February 2020

February 2020


The Office: How to Treat Proximal Pulses – Right Side

  • Ropey, Wide Pulses
    • Right side only
      • Upper body tightness
      • Herbs
        • Chuan Xuan Cha Tiao San – 25
        • Flex Spur – 25
        • Ge Gen Tang – 25
        • Clear Heat – 25
    • Both sides with more pounding or hardness
      • Prostate problems in men
        • Astringents – 50
        • Resolve EM – 50
    • Right side only but more pounding
      • Urinary Tract infection
        • Herbs
          • Ba Zheng San
          • Wu Wei Xiao Du Yin or Herbal ABX
  • Thin, tight proximal pulses
    • Spine problem in upper back and neck
      • Previous Trauma
      • Scoliosis
    • Herbs
      • Chuan Xuan Cha Tiao San – 25
      • Flex Spur – 25
      • Ge Gen Tang – 25
      • Clear Heat – 25
  • Wiry Pulse, with pen tip pulses
    • Lesions in the spine
      • Chuan Xuan Cha Tiao San – 25
      • Flex Spur – 25
      • Ge Gen Tang – 25
      • Clear Heat – 25
      • To break up lesions add:
        • E Zhu
        • Wang Bu Lu Xing
        • San Leng
  • Weak thin pulse
    • Urinary incontinence
      • Herbs
        • San Piao Xiao San – 80
        • Astringents – 20
        • Bu Zhong Yi Qi Tang – 20
        • Increase Bu Zhong Yi Qi Tang for more effect if needed
      • To drain retained urine
        • Drain Water
        • Ba Zheng San

The Office: How to Treat Fibromyalgia

  • Main cause: Ischemia
    • Muscles and nerves that don’t receive enough blood flow will not function correctly
    • These subthreshold problems can lead to systemic pain
    • Fibromyalgia is easy to treat!
  • Herbs
    • Deep Pulses
      • Move Blood through collaterals
        • Shen Tong Zhu Yu Tang
        • Ru Xiang
        • Mo Yao
        • Chuan Lian Zi
        • Pu Huang
        • Wu Ling Zhi
        • Can also use
          • Shui Zhi
          • Tu Bie Chong
    • Deep pounding pulses
      • Move Blood and clear trapped heat
        • Heat Clearers
        • Clear Heat -30%
        • OR
          • Huang Lian – 10%
          • Huang Qin – 10%
          • Huang Bai – 10%
        • Shen Tong Zhu Yu Tang – 70%
  • DNA
    • Treat all Yin points on one ankle/wrist
    • Treat all Yang points on the other ankle/wrist
  • Beware patients who have made the disease their identity
    • Some patients don’t want to get better
      • They may have the belief that fibromyalgia can’t be cured
      • Investment in the idea of have fibromyalgia as part of their self-identity
    • These patients usually won’t come to you to get care
      • These kinds of patients won’t opt for prepaid treatment plans

The Office: Proximal Pulses Explained

  • How to feel the proximal pulse
    • Place your three fingers together
    • Place index finger on Chi position
    • Other two fingers will feel the proximal pulse
  • When diagnosing physical issues, it can be hard to feel the location of the problem exactly
    • You may need to ask the patient exactly where the issue is
    • More distal on the pulse, more superior on the body
    • More proximal on the pulse, more inferior on the body
  • Types of pulses you will find
    • Thick, ropey, wiry pulses
    • Thin, tiny stiff pulses
      • Think the edge of a piece of paper, but the paper resists pressure
    • Thin weak pulses ‘aka the Kleenex pulse
      • Pulses disappear with pressure
    • You will also feel pen tip pulses or pulses in the fascia
      • The radial pulse will push against structures in the fascia on top of the pulse which will indicate structural abnormalities in the neck/shoulder/upper back/lower back
  • Right side
    • Ropey pulse
      • Inflammation or tension in the neck and upper back
      • Pounding or jump will indicate heat and inflammation in the neck and upper
      • Pounding pulse can also indicate a prostate problem in men
    • Pen tip pulses on the ropey pulse
      • Lesions or calcifications along the spine
      • Neck surgery or other surgical scars
  • Left side
    • Lower back
      • Thick pulse
      • Muscle damage in the lower back
      • Paper-thin
      • Spinal damage
      • Herniated discs
    • Prostate (men)
      • Ropey large proximal pulse on each side
      • Pounding on each side
      • Inflammation in the prostate
    • Female reproductive system
      • Thin
      • Endometriosis
        • With pen tip pulses
        • Cysts or fibroids
        • Can be PCOS if they are numerous
      • Blocked
      • Either can be a hysterectomy or no children