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ALocalNosologyofAnxietyandPanic

Severity:
Aspectrumofkhylseverity
Mild
khyl

Moderate
khyl

Severekhyl
(calledripe
khylorbroken
khyl)

Khyl
overload

Coining(stratchingkhyl):
ItsRoleinHealingandNosology
Akeywayofdeterminingtheseverityofkhylby
assessingthecolorandbumpinessrevealedby
coining
Akeywayofremovingblockagesandrestoring
flow
Akeywaytowarmthebody
Akeywaytoremovekhylfromthebody

Coining, or gaoh
khyl, literally
scratching khyl

ImageCredit:
GregoryJuckett,
MD,MPH

ASpectrumofKhylAttackSeverity

Typicalsymptoms
Whatcoiningreveals
Degreeofdangerous
Treatmentdependingontheseverityofkhyl

Mild Khyl
Typical symptoms

What coining reveals

Slight dizziness,
A red color, or very slightly
anxiety, nausea, chills, purple, in the coined area
cold extremities,
muscle and joint
soreness, other
anxiety-like symptoms,
feeling out of energy,
and may have slight
dizziness on standing

Degree of
dangerousness

Treatment

Not dangerous
unless left
untreated; if
untreated will
then progress to
next stage of
khyl severity

Apply khyl oil


or ointment
under the nose,
sniff the khyl
oil dabbed on a
finger, apply and
rub in the khyl
oil or ointment
at the temples,
behind the ears,
on the neck;
may eat a sour
food; may do
the vessels (e.g.,
snap the joints).

ModerateKhyl
Typical symptoms

What coining reveals

Degree of
dangerousness

Treatment

Symptoms as above,
but more and more
severe, and may have
moderate dizziness
upon standing

Dark purple streaks where


the skin has been coined

May cause loss of


the use of arms
and legs
(stroke), heart
arrest, asphyxia,
fainting, vision
loss, hearing loss

Do coining and
other khyl
treatments (e.g.,
cupping khyl,
pinching khyl,
and doing the
vessels, such as
snapping the
joints)

Severe Khyl (called ripe khyl or broken khyl)


Typical symptoms

What coining reveals

Degree of
dangerousness

Treatment

Even more severe


Dark purple and even black Great chance of Do coining and
symptoms as above,
in the coined area, as well
the dire events
other khyl
and special symptoms
as bumps
listed above, with treatments (e.g.,
such as jaw tightness,
significant risk of cupping khyl,
and the patient may
death
pinching khyl,
have great dizziness on
and doing the
standing
vessels), may
well go to the
emergency room

KhylOverload(Khylkoeu)
Typical symptoms

What coining reveals

Fainting, loss of
As above, but darker streaks
consciousness, death, and more prominent bumps
which often first occurs
upon standing

Degree of
dangerousness

Treatment

All the events


above are in the
process of
occurring, death
is imminent

Bite the ankles,


pull the vessels
in the arm pit and
other areas, and
then do coining
and other khyl
treatments (e.g.,
cupping and
pinching khyl);
may call an
ambulance