ENERGETIC DIAGNOSIS

The art of passive engagement

Passive Engagement ~ Engage with receptivity

Objectively observe and accumulate

Let information pass through your lens and simply focus it

Maintain control of the information flow

Spare them your infinite wisdom and give them your experience instead

Objectively Observe and AccumulateJust take it all in!

Be sure your lens is clean!

Let information pass through your lens and

simply focus it

Maintain Control of the information flowJust enough to keep things moving!

Not too fast Not too slow

Spare them your infinite wisdom and give them your experience instead.

Better yet... give them your presence!

Play Chinese Medicine by its own rules

Even if the signs and symptoms don’t make sense to you, they do to the body they are in

Yin creates Yang ~ Yang activates Yin ; Mutual transformation

If it’s red, it’s Fire

Polar (Yin/Yang) and phasic (Wuxing) correspondences direct the therapy needed

Even if the signs and symptoms don’t make sense to you,they do to the body they are in.

Get OUT of your OWN way!

Let your mind settle...and the image will become

CLEARER.

Yin creates Yang, Yang activates Yin

If it’s red it’s Fire...

If you hear ga!oping hooves,think Horses, not Zebras!

Then again, you never know...

...but remember, rare diseases are RARE!

Polar (yin/yang) and phasic (wuxing) corollaries direct the therapy needed

Just follow the footprints of the pathology back to health!

Diagnostic room etiquette

Create a safe environment where the patient feels ok to share their pain and suffering

Don’t be bossy or completely passive ~ Give just enough energy to keep things moving

Create a safe environment where the patient feels OK to share their pain and suffering.

Just give enough energy to keep things moving!

“You must be like water!” ~ Bruce Lee

Don’t be bossy Or completely passive

Gaining the patient’s trust

Integrity & Honesty

Non judgement

Effective optimism ~ help rather than cure

Confidence

Integrity & HonestyJust be yourself!

Non judgementGet out of the way and help!

Effective Optimism ~ seek to help rather than cure

HEALTH is where the body wants to be...sometimes it just needs a nudge in the right direction!

ConfidenceA journey of a thousand miles begins with one step...

Follow a path with heart...Trust in each step...

and Confidence follows natura!y!

Lines of communication

Introduce yourself

Establish a safe environment ~ confidentiality and non judgementalism

Awareness of body language

Be aware of ‘who’ is talking as well as what is being said

Introduce Yourself

“Hi, my name is Squissel,I’m going to poke you

with sharp objects todayso you canRELAX!”

Establish a Safe EnvironmentReiterate Confidentiality an Non-Judgementalism

Awareness of Body LanguageWhat are their posture and gestures saying to you?

Be aware of “Who” is talking as well as

what is being said.

Wood - shouting

Fire - laughing

Earth ~ singing

Metal~ crying,sighing

Water ~ groaning

Subjective Intake - What the patient tells you

Chief complaint ~ CC

Present illness ~ PI

History ~ Hx.

Chief Complaint ~ CCWhat brings you here to see me today?

Present Illness ~ PIIs there any ongoing illness, either chronic or acute?

History ~ Hx.Can be helpful, but what’s past is past...

focus on what’s in front of you right now!

Objective Intake - What you observe about the patientPulse findings ~ rate, amplitude, quality

Tongue observations ~ body, coat, color

Palpation findings ~ emptiness and fullness

Musculo-skeletal or Neuromuscular test results

Observations about complexion, voice qualities, hair and skin qualities, postural imbalances, etc.

Pulse FindingsRate, Amplitude, Quality

Tongue ObservationsBody, Coat, Color

Shape of Body

Presence or Absence and quality of coat

Color of tongue body

Also make note ofcracks and crevices

Palpation Findings

Emptiness ~ weakness, flacidity,lack of resistance in the tissues

Fullness ~ tense, hard, nodules, painful to touch

Musculo-skeletal & Neuromuscular tests

Range of Motion ~ ROM

Tendenomusculardifferentiation

Western testsnamed afterdead doctors

Observe:

Complexion Postural Imbalances Hair & Skin quality

And most importantly, look for theShen in the eyes

...or lack thereof...

Notes on note taking

Concise and clear ~ be clear about any abbreviations

Delineate time factors ~ current problem vs. history, duration, intermittent &/or cyclical natures

Use 1-10 pain scale

Be clear with abbreviationsDiagnosis ~ Dx Treatment ~ TxHistory ~ Hx

Symptoms ~ SxPatient Presents ~ P/PComplains of ~ C/O

Don’t use abbreviations that are not widely known!(at least not at Jung Tao)

Delineate time factorsCurrent problem vs. History, Duration, Intermittent

and/or Cyclical natures

Use a 1 ~ 10 Pain Scalewhen appropriate

Assessment - putting it all together to form a diagnosis

Compare subjective and objective findings

Correlate all info. according to the criteria of Chinese Medicine ~ yin/yang, wuxing, liuqi, jingluo, san jiao energetics, etc.

Synthesize correlated info. to form a diagnosis ~ nonlinear differential diagnosis (see handout)