Internal Medicine: Pulse Dx and Herbal Tx

By Jimmy Wei-Yen Chang, L.Ac.Doctor of Chinese MedicineLicensed in NY, CA, NCCA

Founder of Changs Pulse Diagnosis

INTRODUCTION OF DR. CHANG

Doctor of Chinese Medicine in Taiwan Licensed in the States of NY, CA NCCA Certified Herbalist Founder of Changs Pulse Diagnosis Author of Pulsynergy Private Practice in Southern California

CLASS OUTLINE Introduction to Changs Practice Diagnosis Temperature Color & Texture Blood Pressure & Heart Rate Diagnosis Pulse Diagnosis Ear Diagnosis

CLASS OUTLINE Pain Management Neck / Shoulder Pain Back Pain Arthritis Bone Spur Fibroids / Endometriosis / Menstrual Pain

INTRODUCTION TO DR. CHANGS PRACTICE

99% Herbal Practice 60% Chinese, 40% English Speaking and

growing. Diagnosis mostly through palpation

Pulse Diagnosis Temperature Color/Texture Blood Pressure & Heart Rate Diagnosis Ear Diagnosis/Confirmation Herbal Prescription (100 grams, 2 spoons TID)

DIAGNOSIS TEMPERATURE Check the Temperature

1. Dorsal side above the elbow2. LI 10 area3. Palm4. Back side of the hand5. Ren 22

DIAGNOSIS COLOR / TEXTURE Check the color of the forearm Feel the texture of the skin/muscle Check the color of the veins

Redness = Inflammation Blue = Blood Stagnation

Dorsal side: neck, shoulder

Ventral side: chest Dorsal side LI 10: colon,

hot means parasite Fish area: Blue line

means cold stomach, bad digestion

Palm: pelvic area, hormones

Hand: dorsal side, low back

Quality of skin: Sandpaper-like means water retention

DIAGNOSIS COLOR / TEXTURE

PULSE DIAGNOSIS

Intro to Changs Pulse Diagnosis Finger Positions Pulse Taking Techniques Pulse Characteristics (what should you be

feeling when you take pulses) Organs (Cun, Guan, Chi, 8 Extra Meridians)

PULSE DIAGNOSIS FINGER POSITIONS

PULSE DIAGNOSIS FINGER POSITIONS

PULSE DIAGNOSIS PULSE TAKING TECHNIQUES

1. Patients palm should be facing the side, not the ceiling

Incorrect

Correct

PULSE DIAGNOSIS PULSE TAKING TECHNIQUES

2. Take the pulse with the bed of the fingers

Incorrect

Correct

PULSE DIAGNOSIS PULSE TAKING TECHNIQUES

3. Take the pulse from outside in, not over flexor carpi radialis, palmaris longus

Correct

Incorrect

PULSE DIAGNOSIS PULSE TAKING TECHNIQUES

4. Put your thumb on SJ4, so there is space to maneuver and feel the shape of the vessel

PULSE DIAGNOSIS PULSE TAKING TECHNIQUES

5. Start gentle, dont press too hard in the beginning. If your nails are turning white, you are pressing too hard.

PULSE DIAGNOSIS POSITIONS / ORGANS Right Hand

Cun: Lung Guan: Spleen/Stomach Chi: Kidney (Urinary function) Neck.

Left Hand Cun: Heart Guan: Liver Chi: Kidney (Reproductive function) Low back.

PULSE DIAGNOSIS 8 EXTRA MERIDIANS

PULSE DIAGNOSIS PULSE CHARACTERISTICS

What should you be feeling?

1. Feel the strength of the pulse (weak or strong)2. Feel the level (superficial or deep) 3. Feel the diameter (thick or thin)4. Shape

PULSE DIAGNOSIS TCM PULSE INTERPRETATIONS Weak = Deficiency Strong = Excess Superficial = Dryness Deep = Dampness Thick = Expanding Condition Thin = Constricting Condition

Shape: Specific shapes will be discussed with the conditions

PULSE DIAGNOSIS Examples of Shapes

PULSE DIAGNOSIS Examples of Shapes

PULSE DIAGNOSIS Examples of Shapes

PAIN MANAGEMENT

By Jimmy Wei-Yen Chang, L.Ac.

PAIN CONDITIONS 1. Neck / Shoulder Pain 2. Back Pain 3. Arthritis 4. Bone Spurs 5. Fibroids / Endometriosis / Menstrual Pain

COMMON PULSES FOUND IN PAIN CONDITIONS

Long A pulse that extends proximally to the chi

positions or distally to the cun positions Scattered Weak, shapeless pulse May or may not be deep

COMMON PULSES FOUND IN PAIN CONDITIONS

Wiry Straight pulse that is moderately thick

Little thicker than a steel wire pulse Thinner than a thick pulse

Steel Wire Pulse Thin, long and tight Amplitude is low, but the tension can be felt

NECK / SHOULDER PAIN

Pulse Dx: Deep and soft/scattered on the right chi

Ear Dx: Brownish discoloration around the neck and

shoulder area TCM Diagnosis: Old Injury w/ Blood Stasis ()

NECK / SHOULDER PAIN

Old Injury w/ Blood Stasis () Herbal Formula:

NECK / SHOULDER PAIN

Pulse Dx: Turtle pulse on the right chi

The more forceful the pulse, the more severe the condition

Ear Dx: Reddish discoloration around the neck and

shoulder area TCM Diagnosis:

New Injury with Inflammation ()

NECK / SHOULDER PAIN

New Injury with Inflammation () Herbal Formula:

NECK / SHOULDER PAIN

Pulse Dx: Floating and forceful on the right cun Long and forceful on the right chi

Temperature Dx: Hot above the elbow Hot at the back of the neck, T1

TCM Diagnosis: Wind-Heat ()

NECK / SHOULDER PAIN

Wind-Heat () Herbal Formula:

BACK PAIN

Bone Spur () Kidney Stones ()

BACK PAIN

Pulse Dx: Wiry and thin on the left chi and proximal to it

TCM Diagnosis: Bone Spur ()

Herbal Formula:

BACK PAIN

Pulse Dx: Birds peak pulse on the chi position(s)

Side the pulse is found (left or right) is respective of the side the stone is in

TCM Diagnosis: Kidney Stones ()

BACK PAIN

Kidney Stones () Herbal Formula:

ARTHRITIS

Damp-Heat Accumulation () Excess Heat () Gout ()

ARTHRITIS

Pulse Dx: Deep and forceful pulse Yangwei pulse on the left side

TCM Diagnosis: Damp-Heat Accumulation ()

ARTHRITIS

Damp-Heat Accumulation () Herbal Formula:

ARTHRITIS

Pulse Dx: Deep and forceful on both chi Yangwei pulse is fast and forceful

Temperature Dx: Painful area will feel hot Hands and feet will feel hot

TCM Diagnosis: Excess Heat ()

RA Rheumatoid Arthritis

ARTHRITIS

Excess Heat () Herbal Formula:

ARTHRITIS

Pulse Dx: Forceful, turtle pulse on both chi position

TCM Diagnosis: Gout ()

Herbal Formula:

BONE SPUR Pulse Dx:

Temperature Dx:

Ear Dx:

TCM Diagnosis:

Herbal Formula:

FIBROIDS ENDOMETRIOSIS

Pulse Dx: Steel wire pulse on the left chi and proximal to it

Temperature Dx:

Ear Dx:

TCM Diagnosis:

Herbal Formula:

Dr. Jimmy Changs contact info

3133 S. Hacienda Blvd Hacienda Heights, CA 91745 626-820-8858 www.boundlessgallery.com Search for

JIMMY CHANG

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