!Large Intestine – Cecum, Appendix
!!Anatomy
The __cecum__ or blind gut is a pouch connected to the ascending ((Digestive - Colon Mucosa|colon)) of the ((Digestive - Large Intestine Overview|large intestine)) and the ((Digestive - Small Intestine - Jejunum, Ileum|ileum)). It is separated from the ileum by the __ileocecal valve__ (Bauhin's valve) which prevents bacteria from entering the sterile ileum. It is connected to the colon by the __cecocolic junction__.

{img fileId="243" thumb="box"}graphic: Wikipedia/Mariana Ruiz Villarreal 

{img fileId="260" thumb="box"}

The __appendix__ is a blind-ended tube connected to the cecum, from which it develops embryologically. It is located near the junction of the small intestine and the large intestine. The appendix  contains much ((Circulatory - Lymphatic System|lymphatic tissue ))to support self-regulation of microbial population, as well as being a __reservoir for gut bacteria__.

{img fileId="204" thumb="box"}graphic source: wikipedia

{img fileId="262" thumb="box"}Appendix function in restoring the gut microbiome after diarrhea. Graphic: wikipedia

!!Brain
In the Brain Stem, the __primeval ring structure__ is reflected: organ tissue relays with assimilative and digestive functions from oesophagus to small intestines are situated in the right brain stem, while excretory organs from __caecum __to rectum are relayed in the left brain stem. Medial on both sides are the relays of mouth/pharynx, middle ears and lacrimal glands, as well as the pineal and pituitary glands and the thyroid.
{img fileId="173" thumb="box"}

!!!Relay:
1. __Brain Stem__ ( + / - ) frontal left between ileum &amp; pars asscendens coli relays, for mucosa

1.a __Midbrain__ (+/-) frontal left, for ((Digestive - Intestine Smooth Muscle|smooth muscle))
{img fileId="190" thumb="box"}
The ileocecal valve is represented on the sagittal midline of the brain stem.

2. __Cerebral Medulla__ (-/+) "Lumbar area" left opposite to spleen relay right, for Appendix Lymphatic Tissue
{img fileId="175" thumb="box"}

!!Mind
!!!Theme:
1. __(BS)__ Digestion, vitamin production, water reabsorption: Ugly, indigestible anger conflicts and inability to digest a chunk, situation or experience.

2. __(CM)__ Self worth with regard to ability to select and handle morsels/situations on gut level. Self-protection.
Side dominance is irrelevant here.

!!!Emotions and Thoughts:
__Anger__  and __resentment__ connected to ugly situations, often between close relationships such as family, __mistrust, fear__ to let go and open up for something new
*I couldn't digest that.
*This is too much for me to handle.
*It was horrible. 
*I should have known/felt that!
 
!!!META-Meaning:
*I can now process that and let it leave my system.
*I have much more resources than I believed!

!!Organ
!!!Stress Phase Symptoms:
1. (BS) Functional increase and possibly tumor growth like in all colon: as compact adenocarcinoma with secretory quality, or as a wall thickening with absorptive function. 

Possible diagnoses: large intestine carcinoma (colon carcinoma) – with the following symptoms: weight loss, __digestive troubles__, changes in bowel habits, __constipation__. Growth of symptomless colorectal polyps (polyposis coli) is also possible. Tumors can cause an obstruction of the blind gut and therefore increase the danger of perforation in the regeneration phase.

2. (CM) Reduction of lymphatic tissue, __depletion of gut microbes__, impaired detox and immune function

!!!Regeneration Phase Symptoms: 
1. (BS) Normalization of the function and stop of excess proliferation often under light fever and nightly sweating. Purulent decomposition of the tumor by lymphatic cells often in presence of fungus or mycobacteria (candida, tubercle).  Possible symptoms are __bloody stool__ (mostly occult, but fresh blood when the blood vessels are affected) which can result  in acute blood loss and anaemia (danger!). Other symptoms are digestive troubles, __bloating, mucous stools, alternating constipation and diarrhea__ (especially in chronic processes). 
Potential diagnoses: __Typhilitis__, colon tuberculosis, ulcerative colitis, __irritable colon__ 

2. (CM) __Acute or subacute appendicitis__. __Painful swelling, nausea, vomiting__. Tenderness at Mcburney's point is a sign of acute appendicitis.  Caution is necessary because occlusion of the blind gut can lead to a __perforation__.

!!!Healing Peak
Chills, colic, vomiting

!!!Biological Meaning
The reabsorptive function takes care of enhanced uptake of water and remnant nutrients in the colon before excretion. Increased secretion of mucus helps to prepare the waste for elimination. 

!!Social
!!!Examples:
*The parents of a little girl are arguing and insulting each other in front of her. A little later she gets appendicitis.
*A woman is haunted by family quarrels and anger about her brother who abandons his parents. She suffers a perforation of the blind gut.
*A student is verbally attacked and mobbed by older schoolmates. He has digestive trouble and eventually needs to be operated for appendicitis.
*The client with IBS had beed traumatically mistreated by her mother which repeats in her life as an emotional pattern. Thoughts are "how can they treat me like that? I can't fulfill the expectations. I can't trust my body."  The trauma was successively released, and the symptoms receded. (Hansen)
*A young woman who has to leave her beloved home and to live in more distance to her boyfriend for studying and following her dream, gets acute appendicitis after her fear for losing connection has been resolved and the contract for accomodation near the college is signed. She needs surgery, but then takes steps supported by mother and oyfriend to adapt to the new circumstances and possibilities. (Barthel)

!!Additional Information
Blind gut perforation with release of gut content into the abdominal cavity can cause dangerous __peritonitis__!

!!!Constellations:
__Brain Stem Constellation__ possible: perplexity, lethargy, passiveness, reduced movement. Purpose: new orientation

!!!Differential Diagnosis:
__Typhilitis__ can be caused by neutropenia __after chemotherapy__.

__((Organ Walls - Submucosa Layer|Submucosa ))/ ((Digestive - Intestinal Lymphatic Tissue|lymphatic tissue))__ (Cerebral Medulla -/+) stress (choice, decision): immune insufficiency, leaky gut; regeneration phase: Inflammatory and edematous in the first phase. Diagnoses may be lymphoma, inflammatory fibroid polyps, perineurioma and leiomyoma.

__((Digestive - Intestine Smooth Muscle|Smooth Muscle Layer))__ (Midbrain +/-): smooth muscle often co-reacts with mucosa, theme being to forward the chyme by peristalsis. In stress phase (processing anger) we see a functional increase and possibly leiomyoma.

__((Digestive - Visceral Fascia - Peritoneum|Peritoneum)) &amp; ((Digestive - Visceral Fascia - Greater Omentum (Epiploon)|Greater Omentum))__ (Cerebellum +/-), stress phase (protection of the gut) possibly with adenoidal mesothelioma, and tuberculous decomposition in regeneration phase, possibly ascites.

__((Integumentary - Skin - Adipose Tissue|Adipose)) and Lymphatic Tissues of the ((Digestive - Visceral Fascia - Greater Omentum (Epiploon)|Greater Omentum))__ (Cerebral Medulla -/+), with necrosis in stress phase (Resources to protect Self) and possibly lipoma, lipoedema or lymphoma in regeneration phase.

__((Organ Walls - Submucosa Layer|Submucosa / connective tissue)) and ((Digestive - Intestinal Lymphatic Tissue|gastro-intestinal lymphatic tissue))__ (Cerebral Medulla -/+):Symptoms in regeneration phase: Inflammatory and edematous in the first phase. Diagnoses may be lymphoma, inflammatory fibroid polyps, perineurioma and leiomyoma.

