tcm-diagnosis

TCM Acupuncture Theory Diagnostic and Examination Information

"The Ten Questions" Clinical Questioning in TCM Acupuncture Theory

Many people new to acupuncture may ask, "Why does my acupuncturist ask so many questions?"

An initial visit to an acupuncturist usually involves filling out an extensive health history form and having an in-depth discussion with your practitioner. An acupuncturist will ask a number of questions about your health and lifestyle, many of which may seem unrelated to your main reason for seeking acupuncture. The questions, however, are linked together and your answers provide valuable input into the diagnostic process. Along with tongue and pulse diagnosis, asking what are known as the "10 questions" allows your practitioner to create a unique treatment plan for you as an individual. This taking into account a wide variety of signs and symptoms is the key to the success of acupuncture and your practitioners ability to treat conditions where other methods may have failed.

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Sounds (Listening) and Odors (Smelling) in TCM Acupuncture Theory

Listening to a persons voice and noticing any particular body odors that they may have are a basic part of the "Four Examinations" in Chinese medicine. Along with the more precise diagnostic tools such as pulse and tongue diagnosis, listening and smelling provide valuable input to form an appropriate TCM diagnosis.

While used more as a casual observation by most TCM practitioners, listening and smelling form an integral part of the Classical Five Element color, sound, odor and emotion (CSOE) method of diagnosis.

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Facial and Body Diagnosis in TCM Acupuncture Theory

The strength of Chinese medicine lies within its ability to look at a variety of signs and symptoms and come to a more precise diagnosis of underlying conditions. While the pulse and the tongue are the two principle diagnostic tools in Traditional Chinese Medicine (TCM), looking at the colors and qualities in a persons body and face provides valuable diagnostic information.


Body Diagnosis - Shape, Demeanor and Indications

Body Shape/Demeanor
Indications
   
muscular/strong tend towards excess

overweight tend towards dampness
sp qi deficiency

abrubt/jerky movements wind

active movements tend towards yang conditions

withdrawn/slow movements tend towards qi a/or yang def

hunched over upper jiao def



Facial Diagnosis - Colors and Indications

Facial Colors
Indications
   
white cold or def

dull white blood def

bright white qi or yang def

yellow excess damp or sp def


orange/yellow damp heat

red heat
+ whole face = excess
+ mallor flush = yin def
blue/green (quin) lv qi a/or blood stagnation

black/dark kd def or blood stagnation


Skin Diagnosis - Qualities and Indications

Skin Quality
Indications
   
moist and clear better prognosis

dry and lifeless poorer prognosis


Eye Diagnosis - Qualities and Indications

Eye Qualities
Indications
   
dull expression shen disturbance

unconscious movement wind
red/congested color lv qi stagnation a/or wind-heat


Sources and More Information

The information on our site is drawn from our own lecture notes and clinical experience.

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Pulse Diagnosis in TCM Acupuncture Theory

One of the most common questions that people ask about acupuncture is: "Why does my acupuncturist check my pulse?"

Pulse and tongue diagnosis are two of the more important diagnostic tools in Chinese medicine. They are both used to derive a TCM diagnosis for your condition which is used to plan your treatment. Of the diagnostic tools, pulse diagnosis is one of the more important tools used in Chinese and Japanese acupuncture and herbal medicine. While tongue diagnosis provides valuable clinical information, the pulse can be used to gain a deep understanding of the patient on many levels. "Mastering" pulse diagnosis is difficult without the guidance of a skilled teacher. Even at basic levels, however, the pulse provides immediate and specific information that can help clarify contradictory diagnostic information and symptomology.

cover of Between Heaven and Earth cover of Foundations of Chinese Medicine: A Comprehensive Text for Acupuncturists and Herbalists cover of The Practice of Chinese Medicine: The Treatment of Diseases With Acupuncture and Chinese Herbs cover of The Web That Has No Weaver : Understanding Chinese Medicine cover of Fundamentals of Chinese Acupuncture cover of Fundamentals of Chinese Medicine

Tongue Diagnosis in TCM Acupuncture Theory

One of the most common questions that people ask about acupuncture is: "Why does my acupuncturist look at my tongue?"

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