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Source: Four Pillars of Chinese Medicine. These questions journey from the chief complaint and project to other life behaviors and inclinations that may encompass tendencies to be either hot or cold (or neither), sweating, gastrointestinal (ie, digestion, urination, bowel movements), sleep quality and quantity, emotional status, energy levels, and pain quality and consistency. The pulse has several attributes that serve as a window between the practitioner and the patient, including the depth, strength, consistency, and even the specific movement in which the blood travels through the vessel.Īsking is the final pillar, which revolves around 10 essential questions that directly correlate to the patient’s overall being and constitution.
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Palpating the pulse is an extremely detailed task requiring complete focus to feel for the quality. Each pair of organs can be recognized within each of these positions. The left and right side of the radial pulse is laid out into 3 sections (from proximal to distal): qi, guan, and cun. For example, the pulse, like the tongue, presents a blueprint of a patient’s condition. The patient’s voice might offer evidence of a disturbance or irregular pattern. Listening is a second pillar in the evaluation. We examined the map of the tongue as it laid out the internal viscera and details of the tongue such as shape, color, texture, moisture, coating thickness and color, size of the papillae, and movement, as these features can be very revealing. Looking at physical attributes such as the face, eyes, gait, and tongue is the first pillar. While the evidence for acupuncture remains inconclusive, there are a growing number of studies offering clinical support for the benefits of using acupuncture to address LBP.⁶⁻¹⁰(See Four Pillars of Chinese Medicine) The World Health Organization anticipates that as the world population ages, the incidence of LBP will increase substantially and become 1 of the leading conditions for which the aging population will seek out medical intervention.²Īcupuncture may help improve quality of life as well as reduce lost workplace productivity through more effective and sustained pain relief.⁴˒⁵ Stimulating nerves located in muscles and other tissues with the application of fine needles may lead to the release of endorphins and other neuro-humoral factors.⁶The expected result is a change in pain processing between the brain and spinal cord.Īcupuncture has demonstrated efficacy in reducing inflammation by promoting the release of vascular and immunomodulatory factors and increasing local microcirculation.⁶⁻⁸ In turn, this may support better joint movement and relief of muscle stiffness as well as aid the healing of swelling and bruising.⁶˒⁷