Tongue and pulse diagnosis first to rule out distracted or wrong options. Terry oleson phd, in auriculotherapy manual fourth edition, 2014. However, in cardiovascular chinese medicine, the tongue diagnosis is not an important part of the. Pulse diagnosis is one of the unique diagnostic methods of traditional chinese medicinal. However, the most likely pattern is that of liverblood stasis.
When looking at a patient, an acupuncturist is observing the general appearance, physical shape, facial color and features, and the tongue all as insights into the state of health from vibrancy to illness. The tongue body will be a deep red color and the pulse will be rapid. Therefore, the diagnosis and treatment are labeled as correct. Eight principles of diagnosis in traditional chinese. Pdf understanding diagnostic reasoning in tcm practice. As with the pulse, there are general qualities of the tongue that show how the body is doing on a macro level, and specific qualities that zoom in on particular organ systems of the body. And as strange as it sounds, it really makes sense pulse diagnosis the pulse is taken on the wrist. Facial and body diagnosis in tcm acupuncture theory 117 sounds listening and odors smelling in tcm acupuncture theory 117. In china, a typical treatment protocol for a chronic condition can be. Pulse diagnosis is not simply taking the heart rate in terms of beats per minute. A wiry pulse, which is very common, is suggestive of a person being on edge or stressed out.
A comprehensive text, the authors still allude to the possibility of using the pulse as a sole method of diagnosis by saying. The doctor will use three fingers to take the patients pulse at three positions on each wrist, using first gentle then stronger pressure to feel in depth. In auricular diagnosis, specific problems in the body are revealed by areas of the external ear that are darker, discolored, or flaky. The two large, elevated papilla on the back of the tongue are a normal part of the taste buds. So how do we use the information from the chinese pulses. The consultation and tongue and pulse diagnosis will help claudia. Brief overview of chinese tongue and pulse diagnosis tongue diagnosis. Tongue and pulse reading according to chinese medicine. The four examinations, part 2 tongue diagnosis in chinese.
Its strength relies in the fact that it is nearly always reliable and objective. You might be self conscious of this, you do not need to be. Since acupuncture is a stimulation therapy, it is not uncommon to feel some. But if a patient is cured from tcm standard, that usually is really cured. One of the most common things we see is a red tongue. Nutritional advice is given specific to the individual and hisher presenting condition. Chinese pulse diagnosis acupuncture feeling chinese. Diagnosis, patterns and treatment of heat in acupuncture. How tongue diagnosis works by transformational acupuncture. Basically, it is an indepth look at how the body functions without bias. Tongue diagnosis is an important method used in chinese medicine to understand the health of a patient. To give an idea of the frequency of heat in practice, in my clinic in england in a database of over 2500 patients, 46% had a red tongue and 32 a pale tongue. The eight principles describe the basic qualities of a disease. The tongue is the only muscle in the body we can see that isnt covered with skin.
In chinese medicine, pulse diagnosis is also a very important diagnostic tool that provides your practitioner with information about the state of your health but in different ways. The treatment of diseases with acupuncture and chinese herbs, 2e. How pulse diagnosis works by transformational acupuncture. Tongue and pulse diagnosis midwest college of oriental. Review of tongue diagnosis, identification of patterns, drugs that can alternate presentation. The tongue is one of the major pillars of diagnosis, the other main one being the pulse. Many dont use pulse diagnosis either, which is another vital way to. Tongue diagnosis in chinese medicine by giovanni maciocia. In acupuncture school, we have to look at 100 tongues to learn to differentiate the different colors and shapes.
The pulses change very quickly as opposed to the tongue and therefore give more of an immediate indication of the effect of the treatment. It is an important way to diagnose a patients health and sometimes can be crucial in deciding what to do first. Pdf tongue diagnosis is one of the most important diagnostic tools in traditional chinese medicine. Pulse diagnosis has been made into an art form by the chinese, whereas few westerntrained doctors know how to evaluate your pulse, except by counting it. These pulse qualities reveal the hidden world of the body. Someone trained in chinese pulse diagnosis would probably take much longer than 15 seconds. Pulse diagnosis is differentiating the 28 subtle variations of pulse depth, pulse width, pulse strength, pulse quality, pulse speed, and pulse rhythm. Tongue diagnosis tongue diagnosis is used all the time by acupuncturists and practitioners trained in chinese medicine. When an oriental medicine practitioner looks at the tongue they are looking at its length, overall size e. Acupuncture posters, charts and resources for students and doctors.
Tongue color varies widely from person to person, but is a good indicator of the overall nature of what is going on in the body. Classification and differentiation between kidney yang and yin. The basics of this art can be learned in a single day or less. Pdf traditional chinese medicine tcm diagnosis is a complex multifaceted. We practice a more traditional and more effective style of acupuncture that relies on tongue and pulse diagnosis. Chinese tongue diagnosis poster 18 x 24 laminated or heavy weight paper chinese tongue examination is much, much easier to master than chinese pulse examination. The inteiligent instrument for tcm diagnosis by means of pulse has been. Acupuncture what to expect, pulse, tongue diagnosis. Nathan tseng specializes in acupuncture, chinese herbal medicine, tui na, and diet and lifestyle changes. Its a tool that practitioners use to assess the health of all the major organ systems of the body. When the doctor has examined the tongue, it is time for pulse diagnosis. One of the benefits of pulse diagnosis is the ability to help us make a differential diagnosis. So, thats why some patients got sick again after release from hospital, and the nucleic acid detection is positive again. In traditional korean medicine tkm, pattern identification pi diagnosis is important for treating diseases.
This notion refers to four pairs of mutual opposites. A few of the standard pulse qualities would include wiry, slippery, choppy, tight, hurried, floating, full, empty, tied to the bone. Back of your tongue the back of the tongue reflects many of the bodys functions, but is mainly the domain of the water element, or kidneybladder network, which includes the hormonal system and sexual glands. The patient stretches out her wrists or lays them on a small cushion on the table. Tongue diagnosis chart clinical charts and supplies. Compared to pulse diagnosis, it is also much easier to learn. Isbn 9786155169359 tongue, face and body diagnosis. Learning to recognise the different qualities takes effort and experience, but for acupuncturists its worth it. Return from acupuncture diagnosis to the acupuncture home page. It is considered a pillar of diagnosis because it provides clearly visible clues to a patients pattern of disease. A tongue that is pale indicates a deficiency of qi and blood or the presence of cold.
A misguided study to test the reliability of traditional. In fact, im surprised when acupuncturists dont use it. A red tongue indicates that there is heat present in the body, and the redder the tongue, the greater amount of heat present. Practical diagnosis in traditional chinese medicine, 1e. Pulse qualities are the hardest to learn and the weirdest to talk about. The process of determining the actual pattern of diagnosis begins with an evaluation of bing according to the notion of the eight principles. Brief overview of chinese tongue and pulse diagnosis. While tongue diagnosis can be used for acupuncture, its of particular importance for determining the proper diagnosis during your herbal medicine consult. Therefore, the tongue diagnosis is considered a cornerstone practice in the diagnostic process. Pulse diagnosis is based on another microsystem with internal organs. A study of tongue and pulse diagnosis in traditional.
The aim of this study was to comprehensively investigate the relationship between the pi type and tongue diagnosis or pulse diagnosis variables. Auscultation refers to the analysis of particular sounds. In tcm, the surface of the tongue corresponds to particular zangfu organs and can reveal a lot about a particular disease. The tongue body proper is going to give you information more about the yin organs, the blood organs in particular. The significance of traditional pulse diagnosis in the. We are not looking at it to show the quality of your dental hygiene. Part of your assessment may be viewing your tongue and feeling your pulse. If they want to bring them into the real world of science, perhaps the place to start would be to pick just one of the spots on the wrist or tongue that are said to represent a given organ and. Chinese medicine also known as tcm pulse diagnosis is a more detailed and subtle process. Tongue and pulse diagnosis is one of the most unique aspects of a tcm diagnosis. Many people do not feel the insertion of the needles. California acupuncture license examination application form california acupuncture license examination content california acupuncture license exam individual herbal list. It lays out the basic ideas surrounding and intriguing method of diagnosis. Chinese pulse diagnosis and tongue diagnosis are based on imaginary concepts, not on reality.
W e were both taught in our conventional medical training that the diagnosis of a persons health problem was made from 6070% of the history, 2030% from the examination and 10% from investigations in classical five element acupuncture the way we take your history and examine you provides us with extra and slightly different. Based on our previous works, a tongue diagnosis system. Looking at the tongue and feeling the pulse are often considered the most important. Understanding diagnostic reasoning in tcm practice. However, some questions are raised by clinical aspects of this case. While most chinese doctors would agree that the pulse is best used in conjunction with the other diagnostic methods, doctors wellskilled in pulse diagnosis can discover an enormous amount of information. Pale and swollen tongue yang deficiency colddampness. Chinese tongue examination is much, much easier to master than pulse exam.
Concept of tcm nutrition and differentiation from western nutrition. This is an intro to pulse diagnosis in acupuncture and tcm. The acupuncturist will then select the appropriate acupuncture points, herbal medicine formulas, and dietary and lifestyle. Since the tongue always reflects the basic, underlying pattern, it is extremely reliable, especially whenever there are. Tongue diagnosis tongue diagnosis is part of diagnosis by looking in traditional chinese medicine tcm. When you get acupuncture, your acupuncturist will look at your tongue. If the tongue body is pale and trembling, this usually indicates a chronic condition of qi and blood deficiency, where the tongue is not being nourished. The information from the tongue is combined with information from your pulse and the questions we ask you. There are over 350 acupuncture points in the body, and the appropriate diagnosis will allow claudia to determine which points should be selected for your treatment. Tongue diagnosis is used all the time by acupuncturists and practitioners trained in chinese medicine. Come into our clinic and watch our registered traditional chinese medicine practitioner jasmine sufi demonstrate thank you bright almond for. Review of pulse diagnosis, different types of pulses and descriptions. The 2 doctors supervising this patient arrived at differing diagnosis, one choosing to emphasis the liver qi tendencies wiry pulse and nervousness the other the blood deficiency aspects pale tongue, insomnia.
The details of tcm assessment and treatment were documented in the medical charts, includingbut not limited tochief complaints, tcm diagnosis pulse and tongue assessment, acupuncture point selection, and number of needles used per acupuncture treatment. This course consists of a 170slide presentation with video narration, text, diagrams and over 200 photos, together with an audio live lecture on tongue diagnosis. Heat is an extremely common pattern in practice and it is therefore very important that we understand its aetiology, pathology, diagnosis, patterns and treatment. Tierra, leslie tongue diagnosis american herbalists guild. This can provide an acupuncturist with information about your body to help guide the treatment. When we look at your tongue, it tells us a lot about your health. Tongue and pulse diagnosis chinese medicine diagnosis. Ear acupuncture provides a more scientifically verified means of identifying areas of pain or pathology in the body than do such traditional chinese medicine approaches as pulse diagnosis and tongue diagnosis. You do not just take one pill and expect to get better.
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