resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Large Intestine Official
The large intestine (AKA colon) is the great eliminator, or as J.R. Worsley called it, "The Drainer of the Dregs." Dregs are defined as the remnants of liquid with its sediment left in a container, or the basest, least valuable portion of anything.
Near-Infrared Therapy for Diabetic Neuropathy
The pain experienced by people with diabetes is a symptom of diabetic neuropathy. The impact on quality of life is significant. Pain makes walking difficult, sleep troublesome, and eventually contributes to a decrease in social interaction.
ICA Goes on the Vaccine Offensive
Have you watched the vaccination documentary, "Vaxxed: From Cover-Up to Catastrophe," by Andrew Wakefield MD, director, and Del Bigtree, producer? This is the documentary Robert DeNiro was pressured to remove from his Tribeca Film Festival.
TCM & the Caregiving Population: Treatment Considerations & Our Vital Role
Informal caregiving is increasingly a reality for many Americans who find themselves providing unpaid care for a loved one or a family member with a long-term, terminal, or chronic illness.
Getting Unstuck: Healing From Trauma With TCM, Qigong & Movement
We all come into this world vulnerable, with seeds to grow into our strength. Some of us — through a combination of good fortune (i.e., family and culture we are born into, constitutional inheritance, or ability to learn) grow with minimal interruption from traumatic injuries and experiences.
Correcting Rib Dysfunction: Improve Patients' Pain, Posture and Breathing
As chiropractors, we tend to focus on the spine, and rightly so. Many problems our patients face can be corrected by manipulating the correct spinal level.
Treating the Lower Pelvis (Pt. 2): Midline Structures and Fascia
My previous article [October 2016 issue] outlined evaluation and treatment of pelvic issues involving the sacrotuberous ligament and the pubic symphysis. Now let's discuss two case studies that illustrate how to address additional problematic areas of the pelvis.
AOM Residency at NUNM
Imagine you're a recent acupuncture graduate, worried about making enough income as you forge your new career and seek more in-depth training in a particular treatment style.
The Acupuncture Channel System (Part 2)
The primary channels (main channels) are introduced in chapter 10 of the Ling Shu, these channels are referenced in many chapters throughout the Su Wen and the Ling Shu. The primary channels have become the main channel system used in TCM.
Waist Circumference: A Conversation Starter
New estimates suggest more than two-thirds of Americans are either overweight or obese. The medical significance of this statistic is astounding.
A Brief History of Acupuncture and Oriental Medicine Doctoral Programs
A doctorate in acupuncture and Oriental medicine has been a goal of the profession since its beginnings in the late 1970s. At that time, however, the maturity of the educational institutions and the regulatory environment made it a goal with only a distant completion date.
Advancing the "Whole Organ" Spine Model
Historically, the human spine has been organized by body region utilizing specific anatomical landmarks and transition zones.
Paperwork Done Wrong, Done Right
I was visiting a doctor's office recently and a member of his staff brought a stack of forms to his private office and laid them on the doctor's desk. She informed him he needed to complete the forms for patients and a few third parties.
Chiropractic in Texas Is Under Attack
The profession of chiropractic faces an unprecedented challenge in Texas, an attack that is more aggressive, sustained and dangerous than anything previously seen. The medical lobby has launched a coordinated, multi-front assault.
News in Brief
The American Association of Acupuncture and Oriental Medicine (AAAOM) board members recently met with the Korean Customs Service, which is similar to the FDA, to discuss herbal safety and importation issues.
Latest Cassidy Study on Stroke Risk Published
The latest study to investigate whether a unique association between chiropractic manipulation and risk of cervical artery dissection / stroke exists has yielded similar encouraging findings, with the authors noting "no excess risk of carotid artery stroke after chiropractic care" and no significant risk difference between patients receiving care from a DC or a primary care medical provider.
VF Works / DMX Works Epilogue: Almost Two Decades Later, the Lawsuits Continue
An article in the March 8, 1999 edition of Dynamic Chiropractic examined whether then-VF Works / Nu-Best Franchising was selling its franchises illegally to doctors of chiropractic.
House Calls With Dad
My father was a chiropractor and he did house calls. On Wednesday nights, while my mother attended the weekly women's meeting at the Odd Fellows and Rebekahs hall in our small town, dad loaded up the portable adjusting table, fired up the Pontiac and drove off to treat a few patients in their homes. I went with him.
Helping Patients With Parkinson's Disease
Parkinson's disease (PD), a long-term degenerative disorder of the central nervous system that mainly affects motor function, has a slow onset over time.
Gather & Grow
I recently attended a faculty seminar held by one of the acupuncture schools. There was a facilitator who led us through some very interesting experiences. The attendees were a diverse group with varying opinions.
4 Things Every DC Should Know About Levels of Care & Prevention
As health practitioners, we help people with their health problems and assist them with health promotion and disease prevention.
Reader Beware: Consider the Source
The aftermath of last year's presidential elections brought a running conversation on the role played by "fake news" that was largely presented via social media.
October, 2003, Vol. 03, Issue 10
The "Secret" of Chinese Pulse Assessment
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.
Author's note: In the first two articles in this series, I described the way pulses are taken (www.massagetoday.com/archives/2003/06/07.html) and how to perform a quantitative pulse analysis (www.massagetoday.com/archives/2003/08/06.html).The following article, which will discuss performing a simple qualitative pulse analysis, will be best understood after reading the previous articles in the series.
In my last article, I referred to Dr. Hammer's book as being 800 pages. He corrected me: It is only 756 pages (811, with a comprehensive index). My mistake, however, demonstrates how deeply one can be drawn into the study of pulse diagnosis. I am grateful Dr. Hammer took 20 years to study and record an oral pulse tradition. Reliable information can be obtained from the pulses in a relatively short amount of time; however, incredibly in-depth and accurate diagnoses can be obtained with additional study. If you find you have a good feel for the pulses - as many bodyworkers do - I recommend taking more extensive courses.
Check out www.dragonrises.org for more information.
It is generally agreed there are 28 main pulse qualities that can be identified in the 12 different pulse positions (there are many more positions and qualities in the book mentioned above). For the purpose of Asian Bodywork Therapy (ABT), I start students with qualities related to the Eight Principles and the Five Elements.
The Eight Principles is a method of pattern identification, with some elements dating back thousands of years to the Huang Ti Nei Jing and the Shang Han Lun. However, it was formulated into Interior/ Exterior; Hot/Cold; Full/Empty; and Yin/Yang in the early Qing dynasty (late 1600s). It is a useful system for unraveling the genesis and nature of just about any disharmony.
Exterior/Interior identifies the location of the problem, not the etiology. An Exterior condition affects the skin, muscles and/or meridians. It is categorized as Interior when it primarily affects the organs and bones. An Exterior condition can arise from an external pathogenic factor, or it can come from an internal problem and vice versa. Interior/Exterior only describes the location at the moment the pulse is taken. Simply, an Exterior condition manifests as a Floating pulse. It is a pulse felt at the superficial level, using light pressure. An Interior condition is felt with more pressure and is called a Deep pulse.
Hot/Cold describes an aspect of the nature of a pattern. Clinically, Hot manifests as a Rapid pulse. Traditionally, the pulse rate was measured in relation to the practitioners' breath, but for consistency's sake, it might be better to use a watch. Rapid is roughly over 80 beats per minute. Children run a little hotter, temperature wise, than adults; their pulses are more naturally rapid, which doesn't necessarily indicate pathology.
Cold is usually considered less than 65 beats per minute and is described as a Slow pulse; however, someone who is athletic typically has a Slow pulse. In that case, it is not necessarily a cold condition. Interestingly, regular exercise tends to "chill us out," so these people may be treating their hot natures, bringing themselves and their pulses into a more relative balance.
Full/Empty may be the easiest conditions to relate to a pulse type. These conditions are sometimes referred to as Excess/Deficiency, and manifest as Full and Empty pulses. A Full pulse can be a specific pulse often described as hard and rather long, extending beyond the normal pulse position. It also can be used to describe any pulse type that has a bigger, more substantial feel under the fingertips. An Empty pulse indicates a lack of something, such as Qi, Blood, Yin or Yang, and is referred to as a Deficiency. It occupies a shorter space and has a less substantial feel to it. It is used also in the general sense to describe a whole range of different deficiency type/weak pulses.
Yin/Yang can describe a generalization of the other six principles; therefore, a condition that is entirely Yin would be Interior, Cold and Empty. The pulse quality is a combination of Deep-Slow-Weak. A Yang condition is Exterior, Hot and Full; thus, the pulse for a strictly Yang condition is Floating-Rapid-Full. Yin/Yang are more frequently used to describe conditions of emptiness, commonly called Yin or Yang Deficiency. If there is not enough cooling Yin, it is referred to as a Yin Deficiency. This condition is Hot and Empty, manifesting as a Rapid-Empty pulse. If there is not enough warming Yang, it is called a Yang Deficiency. The condition is Cold and Empty, and the pulse appears Slow-Empty. So, in a way, there are only six main pulse types - all of the other qualities being variations of these six.
The pulse quality left out of the table is called a Leisurely or Slowed-Down pulse. It is about the same strength in every position: not too strong or weak, and with a moderate rhythm and rate. This pulse indicates a fairly balanced and healthy individual, and so far, I have never felt it with anyone coming into my clinic! Maybe it was more common in ancient times?
A good way to learn five common pulse qualities is by relating them to the Five Elements and the Yin organs that relate to each one:
The pulse qualities outlined in this article are the simplest to begin with. The more that pulse assessment is consistently practiced, the more the information received will make sense. Get started!
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.