%i& S$leroderma Ne+roderma%i%i& L+po& Er %(ema%o&+& Di&&emina%e P&oria&i& He a77irmed %(a% mo&% (eal%( pro:lem i& %ri''ered : emo%ional in&%a:ili% and ne'a%i6e a%%i%+de&5 li;e? Sel7 Cen%rerdne&& Ha%e En6 Worr !ealo+& O6er&en&i%i6i% Re&en%men% G+il% Feelin' Fear Sorro5 De&ire O7 Appro6al Fr+&%ra%ion The bibles old in Philippians 4:8 is very relevant today, it says; W(a%&oe6er %(in'& are %r+e9 (one&%9 >+&%9 p+re9 and lo6el 9 o7 'ood repor%F i7 %(ere $an :e an 6ir%+e9 i7 %(ere :e an prai&eL%(in; o7 %(e&e %(in'&#H $ebrew 45/46 @Follo5 pea$e 5i%( all men and (oline&&###H Dr# M$millan 7+r%(er &%a%ed %(e @$en%er o7 emo%ion prod+$e& %(e&e 5ide&pread Bp( &iolo'i$alC $(an'e& : mean& o7 %(ree prin$ipal me$(ani&m&? : $(an'in' %(e amo+n% o7 :lood 7lo5in' %o %(e or'anF : a77e$%in' %(e &e$re%ion o7 $er%ain 'landF and : $(an'in' %(e %en&ion o7 m+&$le&#l:id#pp#*1 He men%ioned %(a% @a% %(e :e'innin' o7 3)%( $en%+r 9 :a$%eria 5ere $on&idered %(e $en%er o7 a%%en%ion# No5 7i7% ear& la%er9 men%al &%re&&9Band %(e indi6id+al li7e&% leC (a& %a;en pla$e# In 7a$%9 $er%ain eAperimen%& 5i%( animal& indi$a%ed %(a% %(e $er%ain :a$%eria $o+ld onl $a+&e di&ea&e 5(en %(e animal re&i&%an$e 5a& lo5ered : &%re&&#i:id#p#*) I&rael I&$(emi$ Hear% di&ea&e pro>e$% repor% %(a% Or%(odoA !e5& 5(o pra dail (a6e 7e5er (ear% a%%a$;& %(an per&on& 5(o rarel a%%end & na'o'+e& Journal clinical diseases,1972, Vol.25.pp.665-672. In %(e &%+d done : Dr#Geor'e W# Com&%o$; o7 !(on Hop&;in "ni6er&i% 9 i% 5a& 7o+nd o+% %(a% @%(e ri&; o7 (ear% di&ea&e i& mo&% %5i$e a& (i'( 7or men 5(o a%%end $(+r$( in in7re8+en%l a& %(o&e 5(o a%%end on$e a 5ee; or more0000 hristian !oda", Jan.1, 1971 pp.27-2#. I% (a& al&o :een demon&%ra%ed %(a% mor%ali% and mor:idi% ra%e& $an :e red+$ed a& m+$( a& J)I %(ro+'( (eal%( ed+$a%ion :a&ed +pon Bi:le in&%r+$%ion and reli'io+& mo%i6a%ion# Federall 7+nded &%+die& o7 a &ample pop+la%ion o7 Ad6en%i&% indi$a%e a *#3 ear& Li7e eApe$%an$ ad6an%a'e amon' Ad6en%i&% male& in "ni%ed S%a%e&.------$%an Dolson &nd '.(pan)ler, *ealth",*app",*ol",p.1# P( &i$ian& %oda reali<e %(e need o7 a $ler' man par%ner in %(e %rea%men% o7 pa%ien%&# Illne&&e& are 7o+nd o+% %o :e p& $(o&oma%i$#H BP& $(e0mind and &oma0:od C#Ho&pi%al& emplo $(aplain& %o 5or; 5i%( do$%or&# T(e AMA BAmeri$an Medi$al A&&#C &in$e 1-*1 e&%a:li&(ed a dep%# o7 medi$ine and Reli'ion9 5i%( a 'oal o7 :rin'in' p( &i$ian& and $ler' men %o'e%(er 7or dialo'+e and +nder&%andin' %(a% (ope7+ll mi'(% 7o&%er %(eir 5or;in' in a %eam rela%ion&(ip# Re$en% repor%& indi$a%e %(a% %(ere are .D &%a%e& and *33 $o+n%r medi$al &o$ie%ie& 5(i$( e&%a:li&(ed Medi$ine and Reli'ion Commi%%ee& Dr# Bernard T# Daniel& o7 Den6er9 C(airman o7 %(e AMA Commi%%ee on Medi$al and Reli'ion9 &aid in %(e &+erican ,edical Ne-s o7 O$%o:er .9 1-/19 pp#D9 -F @We 7eel %(a% %(ere need& %o :e a $lo&e $oopera%ion :e%5een %(e p( &i$ian and %(e $ler' men 7or %(e $are o7

%(e 5(ole per&on&# T(e $ommi%%ee 7eel& %(a% %(e &piri%+al $omponen% o7 e6er per&on i& a 6er lar'e 7a$%or in %(e &piri%+al pro:lem& rela%in' %o (i& &%a%e o7 (eal%(# TI(" TO $!.E ! $!((& !ND $E!+T$& +IFE T$E NE2 "T!%T/ N0 N+%ri%ionF D)I o7 o+r 7ood &(o+ld :e ra5 %o o:%ain more al;aline %o ;eep +& &%ron' and 7or :od $lean&in' o7 oAidan%& and poll+%ion 5e 'o% 7rom air# Le&& or none mea% i& :e%%er %o a6oid +ri$ a$id& %(a% $a+&e ar%(ri%i& and $an$er#

E0 EAer$i&e S%ren'%(en %(e :od 9 eApand& %(e mind9 de6elop $(ara$%er9 in$rea&e in%a;e o7 oA 'en9 ;eep& l+n'& and &;in (eal%( 9 &%im+la%e& adrenal %o relea&e (ormone& NOREPINEPHRIN9 an an%i0depre&&an% (ormone&# M+i$;en& :lood $ir$+la%ion9 elimina%e.& imp+ri%ie& 7rom %(e & &%em9 and red+$e& &%re&&# W0Wa%er Wa%er i& %(e :e&% li8+id %o $lean %(e %i&&+e# I% (elp& remo6e poi&on 7rom %(e & &%em9 p+ri7ie& %(e :lood9 RNC $arr %(e oA 'en : 5a%er %(ro+'(o+% %(e :od # Dil+%e& and di&&ol6e& 5a&%e ma%erial and $arrie& n+%rien%& %o all o7 or'ani&m&# S0S+nli'(% S+nli'(% i& e&&en%ial %o (eal%(# I% i& a (ealer and (eal%( main%ainer# I% i& God=& do$%or %o ma;e &i$; 5ell and %o ;eep in (eal%( %(o&e 5(o are no% &i$;# S+n&(ine i& na%+re=& &%im+lan%9 %oni$9 in6i'ora%or9 and re>+6ena%or# T0 Temperan$e Temperan$e mean& modera%ion or &el70re&%rain% in %(e ind+l'en$e o7 na%+ral appe%i%e& and pa&&ion# In BCor# -?3JC Pa+l &a &F %(a% e6er man %(a% &%ri6e%( 7or ma&%er i& %empera%e in all %(in'&# And He added in BCor# .?JC9 le% o+r modera%ion :e ;no5n %o all men# T(i& mean& %(a% 5e &(+n %(a% 5(i$( i& (arm7+l9 a6oid +nneeded eA%reme&9 and :e modera%e in %(e en>o men% o7 %(o&e %(in'& 5(i$( are la57+l# Heal%( o7 %(e :od mind and &o+l i& impo&&i:le 5i%(o+% %empera%e li6in'# A0Air Air i& an impor%an% na%+ral (ealin' a'en%# Li7e in an open air i& God=& medi$ine 7or %(e re&%ora%ion o7 li7e# I% $an re&%ore %(e &i$; : na%+ral mean&# We $o+ld en$o+ra'e e6er pa%ien% %o li6e o+%door&9 7or na%+re 5ill (eal maladie& :o%( p( &i$al and &piri%+al# T(e :od re8+ire& 7re&( air and i% i& e6en more impor%an% %(an medi$ine and impor%an% %(an 7ood#

R0Re&% God re&%ed on %(e /%( da a7%er He (ad $rea%ed %(e +ni6er&e# We al&o &(o+ld %a;e re&% 7rom all o+r 5or;& %o 'i6e o+r :od re&pi%e# We (a6e dail re&% and 5ee;l re&%# We re&% %(en %(e 5or; (o+r i& done### Bi#e# 5or;in' %imeC9 or 5(en %(e &+n &i%&# B+% 'od o7 (ea6en& (a& de&i'na%ed a Da o7 Re&%# In Hi& Ten Commandmen%&9 He en>oined +& %o remem:er and ;eep Hol %(e Da o7 Re&% no% onl 7or men :+% al&o 7or %(e :ea&% o7 :+rden 7or He ;no5& %(a% (+man :od and o7 animal& need& i% %o re$+pera%e 7rom (ard&(ip& 7rom la:or# T0Tr+&% in God I7 5e are &i$;9 don=% 7or'e% %(a% i% (appen& :e$a+&e 5e %ran&'re&& God= la5 o7 (eal%(# I7 5e 5an% %o :e (ealed : no% poll+%in' o+r & &%em9 5e &(o+ld +&e God=& &imple remed 5(i$( i& %(e na%+re# God i& mi'(% (ealer o7 %(e &i$;0&in &o+l %(a% 5(en 5e are &i$; @5e &(o+ld +&e remedie& 5(i$( God (a& pro6ided %(e na%+re and 5e &(o+ld poin% %(em %o Him 5(o alone $an re&%ore# @YO"R MEDICNE SHO"LD BE YO"R FOOD9 YO"R FOOD SHO"LD BE YO"R MEDICINEH BHIPPOCRATRES B.*)0E// B#C#C Re7eren$e? Prin$iple o7 Heal%( : P%r# Mann Re e&9 DMin#MPH Di6ine Pre&$rip%ion and S$ien$e o7 Heal%( and Healin'

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/# Ano an' dapa% mon' +na(in' 'a5in :a'o ;a ma'ma&a(eO a# ma'%iri& n' %a'(i a5a% :# :+&+'in an' %i an $# ;+nin an' %empera%+re n' ;a%a5an d# ;+nin an' 6i%al &i'n D# Ano an' 'a5in mo para (anap an' &a;i% n a &a ;a%a5anO a# pi&ilin an' :+on' ;a%a5an :# 'ami%an n' pamamaraan' pa' +'a $# pi&ilin &a di:di: d# 'ami%an n' mar%il o para &a pa;iramdam -# Ano an' 'a'a5in mo ;+n' d+da ;a &a ;an an' %+na na ;ala'a an n' ;al+&+'anO a# %an''i(an an' pa& en%e :# pap+n%a(in mo &a do$%or $# palipa&in an' ilan' ora& :a'o ma'0+mpi&a n' pa'ma&a(e d# +&i&ain m+li para %i a;in ;+n' p5ede ma&a(i(iin 1)# Ano an' 'a'a5iin mo ;+n' an' %ao a nam+m+%la pero '+&%o %ala'a m'apama&a(eO a# %an''i(an an' pa& en%e :# &a:i(an mon' ;ailan'an' papa+n%a(in mo & a &a do$%or $# &a:i(in &a pa& en%e ;ailan'an' +minom m+na & a n' iron %a:le% d# &a:i(in mo &a pa& en%e na ma &a;i% & a# 11# Gailan mo i%i'il an' pa'mama&a(eO a# ;+n' nap+p+na mon' (indi ;ompor%a:le an' pa& en%e :# ;+n' ma nap+p+na ;an' nam+m+la# $# A a% B d# 5ala ni i&an' na&a i%aa& 13# An' ma&a(e a p5edin' 'a5in &a namama'a ;+n' an' pamama'a a ? a# (indi 'aanon' mal+:(a :# mal+:(a $# pa:ali;:ali; d# 5ala ni i&a &a i%aa& 1E# Gailan p5edin' pa a'an ma&a(i(iin an' ma 6ari$o&e 6einO a# ;+n' ma&a(i(in n' ma&a(i&%a an' pali'id laman' n' 6ari$o&e :# ;+n' an' 6ari$o&e a para nan' 'a'am:a $# A P B d# 5ala ni i&a &a i%aa&# 1.# Gailan dapa% :i' an n' ma&a(e an' %aon' ma al%a pre& onO a# ;+n' an' pa& en%e a +niinom n' 'amo% :# ;+n' na';o;on%rol i%o &a pa';ain $# ;+n' &+ma&ailalim i%o n' &%re&& red+$%ion me%(od# d# la(a% n' na&a i%aa& 1J# Alin &a ;ala'a an' i%o an' nan'an'ailan'an n' appro6al n' do;%orO a# :+n%i&

:# ma in7e$%ion an' :+on' ;a%a5an $# ma in7e$%ion na &a;i% &a :ala% d# la(a% n' na&a i%aa&#