Riffing off of Sarah’s current bloating patient, one chief complaint I have difficulty treating with just Sa’am is irritable bowel/bloating - in particular bloating below the navel. I have had successes for sure but it typically involved diet changes, lifestyle changes (i.e. chewing food, not eating rushed), and CHM.
My experience is that since Sa’am there are so many complaints I can treat with only needles whereas PS (Pre-Sa’am) I would need other modalities such as CHM, Tuina, cupping, electro etc.
Treating bloating especially people that have it below the navel, alternating constipation/loose because they are on Mirilax, Mg, etc I find a challenge. Especially those young 30/40-something women that seem so darn healthy otherwise. They eat well, exercise etc and have no clear deficient or excess channels.
What are other’s experience? Any case studies where you only employed Sa’am or maybe Sa’am with some minor diet tweaks?