Jimmy Chang Pulse Diagnosis

Internal Medicine: Pulse Dx and Herbal Tx

By Jimmy Wei-Yen Chang, L.Ac. Doctor of Chinese Medicine Licensed in NY, CA, NCCA Founder of Chang’s Pulse Diagnosis

INTRODUCTION OF DR. CHANG 

Doctor of Chinese Medicine in Taiwan

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Licensed in the States of NY, CA

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NCCA Certified Herbalist

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Founder of Chang’s Pulse Diagnosis

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 Author of Pulsynergy Private Practice in Southern California

CLASS OUTLINE 

Introduction to Chang’s Practice

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Diagnosis 

Temperature

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Color & Texture

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Blood Pressure & Heart Rate Diagnosis

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Pulse Diagnosis

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Ear Diagnosis

CLASS OUTLINE 

Pain Management 

Neck / Shoulder Pain

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Back Pain

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 Arthritis

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Bone Spur 

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Fibroids / Endometriosis / Menstrual Pain

INTRODUCTION TO DR. CHANG’S PRACTICE  

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99% Herbal Practice 60% Chinese, 40% English Speaking and growing. Diagnosis mostly through palpation      

Pulse Diagnosis Temperature Color/Texture Blood Pressure & Heart Rate Diagnosis Ear Diagnosis/Confirmation Herbal Prescription (100 grams, 2 spoons TID)

DIAGNOSIS –  TEMPERATURE 

Check the Temperature 1. Dorsal side above the elbow 2. LI 10 area 3. Palm 4. Back side of the hand 5. Ren 22

DIAGNOSIS –  COLOR / TEXTURE 

Check the color of the forearm

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Feel the texture of the skin/muscle

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Check the color of the veins

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Redness = Inflammation

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Blue = Blood Stagnation

DIAGNOSIS –  COLOR / TEXTURE 

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Dorsal side: neck, shoulder  Ventral side: chest Dorsal side LI 10: colon, hot means parasite Fish area: Blue line means cold stomach, bad digestion Palm: pelvic area, hormones Hand: dorsal side, low back Quality of skin:

PULSE DIAGNOSIS 

Intro to Chang’s Pulse Diagnosis 

Finger Positions

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Pulse Taking Techniques

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Pulse Characteristics (what should you be feeling when you take pulses) Organs (Cun, Guan, Chi, 8 Extra Meridians)

PULSE DIAGNOSIS –  FINGER POSITIONS

PULSE DIAGNOSIS –  FINGER POSITIONS

PULSE DIAGNOSIS –  PULSE TAKING TECHNIQUES 

1. Patient’s palm should be facing the side, not the ceiling Incorrect

Correct

PULSE DIAGNOSIS –  PULSE TAKING TECHNIQUES 

2. Take the pulse with the bed of the fingers Incorrect

Correct

PULSE DIAGNOSIS –  PULSE TAKING TECHNIQUES Incorrect 

3. Take the pulse from outside in, not over flexor carp ca rpii ra radi dial aliis, palmaris longus

Correct

PULSE DIAGNOSIS –  PULSE TAKING TECHNIQUES 

4. Put your thumb on SJ4, so there is space to maneuver and feel the shape of the vessel

PULSE DIAGNOSIS –  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.

PULSE DIAGNOSIS –  POSITIONS / ORGANS 

Right Hand   

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Cun: Lung  Guan: Spleen/Stomach Chi: Kidney (Urinary function) Neck.

Left Hand   

Cun: Heart  Guan: Liver  Chi: Kidney (Reproductive function) Low back.

PULSE DIAGNOSIS –  8 EXTRA MERIDIANS

PULSE DIAGNOSIS –  PULSE CHARACTERISTI CHARACTERISTICS CS 

What should you be feeling?

1. Feel the strength of the pulse (weak or strong) 2. Feel the level (superficial or deep) 3. Feel the diameter (thick or thin) 4. Shape

PULSE PULS E DI DIAG AGNO NOSI SIS S – TC TCM M PULSE INTERPRETATIONS      

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Weak = Deficiency Strong = Excess Superficial = Dryness Deep = Dampness Thick = Expanding Condition Thin = Constricting Condition Shape: Specific shapes will be discussed with the conditions

PULSE DIAGNOSIS –  Examples of Shapes

PULSE DIAGNOSIS –  Examples of Shapes

PULSE DIAGNOSIS –  Examples of Shapes

PAIN MANAGEMENT By Jimmy Wei-Yen Chang, L.Ac.

PAIN CONDITIONS 

1. Neck / Shoulder Pain

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2. Back Pain

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3. Arthritis

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4. Bone Spurs

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5. Fibroids / Endometriosis / Menstrual Pain

COMMON PULSES FOUND IN PAIN CONDITIONS 

Long 

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 A pulse that extends proximally to the chi positions or distally to the cun positions

Scattered 

Weak, shapeless pulse

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May or may not be deep

COMMON PULSES FOUND IN PAIN CONDITIONS 

Wiry 

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Straight pulse that is moderately thick 

Little thicker than a steel wire pulse

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Thinner than a thick pulse

Steel Wire Pulse  

Thin, long and tight  Amplitude is low, but the tension can be felt

NECK / SHOULDER PAIN 肩頸痛 

Pulse Dx: 

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Ear Dx: 

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Deep and soft/scattered on the right chi Brownish discoloration around the neck and shoulder area

TCM Diagnosis: 

Old Injury w/ Blood Stasis (舊傷瘀血)

NECK / SHOULDER PAIN 肩頸痛  

Old Injury w/ Blood Stasis ( 舊傷瘀血) Herbal Formula:

NECK / SHOULDER PAIN 肩頸痛 

Pulse Dx: 

Turtle pulse on the right chi 

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Ear Dx: 

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The more forceful the pulse, the more severe the condition

Reddish discoloration around the neck and shoulder area

TCM Diagnosis: 

New Injury with Inflammation ( 新傷發炎)

NECK / SHOULDER PAIN 肩頸痛 

New Injury with Inflammation ( 新傷發炎)

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Herbal Formula:

NECK / SHOULDER PAIN 肩頸痛 

Pulse Dx:  

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Temperature Dx:  

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Floating and forceful on the right cun Long and forceful on the right chi Hot above the elbow Hot at the back of the neck, T1

TCM Diagnosis: 

Wind-Heat (感冒風熱)

NECK / SHOULDER PAIN 肩頸痛 

Wind-Heat (感冒風熱)

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Herbal Formula:

BACK PAIN 腰背痛  

Bone Spur (骨刺發炎) Kidney Stones (腎結石)

BACK PAIN 腰背痛 

Pulse Dx: 

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TCM Diagnosis: 

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Wiry and thin on the left chi and proximal to it Bone Spur (骨刺發炎)

Herbal Formula:

BACK PAIN 腰背痛 

Pulse Dx: 

Bird’s peak pulse on the chi position(s) 

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Side the pulse is found (left or right) is is respective of the side the stone is in

TCM Diagnosis: 

Kidney Stones (腎結石)

BACK PAIN 腰背痛 

Kidney Stones (腎結石)

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Herbal Formula:

 ARTHRITIS 風濕   

Damp-Heat Accumulation (濕阻型) Excess Heat (實熱型) Gout (痛風型)

 ARTHRITIS 風濕 

Pulse Dx:  

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Deep and forceful pulse  Yangwei pulse on the left side

TCM Diagnosis: 

Damp-Heat Accumulation (濕阻型)

 ARTHRITIS 風濕 

Damp-Heat Accumulation (濕阻型)

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Herbal Formula:

 ARTHRITIS 風濕 

Pulse Dx:  

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Temperature Dx:  

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Deep and forceful on both chi  Yangwei pulse is fast and forceful Painful area will feel hot Hands and feet will feel hot

TCM Diagnosis: 

Excess Heat (實熱型) 

RA – Rh Rheu euma mato toid id Arth Arthri ritis tis

 ARTHRITIS 風濕  

Excess Heat (實熱型) Herbal Formula:

 ARTHRITIS 風濕 

Pulse Dx: 

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TCM Diagnosis: 

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Forceful, turtle pulse on both chi position Gout (痛風型)

Herbal Formula:

BONE SPUR 骨刺 

Pulse Dx:

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Temperature Dx:

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Ear Dx:

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TCM Diagnosis:

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Herbal Formula:

FIBROIDS 子宮肌瘤 ENDOMETRIOSIS 子宮內膜異位症 

Pulse Dx: 

Steel wire pulse on the left chi and proximal to it

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Temperature Dx:

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Ear Dx:

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TCM Diagnosis:

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Herbal Formula:

Dr. Jimmy Chang’s contact info 

3133 S. Hacienda Blvd

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Hacienda Heights, CA 91745

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626-820-8858

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www.boundlessgallery.com Search for “JIMMY CHANG”

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