Discuss the medical implications and realities of close quarters combat as it relates to human anatomy and physiology.

Moderator: San Soo Sifu


Postby San Soo Sifu » Sun Mar 09, 2014 2:19 am

Dave Lorenson wrote:From: Sifu Dave
To: All

Target: Bladder

Effective Strikes: One Knuckle punches are an excellent choice. Other punches and palms also are a good choice, along with forward elbows.

(I am going to add this particular segment to the new discussions to give a basic overview of the anatomy in question. Hopefully, this will clean up the format a little.)

Structure and Location: Collapsible bag of smooth muscle (there are different types of muscle fibers) lined with mucosa (tissue that forms mucous).

Lies behind symphysis pubis (a portion of the pelvic bone that joins together immediately superior to the genitalia), below parietal peritoneum (the layer of strong tissue that encloses the abdominal organs).

There are three openings to/from the bladder. One into the urethra (the tube that drains the bladder to the outside of the body) and two from the ureters (the tubes that drain urine from the kidneys to be stored in the bladder).

Functions: Simply a reservoir for urine which expels it from the body at intervals.

Patho-physiology: Since the bladder is part of the system that is necessary in the filtration and purification of blood, then it stands to reason that damage to this structure will or could cause problems in the rest of the system.

I think one of the main reasons that this was included in the standard strike points in Kung-Fu San Soo is because this area is less protected by the Rectus Abdominus muscle and because a great deal of pain is felt with injury. Even in someone well-built and in shape the Abdominal rectus is not as strong over the bladder as it is centrally.

A strike to the bladder can cause hematuria (blood in the urine), mild to extreme pain (depending on the severity of the strike), rupture (which would require surgical intervention), ureter damage and possibly kidney damage if treatment is not rendered in ample time.

Pain with resulting disability is the key for the bladder strike, because the long-range effects don't make much difference in a fight. Sometimes clot formation in the bladder or urethral spasms after injury can make it impossible for someone to void the bladder (urinate) without surgical intervention (a real bummer).

One thing interesting to note is that the symphysis pubis can be broken (actually separated at the joint) if a strike is well placed - elbows and knees and kicks work well for this. Sometimes even a hard fall (say...from a throw) can separate this bone even when not directly struck. I've seen more than one person in the hospital because of this type of fracture which almost always results in at least a little bladder trouble for awhile. Believe me guys, this strike is very effective against a woman assailant as well.
Hit First...Hit Hard...Hit Often...and Finish Him Off!
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