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The Art and Practice of Diagnosis in Chinese Medicine

The Art and Practice of Diagnosis in Chinese Medicine

Nigel Ching | Jeremy Halpin

(2017)

Additional Information

Book Details

Abstract

This textbook on diagnosis in Chinese medicine is unique in its clarity and accessibility.

Divided into two sections, it is a comprehensive diagnostic manual. The first section explains how to collect and collate the information required to formulate a diagnosis and is divided into four approaches: visual, palpation, interrogation and listening/smelling. The second section describes the various diagnostic models in Chinese medicine, including The Eight Principles; zangfu organ pattern; the Six stages, four levels and san jiao; the twelve regular channels and eight extraordinary vessels; and the Five Phases.


Nigel Ching is a lecturer in Chinese Medicine and course director at the Nordisk Akupunktur Uddannelse, Denmark. With over 25 years of clinical experience, Nigel lectures widely in Scandinavia, Germany, UK, Greece and Finland and is the author of The Fundamentals of Acupuncture, also published by Singing Dragon. Nigel trained in England, but has lived and taught in Denmark for a number of years.

Table of Contents

Section Title Page Action Price
The Art and Practice of Diagnosis in Chinese Medicine, by Nigel Ching 3
Foreword 11
Acknowledgements 13
Preface 14
The Art of Diagnosis or How to Diagnose in Chinese Medicine 17
Diagnostic prerequisites 21
Western diagnosis 26
The diagnostic process 28
Diagnostic models 33
Treating complex patients with many patterns of imbalances 34
Part 1 - The Diagnostic Pillars 35
Introduction to the Diagnostic Pillars 36
Section 1 - The Diagnostic Pillar: Visual Observation 39
Introduction 39
Visual diagnosis of a person’s shen 41
Visual diagnosis of the body shape and posture 44
Visual diagnosis of a person’s movements 49
Visual diagnosis of a person’s clothing 52
Visual diagnosis of the face 55
Visual diagnosis of the eyes 61
Visual diagnosis of the area around the eyes 65
Visual diagnosis of the forehead, the root of the nose and the area between the eyebrows 66
Visual diagnosis of the nose 68
Visual diagnosis of the ears 69
Visual diagnosis of the lips 70
Visual diagnosis of the mouth 72
Visual diagnosis of the gums 73
Visual diagnosis of the tongue 73
Visual diagnosis of the hair 94
Visual diagnosis of the body hair 96
Visual diagnosis of the throat 97
Visual diagnosis of the chest and the back 98
Visual diagnosis of the back 98
Visual diagnosis of the limbs 99
Visual diagnosis of the joints 100
Visual diagnosis of the hands 101
Visual diagnosis of the skin 104
Visual diagnosis of veins 108
Visual diagnosis of skin lesions 109
Visual diagnosis of acupuncture points and channels 112
Visual diagnosis in relation to \nmicro‑systems such as ear acupuncture 113
Appendix to Section 1 - Visual Diagnosis of Children 117
Section 2 - The Diagnostic Pillar: Listening and Smelling 124
Introduction 124
Auditory diagnosis 125
Auditory diagnosis of the person’s voice 126
The Five Phases in the voice 129
Quality of the voice 136
Auditory diagnosis of other sounds coming from the mouth, nose and chest 138
Diagnosis of sounds from the abdominal cavity 141
Olfactory diagnosis 143
Section 3 - The Diagnostic Pillar: \nPalpation 148
Introduction 148
Pulse diagnosis 150
Palpation of the abdomen, including Hara diagnosis 183
Palpation of the chest 187
Palpation of the skin 188
Palpation of the hands and feet 190
Palpation of acupuncture points, channels and micro-systems 191
Section 4 - The Diagnostic Pillar: Interviewing 195
Introduction 195
Interviewing techniques 196
The 10 questions 199
General questions 200
Disease history 204
Temperature 206
Energy levels 209
Sweating 212
Thirst, appetite, taste 214
Stools and Urination 220
Heart, Lung and Chest 224
Dizziness 228
Skin, hair and nails 229
The ears and eyes 231
Sleep 234
Pain 235
Headache 239
Enquiry that is specific to women 241
Enquiry that is specific to men 248
Enquiry with regard to the emotions and mental state 251
Lifestyle and diet 254
Part 2 - The Diagnostic Models 257
Introduction to the Diagnostic Models 258
Section 5 - Diagnosis According to the Eight Principles 261
Interior and exterior imbalances 263
Exterior imbalances 263
Interior imbalances 268
Hot and Cold imbalances 270
Heat 271
Cold 280
Combined Hot and Cold patterns 288
Xu and Shi imbalances 289
Xu conditions 289
Shi conditions 300
Yin and yang imbalances 301
Section 6 - Diagnosis According to Xie Qi 305
Wind 310
Invasion of exogenous Wind 311
Internally generated Wind 314
Cold 315
Dampness and Damp-Heat 319
Exogenous Dampness 320
Internally generated Dampness 324
Summer-Heat 328
Heat and Fire 331
Shi Heat and Fire 333
Xu Heat 336
Dryness 337
Exogenous Dryness 338
Internal Dryness 339
Phlegm 340
Xue stagnation 347
Food stagnation 352
Section 7 - Diagnosis According to \nQi, Xue and Jinye Imbalances 355
Qi imbalances 356
Xue imbalances 367
Jinye imbalances 380
Section 8 - Diagnosis According to Zangfu Organ Patterns 393
Lung imbalances 393
Large Intestine imbalance 427
Stomach imbalances 437
Spleen imbalances 459
Heart imbalances 487
Small Intestine imbalance 524
Urinary Bladder imbalances 532
Kidney imbalances 546
Pericardium and san jiao imbalances 577
Gall Bladder imbalances 580
Liver imbalances 590
Section 9 - Diagnosis in Relation to the Six Stages, Four Levels and San Jiao 641
Diagnosis in relation to the Six Stages 642
Diagnosis according to the Four Levels 669
Diagnosis according to San Jiao theory 696
Section 10 - Diagnosis in Relation to the 12 Regular Channels 712
Lung channel imbalances 715
Large Intestine channel imbalances 715
Stomach channel imbalances 716
Spleen channel imbalances 717
Heart channel imbalances 717
Small Intestine channel imbalances 718
Urinary Bladder channel imbalances 718
Kidney channel imbalances 719
Pericardium channel imbalances 719
San jiao channel imbalances 719
Gall Bladder channel imbalances 720
Liver channel imbalances 720
Section 11 - Diagnosis in Relation to the Eight Extraordinary Vessels 722
Du mai imbalances 723
Ren mai imbalances 724
Chong mai imbalances 725
Dai mai imbalances 725
Yin qiao mai imbalances 726
Yang qiao mai imbalances 727
Yin wei mai imbalances 727
Yang wei mai imbalances 728
Section 12 - Diagnosis in Relation to the Five Phases 729
Sheng phase patterns 729
Ke phase dominating patterns 732
Ke phase ‘insulting’ patterns 735
Appendix 1 - Supporting the Treatment of the Patient Through Yangshen 738
Appendix 2 - The Energetic Properties of Certain Foods 754
Appendix 3 - Herbal Formulas 758
Glossary 768
References 770
Further Reading 771
Endnotes 773
Index 775
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