Jimmy Chang Pulse Diagnosis

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Internal Medicine:

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

Doctor of Chinese Medicine Doctor of Chinese Medicine Licensed in NY, CA, NCCA Licensed in NY, CA, NCCA Founder of Chang’s Pulse Diagnosis Founder of Chang’s Pulse Diagnosis

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INTRODUCTION OF

DR. CHANG



 Doctor of Chinese Medicine in TaiwanDoctor of Chinese Medicine in Taiwan 

 Licensed in the States of NY, CALicensed in the States of NY, CA 

 NCCA Certified HerbalistNCCA Certified Herbalist 

 Founder of Chang’s Pulse DiagnosisFounder of Chang’s Pulse Diagnosis 

 Author of Author of PulsynergyPulsynergy 

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CLASS OUTLINE



 Introduction to Chang’s PracticeIntroduction to Chang’s Practice 

 DiagnosisDiagnosis



 TemperatureTemperature 

 Color & TextureColor & Texture 

 Blood Pressure & Heart Rate Blood Pressure & Heart Rate DiagnosisDiagnosis 

 Pulse DiagnosisPulse Diagnosis 

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CLASS OUTLINE



 Pain ManagementPain Management



 Neck / Shoulder PainNeck / Shoulder Pain 

 Back PainBack Pain 

 Arthritis Arthritis 

 Bone Spur Bone Spur 

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INTRODUCTION TO

DR. CHANG’S PRACTICE



 99% Herbal Practice99% Herbal Practice 

 60% Chinese, 40% English Speaking and60% Chinese, 40% English Speaking and

growing. growing.



 Diagnosis mostly through palpationDiagnosis mostly through palpation



 Pulse DiagnosisPulse Diagnosis 

 TemperatureTemperature 

 Color/TextureColor/Texture 

 Blood Pressure & Heart Rate DiagnosisBlood Pressure & Heart Rate Diagnosis 

 Ear Diagnosis/ConfirmationEar Diagnosis/Confirmation 

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DIAGNOSIS –

TEMPERATURE



 Check the TemperatureCheck the Temperature

1. Dorsal side above the elbow 1. Dorsal side above the elbow 2. LI 10 area

2. LI 10 area 3. Palm

3. Palm

4. Back side of the hand 4. Back side of the hand 5

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DIAGNOSIS –

COLOR / TEXTURE



 Check the color of the forearmCheck the color of the forearm 

 Feel the texture of the Feel the texture of the skin/muscleskin/muscle 

 Check the color of the veinsCheck the color of the veins



 Redness = Redness = InflammationInflammation 

(8)



 Dorsal side: neck,Dorsal side: neck,

shoulder shoulder



 Ventral side: chestVentral side: chest 

 Dorsal side LI 10: colon,Dorsal side LI 10: colon,

hot means parasite hot means parasite



 Fish area: Blue lineFish area: Blue line

means cold stomach, bad means cold stomach, bad digestion

digestion



 Palm: pelvic area,Palm: pelvic area,

hormones hormones



 Hand: dorsal side, lowHand: dorsal side, low

back back Quality of skin: Quality of skin:

DIAGNOSIS –

COLOR / TEXTURE

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PULSE DIAGNOSIS



 Intro to Chang’s Pulse DiagnosisIntro to Chang’s Pulse Diagnosis



 Finger PositionsFinger Positions 

 Pulse Taking TechniquesPulse Taking Techniques 

 Pulse Characteristics (what should you bePulse Characteristics (what should you be

feeling when you take pulses) feeling when you take pulses)



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PULSE DIAGNOSIS –

FINGER POSITIONS

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PULSE DIAGNOSIS –

FINGER POSITIONS

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PULSE DIAGNOSIS –

PULSE TAKING TECHNIQUES



 1. Patient’s palm1. Patient’s palm

should be facing the should be facing the side, not the ceiling side, not the ceiling

Incorrect

Correct

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PULSE DIAGNOSIS –

PULSE TAKING TECHNIQUES



 2. Take the pulse2. Take the pulse

with the bed of the with the bed of the fingers fingers Incorrect Incorrect Correct Correct

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PULSE DIAGNOSIS –

PULSE TAKING TECHNIQUES



 3. Take the pulse3. Take the pulse

from outside in, from outside in, not over flexor not over flexor ca

carprpii raradidialaliis,s,

palmaris longus palmaris longus Correct Correct Incorrect Incorrect

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PULSE DIAGNOSIS –

PULSE TAKING TECHNIQUES



 4. Put your thumb4. Put your thumb

on SJ4, so there is on SJ4, so there is space to maneuver space to maneuver and feel the shape and feel the shape of the vessel

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PULSE DIAGNOSIS –

PULSE TAKING TECHNIQUES



 5. Start gentle,5. Start gentle,

don’t press too don’t press too hard in the

hard in the

beginning. If your beginning. If your nails are turning nails are turning white, you are white, you are

pressing too hard. pressing too hard.

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PULSE DIAGNOSIS –

POSITIONS / ORGANS



 Right HandRight Hand



 CunCun: Lung: Lung 

 Guan Guan: Spleen/Stomach: Spleen/Stomach 

 ChiChi: Kidney (Urinary function) Neck.: Kidney (Urinary function) Neck.



 Left HandLeft Hand



 CunCun: Heart: Heart 

 Guan Guan: Liver : Liver 

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PULSE DIAGNOSIS –

8 EXTRA MERIDIANS

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PULSE DIAGNOSIS –

PULSE

PULSE CHARACTERISTI

CHARACTERISTICS

CS



What should you be feeling?

1. Feel the strength of the pulse (weak or 1. Feel the strength of the pulse (weak or strong)

strong)

2. Feel the level (superficial or deep) 2. Feel the level (superficial or deep) 3. Feel the diameter (thick or thin)

3. Feel the diameter (thick or thin) 4. Shape

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PU

PULS

LSE

E DI

DIAG

AG

NO

NOSI

SIS

S –

–

TC

TCM

M

PULSE INTERPRETATIONS



 Weak = DeficiencyWeak = Deficiency 

 Strong = ExcessStrong = Excess 

 Superficial = DrynessSuperficial = Dryness 

 Deep = DampnessDeep = Dampness 

 Thick = Expanding ConditionThick = Expanding Condition 

 Thin = Constricting ConditionThin = Constricting Condition



 Shape: Specific shapes will be discussedShape: Specific shapes will be discussed

with the conditions with the conditions

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PULSE DIAGNOSIS –

Examples of Shapes

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PULSE DIAGNOSIS –

Examples of Shapes

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PULSE DIAGNOSIS –

Examples of Shapes

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PAIN MANAGEMENT

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

(25)

PAIN CONDITIONS



 1. 1. Neck Neck / / Shoulder Shoulder PainPain 

 2. Back Pain2. Back Pain 

 3. Arthritis3. Arthritis 

 4. Bone Spurs4. Bone Spurs 

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COMMON PULSES FOUND IN

PAIN CONDITIONS



 LongLong



 A pulse that extends proximally to the A pulse that extends proximally to the chichi

positions or distally to the

positions or distally to the cuncun positionspositions



 ScatteredScattered



 Weak, shapeless pulseWeak, shapeless pulse 

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COMMON PULSES FOUND IN

PAIN CONDITIONS



 WiryWiry



 Straight pulse that is moderately thickStraight pulse that is moderately thick



 Little thicker than a steel wire Little thicker than a steel wire pulsepulse



 Thinner than a thick pulseThinner than a thick pulse



 Steel Wire PulseSteel Wire Pulse



 Thin, long and tightThin, long and tight 

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NECK / SHOULDER PAIN

_肩頸痛



 Pulse Dx:Pulse Dx:



 Deep and soft/scattered on the rightDeep and soft/scattered on the right chichi



 Ear Dx:Ear Dx:



 Brownish discoloration around the neck andBrownish discoloration around the neck and

shoulder area shoulder area



 TCM Diagnosis:TCM Diagnosis:



(29)

NECK / SHOULDER PAIN

_肩頸痛



 Old Injury w/ Blood Stasis (Old Injury w/ Blood Stasis (

舊傷瘀血

)) 

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NECK / SHOULDER PAIN

_肩頸痛



 Turtle pulse on the rightTurtle pulse on the right chichi



 The more forceful the pulse, the more severe theThe more forceful the pulse, the more severe the condition

condition



 Ear Dx:Ear Dx:



 Reddish discoloration around the neck andReddish discoloration around the neck and shoulder area

shoulder area



(31)

NECK / SHOULDER PAIN

_肩頸痛



 New Injury with Inflammation (New Injury with Inflammation (

新傷發炎

)) 

(32)

NECK / SHOULDER PAIN

_肩頸痛



 Floating and forceful on the rightFloating and forceful on the right cuncun 

 Long and forceful on the rightLong and forceful on the right chichi



 Temperature Dx:Temperature Dx:



 Hot above the elbowHot above the elbow 

 Hot at the back of the neck, T1Hot at the back of the neck, T1



(33)

NECK / SHOULDER PAIN

_肩頸痛



 Wind-Heat (Wind-Heat (

感冒風熱

)) 

(34)

BACK PAIN

_腰背痛



 Bone Spur (Bone Spur (

骨刺發炎

)) 

(35)

BACK PAIN

_腰背痛



 Wiry and thin on the leftWiry and thin on the left chichi and proximal to itand proximal to it



 Bone Spur (Bone Spur (

骨刺發炎

))



(36)

BACK PAIN

_腰背痛



 Bird’s peak pulse on theBird’s peak pulse on the chichi position(s)position(s)



 Side the pulse is found (left or right) iSide the pulse is found (left or right) iss

respective of the side the stone is respective of the side the stone is inin



(37)

BACK PAIN

_腰背痛



 Kidney Stones (Kidney Stones (

腎結石

)) 

(38)

ARTHRITIS

_風濕



 Damp-Heat Accumulation (Damp-Heat Accumulation (

濕阻型

)) 

 Excess Heat (Excess Heat (

實熱型

)) 

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ARTHRITIS

_風濕



 Deep and forceful pulseDeep and forceful pulse 

 Yangwei Yangwei pulse on the left sidepulse on the left side



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ARTHRITIS

_風濕



 Damp-Heat Accumulation (Damp-Heat Accumulation (

濕阻型

)) 

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ARTHRITIS

_風濕



 Deep and forceful on bothDeep and forceful on both chichi 

 Yangwei Yangwei pulse is fast and forcefulpulse is fast and forceful



 Temperature Dx:Temperature Dx:



 Painful area will feel hotPainful area will feel hot 

 Hands and feet will feel hotHands and feet will feel hot



實熱型

))



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ARTHRITIS

_風濕



實熱型

)) 

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ARTHRITIS

_風濕



 Forceful, turtle pulse on bothForceful, turtle pulse on both chichi positionposition



 Gout (Gout (

痛風型

))



(44)

BONE SPUR

_骨

刺

  Pulse Dx:Pulse Dx:   Temperature Dx:Temperature Dx:   Ear Dx:Ear Dx:   TCM Diagnosis:TCM Diagnosis: 

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FIBROIDS

子宮肌瘤

ENDOMETRIOSIS

子宮內膜異位症

  Pulse Dx:Pulse Dx: 

 Steel wire pulse on the leftSteel wire pulse on the left chichi and proximal to itand proximal to it

  Temperature Dx:Temperature Dx:   Ear Dx:Ear Dx:   TCM Diagnosis:TCM Diagnosis: 

(46)

Dr. Jimmy Chang’s contact info



 3133 S. Hacienda Blvd3133 S. Hacienda Blvd 

 Hacienda Heights, CA 91745Hacienda Heights, CA 91745   626-820-8858626-820-8858   wwwwww..bboouunnddlleessssggaalllleerryy..ccoomm SeSeaarrcch h ffoorr “JIMMY CHANG” “JIMMY CHANG”