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Introduction to TCVM Dx with Tongue & Pulse

Introduction to TCVM Dx with Tongue & Pulse. Basic TCVM Diagnostic Equipment. OVERVIEW OF TCVM. Health and disease Health : the natural state, everything in balance. Based on energetic physiology: Qi & blood are good quality with normal circulation Zang‑fu organs work properly.

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Introduction to TCVM Dx with Tongue & Pulse

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  1. Introduction to TCVM Dx with Tongue & Pulse Basic TCVM Diagnostic Equipment

  2. OVERVIEW OF TCVM • Health and disease • Health: the natural state, everything in balance. • Based on energetic physiology: • Qi & blood are good quality with normal circulation • Zang‑fu organs work properly.

  3. OVERVIEW OF TCVM • Health: • Qi & blood are good quality with normal circulation. Created by • Spleen: absorbs Qi from food and liquid Digestion • Lung: absorbs energy from the air. Oxygen • Kidney: stores constitutional energy. Adrenal • Zang‑fu organs work properly. • Lung Large Intestine • Kidney Urinary Bladder • Liver Gall Bladder • Heart Small Intestine • Spleen (Pancreas) Stomach

  4. Disease: Imbalanced symptoms: too much heat, cold, damp, dry, etc. Qi and blood poor quality; Qi and blood circulation impaired One or more of the zang‑fu is not working well

  5. Cause of Disease • Environment and climate stress: 6 pathogen qi: • Wind Fire/Heat • Cold Summer Heat • Damp Dryness • Emotional stress: 7 emotions: • Joy/Fright --------> Heart • Anger --------> Liver • Sadness/Grief --------> Lung • Worried -------> Spleen • Fear/Shock -------> Kidney • Life Style (Diet, daily activity) • Others Toxins (micro‑organisms: virus, bacteria, protozoa)-Heat Toxin • Poison • Trauma

  6. Organization Format to Pathophysioloty • 1) Eight Principles Yang Yin • Hot Cold • Exterior Interior • Excess Deficiency • 2) Six Stages of Wind Invasion (epidemics by microorganisms) • Taiyang Surface, skin • Shaoyang Half interior, half exterior (lymph) • Yangming Qi level: high fever • Taiyin Lung, spleen • Shaoyin Kidney, heart • Jueyin Pericardium (CVD), liver

  7. 3) Four Levels of Heat Invasion (microbe epidemics): • Wei: superficial, initial stage, exterior • Qi: meridians • Ying: nerve systems • Blood: internal organs • 4) Zang Fu syndromes (internal diseases) • Heart: Cardiovascular, Central Nervous System, mental • Lung: Respiratory, skin, immune • Spleen: Alimentary tract, immune, muscular, endocrine, metabolic • Liver: Hepatobiliary, eyes, endocrine, metabolic, • ligaments and tendons, hooves/paws • Kidney:Reproductive, renal, bone and joints, • endocrine, and metabolic • 5) Channel pathologies (arthritis, trauma, paralysis)

  8. Diagnosis • Pulse: depth, width, height, force, quality • Tongue: pathological presentations: • Shapes, body colors, coat colors, coat textures • Looking (shen/skin, shapes, eyes, face) • Smelling (skin, breath) • Listening (voice, respiration) • Symptoms and history

  9. Five step methodology • Signs/symptoms (patient’s presentation) • Diagnosis (Name of disease, western diagnosis) • Each disease has 1 to 10 differentiations • TCM diagnosis (pattern differentiation) • Treatment Strategy • Based on the differentiation • Energetic pathophysiology • Treatment (herbs or acupuncture)

  10. Normal Tongue • Pink • Red • White • Blue • Moist • Fits mouth • Good tone

  11. Tongue Changes- -Color Pale Pink Red

  12. Purple Dark Red Black (ashen) Normal Tongue Changes- -Color

  13. Wet is Qi deficiency Dry is Blood Deficiency Pale Tongue Wet, Swollen (teeth marks) & purple is Yang deficiency

  14. Red Tongue HEAT Deficiency Excess

  15. Purple Tongue Deficiency Excess Yang Deficiency Stagnation Cold

  16. Tongue-Organ Relationship Kidney Liver Spleen Lung Heart

  17. White Coating Normal Excess Cold Yellow Coating Heat Greasy Coating Can’t be Scrubbed off Damp Tongue Coatings Not as important in animals nor as prominent

  18. Pulses

  19. Pulse Depth

  20. Pulse Character

  21. Abnormal Pulses • Slippery • Damp • Like being in a bog • Wiry • Liver Stagnation • Tight like a wire • Irregular • Heart Qi or Blood • arrhythmia

  22. Using Tongue & Pulse • Pulse looks at current events • Tongue reflects history • Together, they help determine the nature, location and Zang-Fu involvement in the disease process

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