respiratory & cardiovascular disorders
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© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 1
CLASS OUTLINE
Intro to Chang’s Practice
Pulse Diagnosis (CLINICAL APP AND OPTIONAL)
Blood Pressure & Heart Rate, Temperature and Color Dx
OPTIONAL Ear POINTS Diagnosis
etc.
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 2
PULSE DIAGNOSIS Chang’s Pulse Diagnosis System
Finger Positions Pulse Taking Techniques Organs (Cun, Guan, Chi, 8 Extra Meridians) 3 factors that make up a pulse
1. JUMP (strength, weak or strong) 2. SHAPE (straight –thin/thick; convex,
concave) 3. LEVEL (superficial, deep) PULSE COMBINATIONS AND CLINICAL
APPLICATIONS
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 3
Finger Positions ARE WRONG..
THERE IS A REASON THAT 99.9% PEOPLE DON’T BELIEVE IN
PULSE DIAGNOSIS…
CORRECT FINGER
POSITIONS
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 4
HIGH BONE
Position Diff
Traditional TCM pulse dx, Guan position is right over the HIGH BONE.
For Jimmy’s system, Cun position is distal to the HIGH BONE. So the HIGH BONE is in between the index (cun) and middle (guan) positions. So shift ½ a finger proximal from how you take pulses traditionally, you will find the right positions for Chang’s pulse dx. © Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 5
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 6
PULSE TAKING TECHNIQUES
1. Patient’s palm
should be facing the side, not the ceiling
Incorrect
Correct
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 7
PULSE TAKING TECHNIQUES
2. Take the pulse with the bed of the fingers
Incorrect
Correct
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 8
LET’S TRY IT
ON OUR OWN HANDS…
THE CORRECT WAY…
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 9
THE INCORRECT WAY…
PRESS TOO HARD!
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 10
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 11
PULSE TAKING TECHNIQUES
3. Take the pulse from outside in, not over FLEXOR CARPI RADIALIS, PALMARIS LONGUS
Correct
Incorrect
Incorrect
Incorrect
CORRECT
INCORRECT. NO LEVERAGE
INCORRECT
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 12
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 13
PULSE TAKING TECHNIQUES 4. Put your thumb
on SJ4, so there is space to maneuver and feel the shape of the vessel
NO LEVERAGE
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 14
PULSE TAKING TECHNIQUES
5. Start gentle, don’t press too
hard in the beginning. If your nails are TURNING WHITE, you are pressing too hard.
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 15
POSITIONS / ORGANS
Right Hand Cun: Lung /LI Guan: Spleen/Stomach
Yangming=dryness; taiyin=damp=deep pulse Deep=damp, bump=st fire
Chi: Kidney / BL(Urinary function); Chi and proximal pulse=Neck and shoulder prob (convex=soft tissue injury, straight/wiry=disc or spur, scattered=past injury/trauma, bl stasis; pen tip=kidney stone)
Left Hand Cun: Heart/SI Guan: Liver/GB Chi: Kidney (Reproductive function, libido, sexual functions,
ob/gyn disorders,) Chi and proximal pulse= Low back and legs pain (convex=soft tissue injury, straight/wiry=disc or spur, scattered=past injury/trauma, bl stasis; pen tip=kidney stone)
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 16
Left guan (liver/emotions): Shape: concave, convex or wiry? Jump: forceful, weak?
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 17
Elotus.org Question: how to differentiate zang and fu on each position. So right cun, how can you tell Lu from LI problem?
Left Hand Cun: Heart/SI (SI=taiyang=big and long,
convex=gas, bloating; HT=angina=pulse within a pulse- very tight string of wiry pulse, like a band of wires; weak=memory loss, forgetfulness)
Guan: Liver/GB (Liver-Emotional center/ forceful convex=liver fire, stress, concave= fatty liver, anxiety, depression; weak=exhaustion, no energy; GB-Constriction/gallstone=pentip pulse)
Chi: Kidney (Reproductive function); Low back and legs; (guitar string tight pulse=scar tissue, cysts, adhesions; prolapse, bone spur, herniated disc; convex forceful=back pain from soft tissue injury, etc)
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 18
Let’s do some
practice….
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 19
MY PAINTING..
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 20
2 FACTORS THAT MAKE UP A PULSE
Jump Strength Rate Amplitude
Shape Width Depth Feel the shape of the entire artery for
pathological changes
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 21
Criteria of a Pulse Level
Significance of Level Normally, cun is the most superficial, guan in the mid
level, and chi is the deepest. This is referred to as the hook pulse.
Reverse hook pulse is where the chi is superficial and the cun is deep
Evaluating the relative level gives you an idea of which organ is out of balance.
cun guan chi Superficial
Mid Level
Deep
Skin
Bone
SOME STRANGE PULSES…..AND MORE..
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 22 第二小時
Thick and forceful pulse = excess heat in that organ Thin and forceful pulse=excess cold Weak=deficiency Deep=dampness
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 23
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 24
Left Guan Practice. Check shape, strength and level: strong or weak, thick or thin, superficial or deep Convex - bad temper Concave/weak - fatty liver, anxiety, depression Wiry-hepatitis Pen tip-gallstone
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 25
To enhance Liver (organ) Function=floating, wiry, empty pulse Wu wei zi 20%, shan zhu yu 20% Astringent Complex 30% Liver DTX or hu zhang 30% Emotional Disturbance=floating, convex Jia Wei Xiao Yao San 50% Yi Gan San 50% Autoimmune deficiency=Weak pulse Hu zhang 25%
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 26
Autoimmune deficiency=Weak/empty pulse Hu zhang 25% Wu wei zi 25% Ren shen yang ying tang 50% Bad Temper/Liver fire=convex, forceful Same formula as the emotional one. Jia wei xiao yao san and yi gan san 50% each
© Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 27
Quiz
DETERMINE IF THE FOLLOWING IS A JUMP OR A SHAPE.
STRONG? THICK? FLOATING? DEEP?
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