Patient: __________________________________ Date: __________________ Pulse rate: _______ BP: _____________ DX: _________________________________________________________________________________________________________ L CUN – HEART/SMALL INTESTINE R CUN – SINUS/LARGE INTESTINE TEMPERATURE/COLOR ! blocked stage 3 (MVP, murmur, BBB, valve block, chest pain) ! blocked stage 2 (MVP, murmur, BBB, valve block, chest pain) ! blocked stage 1 (MVP, murmur, BBB, valve block, chest pain) ! thin & weak (MVP, murmur, anxiety, poor memory, ADD) ! deep & weak (CHF, FFAD, edema in ankles, fluid in lungs) ! reverse hook (anxiety, fear, nervous, adrenal stress, PTSD) ! constricting (coronary constriction, heart blockage, cold HT) ! gu (aortic valve stenosis/regurgitation, SOB, chest pain, dizzy) ! rainbow (inflammation in SI, irritable bowel, enteritis, colitis) ! deep, pounding & slippery (bipolar, insomnia, heat/BS in PC) ! other: ___________________________________________ SPECIAL HEART PULSES ! mitral valve -­‐ present (mitral valve prolapse or tricuspid) ! large vessel -­‐ pen tip (large vessel blockage) L STYLOID PULSE – DIAPHRAGM ! pounding proximal side of styloid (acid reflux) ! pounding distal side of styloid (esophageal hernia) ! blocked (chronic sinus inf., vertigo, snores, head trauma) ! deep, thin & weak (URI viral, flu, LU/Wei qi def, hypothyroid) ! deep & pounding (sinus infection, sinusitis) ! superficial, thin & weak (LU/Wei qi def, chronic allergies, cold) ! superficial & forceful or jumpy (sinus infection, URI, sinusitis) ! superficial, thin, weak & pounding (yin def, dry sinus, skin sx) ! superficial, wiry, sl. thin & pounding (wind-­‐heat/w-­‐h allergy) ! superficial, wiry & very thin (wind-­‐cold or w-­‐c allergy) ! stiff/hard (peristalsis problem in LI) ! short/BB (polyp, diverticulitis, enteritis, constip., hemorrhoid) ! constricting (bad wind-­‐cold/allergy or LU cold w/ phlegm) ! other: ___________________________________________ L GUAN – LIVER/GALLBLADDER R GUAN – STOMACH/SPLEEN/PANCREAS TEMPERATURE/COLOR ! convex & pounding (stress, irritable, nervous, moody, insom) ! deep & blocked (fatty liver, anxiety, depression, irritab.) ! deep & blocked both guans (diabetes, pre-­‐diabetic) ! deep & pounding (fatty liver, frustration, LIV/GB damp-­‐heat) ! wiry, pounding & deep (hepatitis, ↑ liver enzymes, LIV fx ↓) ! superficial, thin & weak (LIV yin def. w/ heat) ! thin & tight in middle/deep (hx of mono) ! mustard seed (gallstone, hepatic cyst, gallbladderectomy) ! roof (LIV stag, liver damage, hx of mono, excess drugs/meds) ! blade (liver disease, liver cirrhosis, liver cancer) ! other: ___________________________________________ ! superficial, convex & pounding (ST fire, acid reflux, H. pylori) ! deep & blocked (poor digestion -­‐ gas, bloating, gastritis) ! deep, wiry & pounding (↑ sugar/carbs, pre-­‐diabetic/type II) ! deep & concave/pounding (chronic gastritis, damp-­‐heat in ST) ! superficial, wiry & pounding (LIV ⇒ ST, nervous ST, pain/ulc.) ! thin & wiry (stomach pain, LIV ⇒ ST + cold in ST) ! thin & weak (def. cold ST, weak digestion, SP qi def, lupus) ! other: ___________________________________________ LI-­‐10 ! cold (constitutional cold stomach) ! cold + hot palm (immune dysf.) ! hot + hot palm (ST fire) ! hot + very cold palm (parasites) LU-­‐10 ! blue line (cold ST, bad digestion) L CHI – KIDNEY, REPRODUCTIVE, ADRENAL, LOWER BACK, PROSTATE R CHI – BLADDER, SHOULDER, NECK TEMPERATURE/COLOR ! blocked (LBP, surgery, dysmenor., infertility, hysterect) ! turtle no tail (lower back pain/stiff, soft tissue knee damage) ! turtle w/ tail (bone spur, disc problems in lower back) ! deep, thin & weak (KID yang def, cold, infertility, low libido) ! superficial, wiry/thin & weak (KID yin def, hot flashes) ! BB/pen tip (kid stone L ureter, hip/knee inj., ovarian cyst) ! turtle both chi (prostate enlargement, varicocele, knee prob) ! other: ___________________________________________ EXTRA/PROXIMAL PULSES ! taiyang/big & long (↑ estrogen, LBP down leg, prostatitis) ! taiyang both chi (heavy metal tox, chemical sens, poisoning) ! du/long mid depth (LBP, sciatica, spinal damage, scoliosis) ! ren/deep & thin (endometriosis, cysts, fibroids, ut. prolapse) ! ren w/ bumps (PCOS + endometriosis, fibroids or vasectomy) ! blocked (frozen shoulder, numbness in fingers/arms) ! turtle no tail (soft tissue shoulder damage/pain, gout) ! turtle w/ tail (bone spur, neck/shoulder disk prob, neck pain) ! thin & weak (urinary incontinence) ! deep & pounding (bladder infection, UTI, freq urination) ! BB/pen tip (kidney stone R ureter) ! other: ___________________________________________ Palm above P-­‐7 ! hot (hormone imb, pelvic inflamm.) ! freezing (hormone ↓, infert, no lib.) ! cold (poor circulation, weak HT) Dorsal side of upper arm ! cold (neck problem) ! hot (taiyang vessel problem) Dorsal side of hand ! warm/hot (back pain & inflamm.) ! cold (LB cold stag, KID yang def.) R STYLOID PULSE – THROAT/THYROID ! pounding proximal side of styloid (acid reflux/hiatal hernia) ! pounding apex (sore throat, thyroid disease/inflammation) ! pounding distal side of styloid (post-­‐nasal drip) EXTRA/PROXIMAL PULSES ! taiyang/big & long (UTI, burning urination, KID infection) ! du/long mid depth (pain/stiffness in neck, whiplash) P-­‐6/P-­‐3 ! blue/green (nervous, anx., insom.) ! black lines (nervous, anx., insom.) ! red (irritation) H-­‐3 ! brownish (blood stasis, HT problem) Ren-­‐22 ! cold (wind-­‐cold, LU cold, bronchitis) ! hot (wind-­‐heat, LU heat, asthma) Du-­‐14 ! cold (immune def, wind-­‐cold) ! hot (wind-­‐heat) LU-­‐5 ! brownish (LU dysfunction) ! dark/black, green (LU infection) EXTRA VESSEL PULSES L YANG WEI -­‐ ARTHRITIS R YANG WEI – LUNG/RESPIRATORY L & R YIN WEI – HT DISEASE ! convex, wide, pounding (rheumatoid arthritis, hot bi pain) ! very thin/wiry & tight (osteoarthritis, cold bi pain) ! superficial & very thin (cold-­‐bi) ! deep & very thin (damp-­‐cold bi) ! superficial, convex & pounding (LU heat, inflammation in LU) ! deep & pounding (retained phlegm-­‐heat in LU) ! very thin (wind-­‐cold in LU) ! wiry, thicker & pounding (acute cold, wind-­‐heat) ! pen tip (phlegm block in LU, asthma) ! Ren-­‐22 hot + pen tip (allergy) ! Ren-­‐22 cold + thin (chronic bronchitis, chr. cold) ! L present (family hx of HT disease) ! R present (family hx of HT disease) MPD notes from Bob Doane webinars -­‐ www.doane.us -­‐ written by Stephanie Irzyk, AP, DOM Patient: __________________________________ Date: __________________ Pulse rate: _______ BP: _____________ DX: _________________________________________________________________________________________________________ MPD notes from Bob Doane webinars -­‐ www.doane.us -­‐ written by Stephanie Irzyk, AP, DOM