Chinese Diagnostics Microsystems

1. Chinese DiagnosticsMicrosystems Tobacco Cessation Protocol Doris Hubbs, MD, FACP April 27, 2013

2. Chinese Diagnostics • Traditional diagnosis: • Inspection • Auscultation and Olfaction • Inquiring • Palpation

3. Chinese Diagnostics: patient’s voice has clues to diagnosis Wall Street Journal: April 24, 2013

4. Chinese Diagnostics:angry, excited, worried, depressed, paranoid speech patterns Wall Street Journal, April 24, 2013

5. Chinese Diagnostics Tongue • Traditional diagnosis: • Inspection of face, body, and especially the tongue: S: tongue size and shape C: tongue color and coating U: tongue underside (true color) M: tongue markings and moisture

6. Tongue Diagnosis by Maciocia 1987 & 1995

7. Tongue diagnosis kidney GB-stomach-spleen-liver Heart-lung Principal meridians (and internal organs) are reflected on specific tongue areas

8. Tongue Diagnosis • Color • Light red or pink: normal • Red: abnormal heat • Pale: yang deficiency or blood deficiency • Purple tongue: stasis • Tongue Color can be affected by food or natural pigmentation

9. Tongue Color Pale tongue Light red tongue

10. Tongue Color Need good lighting, preferably natural light For adequate inspection of color

11. Tongue Color LIGHT red tongue Red tongue

12. Tongue Color Dark Red Tongue Pink tongue

13. Normal Tongue Color Pink to light red Underside : true color

14. Tongue Size and Shape Thick Tongue Normal Full Size tongue slightly swollen edges

15. Tongue Size and Shape Swollen edges Thin Tongue?

16. Tongue Size and Shape “Hammer tongue” Long tongue

17. Tongue Coating Uneven coat Normal thin, white moist coat

18. Tongue Coating Yellowish, thick, dry coat White coat “without root”

19. Tongue Underside Shows True Tongue Color Note teeth marks and red tip Look for venous congestion

20. Tongue Underside Shows True Tongue Color Light red Darker red

21. Patient after 4 weeks of acupuncture treatment Less swollen; fewer cracks Teeth marks remain; But tip of tongue better

22. Tai Yin/Yang Ming PM Therapy Ki 3 and Sp6 connected with 4 Hz electrotherapy to Lu 5

23. After 5 weeks of acupuncture tx Coat is less peeled Tip is less dented

24. Tongue Movements “Quivering” ..\power point presentations 042713\tongue quivering

25. Chinese Diagnostics Tongue • Traditional diagnosis: • Inspection of face, body, and especially the tongue: S: tongue size and shape C: tongue color and coating U: tongue underside M: tongue markings and moisture

26. Chinese Diagnostics • Traditional diagnosis: • Inspection • Auscultation and Olfaction • Inquiring • Palpation

27. Bargain Acupuncture!

28. Microsystems Ear (auricular) Hand Scalp (Tongue)

29. Microsystems

30. Many different forms of microsystem acupuncture Hand acupuncture: Korean, Chinese, Scalp acupuncture: Japanese, Chinese, Ear acupuncture: French, Chinese,

31. Korean Hand Acupuncture Entire body on hand All meridians on hand

32. Korean Hand Acupuncture Posterior body on hand Anterior body on hand

33. Scalp Acupuncture Chinese Scalp Acupuncture Japanese scalp acupuncture

34. Scalp Acupuncture Stroke Rehab Difficult pain conditions Neurodegenerative disorders

35. Scalp Acupuncture Find the motor area & the sensory cortex

36. Scalp acupuncture

37. Acupuncture in the News AARP Bulletin April 2013 Acupuncture for Pain

38. Dr. Terry Oleson in Californiaresearched and taught ear acupunture

39. Dr. Nogier mapped points

40. Inverted fetus mapped to ear

41. Ear Map

43. Auriculoacupuncture Therapies • Anxiety • Substance abuse (detox protocols): NADA Protocol • Nausea and GI sx • Pain • Specific points • Battlefield Acupuncture Protocol Many more conditions can be treated

44. Treatment of musculoskeletal pain Needle the ear point associated with the part of the body in pain

45. Auricular Diagnosis and Tx • Observe abnormal ear markings, discolorations, abnormal skin • Palpate for tenderness at specific points • Use electrodermal point finder to • locate regions with low skin resistance • (high skin conductance)

46. Acupoint Finder

47. AuriculotherapyTx Options • Acupressure with seeds or pellets • Acupuncture needles: • Short needles, 15 mm (0.2 mm) • ASP needles (stay in for 1-2 days) Electroacupuncture Laser stimulation

48. Using press tacks or seeds

49. Auriculotherapy with “regular acupuncture needles” Four points for anxiety Inserted in “shoulder point” of ear

50. Treatment of nausea and GI sx Four ASP gold needles in the autonomic pt., LI, SI, stomach pts. Patient felt better and less nauseated immediately afterwards.