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Blaming the Gluteus Medius, Overlooking the Deltoid
The gluteus medius (Gmed) is commonly written about, strengthened and blamed for many conditions, and rightfully so. After all, the Gmed plays a role in pelvic stability, hip motor control and lower-quarter dynamic movements.
The X Factor in Clinical Research: The Patient
It was the great baseball legend, former New York Yankees catcher Yogi Berra – he of countless aphorisms, each with a mind-bending twist – who once declared, "You can observe a lot by watching."
Calcium Helps Prevent Colorectal Cancer
Over the past 25 to 30 years, studies have suggested calcium may confer protection against colorectal cancer.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Transparency and Accountability: Q&A With the CCE
Every profession needs an organization dedicated to upholding the quality and integrity of its degree programs and educational institutions.
Talking to Patients About Healthy Aging
I've noticed that a particular category of patients seems to make up more and more of my practice – they work out, but still experience lots of degenerative joint disease (DJD) issues.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Understanding and Identifying Pediatric Growth-Plate Fractures
In general, fractures in children heal well with little intervention as long as the alignment is good. Fractures involving the growth plate, however, are a different issue. In fact, growth-plate injuries are the primary reason for the subspecialty of pediatric orthopedics.
Web Marketing: Content Is King
Google's sweeping updates to its search algorithms over the past few years have brought a paradigm shift in how you can optimize your chiropractic website to gain maximum marketing leverage.
5 Ways to Occupy Occupational Health
Despite the progress that has been made to better protect workers, occupational health and safety remains a priority area for many national governmental organizations due to the widespread problem of occupationally related morbidity and mortality.
Saying No to Medicine
An interesting article recently appeared in Men's Journal titled "When to Say No to Your Doctor." The article begins with the summary statement above and effectively arms readers with information that will help them "take more responsibility for your own health care, because you can't be sure anyone else is.
Help Patients Achieve Optimal Vitamin D Levels
Much research has been done on vitamin D levels and their impact on health; optimal levels have been correlated with a reduced risk of developing numerous conditions.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
August, 2003, Vol. 03, Issue 08
The "Secret" of Chinese Pulse Assessment, Part II
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
Editor's note: This series of articles is based on information from Barbra Esher's forthcoming textbook, Shiatsu and Chinese Medicine.
Last time, I gave an introduction to taking the pulses using the information gathered within the context of Chinese assessment principles.In this article, you will find the method for taking the pulse and the correlations to the whole body.
Method for Taking the Pulse
If you want accurate readings, it is essential to decrease your variables as much as possible. I can't emphasize this enough! There are so many things that will affect your readings. Being consistent each time you take a pulse will enable you to better evaluate the information.
The best time to take the pulse is at the crack of dawn, which is considered a neutral time between yin and yang when you can get the most accurate reading. I don't know about you, but I am not ready to restructure my practice so that my clients line up at 6 a.m. to have their pulses taken! Instead, I give my clients a few minutes to settle down from the yang of rushing to get to their appointment (between the yang of the outside world and the relative yin of my office) and take their pulses at that time. Most of my questions are guided by what I feel in their pulses.
To start, make sure you are grounded: both feet on the floor if you are sitting, shoulders relaxed and your breath regular and natural. Traditionally, the pulse is compared to that of the healthy practitioner. You could always use a clock if you aren't in optimal shape! Likewise, the client needs to be relaxed: shoulders dropped, with nothing even slightly occluding the arteries. The hands need to be below their hearts, resting naturally on a pillow or their bodies. The client can be sitting or lying down, but be consistent with whatever way you do it.
Use your first three fingers to rest on the radial artery at the styloid process, with your right hand on the left wrist and your left hand on the right wrist. The first position is sometimes referred to as cun, or inch, and is on the wrist crease, just distal to the styloid process. The second position is called guan, or bar, and is right over the process; the third position, chi, or cubit, is just proximal to it. The pressure is fairly light at the superficial level, slightly deeper at the middle level, and just before the bone for the deepest level.
Pulse Position Correlations
It is common for the superficial and deep positions to be each associated with a meridian; there are three superficial and deep pulse positions on each hand, making a total of twelve pulse positions. Interestingly, the positions were described in the Nan Jing (Classic of Difficulties, written around the 2nd century CE) using six meridian terminology, such as Hand Taiyang and Hand Shaoyin for Small Intestine and Heart. This specifically relates to the meridians more than the organs - a distinction not normally made in English. That's why ABTs often use this pulse map, compared to later ones commonly used by herbalists.
The Nan Jing used and developed the Five Element theory more than other Chinese medicine texts, and you may notice those correlations within the positions. The elements associated with the positions on the left hand control or act on the positions on the right. Fire (SI/H) controls Metal (LI/Lu); Wood (GB/Li) controls Earth (St/Sp); and Water (Bl/Ki) controls Fire (TH/Pc). Thus, it is thought that the pulses on the left hand are stronger than the right, though often with people that are Blood-deficient, this is not the case.
Start taking the pulses using this map and write down how strong or weak the pulses are in each position. Group the pulses into the upper part of the body for the first position; the middle part of the body for the second position; and the lower part of the body for the third position. You will notice that the part of the body in which your client feels the most discomfort is the pulse that stands out as the most weak or strong, in relationship to the other pulses. You will refine this technique the more you practice!
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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