Guest guest Posted August 5, 2005 Report Share Posted August 5, 2005 Just wanted to relay the dangers of relying on pulse diagnosis. I have just received a letter from the wife of a patient that have been seeing Michael Brofman for many years. I saw him a few time for back pain which improved with treatment, although i did suggest he should do some imaging. He did not. He has been suffering from many internal med symptoms for many years. When i last saw him in 2002 he told me that Michael told him that the pulses show that all his symptoms are from Spiritual causes and that if he did not change his spiritual life he would always have them. Apparently his symptoms have increased with time and he kept seeing many alternative med practitioners. Apparently they diagnosed him with " viruses, adrenal stress, kidney qi deficiency, insufficient hormones, lack of communication between organs and glandular imbalance. " He was treated with " hands-on work, exercises, diet changes, supplements and psycho spiritual assessment and suggestions. " Not one of these therapies ever suggested he should be evaluated medical. At some point his started to get sever abdominal pains that he could not move so he finally went to the ER. The CT he did at the ER showed thickening of the peritoneum and omentum. Laparoscopy revealed widespread adenocarcinoma. His CA-19-9 was at 40.000 (normal is 30). He died less than six wk from diagnosis. As i said in the past, i do not believe you can trust pulse diagnosis with peoples life Oakland, CA 94609 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2005 Report Share Posted August 5, 2005 To be fair, Alon, WM misses stuff a lot as well. A dear friend of mine may have lived longer when she noticed a small lump in her breast which was diagnosed as benign three times. Only several months later did the oncologists final diagnose her with breast cancer which had already spread. Interestingly, her new infant refused to nurse on that breast. Both her husband and myself suspected the worse, and I kept sending her back for more tests. I've also seen pulse diagnosis lead people to potentially life saving interventions. Recently, a colleague of mine had a pulse consultation that revealed a problem with her liver, and what he claimed were stomach ulcers. When she went in for testing, they found a fluid-filled cyst on the liver and three stomach ulcers. I've also had a few circumstances where I sent people in for WM testing when I suspected serious illness via the pulse, and it was confirmed. Pulse diagnosis can be a valuable tool, but not necessarily alone. Of course we need to refer the full spectrum of health care when necessary, but often serious diseases can be missed, even with in-depth biomedical tests. On Aug 5, 2005, at 6:07 PM, wrote: > Just wanted to relay the dangers of relying on pulse diagnosis. I > have just received a letter from the wife of a patient that have > been seeing Michael Brofman for many years. I saw him a few time > for back pain which improved with treatment, although i did suggest > he should do some imaging. He did not. He has been suffering from > many internal med symptoms for many years. When i last saw him in > 2002 he told me that Michael told him that the pulses show that all > his symptoms are from Spiritual causes and that if he did not > change his spiritual life he would always have them. > Apparently his symptoms have increased with time and he kept seeing > many alternative med practitioners. Apparently they diagnosed him > with " viruses, adrenal stress, kidney qi deficiency, insufficient > hormones, lack of communication between organs and glandular > imbalance. " He was treated with " hands-on work, exercises, diet > changes, supplements and psycho spiritual assessment and suggestions. " > Not one of these therapies ever suggested he should be evaluated > medical. At some point his started to get sever abdominal pains > that he could not move so he finally went to the ER. The CT he did > at the ER showed thickening of the peritoneum and omentum. > Laparoscopy revealed widespread adenocarcinoma. His CA-19-9 was at > 40.000 (normal is 30). He died less than six wk from diagnosis. > As i said in the past, i do not believe you can trust pulse > diagnosis with peoples life > > > > > Oakland, CA 94609 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2005 Report Share Posted August 5, 2005 Both her husband and myself suspected the worse, and I kept sending her back for more tests. >>>Good for you Oakland, CA 94609 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2005 Report Share Posted August 5, 2005 When she went in for testing, they found a fluid-filled cyst on the liver >>>>Did these mean anything? usually they do not Oakland, CA 94609 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2005 Report Share Posted August 6, 2005 pulse diagnosis was the main tool of many early chinese herbalist. The sensitivity of one's hand is so precious that a good diagnosis is based on training and sensitivity of the fingers. If you want I could site the books on early American herbal practices by the chinese pioneers. <alonmarcus wrote:Just wanted to relay the dangers of relying on pulse diagnosis. I have just received a letter from the wife of a patient that have been seeing Michael Brofman for many years. I saw him a few time for back pain which improved with treatment, although i did suggest he should do some imaging. He did not. He has been suffering from many internal med symptoms for many years. When i last saw him in 2002 he told me that Michael told him that the pulses show that all his symptoms are from Spiritual causes and that if he did not change his spiritual life he would always have them. Apparently his symptoms have increased with time and he kept seeing many alternative med practitioners. Apparently they diagnosed him with " viruses, adrenal stress, kidney qi deficiency, insufficient hormones, lack of communication between organs and glandular imbalance. " He was treated with " hands-on work, exercises, diet changes, supplements and psycho spiritual assessment and suggestions. " Not one of these therapies ever suggested he should be evaluated medical. At some point his started to get sever abdominal pains that he could not move so he finally went to the ER. The CT he did at the ER showed thickening of the peritoneum and omentum. Laparoscopy revealed widespread adenocarcinoma. His CA-19-9 was at 40.000 (normal is 30). He died less than six wk from diagnosis. As i said in the past, i do not believe you can trust pulse diagnosis with peoples life Oakland, CA 94609 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2005 Report Share Posted August 8, 2005 The issue of the validity of pulse diagnosis is something I have been questioning over the past few months, since finding out a patient of mine was diagnosed with breast cancer. I started practicing pulse diagnosis while I was still in school on clients I was treating(as a bodyworker, yoga therapist). I figured, since as one of my instructors quoted, " It takes ten years to become a beginner in pulse diagnosis " I would get an early start. She was one of my early patients, and so I have been seeing this patient for close to seven years. Her pulse to my 'beginners' touch never seemed out of the ordinary from her usual slippery and occassional wiry quality pulse. I saw her last two months ago when she surprised me with cancer diagnosis. The ironic part is that she herself first noticed a lump in her breast(about a year ago) which she mentioned to her MD who sadly did not diagnose it then. It was a second visit a year later in which it was diagnosed by the MD. Now the patient is doing well with her chemo and integrative treatment(including herbs-from another more experienced practitioner), but it has really led me to doubt the validity of using pulse diagnosis. My biggest concern are patients who will assume a benign, not out of the ordinary pulse diagnsosis from one of us, will lead the patient to feel 'nothing is wrong with me' attitude, preventing a timely diagnosis of a serious health problem. Now as my story illustrates MDs can just as easily miss a diagnosis, but my point is more about the validity of the pulse as a diagnostic tool. The event which has most made me question pulse diagnosis was a conversation I had with a respected colleague(who many of you probably know) who had the opportunity to study TCM, Ayurvedic and Tibetan medicine. I asked him for his opinion on the use of pulse diagnosis, thinking his study of so many eastern meds. might enlighten my own understanding. He surprisingly said that he after studying the different meds no longer uses pulse diagnosis, except for very basic vital signs. The reason was that each medicine used different pulse locations to symbolize different organs, and that there was for the most part no correlation between the three practices. So a lung in tibetan med might be found on the left cun position, and maybe a differnt area for ayurvedic medicine.( I dont know the real positions-i am just illustrating a point.) So if the traditional medicines dont even correlate, there is no certainty of who ,if any of them, are right. So then the question really is: Is pulse diagnosis really a valid method for diagnosis? Or are we just creating a diagnostic illusion for both ourselves as practitioners, and our patients? ...Infinite gratitude to all things past.. ....Infinite respect to all things present... .....Infinite responsibility to all things future.... ......Tao..... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2005 Report Share Posted August 8, 2005 >I've also had a few circumstances where I sent >people in for WM >testing when I suspected serious illness via the >pulse, and it was >confirmed.' Zev, Im just wondering, do you think it was the pulse diagnosis or do you think it was your own personal diagnostic skills, based on experience/intuition, questioning, observation, etc. that led you to suspect a serious illness? Because I am starting to believe it is less about a diagnosis from the pulse and more about a practitioners complete package(including the fact that we spend a lot of time with our patients) that catches these cases of 'serious illness'. Anton ...Infinite gratitude to all things past.. ....Infinite respect to all things present... .....Infinite responsibility to all things future.... ......Tao..... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2005 Report Share Posted August 8, 2005 Anton, If you read the Nan Jing or other pulse-oriented texts, you see that pulse diagnosis is recommended to be taken in context of other diagnoses such as palpation, color, questioning, etc. before a diagnostic conclusion is reached. This was the case with my patients as well. Having said that, I've had the occasion to apprentice with such physicians as Yeshe Dhonden, who doesn't speak any English, and he was able to give incredibly specific diagnosis just from pulse and urine analysis, followed by a few questions through a translator. I once attended a group diagnosis session sponsored by UCSD medical school with a Tibetan physician, Lopsang Ropgay, who was asked to diagnose a group of eighteen cancer patients. He was able to tell, by pulse alone, what type of cancer they had, and was also able to tell that one of the patients didn't have cancer, but was HIV positive. It was quite an amazing event for all concerned, including the M.D.'s. I think one can developed very nuanced diagnostic skills with the pulse, and I've observed this with Chinese, Tibetan and Ayurvedic physicians (Dr. Vasant Lad comes to mind). I think the main issue with pulse diagnosis is what kinds of conditions can be diagnosed. It will be more effective with issues related to patterns, humoral changes, and functional considerations rather than specific diseases, although these can be sometimes detected when combined with other Chinese diagnostic methods. On Aug 8, 2005, at 9:29 AM, Anton Borja wrote: >> I've also had a few circumstances where I sent >> people in for WM >> testing when I suspected serious illness via the >> pulse, and it was >> confirmed.' >> > > Zev, > > Im just wondering, do you think it was the pulse > diagnosis or do you think it was your own personal > diagnostic skills, based on experience/intuition, > questioning, observation, etc. that led you to > suspect a serious illness? > > Because I am starting to believe it is less about a > diagnosis from the pulse and more about a > practitioners complete package(including the fact that > we spend a lot of time with our patients) that catches > these cases of 'serious illness'. > > Anton > > > ..Infinite gratitude to all things past.. > ...Infinite respect to all things present... > ....Infinite responsibility to all things future.... > .....Tao..... > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2005 Report Share Posted August 8, 2005 On Aug 8, 2005, at 9:17 AM, Anton Borja wrote: > > The event which has most made me question pulse > diagnosis was a conversation I had with a respected > colleague(who many of you probably know) who had the > opportunity to study TCM, Ayurvedic and Tibetan > medicine. I asked him for his opinion on the use of > pulse diagnosis, thinking his study of so many eastern > meds. might enlighten my own understanding. He > surprisingly said that he after studying the different > meds no longer uses pulse diagnosis, except for very > basic vital signs. The reason was that each medicine > used different pulse locations to symbolize different > organs, and that there was for the most part no > correlation between the three practices. So a lung in > tibetan med might be found on the left cun position, > and maybe a differnt area for ayurvedic medicine.( I > dont know the real positions-i am just illustrating a > point.) So if the traditional medicines dont even > correlate, there is no certainty of who ,if any of > them, are right. Tibetan medicine and Ayurveda palpate the vessels higher up on the arm. However, within each system, there are variations from Chinese medicine in what is being looked at. Generally there are different pulse system maps, even within Chinese medicine, depending on whether one is palpating the channels or the contents of upper, middle and lower burners. Because a lot of blood and qi are running under the fingers (Paul Unschuld calls pulse diagnosis investigating movement in the vessels), pulse diagnosis may be more a matter of determining the nature of the movement of qi and blood under the fingers than any fixed location for it, even though Chinese medicine fixes the cunkou on the wrist as a specific area. For more on this, read Shigehisa Kuriyama's fine book, " The Expressiveness of the Body and the Divergence of Greek and " from Zone Books. To sum up, you have to take each system as an independent entity, and study them within the context of that system in order to determine efficacy. > > So then the question really is: Is pulse diagnosis > really a valid method for diagnosis? Or are we just > creating a diagnostic illusion for both ourselves as > practitioners, and our patients? It would be interesting to see thousands of physicians practicing an illusory diagnostic method for a few thousand years throughout the world. . .remember that pulse diagnosis was also prominant in Greco- Arabic medicine and other systems as well, so it was a world-wide phenomenon historically. From my own observations, I tend to doubt that it is just illusion at work. This doesn't mean, however, that there are not limitations to pulse diagnosis, depending on what one is looking for and within what context. > > ..Infinite gratitude to all things past.. > ...Infinite respect to all things present... > ....Infinite responsibility to all things future.... > .....Tao..... > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2005 Report Share Posted August 8, 2005 Anton, You bring up a good topic but one that requires to really close look at what it is that we are doing. First, the classics mention palpation but not just the pulse, it included other areas of the body as well (ie, abdomen, channels, points, etc). To this I would very much agree and hope that others take the time to do this as well. Second is the idea about what the pulse means or tells us. A very sick person can still have a somewhat normal pulse, how is that so? The classics even mention this type of problem where the person and their pulse no longer are in sync and suggest a poor prognosis. The pulse is a measure of body substance and indicates its flow or lack there of and can contain many variations on this theme. A pulse is quick to change and only shows us something of a momentary snapshot in time. We all can look at times when we want. The pulse is important but not the whole of the person. We have had discussions on this post about polypharmacy but I think that CM also has a gift of poly-diagnostic ability where many things can be checked. In the end, I have found that combining palpation with pulse, signs/symptoms makes the most sense to treating the person and just a pulse type. Mike W. Bowser, L Ac >Anton Borja <its_antonborja > > >Re: pulse diagonis >Mon, 8 Aug 2005 09:17:56 -0700 (PDT) > > The issue of the validity of pulse diagnosis is >something I have been questioning over the past few >months, since finding out a patient of mine was >diagnosed with breast cancer. > >I started practicing pulse diagnosis while I was still >in school on clients I was treating(as a bodyworker, >yoga therapist). I figured, since as one of my >instructors quoted, " It takes ten years to become a >beginner in pulse diagnosis " I would get an early >start. She was one of my early patients, and so I have >been seeing this patient for close to seven years. >Her pulse to my 'beginners' touch never seemed out of >the ordinary from her usual slippery and occassional >wiry quality pulse. > >I saw her last two months ago when she surprised me >with cancer diagnosis. The ironic part is that she >herself first noticed a lump in her breast(about a >year ago) which she mentioned to her MD who sadly did >not diagnose it then. It was a second visit a year >later in which it was diagnosed by the MD. Now the >patient is doing well with her chemo and integrative >treatment(including herbs-from another more >experienced practitioner), but it has really led me to >doubt the validity of using pulse diagnosis. > >My biggest concern are patients who will assume a >benign, not out of the ordinary pulse diagnsosis from >one of us, will lead the patient to feel 'nothing is >wrong with me' attitude, preventing a timely diagnosis >of a serious health problem. Now as my story >illustrates MDs can just as easily miss a diagnosis, >but my point is more about the validity of the pulse >as a diagnostic tool. > >The event which has most made me question pulse >diagnosis was a conversation I had with a respected >colleague(who many of you probably know) who had the >opportunity to study TCM, Ayurvedic and Tibetan >medicine. I asked him for his opinion on the use of >pulse diagnosis, thinking his study of so many eastern >meds. might enlighten my own understanding. He >surprisingly said that he after studying the different >meds no longer uses pulse diagnosis, except for very >basic vital signs. The reason was that each medicine >used different pulse locations to symbolize different >organs, and that there was for the most part no >correlation between the three practices. So a lung in >tibetan med might be found on the left cun position, >and maybe a differnt area for ayurvedic medicine.( I >dont know the real positions-i am just illustrating a >point.) So if the traditional medicines dont even >correlate, there is no certainty of who ,if any of >them, are right. > >So then the question really is: Is pulse diagnosis >really a valid method for diagnosis? Or are we just >creating a diagnostic illusion for both ourselves as >practitioners, and our patients? > >..Infinite gratitude to all things past.. >...Infinite respect to all things present... >....Infinite responsibility to all things future.... >.....Tao..... > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2005 Report Share Posted August 8, 2005 The issue of the validity of pulse diagnosis is something I have been questioning over the past few months, since finding out a patient of mine was diagnosed with breast cancer. >>>>>>At the same time you must realize it is needed when using CM. Were i have a hard time is when a pulse reading is taken beyond CM images to physical diagnosis were " real " pathologies may be described. No one has ever demonstrated that they can do that with any consistency and reliability except within CM group settings without any real control or any real objective gold standard. I think it is dangerous and that is the only reason I brought up Michael who is a great practitioner but one who also uses the pulse to a depth that I have a hard time with. Oakland, CA 94609 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2005 Report Share Posted August 8, 2005 I once attended a group diagnosis session sponsored by UCSD medical school with a Tibetan physician, Lopsang Ropgay, who was asked to diagnose a group of eighteen cancer patients. He was able to tell, by pulse alone, what type of cancer they had, and was also able to tell that one of the patients didn't have cancer, but was HIV positive. It was quite an amazing event for all concerned, including the M.D.'s. >>>>>Was this published? Oakland, CA 94609 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2005 Report Share Posted August 8, 2005 This particular study was not published, I think, but a similar one was at the University of Virginia Medical School with Yeshe Dhonden. On Aug 8, 2005, at 2:12 PM, wrote: > I once attended a group diagnosis session sponsored by UCSD > medical school with a Tibetan physician, Lopsang Ropgay, who was > asked to diagnose a group of eighteen cancer patients. He was able > to tell, by pulse alone, what type of cancer they had, and was also > able to tell that one of the patients didn't have cancer, but was HIV > positive. It was quite an amazing event for all concerned, including > the M.D.'s. > >>>>>> Was this published? >>>>>> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2005 Report Share Posted August 8, 2005 An interesting page about Dr. Dhonden, http://www.jcrows.com/breastcancer.html I've also emailed a Dr. Lopsang Ropgay who is a clinical physician at UCLA in hopes he is indeed the same or knows of the master pulse reader... doug , " " <zrosenbe@s...> wrote: > This particular study was not published, I think, but a similar one > was at the University of Virginia Medical School with Yeshe Dhonden. > > > On Aug 8, 2005, at 2:12 PM, wrote: > > > I once attended a group diagnosis session sponsored by UCSD > > medical school with a Tibetan physician, Lopsang Ropgay, who was > > asked to diagnose a group of eighteen cancer patients. He was able > > to tell, by pulse alone, what type of cancer they had, and was also > > able to tell that one of the patients didn't have cancer, but was HIV > > positive. It was quite an amazing event for all concerned, including > > the M.D.'s. > > > >>>>>> Was this published? > >>>>>> > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2005 Report Share Posted August 8, 2005 Virginia Medical School with Yeshe Dhonden >>>>Zev do you know where? I am aware of the CA study not a pulse study Oakland, CA 94609 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2005 Report Share Posted August 8, 2005 It has been written about in a few books, I'll try to look it up when I get a few minutes. Z'ev On Aug 8, 2005, at 8:59 PM, wrote: > Virginia Medical School with Yeshe Dhonden > >>>>> Zev do you know where? >>>>> > I am aware of the CA study not a pulse study Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2005 Report Share Posted August 9, 2005 Anton, I like and appreciate what Z'ev shared. In the mean time, I want to chime in with my perspective and experience to see if it helps. I started reading my own and classmates' pulses in 1988 when started learning Qi Gong but didn't really take pulse reading serious. About 10 years later, when I started learning Tui Na from a different master, I started reading patients' pulses in my master's clinic. " Serious " learning started when I went to an acupuncture school in 1999. Well, I put " serious " in quote because I was serious about it; the environment didn't necessarily accommodate it. I then took private apprenticeship under a few well respected doctors, including Dr. Ma, who is now 93 and still sees patients 5 days a week, more than a dozen years " retired " from the only CM school in Taiwan at that time. Despite that fact that my teachers are serious about teaching me and I appreciate their generosity (and that of the thousands of patients who I have taken pulses of), and despite the fact that I have been able to detect serious problems early, which lead to the confirmation of cancers by WM later, I would still admit that I don't do pulse reading very well. On the other hand, I am not discouraged, I use other diagnosing techniques to make it up, hoping that one day, I will be able to sense a lot from pulse reading alone. Mike L. Anton Borja <its_antonborja wrote: The issue of the validity of pulse diagnosis is something I have been questioning over the past few months, since finding out a patient of mine was diagnosed with breast cancer. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2005 Report Share Posted August 10, 2005 Doug, Interesting article. Thanks for the link. I am now completely interested in the urine analysis performed by Dr. Dhonden. I am sure someone out there in the OM community knows of or uses a similar diagnostic tool, or there must be some literature out about it. Any suggestions.?? Anton Borja --- wrote: > An interesting page about Dr. Dhonden, > http://www.jcrows.com/breastcancer.html > > I've also emailed a Dr. Lopsang Ropgay who is a > clinical physician at UCLA in hopes he is > indeed the same or knows of the master pulse > reader... > doug > > > > , " Z'ev > Rosenberg " <zrosenbe@s...> wrote: > > This particular study was not published, I think, > but a similar one > > was at the University of Virginia Medical School > with Yeshe Dhonden. > > > > > > On Aug 8, 2005, at 2:12 PM, wrote: > > > > > I once attended a group diagnosis session > sponsored by UCSD > > > medical school with a Tibetan physician, Lopsang > Ropgay, who was > > > asked to diagnose a group of eighteen cancer > patients. He was able > > > to tell, by pulse alone, what type of cancer > they had, and was also > > > able to tell that one of the patients didn't > have cancer, but was HIV > > > positive. It was quite an amazing event for all > concerned, including > > > the M.D.'s. > > > > > >>>>>> Was this published? > > >>>>>> > > > > > > > > > > > [Non-text portions of this message have been > removed] > > > ...Infinite gratitude to all things past.. ....Infinite respect to all things present... .....Infinite responsibility to all things future.... ......Tao..... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2005 Report Share Posted August 10, 2005 Hi members of CHA I just wanted to make a few comments about pulse to see if anyone had any ideas as to what is happening in what I describe below. For the past four years at the college in Christchurch New Zealand I was asked to teach the pulse. My classes were small, 9-12 people and it was run over a 8 week 3 hour per week term. For the first half of the class I went through theory mainly using Flaws book on pulse and also using some overheads from Seiferts Li Shi Zhen pulse book. I am teaching first year students. Then we would set up tables and feel pulses of each other. Now for 3 years in a row something very interesting has happened. All the keen 1st year students would ask me what pulse is this ,is this a wiry/bowstring pulse? etc. I would take a pulse of a student and then come to a conclusion eg bowstring on the left liver position, fine overall etc and say to a student " here ....feel a bowstring pulse " . So about 3-4 studnets would feel the pulse and then the last student would say " this does not feel bowstring " . Another student would feel again and also say the pulse has changed. Then I come back and yes , the pulse is no longer bowstring and all the pulses have changed dramatically in a space of 15 minutes. Now, these students are not practising any kind of qi gong , massage or anything to influence the status of health of the patient. I know many acupuncture practitoners go by the rule that the pulses must change during the needling in order to acertain that the treatment is doing something. I have suspected that even the intent of an acupuncture practitoner could influence the pulse but what has happened here at college has ruled that out. Do pulses just change with the ebb and flow of the day even after after 15 minutes? Are some acupuncture practitoners just concluding the wrong things because the pulses have changed during a treatment? Does just touching someone change the pulse? Heiko Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2005 Report Share Posted August 11, 2005 Maybe they changed due to the event and your announcement that this person has a certain pulse. Mike W. Bowser, L Ac ><heikolade.acnm > > >Re: Re: pulse diagonis >Thu, 11 Aug 2005 16:07:33 +1200 > >Hi members of CHA >I just wanted to make a few comments about pulse to see if anyone had any >ideas as to what is happening in what I describe below. >For the past four years at the college in Christchurch New Zealand I was >asked to teach the pulse. My classes were small, 9-12 people and it was run >over a 8 week 3 hour per week term. For the first half of the class I went >through theory mainly using Flaws book on pulse and also using some >overheads from Seiferts Li Shi Zhen pulse book. I am teaching first year >students. Then we would set up tables and feel pulses of each other. >Now for 3 years in a row something very interesting has happened. >All the keen 1st year students would ask me what pulse is this ,is this a >wiry/bowstring pulse? etc. >I would take a pulse of a student and then come to a conclusion eg >bowstring on the left liver position, fine overall etc and say to a student > " here ....feel a bowstring pulse " . So about 3-4 studnets would feel the >pulse and then the last student would say " this does not feel bowstring " . >Another student would feel again and also say the pulse has changed. >Then I come back and yes , the pulse is no longer bowstring and all the >pulses have changed dramatically in a space of 15 minutes. Now, these >students are not practising any kind of qi gong , massage or anything to >influence the status of health of the patient. I know many acupuncture >practitoners go by the rule that the pulses must change during the needling >in order to acertain that the treatment is doing something. >I have suspected that even the intent of an acupuncture practitoner could >influence the pulse but what has happened here at college has ruled that >out. >Do pulses just change with the ebb and flow of the day even after after 15 >minutes? Are some acupuncture practitoners just concluding the wrong things >because the pulses have changed during a treatment? Does just touching >someone change the pulse? >Heiko > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2005 Report Share Posted August 11, 2005 Heiko I have been teaching pulse to beginners for many years now. The changes in a pulse that occur when several students feel the same pulse over a 15 minute time period can be marked. This also happens in a clinical setting when several students feel one patients pulse. By the end, the pulse is not the same as when it was first felt. I think that this is due to several factors. Although the students are not practicing qi gong or anything else, they are interacting with another person and, often because they are students, they do not know how to manage the interaction of qi between two people. - if enough people do that over enough time, the pulse will change. Also, just the process of sitting for 15 minutes while inexperienced students palpate the pulse can cause changes. Would a pulse change over 15 minutes if you felt it at the beginning of that time and again at the end with no other interactions. Probably not as dramatically but somewhat. Just as a pulse will change - often dramatically - after 15 - 20 minutes of treatment. In general it is the finer points of the pulse that change - the individual positions or the overall depth rather than the general quality of the pulse. In Practical Diagnosis in TCM, one of the things that Deng Tie Tao stresses is that while it is important to spend time getting all necessary information from a patient, it is also important not to spend too much time doing that. 15 miutes is too long to sit and have your pulse taken, especially by too many people. With first year, beginning pulse students, I always stress the basics: Rate, Depth, Force, Rhythm and Form. My feeling is that most students - and many practitioners - spend too much time looking for the intricate details of a pulse without paying attention to the basics. They are looking for special qualities without knowing what the general aspects of the pulse are first. It is important to remember that rate, depth, force and rhythm are as important to feel and understand as quality. If you look at page 98 -99 of Deng, you see that there are actually only 5 pulses that fit into the category of abnormal form (what many call quality). All of the other 23 pulses are classified according to rate, depth, force or rhythm. If the student first learns to assess these basic pulse ideas, feeling the individual pulse positions becomes much easier and does not take as much time. So, when teaching, if I feel a stringlike pulse and I want students to feel it - I will have them feel the pulse, but I will not let them spend a long time searching out the quality. I always stress to them that pulses are felt in the fingers, not in the mind or by the eyes. If they sit and stare at the pulse, trying desperately to feel it, they usually won't. But if they let their mind be in their fingertips, then they will feel pulses much more quickly. I will often turn off the lights and have my students close their eyes when they are taking a pulse and sometimes I will talk them through the process of feeling rate, depth, force, rhythm and form - using a somewhat meditative voice in order to take their mind away from feeling and let their fingers feel. However, as Bob Flaws has said over and over and over - if they cannot describe, in specific language, the description of each of the 28 pulses, they will not be able to feel them. How can you feel something, if you cannot describe what it is you are supposed to feel? Students who can sit down and write out the 28 pulses - ideally in category and with descriptions - have a much easier time feeling and differentiating the 28 pulses. Marnae At 12:07 AM 8/11/2005, you wrote: >Hi members of CHA >I just wanted to make a few comments about pulse to see if anyone had any >ideas as to what is happening in what I describe below. >For the past four years at the college in Christchurch New Zealand I was >asked to teach the pulse. My classes were small, 9-12 people and it was >run over a 8 week 3 hour per week term. For the first half of the class I >went through theory mainly using Flaws book on pulse and also using some >overheads from Seiferts Li Shi Zhen pulse book. I am teaching first year >students. Then we would set up tables and feel pulses of each other. >Now for 3 years in a row something very interesting has happened. >All the keen 1st year students would ask me what pulse is this ,is this a >wiry/bowstring pulse? etc. >I would take a pulse of a student and then come to a conclusion eg >bowstring on the left liver position, fine overall etc and say to a >student " here ....feel a bowstring pulse " . So about 3-4 studnets would >feel the pulse and then the last student would say " this does not feel >bowstring " . Another student would feel again and also say the pulse has >changed. >Then I come back and yes , the pulse is no longer bowstring and all the >pulses have changed dramatically in a space of 15 minutes. Now, these >students are not practising any kind of qi gong , massage or anything to >influence the status of health of the patient. I know many acupuncture >practitoners go by the rule that the pulses must change during the >needling in order to acertain that the treatment is doing something. >I have suspected that even the intent of an acupuncture practitoner could >influence the pulse but what has happened here at college has ruled that out. >Do pulses just change with the ebb and flow of the day even after after 15 >minutes? Are some acupuncture practitoners just concluding the wrong >things because the pulses have changed during a treatment? Does just >touching someone change the pulse? >Heiko > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2005 Report Share Posted August 11, 2005 > > > On Behalf Of Are Thoresen > > I diagnose the animals (in 20 years), by having someone to touch them, and > then read the change in the touching humans pulse. > A story; I was pulsing a horse outside my home. The friend of the owner > walked up and down the street. When he came closer to the horse, the > SP-pulse of the horse decreased, when he went away, it was becoming > stronger > again. I said to the friend; you have a weak spleen. he told me that he > had > been in hospital for 14 days just for his weak spleen, and he was amazed > that I could feel that on such a great distance. Although I question that the spleen in western medicine is the same as . More correct IMO is the pancreas, S.I. etc... I have never found any evidence to support that the Chinese and Western spleen are the same have you? -Jason > > > Heiko > > > Are Simeon Thoresen > arethore <arethore > http://home.online.no/~arethore/ > > > > Chinese Herbal Medicine offers various professional services, including > board approved continuing education classes, an annual conference and a > free discussion forum in Chinese Herbal Medicine. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2005 Report Share Posted August 11, 2005 Interesting article. >>>Does anyone knows what happened with the Dhonden study since the first phase? Oakland, CA 94609 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2005 Report Share Posted August 11, 2005 On Aug 10, 2005, at 9:07 PM, <heikolade.acnm <heikolade.acnm wrote: > Does just touching someone change the pulse? I think so, especially if the " patient " is really starved for touch or the student taking the pulse has a particularly calming (or the opposite) spirit. -- Pain is inevitable, suffering is optional. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2005 Report Share Posted August 11, 2005 , Al Stone <alstone@b...> wrote: > > On Aug 10, 2005, at 9:07 PM, <heikolade.acnm@x...> > <heikolade.acnm@x...> wrote: > > > Does just touching someone change the pulse? Scroll down this page to look at the effects of touch on EEG and ECG between two people. Interesting and fun to speculate on this studies outcomes for pulse diagnosis. http://www.heartmath.org/research/science-of-the-heart/soh_24.php > > I think so, especially if the " patient " is really starved for touch > or the student taking the pulse has a particularly calming (or the > opposite) spirit. > > -- > > Pain is inevitable, suffering is optional. Quote Link to comment Share on other sites More sharing options...
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