Diagnosis Review. ACR class 2. 4 Methods of TCM Diagnosis. Chinese diagnosis includes four methods traditionally described with four words: Looking Hearing (and smelling) Asking Feeling. DIAGNOSIS BY LOOKING. SPIRIT
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can be felt at the superficial level, but if one presses slightly harder to find the middle level it is not there; it is then felt again at the deep level with a stronger pressure. In other words, it is empty in the middle
appears after a hemorrhage; if rapid and slightly Hollow it may indicate a forthcoming loss of blood.
has a round shape like a bean, it is short and it "trembles" under the finger. It has no definite shape, having no head or tail, just rising up in the centre. It feels as if it is shaking and is also somewhat slippery.
indicates shock, anxiety, fright or extreme pain. It is frequently found in persons with deep emotional problems particularly from fear, or in those who have suffered an intense emotional shock, even if many years previously.
Hasty pulse early morning when the Yin is calm and the Yang has not yet come forth.
Rapid and stops at irregular intervals.
indicates extreme Heat and a deficiency of Heart-Qi; also felt with Heart-Fire.
Slow and stops at irregular intervals.
indicates Cold and deficiency of Heart-Qi or Heart-Yang.
Intermittent pulse early morning when the Yin is calm and the Yang has not yet come forth.
stops at regular intervals
always indicates a serious internal problem of one or more Yin organs.
If it stops every 4 beats or less, the condition is serious.
It can also indicate a serious heart problem (in a Western medical sense).
Hurried pulse early morning when the Yin is calm and the Yang has not yet come forth.
very rapid, very agitated and urgent
indicates an Excess of Yang, with Fire in the body exhausting the Yin.
The upper part of the abdomen just below the xyphoid process reflects the state of the Upper Burner, i.e. Lung and Heart Qi and Gathering Qi.
This area should be relatively softer than the rest, indicating a smooth flow of Lung and Heart Qi. If it feels hard and knotted, it indicates a constraint of Lung and Heart Qi and a constriction of the Corporeal Soul due to emotional tension.