EXTERNAL THERAPIES

Ku Nye

​This most famous external therapy is the traditional Tibetan Ku Nye (bsku mnye) massage. It is especially useful in prevention and treating lung (wind energy) disorders and can be used for almost every patient. There are different types of ku nye for various patients and disorders. The three steps of ku nye are:

• ‘Ku’, preliminary treatment such as oil application, joint movement, warming up etc.

• ‘Nye’, the actual massage including different methods, instruments, treatment of specific locations etc.

• ‘Chi’, after-treatment such as removing the oil with powder, bath or shower.

Instruments used for the 'Nye' part include river stones, wood, or shells. 

Relative contraindications of Ku Nye are cancer or tumors.

Moxa

Moxibustion or short ‘moxa’, Tibetan 'Me tsa', can be applied to various cold diseases. The heat of certain substances is especially effective against disorders or blockages of bad kan. Traditionally moxa was regarded as invasive therapy due to its cauterizing effect. Matching to Western medical standards only mild and non-invasive types are used.

In fact traditionally there are four levels of moxa:

1. Warming up: gradual application of heat

2. Heating up: moxa application of seven times on one point

3. Burning: moxa application of 14 times on one point

4. Cooking: moxa application of 21 times/completely burning a moxa cone on one point (traditionally scars are expected)

Another grading possibility is the ‘test moxa’, the mildest moxibustion type. This is for example used in unclear indications and with warm materials such as stones, wood etc. in order to see a patient’s reaction to the test treatment.

Other materials used with moxibustion are for example certain herbs, plant parts, animal products (such as horn), metals etc. While applying moxa it is essential to avoid sensitive body parts such as sense organs.

Relative to absolute contraindications for moxa are hot natured diseases.

Horme

Another excellent external treatment of rlung is the modified form of moxibustion called Hor Me, ‘Mongolian moxa’. It works through application of heat through certain substances and oils.

There are various methods on how to apply hor me. Usually little bags filled with herbs and soaked in warm oil can be placed on certain body parts. Traditionally felt cloth and river stones were also used.

Compress Therapy

The treatment with compresses belongs to the group of Lum or bath therapy. The hot compress with salt, stones or herbs is especially suitable for treating bad kan disorders. There are various kinds of compresses used for more indications such as cold 

compress for hot natured diseases.

A relative to absolute contraindication for the compress therapy are e.g. intoxications, infectious diseases, anemia, etc.

Sweating Therapy

Sweating therapy, also called ‘steam therapy’ belongs to the group of bath therapy. It is has been used since long time in many cultures with different kinds of application. It is based on releasing heat and toxins through sweating of the body or certain body parts.

In Tibetan medicine this external therapy should only be used as treatment of superficial mkhris pa.

Contraindications for steam therapy are deep mkhris pa disorders, infectious inflammatory diseases, as well as general weakness, loss of appetite, etc.

Water Wheel

A good way of treating local mkhris pa is the ‘Water Wheel’. Cold water is used to spray on affected locations. Sensitive places (organs, joints) should be avoided. The medicinal bath is the supergroup of hydrotherapies, including water tapping, a variation of the Water Wheel.

Pulse diagnosis includes more than ten basic divisions of pulses, each based on different aspects such as time, seasons, typology, elements, energies, spirits and more. Each type of pulse may have various characteristics of up to hundred if not thousands - a complete diagnostic tool in your hands.

Smoke Therapy

This therapy consists of smelling the aroma of medicinal substances, which are burning on embers. By allowing the smoke to reach the patient’s body or by 

letting the patient inhale the smoke of different mixtures of plants and minerals this therapy my prevent disorders or rebalance imbalances of the nye pa.

Cupping

The effect of cupping therapy removes excess of the nye pa accumulated in the body. A little piece of cotton is lit up and place into a cup, traditionally made of 

copper. By attaching the cup on the affected body part the partial vacuum will suck out waste wind, bile, or phlegm.

Yukcho

Yukcho Stick Therapy is one of the treatment methods discovered through the combined medicine and spiritual practice as a terma - a spiritual treasure or knowledge revelation - and added to the external therapies of TTM. Different ways of tapping or 

massaging would traditionally help the spiritual practitioner during their retreat. Originally secret the benefits of this method are now available to the medical practitioner as self or as patient treatment.

Venesection

Venesection is an invasive therapy as well as a purgative treatment for blood disorders. It is used for treatment of deep mkhris pa.

One may think that blood letting is about purging a lot of blood, however it mostly requires just a few drops for a good blood letting

session. There are specific standard points used depending on different localizations of the disorder or disease.

Contraindications of blood letting are general weakness and rlung disorders. Blood letting should not be used for children or seniors.

Acupuncture

The ‘most effective therapy of all’ in the external treatment is the surgical therapy. Its division of acupuncture uses an own system of points and locations on the body to eliminate even chronic 

disorders of inner organs, bodily constituents or the energies. Sophisticated materials, tools and techniques support the effect of Tibetan acupuncture.

La Massage

La massage is a psycho-physical treatment which involves visualizing various forms and colors, and chanting the correct sound according to different points on the Path of La. This technique is used to replenish lost La energy, a supreme energy present both in Traditional Tibetan Medicine and the ancient lore of 

Tibetan Astrology. Considered to be one of the subtlest and finest frequencies along the spectrum of lunar energy, La pervades the human body, stirring it to give us strength, stability and clarity of mind. Its vital energy is considered to be an essence of our consciousness.

Chakra Massage

This gentle treatment with soft or without physical contact is based on the spiritual system of the Vajra body with its subtle channels. In order to untie the knots of energy stagnation in the 

main energy centers, chakras, this treatment has been developed by spiritual masters and transmitted in an unbroken lineage. The method includes visualization of forms, colors, or mantras.