resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
Don't Turn a 2 Into a 10
The Wong-Baker FACES Pain Rating Scale1 is so useful because it can be used by almost anyone. Patients can use the numbers associated with the faces depicted on the scale or select the face that demonstrates their current level of pain from 0-10.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
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.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.