Traditional chinese medicine diagnosis symptoms 8dpo

Diagnosis in traditional Chinese medicine (TCM) is the process of examining the body to diagnose disease and differentiate patterns under the guidance of the fundamental theories of TCM. TCM diagnosis consists of two major areas of study, 'examination and testing' (zhen) and 'decision and judgment' (duan). This book is organized around the 'four pillars' of TCM diagnosis: inspection, inquiry, listening and smelling, and palpation. A comprehensive self-examination consisting of 200 multiple choice questions, with a separate key to the answers, tests the reader's understanding of the important points of each aspect of diagnosis. The tongue is the strongest muscle in the human body that prepares food for chewing and is the primary organ of taste.
People who practice traditional Chinese medicine and acupuncturists use Chinese tongue diagnosis which is important tool in understanding better our bodies condition. Normal tongue – pink, no teeth marks or discolorations, with a clear coating that shows proper salivary secretion.
A thin white layer, traces of teeth and a few red dots Рthis tongue suggests a lack of vital energy in the body so that causes fatigue, poor appetite and excessive sweating. A thin yellow layer in the middle which is surrounded by red colour  Рthis tongue refers to the appearance of problems with constipation, dehydration and skin diseases.
Greasy white coat, swollen edges of the tongue – this seems to refer to work of an unbalanced digestive system and the tendency of water accumulation in the body.
A thin layer of white and red tip of the tongue – this situation reveals that the human body is exposed to constant stress, which causes an unstable emotional state. Red tongue with yellow thick layer in the middle area – an indication of elevated body temperature, which indicates a possible urinary tract infection, skin problems.
A thick layer of white in the middle area of ??pale tongue – a situation that suggests infection or inflammation associated with an autoimmune disease, lack of vitamins and minerals. Cracks on the red surface of the tongue – refers to a fungal infection in the body that is accompanied by night sweats, insomnia, irritability. Tongue whose surface is pale and without sediments – indicates reduced blood flow in the body, anemia that can cause dizziness, fatigue, and people of this kind of tongue are suffering from a lack of concentration and memory.
For example, an area of the body that feels hot to the touch is experiencing a heat condition, while a place that is cold to the touch is under the influence of cold or dampness. Diagnostic points on each acupuncture meridian can be palpated to assess the condition of an internal organ. The treatment would include needling that point in order to heal the organ that is associated with it.
By far, the most important form of palpation in Chinese medicine is the art of pulse diagnosis.
In an ideal situation, the pulse is taken in the morning while the person is still calm and rested. Although the pulse can be felt in a number of locations, the primary location is at the radial artery in the wrist.
These six positions are also felt at three different depths: deep, middle, and superficial. Many times, this pulse appears a couple of days before a person experiences any cold symptoms, making it possible to practice early intervention. Since learning the pulses requires hands-on experience, a detailed description is beyond the scope of this book. Each one of these pulses is associated with a variety of imbalances, and an experienced practitioner can learn an enormous amount of information from the pulse alone.
Bill Schoenbart has been practicing traditional Chinese medicine (TCM) since 1991, when he earned a Masters degree in TCM. Ellen Shefi is a licensed massage technician, licensed acupuncturist, and registered dietician. From the articles on earliest recorded history in China, Homo erectus appeared in China around 1.2 million years ago. Ancient China produced one of the greatest philosophers, Confucius, who formed an ideology that went on to become a religion in the country. Since the ancient times, China has seen the rise of many diverse cultures and religions that have given a unique character to the social fabric of the country. Ancient China was ruled by several dynasties and every reign added a unique element to life and society. There are many interesting ancient China facts for kids which give insight into ancient Chinese History and its contribution to human Civilization.
The changing setting in which Chinese medicine is practiced in modern versus ancient times, especially with the advent of advanced technological medical diagnostics, has raised questions as to the value of pulse diagnosis. I've been practicing for over five years now and have a busy practice; but, I'm totally disheartened about my abilities. This practitioner has recognized something that many others, who feel more confident despite limited training, may ignore: there is a great potential to simply "fantasize" the diagnostic signs, that is, to read into it something that is not really present.
The information presented below is aimed at examining the traditional and modern roles of pulse diagnosis, the techniques for taking the pulse, the interpretation of various pulse forms, and some of the controversies that exist regarding the use of pulse diagnosis.
Pulse diagnosis is one of the original set of four diagnostic methods that are described as an essential part of traditional Chinese medical practice (1). All of these diagnostic methods yield information that helps to determine the syndrome and constitution to be treated. Pulse diagnosis is mentioned in ancient texts, such as the Huangdi Neijing and the Huangdi Neijing of the Han Dynasty period, but with only sporadic mention of various pulse forms and their meaning. A yin pulse that shows no stomach qi is called the pulse of zhenzang [decaying pulse] and the prognosis is usually death.
A more complete prognosis involves coupling the information about the pulse with the examination of the facial color and the "spirit" expressed by the facial expressions (especially the eyes). In the Huangdi Neijing (3), the pulse is mentioned briefly and simply among a list of symptoms that would indicate a particular disease stage or category; thus, for the taiyang disease, the pulse is floating, for a yangming disease, the pulse is large, and for the jueyin disease, the pulse is feeble. The presentation of diagnostic information in these works of Zhang Zhongjing confirms the importance of inquiry, since it is by this means that one learns the essential features described throughout most of the text, such as location of pain, duration of disease, and other factors that determine the selection of herbs (thirst, mental conditions, urination, etc.).
The concern is about incomplete and careless diagnosis, particularly where the pulse is the primary diagnostic method (omitting or minimizing the others), and failure to carry out the full pulse taking (front and rear pulses).
The subject of pulse diagnosis was first tackled in an organized manner by Wang Shuhe, who lived during the 3rd century A.D.
In the Mai Jing, a broad spectrum of applications for pulse diagnosis is delineated, including etiology of disease, nature of the disease, and prognosis. If its emerging and submerging are equal, this is a normal state; if its submerging is twice as long as its emerging, this is shaoyin. As to prognosis, an example with great specificity is: "If, on the seventh or eighth day, a febrile disease exhibits a pulse which is not grasping-like but beating rapidly at a constant pace, there ought to arise a disease of loss of voice.
After the production of the Mai Jing, many different conceptions of pulse diagnosis arose and led to a great deal of confusion about interpreting what was being felt by the physician. Those experts who discussed the pulse through the ages have all contradicted one another, and they all differed in what they considered right and wrong.
In other words, the classic texts of the Han Dynasty have the basic doctrines of importance, and they must all be studied in order for the Mai Jing to be fully meaningful.
The aim of pulse diagnosis, like the other methods of diagnosis, has always been to obtain useful information about what goes on inside the body, what has caused disease, what might be done to rectify the problem, and what are the chances of success. In his book reviewing pulse diagnosis (5), Bob Flaws emphasizes the importance of learning the basic pulse categories in order for pulse diagnosis to be conducted effectively. In my experience, the secret of Chinese pulse examination is exactly this: One cannot feel a pulse image unless one can consciously and accurately state the standard, textbook definition of that pulse image.
This, precisely, is the critical issue: there is no point in attempting practical training in pulse diagnosis unless all pertinent theory and, more important, the complete iconography [set of image categories] of the pulse has previously been absorbed intellectually. Chinese medical texts do not describe what the practitioner experience is (or should be) during pulse diagnosis; this is left to be passed on from accomplished practitioner to student.
The most standard inconography involves from 24-28 different pulse forms, depending on the recitation (sometimes a pulse type is subdivided into two; sometimes a complex pulse type is not included), though simplified sets are often given in less formal presentations. In a recent article describing the standard pulse categories by terminology expert Xie Zhufan (7), 26 basic pulse types were outlined and given updated English language interpretations (two of the types have the same Chinese name but different descriptions).
In the table, the English translation term is given first; in a few cases, alternative English names are given for the same traditional category indicated by a single Chinese term (given in pinyin). An irregular pulse, hardly perceptible, occurring in critical cases showing exhaustion of qi.
These are cases where the patient is critically ill, perhaps near death; such patients are normally hospitalized (or sent home to die) and their diagnosis is usually well-established. A slow pulse pausing at regular intervals, often occurring in exhaustion of zangfu organs, severe trauma, or being seized by terror. As with the scattered pulse, this pulse type is usually only seen in cases where the person is hospitalized or otherwise in an advanced disease stage. A pulse feeling hasty and swift, 120-140 beats per minute, often occurring in severe acute febrile disease or consumptive conditions.
This pulse is so rapid (twice the normal speed) that it is easily detected; the acute febrile disease involves an easily measured high temperature and is usually subject of pathogen testing. A pulse that feels floating, large, soft, and hollow, like a scallion stalk, occurring in massive loss of blood.
A pulse beating like dashing waves with forceful rising and gradual decline, indicating excessive heat. Excess heat syndromes are rarely difficult to detect, so this pulse type adds little information. A pulse that can only be felt by pressing to the bone, located even deeper than the sinking pulse, often appearing in syncope or severe pain. This pulse is quite extreme, in that one can barely detect it except by applying deep pressure; it gives the sense that the pulse is hidden in the muscles.
A slow pulse pausing at irregular intervals, often occurring in stagnation of qi and blood. Qi and blood stasis represents a traditional diagnostic category that does not have a direct correlation with modern diagnostics. A rapid pulse with irregular intermittence, often due to excessive heat with stagnation of qi and blood, or retention of phlegm or undigested food. Particularly in young people, the pulse is felt rather easily across all three finger positions, as is characteristic of the long pulse. The short pulse seems to deteriorate from the central pulse position towards the two adjacent pulse positions.
A pulse felt like a fine thread, but always distinctly perceptible, indicating deficiency of qi and blood or other deficiency states. Although the deficiency can be easily detected by other means, some patients can show an artificially robust exterior appearance, while having notable deficiency.
A pulse coming and going choppily with small, fine, slow, joggling tempo like scraping bamboo with a knife, indicating sluggish blood circulation due to deficiency of blood or stagnation of qi and blood. This has a more irregular pattern than the knotted pulse that also shows stagnation of qi and blood.

A pulse like beads rolling on a plate, found in patients with phlegm-damp or food stagnation, and also in normal persons.
While use of the pulse to indicate pregnancy is no longer of value (as more reliable tests are readily available), and while this pulse, like the long pulse is often normal (occurring especially in persons who are somewhat heavy), it is a good confirmation of a diagnosis of phlegm-damp accumulation. The pulse has a softness or looseness that is due to the weakness of the qi and the obstructing effect of dampness. This is similar to the loose pulse, above (and the Chinese name is the same), except that it has a better tension, showing that the qi is adequate. A pulse that feels straight and long, like a musical instrument string, usually occurring in liver and gallbladder disorders or severe pain.
A pulse felt vigorously and forcefully on both light and heavy pressure, implying excessiveness.
This pulse gives relatively little information other than that the condition is one of excess; one must further determine the nature of the excess in order to select a therapeutic strategy.
A superficial, thin, and soft pulse which can be felt on light touch like a thread floating on water, but grows faint on hard pressuring, indicating deficiency conditions or damp retention. A pulse feeling feeble and void, indicating deficiency of qi and blood or impairment of body fluid.
A pulse with increased frequency (more than 90 beats per minute), usually indicating the presence of heat. The rapid pulse is quite a bit more rapid than a normal pulse, and usually occurs only when there is a serious illness and mainly when there is a fever. A pulse with reduced frequency (less than 60 beats per minute), usually indicating endogenous cold. A slow pulse may also indicate a person at rest who normally has a high level of physical activity, so must be interpreted in light of other diagnostic information. A pulse that can only be felt by pressing hard, usually indicating that the illness is located deep in the interior of the body.
The circulation of qi and blood from the internal viscera to the surface is weak; it is usually confined to the interior as part of the body's attempt to deal with a serious disorder threatening the viscera. A pulse that is palpable by light touch and grows faint on hard pressure, usually indicating that the illness is in the exterior portion of the body. The circulation of qi and blood is focused in the body's surface to deal with an external pathogenic agent. Gao De, a diagnosis specialist at the Academy of Traditional Chinese Medicine, cautioned that pulse taking has become obscured by a multiplication of pulse categories (13). The types of pulses that have been listed are too numerous and great disparity exists in the ways in which they have been recorded. The difference between some categories is not so sharp, such as that between overflowing and large, thready and small, rapid and fast (hurried), and deep and hidden.
Single-feature pulse conditions are already numerous enough and the additional nomenclature adds even more names which have little clinical significance but add to the difficulties for beginners. Mastery of these 16 basic single-feature pulse conditions, together with their possible combinations and their indications, is sufficient to meet the needs in clinical differentiation of syndromes. In the text Chinese Acupuncture and Moxibustion (15), there is a listing of 17 pulses to know, all of which are said to represent the abnormal conditions. Similarly, in the book Chinese Herbal Science (17) by Hong-yen Hsu, the pulses of importance are limited in number.
The general implication of the literature on pulse is that there are about two dozen pulse types to be learned in detail, but that there are only a few of them (sometimes grouping similar pulses together) that are critical for the everyday utilization of this diagnostic technique used in combination with other methods of diagnosis. Despite the availability of more than one site for pulse taking, standard Chinese medical diagnosis almost always is limited to the wrist pulse. The general sensation of the pulse at the two wrists overall: instead of distinguishing each pulse position (cun, guan, chi), the quality of the pulse is categorized generally, as felt under the three fingers. Feeling the pulse at each of the individual positions on the wrists, to assess the condition of each of the internal organs. The interpretation of which pulse position corresponds to which organ has changed over time; the assignments commonly relied upon today are attributed to Li Shizhen (1518-1593), who is most famous as the author of the Bencao Gangmu.
The various outcomes of the pulse diagnostics are outlined succinctly and in table form in Ted Kaptchuk's book The Web that Has No Weaver (14). The patient must be relaxed and have not undertaken any vigorous activity for some time prior to the pulse taking.
The patient's arm, wrist, and hand must be relaxed, with the hand supported on a small pillow or other object; the hand is below the heart, at about the location of the navel as the person sits.
The placement of the physician's fingers are at the cun ("inch"), guan ("bar"), and chi ("cubit") positions. The physician, through training and experience, applies the appropriate amount of pressure. Adequate duration of pulse diagnosis is allowed to assure that the pulse description holds true over many pulsations, and that both arms are checked in order to give a full evaluation.
A doctor must be aware of the fact that as numerous changes can take place within a man's body under natural physical condition, so can variations of normal pulse condition.
In addition to these factors based on traditional and natural considerations, one must take into account new factors that may influence the pulse, such as use of drugs, including nicotine products, pharmaceutical drugs, and illegal drugs.
The numerous factors to be taken into consideration and the associated difficulties in interpretation mean that pulse taking in the modern setting is rarely as informative as it is depicted in the historical texts. During the development of Chinese medicine, there appears to have arisen, from time to time, an understanding that a well-trained physician was able to make a diagnosis almost entirely by pulse taking, while asking virtually no questions of the patient. The utility of pulse diagnosis may be more properly viewed as belonging to the realm of confirming a diagnosis attained by other means, including modern medical testing, or implying that something is missing from the diagnosis when the pulse does not agree, setting off a series of questions or investigations for additional information.
This Western ambivalence toward and pervasive lack of mastery of the pulse examination is, I believe, exacerbated by a somewhat similar attitude towards pulse examination current in the People's Republic of China at least in the 1980's. Indeed, the set of pulses that Flaws mentioned hearing repeatedly in China is the most basic set that must be learned and is similar to what was described above by several authors as the key categories. In his book, Flaws goes on to argue that the importance of the pulse in modern practice lies with the complexity of chronic conditions suffered by many patients who turn to acupuncture in the West. According to Chinese Acupuncture and Moxibustion: "As the process of disease is complex, the abnormal pulses do not often appear in their pure form, the combination of two pulses or more is often present. Clearly, the role of pulse within the full framework of diagnosis will remain an area of some contention. In modern medicine, the traditional style of pulse diagnosis, which was also practiced in a slightly different form in Western medicine until the 19th century, is replaced by a number of other tests. Modern medicine has numerous other kinds of tests, including blood tests, urine tests, and a variety of scans and biopsies, that reveal a tremendous amount of information about what goes on inside the body, so as to produce a diagnosis. While patients in China have come to rely on the traditional medical practitioners to simply carry out their diagnosis in silence and prescribe a therapy to be taken without question, modern patients in the West prefer to talk about their diseases.
The complex condition of many modern patients may require one to rely heavily on modern medical diagnostics as a primary resource, making it the essential fifth diagnostic method for the practitioner of Chinese medicine.
The question arises: does the old system of pulse diagnosis still have a value to practitioners of traditional medicine given the wealth of information derived from modern tests? Many acupuncturists trained in the West have pursued a type of pulse diagnosis that is not described in the traditional Chinese literature. It would not be surprising that acupuncture would alter the pulse sensation detected in some or even most individuals (see: An introduction to acupuncture and how it works).
While this type of diagnosis may be valuable for its primary purpose as a means of confirming the desired reaction from acupuncture therapy, it is not the same as the pulse taking method that is used for basic diagnosis and should not be assumed to replace the traditional style and application of pulse diagnosis. One of the serious objections to reliance on pulse diagnosis is that the pulse form determined by a practitioner is very subjective. Imitating the pulse actually means that the abstract descriptions and images [of the traditional system] are changed to specific figures signifying digital senses directly felt and stored. Chinese researchers have pursued the question of how often certain pulse types are found, particularly with frequently occurring serious diseases, such as cancer and hepatitis. Studies indicate that wiry, slippery, and rapid pulse, or simply wiry and rapid pulse, often denotes exacerbation of the illness [cancer]. In a study of advanced hepatitis patients with cirrhosis or liver cancer carried out in Taiwan, it was reported that most of the patients had a weak pulse on the left wrist at the cun and chi positions, compared to normal subjects (22). In a broad evaluation conducted in Hong Kong, it was reported that specific pulse categories are more commonly found with the initial stage of illness, versus more developed and advanced stages of an illness (23). Very abnormal pulses (critical illness): tremulous, running, knotted, intermittent, tympanic, scattered, deep-sited, replete, feeble, no pulse. Pulse diagnosis is one method of determining the internal conditions of patients with the aim of deciding upon a therapeutic regimen. Maoshing Ni, The Yellow Emperor's Classic of Medicine: A New Translation of the Neijing Suwen with Commentary, 1995 Shambhala, Boston, MA. Porkert, M, The Essentials of Chinese Diagnostics, 1983 Chinese Medicine Publications, Zurich. Xie Zhufan and Huang Xiaokai (editors), Dictionary of Traditional Chinese Medicine, 1984 Commercial Press, Hong Kong.
Hsu HY and Wang SY (translators), Chin Kuei Yao Lueh, 1983 Oriental Healing Arts Institute, Long Beach, CA. Unschuld PU, Forgotten Traditions of Ancient Chinese Medicine, 1990 Paradigm Publications, Brookline, MA. O'Connor J and Bensky D (translators and editors), Acupuncture: A Comprehensive Text, 1981 Eastland Press, Seattle, WA.
Editorial Committee, International Conference on Traditional Chinese Medicine and Pharmacology Proceedings, 1987 China Academic Publishers, Beijing; 1087-1099.
Anonymous, Essentials of Chinese Acupuncture, 1980 Beijing Foreign Languages Press, Beijing.
Huang Huibo, New theory on pulse study, in International Congress on Traditional Medicine Abstracts, 2000 Academic Bureau of the Congress, Beijing. Evaluating physical factors in traditional Chinese medicine is important to making a diagnosis. It is important to remember that these terms refer more to the patient's perceptions of cold or heat, rather than an actual elevated body temperature or shivering.
In either case, if the fever persists after the chills disappear, it is a sign that the condition has penetrated to the interior of the body.
Perspiration is regulated through the opening and closing of the pores, a function of the defensive qi (wei qi).
In an external disorder, perspiration is an important indicator of the final diagnosis: With wind heat, the person perspires, while with wind cold, the pores are closed from cold, causing a lack of sweating.
Headaches that have an acute onset with severe pain are usually due to an external pernicious influence, such as wind cold or wind heat. The location of the headache also has clinical significance, since it helps the physician select herbs and acupuncture meridians that run through the area of pain. Since many people turn to traditional Chinese medicine for the treatment of pain, this is often the first symptom mentioned to a practitioner.
Since the kidneys open up into the ears, poor hearing or deafness is usually from kidney deficiency.

The stools and urine are important sources of information but may be signs overlooked by the patient.
Frequent passing of clear urine indicates kidney deficiency; if the urine is concentrated (dark yellow), it is a sign of heat. Whatever its cause, lack of urination is a life-threatening condition, since the body can quickly become overwhelmed by its own toxins.
On the next page, learn about how lifestyle factors, such as the amount of sleep you get or how much you eat, can help a practitioner diagnose an illness in Chinese medicine. It is a bridge that connects the basics of TCM with all branches of clinical medicine and includes inspecting the symptoms or manifestations, analyzing the changes, understanding the pathomechanisms, and predicting the transformation of diseases. In this text, each aspect is explained in a clear and systematic manner, with generous use of tables and illustrations.
These questions, many of which are presented in case study format, will help students prepare for the board exams. All of this is manifested in the mood so people with this kind of tongue usually change their moods quickly. Such conditions cause pale complexion, pain in the spine and the feeling that often is close to panic. If women have this kind of tongue diagnosis is often a sign of possible hormonal imbalances. The art of touch in traditional Chinese medicine is highly sophisticated and includes the palpation of areas of pain and diagnostic points and the reading of the patient's pulse.
Tumors or swellings that are hard with a well-defined border are due to blood stagnation, while soft nodules with an indistinct border are a result of qi or phlegm stagnation. The Japanese have also developed a highly sophisticated system of abdominal palpation; entire books have been written on the subject. This highly sophisticated system provides abundant information about the entire body, and it can easily take an entire lifetime to become truly proficient in this ancient diagnostic method. In actuality, however, the procedure usually takes place in the clinic during the initial interview.
In addition to the information that can be gleaned from these 18 locations, the experienced practitioner can identify 28 different types of pulses. Since a rapid pulse is a sign of heat and a slow pulse is a sign of cold, a floating, rapid pulse occurs if the condition is a case of wind heat. In a clinical setting, however, students are trained to discern the following types of pulses: floating, sinking, slow, fast, empty, full, wiry, slippery, flooding, hollow, leather, soggy, hidden, confined, moderate, choppy, knotted, intermittent, hurried, spinning bean, tight, sick, scattered, small, minute, short, long, and frail. In clinical practice, however, the physician always combines the pulse information with the whole picture derived from looking, listening, smelling, and asking.
He teaches TCM medical theory and herbalism at an acupuncture school in California, and also maintains a clinical practice. She is a member of the American Association of Acupuncture and Oriental Medicine, the American Herb Association, and the Oregon Acupuncture Association. One of the most technically advanced countries today, China is often associated with many an important inventions for mankind. The current architectural style is largely inspired from the ancient systems that evolved under the various dynasties that ruled China during the different periods in the ancient era. The physician is calm and able to concentrate; the physician's hand that is performing the diagnosis is also in a relaxed position.
This is not a matter of the traditional practitioner deciding that this is the desired route, but a reflection of the extent to which modern lifestyle and modern medicine imposes itself on people who might have an interest in a traditional and natural approach.
He indicated that, ideally, the pulse would return to normal or markedly calm down after the needle insertion and this improved pulse condition would continue until the needle was withdrawn; the pulse would stay calm at least for a time afterward. He describes his observation as a "discovery," therefore not something belonging to the Chinese tradition and not something that he was aware was being relied upon by other acupuncturists at the time. If the fever persists and is accompanied by sweating, thirst, and constipation, the interior heat has penetrated to the stomach and intestines, which is an even deeper level.
When qi or yang deficiency occurs, the pores remain open due to weakness, and the person experiences spontaneous sweating during the day.
If sweating occurs with an external condition, and the person feels better afterward, it is a sign that the body has successfully expelled the pathogen. Milder, more chronic headA­ache pain suggests an internal influence such as qi or blood deficiency.
If dizziness is due to qi deficiency, the symptoms are mild and get worse when the person is tired.
The practitioner can accumulate an abundance of information by asking about the location, severity, frequency, and causes of pain in the patient's body. Lower back pain is a cardinal sign of kidney deficiency: Since it is due to depletion, it gets worse after exertion.
Sudden deafness is usually due to heat and fire rising up to the ears, which is an excess condition. As previously mentioned, a practitioner looks into the eyes to assess the state of a person's shen (spirit) and thus acquire a general picture of the overall vitality and the potential for healing.
Stools that are sticky or cause burning with a strong smell are a sign of heat, while watery diarrhea with little smell is a sign of deficiency or cold. If constipation accompanies dark urine, bad breath, and a yellow tongue coat, heat is the cause. Bed-wetting can also occur in kidney deficiency; in children, the cause of the bed-wetting is usually emotional. In general, pale urine is a sign of cold, dark urine is a sign of heat, and cloudy urine is a sign of dampness.
Decision and judgment uses this information, which is sorted, analyzed, synthesized, and reasoned on the basis of TCM theory. For example, there are points on the back known as transporting points, each one corresponding to an internal organ.
It is important to let patients who have just arrived rest for a while to allow the pulses to settle down. It's not hard to understand why it takes a lifetime of practice to become truly proficient at pulse-taking. A person fighting off a cold will have a strong pulse at the superficial level due to the defensive qi rushing to the surface of the body. Through this process, traditional Chinese practitioners are able to accurately diagnose the patterns of imbalance in their patients without the help of laboratory tests or expensive diagnostic equipment. Interestingly, Chinese civilization began from the banks of the Yellow River which is often infamously regarded as the River of Sorrow. It includes Ancient China religion, Arts, Books, Geography, Medicines, Sports, Calligraphy, Trasnportaion and more.
The ancient Chinese Buddhism had some unique features that distinguished it from the other religions of ancient China. In wind cold, it can be difficult for a person to get warm, even when he or she is bundled up in warm clothes. If sweating doesn't break the fever or make the person feel better, the pathogen is successfully fighting against the wei qi.
Severe, intermittent pain is likely due to liver fire, which rises up to the head, often from an outburst of anger. Treatment involves needling acupuncture points on that meridian and prescribing herbs with an affinity for that area of the body. Pain that comes and goes is due to wind or qi stagnation, while pain in a fixed location is a result of cold or blood stagnation. When low back pain is due to cold and dampness, a stagnant condition, it gets worse after rest. Similarly, ringing in the ears (tinnitus) is a sign of an excess condition if it comes on suddenly as a loud, high sound.
Pain in the eyes can be due to liver fire or wind heat, while dry eyes can be caused by blood deficiency.
Damp heat causes frequent urges to defecate, but only a small amount is expelled each time. Qi stagnation is the cause if the constipation occurs when the person is upset; qi deficiency is implicated if a person feels fatigued after a bowel movement. Lack of urination can arise from very deficient kidneys or occur due to severe heat, blood stagnation, or a stone.
If an imbalance occurs in one of these organs, the transporting point for that organ might be tender or sore. Otherwise, it would be easy to mistake a rapid pulse for a heat condition when it is actually due to the person's hurrying to make the appointment. Ranging from the smallest kitchen appliance to capable robots and destructive weapons China today is a leader in the field of technology. Wind cold is an acute ailment of short duration, while yang deficiency is a long-term, chronic condition. Sensations of heat in the evening with night sweats are considered a sign of yin deficiency.
Pain at the top or sides of the head is related to the liver and gallbladder, while pain at the back of the head is related to the bladder meridian. If pressure relieves the pain, it is a deficient type; pressure always makes excess type pain feel worse. Poor vision in general is associated with kidney jing or liver blood deficiency, as is night blindness.
In blood or yin deficiency, the stools are exceptionally dry, making them difficult to pass. For example, a person with kidney yang deficiency has a deep, weak pulse, especially in the area on the right wrist that corresponds to kidney yang. The Battle of Ma-Ling is one of the earliest records which say that crossbows were used in warfare in ancient China.
There is some question, however, as to how this seasonal influence might be modified by modern living habits, including rising and going to bed out of synch with the sunrise and sunset, use of central heating and air conditioning, and eating foods out of season. Pain in specific areas of the body can also serve as a sign of problems in an internal organ.
Stone carving was carried out much but is not comparable to the use of wood or even pottery in Chinese architecture. He has assumed, perhaps correctly, that the softening and relaxing effect described in this text applies to the immediate change in the described pulse, as opposed to merely suggesting a change in the patient's overall tense condition. If the sound gets stronger, it is due to excess; if it gets weaker, it is due to deficiency.
He suggests, might help the practitioner and patient determine the likelihood of success after only a couple of sessions.

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