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CLASS OUTLINE

Intro to Chang’s Practice

Pulse Diagnosis (CLINICAL APP AND OPTIONAL)

Blood Pressure & Heart Rate, Temperature and Color Dx

OPTIONAL Ear POINTS Diagnosis

etc.

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PULSE DIAGNOSIS Chang’s Pulse Diagnosis System

Finger Positions Pulse Taking Techniques Organs (Cun, Guan, Chi, 8 Extra Meridians) 3 factors that make up a pulse

1. JUMP (strength, weak or strong) 2. SHAPE (straight –thin/thick; convex,

concave) 3. LEVEL (superficial, deep) PULSE COMBINATIONS AND CLINICAL

APPLICATIONS

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Finger Positions ARE WRONG..

THERE IS A REASON THAT 99.9% PEOPLE DON’T BELIEVE IN

PULSE DIAGNOSIS…

CORRECT FINGER

POSITIONS

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HIGH BONE

Position Diff

Traditional TCM pulse dx, Guan position is right over the HIGH BONE.

For Jimmy’s system, Cun position is distal to the HIGH BONE. So the HIGH BONE is in between the index (cun) and middle (guan) positions. So shift ½ a finger proximal from how you take pulses traditionally, you will find the right positions for Chang’s pulse dx. © Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715 5

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PULSE TAKING TECHNIQUES

1. Patient’s palm

should be facing the side, not the ceiling

Incorrect

Correct

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PULSE TAKING TECHNIQUES

2. Take the pulse with the bed of the fingers

Incorrect

Correct

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LET’S TRY IT

ON OUR OWN HANDS…

THE CORRECT WAY…

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THE INCORRECT WAY…

PRESS TOO HARD!

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PULSE TAKING TECHNIQUES

3. Take the pulse from outside in, not over FLEXOR CARPI RADIALIS, PALMARIS LONGUS

Correct

Incorrect

Incorrect

Incorrect

CORRECT

INCORRECT. NO LEVERAGE

INCORRECT

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PULSE TAKING TECHNIQUES 4. Put your thumb

on SJ4, so there is space to maneuver and feel the shape of the vessel

NO LEVERAGE

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PULSE TAKING TECHNIQUES

5. Start gentle, don’t press too

hard in the beginning. If your nails are TURNING WHITE, you are pressing too hard.

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POSITIONS / ORGANS

Right Hand Cun: Lung /LI Guan: Spleen/Stomach

Yangming=dryness; taiyin=damp=deep pulse Deep=damp, bump=st fire

Chi: Kidney / BL(Urinary function); Chi and proximal pulse=Neck and shoulder prob (convex=soft tissue injury, straight/wiry=disc or spur, scattered=past injury/trauma, bl stasis; pen tip=kidney stone)

Left Hand Cun: Heart/SI Guan: Liver/GB Chi: Kidney (Reproductive function, libido, sexual functions,

ob/gyn disorders,) Chi and proximal pulse= Low back and legs pain (convex=soft tissue injury, straight/wiry=disc or spur, scattered=past injury/trauma, bl stasis; pen tip=kidney stone)

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Left guan (liver/emotions): Shape: concave, convex or wiry? Jump: forceful, weak?

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Elotus.org Question: how to differentiate zang and fu on each position. So right cun, how can you tell Lu from LI problem?

Left Hand Cun: Heart/SI (SI=taiyang=big and long,

convex=gas, bloating; HT=angina=pulse within a pulse- very tight string of wiry pulse, like a band of wires; weak=memory loss, forgetfulness)

Guan: Liver/GB (Liver-Emotional center/ forceful convex=liver fire, stress, concave= fatty liver, anxiety, depression; weak=exhaustion, no energy; GB-Constriction/gallstone=pentip pulse)

Chi: Kidney (Reproductive function); Low back and legs; (guitar string tight pulse=scar tissue, cysts, adhesions; prolapse, bone spur, herniated disc; convex forceful=back pain from soft tissue injury, etc)

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Let’s do some

practice….

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MY PAINTING..

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2 FACTORS THAT MAKE UP A PULSE

Jump Strength Rate Amplitude

Shape Width Depth Feel the shape of the entire artery for

pathological changes

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Criteria of a Pulse Level

Significance of Level Normally, cun is the most superficial, guan in the mid

level, and chi is the deepest. This is referred to as the hook pulse.

Reverse hook pulse is where the chi is superficial and the cun is deep

Evaluating the relative level gives you an idea of which organ is out of balance.

cun guan chi Superficial

Mid Level

Deep

Skin

Bone

SOME STRANGE PULSES…..AND MORE..

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Thick and forceful pulse = excess heat in that organ Thin and forceful pulse=excess cold Weak=deficiency Deep=dampness

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Left Guan Practice. Check shape, strength and level: strong or weak, thick or thin, superficial or deep Convex - bad temper Concave/weak - fatty liver, anxiety, depression Wiry-hepatitis Pen tip-gallstone

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To enhance Liver (organ) Function=floating, wiry, empty pulse Wu wei zi 20%, shan zhu yu 20% Astringent Complex 30% Liver DTX or hu zhang 30% Emotional Disturbance=floating, convex Jia Wei Xiao Yao San 50% Yi Gan San 50% Autoimmune deficiency=Weak pulse Hu zhang 25%

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Autoimmune deficiency=Weak/empty pulse Hu zhang 25% Wu wei zi 25% Ren shen yang ying tang 50% Bad Temper/Liver fire=convex, forceful Same formula as the emotional one. Jia wei xiao yao san and yi gan san 50% each

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Quiz

DETERMINE IF THE FOLLOWING IS A JUMP OR A SHAPE.

STRONG? THICK? FLOATING? DEEP?